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1655 Blackhawk Cove INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit Holder Date Telephone # PLUMBING 5 HVAC Inspection Date Insp. Comments FOOTINGS l o-7-& " U FOUND L FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL E fie GYP BOARD FIREPLACE FREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC a~ METER IRRIGATION METER FLUSH MAINS CON DUC F I V I TY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL a OTY, Of J • 3795 PICOT i NO9 ROAD r ^ -EAGAN,.MIN#*SOTA 55 42~ t y YK? AMNAL 00.1p cr- k~. ..a INSPECTION RECORD. CITY OF EAGAN PERMIT TYPE: I`" ~''1w 3830 Pilot Knob Road Permit Number: 3 '1 Eagan, Minnesota 55122-1897 Date Issued: t (612) 681-4675 SITE ADDRESS: + 1c 1 c.: APPLICANT: tr,~:= I'±ACIJ-14A1,4 ('ijv[- Mf'('AMPBI I1 101111:RT `0 HAI-}h f1 f. i I_`, 'Nil (v' k, 1.) f.lSra t, f, F,~^ PI~IiM,IT A;)BTYPE: TYPE OF WORK: A 1 1 F R A T I.O N t'1 "rk:1sTrON 1 t:PAMD 1ctt(IUN ARI=A t f! AN I N ,oil t IN(,', f 1 NAI fI1it• OA 11ItN 1v ;t1t.~r1c~ INA1. F t16 F011(01 IN Ptitti i ~flt~ytl 1 P1 9-1 t k1 MAPr` t .;N ,f"I,/it. Wt ti ctY f"1=AfC NoIV1f''r1' . i.1°~~? dlf: t'~E f?pi :1 1 1 f~11 t<► i:+ f:0p AN PI U11114 WORK ~:~bt f R~1`, is'I•€ 1.VflAk11lHi_i 1-i F1,,:11~ i At [It PM11 AN11 yN ~F"F fI I(IW Permit Holder Pate Telephone # 10 PLUMBING HVAC inspection Date Insp. Comments FOOTINGS ~w+~ /ice FOUND Aowv*Y~ 'r FRAMING / LI Z ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE Ai R TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL uvfq- DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. SSMT FINAL DECK FTG DECK FINAL Crry (W " 3745 P" K" ar • # ; BUILD PEWrr $6290000 r ' Sing. Farm Dwlg. tC Garg. A>s oat < 77 F' . To b .Llf 1655 Blkckhawk Cove Site Address -Erect ~ Otcupancq 1 Lot 5 Block 2 Sec/Sub. Bl ackhawk Hills 11^ Alter p Zoning ~ . r, Repair ' FireZonBTZ Parcel # in 16 ;81 050 02 Enlarge d type of Core be Name Richard S Marjorie Kelly Mowe p # Starr z Address. 3945 Pilot Knob Rd. Demolish © Front 7B is" city Eagan Phone 4542327 Grade p. ' . ,Depth Doe~estic. Dev., Inc. Av°e"~r Name i 4244 Gardenview Dr. 1571`' av -Address Aunt fi+eretdt! s V G 1 e Valle Phone 42•9316 water 89w - Police Pan Check Eta Name Phillips PIrvf e_g Fire SAC~ QQ! ? Address 10700 Lyndale Ave. So. ' Eng. waEar "eUj Bloomington Phone 884-1187 Planner "W40W'i#leeer council 1 hereby acknowledge that I have read this application and state that eldg Off. _ the information is correct and agree to comply wit 11 applicable State of Minnesota Statist s d City an Urq nn APC53- ~i of Permittee~ Signature r A Building Permit is issued to: S tic' Dtv. L Inc. on *1 0. q pow all work shall be done in oc7rdonce with all applicable State of Mirmtsow Statutes"aid'Oty of.Etasari Pr s Building Official 1 v Permit # Dale, lamed Peeadltee, Plumbing 7 Mechanical 40 INSPECTIONS DATE INSP. Rough-In Final Footings - Q- 7 Date insp. Date Insp. Foundation Plumbing 3~6-fir Frame/ins.Mechanical Final Remarks: 9-14- 7 f . s ' f t tool rre *;.f 7u- 0 09 VW& c Now © Aid © After ~ liapair D £ Fil 'Waser coot 881916 Tank F4 > 'a'lw (fib-~-~ C^ u oar Cftoim imp Sink k tat the aboa infarmadon is true and wrreet, aid t afto pAit atgttt am a na mn and codes governing this type of wol t . . for s mar ftugh K: CITY OF ULAN 3795 Pilot Knob, Road Eagan, Minnesota 55112 nATER jOFTENER Phone: 454-8100 232 - PERMIT No. Dote: 864/78 11281 Receipt No.: 1655 Blackhawk Cove Single Site Address: Residential 5 2 Blackhawk Hills II I Lot - Block Sub/Sec. Multi Res., Comm./Ind. Richard Kelly new Name New/Alter./Repair. 1655 Blackhawk Cove Address Cost of Installation C Eagan 5.00 City Phone: Permit Fee Cowers Soft ikwater Co. .50 Name Surcharge 3801 California St. N.E. J. Address s hlpls. 781-3367 5.50, city Phone: Total This. Permit is issued on the express condition, that all work shall be done in`accordance' with alP bpplicable State of , Minnesota Statutes and City of Eagan Ordinances.' 'Building Officiol CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 HEATING _ PERMIT No. 1086 Date: January 19, 1978 Receipt No.: 08821 Single Site Address: 1655 B1aCkhawk Cove Residential I X Lot 5 Block 2 Sub/Sec. Hills II Multi Res., Comm./Ind. I Domestic Dev. Name Domestic New/Alter./Repair new , Address 14244 Garden View Drive Cost of Installation _ Apple Valley 55124 20.00 City Phone: Permit Fee - Name Kleve Heating & A/C .50 - Surcharge Address13075 Pioneer Trail e e Eden Prairie 55344 2iJ.50 City Phone: Total This P rmit is issued on the express condition that all work shall be done in accordance with all applicable State, of M to Statutes and City of Eagan `Ordinances. `Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 . PU MMING PERMIT No. 911 Date: October 17, 1977 Receipt No.: 67723 Single Site Address: _ 1655 Blackhawk Cane Residential L` X 5 2 Bllchk Hills IT L Lot Block Sub/Sec. Multi Res., Comm:%Ind. Name Domestic Dev. New/Alter./Repair new t d 14244 Gardenview Dr. Address Cost of Installation - O City AV Phone: Permit Fee 20.00 Raymond E. Haeg Plumbing .50 Name Surcharge 7226 Cedar Ave. So. A Address ,r - j°G Richfield 55423 20.50 City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official v~ :y UWATER`"SER1i'X ERM'IT N CITY OF, MEAGAN 370,5,`' ilot Knob Road t.... PERMIT NO.: onen Eogan;;'MN`'55122 w DATE: +n~~-tt+re Zoning: No. of Units: - Owner L167T)ev _ t +Address' c Site Address: • _ -zcav~ IL _ 1,31 _ w. Plumber: - Meter No;:. Connection Charge: wr .