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4095 Blackhawk Rd CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N0 $ 3 4 PHONE: 454-8100 BUILDING PERMIT Receipt # `7 To be used for Deck Date May 11 19 77 Site Address 4095 B1ackheA Rd . Erect " Occuponcyl-I - Lot Block Sec/Sub. Alter ❑ Zoning R~ Parcel 10 62000 020 77 Repair ❑ Fire Zone ~ Enlarge ❑ Type of Const. ~ Name Marvin Wenzel Move # Stories Address 4095 Blackhawk" Rd Demolish Front ft. o City mgan Phone 454-2743 Grade ❑ Depth _ ft. : Name S$ffie Approvals Fees O zu Address Assessment Permit S6-GO F Cif Phone Water & Sew. Surcharge 250 Police Plan check rW Name Fire SAC uZ5 Address - Eng. Water Conn. W City Phone - Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bjdg. Off.. ; the information is correct and agree to comply with all applicable r State of Minnesota Statutes and City of Eagan Ordinances.:? APC Total Signature of Permittee A Building Permit is issued to:`_? _:rff on the express condition"that all work shall be done in accordance with all applicable State of Minn:~s:ta Statutes and City of fagon,Ordinances. F . Building Official k Permit Date Issued Permittee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: 3r~ 3Vt 04LOT Kh%DS A0A . 1 2" AMOUNT c~ a_ r - 1 SASH, [CHEFC too FUND CODF-V AMOU NY - ~ S CASH RtCEIPT~ T Of -W IAN 4 .3795 PILOT KN65 PdAD EAGAN MiNN8-SO,1"Ap%172 DATE f r ! 1 9 • RECEIV 1 5 Y DOLLARS t 4'a CASki'WCkC i S._ 'FOR -FUND' - - CODE AMOUNT r `hank You } r White-Payers CAPy Yellow-Posting: COPY t2 10 nk-File copy Pi INSPEC'T'ION Its,, f' CITY OF EAGAN PERMIT TYPE,: 0;? 02 .8830 Pilot Knob Road ' Eagan, Minnesota 55122-1897 Permit Number: Date Issued: (612) 681-4675 SITE ADDRESS: 1_ ff 1 ft 1 1, ci f,: V ; t APPLICANT: 4 04') 3 tit A+ YI I AJ R 0 Wf ? 1'" 1. ' 1 1V1 I: 1 C} b1 :''1 1 61, AI S 4 T 9 PERM TYPE OF WORK: A Ifx`*r 1 0m ft f t'tifPf110H A90 MASTER 0 f Rolf"" TAI V'Io f11AMfN[ .1 ! it 1.,AT.I0N f tNA1 PlOC f NAt, RCAl1IRI~fi- SUP PAIL I1URMj1`-: f?I f311TRVD $ Ole 11_I,C:11t1t:1~t OP V1ItIMHINt-4 WORK x v k pwmft NO. pwmit Hotder Date T$Mphono # ELECTRIC PLUMEihtGi HVAC kWp9tVAWV Date Insp. tarts FOOTINGS FOUND FRAMING s~ ' ROOFING ROUGH r PLUMBING PLBG AIR TEST ROUGH HEATING I GAS SVC TEST I INSUL GYP BOARD F I FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL /7 cuN S CITY PV l N WATER MVIC6 ftkMIT: 3X45,1 "Knob Road PERMIT NO': 23~g : i + M _38122 DATE: ra, gTaTT K No of -Units:~ Y Owiner: Marvin It nz _ Address, Site Address: 4095 Blackhawk Waco sec • 20 - lQ ~9~~,o is~to 77 Plumben Basle Meter No.- 26207961 connection'Charge 2.30,.09 Size: 5/8 Rock. Account, Deposit: - 15.00.. pc3 Reader No.: 0846 Permit :Fee: 10 0 60, F agree to Comply with the City of Eaigan Surcharge: !50- Or&nances. Misc. Charges: Q, Up Pd _**ter - 31 1.q" P~ Total ' By Date of Insp.: J a OT' Of EACAN STEW S ICE 'IE IT 91 pilot, ,KIM4:' kbad - r PERMIT NO : 3636 1-or" Mid 58122., mom:: 10/9/ ,Znning: AI o Uneis: CTvn4. `+xla~$ill~ , Xs SEte.,Address: 4095 Bla&h k- Z A,ttiiirmber Opt. 1I/f7 1Z1 7#C1.t?. lad l: a to aim .with *e;Cit*,*f Ea"n Connection Charge: 425, N 'flrdin+etste §i Aecaunt Deposit: I I ~ ` Pere iit Fee: . Surcharge:., .50 3 BY MiS6. Charges; Date, of insp.: Total: ' Insp.: Gate Paid- CITY OF EAGAN Remarks La i" Addition Section 20 Lot Blk Parcel 10 02000 020 77 Owner l%Uld~'Street 4095 Blackhawk Road State Eagan RM1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, © 5 LA STREET RESTOR, GRADING SAN SEW TRUNK 1968 3a SEWER LATERAL & StUb 6 ,1983 WATERMAIN WATER LATERAL - 19 14 O 461 fI , : WATER AREA 1977 71 WATER STUB Z-71 2f74'.00 10.00" 20 PAID STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 8154 11- - BUILDING PER. _ 6-d_7_7 SAC 525.00 16210 10/9 79 PARK I EAGAN TOWNSHIP N'? N. 1432 BUILDING PERMIT Owner t!u' - Eagan Township i Address (present) Town Hall Builder Daie - Address ~ i DESCRIPTION Stories To Be Used For I Front Depth Height Est. Cost Permit Fee Remarks t LOCATION Street, Road or o er D cription of Location I Lot Block ' Addition or Tract i I r This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. I j~r~ This is to certify, that.__ _ _.