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1599 Blackhawk Lake DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1599 Blackhawk Lake Dr Lot: 8 Block: 2 Addition: Blackhawk Glen 3rd PID:10- 14352- 080 -02 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935 -9669 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Donald A Dahm 1599 Blackhawk Lake Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Building EA076620 02/06/2007 ePermit If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Mel Hazelwood 555 S metana Drive Minnetonka, MN 55343 952- 935 -9669 kari@minnesotarusco.com $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature To be used for 9 r liz CITY OF EAGAN BUILDING PERMIT 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Est. Value SiteAddress 1599 / fLACZ [ E; OR Lot 8 Block 2 Sec/SutBLMJLHMK GL f 3R Parcel No. W Name SHANIZ Ct?' =11 ON o Address 9940 8011_ CLOAKS C" t' City PRIOR 1AKE Phone .469!!4421 Zo Name SAME u Address City Phone ,, W W Name- Address az 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 City of Eagan Ordinances, Signature of Permitee A Building Permit is issued to: S = C.f1'N T ICTI 4 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-3 - FEES Zoning , 1991 00 (Actual) Const Bldg. Permit all, (Allowable) =N Surcharge 74• # of Stories 6ES* Plan Review 527.4_ Length Depth 56' SAC, City 100. t 3 S.F. Total SAC, MCWCC 650, S.F. Footprints On Site Sewage - Water Conn 60, On Site Well Water Meter 95, MWCC System _ City Water I Acct. Deposit 30. PRV Required S/W Permit 30. Qt} Booster Pump S/W Surcharge + Treatment PI ?? 00 APPROVALS Road Unit 370.00 Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL 4)43 3,624. Permit No. Permit Holder Date Telephone # WATER QZ ` 4 9 SEWER PLUMBING /10/?/ H.V.A.C. f U ZK E.' I /<j/ O f -Ot?/ ELECTRIC Inspection Date Insp. Comments Footings I (? ??l D Foundation Z r Framing Roofing Rough Plbg. Rough Htg. Isul. 5 /?Q Fireplace l..i /.? Final Htg. Orstat Test Final Plbg. 3-/,7,12- Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. I}?- p6 C f 11 1? (g.ertiftrafr of (!rrupaury QCitp of Cagan Ilvpartinnd of &uildittg Jttaprrtion This Certifuate 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. Lke Chuisauon SF /GAR Bldg. Permit No, 19799 Occupancy Type - R3 Zoning District RI Type Cons+ VN owner of BuBaiagS1ANIZ K$&Mr-rT(w Am= 9%O RMIMC OAKS , P'RI(R LAKE Bolding Address 150A , a r.pMA?i?C I M1.31E Loaliry $, RR , MAC1ZRiAW ("r11 3RD Data 0-4127M Building Official POST IN A CONSPICUOUS PLACE Address : 1599 BLAU<HAWK IAKE DRIVE Lot 8 Blk 2 Sec/Sub BLACKH WK GLEN 3RD These items were/were not complete at the time of the final inspection. Date: 03 27/92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. 4 RECYCLED ERPEN White - City copy Yellow - Resident copy Pink - Contractor copy SEIAFIiR VVIA I RAAiT f ' Y Of'' ft A0 QFFICE USE ONLY 1O/I5/91 t b84 `it Ktiob Fid PERMIT DATA METER # . E",-MN 551 2-1897: x /76 4 PERMIT12342 CHIP • _ METE?Sf?E e,+l B.P. RECEIPT # C , 15791 9 F'. FECEtPT DATE X0115/91 issUiEaT - B 91 BATE OCT 11, 1 PRV BOOSTER PUMP SITE ADDRESS 1599 BLACKHAWK L { DK PERMIT REQUESTED "LOT 8 BLOCK 2 SEC/SUB BLACKUAMK G1 I SEWER X WATER TAPS APPLICANT: - COMM/IND X RESIDENTIAL ADDRESS: ,, - TY, STATE ZIP. NEW EXISTING ??,, ' Lawn Sprinkler Meters are to be Installed 4PLUM A: Ahead of Domestic Meters on WMer Line. ADDRltss. 3750 KNOLL RIDE DR r ~ +' .i_ Credif WILL NOT be given f ct'Meters. CITY, STATE AGAL!1 Iii ZIP $5#22 00, PHONE: "B-6250 pr. W? I AGREE TO COMPLY WIT 1TY OF OWNER SHANTt"dONSTRUCTION EAGAN ORDINANCES `ADDRESS: c 9940 ROLLING OAKt CT CITY, STATE PRIG LAKE HN ZI ?_ 4 5 72 PHO E: 469-2921 SIGNATURE WHEN METER ISSUER B L t ' O PL AL O F RK1NG DAYS FOR STORM CALL 454-5220 FOR INSPECTIONS ROCESSING . . SEWER PERMITS, CO! TACT EE1GINEEAING DEPT. SEWER.& WATER PERMIT CITY OF EAGAN 3830 Piloi{ knob Rd. Eagar,,`MN 55122-1897 DATE ''CT ' _ . OFFICE USE ONLY METER # PERMIT DATE 1('11'191 CHIP # PERMIT # .12342 METER SIZE B.P. RECEIPT # C 15791 ISSUE DATE B.P. RECEIPT DATE 1.01151 1 PRV -BOOSTER PUMP SITE ADDRESS '' 9t kLA'11 "iiAI1'. LAI ' L. LOT ' BLOCK SEC/SUB LL- _s x.h ' W111 ? L : 3' 1) APPLICANT: ADDRESS:- CITY, STATE PHONE: - PLUMBER: ADDRESS: 3i'_-(:, I`a OLL 1,11ock" Ba CITY, STATE fr"xtt„i+ ::iy ZIP 55122 PHONE: OWNER: ADDRESS: AI:S CITY, STATE oil Li..1 ?SI> ZIP 51 2 PHONE: PERMIT REQUESTED SEWER 1 WATER TAPS COMM/IND ZIP A NEW RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given forf)educt Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. RE:" 1599 BLACKHAWK LAKE DR DATE: OCT 15 1991 (SHANTZ CONSTRUCTION) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 3??.J,?o>o 69401 kg Request Date i ? may/ Fire No. Rough-in Inspection Required? Q Ready Now )<Will Notify Inspector n R Wh d ? L JCYes No e ea y IX licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) S lC?