~,v Size: Account Deposit: Reader No.: Permit Fee: -a Ar - 1 ogree.to comply with the City of Eagan Surcharge: ems. -A ;Ordinances, Mist: Charges: e~ ~.w++ ,~•vw+.r ...rte Total: BY Date Paid: Date of.Insp.: Insp.: CITY,;OF`!EAGAN ~*..SMR SERVICE PERMIT 3791'' Pilot Knob Raod ~ PERMIT. NO.: 4321' Eagan, MN~ 55122 ` DATE: • ;Zoning: No. of Units: 1 Owner: DmestiG 1'aQ'o . do. , Inc. Address: ;Site 'Address: I65S 82,Ieetb*Wk OWe LS B2 B Bills..2 Plumber: Ra'trulesnd E. Matz Plunbino 8/31J77 04726-3 IOi1.t ~i agree to comply with the City of Eagan Connection Charge. MAO Pd Ordinances. Account, Deposit. _ t Permit Fee: -00 Surcharge: .Sf .ad_ By Misc. Charges: f Date of Insp.: - Totai: ri Insp.: Date Paid: CITY OF EAGAN 3795 PiFot Knob Road Eagan, MN 55122 N° 4465 PHONE: 454-8100 BUILDING PERMIT APPLICATION $629000. Receipt # 7263 To be used for Sing. Fam Dwlg. d Garg. Date August 31, , 19 77 Site Address 1655 Blackhawk Cove Erect 1?5 Occupancy I Lot 5 Block 2 Sec/Sub. Blackhawk Hills II Alter ❑ Zoning Rl parcel # 10 143$1 050 O? Repair ❑ Fire Zone III _ Enlarge ❑ Type of Const. V W. Name Richard d Marjorie Kelly Move ❑ # Stories U4 Address 3945 Pilot Knob Rd. Demolish ❑ Front 79 ft. - Ci Eagan Phone 454-2327 Grade ❑ Depth 41 ft. Name Domestic Dev., Inc. Approvals Fees z~ 14244 Gardenview Dr. Assessment Permit 157.50 _ Address Water & Sew. Surcharge 31.00 t- C; le Valle Phone 432-9316 police Plan check W Name Phi 1 i~~an Service Fire SAC . 475.00 iz Address 10700 Lvndale Ave. So. Eng. Water Conn. --23-0-00 <W city Bloomington Phone 884-1187 Planner Water Meter 60.00 Council I hereby acknowledge that I have read this application nd state that Bldg. Off. the information is correct and agree to comply wit II applicable APC Total 953.50 State of Minnesota Stot t d City f a n nc Signature of Permittee A Building Permit is issued to: Domestic Dev.. Inc. on the express condition.that all work shall be done in ac once wit all a i ble State of Minnesota Statutes and City of Eagan Ordinances. Building Official c R ~6 .t_ G~q~ quest void 18 months from ` Date ~oof ~this-Request' /rte ! 7 P 31'!764 I, as..U tensed Electrical.Contractor.0 Owner, do her ~c requgsEirtspeetierE - t' a electri- . cal wiring installed at: Z Street Address or Route No. _ Section Township Range County Which is occupied by%?Y~ _ (Name of Occupant) Is a roughin inspection requin:d ow this job?. No El Yes M Ready Now Q Will Call 0- Power Supplier r ddress o~ Electrical C UNUMUK L. ontractor Contractor's License' Nn- Mailing Address 138.13 i SFTY[~'T E B U I: t'v S V I L L E -GA ctMEN&Ri o Kr Owner Making This in stallation) 432-5036 Authorized Signature Phone, No. (Electrical Contractor or Owner Making This Installation) STATE BOARD COPY , Minnesota State Board of Electricity. 7 7`9 r--~° )54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR CHECK BE LOW WORK COVERED BY'TH S EQ EST'ON 31764 Type of Building. New Add. Rep. . Check Appliances Wired For Check uipmeniWired For Home ❑ ❑ Range L~ Temporary Wiring ❑ Duplex ° ❑ Water Heater Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ . Dryer Electric Heating Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader .0 Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk ❑ • Farm ❑ ❑ ❑ pLList List Other .0 ❑ ❑ Herers e Vol T COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # F . Circuits: Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps.. Above IQQ_Amps. Transformers Remote Control Circ, Partial or other fee S ns Special Inspection Minimum fee $5.00 Remarks TOTAL FEE I, the Electrical Inspector, hereby cer t the o inspection has b (Rough-in) ' Date (Final) ` Date This request void 18 mo from ° nths This request void 18 months from Q. 7 . Date of s Request 7 P 317` 63 I, as.Lvl Licensed ElectrictCorac er do hereb re u of the 'aboveAecti~i cal wiring installed at: 07 .Street Address or Route . City Section Townships " Range County [~,mG,~•i Which is occupied by (Name of Occupant) Is a roughin inspection required.on this job? No ❑ Yes l~ Ready Now ❑ Will Call Power Supplier,&~~ Address LA L ~ L E rT R' C Contractor's L is Electrical Contractor eA83: . (Company Name) Mailing Address .13813- HIGH DRIVE B U R NII SV I I (E ectrical Contractor or owner Making This nsta latlon) Authorized signature GARY ` PEN D R I C . Phone NoAr;l z n (Electrical Contractor or Owner Making This Installation) VJ U STATE BOARD COPY Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 Q T 7 -REQUEST FOR ELECTRICAL INSPECTION CHECK "BELOW WORK COVERED BY THIS REQUEST 31763.. Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ` ❑ ❑ ❑ Dryer ❑ Electric Heating , ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloadei ' "o lndusih l Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ List List Farm ❑ ❑ othersothers Other ❑ ❑ Here Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders& Subfeedegs:Y . Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Am e 'N 0 to 30 Amperes 101 to 200 Amps. 31 to 100 A e 31 to 100 Amperes Above 200 Amps. Above 100 k"si Above 100._._Amps' Transformers Remo on ' Partial or other fee Signs S e n Minimum fee $5.00' Remarks TOTAL FEE ° Sd I, the Electrical Inspector, hereby certify that the above inspection has been made. ,aG (Rough-in) Date (Final) Date ors- 7 This request void 18 months from This,,,_;request void 18 months from . . 9V- { Date o this Request 248 I, a censed Electrical.Contractor 0Owner, do.hereby request: ins ec 10 above electri- cal wiring installed at: f Street Address or oute No. Section To -Range. County s: Which is occupied by (Name of Occupa ) Is a iopgtiin inspection r quired on job? No 0' Yes , Ready. Now D' Will Call Power SuPPlien Address Electrical Contractor N D R I CK E.L I~TR I C Contractor's LicenA33247 . 13813 HIG(ff m5RIVE Name) BURNSVILLE Mailing Address ~j~t~y GARY (f~['1~Mmor or owner making This installation) Authorized Signature Phone 1A32.5G.36' (Electrical Contractor or owner making This Installation) ; STATE BOARD COPY Minnesota State Board of Electricity, ,b! d -7 -'-✓I954 University Ave., St. Paul, Minn. 55104=Phone 6457703 REQUEST FOR ELECTRICAL INSPECTION r~ n p S p ME -K BELOW WORK COVERED BY THIS REQUEST 2 4~8 Type of Building New Add. Rep. - Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring u ❑ ❑ Water Heater ❑ Lighting Fixtures G4 ~•tg ❑ ❑ . ❑ Dryer : ❑ Electric Heating ❑ gal Bldg. 11 ❑ ❑ Furnace ❑ 1 Silo. Unloader ❑ W'I & ❑ ❑ ❑ Air Conditioner ❑ . Bulk Milk Tank ❑ 0 ❑ List pLList ❑ ❑ 11 Herers Here. NSPECTION FEE BELOW # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 1 Am 0 to 30 •Am eyes to 30 Am res -tOTT6572-00 Amps. 31 to 100 Am es to 100 Amperes Above 200 Amps. Above 100 s ove 10U Amps. Transformers Remote Con . • irc Partial or other fee Signs Special Ins n Minimum fee $5.00 Remarks rc~al ~TOTAL FEE I, the Elect t pector, h reby certify that the above inspection has been ma e..6 _ofG (Rough-in) f Date (Final) Date y 7... This request void 18 months from PERMIT ~~Tl(R EAGAN BUILDING ` 3~3o Pilot Knob Road PERMIT TYPE: Permit Number: 0 3 3 3 8 9 Eagan, Minnesota 55122-1897 (612) 681-4675 Date Issued: 09/25/98 SITE ADDRESS : 1655 BLACKHAWK COVE LOT: 5 BLOCK: 2 BLACKHAWK HILLS 2ND P.I.N.: 10-14381-050-02 DESCRIPTION:. EXPAND KITCHEN AREA Buiidinq Permit Type SF (MISC.) Bui.J-ding Work Type ALTERATION Census Cade 434 ALT. RESIDENTIAL REM#FN:REVIEWED BY CRAIG NOVACZYK. SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY. VALUATION $10,000 Base Fee $162.25 Surcharge 5.00 Total Fee $167.25 CONTRACTOR: - p P cant C ELL ROBERT 1655 BLACKHAWK COVE EAGAN MN 55122 (651)686-5662, I he, r,eby ocknowIedo e Y_haL I hay. 2 read this a p 1.7-cafii.a n and state' that- l-he F'- information is correct and agree t() comply witfi ~11: aRpt:icah_1e 5fiate of Mn. SLatutas and City of Eagan 0~-dz_Yiancps. I APPLICANT/PERMITEE SIGNATURE SUED BY. SIGNATU E I • j, •I ?~sk~X~X~~~h4~~~C~~~~~KX~X~~#~~:~k~~cX~~xkk~~X~c?K~f~t~K~C~X~~C r, CITY OF EAGAN CASHIER: S TERMINAL NO: 8t39 ~ DATE,-. 09/25/98 TIME-. 1.5 a 32 .-29 I' ID NAME-. ROBERT T MCCFIMPBEI._L 92 10 90(.31. 1.65 BLCKHWF, CO 16c a 25 2155 9001 1655 DLCKlq!41-' CO 5.00 :3c?12 9001 1r5!5 BLCK3-lA%-( Co 20.00 215; 9001 1655 BLCKHW{t CO C3 0 50 I I I, i . Tot- . aI Receipt Amount„ 1.8~ I ra(5 CR097748 USER ID.- NANCY II I I CITY OF EAGAN Remarks Addition RI.ACKNAWK HUN'; 7Nll AnDTTIQN Lot S Blk 2 Parcel 10 14381 050 02 Owner street 1655 Blackhawk Cove State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. Alto 1976 1120.76 112.06 10 STREET RESTOR. 1979 94R - -55 1() GRADING SAN SEW TRUNK 19'1 U 462.77 18.51 25 SEWER LATERAL 1972 1!39U. 13 79.54 MF- WATERMAIN * WATER LATERAL 1972 WATER AREA AV- 1977 569-94 Z * Sew & Wat Lats 1978 .5,S,3.% 1-5 -,Ma~14 15 * STORM SEW TRK * STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 07263 8-31-77 BUILDING PER. # 446-5, SAC 475.00 07263 - - PARK 120.00 6325 - - 1998 BUILDING PERMIT APPLICATION ~ z - Cl"!