---A . . ~ ~ ....has permission to erect upon the above described premise subject t~ovisions of the Building Ordinance for £a n Township adoed April 11, 1955. "v`=:...-•-- Per •--•1 . =.`-J... Chairman of nwn Board Building Inspector i I I EAGAN TOWNSHIP N° 89'7 BUILDING PERMIT Owner Eagan Township Address (present) (ru!'°~ -___~:f ~ ~r Town Hall I Builder ~d%2~ Address Date DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location Lot Block Addition or Tract A 77 This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRE This is to certify, that--- - ________has permission to erect a........ --!s-~ ....._._._upon the above described premise subject to `theprovisions of the Building Ordinance for Eagan Township adopted April 11, 1955. Per C'L C . Chairman of Town Boar Bud ding Inspect~r CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N° 4314 P NE: 454-8100 BUILDING PERMIT APPLICATION '~QQ+ Receipt # To be used for Deck Date MaX 11 19= Site Address 409 6 kh wk Rd Erect & Occupancy T Lot Block Sec/Sub. Alter CJ Zoning R1 Parcel # _ 10 02000 020 77 Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. W Name -Marvin lejenzpl Move E] # Stories z Address 4095 Blackhawk Rd. Demolish ❑ Front ft. 0 City Eagan Phone 454-2743 Grade ❑ Depth ft. Name Same Approvals Fees vo u Address Assessment Permit S6 ~ Phone Water & Sew. Surcharge . 50 city Police Plan check FW Name Fire SAC u3 Address Eng. Water Conn. W ¢ City Phone Planner Water Meter Council I hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable `-3~`-~-- State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done accordance wii all applicable State of Minn ota Statutes and City of Eagan Ordinances. Building Official EAGAN TOWNSHIP , BUILDING PERMIT 2578 Owner -L - Eagan Township Address (present) G.. Town Hall Builder Date Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost 'Permit Fee Remarks `t`om • a c-c 9, LOCATION Street, Road or other Description of Location ! Lot Block Addition or Tract ' ::Z- -5 F- c, ® This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certif, that- !1~__ 6JW ' y, ..has permission to erect a.... 4-4;Ve ..upon the above described premise subject to the provisions of the Building Ordinance for Eagan Townsh adop ed April 11. 1955. r~ Per Chair an of Tnwn Board Building Inspector CITY OF EAGAN Remarks Addition Section 20 of vw% Blk Parcel 10 02000 040 77 Owner:lu'le<<.T1 Street tate Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1 77 $7.60 $ .50 15 ,&0 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK PERMIT ` CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: 0 2 8 2 6 3 Eagan, Minnesota 55122-1897 Permit Number: 07/19/96 (612) 681-4675 Date Issued: SITE ADDRESS: 4095 BLACKHAWK RD LOT: 41 BLOCK: 77 SECTION 20 P . I . N 10--02000--041-77 DESCRIPTION: ADD MASTER BEDROOM Building Permit Type SF ADDITION Building Work Type ADDITION Census Code 434 ALT. RESIDENTIAL REMARKS: SEPARATE PERMITS REQUIRED FOR ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION $20s000 Base Fee $287.25 Plan Review $143.63 Surcharge 10.00 Total Fee $440.88 CONTRACTOR: OWNER: _ A p p l i c a n t WENZEL WYNNE 4095 BLACKHAWK RD EAGAN MN (612)454-7298 I hereby acknowledge that I have read this application and state that the l information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMtTEE S NATURE ISSUED B E CITY OF EAGAN 3830 PILOT KNOB RD - 55122 y i 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 1 y I~ New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No Ov DATE: CONSTRUCTION COST: QK1.4 Dw. - DESCRIPTION OF WORK: cArUuf~~A e e ©o r ` ^,oi ~IcA,T No0 ae STREET ADDRESS: LOT BLOCK SUED./P.I.D. ~r PROPERTY Name: • ijenze/i 1A)(A A Phone l l ~a q OWNER LAST _ viast y5 61ac- Wait Street Address jL2 /6-a City: State: Zip: rr ~ r CONTRACTOR Company: me 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. I hereby acknowledge that I have read this application and state that the information is correct and a ee to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY R E C E NE Certificates of Survey Received Yes No J U 9 Tree Preservation Plan Received Yes No _ - - - - - - - _ _ - OFFICE USE ONLY , BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool P%"3 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous n 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ,~kI2 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. 