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1616 Blackhawk Lake Dr i (9trftftratt of Mrruvaur , r. eitp of Cagan ~P~M1t~lltPtt# ii# ~Ut~~lttt J ,~ri~i,~iPtfiDYt This Certificate issued pursuant to the requirements of Section 306 of the uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following, Use Classification SF DWG Bldg. P nnit No. 16311 f J ! Occupancy Type R3 1 Zoning District RI Type Const. Owner of Building ME OWSMY09M Address 21 19 VIBQRM1 ZR,1EAM 4 1616 BS ~iAWK LAKE DRl',VE L6, B1, RAddim GLEN 3RD Buil ' ddress Locality Date: TttCY 27, 1989 Building Off POST IN A CONSPICUOUS PLACE E F f r .CITY OF EAGAN 18113 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # t To be used for 4-SEASON PORCH Est. Value 101 000 Date JULY % 1990 .Site AddIrss 1616 DIACKH WI' LAKE DR D OFFICE USE ONLY GLZN Lot Block Sec/Sub. KI Parcel No. Occupancy T FEES MIKE 4L JULIE Mrd,''.NSSEN Zoning ~ I7.t~3 M Name (Actual) Const Bldg. Permit f Address (Allowable) - tiDD Surcharge City. Phone # of Stories _ Length ~ Plan Review MASTERS CUSTOM TRIM, INC 141 20 Name Depth SAC, city 8704 DA AVE S 0040 Address S.F. Total - SAC, MCWCC City C AGE GROVE Phone 4,59-477T- ' S.F. Footprints _ On Site Sewage Water Conn r yw Name On Site Well Water Meter s? Address MWCC System _ M x Acct. Deposit aw City Phone City Water - PRV Required - S/W Permit 1 hereby acknowlege that 1 have read this application and state that the Booster Pump - SrW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances-, Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: MASTERS CU T TRIM Planner Park Ded. on the express condition that all work shall be done in accordance with all Council .50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off Copies . 122. 5 Variance Building Official TOTAL i Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing I Roofing Rough P1bg. Rough Htg. Isul. Fireplace Final Htg. I Final Pibg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final 1 _ Deck Ftg. I111091 "Final Well Pc Disp. I \ PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: $4100. 00 PHONE: 454-8100 ~ Site Address ` W ` - vC BLDG. TYPE WORK DESCRIPTION _ Lot~E _ Block ;,Sec/Sub Res. New x Name pG11 O matin Mult. Add-on ,.001k Rapids BV i Comm. Repair a Address c City cam pi 5 Phone a Other fkm CM1S'trixt OT1 FEES Name RES. HVAC 0-100 MBTU -$24.00 c Address 2119 Vi U1"nam Trail ADDITIONAL 50 M BTU - 6.00 p City fBFln Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 80,000 M BTU 24.00 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiter M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. 0011 0n1y M BTU $ MINIMUM COMMERCIAL FEE 20.00 ~lf STATE SURCHARGE PER PERMIT - .50 Vent. gyp : sMFM $ ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlats # BEYOND $1,000) Other FEE: 25. SO .50 S/C: SIGNATURE OF PERMITTEE TOTAL: 26.00 FOR: CITY OF EAGAN t CITY OF EAGAN.... r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # r " . To be used for - :s DIX"'i"GAI Est. Value $10#0C0 Date Aft' 16 19 - -1 o Z1.4)L0 ~ K 1.A~ k Site Address Lot Block Sec/Sub. SJ ACKHAW f OFFICE USE ONLY Parcel No. Occupancy -4 _ FEES Zoning W Name z>Gr 7 91 -Q'0 t (Actual) Const Bldg. Permit 31 Address 2 1 1L;- ' (Allowable) Surcharge 72.5 +.i o City ~4A F"$} Phone 7- 031ti # of Stories 39;. ' Plan Review Length p Name Depth ' SAC, City I ( 0 - n Address S.F. Total - SAC, MCWCC . City Phone S.F. Footprints € On Site Sewage - Water Conn ~w Name On Site Well Water Meter 9 tF'+f W W z' Address MWCC System XX Acct. Deposit a W City Phone City Water PRV Required S/W Permit' 00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of „a Minnesota Statutes and City of Eagan Ordinances. Treatment PI 2 «CC Signature of Permitee APPROVALS Road Unit 40 ~QQ A Building Permit is issued to: tit;:. Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL t' Permit No. Permit Holder Date Telephone # e WATER A SEWER PLUMBING Omj H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation f O ? p. Framing Roofing ~T Rough Plbg. =w Rough Htg. ^~(fy 4~l 4~f~ Qfl /~S Isul. Z 8 Fireplace -VII.- G> Final Htg. =p~ _ La- Final Plbg. Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan Bidg. Final Deck Ftg. beck Final Well Pr. Disp. e CHASM RECEIPT ri i CITY O E LA N,r 383 PILOT KNOITAOAD EACAN,,MIN TA 55122 DATE aEC~.GVect PIYC~M r AMOUNT - C Q CA~i CHECK i FM Foo, OWE&T AMOUNT x 'nark You F BY Copy F^ 7 6- t ~ 41 • 4, ~~a r 'i -Iv i 7 BLDG. PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check -Ax i 01-3445 Surch./Adm. r 01-3446 SAC/Adm. 01-2155 Surcharge , j 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. Q 20-3716 Water Meter 1 i 20-2252 Acct. Dep. C` 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. O(? 