`Y Old` EACM 3630 MOT MON RD - 5513$ "1-"75 Now Construction BIWL0 MMS i bdet tit itBau [r r s C5 # 3 registered site surveys # 2 oapiw of p4sn # 2 copies of plans (include beam rvindaw sizes; poured find. design; eta.) # 2 aft surveys [ester , # I energy caloAib s ♦ I energy calWaWme Im h*AW # 3 Copies of fte Preservation plan if lot plate a 7rIr93 required: Yes No DATE: 9 - /9- 7-8 CONSTRUCDON CST; DESCRIPT N OF WORK: %AIDDRE$S ~ti S ` SAG" w a LOT: BLOCK: 1 C-1? SUBDJP.I.D. 2A 094.r~ ~4 :r410 - " a .Name: /P? `GA/ e°B~LL }pd 6~.E .2T mm#: 415 PROPERTY Last Fitt OWNER Street Addrm: /,6SS Co i<c 1 City Ef! Stme: Company: 6-- CONTRACTOR Street Address: Lose City State:... Zio ARCHITECT! ENGINEER Company: Pm M: Name: Street Address: City State: Zap Sewer A water licensed plurnber (now cvnstr t only): Pe Al avows *04 wdmu cwt and lot change is requested once parrnit is Issued. c orr and SWIM 1* a"* wilft A# "t I hereby acknowledge that I have read this application and staW that State of Minnesota Statutes and City of Eagan Ordinances. Mimi 7 ' C Signature of Apps'-'- OFFICE USE ONLY Certificates of Survey Received Yes No Free Preservation Plan Received Yes No Not I +FE ONLY. BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex 0 11 Apt.ljxlginq 0 16 Basenwrt F 0 02 SF Dwelling 0 07 4-plex 0:12 Mufti R ~ecn. 0 17. SWIM Pool 0 03 SF Addition 0 08 "lox 0 13 Gara y C1 20 P FmCi ity : © 04 SF Porch © 09 12-plax 13 14 Fi 2' 05 SF Misc. 0 10 -pier 0 15. Deck VWORK TYPE CPA-W j0 A/4 le "r-e Jn17-0. ,JC15?'1'A v 0 , 31 New ~ 33 Akwatio0 38 Move C'l: 32 Addition 13 34 Repair C3 37 Demon GENERAL INFORMATION Comet. (Actual) V• 1~ emserrmt . ft..,,,_.._.,...Y.~ ym . (Allowable) maift ! t4 It 7 CRY WOW USC Occupancy Zoning # Of Stagy Length ~„I,1:$ ft. CAm" facia. Depth tG Footprint sq. ft. P O *Oft APPROVALS Planning Buikting ,,,.....,..:..anaa$ Permit Fee Va 5`$ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Motor Acct. Deposit SW Permit SM Surcharge Tnaatment Pl. Park Deed. Trails Coed. Other Copies Total: % SAC SAC Units MINNESOTA ENERGY CODE 1-2 Family Residential Building RESIDENTIAL "COOKBOOK" WORKSHEET X A plicant Name Phone Date Statement of Compliance: Building Official Use Applicant Add The proposed building design represented In these 16S5 09C, ~ documents is consistent with the building plans. .,E~(3 lv"V S 15 J s~ ,2 specifications, and other calculations submitted Building Address: with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant/Engineer MINIMUM REQUIREMENTS for "Cookbook" Option: Entry Doors 1-314" solid wood w/ storm Ceiling with energy truss R-38** Rim joist R-19 door t)r equivalent (Min. 71/2" top plate to sheathing) Foundation Windows* Insulated Glass w/l/2" gap in Ceiling with low heel truss R-44** Floor over R-24 wood or vinyl frame unconditioned space *Include square footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing to determine above grade Window U-Value. **Insulation Performance at Winter Design Conditions Window and Door Area 100 x S Fr-= -YG sy FT % WINDOW U-VALUE As % of Exposed Wall Area lbove Grade Window and Gross Wall Area WindowMoor Area Sentee. NFRC or ASHRAE 1993 Handbook FadndstionWindow/Door Area MAXIMUM WINDOW U-VALUES Chid Witl1 WALL TYPE MAXIMUM WINDOW AND DOOR AREA OF EXPOSED WALL AREA :TykDied Ix8/o : 4oln : 16%:::1$% .21i6Iu 22% 24"/ z6"lu. iI*% 311 3l% 34% TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36 0,33 0.30 0.27 0.25 0.23 0.22 0.20 0.14 TYPE 13 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.33 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.18 TYPE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0. 41 0.36 0.32 0.29 0.26 0.24 0.22 0.21 0.19 j j_8 0.17 TYPE D 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 0.34 0.31 0.28 0.26 0.24 0.22 -0.21 0.20 TYPE E. 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 0.38 0.34 0.30 0.28 0.25 0.23 0.22 0.20 0.19 0.18 TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 0.32 0.29 0.27 0.23 0.22 0.21 This table contains interpolations of the values in the Energy Code, Part 7670.0475, Subp. 2. This ors a summary only. Other requirements may apply. See the Minnesota Energy Code. 215/96 Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-8001657-3710. on WN r 1-2 FAMILY RESIDENTIAL BUILDINGS PACKET MINNESOTA ENERGY CODE L 1-1 Family Residenfial Buildings SUMMARY OF BASIC REQUIREMENTS WALLS, • Either meet "Cookbook" criteria as outlined in Residential "Cookbook" Worksheet OR meet U-Value criteria as outlined in Exterior Envelope U-Values Worksheet. • Slab on grade floors must have continuous perimeter insulation of R-10 to depth of frostline. • Foundation walls must be insulated with R-10 minimum from top of wall. • Loose fill insulation installed must provide the required performance at winter design conditions. EFFECTIVENESS OE REOUIRrn THERMAL INSULATION: • Building design must meet Category 2 requirements for vapor retarder, air leakage and wind wash barriers, and ventilation. DUCT_ MOATION AM SEALING: • Insulation for ducts encased in cement or within ground must be R-5. Insulation must be installed on bottom and side of plenums. • Ducts installed in attics, garages, exterior walls or unheated crawlspaces must be R-8, minimum. • Return air ducts conducting air into a furnace through the same space as the furnace must be sealed continuously airtight. • For ducts running outside the vapor retarder or of greater than 0.25 inches water gauge pressure, all transverse joints must be sealed. Insulation Thickness, Inches Pipes I" and Pipes System Runouts* Less 1-'/." to 2" Heating l-!6 Cooling (Suction) *Applies to Runouts not exceeding 12 feet in length to individual terminal