3 ` Depth Footprint sq. ft. SAC Code o i Census Bldg / Census Unit _ D APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License c~ ; / Z 7 tS MCNVS SAC 2 s S~ s 3 r~ X City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units t~ r CITY CAF EA, J u; 010-77 14d.~1i 34 140. 01 1~ f. 13 art- 0 2 GAP.-~ .r • 040 77 41 7L 09 • j~. uu o 3o 7~ OUTL0 A - r tp Form for use with Minnesota Rules part 7670.0475, Sucp. 2- 1 & 2 Family Residential "Cookbook" Method + 411 SITE ADDRESS Uty BUILDER Date Minimum Criteria: Rim Joist R-19 insulation Foundaton Windows: Insulated glass. 1R" air space. wood or vinyl frame Entry doors: l3/i inch solid wood with storm or better STEP 1 Window & Door Area STEP 2 - Calculate area as a percent of wall Total Window & Door Area in Sq. Feet Box A (window & door area) divided by Box B (total WINDOWS (including foundation windows): wall area) times 100 equals the window and door area Dimensions Qnty. Area as a percent of wall area (Box Q. Z4 1") X~ 0 f BoxA X Box B 44 Z x 100= C X X STEP 3 Design Features X ASSEMBLY OPTION X FRAME WALL: X STANDARD FRAMING X X X CAVITY INSULATION R. X DOORS: SIEATHNG: LESS THAN R-S X R-S OR MORE X WINDOWS (except fofindation windows): X U-FACTOR U- e Total Area of Window & Doors A From the table, determine the maximum percent window Total Wall Area in Sq. Ft. & door area for the design options selected and enter the Wall Total Perimeter Height Area value in box D below: 44Z ) D Box C must be less than or equal to Box D Total Area H-I& B of wall w ONE- & TWO-FAMILY RESIDENTIAL BUILDING PRESCRIPTIVE (COOK BOOM) APPROACH } MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL AREA From Minn. Rules part 7670.0475. subpart 2 item F Cavity Window U-Factor Framing Insulation Sheathin 0.49 0.36 0.31 0.27 STANDARD R-13 > R - 7 13.4% 17.8% 21.3% 24.3% STANDARD R-13 >R-5 12.4% 16.4% 19.7% 22.5% STANDARD R-15 >R-5 12.9% .17.1% 20.1% 23.4% STANDARD R-18 <R-5 12.1% 16.0% 18.8% 22.0% STANDARD R-18 >R-5 14.0% 18.6% 21.8% 25.3% 0 STANDARD R-21 <R-5 12.8% 17.0% 19.9% 23.1%... STANDARD R-21 >R-5 14.5% 19.3% 22.5% 26.1% -AD; AN PD R. - 5 13.6% 0 o Additional calculated values STANDARD R-17 <R-5 11.9% 15.7% 18.4% 21.5% STANDARD R-17 >R-5 13.8% 18.4% 21.5% 25.0% AD ZANCELL-- - R-1-7- 0 o 0 0 Notes: Window area equals rough opening minus installation clearances. Window U-factor must be determined by either the National Fenestration Rating Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table 5. 4 MY Use OW FEET sm. DATE: .U MPE : 0198 RTIAL) CITY OF EAR 38" PILOT KNOB Rt? SAGANs UN SST 't21014167-5 Ph . , for., ► shvle . " ~ **O tg * townhonvo wW c+ d+s'r n p rrr woes! for r w* ism Sty 3.00 x,~.~.,,.,. WSW C 3.00 x. . . Tut► 3.00 x LIAM" 3.00 x : ~ K " 3.04 x r x L y Truer rxS " 3.00 Tub:-- =j3.DU x War Mew 3.00 x Floor Drain 3.00 x Gas P tit * min mm 1 3. t .x Rough 0"1*" P` tlr. kerms 65.00 (nor ftxb ' s) U.G. SprftW . hems woft mot 3•b0 AUNIN1141" to Inds" 20,00, VA*w Turn ro►unci 20.00 _ AT SURCMRO . TOTAL r VVW ' ~NSTA~:ER. ` • ~ STMET A d' CITY. STA*M: 2 P'i4. ofmE USE:OMIL L BL RECEIPT SU8l~: DATE' 1996 PLUMBING PEAT JCOMMCIAL CITY OF EAG 3830, PILOT XNOB BASAN M (612) M-U'M' Pbow his for ► sM . b trga mini-may bins wtm ft 00 illy tad' ft tach ftsS t>ATE: CQNTRACT VVMTYPE : NM CO MSTRUCTM. AOD ON REPAIR tMSCRUIT" Of MK- i6 VMTER META IREOUIRED? YES N4. IF $0, PLEOME PAC'fi of THE FO Lt N& WATER FLOW. GPM. ARE IMM M -TERS TO BEOST ED7 YES. -.A- NO. FA&URE TO P ROME T OIMATM *MLL REST #4 A AY'0f METER IMANC ML Y BE MTALLMK3 A METER Ft A FUTURE U.G. S' ER SYMW...~... YES IF . YOU MUST APPLY FOR A SEPARATE VA. SPROMM' ET . IEEE: 3L2I;.tit} minima cN S96 of T► v trharg+.tT $,50 slow of NMI flee due on ON pwmb. CONTRACT PRICE x I% STATE SURCI'IARGE TOTAL AE~SS: TENMff, NAM: OWNER t"E. NISTAUER: CIT1f. STATE. ZIP:.....,... PIS E: $*NATURE-. ARPL#~ tAI+IT L ICE USE ONLY ME'T'ER SIZE: DATE: MI 'ECTC)R. Date : BUILDING PERMIT APPLICATIO'_'I TIOT BLOCK ADDITION .1;1- T~ & SECTION DUMBER IF U1,1PLATTED % D77, 5;4 OF P"11"CEL tqo ?,57 ~.,",Ti: OCCUPANCY USE D COST JT.??T1vR Nt c,v" . 