67C 28-3855 Park Ded. TOTAL % 4:_77 PERMIT # O PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ' >r' ? BLDG. TYPE WORK DESCRIP N Lot BIT SeciSub Res. NeW Y26 Mult. Add-on Name Ae 4,L Comm. Repair ca Address 2.2 Other c City _,664- A 5_ Phone X' I RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES T TL Water Closet - $3.00 Name Bath Tubs - $3.00 Address ?!1 ~i 6},,;- o~p,~f fc' TLavatory - $3.00 ~ p City Phone t7.7L1 Shower - $3.00 Z_Kitchen Sink - $300 v FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -J-.-Laundry Tray - $3.00 1= ti. AP rSLDGS - COMM RATE APPLIES -~_Floor Drains - $1.50 sU TOWNHOUSE & CONDO - RES. RATE APPLIES _-Water Heater - $1.50 3 cV MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 _7 6V MINIMUM- COMM/IND FEE $20.00 Gas Piping Outlets - $1.50 " STATE SURCHARGE PER PERMIT .50 (MINIMUM 1 PER PERMIT) ",-(ADD $.50 SIC IF PERMIT PRICE GOES Softener - $5.00 BEYOND,$1',000.00) Well - $10.00 f f 1 Private Disp. - $10.00 - '41r?lam! --I-Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/G: FOR CITY OF EAGAN GRAND TOTAL: SOWER & WATER-PERMIT OFFICE USE ONLY TY00 EAGAIV PERMIT DATE 4/19/89 5830 Pilot Knob Rd. WATER PERMIT # 10373. SEWER PERMIT # BOX 21199 METER # B.P. RECEIPT # C 3583 Eagan, MN 55121 READER # B.P:"RECEIPT DATE , , 49 's METER SIZE yj ; ! ~I J9G ISSUE DATE PRV -BOOSTER PUA ' SITE A DRESS f PERMIT REOUESTED LOT LOCK SEC/SUB w APPLICANT:L~ Co~SlZy'C.7J~~^! X SEWER WATER NAPS ADDRESS: 1 q .uvrr9 ~Y1 ~ rc COMMAND t , ~(''RESIClNT1AL - CAY, STATE o ZIP Z Z G>31 -r/-NEW EXISTIN(w PiA PtuMe~t: A?RES:` 2 Z Ea i T~ ?3L'-'ter 1 AGREE TO COMPLY WITH CITY OF r cl;' EAGAN ORDINAL .ES: CITY, STVE. ZIP ' r PHONE: 9 ~3 - 2s'2I OWNER: J~ s ADDRESS: 1 ! ~ 6'i :r/Z~v~/~ 9~~' ~ J.G ~IGNATUE~:VIIHEN METER ISSUED CITY, STATE~19 ?yl•'~r ZIP PHONE. Gtir x. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEINER PERMITS, CONTACT '041WEAING DEPT. i ~u ~ ~ ~ M` 4 - t _ _ ~ s r~.r v, ~ . } 3 f v- ~ _ < S~ x. ~ y ~ ~ ~1, , a ,S1^, ~ A i r 'rµ DATE: 4~i¢IC+1 - } ;RE: 1616 DI A AW # blt. =L6. 51, ltA 3rr Your Seaver & Water Permit for the above property has been completed. It will be hold at ttW, Public Works Garage (3501 Coachman Road) until the meter is picked up. BE ~U m TES CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. i- Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your r & Water Permit for the above property has been completed, but the mret+sr eanndt ssu or occupancy allowed until further notice. _ C CI PROJECTS ONLY: Please pay for meter at City Hall. Meter size most be confirmgl.by B' ams or 'Dirk Rouse (Plumbing Inspectors- 454-8100) before issuance. WARNING: BWOAE DIGGI CALL LOCAL UTILITIES TELEPHONE, ELECTRIC, GAS,ETC. REQU D BY L CONTACT COMMUNITY {NELOP DERAFtENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept ~ At k ~ p , d i i DATE:! 4! ~9 RE: 1616 BLAC81hAiillf. LAKE D% L6, Bl, BLACIMAWK OLIN 3rd XX 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 asons: N~ Your Sew Water Permit for the above property has been comPleted but the meter cannot c be issued or upancy allowed until further notice. COMMERCIAL P' JECTS ONLY: Please pay for meter at City Natl. Meter siz0 must be confirmed by Bill Ada or Dirk House (Plumbing Inspectors 454-8100) before issuance. WARNING: BEFORE DIGGING, C LOCAL UTILITIES - TELEPHONE, ELECTRIC, GRAS, ETC. i - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT ARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept a } I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road f Permit Number: + Eagan, Minnesota 55122-1897 Date issued: ! (612) 681-4675 WE ADDRESS: P I APPLICANT: 3 k 1 t, "i. A(KJfAt-W k t U Utz Af "55un "I H A f ! .JG3i-6c~ PERMIT SUBTYPE: TYPE OF WORK: A CA. A Ott 1YON FOOT I "A t` 1 43 s~ t k 7 {s t k 'hi} x,t i Pe:nr0t Hm Pero* Hokkr Daft Tdophofte ~ Q eLWTAtc ~,~,rarlBlNt3 3100-6n Do" Insp. Co" ntefft foLm FRAMING ROOFING ROUGH PLUMBING PLOG AIR TEST ROUGH HEATING f GAS SVC ~ TEST INSUL GYPBOARD FIREPLACE I FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Ty- V WSPECTION, RECORD r' OF EAGAN PERT MT TYPE: ~ t► ~ t ~ ~ ~ 883t? Iii©t Knob-Road Permit Number: C 333, Egan, -M wes 55122-1897 Date issued: (8.12) 6814675 TE ADDRESS: l:~ I , . 1c~ x.. ~ v ;P O~ o '0~ APPLICANT: t k31.ACVI,-IAWI( i AM`i~ 0 011714SSEN Of 'A L 4 t~lf:-KlA#1 i h ;33D ( t 't. X6,.,,;,33 (S a lt mw SUBTYPE: TYPE OF WORK: Fib! ~4 .i t t rPtt.