units. SERVICE WAM HEATING: • Either the first eight feet of both inlet and outlet pipe must be insulated with %s inch thick pipe insulation or heat traps must be installed. • Energy requirements for swimming pools and spas are in Part 7670.0710, Subpart 5, page 55 of the code. MATERIALS AM MSIILATTQN INFORAlATION: • Materials and equipment must be identified so that compliance can be determined. Completed insulation receipt attic card must be supplied near access opening. • Manufacturer manuals for all installed equipment requiring preventative maintenance for efficient operation must be provided. • Insulation R-Values, window and door U-Values, and heating and cooling equipment efficiency mast be clearly marked on plans. This is a summary only. Other requirements may apply. See the Minnesota Energy Code ?/5/96 Questions? Call Department of Public Service Information Center at 6121296-5175 or 1-$001657-3710. „ WKIS MINNESOTA ENERGY CODE All Buildings SUMMARY OF BASIC CATEGORY I AND CATEGORY 2 BUILDING REQUIREMENTS FOR INSULATION PROTECTION, AIR TIGHTNESS, AND VENTILATION MINIMUM: All buildings must meet the following minimum code requirements: VENTILATION: A Category 2 building is one where infiltration and passive ventilation (operable windows) are relied on to provide necessary year-round ventilation. If one or more of the Category I measures below is incorporated into the residential design, however, a residential mechanical ventilation system as specified below must be installed. VAPOR RETA 1)F. • A vapor retarder, also known as a moisture barrier or vapor barrier, must be installed on the warm side of insulated ceilings, walls and floors. Polyethylene vapor retarders must be 4-mills or thicker. The code requires a vapor retarder to be installed only on rim joists that are susceptible to condensation from moisture diffusion. AIR HARMER: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the conditioned space into exterior ceilings, walls and floors. • Plumbing and heating penetrations must be air sealed. An air barrier must be provided behind any tub or shower that is located on an exterior wall. • Air sealing must be done at all dropped ceiling areas, chimney flues, ventilation ducts, and other fire stops that penetrate the vapor retarder. • Holes in the building envelope for electrical and telecommunications equipment must be air sealed, including the service entrance, wires, conduit, cables, panels, recessed light fixtures, and fans (where vapor retarder is penetrated). • Joints in the building envelope must be sealed, including around window and door frames, between wall cavities and window or door frames. • Tested air infiltration rates must not exceed 0.34 cfm/square foot of operable sash crack for windows, 0.5 cfm/square foot for residential doors and 1.25 cfin/square foot for commercial doors. WINB WASH BARRIER: An air-impermeable barrier must be installed at the attic edge (baffles must be rigid material resistant to wind driven moisture); and overhangs, such as cantilevered floors and bay windows. OPTIONAL: Category 1 Buildings meet all requirements as listed above plus the following: RESIDENTIAL MEC ICAL VENTILAIM SYSTEM FQJ& RESIDENTIAL BUILDINGS: A system that, by mechanical means, is capable of introducing and distributing outdoor air to all habitable rooms and removing indoor air at a rate of not less than 0.35 air changes per hour or 15 cfm per bedroom plus another 15 cf n, whichever is greater. AIELEAKAC.F $ARRIER: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the conditioned space into the building envelope: • Electrical boxes and fan housings must also be sealed. • All rim joists, band joists, and where floor joists or trusses meet outer walls must be sealed. • The top of interior partition walls that join insulated ceilings must be sealed. • Joints must be sealed between wall assemblies and their rim joists, sill plates, foundations, between wall and roof/ceilings, and between separate wall panels. BARRIER: WIND EASH All exterior joints in the building envelope that may be sources of air leaks must sealed. This is a summary only. Other requirements may apply. See the Minnesota Energy Code. 215/96 • Questions? Call Department of Public Service information Center at 612/29&5I75 or 1-800/657-3710. 0 WIN Develo ment cor II.1RRY S. JollNsoN COMPANIES, INC. :r •01 WEST TOTH STMEET BLOOMINg70N. 4INNrSOI'4 55420 PHONE 16121 66&.5341 X Surveyor's Certiji-cate o~.~uacZE 4 uY141TO? EII.~Eh(6t~tT t~ Gj -.0 - % f ~ ~ O tf,.'" - LOT 0 3 , { ~ 1 MW A SS 1 v+ a / ~bg auw o~+lJt~ (9j j 40 6.%6 1 4) Ft. 100.40 kqkp, ~0~ ~AOA r 1L 'tce 44.02 so VA ` r"V 03,72 •~y~~ lia~l~ 5 M~ - IMP OF #jyVoAWT l r,,,t j E of , Fxotx 2, 51LAC f NOWg Ff& .g 2#tq IlDO. r+l{1ove~ ASS tiMeo C-gWV. too. oo 00907eco Yts~ r~rcr 6re*.e c vE)torV-'5 t=ort 11401.lUt+4OMT DerJo r6g S 2GA7 co OCA44AC41? P po~ED 4A'ZA0Yr= F-LIV-- ft*VArtoN P2.0po~ea P-LAet--MeaJT V=L-nOd eL-6VATt1w4 I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 5, Block 2, Blackhawk Hills 2nd Addition, and of the location of all buildings thereon, and all vzsible encroacrrnents, if any, from or on sa.iG' land. Italso shows the -location of a proposed building. As surveyed by m thi 0tll day of August, 1977. H rry 0 11 son, I,an Surveyor Minn. Reg. No. 5065 1999 BUILDING. PERMIT APPLICATION (RESIDENTIAL) CITY OF VACM t ' 3830 PILOT KHM RD - 5S122 0~ 19 651.881-4675 't . 