1 ~_f'~ TELEPHONE NO. ` fl2 7 4 2-0M ,SS y COIITWW CTCR 1 TELEPHONE ITO. Note; Include site plan, building plans, and energy calculations with th4.r, application Signed OFFICE USE 1 -'ALUATIOU ~ . T2ii 'R diuEC`.'.IO` T i- ' T'';T.o'R 1-TETER _ v_ US? ?JILDING PERMIT FEE TRCH,:".PGE FEE PUM111 CKECK FEE PARK DEDICATION FEE OTMR n'3375'>-"ABINT CLERK BUILDING DEPT. POLICE DEPT. ..=FR & SETr7ER DEPT. FIRE: DR-PT. PARK DEPT. I J' I fr, F~ r' j.. MASTER CARD LOCATION U / OWNER -T STRUCTURE AND woe LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER • Approved Items (Initial) Date Remarks Distance From Well FOOTING . / SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS 40 PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION F NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ❑ NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ❑ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION-1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 23 November 12, 1970. Dakota County Auditor T- astings, Ninnesota 55033 Attentions Norma a { Dear i+ormas This letter is to advise you of the payments we have received in this office for the following special asessments and legal deseriptionet ection 13, Sanitary Sewer Trunk, Parcel 3177-D f 61,5b '-j .;liner Scott, ~960.0~ ' p~~G G/O D5 `section 13. Sanitary Sever Trunk Parcel 3177-E 16 John B. Coleman,!1992.00 :section 14. Sanitary `,ewer Trunk, Parcel 3576-A r Loren Place. -Lot 9.- Blk. 1. James Henry Gooselawt °150.00 Section 14, Sanitary Sewer Trunk, Parcel 3193-A /d OM, eo crance,i P. Griffin,"6000.00. Section 15, Sanitary Sewer Trunk. Paroel 3210-B /U d /50 D L 6 6a- Fred & ;;hirley Goers, $240.00 Section 20 , Street Improvement, Parcel 3269-B1 10 G~?0 D 0 6, D 7 7 Marvin E. ! Alice Wensel,`416.500 Also Water Stub 2200.00 These assessments are all for 1971. (P.S. this was witted). :SECTION 20, Street Improvement, Paresel 3267-B William Sell,$1257.75 S2;CTION , Sewer & Water, Laterals, Parcel 3406 Independent School trot #19149042.11 Please joull these cards from your files. Sinoerely, Anne Goere Assessment Clerk l WAIVER OF HEARING REQUEST FOR UTILITY IMPROVEMENTS I/Ve hereby request of the City Council, City of Eagan, Minnesota, utility improvements on and over property owned by me/us as follows: (Mention type of improvement, e.g. water, sanitary sewer, etc.) . LATERAL BENEFIT FROM TRUNK WATER The location of said utility improvements shall be generally as follows: Section 20 Parcel 10 02000 020 77 85 Feet at 6.90 FF = 586.50 I/Vle hereby waive notice of any and all hearings necessary for the installation of said improvements and further consent to any assessments, necessarily levied by the City of Eagan for such improvements. . I/We further agree to grant to the City of Eagan any easements nec,!s- sary for the installtion of such improvements. It is further understood that this request shall be reviewed by the City Council of The City of Eagan or its agent and I/we will be given reasonable notice as to whether this request is possible under present utility planning as to timing, location, etc.; . Dated: r _ J~lIiGK ~iGcw ky equest accepted by Date 7-~ - City of Eagan ? Request referred to "'itY Engineer: D-te Copies: 1. City 2 City Engineer 3. Applicant fD Dord oar 77 BOARD OF SUPERVISORS EAGAN a-INSHIP, DAKOTA COUNTY 3795 Pilot Knob Road St. Paul, Minnesota 55111 January 18, 1968 Marvin Wenzel et al 4095 Blackhawk Road St. Paul, Minnesota 55111 Dear Sir: This letter is to advise you that the Board of Supervisors of Eagan Township, in consideration of acquiring a utility trunk line easement through and over property owned by you and hereinafter described, hereby grants to you, your heirs or assi f; credit dit of ~ 226.00 ~,-Q T toward the following assessment: future lateral assessments The location of the easement is as follows: A 10 foot permanent easement being 5 feet on each side and a 100 foot temporary construction easement being 50 feet on each side of the following described centerline across part of the-Northeast quarter of-the Southwest quarter (NE 14, SW 4) of Section 20, Township 27, Range 23 and described as follows: Beginning at the point of intersection of the west line of said NE 4, SW4 -of Section 20 and the centerline of Carnelian Lane, CEDAR GROVE No. 5, according to the recorded plat thereof; thence east on the extension of said centerline 160 feet; thence north parallel with the west line of said NE , SW 4 to a point 160 feet south of the north line of said NE 4, SW,; thence northwesterly to the southwest corner of Lot 129 Block 10 in said CEDAR GROVE NO. 5 and there terminate. All in Dakota County, Minnesota. By Jo_ Klein, Chairman PERMIT City of Eagan Permit Type:Building Permit Number:EA124551 Date Issued:07/07/2014 Permit Category:ePermit Site Address: 4095 Blackhawk Rd Lot:000 Block: 077 Addition: Section 20 PID:10-02000-77-041 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 by law in ALL single family homes . Ray Carroll 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 - Wynne G Wenzel 4095 Blackhawk Rd Eagan MN 55122 (952) 356-3131 Carrolls Exterior Remodeling Inc 16402 Harvard Dr Lakeville MN 55044 (952) 356-3131 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink /i� (� �-----------------� ���G � For Office Use � r ' �' l I� `�' �f �a _ _. ' ; / �� I�G � V�� �� �� �� r. � .�,- I Permit#: �c�c.� • � �-'l� (7 � � �� � � r a 3� I Permit Fee: � '� � 3830 Pilot Knob Road � '' Eagan MN 55122 j Date Received: � ��� � � I Phone:(651)675-5675 I I Fax:(651 j 675-5694 I Staff: �"1 I �— --------------I������� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION P`� Date: Site Address: Unit#: Name: �,Ee cS�/�",/�(7'��� Phone: / J Z'.3 3 y'�}/� � �������� � �virn�r ` Address/City/Zip: �/c9`�,�' � �C�CN�I�' �� L''���`'.�_►�,� I Z 2- Applicant is Owner Contractor �vta-�'a� T a �:Q�W�T� .'' Description of work: �CrMDU(� L�A�-� �.Cs/9-�'`.�(t Gt/�'�L�s��G'�`l� � A �U� ' �� � ! , ', Construction Cost: �.��V Multi-Family Building: (Yes /No ) : Company:�cZ�—�/Zc.��j C,TG 1� Contact: �Z��/� G� �"�" � :.�G�.i°�'�F`����!!' _ Address � ��,� �cR,2.,i� i�F� � � �J �City: �� �J�l9 L, : state:�zip:_�'�l�Pnone:f���"J //'�E�f�: �t��/�� �C�./�/��`f�G✓ /.v�� r C rt� ' ,. License#: �,� [s� � Z�� Lead Certificate#:��J" r �� � � y� ^� If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA QNLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the Gity of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: N��'�;Ftaar��a��sr�ppc��ng d�c�r��r�r�ts t��t yc�u��r#mrt�►ra�c��t�rd��'ed#�#�+��tui�l�"�rrrform��+��t� #3"�r�n�z�'� ; tt�+��nforr�t�tie�n ma�r b��l��s��e�[as�o�pu�Ti��`�'�a�p��a����ie���r�a�sc�r�s��r�t r�►uld�r�t�h�ti�e�3��y#a ' �i��rc��d�tita�:#lze ar�,traa►e secr�: , __ ... CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call�t8 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is compiete 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 Appl cant's rinted Na ApplicanYs Signature Page 1 of 3 ��� ,-�'��� �((� �,-',`" '.--� ���'`"�'����� DO NOT WR1TE BELOW THIS LINE � � `� � �� � SUB 7YpES _ Foundation _ Fireplace �, Porch(3-Season) _ ExteriorAlteration(Single�arnity� —,�(Singl��'amily _ Garage _ Porch(4Season) _ ExteriorAlteratlon(Multi) � Multi � Oeck _ Poreh(Sc�eenlGazebo/Pergola) � Mlsceltaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvemant _ Siding _ Demolish Building"` Addilion _ Move Bullding _ Reroof _ Demolish Interior �if alteration � Flre Rapair _ Windows _ Dernotish�oundatlon ., _ Replace _ Repair _ Egress Window � Wate�bamage _ Retafning Wall •oemolitian of entire building—give PCA handout to applicant D�SCRIPTION Valuation � �� Occupancy MCES System Pian Review Code�dition �����t`—� SAC Units (25%_ 100°k� Zoning Gity Water Census Code Stori�s Booster Pump #of Units Square Feet PRV #of Bulldings Le�ngth Fire Suppr�ssion Requlred Type of Gonstructlon � Width REQUIRED INSRECTIpNS Footings(New Building) Meter Size: Footings(Deck) Final 1 C.4. Required Footings(Addition) � Final/Nv C.O. Required Foundatio� HVAC_Gas Service 7est Gas Line Air 7est Roof:_Ice&Water _Final Pool._Footings AirlGas Tests _Final �, Framing Drai�Til� Fireplace:_Rough In �Air Test _Final Stding:lStucco Lath _Stone lakh _Brick � Insulation � Windows Sheathing Retaining Wall:_Footings_Backfill_Fi�al Sheetrock Radon Control Fire Walis Fire Suppression:JRough in_Final Braced Walis Erosion Control �- Other: Reviewed By: L�/ , 8uildipg Inspecto� RESID�NTIAL F��S Base Fee ��'���`�,�� � '�� ��� Surcharge �.�-,����,.��, ���� ��� � Plan Review / �,. MCE5 SAC �/ � � �r�.,� City SAC � � ��"� ``'� Utility Gonnection Charge ���� '� � —�"""""""�� S&W Permit 8 Surcharge � �UcJ�"l.. � Treatment Plant �� �''� Copies TOTAL Page 2 of 3 �Z/80 3�JCd 1NIG'W 1X3 I3S L9Z9Z98ZZ9 �9�EZ SZ@Z/9Z/90 �1 � Use BLUE or BLACK Ink �----------------- � For Office Use � � ' j Permit#: v � j V I I I�d O ���� � permit Fee:___r�,_,�C �� � 3830 Pilot Knob Road i Eagan MN 55722 j Date Received: ����"�� � Phone:(651)675-5675 I � Fax:(651)675-5694 I Staff: I I__���_______��_ J � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �(� ��,iS Date: Site Address: Unit#: � ,�" �/`7 Name: .C.�� �ia,/`�I'V'� F2 t.'I� Phone: �� �J �,.c�C 1 � Resident/ j� Owner address�c�ty�z�p: �t��S IA�I.0��1�� d� ±�� � !� Applicant is � Owner Contractor "� F � `� 5' . TYpe Of Work Description of work:��i�e•�c �"�nr��Sh Ic'r2�+,f ��,�A 1.3�1��(� � �rv�,�'1i�� e�1�2�c(� �W�.� Construction Cost: .� _�b�-'�'� V� Multi-Family Building:(Yes /No k) Company: Contact: Gontractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered#o be pwblic information. Portions of the information may be classiflied as non-public if you provitle specific reasons that wou/d permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.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. (� 1� �• � `�\ x 1�`l'���'!�u x��„J Applicant's Printe Name Applicant's Signature Page 1 of 3 - ���� (������,�� � • � �33 eSl DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Euterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building, _ Reroof _ Demolish Interior �Alteration _ Fire Repair _ Windows ` Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �D D(fQ Occupancy �2G -/ MCES System —' Plan Review Code Edition �,O/rj SAC Units --- (25%_100% v ) Zoning �- / City Water — Census Code 34i Stories --- Booster Pump -- #of Units [ Square Feet �'" PRV -- #of Buildings / 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 Tes �Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas _ � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:�Stucco Lath _Stone Lath _Brick � Insulation � Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control - �/� Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �,���fi'.trCN/Lrd � �O��,f� ,�j'r J�W� ✓ Base Fee f 9/ �-- Surcharge �'l�I/ii^� �{,�,pkrj .���",�v Plan Review �� �� MCES SAC City SAC Utility Connection Charge � �Q � S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink --------� I For O�ce Use � ' , � �� I City of�a�a� ; Permit#: , �� � 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 � j Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 I � � Staff: � �-----------------I 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: ��<a� � Sr Site Address: ���� L7/g ck�1y"��� /�v�-r� � '��``1�� �� a7 s�/ ? Tenant: Suite#: 4 �� >r� z�,�� •— R�S[�f�tl'��W�t@�'; Name: � �����.5 Phone: �S�a"" v�3`7� -��� 3 ���"` ' Address/City/Zip: �.�.,:: '� � � ; ��/ S � F �.�. : � ' Name: � �" '' G �i�r R� � � License#: /�l.�(F,�� �/ � � :�� � l / / �ontr�ct�rr ,. Address: ���� ✓�s„D le�oocl l,�.� City: ��,D�G�voocL k�� : ��,: State: Y�Zip: ���� / Phone: ���� "7 ya� � �>�"� �;: ` Contact:�'`K� �y r �Soi/ Email: N1 i/LC � �e/��1�� C � � ��: New �eplacement Additional Alteration Demolition �;; ; Ty�,� ��: :, ��... Description of work: ���� \ f ,��; � Nt}T�`� �inc��nted ar������nci moun#�ed mectr�nical er�uu����nt�s requ�red#o be scre+���iy�y Ci�y ; '�� . . ;, ���... : ��:�;: C�d� :F���ase c��r��ct,��+�M��han��al\tnsp�i�tcrr far infc�rm � n�1�l���it�d,scr��n�+�'�f�v�1s . . ,��., � Ye,,,..,��.� ,;: � .:. `�° � �e�� .��= RESIDENTIAL COMMERCIAL _Furnace New Construction Interior Improvement , ������T' � _Air Conditioner Install Piping Processed �� �� � � ;��� _Air Exchanger Gas Exterior HVAC Unit �v Heat Pump n �I' /„�� _Under/Above ground Tank �Install J_Remove) �Other �'S RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ ���� x.01 $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -$ Surcharge'` 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 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 whlch requires a review and approval of plans. X �'�r�s _�S��fo`o X Applicant's Printed Name Applicant's Signature F�T� �I��U�� � � �°� � �� � , � � � ��� R�qui�`eil�Tl�s}�e+��ns �� �`'`' ����� ��� I�evi�w�t��y a����� C�ate � ;��.,, ; �� � � >�... , ��a� �� �� � . ' "" t�ndergrc�urrd �� l�ciu� In ,.. . �irTe�t �.� Gas:Ser�r�c�Te�t = � ��r�tic��'�te�f ° = �►r�at; �. �I�l��Scr ��r� ,.... ,T,� �;,-�,,...,.. ��,.`- � 9 City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: k 3�� Date Received:_ - rig Permit Fee: MAY 1 2 2016 staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/10/2016 Site Address: 4095 Blackhawk RD Unit #: S1 Resident/ Owner Name: Lee Spangrud Phone: 952-334-9113 Address / City / Zip: 4095 Blackhawk Road 1.--. Applicant is: 1 Owner Contractor Type of Work Description of work: AAdding a Deck Construction Cost: $6000 Multi -Family Building: (Yes / No ✓ ) Contractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt New deck, I am from lead certification, please explain why: not removing any paint material. In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 Lee Spangrud Applicant's Printed Name x Applicant's Signat Page 1 of 3 DO NOT WRITE BELOW THIS LINE 13(0503 SUB TYPES Foundation Fireplace Single Family _ Garage _ Multi y Deck _ 01 of _ Pies _ Lower Level _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES _ New Interior Improvement Addition` Move Building — Alteration ^ Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% X ) Census Code Z'' #of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) 44, Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final ,4 Framing Fireplace: _Rough In Air Test Final insulation Sheathing Sheetrock Fire Walls Braced Walls rt Reviewed By: _ 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final 1 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 Erosion Control Other: , Building inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 90qc A/0 b 208.00 S89°38'50"E 7-2( 7e: 2/ 96.26 S89.38'50"E I c;i71-71/0:r Y3dike (.rA l l Cd i r For Office Use ` a ( °°` ` , ,,, Permit#: , :: 4_crl:i..-: E AGAN Permit Fee: /(9,, V Ci E C E I V E Date Received: -� 3830 PILOT KNOB ROAD I EAGAN,MN 55122-181 (651)675-5675 I TDD:(651)454-8535 I FAX:(651) 56%i&r 2 2 2019 Staff: buildinqinspectionscityofeagan.com 2019 RESIDENTIAL iff1,111.N_QM,_11MT APPLICATION Date: Site Address: Unit#: Name: Lee Sp AN. RUO 1� Phone: q5- '331-1 ,3 Resident/ I/O 4S• ,(131c.kl-Ina 4< PA, 449Ary S�l a-4— OwnerAddress/City/Zip: Applicant is: Owner Contractor rl�/� (i ## Type of Work Description of work: AID GU 2 G R o,�rujo Coi 1' e N -& X i Construction Cost:-0 30.0 0 Multi-Family Building:(Yes_I No ^ ) I Company: Contact: t Contractor I Address: City: State: Zip: Phone: Email: License#: Lead Certificate#:______ __ , w_W If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes,date and address of master plan: ti Licensed Plumber: Phone: 1(( Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: t NOTE.:Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be L classified as non_pubTlc If • •rovlde s• Iflc reasons that would permit the Cit,oto conclude that theyare trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L e e S pivi G g v a x ..L-L- Ser—et-M-r4Q Applicant's Printep Name Applicant's Signatur DO NOT WRITE BELOW THIS LINE L/C S ke�-9C1/1/1/9 /d K"" �41 . /.. C7 7/ 7 SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) ' \( Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _I Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex — Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION W. Valuation 1y`' Occupancya r MCES System Plan Review Code Edition ,,,,, ' , [1 SAC Units (25%_100% `l) Zoning City Water Census Code rr Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction vi ° 1 Width REQUIRED INSPECTIONS _ Footings(New Building) Meter Size: Footings(Deck) Final I C.O.Required Footings(Addition) Final I No C.O.Required _ Foundation Foundation Before Backfill HVAC Service T t Gas Lin Test_Hood Roof:_Ice&Water _Final \( Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour (�Drain le (11(11 Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation _ Windows Sheathing Retaining Wall:_Footings_Backfill_Final _ Sheetrock Radon Control — Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control Shower Pan . Other: — Reviewed By: ,Building Inspector RESIDENTIAL FEES 1111 Base Fee Surcharge (f Do )" Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Inn ^'"� Radio Meter Read I l ,� 0 \. Copies y b' TOTAL 0 (,„, , °{/7 Page 2 of 3 � V7/ 7 `POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: 131x;ahokoc Applicant Name: 124- S �`U fi''''g GENERAL INFORMATION 0 Z ❑ ❑ Applicant name and contact information • ❑ ❑ Property owner name 0 U ❑ Address of property fdr ❑ U North arrow, scale (1" = 30' or 40') f� ❑ ❑ Site Plan, drawn to scale showing location of house,pool, and other existing or proposed structures, including retaining walls and fences. ❑ ,4 ❑ Location and name of all streets adjacent to property f� ❑ ❑ Directional drainage arrows (existing and proposed) ❑ ,L1 ❑ Lot Square Footage ❑ ,� U Lot Coverage ELEVATIONS Existing ❑ , ❑ House corners ❑ ,t U Property corners ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ g ❑ Finished pool deck corners ❑ 0 ❑ Top of proposed retaining walls (if any) and at each different elevation(if it changes) ❑ ,.21" ❑ Pool bottom(or max. depth) DIMENSIONS Existing 4 ❑ ❑ All property/lot lines /Of ❑ Cl All Easements on the property Proposed g ❑ ❑ Pool U ❑ Pool plus integrated deck/patio U ❑ Shortest distance from outside edge o o• •eck to lot lines and house Reviewed: /A Z00t Na - Date G:FORMS/Pool Permit Checklist/11-20-12 1W f '7 ; i:it C'tf3 454)• i I Ion:\ it.)1 . rcolw;f1Crelt Z.5 a (7) (1 is) w 0 C.7 61,' ...... ......- 0. \ 0 ....,—.... re) ,• \ Ic:I IC: . soor.— !V --k.-- cn Ili 0) • i \ h °. P ..• 40 j ‘,_,, ezr.,:::: r..- go ,-p 0 A 0 I \ "ek P7 6 — t t A 1 \ i % i 00 M.89,00.00S 00110i ' - ' I, _V\1 \ \ a1/40- a '-r \ . r—siti\ \ . ,.. , i ,e1.15, \ .1 ---- --Z . .-.- . „. 4% \ I 11' A.. , •'5..‘,,,' "-. ‘4410 _-___...... . _ . ''''*........ X lk) V S W a A w 03 8 c' . r to• .c) N.LecN , - --1.-: co 0 • 0 •-. ono - ...L. to .z.,-...— c4 d<"*. 1 c•-'. ,A011, / I dt 4 ,,."' Ahr-...., i...„ tar ,,e' - 1 \ I sz. --------- — --.. a et. /3" e3.., /., T 1 . \ 1.4) It S\ ..1„... -47:71).: -.....,----- et; _1....c. Z \ii ... <I, . 4 ..- imerrimmivalimb ' 1\17r' 3.99100.00N 00'90Z - NA_•N ..$ '04:''' '''AI I •••40 I de I I 1 .... A.... r For Office Use .A\tid/ , ; Permit#: ,,,,,, EAGAN Permit Fee: e2 7 /• 1 flECEIVEI% Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 APR 2 4 2013 Staff: buildinginspections al cityofeagan.com BY; 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Lee Spangrud Phone: 952-334-9113 Resident/ 4095 Blackhawk Road Owner Address/City/Zip: t � Applicant is: Owner Contractor a 01, / �• :r/, • Type of Work Description of work: Unattached Deck for pool Construction Cost: $4000 Multi-Family Building:(Yes /No ✓ ) Company: building myself Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approvallof plans. x L e e SA W ►2 o n x : ,t�.. . -yvk- e Applicant's Printed/Name Applicant's Signatyfre / DO NOT WRITE BELOW THIS LINE �© .61�COt wK Pd. /� -/t - . SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Ar Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi 1l1 Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior — Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation J 7/ 25' Occupancy J IZ / MCES System Plan Review Code Edition /1212o/,� SAC Units (25%_100%)6 ) Zoning g -I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction fp Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) -10 Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: / 4� Mr /`-- f/9' , Building Inspector RESIDENTIAL FEES 1.1 -2c c S Q , G 7---. BaseFee Surcharge i /C ° D Plan Review S9' `� MCES SAC City SAC 5 n e )✓Z`e- f e✓'e _ Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 . , zio q_ 61i4c,z1 Jma d. / 5(-& a- , _ i . I t1 .., i I I / c� I 1 208.00 N00'00'58"E Fo I w;-Ft-14.,z.,,.ct „..-, t. .5 I Uhl I -- . I f Cts iV ) NNNN .41, , R 03 .. 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