{,t# At,RATION ikA~9i -D-33 t1,,,i`i+3l1_At3+i T ftP*i#X, Ai ;F ''A[ ATF t°C°t3M S i i ! f-OR ANY C)R Pt.0#4 0fi O V PerraS No. , Pwm t liolder Date EtECTRIC Date Insp. Grtents f~QpTtIdQS FOUND I ROOFING MOU(*i PLUMBING PLB% AIR TSST PAXAM MEATH WSW E TIT ' WVA GYP BOARD FIR.EPIACE F1R> IME AM TEST FINAL PM FINAL WTG QRSAT TEST BLDG FINAL SSMT R.I. BSMT FINAL DECK FTG DECK FINAL SEWER WATER PERMIT OFFICE USE ONLY '"CITY OF EAGAN PERMIT DATE 4119189 383fI Pilot Knob Rd. WATER PERMIT # 10373 SEWER PERMIT # P.O. Box 21199 METER # B.P. RECEIPT.# Eagan, MN 55121 'ho # 9 P. HE E 4 9 89 METER SIZE owe yy ISSUE DATE - Z -X"`PRV QOSTER P MP SITE A (DRESS 67 7"~'y' 1 PERMIT REQUESTED LOT BLOCK -J-SECISUB 'r APPLiGANT:~©~j1a~ XSEWER WATER TAPS' ADDRESS: COMMtIND RESID NTIAL CITE, STATE ZIP PHONE: - f3`3l z EW EXISTI G PLUMPLA: 7~a.►~,~so,~ pyvr,, gi.siG" o, ADDRESS: /ZZ !>'r9.'~. I AGREE TO COMPLY WITH CITY O CITYI STATE ZIP EAG N ORDINANCES: PHONE: 9.~3 7s_11 t3WNER: ADDRESS: / I YfQC!/ZNu ?/L q ~`L IG TURF WNe#L ZIP ER ISSUED GlTY, STATE ZZ f PHONE: r PLEASE ALLOW TWO WORKING DAYS F R PROCESSING. FOR STO SEWER PE TS, CONTACT ENGINEERING DEPT. k ~Cf y E Q 8 6 3 ~fP_., RegQest Date r Fire No. R^i ❑ Ready Now ill Notity Inspector eady? III ti sed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) city Section No. Township Name or No. Range No. County r Occupaint (PRINT) Phone No. _ PEw4 'Supplier , Address t-~A zo - Electrical Contractor (Company Name) Contractor's License N p. 1 a Mailin Addre Contracto or Owner Maki installatio Aut onz i r ~ntra or/ n n) Phor~@ Nttmbe 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 I Phone (612) 642-0800 ENCLOSED. L_ ~ REQUEST FOR ELECTRICAL INSPECTION E 0~ See instructions for completing this form on back of yellow copy. W C, 635 X" Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired n EquipmentWired Home Range Zwnporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below. # • Other Fee # Service Entrance Size Fee # Circuits/FeWers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A ove' 00 Amps Signs Inspectors Use Only: JT Irrigation Booms Special Inspection Alarm/Communication Other Fee 1, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final o , f been made. - r OFFICE USE ONLY c' This request void 18 months from E 9863 Re ues Date Fire No. Rough-in Inspection Re wired? D Ready Now it Notty Inspector e (I as D No Ready? I 41i sed contractor ❑ owner hereby request inspection of above electrical work at: Job ddress treet, Box Route No.)~- City Section No. Township Name or No. Range No. County Occupa I(PRINT) Phone No. i r Supplier Address Electri ontractor (Company Name) Contr or§ nse Mailing Address (Con ctor or Owner ak'ng nstallation 1,Ic- Authonze~tgnature (Cordr ctor/ ner Making Installation) Ph ber- MINNE OTA ATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Mi y Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD' 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-oooo~-o~ 10~ See instructions for completing this form on back of yellow copy E - 8-6 3 6 "X" Below Work Covered by This Request New ,Add Rep. TypeofBuilding Appliances Wired EquiptnentWired Home ge Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer her (Specify Comm./Industrial urnacp Farm Co itioner Other (specify) Contr ctor's Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o 100 Amps Transformers Above 200 Amps Abo Amps Signs Inspector's Use Only: TOTA 9rrigation Booms Special Inspection Alarm/Communication Other Fee 1, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final 5, 7 Date/ been made. OFFICE USE ONLY This request void 18 months from r Regaest Date// / Fire No. Rough-in Inspection 50 aired? O Ready NowA(Will Notify Inspector v / Yes El No When Ready? I L licensed contractor downer hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City W YI Section No. Township Name Or No. Range No. Co my i Occupant (PRINT) Phone No. ic.hac w eN jh4jjeA4 Cb Z t - D Power Supplier Address e ~9 ~GtYH1111vJ-0,P3 MAI PA IN, ~4 O 14kok O h 0XO fi irv, 0 Electrical Contractor (Company Name) Contractor's License No. Y Mailing Address (Contractor or Owner Making Installation) W16 Btaytt ha.r K On'et- B- wt- A! SS12 t Authorized Signature (Contractor/Owner Making Installation) PhonelNumber -13.6 - 051 MINNESOTA STATE 14OARD 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 FOR ELECTRICAL INSPECTION Es-00001.07 ► See instructions for completing this form on back of yellow copy. 7 Be w Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 1 mpsI Transformers Above 200 Amps Above 100 Amps IrrgDS Inspector's Use Only: Q!~ TA Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby Rough-in Date y p l (6) certify that the above inspection has Final Date / II 1 been made. OFFICE USE ONLY This request void 18 months from - - j /o 0 09 [JJ~~ Cep .n 7 9{JgJ~ 1 1 R 40 Ile; Request Date - No. Rough-in Inspection -~/y y^ Required? ❑ Ready Now 1,11N otify Inspector / / ~ Yes No hen Ready? I licensed contractor ^wner hereby request inspection of above electrical work at: Job Address [Street. Box R ute No.) City . I!v lP ck w l l.~ k~ ~ r Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. M.► l e T ' 7Q r) _s e Power Supplier Address Electrical on ractor (Company Name) Contractor's Licens e No. DMA©t,~ r~ ~r Mailing Address (Contractor or Owner Making Installation) b4v ;E__ Auth r ed Slg re (Contractor/Owner Making Installation) Phone Number MINNESOTA STATE CARD OF ELECTRICITY THIS INSPECTION FEWEST WILL NOT Griggs-Midway Bldg. - Room 5.173 - BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. 155104 - UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. -J y. I ~,07REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 _11L I 10- See instructions for comp' his form on back of yellow Copy. 9 ,y rpa~ 23 P _ X 'Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) j mm./Industrial Furnace rm Air Conditioner er (specify) Contractor's Remarks: C~ a SO 4 L Compute Inspection Fee Below: R. e ed on r,91+ V 3353-7 # Other Fee # Service Entrance Size Fee # Circuits eeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps G Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL ~ 0 Irrigation Booms ~J Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date J~ been made. f OFFICE USE ONLY This request void 18 months from r ~ / p / f /7 O ICE US NLY equest void 18 rnths from validation date prin m this box. W (f~~ /c~ ~ .~Ii / pa (p 11111111111111111111111l111NI1111111111111111IIII 0 4 1 6 1 5 3 5* PLEASE PRINT OR TYPE V RegVEst Da Rough-in inspection required? Yes ❑ No Inspection Other Than Rough-In: ❑ Ready Nov/111 Call (You must call the inspector when ready) Dote Ready: 1, ❑ licensed contractor (®-dwner hereby request inspection of the above electrical work at: Job Address (Street, B , r oute No.) City Zip Code _l /'le aCk ~ Ck. r. Section No. Township Name or No. Range No. Fire No. Coun joccupant n » I~t 55 p Phone ~b. R Power Supplier Address Electrical Cont(Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only) !m Mailing dress on actor or (Owner Performing (nstallation) V Au 'zed Si ature ontroctor or C~vner Performing Installation) Phone No. EBA0001 A-11 8/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTION 0 4 1 6 5 f Minnesota State Board of Electricity d L. 2 1821 University Ave., Rm. S-128, St. Pain, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Ot iv~ µ ( New Addn _ VI, Commercial Industrial Farm ~J t S Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. c Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ug./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY T T Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool 1 hereby certify that I ins c e ri al installatio described herein an the dates sta Irrigation Boom Rough-In Date Special Inspection Fin Investigative Fee Date THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. RESIDENTIAL BUILDING PERMIT APPLICATION { CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodelfRevair Requirements • 3 registered site surveys showing sq. ft. of !ot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION SITE ADDRESS ~~16 13b7-611"A`f4V ZftMULTI-FAMILY (BLDG -Y --IN TYPE OF WORK a . Rerc'e FIREPLACE(S) -0 -1 -2 APPLICANT 5'f rel n 751 6 STREET ADDRESS /3 CITY mac STA6~ir/ ZIP Ss~~~ TELEPHONE # 763 -,5e// -0.3°yCELL PHONE # FAX # PROPERTY OWNER TELEPHONE # 6 5~ v3oS COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MI,N\ESO'I'A RULES 7670 CA"I'EGORY I _ MIINNESO'17A RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener M I.avvn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone d - SEP 0 S 2002 I hereby acknowledge that I have read this application, state that the information I correct,'and agree to c mpiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. B Signature of Applicant OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received _ Not Required ~ Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-piex ❑ 12 12-piex Plbg_Y or - N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs 4 Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028241 (612) 681-4675 Date Issued: 08/07/96 SITE ADDRESS: 1616 BLACKHAWK LAKE OR LOT: 6 BLOCK: 1 BLACKHAWK GLEN 3RD P.I.N.: 10-14352-060-01 DESCRIPTION: Building Permit Type DECK Building Work Type ADDITION Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge .50 Total Fee $45.50 CONTRACTOR: OWNER: - Applicant MENSSEN MICHAEL 1616 BLACKHAWK LAKE DR EAGAN MN (612)456-0350 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. AKA Ww Ra Olt APPLICANT/PERMITEE SIGNATURE ISSUED BY SIG TURE CITY OF EAGAN O 3830 PILOT KNOB RD - 65122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Require nts RemodeVReosir Requirements 7/ 1 7- ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam 3 window sizes; poured Md. design; etc.) ♦ 2 site surveys (exterior additions & deck ♦ 1 energy calculations ♦ 1 energy calculations for heated additio,s ♦ 3 copies of tree preservation plan N tot platted after 7/1193 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ~Xe d STREET ADDRESS: S~S12- LOT BLOCK SUBD.M.I.D. PROPERTY Name: Nen5S-ei, II`1i`e4-e ~ Phone OWNER LAST MST Street Address- QOM City: State: Zip• CONTRACTOR Company: fi#te Phone M Street Address: Licens6 # City: State: _ Zip. ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEQ M Certificates of Survey Received Yes No a 9 1996 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 - plex Af 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move o 32 Addition ❑ 34 Repair n 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCMIS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 1z -7 Depth Footprint sq. ft. SAC Code 1151l_. Census Bldg Census Unit G~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCWS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit SMt Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units k SURVEYOR9S CERTIFICATE HUME CONSTRUCTION I~ 834.4 q wk top ` LAK l"' R . eao. I 8p 85 9 R'209.96 M 27 4•,11 I 840.0 BENCH MARK O \ " .~-7i5-96 TOP OF IRON ELEV?835.78 O t. i' GAP $ ~Q~O2e (p I a \ ~ c OJ• O N ~4/G / 6 a O~OQ w a SA% 32 ~ ~ a ro Kvio%~v ce F+%~S M fBt~Q.S) / I T N L hpUS Ep l k rv Q F co o ~ `r ~ G• 33 2 ti, o / h 00 / LOT 6. i ~ i 4 f~ A." •t 4 ` / a 4urILITY' DRAINAGE pER PL~Ar 5 r EASEMENT N 3° 21 22" W 13879 I INCH = 30 FEET ITI F X 0 0 James R. Hill, inc7. w A n is N N> M -4 0 z m Z PLANNERS / ENGINEERS / SURVEYORS O m 9401 JAMES AVE. S. 9 BLOOMINGTON, MN. 55431 9 612-884-3029 r< . PERMIrT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 3 3 (612) 681-4675 Date Issued: 12/19/96 SITE ADDRESS: 1616 BLACKHAWK LAKE DR LOT: 6 BLOCK: 1 BLACKHAWK GLEN 3RD P . I . N 10---14352--060-01 DESCRIPTION: building Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY. Base Fee $50.00 Surcharge .50 Total Fee $50.50 CONTRACTOR: OWNER: A p p l i c a n t MENSSEN MICHAEL ► 1616 BLACKHAWK LAKE OR EAGAN MN 55122 (612)296-3328 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances APPLI ANT/PERMITEE SIGNATURE 44 I SUED BY: GNAT CITY OF EAGAN 3830 PILOT KVOB rID • 86122 ;L1 34543 1996 BUILDING PERM. IT APPLICATION (RESIDENTIAL) S814675 News C_ nstn~,cticn Reouirement• R=odeUReoair Requirements 3 registered site surreys ♦ 2 copies of plan ♦ 2 copies of plans (include beem► & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions a decks) ♦ 1 energy calculations e 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan H lot platted after 771/93 required: -Yes ^ No DATE: ~ 2 42L CONSTRUCTION COST: DESCRIPTION OF WORK: i et t eo-o, d fir` A STREET ADDRESS: LrV I,61 LOT BLOCK SUBD./P.I.D. tiit I~d, PROPERTY Name: Mel j,~se- t,'ll't a Phone OWNER LAST POST :ra x~irr ~3 Street Address. .1111 A1,4LA'A t wX a ie ZZ City: State: MN Zip: ELY CONTRACTOR Company: ~4E f 1t Phone Street Address: License City: State: Zip- ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip- Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No RECEIVED DEC 0 6 1996 Tree Preservation Plan Received Yes No - BY: OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex ❑ 11 Apt./Lodging ' 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. 