3-- 6514M4675 Conslrucfion Reaulremenls > 3 registered sNe surveys showing sq. N. of bt, sq. ft. of house 2 copies of plan and it rooted areas f maxim lot covergae_sltowed) 1 set of energy caicufatt; a for he *d addlkm > 2 copies of plans (show beam & window sizes: poured Md. design; etc.) 1 site survey for ex wkw additm i decks > 1 set of energy caicuf ftm > 3 copies of bee preservatton plan I M platted aft 7/1/93 . DATE: 0 CONSTRUCTION COST. DESCRIPTION OF WORK: ,6/f.C c o ~r y ,o c X a, y STREET ADDRESS: 16 ,11 14 c lfli iew ll~ C d yE ~ [?A LOT: BLOCK: _ SURD./P.I.D. ai m Name: ` G4M104X4 /~[l~•EreT Phone t as"' PROPERTY Last fast .7 6,9 - $6 y8 OWNER Street Address: /6 S'S rte.2A G f r94-d 1 G v V O City ,EA6i9N Stale: Company: Phone (area code) CONTRACTOR Street Address: License Ear. City State: ARCHITECT/ ENGINEER Company: Name: Telephone area code t ) Street Address` Reglst u#on City State: Sip: Sewer S water licensed plumber (reauked for new construction onlvl: Penalty applies when address change and lot change is requested once Issued. I hereby acknowledge that 1 have read this applicallon, date that the cone, and agree to compty with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. i 7 Signature of Applicant: T " OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex O 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 PordVAddn. (4-sea. ❑ 03 1 of _ plex O 08 6-plex ❑ 13 18-plex 15 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ . 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex 13 10 8-plex ❑ 15 Lodging 0 20 Pool ❑ 25 Miscellaneous WORK TYPE 31 New ❑ 36 Tenant Impr E3 39 Gas Line Only ❑ 43 Siding/Sofrits/Fascia 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert 0 44. Windows/Doors 33 Alteration ❑ 37 Demolish Bldg.* O 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair © 38 Demolish (Interior) 0 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL, INFORMATION Const. (Actual) Basement sq. ft. Census Code 3 ` (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs d # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee _ Valuation: $ Surcharge Plan Review License MC/ES SAC s City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC _ , t.1c Develo ment Corp. ` II.%RRY S. JOHNSON COMPANIES, INC. 4O9 WEST 79TN $T*,Zy BLOOMINGtON. MINN£S07A }{4420 O"OM£ 16121 064-5341 Surveyor's Certiji-Cate PPAJUA 4C- 4 UTII 1TY ~t 1x r- ' 1 ` I O-OLIJ 4 951 s G~.~~~ '1 1 y5 ~4 F FA'W ' . . S 9413 x t.o " 4dS} 'P .0 z gat I o ' AV coq 3 v• , 1AAAA ~ Ya~P ~ 94.x2 mr.D~ A~r5lihf{300" 2, GlS ,~/K l~JJ.i~ 2Jtp Aov. _ --'rte*~J i~~'+✓. JOO. Cd "°'`.r~ ( ) oeE.rb7e~ ~x1g~ r+~Gr ~'ra+r.a>~~ c raeJlo~~e rrza,~ tvfa~le~J.f~JJT oE+,ia ~~5 c- G~4G~ OeMNAp[a P~Pd-.> D Gj~,KaG Flerg atVVArfO" MAGeM0"T r=t aOe O KVA Trx*J I hereby certify that this is a true and correct r~preTSen~ation of a survey of the boundaries of: Lot 5, Block 20 Blackhawk Hills 2nd Addition, and of the location of all buildings thereon, and all visible encroachmentc, if any, from or on said land. Italso shows the location of a proposed building. As surveyed by m this 7o d y of August, 1977. rry o n, H Aran Surveyor Minn. Reg. No. 5065 CITY OF EAGAN CASHIER: JS TERMINAL NO: 944 DATE: 04/03/00 TIME: 09:32:48 ID: NAME: ALL POOLSIDE SERVICES 3210 9001 1655 BLCKHAWK C 195.25 2155 9001 1655 BLCKHAWK C 5.50 Total Receipt Amount: 200.75 CR125502 USER ID: JAN 1-~+.+4- +4, 1 L+++++.~.j. .}.p 3. yy, yj, j, p ,y iii+i i++•Y .L i+ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF RAGAM 3830 PILOT KNOB RD - 5S122 . r 1 b 01-681-467S 3 -o o New ConstrucRon Reaulrements R m 3 registered We surveys showing a% fL of tot. s4 ft. of house 2 copies of plan and j1 roofed areas (20% mazirnurn lot coverage allowed) 1 set of energy calculations for healed addNions > 2 copies of plan (show beam & window sizes; poured fnd. design: etc.) 1 site survey for exledor additions d~ decks 1 set of energy ccslculatlons > 3 copies of tree preservation plan If tot planed alter 711/93 DATE: W 3 L a tic`' o CONSTRUCTION COST:_? d DESCRIPTION OF WORK: 5Uv l OD / STREET ADDRESS: - f co v~ f LOT: BLOCK: ~ SUBD./P.I.D. r 7LiC/V Name trn ~-ea Phone tE: PROPERTY Last First OWNER Street Address:. f l4 jQ'W o v P - - - City 67a 2, 4"j state: /~1 r✓ Zip:s /oZ 41 Company: _/7 L ~d Dk/Ve -:;;~yc_ Phone ~P C:50 (area code) CONTRACTOR 00 Street Address:, t7- v.UL( License # Exp. City 1 State: ~ Zip: _ .SS/~ ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration C City State: Zip: Sewer/water licensed plumber (if Installing affncer/water}: Phone 1 hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. t Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY + BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-piex ❑ 21 Porch (3-sea.) © 31 Ext. Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Plbg _ Y or N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex 20 Pool ❑ 30 Accessory Bldg. WORK TYPE 31 New ❑ 36 Move Bldg. ❑ 43 Reroof O 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code p L # of Stories sq. ft. No. of Units o Length sq. ft. No. of Buildings I Width Footprint sq. ft. Const. (Actual) Cr:,I- Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning e.- i sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance n~ Permit Fee 9 . ~ ~ Valuation: Surcharge , Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. i Trails Ded. Other Copies Total: 0 SAC Units _ % SAC • . 6 V 1 roc, 04 A'i S.S s & J rra cl. 1 k 3 3 k 1- d we --t t- M ~M~.r rr;• r li 0000 ier .~LM r dr i O I GOP _Ck- Ar LOT v 13? 0.0\ ric MIS too.** a CUT) 4w Ago amp wal a. goo r ~ .n 9~ • 4w WOW 400 W, 4w will. PAGAN MEVIEWED BY DATE BUILDING INSPECTIONS DEPT. Joe i •y CITY OF EAGAN CASHIER: JS TERMINAL NO: 004 DATE: 03/29/00 TIME. 09:40:45 ID: NAME: ROBERT MCCAMPBELL 3210 9001 1655 BLACKHAWK 195.25 3422 9001 1655 BLACKHAWK 126.91 2155 9001 1655 BLACKHAWK 5.50 Total Receipt Amount: 327.66 CR125206 USER ID: JAN AOft vs '3 awl 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN G 099 3830 PILOT KNOB RD - 55122 • 651-681-4675 C) o New Gonshuction Reaulre mertts gito3g"/Re291r Reviirre 3 registered site surveys showing sq. fl. of iot, sq. ft. of house 2 copies of plan and !21 roofed areas (20% maximren lot coverage allowed) I set of energy calculations for heated additions n 2 copies of plans (show beam & window sizes; poured (nd. design: eta) I site survey for exiedor additions & decks A t set of energy catculallans 3 copies of tree preservation plan If lot platted after 7/1193 DATE: 3 - °Z 3 - 00 CONSTRUCTION COST: Oy o X020 x /0, oo DESCRIPTION OF WORK: 64,<46E 7--4 G//,EO STREET ADDRESS' /A;&* 1611-Y 4-44G*117~e4A' Co v'C .EA G Aw LOT: BLOCK: -2- SUBD./P.I.D. Name: `C,917?P,064IL ~o8.-f 7' Phone 1665/) 686- S66 Z PROPERTY Last First rc S') a 83 - S 6 !f8 V.0-- OWNER Sheet Address: A0 $'S 8~/fC /T~f9cJK C,4l/~ l city Erg 6,4,"J State: /"VV Zip: ~ Ufa a Company., V/A Phone (area code) CONTRACTOR Street Address: Ucense # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: NA Name: Telephone C Street Address: R"Mation City State: Zip: Sewedwater licensed plumber (if installing sewerhyster?: Phone ( I hereksy acknowledge chat 1 have read this application, state that tIntom-abon is erect, and agree to comply with all apple State of Minnesota Statutes and City of Eagan Ordinances. Signature of Ap OFFICE USE ONLY Certificates of Survey Received Yes No 4 'lr,iyTree Preservation Plan Received Yes No Not Required OFFICE USE ONLY - s BUILDING PERMIT SUBTYPES ' ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-piex ❑ 21 Porch (3-sea.) 0 31 EXL Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex X 17 Garage ❑ 22 Porch/Adds. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Plbg _Y or _ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. ORK TYPE 31 New C3 36 Move Bldg. ❑ 43 Reroof 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 01 # of Stories sq. ft. No. of Units D Length 3 2 sq. ft. No. of Buildings _I Width Footprint sq. ft. Const. (Actual) 1Basement sq. ft. Census Code w 3 9 (Allowable) fin/ Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building_ Engineering Variance o~ q- k3 L Permit Fee Valuation: $ 14~ 75 0 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge ' Treatment PI. Park Ded. Trails Ded. Other Copies Total: co SAC Units % SAC .0. 323-77 Client: Domestic Development Cor . y • 11.%RRY S. JOHNSON COMPANIES, INC. 401 WEST 79TH STREET BLOOMINGTON. MINNESOTA 55420 PHONE 18121 664.5341 ` X r` Surveyor's Certificate S DIZAWAA-y e 4 UT16I TY ' ~~.~Et.~e►a~' QN , v ti ~0T 16 . % ~qw) o % 12 0 ij f o r• , K 6- 1 \g4;3 z B ~Q o " 55) y r • ; nla5~ {48.4) ,c5 - f q ) tp 1) - - 333•A~ Z , A -fMO 94x2 eo, 1~► q4•y BE1JGi4 }..U~F2K ~ "fryP oP' h(Yf7~Ai.i7 kfrvbi.~ or ~~T`~ LOx sj, P-~i~Gl 2, F31AG~fH L~/y f{ILI~ 2uo Ac>o. ray b Ag5 LSMo £Li/ roo. oo 1) ( 3 aEl~7e~ ~xrSrrA.+c~ ~Teaae~'' o Peoorme fv-ON rv(or. okfewl fIM-416ao C>AZA,:rP- F *1,W T'roN ~lzvpa~+yv ffi, QVNfe, T 1=1.002 ec.O✓, TtDti4 Fleoposeo Frew "Tate of-"rto" I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 5, Block 2, Blackhawk Hills 2nd Addition, and of the location of all buildings thereon, and all visible encroachments, if any, from or on said land. Italso shows the location of a proposed building. As surveyed by m this rt-lv day of August, 1977. H rry o son, Lan Surveyor Minn. Reg. No. 5065 CITY USE ONLY L ~ BL ~ RECEIPT % "51 SLIBD. RECEIPT DATE: 91C19715-T- 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, MIN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system - - - - FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x - U.G. Sprinkler * for dwelling under coast. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 - oho. C) O Water Turn Around 20.00 - Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems *Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL 46.50 - - - - - Ihereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facifties constructed under this permit within City property/right-of-way/easement. v SITE ADDRESS: C o i f OWNER NAME: INSTALLER NAME: J1Y IVA-- TELEPHONE 5'6 -6 d , CAC k STREET ADDRESS: Z6 S-5- CITY: 4C46,9fV ATE: MIV ZIP: r SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 WAr' DATE August 30, 1977 BUILDING PERMIT APPLICATION include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for Residential Valuation Site Address: Lot Block Sec./Sub. Parcel Number 5 2 BLACKHAWK HILLS 2ND ADDITION Owner Richard & Marjorie Kelly Telephone 454-2327 Address 3945 Pilot Knob Road Eagan, MN 55125 Contractor Domestic Development, Inc. Telephone 432-9316 Address 14244 Gardenview Dr. Able Valley, MN 55124 Arch./Eng. PhilliRs Plan Service Telephone 884-1187 Address 10700 Lyndale Ave. S. Bloomington, MN 55420 OFFICE USE Erect Occupancy Alter Zoning _ Repair Fire Zone Enlarge Type of Const. - - Move # of Stories Dewlish Front Grade Depth OFFICE USE Date of Approval & Initial FEES Assessment 5{- "-fir, 77 Permit A, Water/Sewer Surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Oouncil Bldg. Off. A.P,C. TOTAL .Q. 323-77 Client: Domestic Development Corte. 1 d + r HARRY S. JOHNSON COMPANIES, INC. 401 WEST 7OT31 STREET BLOOMINGTON. MINNESOTA 55420 - PHONE I6121 884-5341 ~ .X Surveyor's Certificate l S 50 14 ~ pv~+wa~~L= ~ Ut11.1rY 1r,as1+ ~•tef~-r D t i 0T 1 1 ti o •p0 ~ t 4 11 ~yg.s~ ~ ~ v / z H atp►~tit) ~ ~ 1 a 'Z 4a ° . ~~.a r p ' r qs ~ 'tyr.sJ j.. de ` 7Dg5, (9S9) r qb~F LPG ysaki \0 AP 7X _ G _ Ice 94- ` 1 1w 83-le G ~ 13WCO MAW - IbP O 04YV%ZA1•t-( kfu0bf.0 afr lot. A650MMCI C-tN. roo.oo - D&NoT65 c t wGPsG$ V 4?A 414AC-16 P;WP0s6P GystiZ"r::: FLT Jrz/,WAT'rof4 P oF'o~~la 19as0Me"T F"k7jt C-I CV T1o4 Frzof'o51=0 FWP T F_1- M1e ALRVA710" I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 5, Block 2, Blackhawk Hills 2nd Addition, and of the location of all buildings thereon, and all visa le encroachments, if any, from or on said land. Italso shows the location of a proposed building. As surveyed by m this 0 day of August, 1977. H rry © son, Lan Surveyor Minn. Reg. No. 5065 31 August 1977 ' Mr. Dale Peterson, Building Inspector City Hall 3795 Pilot Knob. Road Eagan, Minnesota 55122 Re: Two Rew Homes Blackhawk Hills Additions 1 and 2. Dear Mr. Peterson: We have reviewed plans and specifications for the proposed new homes listed below and find that both meet or exceed-the intent of our covenants. Each person has indicated they will start construction very soon and will apply for a building permit within the next few days. I have signed one copy of their plans as approved. Home-Owners are: Mr. Lloyd Wass - Lot 3, Blackhawk Hills Addition #1. Mr. Richard Kelly - Lot 5, Block 2, Blackhawk Hills Addition Sincerely, qinp- Wayne Winsor for Associated Families, 3757 Blackhawk Point, Eagan, Minnesota 55122 ------i 1 For Office Use 7 Permit Cite of Ea an I i I Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 i Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - 3 Site Address: C, ! C-d C Tenant: /G 0.lf,6C T C137IVIA~' f L L Suite X RESIDENT/OWNER Name: /Q0484-' Tr d- 4f 1f e1V 0d Phone: (5' cZo Address/ City /Zip: 6.5✓,5~, G164/94-1& C,"fifit~.~ Applicant is: Owner Contractor TYPE OF WORK Description of work: We 6'va F Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _lr6lf yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plafts--anO documents that you submit are considered to be public information. Portions of th7inormation ay be classified as non-public if you provide sp is ons that would permit the City to conclude that they are trad secref 3. I her by acknowledge th this information is complete and accurate; that the work will a in conformance ith the ordinances and codes of the City of Eag n; that I underst this is not a permit, but only an application for a permit, a d work is not to art without a permit; that the work will be in acc dance with th pproved plan in the case of work which requires a review and ap oval of plans. X X Applicant's Printed Name App ant's Signature ~d $2 7` IV -04/ Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA141135 Date Issued:02/21/2017 Permit Category:ePermit Site Address: 1655 Blackhawk Cove Lot:5 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brenda E Mccampbell 1655 Blackhawk Cove Eagan MN 55122 (651) 336-8450 Hammered Solutions LLC 16064 Excelsior Dr Rosemount MN 55068 (612) 298-6620 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150539 Date Issued:07/13/2018 Permit Category:ePermit Site Address: 1655 Blackhawk Cove Lot:5 Block: 2 Addition: Blackhawk Hills 2nd PID:10-14381-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brenda E Mccampbell 1655 Blackhawk Cove Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature