1691 Blackhawk CoveCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1691 Blackhawk Cove
Lot: 9 Block: 1 Addition: Rose Hill
PID:10- 64600 - 090 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Martin Schuetze
1691 Blackhawk Cove
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA087874
12/29/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
_r tAGAN WATER SERVICE PERMIT
3830 PilotILnob Road 7154
P. O. Sox 2T'199 PERMIT NO.:
Eagaq, MN 55121 D/1TE:
Zonir4q: No. of Units: ?
Owner: i Ln:sterli.xie
?
Addreu:
-
Sih Address: _16'11 31mcki;awk 'C lve 7.9 P,. u'tl?
Piumber. i'ns?O-rl
Meter No.: Connectian Charpe: 700.00pd
Size: Acr.ount Deposit: .? S > OC'r,.0
Reode? No.: Permit Fee: a0.' rCP``
1 ym h eomply wuh fM Cihr of Eeww Surcharge: `: 1nd
Ordhwnom Mist. GF1ofpls: i. r r• "c;)Sj '"P
o-
TotaL•
By Dats Poid:
Date of Insp.: Inap,;
?I . .. f'- ' ;, . . . . '
? cRTY oF IaGAW -
" - : : . f :' ? •,2 `
WATER SERYICE PERUT
Nc
3930 Ptlot nob Road .
P: >. Box 299° 1 -
PER'MIT NO
E aik ?MN 55121 DATE•' z
Z r9
77-
No of Units ? "
'
. I
.
ress. •. .
..Stt? Addrcss: 1691 _Elaekhasshh'?C? . . . . . .? .. . ._6
. . , . ... y ?
ve .L9 D?. &ge
PI ? ber: Eggari Pllitlbi5g
r No.: Connection Chorge 5? •041104
Siza Acoount Deposi't:
r No.: Permit Fee:
1 to aanply w6 tw Cihr of'Eewa $urcF+orge
nea. NUac. Cl,o.ges. 15b?:4(?S? 'i`!"?
Totol:
By. Qate Poid: .
of Insp.: Irsp.: .. .
., . , . ..
CIT OF EAGAN . . ' - F-
SEWER SER1/ICE PERMITw?
'? ?°r;
383 Pilot'-.nob Road
0:'O:'BoX-2799
iPERMIT•N0:
" Eaga??9' MN 55?121 DATE ' 7?32r$? u;a
_ Zoni ?? 1?- No. of bnits:
Tfatiberliae Sl+drs;
Add S$:
t sgi Pl??.k r.
5ite ? ress: ? i9- BI - Mge,n?.u
pi ?; _ ?s'AEl PittibinII
5-20-86 62726
? aY `Ift deu* wft the Ch1? ef Eagos ConnaeNon Chor": - l T 4_ iMti.a ..
_
Or?i nea. ' =
Acaourit: Depow:. 1 4? ;
;Pennit -Fae: t tf;1]?s.i . ?
Surcharpe: ?
BY Misc. Choras: - ''
?aRe ?f Irmp.: Totclr ?,.
II DaM Poid: '
?. . . _
.
& DOLLARS
100
? CASH ? CMEGK
POR . ?\ -?-?;:c..t J ...-?-??l! ?e-k..:! .- ?i?c?_.r'iA ti
i ?
1
YVhite-Peyers CopY
Yeltow-Posting Copy
Pink-File CopY
Thank You
?
IS .? 7'M y '_ .
+ •«
cirr aF EaGAN ?t
,. ,
y
Y`*• ? 3830 PYot Knoh Rvad, P.O. Box 2i-1?gy?[9, Eagan, MN 5?5t2i ! v? „ 1,;?,9?7
~4 y 1??YNE 45y-O1VtfI'. .; .!. _ . .. . . . .
BI?IC.DINC PLRMfT Receiix#. _r . ? .'_ ?.•?( -
DWG/GAR Est. value
To ao used tvr SF $14 6, 0 0 0' pate '. ??` ??_
_
.r...-
5r,e Address -1021 BLACKHAWK COVB Erect cx Occupancy R3
Block
ROSE HI
Lvt
2?
A_Sec/Sub LT+ Remodel ? Zoning
--
-
.
-
Parcm No Repair 0 Type of Const
. Addition ? No. Stories
yj hlame TIA98l3RLINS H=175 Move ? Length ° 62
z Addreas 3727 SQ HILLS WAY Demolish
Int Impr ?
? Depth 46
Ft
Sq
City ? ? Phone 554-5918 .
Install ? .
s Name Approvals Fen No*
}
$ Addreas Assessment Perrr?it S 54$.00
? City - phone Water & Sew. SurCharge 23-0o0
' Police Plan Rumiew27..4,.Q0
I W Name
Fire
SAC 575•001'
N
Address
0
Eng.
Wate?r Gonn.?Q* 00
?
i Ciiy Phone Planner Weter MeWr--ALL30
' Council Road Unit ?9? ¦ ??
{herebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr.PL 156.?Q :
iniormation is ?orrect a+ad agree to comply with all applicable State of
Rdinnescsta,Sisfutas arrd City of Eagan Ordinances. APC Parks
*ature bf Pe
` •s^ Var. Date Copiea
Total 52 ..50
, ,•" T SItLINE BLDRS
^' ?4"'$uilding Permitis ia,susd to:
on the express condliooilylR
' all work shall be done in eccordance with all applicable e of Minnesota?Statute and City of Eagan Ordinances:
8uf14ing Official
:
.._ , . ?, .
..c,J .
? .._ .._ _ ?1
, P'MWIt N06 PNare Ma?r DaU TYMplrasr? #
PkWbN 7.3174 . _
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le.oecuon ool. I Insn. u coown.aa 1
ft~ I
Fooftqs q
feundrdlo?
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ROOM!
?a'9h Plbp.
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^ a •r,• Allowt= c. -/
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imtwby. -1 _?? ?
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CONTRACT
Site Addr
lot
PERMtT # ? O ? ? -
MECHANICAL PERMIT ' pECE1PT? # (033wI
CITY OF EAGAN ? 3830 P{LOT KNOB ROAD, EAGAN, MN 58121 DATE ??
PH4NE: 454-8100
Block L SeclSub
?- Name ' ::L) : e `i "
.
? Address
? Citylnj N:1 ? PhoneLi : ?> -? .
? Name . f
c Address
p City Phone
TYPE OF WORK
` ??
Forced Air M BTU ?
Boiler M BTU $
UnR Heater M BTU $
Air Cond. M BTU $?_
Vent CFM
Gas Piping Outleta # ? $.L• _;.?:.:`
Other
FEE .:=% •.? : y
S/C: J ,.
TOTAI:
BLDG. TYPE WORK DESCRtPT10N
Res. x Mew 'X
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M-8TU - $2400.
.
AQDIIIONAL- 50 M BTU _` 6AQ -
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU ' - 8.00
GAS OUTLETS - 1.50 FA
COMM/IND FEE - 196 OF CONT-RACT FEE
MINIMUM - RESIDEN'f1AL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYONO'?1,000.00)
SIC`,NATURE OF PERMITTEE
FOR: CITY OF EACAN
CONTRACT PRICE
Site Ad ess &-,/-/
Lot Block .
_. . _. .. .. .M..._.? . _ --?..?_? ?
PERMIT # 1-7
PLUMBING PERMR RECEIPT # 60 `/ s 17e
GTY OF EAGAN
3830 PILOT KNGB ROAD, EAGAN, MN 55121 DATE ?` J O - ?J ?CJ
PHONE: 454-8100
.?k. ck " ?- BLDG. TYPE WORK DESCRIPTIOM
Sec/Su
m N a m e L= a a"*- ?/V r-,I
-01 Address G?? C Y? 5 d c. c Ciiy - Phone
Name / , ?,? (r?., r i.•,?,c.
3 Address 3 O .'/? w
p Gty_--=? Phone
FEES
COMM/IND FEE - 1%OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAIV
Res. New
Mult Add-on
Comm. Repafr
Other
N. FIXTURES
C TfTAL
Water
loset - $3.00
?-Bath Tubs - $3.00
-?Lavatory - $3.00
?Shower - $3.00 _?-
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
T-
Floor Drains - $1.50
TWater Heater - $1.50
_!T
.
Whirlpool - $3
00 ?
?
.
/ Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE _
-
STATE S/C: 6
9
?
QiiAND TQTAL: ?
CtTY [3P EAQA
CONTRACT 3830 PILOT KNOB ROAD, EA
PRICE PNQNE 454-81
MN 55122
For?QHlaa 1.130 tdy`?