*K_ H? f? a G of S { i9t- _ Section No. Township Name or No. Range No. --_-_- _ - L T ! Occupant(PRINT) Phone No. / Power Supplier Address Electrical Contractor (Company Name) ?C ??, C lit A z . rGon1ractor's License No. Mailing Address (Contractor or Owner Making Installation) ne Number Authorized Signature (Contractor/Owner Making Installation) Ph o MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FORoEpLECTRI?CAQLINSPECTION See instructions for this ack of yellow copy. iF q d n 1 X' Below Work Covered by This Request EB-00001-08 New cadd Rep' ' Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial X Furnace Farm X Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool / 0 to 200 Amps Z5 '0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: T TAL Irrigation Booms s? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON LH, I, the Electrical Inspector, hereby ./?9? Rough-in r Date certify that the above inspection has been made. Final fe , OFFICE USE ONLY This request void 18 months from 7 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 a yi a h oq? Telephone # ( mil) 3 3 '7 7,fjz Contractor BURNSVILLE HEATING & r;tG, INC. 345 ! W. Burnsv ll Parkway Street Address Suite 120 City Bumsvifle, MN 55337 St t Zi ??++ l ? } T l h # __y ??? a e p r ) ( e ep one Bond #: // es £ 6 (Z. )'1 / Expires: s7 v -$?-. 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 pump other State Surcharge EKET 13 $ .50 Total APR 1 5 2008 $ 5Z I hereby apply for a Residential Mechanical Permit and acknowledge that°RV - ion is complete al d 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 permit; t t the work wi in accordance with the approved plan in the case of work-which requires a review and approval of plans. et ?61 Applicant's Printed Name Applicant's Signature 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION i J CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date __ / __ Site Street Address Unit # Property Owner _1f l1 ) i(?'l Telephone # ( } Contractor Champion Telephone # ( } Address 367n Dodd Rd #100 City State Zip Eagan, MN 55120 I%J.J,7 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 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 $130.00 if a 5/8" meter is required) Other: Water Softener X Water Heater new replacement $ 15.00 Lawn Irrigation RPZ PVB new ,-repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 1.5 Applicant's Printed Name App icant s Signature AUG 2007 ?`3 S' CITY OF EAGAN 1-1b D 3830 PILOT KNOB-ROAD EAGAN. MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # _ RECEIPT # D DATE: f 5 1SD:?7'IAI PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. DWELLINGS & ------------------------ ----------- -------------------------------------------- WORK DESCRIPTION FEES NEW CONST ADD ON REPAIR OWNER NAME : ??ffQlJ 7`2 SITE ADDRESS /59, A c" cok Lk' D/C', LOT : O BLOCK °_ SUBD. S/ _ Ljjet C?kAJ 3,-s' INSTALLER: Burnsville Heating & A/C, Inc. ADDRESS: 12481 Rhode 15laRd Ave no CITY: Savage, 89M N 55378-1122 PHONE #: ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.001 OF 1 PER PERMIT SUBTOTAL: $ 1620 STATE SURCHARGE: .50 TOTAL: $ _ 1=5 Do SIGNATURE 0 PERMITTEE OMrSRRCIAI:fINDUSTRIA'L 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: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: FEES 1%-OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ CITY: ZIP: PHONE #: TOTAL: $ (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 .....:.................................. 1G:ER ...................:........................... ............................................... FOR CITY USE ONLY PERMIT # RECEIPT # 1 2 DATE: O 9/ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR - EACH UNIT. --------- WORK --------------- DESCRIPTION ----------------- -------- ---- --------------------- COMPLETE THE FOLLOWING: ------ NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR ..L WATER CLOSET 3.00 i4 0 BATH TUB 3.00 ,676, LAVATORY 3.00 d o OWNER NAME : KITCHEN SINK 3.00 o Z LAUNDRY TRAY 3.00 3r, pa SITE ADDRES S : HOT TUB/SPA 3.00 LOT : _ BLOCKS SUBD. ? e- ay f o.? 3 WATER HEATER FLOOR DRAIN 3.00 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 Jea ? ? ? V ROUGH OPENINGS 1.50 y,?v ADDRESS : l 1 /IIC??? / ®` OTHER .oe WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE # ?P 62 y : ? Z _ SUBTOTAL $ (ir O zzl' ta. s; ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL S : 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: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) st BUILDING PERMIT To be used for SF DWG/GAR Est. Value $149,000 Site Address 1599 BLACKHAWK LAKE DR Lot 8 Block 2 Sec/Sub LACKHAWK GLEN 3R Parcel No. W Name SHANTZ CONSTRUCTION c Address 9940 ROLLING OAKS CT City PRIOR LAKE Phone 469-2921 s Name SAME 0 8< Address City Phone N© 19799 Receipt # e 1 t= 1 t 1 Date OCT 11 1991 Wfr Name 0X Z Address <w City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Citv of-Eagan ?nces, Signature of Permitee ' +?1lyY A Building Permit is issued to: SHANTZ CONSTRUCTION on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ !act 1U,,l Tfl& CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 OFFICE USE ONLY Occupancy R-3 Mil FEES Zoning RR=1 (Actual) Const -K--N Bldg. Permit 811.00 (Allowable) V-N Surcharge 74.50 # of Stories 66' Plan Review 527.00 Length Depth SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints 660 00 On Site Sewage Water Conn . On Site Well Water Meter 95.00 MWCC System X X Acct. Deposit 30.00 City Water PRV Required J S/W Permit 30.00 Booster Pump S/W Surcharge - 50 Treatment PI 276.00 APPROVALS Road Unit 370.00 Planner -- Park Ded. Council Bldg. Off. - Copies {1 Variance TOTAL 3,624.0 1991 B1T110I G PERMIT PPLICATUM cLE F MILY' N CM OF ER"AN tCI L %J A DWELLI GS 2 SETS OF PLANS IffiL22PI.t? ? NG$ 2 SETS OF PLANS 4 2 SETS OF ARCAITZOMRAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & S UCTUEAL_P1 .; I SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) I SET OP-SPECIFICATI S 1 SET OF ENERGY CALCUUAT IONS 1 SET OF EKES OF RENTAL UNITS # OF FOR SAIL UNITS ZMALTY APPLIES VMM: TYPING OF PERMIT IS REQUESTED BUT ?IQ MD UP AY LAST DING DAY OF MONTh IN WHICH R JEST IS MADE. LOT CKANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE ADDRESSES FOR COMM LOTS - CONTRACTOR/HOMEOWNER MUST IGNATE WICH ADDRESS IS DESIRED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT'HASSSEEN COO L#=. PERMIT MUST S}OW A LICENSED PLUMBER. U F SI - . V sed or: to Be P aluation- Date : ?.. Site Address QFFICE USE, ONLY I ?t, a? r ?t Block ..;._ Occupancy Qom Bldg. P*Mit Zoning R- S rcher ;e?_ s s3/sub iv a Actual Const , .,... plan "141M Allowable SAC, City 4+rster 111 L iC?S 66AJd4 4'M f # of stories SAC, MWCC 0 Length ? Water C ,m, dress /3 12?d Depth Water Matar S.F. Total Acct. 'D+e s.1t Uty/Zip Co" Footprint S.F. S/w Permit. V S/W Su rcharge On site sewage, Treatment Fl. On site well Road Unit V Contractor .Z 4AJ T? C? & S f i!WCC System Park Dad. City water Trail Ded. M4ress 19-IL t) dA?j ? r? PT A ? Copies .?.?.,?..,.. Booster Pump ,City/Zip Code & t8?laT+il . bP ROVAI$ Perilty, rho" - 9 ?- c 202 Planner Lot Chaxit?pe Council TOTAL Arr.#?-/F.rzgr. Bldg. Off. Variance _'A+dss Cty/Zip Code S.wa /Water cens Contr. sgroet that all work shall be done in aecordar4o with 01puturs of iC ?ntrac ) all applicable State of Mi sota Statutes ` City of Eagan Ordinances. .? y Y24 ' t2 f (34 ~ o X 't s°= gl orr? r' 10V 2o ov A 44 = ZGf y 13 0 Zfa 6 X l j; 2;3 4t FL ,3K1?ZX?'- w?i bbl ) 3 1o?i?2 ego ?j v a 13 0 $t-0 13 X! . 1 L/3 SURVEYOR'S CERTIFICATE NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF SIENNA' CORPORATION REVISED 10-10-91 TO SHOW PROPOSED HOUSE FOR SHANZ CONST. THE SURVEYOR. NOTE: BUILDING DIMENSIONS SHOW FOR HORIZONTAL & VERT ATION OF STRUCTURE L E /?1^ ARCHITECTUAL PLA UILDING 1 v 1 ?? & FOUNDATION DIMENSIONS. DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - B41,? FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 833.4 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = '041.7 FEET R o NY/. R E"' U E WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 8, 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 DAY OF , 19 . APPROVED FOR SIENNA SIGNED: CORPORATION BY: BY: JAMS: JIINC. z, HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 DATEDI (n M -4 WS -?? O r W 0 O X < ? N O 0 D OD > n r O -n mZ (A z -4 D O z pp M -D Z CD IV James R. Hill, inc. PLANNERS / ENGINEERS /SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 SURVEYOR'S CERTIFICATE SIENNA CORPORATION 2A it _12 ro\ 5 -? ?_ ?_ t OJZb ,01, _ i ? 826.0 i `r>8.00 X-? 78-16'23 84.23 5 DRAINANNT PER P1 A7 ,.? EAS?? 8 5 OT L_lJ 1 to M -06 00 0N z 633.1 II _! %1 At 840.2 S- w q??,ol p p 1 3876 5 LA GAR \\U.) ° CT w W? to 831.2 833.0 _ 3850 ?? 1? DECK _ 240 833.1 0` 1846 ? 20 ?lopOSSD X0.0 1767 ,3, 4.0 >< BENCH MARK 840.2 TOP OF PIPE 0 36? 840.5 ELEV.a 840.6T- --" D SE REVISED 10-10-91 TO SHOW PROPOSED HOUSE FOR SHANZ CONS T. I / .• L_ .1 I 9 8 287 Z ?Q 0 C. X637.7 BIRCH MARK TOP OF PIPE 1 ELEV.:836.64 ;838.2 L40 OR p0 5 V I?-o 835. N 1N 1?`, ) 1 841.8 1 A 5.O 835.4 Bag go 41.9( 3u M 8409 ?n 826 ?? . - pRly 841.1 AKE . ? CKH?'WK BLS' - or W 4O co O ` N f m m 7C d O M p D O z G) w IV O m 1 1 1 1 1 1 James R. Hill, inc PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN,. 55431 • 612-884-3029 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE OWNER SITE ADDRESS CONTRACTOR PHONEa 9%v/3 Determine Working Square Footage of Each. 1. Total Exposed Wall Area . .j Sq. Ft. X .11 = a?. 2. Total Roof/Ceiling Area . Sq. Ft. X .026 3. Total Floor/Cant.-Area Sq. Ft. x .05 = Total Exposed Wall Area Above Floor = l a. Total Wall Window Area. . . . . . . . . . ? ;2 b. Total 1 - Door Area . • c. Total Sliding Glass Door Area . . . . . . d. Total Fireplace Wall Area . . . . . . . . --? e. Total Wall Framing Area (average 10%) . 1,47, 40 f. Total Net Wall Area Above Floor . . . . . &;-114 .6 g. Total _ Rim Joist Area. . . . . . . . _ _ _ 'e) fSr M Total Exposed Foundations Area = /4 r h. Total Foundation Window Area . . . . i. Total Net Foundation Area Above Grade Determine "U" Value of Each Wall Segment. a. X "U" _ 17 91 !5 b. X " - {7 1 .r?7 'lull 3 , 43 c. _ 36 X ? "U" k -- _ Vii 2S' d. ? X . "" U "" = e. J67. 449 X l"U" g. 19 X rrUir n"f = 2, 7l h. X t "U" _ Q4 Z4- SUBTOTAL 4. LAMPERTS TOTAL = If item #4 is the same as, or less than item #1, you have met the intent of SEC 6006 (c) 2. THRU STUD Int. Air .68 THRU INS.. WALL Int. Air .68 W/ S.R. 6 SIDING S.R. w/ S.R. E SIDING S.R. Stud -7 Sht Ins. ?(.j g . -?6 SHTG Siding . Si i d ng Ext. Air .17 Total "R" = d Ext. Air .17 ' ? Total "!t" ?o2o?s? 1/R= "U" 1/R = nun z (1 THRU CLG. Int. Air .61 MEMBER S . R . (y` n) 5 Cig. Memb.4,.35 Ins.. Still Air .61 f1 Total "R" 13 1/R = "U" = ?(?I 2- 7 THRU CLG. Int. Ai?r-- .61 INSULATION S.R. (7%"5 -6 Ins . Q;, ") Still Air .61 Total "R" 1" 1 1/R = "U" NY , C L THRU CONC BLOCK Int. Air .68 C.B. Opt. Ins. /4?" 00 Ext. Air .17 Opt. S.R. >45 Opt. Sid. Total "R" 1/R = "U" _ THRU RIM JOIST Int. Air .68 Ins. R 131" Wood .1.89 Shtg. aC6 Siding Ext. Air .l1 Opt. Brick Total "R" 1/R = nUn 6, e 74 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date `S' / OZ _1d'00 Construction Cost Ja aC.0 U Site Address 15 9 C/ 1 '?u ?? i, ? k L k ,f2- Unit/Ste # Description of Work 60 ?•v?a Multi-Family Bldg - Y / N Fireplace(s) - 0 _ 1 - 2 Property Owner (? } to•n )c.{ 01,„n Telephone # ((pL 1) qS'a "a-O3 9 ( Contractor Sw? Address h 5 "? City 0 c1 o State IF7k n - e 1 ti a Zip &j3 ( Telephone # o c ' 0 3 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 (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 in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature 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 ? 32 Addition ? 33 Alteration ? 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 Framing ? 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 Final Width REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco Stone - Brick Windows Retaining Wall 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 Building Inspector CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE + - 19 AMOUNT $ & DOLLARS S too ? CASH II CHECK Foa .r .,4 t W ' C i FUND OBJECT AMOUNT '?,. Use�=�.�1�or BLACK Ink �----------------- � For Office Use � ,� ��. : . � c -� i 13-�--� �� Clty of ����� � , Permit#: � , s�— ; � Permit Fee: � 3830 Pilot Knob Road Eagan MN 55122 � Date Received: j Phone: (651)675-5675 I I Fax:(651)675-5694 1 Staff: i I I L__�_�_____�_��_�J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � 1� Site Address: �J l l ��1���. �� �� Unit#: Name: ���J'" '— Phone: R�� IS�iIO���� ROWr1e�� Address/City/Zip:_ ��Vl� I�V��r'T . �v v"�r'� Nv� rtJ���� Applicant is: �Owner �Contractor � �'�"�� h�,��I�'�' ' ' � Type of Work Description of wor►.., _ � _ 4� , — . Construction Cost: �J�a �o� �V�� Multi-Famity Building: (Yes /No_� Company:_��O'�T��'� �►�'Vt'� Contact: �A�Y� a''r � Contractor Address: `��,��c��,v��� !� City: l��A�� State:�Zip:� Phone:��ICa Email: ��.N l� o,f�f�� �a' a9 �h"1 License#:�,�(?�- 1 t�� Lead Certificate#: ', If the project is exempt from lead certi�cation, please explain why: � -�-� �.` r � i � COMP TE 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 8 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 classit'ied as non-public if you provide specific reasons that woutd permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby adcnowledge 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 onty an application for a permit, and woric is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota � ing Code must be com leted within 180 days of pennit issuance. � x �, ApplicanYs Printed Name ApplicanYs Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131799 Date Issued:07/08/2015 Permit Category:ePermit Site Address: 1599 Blackhawk Lake Dr Lot:8 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Citimortgage Inc 1000 Technology Dr Ofallon MO 63368 (651) 646-1696 Sne Construction 12974 30th Street S Afton MN 55001 (612) 616-6285 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � . . . r——————___ -------� � For O�ce Use � rlt f ' � 3 �� � U14� Ol ����� � Permit#: I � � I 3830 Pilot Knob Road � Permit Fee: Eagan MN 55122 � I Phone: (651)675-5675 � pate Received: � Fax:(651)675-5694 I � � Staff: I �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all comme i a pl' ations. Date: � /������� Site Address: �� ��l`7`�'7G�°�'� ��e. �� Tenant: Suite#: y: �� ������ ��� ���� � � ������ Name: Phone: r �, �; � ��i ��., "� : Address/City/Zip: � �•. ��c^ �f � � Name: �.,�t�c� � c• cac� f ���� n � ,�/� / License#: � ��� ; Address: Z�OO ,�V� r G+�i �, � �j�'�ti'`-t..1 City: ��Sf�yr✓'T-� � �� ��t'�C'��C?��` ��, �- � v�\ ; State: � '�'J Zip: �5��� Phone�. �z 6� � 7���' � �� � � , t �,� �� ��� �� ,. ' Contact: c� � �'__ EmaiL ��>;�� ..�'.: ,�'lE�t�G� � r�.��,��� �.. \ `Z �� �, �\� � �� �� ��� �� New eplacement Additional Alteration Demolition .: \ 4-;�\ � � - . . . � "�"� : ��� � Description of work �� a� �° ��3'� ``�oo�mv�� � R �n�i�'� � �� �� �� ��r�qu ' ��," �IlayG��y� yti� \a _ \ �., �C � : y a a���� � � � Z @e . . . �. ��, �. a � Pleas� � �#�i� ��+�cfor#�r�r���r ��.:" .x.��.;. ��thod�. � , _:..: ; - z..:, .:. . ... ., a..�. <.,�„� ; �� ��° ��� RES/DENTIAL COMMERCIAL �v\ ' a �� � � �� ; Furnace New Construction Interior Improvement ��� , �� ��,��,�e; �� , �' �Air Conditioner Install Piping Processed � _Air Exchanger Gas Exterior HVAC Unit ����,��', ����`�� ,�� � ��� . _Heat Pu p ,i/ _Under/Above ground Tank (_Install/_Remove) .z��°��� ��- "�C Other C'�'�-- /`e'�`u�.s Y�,�C RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 _$ Surcharge" *'If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 """If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work II be in conformance with the ordinances and codes of the City of Eag •that I understand this is not a permit,but only an application for a permit,and o k is not to start without a permit;that the work will be in accordance with h approved plan in the case of work which requires a review and approval of pla s. � x � dA,�U 1�, � �"�J � � � X _.._. Applicant's Printed Name Applicant's Signature 'r�11���G�������� �\ �.\ - �2, �,\�\ � ��,.� ��`� �j �•F,, � 2. q''. ' �i�' � i���' � \ '�� : \ �'�. �h\�\��� : ����\� � : �. � �.� �1'1'��'�� �Ft ��`'� � ��V��1M�d{'���f����� \ :��,���������� 5 j����*,� � ��; �� �11C��' .>.••; t�< � � �U � l'! � [C�"f�S���a� ,. � � ��� � �'L�`CC :� � ^.. G�s � ��Test lr��[�r�E�� �t . . ..�_.:. ....... ., .. .... �......:.... �...�� ,......,;� y , r \ �'��(f� Use��.��or BLACK Ink � �\\ � ----------------- . � � � � For Office Use � , \ �- c���� • ,/� i � i 'L� I � G�� O1 �� �� " � �I Permit#: ' ��l�� I � � s � � i Pennit Fee: . � 3830 Pilot Knob Road Eagan MN 55122 � Date Received: J��� � Phone:(651j675-5675 � � Fax: (651)675-5694 I StafF. � i : I I .. . ... .. ' .. � � ��������_��������J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION p� � ^ , �pA Date• J Site Address• S� ��� �� '�,s�..�� 'l.ld�.l.. �Unit#• Name: C�. (� �_ �\G1.� �1M/��L. Phone: ���-[ n l� I.� Resident/ � D � j�� �i C��- cc�"�' l� �,--Yqn�,,-� �•(, �SC'��� Owner Address/City/Zip: ' ^ Applicant is: Owner �Contractor � � T of Wo�k Description of wo ��-�.- � �- �c YPe Construction Cos: �.�.,U 2f (�� ` Multi-Family Building:(Yes /No� Company: 1�`�Y�b�,v� /��� Contact: ����.�� ��i/ �G�� Contractor Address I ���(� ��j� � • � C;ty: �—�0.-� �1 State:�zip: 'J��`-'� �-Phone: �e�������'l.b Email: �`�-"�-S�� �d�'l"�"�y�l G.Cev� License#:t_,.�,�t1�"L' � Lead Certificate#: �J ���� 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 isst�d 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: pha�: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE:Plans and supporting documents that you submit a�considered to be public information. Portions of the information may be classified as non pubtic if you provide spec�c r+easons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is c�mplete and accurate;that the work will be in conformance vvith the ordinan�s and c�des of the City of Eagan; that I understand this is not a permit, but only an application for a pe►mit, and work is not to sta without a permit; that the work will be in accordance wRh the approved plan in the case of work which requires a review and approval of pla Exterior vrork authorized by a building pennit issued in accoMance with the Minneso Buildi Cod completed within 7$0 days of permit issuance. "� c x �JR�1/L ��hJ �V1� V�-���] _ Applicant's Printed Name � i s Signature DO NOT WRITE BELOW THIS LINE , Z� ' gj�jgj . *SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Aiteration(Single Family) �C Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lowerlevel _ Pool _ Accessory Building WORK TYPES _ New _ interior Improvement Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation _ Replace � Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation � � Occupancy iZL— � MCES System �--� Plan Review Code Edition df SAC Units �'" (25%_ 100%� Zoning /DIJ City Water --' Census Code y�� Stories '"' Booster Pump "'� #of Units 1 Square Feet -- PRV -� #of Buildings 1 Length -- Fire Suppression Required _,..,_.. Type of Construction _� Width "'� REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final PooL•_Footings _Air/Gas Tests _Final � Framing Drain Tile � Fireplace:�Rough In �Air Test ,�Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation � Windows Sheathing Retaining WaIL•_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:�Rough In_Final Braced Walls �_�... Erosion Control � Ofher: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee �j dG s Surcharge Plan Review 3$� -- MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Jul 29 2015 12;12PM Clearwater Plg & Htg 9524401740 page 2 Use BLUE or BLACK Ink � � ForOfficeUse ---------j Clt of Ea aIl � Permit#: I '� � � � � � � o. � � Permil Fee: � 3830 Pilot Knob Road i i Edgan MN 55122 1 Date Received: `� � Phone: (651)675-5675 � � stan: � Fax:(651)675-5694 i I _�'��_____����_��J 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION oate:_J/29/15 Site Address; __ 15�19 Bla khawk ak Driv Tenant: Suite�F- ResidentlOwner Name: �rothers Mfg Construction Phone: 651-280-56 5 Address!Ci r z�p: 10900 60th St. N. Grant MN 55082 Name:Alt�� & Plg. Inc dba Glearwa P� plg& Ht�icense#:�M060886 Contractor Add�ess: 19260 Mushtown Road c�ty: Prior Lake state: MN Zip: 55372 Phone: 952-440-3779 cor,caa: Susan Schlink Email: SUSafI ciearwaten c�.com Type of Work �New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description�f work: � RESIDENTIAL �Water Heater Lawn IRigation(_RPZ/_PV6) water Softener Perm it Type Septic Sysiem ���Ple:mb;ng F9�.rea(_P9a���l�Lowe��eve�i j _New Water Tumaround _Abandonrnent RESIDENTIAL FEES: abu.uU Water Heate�, Water Softener,or Water Heater and Softener(includes Sta�e surcharge) �60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Sentic Svstem Abandonment, Water Tumaround`(inciudes State Surcharge) "WaDer Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Seotic Svstem New(includes County fee and State Surcharge) TOTAL FEES$ 60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)464-0002 for protection against underground utility damage. Call 48 houts before you intend to dig to receive locates of underground utilities, www.00�herstateonecall ora I hereby adcnowledge that this information is complete and accurate;Iha!the work will be in confortnance with the ordinances and codes of the Ciry of Eagan; that 1 understend this is not a permit,but only an application far a permil,and wark is not lo siart wilhoid,a pertnit;thal the work will be in acCordance with the approved plan in the case of work which requires a review and approval of plans. 9 x Susan Schiink x , . ;' �,y��:�.,j .,':� ' _„� Appllcant's Printed Name App�cant's Signature FOR OFFICE USE Reviewed By; Date; � Required Inspections: Under Ground Rough-In Air Test Gas Tes! Final Meter Related Items: Meter Size R�io Read Manometer Staff: Date: Gity of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CENED JUN 151016 For Office Use I Permit #: /-1°11 7 V Permit FeeS8769—�� : Date Received: (' Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: I r S9 BIj4. LL E Name: Phone: Unit #: J Address / City / Zip: Applicant is: Owner Contractor Description of work: .44 0-' 41‘34.1 ¢ .1. Construction Cost: 19s_, D o 0, Company: 0.40114 a e. 1 Multi -Family Building: (Yes / No ( ) LICIA t ontact: r'.i%-Ic, Address: all � Z. A .44 f,, s City: rn el der so t.t p State: Y 2 Zip: I; y/CX( Phone: 1'52 2 J—)1TEmaii: I Iri.a.lL Q %,,4&javraA4 License#: C.(b.24 (` f] Lead Certificate#: AMT.- .I Ic%Cg3— 1 If the project is exempt from lead certification, please explain why: �- t4 rc. 1`.% (-44-,4-4— 4- Is' 4- (iv\ a cA, vp r`c...ck, 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: Mechanical Contractor: Sewer & Water Confractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: Coss% CD, 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.aooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of p rmit issuance. x Applic/j,Ift's Printed Name Applicant's Signature Page 1 of 3 VV 11.V 1 ••1%I 1 L L/LLV• • 1111V 1..1111I SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code 111 # of Units # of Buildings Type of Construction /6cie) 1,9coiii9citALt/ci- c-oe. Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Foundation Roof: \F_ Ice & Water Final -%A., Framing 30 Minutes is 1 Hour Fireplace: _Rough In _Air Test _ Insulation • Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Final 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 si 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: Reviewed By: , L— , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL LVC0-1-4SPR4 /0x6) = 7 o yO ICC) X 9s75 _ y2yZ,yv ify00014- k6, )0 )Z 1 ( Page 2 of 3 LEGAL DESCRIPTION: Lot 8, Block 2, Blackhawk Glen 3rd Addition, Dakota County, Minnesota. SCOPE OF WORK & LIMITATIONS: 1. Showing the length and direction of boundary lines of the legal description listed above. The scope of our services does not include determining what you own, which is a legal matter. Please check the legal description with your records or consult with competent legal counsel, if necessary, to make sure that it is correct and that any matters of record, such as easements, that you wish to be included on the survey have been shown. 2. Showing the location of observed existing improvements we deem necessary for the survey. 3. Setting survey markers or verifying existing survey markers to establish the corners of the property. 4. Existing building dimensions and setbacks measured to outside of siding or stucco. 5. Showing and tabulating impervious surface coverage of the lot for your review and for the review of such governmental agencies that may have jurisdiction over these requirements to verify they are correctly shown before proceeding with construction. 6. While we show a proposed location for this home or addition, we are not as familiar with your proposed plans as you, your architect, or the builder are. Review our proposed location of the improvements to verify that they match your plans before construction begins. Also, we are not as familiar with local codes and minimum requirements as the local building and zoning officials in this community are. Be sure to show this survey to said officials, or any other officials that may have jurisdiction over the proposed improvements and obtain their approvals before beginning construction or planning improvements to the property. STANDARD SYMBOLS & CONVENTIONS: "•" Denotes iron survey marker, set, unless otherwise noted. DATE REVISION DESCRIPTION X20 O EXISTING HARDCOVER HOUSE 2,759 SQ. FT. DRIVEWAY 800 SQ. FT. DECK 285 SQ. FT. CONCRETE (WALK/PAD) 204 SQ. FT. TOTAL EXISTING HARDCOVER 4,048 SQ. FT. AREA OF LOT 25,711 SQ. FT. LOT COVERAGE 15.7% PROPOSED HARDCOVER HOUSE 2,759 SQ. FT. DRIVEWAY 800 SQ. FT. DECK 285 SQ. FT. CONCRETE (WALK/PAD) 204 SQ. FT. PROPOSED ADDITION 891 SQ. FT. TOTAL PROPOSED HARDCOVER 4,939 SQ. FT. AREA OF LOT 25,711 SQ. FT. LOT COVERAGE 19 F= IRON 24.1 :1 0' EPSEMENI 0 —1 5 r 18.1 F - C0 J \ p*IE' EX\S11 0 5 Lit 0 FOUND IRON BL `\ K EAGAN ONS 10CVISION DWG ORIENTATION SCALE 0 10' 20' • • • • • CLIENT/JOB ADDRESS LANDMARK BUILDING CONTRACTORS 1599 BLACKHAWK LAKE DR. EAGAN, MN Advance Surveying & Engineering, Co. 5300 South Hwy. No 101 Minnetonka, Minnesota 55345 Phone (952)474-7964 Web: www.advsur.com I HEREBY CERTIFY THAT THIS PLAN, SURVEY OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERN9ON AND THAT AAI A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MITA. Wayne W. Pre #43503 LICENSE NO. JUNE 8, 2016 s DATE DATE SURVEYED: JUNE 7, 2016 SHEET TITLE PROPOSED SURVEY DATE DRAFTED: JUNE 8, 2016 DRAWING NUMBER 160448 WP SHEET NO. S 1 SHEET 1 OF 1 Aug. 12. 2016 8:OOAM Silver Tree Plumbing & Heating No. 0051 P. 2 41' City of Ea ao. 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 676-6676 Fax: (651) 675-5694 RECEIVED AUG 122016 Use BLUE or BLACK Ink For Office Use /3s/ r Permit Fee: ` O 12-t Permit#: Date Received: r'/ ' / tp Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ P(ea: e su • mit two (2) sets of plans with all commercial a a'pplic�ations. y� Date: Site Address: 1651 1 / 4.e Ili /1 & 2. �Z 1 D Tenant: Suite #: ' Lade t/f i l'nI ra;'i ` I1:� i:• x.Ti7:i11',:a T;.yq�r: ;h , Name: Phone: Address / City / Zip: ,, Cntractor`'�� o „ Name: C I Ve/414e— 440P r'� �icense #: Address: es1 ,t 1? %%%i oft__ Ciry: ,y�,,/ r� � �+ ` jQ State: Ad Zip: 61 2t Phone: 6vt.› 1' SL 3 '/k,0 a L �f Contact � Email: �i a Gr qNi .'•:' • . •.T P„ . . ., ,:•,.;:. ;.�•:. ',,;.:,•::.::',.'• •':> New Replacement Additional Alteration De olition Description of work: ((GN4GG , �` IlaCAl'1G+1 �D A— TWI NOTE: Roof mounted and•' round' r'riounted mechanical aqui `menfIs''�equ' y� (ae: :G ',.e .� ,i:ti l:4,.p "'it'll S,;'�b � .•,;,• odes Please,coritacttha''Meclanicalins'®cko'rfo�uformation•',o'n perthitf 'ti`�'Cteeill" ' e��' r `::. "' '''' 4N ,.. a°' h;.i M;' ;'; RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner — _ Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under/Above ground Tank Install / Remova) _ Other _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge includes State Surcharge g $ 1 Ot TOTAL FEE $100,00 Residential New, COMMERCIAL FEES $60.00 permltFee Minimum Contract Value $ x .01 = $ Permit Fee $75.00 Underground tank Installatlonlremoval, Includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ ,Surcharge = $ TOTAL FEE 1 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 1 understand this is not a permit, but only an application for a permit, and work Is not to start wttho It: that the work will be In accordance with the approved plan in the case of work which requires a review end approval of plans. Appllca 's Printed Name t r111 x Applicants Slgnatu Aug. 12. 2016 7:59AM Silver Tree Plumbing & Heating City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED AUG 12 2016 L NoU. 0051 IE oP.o LACK Ink 2 Permit #: /38/3 Permit Fee: 60.00 For Office Use Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 8/11/2016 Site Address; 1599 Blackhawk Lake Dr Tenant: Suite #: .. •..;,;.,i "': rA,•:r:.:,;fj",,:r,;,,: Name: Phone: Address / City / Zip: >>•;',•',i;i„s R '!i,iisi ,::;. 'f” •>,,�',.,,?�,.!n!;; c',,I. Vii:!. �,•':� *.,.:. • ,, a;:.,f.>�•;..i.°;�ii3,e'!:•,j.i, , i,;';l:ca . �'�:':;:; '' 'i;i'i:?u , ,;-�f3;; i'f a-3' ! 3', ' Name: Silver Tree Plbg. & Htg License #: PM058743 3185 Terminal Dr #200 Eagan Address: City: 55121 651-955-2987 Slate: M N zip: Phone: Contact: Ryan Email: �anb silvertree andh.com ✓ New Replacement Repair Rebuild ✓ Modify Space Work In R.O.W. — — Description of work: 3 bathroom addition. Remodel 2 existing ,.., • ;i; . . ii%' wl ,,..; - ,,.: ;. , ,, :'ci' ;�i ij,,i; il•r4i1 'i '� !%'�.i3;!l i,.,.;.<;; ; ;,;, ;,: s; :;;:r5`'',f,y Fermi N ` ti, ,: • ;;,; ,;. ,,, ,p, r::'t: , •.;.,;�:f:;:ill, ;I %ill ;r,fil !.•;• ;1i4 -'' %.;:::ji) I il :, l• • f 'al `'::;;, N f'i fi"'! • ; d , • <; _ ..,.• : t•3"if:� �? Ed },:;;a;;,i •.;i: :, ii ;,,;j?;1. .::: `.',! . RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / PV6) Add Plumbing Fixtures (_ Main / Level) — Septic System —Lower Water Turnaround New —Abandonment RESIDENTIAL $60.00 Water $60.00 Lawn $60.00 Add *Water $115.00 FEES: Heater, Irrigation Plumbing Turnaround Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround= (Includes State Surcharge) TOTAL FEES $ (Includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that thls 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. Ryan Baker Applicant's Printed Name x Applicant's Signature :t�' 9'ao.'9ri,3A6"31�7� r•u ,>p",'.,!;3,t3 ;t.l�o�d�ler''srtl'�t:'_us MDH Minnesota Department of Health PROTECTING, MAINTAINING AND IMPROVING THE HEALTH OF ALL MINNESOTANS October 25, 2016 City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 City of Eagan: The Minnesota Department of Health in consultation with the League of Minnesota Cities and the Minnesota Association of Townships, has agreed to notify local government officials when a Housing with Services Establishment subject to Minnesota Statutes 144D has been registered by the Minnesota Department of Health. This notice is to inform you that the establishment listed below has been registered at an address located in your community. The Geneva Suites 1599 Blackhawk Lake Drive Eagan, MN 55122 612-208-8888 This notice does not require any action by your local unit of government, nor does it create a right of the local unit to intervene in the registration process of the establishment. It is being provided as a courtesy only. Because the above named establishment may provide services to residents who would need special assistance in the event of an emergency, you may wish to notify the emergency service providers for your city or town that this establishment is now located in your community. A list of currently registered Housing with Services Establishments may be accessed on the Minnesota Department of Health website, through the following link: http://www. hea lth.state.m n. us/d ivs/fpc/directory/provi de rse lect.cfm Additional information about Housing with Services registration may be accessed through the following Zink: http://www.health.state.mn.us/divs/fpc/profinfo/lic/lichws.htm If you have any questions about this notice, please contact (651)201-4101. Other questions should be directed to your local government association or legal advisor. Thank you for your attention to this matter. Sincerely, Mary Henderson Supervisor, Program Assurance Unit An equal opportunity employer. PROTECTING, MAINTAINING AND IMPROVING THE HEALTH OF ALL MINNESOTANS October 25, 2016 City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 City of Eagan: The Minnesota Department of Health in consultation with the League of Minnesota Cities and the Minnesota Association of Townships, has agreed to notify local government officials when a Housing with Services Establishment subject to Minnesota Statutes 144D has been registered by the Minnesota Department of Health. This notice is to inform you that the establishment listed below has been registered at an address located in your community. The Geneva Suites 1599 Blackhawk Lake Drive Eagan, MN 55122 612-208-8888 This notice does not require any action by your local unit of government, nor does it create a right of the local unit to intervene in the registration process of the establishment. It is being provided as a courtesy only. Because the above named establishment may provide services to residents who would need special assistance in the event of an emergency, you may wish to notify the emergency service providers for your city or town that this establishment is now located in your community. A list of currently registered Housing with Services Establishments may be accessed on the Minnesota Department of Health website, through the following link: http://www.health.state.mn.us/divs/fpc/directory/providerselect.cfm Additional information about Housing with Services registration may be accessed through the following link: http://www.health.state.mn.us/divs/fpc/profinfo/lic/lichws.htm If you have any questions about this notice, please contact (651)201-4101. Other questions should be directed to your local government association or legal advisor. Thank you for your attention to this matter. Sincerely, Mary Henderson Supervisor, Program Assurance Unit An equal opportunity employer.