0 17 Swim Pool n 03 SF Addition ❑ 08 8-plex o 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch o 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 0 05 SF Misc. ❑ 10 ___-plex ❑ 15 Deck WORK TYPE 0 31 New V`33 Alterations ❑ 36 Move o 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System ° (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 142,4 Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Ast31 Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY OF EAGAN NO 18113 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 .8 -1 C'~ BUILDING PERMIT Receipt # To be used for 4-SEASON PORCH Est. value $10, 000 Date JULY 6 19~~ Site Address 1616 BLACKHAWK LAKE DR Lot 6 Block 1 Sec/Sub. BLACKHAWK GLEN 3 D OFFICE USE ONLY Parcel No. Occupancy T FEES Zoning W Name MIKE & JULIE MENSSEN (Actual) Const Bldg. Permit • 00 c Address 1616 BLACKHAWK LAKE DR (Allowable) Surcharge 5 - 00 City EAGAN Phone 456-0350 # of Stories 14 r plan Review Length - o Name MASTERS CUSTOM TRIM. INC Depth 14, SAC, City (00 Address 8704 GRANADA AVE S S.F. Total - u< SAC,MCWCC City COTTAGE GROVE Phone 459-4727 S.F. Footprints - On Site Sewage Water Conn U~ w w Name On Site Well Water Meter Z MWCC S stem Mz Address y Acct. Deposit aw City Phone City Water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agrie to comply with all applicable State of Minnesota Statutes and City, f Eagan Ordinance Treatment PI Signature of Permitee ~T E c 1 i.. ' APPROVALS Road Unit A Building Permit is issued to: MASTERS CUSTOM TRIM Planner Park Ded. on the express condition that all work shall be done in accordance with all Council . 50 applicable State of Minnesota SQtatutes and Cit of Eagan Ordinances. Bldg. Off. Copies Building Official ! 1. I TJ~ Variance TOTAL 12,12.50 I 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: S~4fD~`~!©~~ Valuation: Date: (0 Site Address /bli, JA `c)eoc OFFICE USE ONLY Lot Block F ES Occupancy Zoning rn~ Parcel/Sub Actual Const Bldg. Permit 1 00 Allowable Surcharge $,o o Owner 11ke k 3v1rC MeW wi-l # of stories Plan Review Length SAC, City Address /(-4 d~-4kAawA take 45 , Depth / SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter [lsb~ Acct. Deposit Phone 7 On site sewage- S/W Permit On site well S/W Surcharge Contractor gSfCif C~iton1f,", 0-k MWCC System o Treatment Pl. City water Road Unit Address ~ra,,.~~o~ a r~✓Q • 5 . PRV Park Ded. Booster Pump Copies City/Zip Code ©j c2q vpye „ pyj,,-, SUBTOTAL J r e) ep APPROVALS Penalty Phone Y$'q' t/ a Planner TOTAL Council Arch./Engr. /V DN Bldg. Off. 41 Variance Address City/Zip Code Phone # i ~ r AV E Y O R' S CERTIFICATE HUME CONSTRUCTION 814.4 wk AK lb 640.1 ~jj BENCH MARK Jr p~~ ~a I20 271411 840.00= 0211'~I~ TOP OF IRON ; X15.96 v` OtuOQ r° N A / ' 4%.6 y l r wa~•lnlnD q0 a 'iv~S M ~V`N.S~ 1 a NOU ~041A ! v ary/ i Z-4 6 m ~w . ROti ` OFCk J, 4 M ~3qo LOT 6 j - / ~ M AV DRAINAGE a UTI PEAT / EASEh1EN7' PER r 5 I o 138.79 N 30211 22 IIw ~ •V• REgU IRED (88't.s'7 I INCH = 30 FEET IT) oW o James R. Hill inc. O 1 ac_ b nP N>M -I 11 D ' rn Z PL ANNERS / ENGINEERS / SURVEYORS o) 3 . co O m cn cD 9401 JAMES AVE. S. BLOOMINGTON, MN. 55431 612-884-3029 0 ` CITY OF EAGAN N° 16311 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 j BUILDING PERMIT Receipt # L To be used for SF DWG/GAR Est. Value $145,000 Date APR 18 19-&Q- Site Address 1616 BLACKHAWK LAKE DR Lot 6 Block 1 Sec/Sub. BLACKHAWK GLEN OFFICE USE ONLY Parcel No. 3RD Occupancy R-3-,M--l FEES Zoning R-1 W Name HUME CONSTRUCTION, TNC (Actual) Const V-N Bldg. Permit 798.00 o Address 2119 VIBURNUM TR (Allowable) --M--N Surcharge 72.50 City EAGAN Phone 687-0310 # of Stories 399.00 Length 62, Plan Review z F Name SAME Depth 46' SAC, City 100.00 00~ Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints Water Conn 580.00 On Site Sewage r w Name On Site Well Water Meter 90.00 4? Address MWCC System X 0 X Acct. Deposit 30.00 a City Phone City Water PRV Required S/W Permit 20.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all a licable State of Minnesota Statutes and City f Eagan Ordinancgs. Treatment PI 2 2 R - 00 Signature of Permitee APPROVALS Road Unit 340-00 A Building Permit is issued o: Planner Park Ded. on the express condition t t all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 3,233.50 I 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS _APR 17-1989 To Be Used For : ~IiJGL~ ~L `"7 Valuation: Date: I `t h - Site Address/(/~ - OFFICE USE ONLY Lot Block Occupancy FEES Zoning R - I Parcel/Sub2j h 4'* (,(,~nlrJ Actual Const V° I Bldg. Permit 00 Allowable N Surcharge x12.50 c7 Owner # of stories Plan Review 399,0 Length G2` SAC, City OOlC~ Address Depth -1-4 G'- SAC, MWCC S.F. Total Water Conn 1580,yfl City/Zip Code ~jra~ LZ Footprint S.F. Water 'Meter 90 ,Oo Acct. Deposit 30,oo I Phone On site sewage S/W Permit 20,00 On site well S/W Surcharge 1,00 Contractor MWCC System ✓ Treatment P1. Z~Z-~3,o- r City water Road Unit Address PRV required Park Ded. Booster Pump Copies City/Zip Code_ TOTAL; APPROVALS Phone? Planner Council Arch./Engr. 7~5 C~~7L~ Bldg. Off. Variance Address Council City/Zip Code j~yL~2iLr Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. 6ARA4 ~X 2q w ~Zy X/S`-?lea _r ly~~ ~ = 1°i 71 2 lLl *Lo X 5v ~rvoJ 1 (4 H SURVEYOR'S CERTIFICATE HUME CONSTRUCTION i z' DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET O DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 838.4 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - g3q,2. FEET (000.0) DENOTES PROPOSED ELEVATION P O D TPP PE ~ -A 8 tr ET ~t. WE HEREBY CERTIFY TO HUME CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 6, 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 SUPERVISI N-AHIS I ITH DAY OF PRIL. 1989. SIGNED: J M R HI L, INC. BY: HA OLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 X~ M O O m~ W W James R. Hi inc. O r O_ O < I o c- D t" m - m - D C7 z P ni o N --im Z o m o N rn D Z M co PLANNERS / ENGINEERS / SURVEYORS z G) -n OD N O m cn (D N 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 0 N Ol N SURVEYOR'S CERTIFICATE HuME CONSTRUCTION C as4.4 wk M SOP ~A K ~ E RI 140.1 r83y /g~ 0 9'97 4 2. g S3 R=209.96 4"/2' 27 ~ I eaon°=+4°21'14" S 42 it BENCH MARK r 715.9f; TOP OF IRON oil ~R~O ~y ` ELEVs835.78 r rY ~ .a o N/fir. <8Y~~zg4~6 / d• / v ~ro N gar ° k V' 1 ~(U m a • 3 ~ o i ~J Po oFOk J~ 4 / boo r l / LOT 6 1 Y- i Il / M N O N / a GE uTILIT / EASEM S EASEMENT PER PLA L... - ~ ~ ~ (819.6) r I O 13879 N 3°21'22"W PAN. REQUIRED (aSZ.s~ I INCH = 30 FEET ITI oW 0 _ R. Hi inc. ~ I James r O vc D o / N f m cD _ m~ ~ Fn N D o M C) N Z 0 > 0 coo m m, W PLANNERS / ENGINEERS / SURVEYORS N O m 9401 JAMES AVE. S. + BLOOMINGTON, MN. 55431 • 612-884-3029 oV N EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION . DATE OWNER C ~ 3tZC t9t]fJ SITE ADDRESS ~ -07 to t-0c k SLAQcW-Awk { CONTRACTOR a PHONE Determine Working Square Footage of Ez.-::h. 1. Total Exposed Wall Area 5Sq. Ft. X .11 = ~D 2. Total Roof/Ceiling Area . / Sq. Ft. X .026 = 4I.o0 3. Total Floor/Cant. Area Sq. Ft. x .05 = Total Exposed Wall Area Above Floor = ~~9 9a 00 a. Total Wall Window Area. . . . . . . . . . b. Total Door Area . . . . . . c. Total Sliding Glass Door Area . . . . . . IaD,L 1 d. Total Fireplace Wall Area . . . . . . . . - e. Total Wall Framing Area (average 10%) 1L40. ' f. Total Net Wall Area Above Floor 1~Ln 3~ g. Total Rim Joist Area. . . . . . . . . . . 1o9,~q Total Exposed Foundations Area = h. Total Foundation Window Area . . . . . . i. Total Net Foundation Area Above Grade . Determine "U" Value of Each Wall Segment. a. _ 13D.40 X U.. 26a - 45- b. - 3"7, 7 X "U" 07 = (0* X Stull C. 1 00 .35-7 d. X "U" _ e. X $lull -/0 .04 - X ,I U" g. 164" i. - X "U" _ SUBTOTAL = 1 ~2 , IY 4. TOTAL = C If item #4 is the same as, or less than item #1, you have met the iptent of SBC 6006 (c) 2. I ' ~rY7T, Total Exposed Wall Area Above Floor ~ - a. Total wall window area r . . . . . . . . . L-0-,•Q0 b. Total door area _ c. Total sliding glass door area d. Total fireplace wall area . . . . . . e. Total wall framing area (avrg. 10%) . . . o? C _ f . Total net wall area above floor ~a(,~ 7,QQ _ g. Total rim joist area . . . . . . . . . . . _-LS (2 7_ Total Exposed Foundation Area _ /09,~i-s- _ H Total Foundation Window Area T Total Net Foundation Area Above Grade Determine "U" value of each wall segment. a . _ (po,CEO x "U" 112 b. x "U" c. - x "U" c d. _ x "U" f- 6o7,00 x _0-4 V h. x "U" _ SUBTOTAL i i 14 Total Exposed Wall Area Above Floor 7,2,~ a. Total wall window area . . . . . . . . . . Ys(yo b. Total door area . . . . . . . . . . . . . C. Total sliding glass door area . . . . . . _ d. Total fireplace wall area . . . . . . . e. Total wall framing area (avrg. 10%) . . . ).O f. Total net wall area above floor _y9 g0 g. Total rim joist area . . . . . . . . . . . Total Exposed Foundation Area Total Foundation Window Area r---' _ Total Net Foundation Area Above Grade _ Determine "U" value of each wall segment. a. _ CL x fluff 35.7 = rte?/. 4 ? b. x "U" _ c. X U,l _ d. - x "U" _ e. x "U" /0 f. 5y9 RD _ - x "U" .04 h. X of U " i . x U SUBTOTAL 'i Total Exposed Roof/Ceiling Area j. Total skylight aYea . . . . . . _ k. Total flat roof/ceiling framing area T-7_ 1. Total net inslted flat roof/ceiling area a x,30 m. Total vault roof/ceiling framing area-10% Se5,00 n. Total net inslted vault roof/ceiling area 71p-51QQ Determine "U" value for each roof/ceiling segment. j _ x "U" k. -73,-70 x "Ulf 1. (n(2?,.210 x "u" M. 00 X "U 11 n. X "Ulf 5. TOTAL =L_ If item #5 is the same as, or less than item 12, you have met the intent of SBC 6006 (c) 1. - Total Exposed Floor/Cant. Areas ~CO o. Total floor/cant. framing area (avrg.. 10%) !1 ,(O p. Total net insulated loor/cant. area . . . 41.4 Determine "U" value for each floor/cant. segment. o. g, (Q x U 027(0 p- 41.40 x „U„ - 6. TOTAL F If total of #6 is the same as, or less than #3, you have met the intent of SBC 6006 (c) 3. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items 14, 15 and #6 shall not be greater than the sum of items 11, 12 and #3. 1 -7 lp 2. Prepared B C~ 9 Date -'sf TrM STUD Int. Air G8 THRU INS. WALL Int. Air .68 W/* S.R. E SIDING S•:R. ,45 u/ S.R. E SIDING S.R. ,9'S Stud &1,7 Ins 1900 j - Shtg. SHTG. ,69oZ Siding Siding Ext. Air .17 Ext. Air .17 To to 1 "R" = 9 (~0 ;I Total "R" = o?/, 23 1/R= flues THRU CLG. Int. Air .61 HRU CLG- Int. Air .61 MEMBER S.P.. ( tsZo INSULATION S. R. J& C? g . mem. 4 35 Ins. (P-) 49;CX~ Ins. (JD") 31,ya St:?1 Sir .'61 Still Air - 61 Total "R" = 9J`".~~ , )j, Total "R _ .37,~ 1/R = l,Ull I/?. flues Ulm THRU CONC BLOCK' Int. Air -.68 THRU RI14 Int. Air . 68 C.B. (,62 JOIST Ins. 19.40 Opt. Ins- P.00 lYl Wood .1.89 Ext. Air .17. Shtg. Opt. S.R. / - ► Siding z • Opt. Sid. - Ext. Air .17 . ' . • . ' Total "R ll . Opts. Brick ..Ues _ N1 ~23 = 1/R Total ~~R~~ 17 I/R - "U" w THRU, STUD Int. Air .68 THRII ITS. Int. Air .6 / 5/ F. C. Stud r 5/8" F.C. S.R. (Opt.) Shtg. S.R. B H SIDES (Opt.) Shtg. AOTF SIDFS Ins. 5/8" -S.R. .56 5/8" .R. .56 /8" S.R. .56 5~8" S.R. .56 F.xt..\r .17 Ext. Air .17 Total "R" = Total "R" _ 1/R = "U" Q / 1/R = "ull = 4~--~ THRU STUD Int. Air .68 \ THRU INS. MALI. Int. Air .68 w/o S.R. Stud w/o.. S.P.. Ins. r w/ SIDIPG Shtg. W/ SInI?~G Shtg. Siding Siding Ext. Air .17 t-~ Fxt. Air .17 i Total "R" - j ``Total "R" 1/R 'lull r THRU MEMBER Int. Air .92 THRU I*IS. Int. Air .92 AT CA~7. Carp.-Pact aU~l AT CAI-IT. Carp.-Pad a,OFi Vinyl Vinyl Und. 1-Ind. Ply. ~y Ply. 9y . . IL Ins. Joist Depth /)6ZO Ply. q7 Ply • q7 Ext. Air .17 F.xt. Air .17 Total "R" Total "R" _ Z,5y l Use BLUE or BLACK Ink I For Office Use 1 City of EPermitI a5 I Permit Fee: 3830 Pilot Knob Road 1 Eagan MN 55122 I Date Received: 1 ~3 1 I 1 Phone: (651) 675-5675 1 Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -13 Site Address: d /A C Unit Name: Phone: Resident/ / Owner Address / City / Zip: 41~ j Jo, Applicant is: ✓ Owner Contractor Type of Work Description of work: /1t 16,p ' Construction Cost: Od Multi Family Building: (Yes / No ) Company: Contact: o l/~ g Contractor Address:/,;? 6 75~ 2,L?02 City: el:;~ State: Zip: 5~33d Phone: ,~V v;2- License C 63 Lead Certificate 136 7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: i Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of~ the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets_ _ i CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x iveY x Applicant's Printed Name Appl'c is Signat Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � � � Permit#: � �� ��� �v Clty of ���a� ' � �:�� , � , , � � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I i Fax: (651)675-5694 I Staff: i I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � :� ���� � ���,' �� ��°� Name: �I�U ����� Phone:�.�� -L��P�'�Sd ���'�-� �� Res�den�f � � �`�� Address/City/Zip: ,�� � �����'��� ��� �IZ ��Owner� :� � ���� v �' � �. �,.,�: Applicant is: /� Owner Contractor ��� �� � � Q � ������ � Description of work: (� S���S�� � I ti1.i X�) 2F:���C.�����' Type of Work � �'�� � :: rrv ��,��, r. �, ,:.�,� � � Construction Cost: �2�� Multi-Family Building: (Yes /No�) � � ���� �� ����� � #� � Company: ��Q��S C�I.QS�2(�CC�1�1� _Contact: ��1��'��C� ����a� ������� �� ,� � ' Address: ��I� (Z�\i�L. ` W _City: � �� Contractor �,� �,�. ����; _ �� �,. �,.�� �I2-�"lo� �� , � �, State: Zip:��? Phone: Email: ����t WA�'(-'ls�'. GM,dIL,C(�-t � ��: ��c�,,� � ' �'�a License#: �2 Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Pa�ge 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: � � � - . � , � � � ,:, �,:� , , �NQTE.�P/ans and supportrng tlocuments that y�u submit are°�cons�aleretl��o b��_�R � ormafiora� Por�rans ,the informat�an ma' b�c%assr�ea��s�'rion pub►ic�,�f�ioi��proide pecf��� 'ea�orts h r�rau,���a�e��ir��t�"e'C���a ' �� � �� ��� �����<�� :�. _�� �� d'.�,� e�� c�e ���, �� ; � , , „ , _,.. < fl. . :..car��/u 4ha�,tiie �are�frad �e,,, s ; �,.�� 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x� �'`'�� X ApplicanYs Printed Name Applic nYs Signature Page 1 of 3