PERAAIT #
FtECE1PT #
aaTE: ? 9 5
-? She Add ss 17 a c r, aWA Dve- ORK DESCRIPTiON
BLDG. TY?
" Lot ? Block ? Se ub
? ?
-?-
MuR. Add-on ?
Comrst. Rspair
? NarHW COWAERCnt eESI
OrmAL R???y Other
?
? Address 4747 TvrnN taKe avE
? City ?toCKil??v c?rER, Mni ?ne RES. PLBG. ONLY - CQMPL.ETE lNE FOLL,OWtNG:
_ NO. FIXTIIftES TQTAL
0 $
Name °S r ? r? S [ ?C ?? ;;" Watar Claset - $3.0
Bath Tubs - $3.00 :
:. oc Add res? l.avatory -$3.00
3
p Ciiy Phone Shower - $3.00
Kitchen Sink - $3.00
? WrinaUBidet - $3.00
FEES Lau?idry Tray - $3.00
- COMM.fIMD. FEE - 1'16 OF CONTRACT FEE Floor Drains -$1.54
APT. BLDGS. - COMM. RATE APPLIES > Water Heater -$1.5Q
TOWNHOUSE & CON€?O - RES. RATE ARLLlES . UVhirlpool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Ounets -$1.50
MWiMUM - COMM.IND.IFEE $24.00 (MfNllutUM - i PER PERMIT)
` STATE Sl1RCFiARGE PER PERMdT .50 Softener -$5.Q0
i? (A $.50 S!C PER EACH $7,000 4F PERlNIT FEE) Well -$10.00
Private Disp. - $10.00
Y Rough Openings - $1.50
U. G. Sprinkfer System - $12A0
ATU 4F PERNNTTEE PF-RNMT FEE:
. :
.
jp . . . .:?"aSTRTE.''J i7f\i: zro .
?
?
; FOR: CITY OF EAGAN lG o7Q??
00 ?
CL
6 Y?GRAND TOTAL:
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #;
3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE -?- ??
CONTRACT PRICE: &a PHONE: 454-8100
Site Address ?p!2 j A.G k(.4
Lot,.?,...?.,$Iock.., [ Sec/Sub
? Name
? Address T.?p._?? • ?? `T
c Cltyt?,? ? id-_ Phone
_ Name T/I 4 4-1"'/ t3
c Address
O City Phone
TYPE OF WORK
forced Air , M BTU
Boiler ? M BTU
Unit Heater M BTU
Air Cond: M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
S/G:
TOTAI:
BLDG. TYPE WORK aESCRMTION
Res. ><,_ New
MuVt Add-on
Comm. Repair
Other
FEES
RES
HVAC 0
100 M BTU
.
- -$24.00
ADDITIONAL 50 M BTU 6.00
(RES. HVAC INCLUDES A/C ON NEY1f
CONSTRUCTIOIy)
-
UTtE
G
45
S
M
NI
M
f
'
Pr
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- -
,
(
T
1
MU
=-7-
C?
E
RMI
1?
t
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE ARPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDEFUTIAL FEE - AL4:ADD-ON 8 '
REMODELS - 12.00
??
` ? ?
S7AT
HA'? RM!T, . -
B0.
(ADD $.50 S/C IF PERMIT PRICE C?i?ES ?
BEYOND 0OOU) .
?
`
,•
i
SIG URE OF PERMITTEE
, +.
FOR: CITY OF EAGAN C.
. - ?.
CfTY OFAAQAN WATU SER1/ICE
38? ?ilot Knob Road 77D4
P. 4.-Box 21199 ' PERMIT NO.:
Eagan. MN 55121 DATE: 7-31-66
R1 ?
?,: T3.ffiber ine B rs . . ? ??
Addmm: •
5? ?? 169?':?lackhaw ?AVe 9 B Rose Hi
Plumbsr. E P umb iag
IlAetor No.: ` . • _-
Size; TA rI /`?o ¢1'G.
Reader No,; 476N2S6199
1 "0 . Es oe.yy wft N. city
Dete of Insp.: tv
1- %- P/.
Ak"TliO•
Tord: 03 . .?Up,a mer-er
'Doft Poid:
Insp.:
7his request void
1A#nonths from --
P `.?-;-n9 718 2 --
ez t Date ?/??? J Fire No. Re? ?ed?InsVection Ready Now Q Will Notify, Inspec-
tor Wh
R
Yes No en
eady
2Q Litens¢d Electrical Contractor I hereby request inspectiort of above
? Owner elec[rical work installed at:
Stre t Address, o?„or Ro e NoCity
V ?(? ? ?
ecUOn o. Township Name or No. Range No. Cou
ti
Occupant IPRJNT) / Phone N,o/
' {'r L t' I? K?` l d e r? ?.S_7 -?`I f?
Pow uppli , Address .?
I yy
E
IC any Name ractor's Lic
se No.
C
?
. ?
?
3 ? Q
Mailing Address ( on a tor or wne Making Instailation)
??
c
? -? ? - ?. ?
Autho ontract /Owner Ma ng Installat n) P e Num er
'
1 ?-
75
TATE BOARD OP ELECT CITY THIS INSPECT{ON REQUEST WILL NOT
MINN
Grigg idg- Room N-191 BE ACCEPTED BY THE STATE BOARD
V-d.
:,
1827 Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
si
tv
Phone (6121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
?:.
Sse instructions for completing this form on back of yellow copy.
X" Below Work Covered by Thrs Request
? 71 82
pfl9
EB-00001-OA
dd ReD. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du ex Water Heater Lightin,y Fixtures
Apt. Building Dryer
R Efectric Heatin
Commercial Bldg. Fumace Silo Unloader
Industtial Bidg. Air Conditioner Bulk Milk Tank
Farm Otner peci v otnerlspecirvl
t er SPOCify Ot er Othpr
omoute lnsaection Fee Below
tf Fee Service EntranceSize # ! Fee FaederslSu6feeders # Foe Circuits
0 to200Am s 0 to30Am s 0 to30Am
Above 200 Am ps 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100-Amps
Transformers lrrigation Booms Pariial,'Other Fee
Signs
,
I Final
?t void 18 monthe from
Speciat Inspection
-'- I, theI'firc-tricnl
Inspector, hereby
certify that the above
ate ? pection has been
?i'? de.
i j - - - i; , y, /
--
?
Roq s Dat Fire o. Rough-in Inspection
R ired?
?Ready Now?Will Notify Inspec-
3 otv ?
Ycs No [or When Ready
Li ensed ectrical ontractor I hereby request inspaction of above
Owner electrical work installed at:
Street Address, x or Ro No. ? CitY ?
e tio o. Township Name or No. Range No. Co
Occupant (PRINT)
-F)'w. 4 -e ,- / ,`k e
/3 ? ,%/e Phone No.
Power Supplier
06-
?
Address
w
E e trical Contr4ctor Compa Nam ? ntractor's Licens No.
.. ?
Mailin8 ddress 1 ontr r or O ner k ilatio
Auth riz Sienat (Contrac r/Owner king Installatiun) P e Nugr
?
3
MINN A STATE BOARD OF EIEC?fiICITY THIS INSPECTION REQUEST WILL NOT
Grig - idway Bldg. - Room N-791 BE ACCEPTEO 9Y THE STATE BOARD
1 827. iversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Pho (612) 297_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi:od
? y (
.? See instruetions for comvleting this form on back of yellow copy. y;? /1?,
.0 7 "X*' Below Work Covered by This Request
N" FAdd Rep. Type oi Building Applitinces Wired Equipment Wired
Home Range Temporary Service
Duplax Water Heater Lighting Fixtures
Apt. Building
P Dryer Electric Heatin
Commercial Bidg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Speci V Other ISpecify)
t r Speci(y t er Other
ompute Inspeciron fee Below
# F ServiceEMranceSize # Fee Feeders/Subfeeders ? F e Circuits
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 Am{sI 31 to 100 Amps 31 to 100 Am
Swimming Pool Above l0U_Amp Above 1Q0_Am{?s
Transformers Irrigation Booms W Partial-'Other Fee
Signs
Special Inspection TOTALF
Remarks ,
Rough-in Date? ? I, the Ele ri V i
Inspector, hereb
' certify that the above
Final D?Le inspection has been
C..? ( ( "? ! rJ ? made.
This reeueat void 19 months trom
6EfILDlMG PERMIT
Aeceipt # ? 7-e
7a be used ior SF DWG/GAR Est. Value $146,000 Date MAY 1g
19 86
,
Site Address 1691 BLACKHAWK COVE Erect ? OcCUpancy R 3
Lat 9 Block ) Sec/Sub. RO$E HILL Remodel O zoning R'I
P'arceE Na Repair ? Type of Canst jin
Addition ? Na. Staries
cc TIMBERLINE BLDRS Move ? Length 62
Name
3 3727 SO HILLS WAY Demolish ? Depth 4-6
Address I
l ? Fr
S
° EAGAN
Cit 45?-5918
Ph mpr.
nt. ? q.
y one Install
. o Name SAMR Approvals Fees
z
o ¢ Address
~ City Phone
??
? w Name
? ? Address
a z
tu City Phone
I hereby acknowledge that I have read this application and state thatihe
information is correct and agree to comply with all applicable State of
Minnesota 5iatutes and City of Eagan Ordi nces._
Stgnature of Permittee ? C•
A Building Permit is issued to: Tl ERLINE SLDRS
all work shall be done in accqrdance with all aonliea'bFe of Minnesc
Building
CITY OF EAGAN -
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 N_ 11977
RHONE: 454-8100 /
Assessment _
Water & Sew.
Police
Fire
Er?g.
Planner
Council
Permit $ 548.00
Surcharge 73- QQ
Plan Review 274.00
SAC 575.00
water Conn. 5 0 0. 0 0
Water Meter 63.50
lRoad Unit 290.00
BIdg.Off. D/ ly/ts Tr. Pl. 156 . v0
APC Parks
Var. Date Copies
Total $2. 479 _ 50
on the express conditian that
of Eagan Ordinances.
CITY OF EAGAN
Addition ROSE HILL EIDDITION
Owner
Remarks
Street
Lot 9 Blk
1691 Blackhawk Cove
stece_ Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. '<' - '
STREET RESTOR,
GRADING
SAN SEW TRUNK
SEWERLATERAL 1972 `
r ' s 1028.31 5
51-41.57
WATERMAIN "' - -
WATER LATERAL 1972
WATER AREA
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
"Q,?"? ???>??-?°? .?? i , ,??? ?.?- ? .
CITY OF EAGAN Remarks
Additlon ROSE HILL ADDITION Lot nt 9 BJk
Owner
Street
State
Improvement Date Amount Annuat Years Payment Receipt Date
S7REET SURF. .
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
S70RM SEW TRK 1985
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD. EAGAN MN 55122
651-681-4675
New ConsWction ReauiremeMs
• 3 registered site surveys showing sq. ft. of lol, sq. fl. oi house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showirg beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE (4 Z 15 ) -'V t
?
a ?3 a S
RemodeURewir Reauirements
. 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions 8 decks
• Indicate if home served by septic system for addifrons
VALUATION
?D
SITE ADDRESS I(_ 0/ A L4-1-fz- I161"w/< MULTI-FAMILY BLDG _Y -IN
TYPE OF WORK????,?i? ? FIREPLACE(S) _ 0_ 1_ 2
s
?'aQ3l 334
APPLICANT
STREET ADDRESS CITYj?tln?/?26 f STATE &- ZIP
TELEPH NE ELL PHONE #C ?C« ) 6 gS ?Cb ? FAX # b/Z - Z?b
?? J2-)a90 - 337?
PROPERTY OWNER TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ?fI?INFSO'':? RtILI:S 7fi70 CATEGORY 1 ?II?\I:SO':1 RliLE5 7672
(?I submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing systeni includes:
Mechanical Contractor: _
vlcchaiiral sVSll'IIl LI1ClUfil'S:
Sewer/Water Contractor.
Air Conditioning
-- Hcal RccoVCry Sys1G11
Phone #
Phone #
Fee: $90.00
P'cc: $70.00
--------------------------------------------------------------------------------------------------------------------------
I 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.
5lgnature of Appllca
OFFICE USE ONLY
Watcr Softencr
Water Heater _
No. of Baths
_ Phone #
Ix1wn Sprinkler
No. oE' R.I. Batlis
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
0 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 07 05-plex ? 13 16-piex
? 08 06-plex ? 16 Firepiace
? 09 07-plex ? 17 Garage
0 10 08-plex 0 18 Deck
? 11 10-piex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
0 21 Porch (3-sea.)
O 22 Porch/Addn. (4-sea.)
0 23 Porch (screened)
O 24 Storm Damage
0 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water
_ Framing
_ Fireplace _ R.I. _ Air Test
_ Insulation
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
Fina1/C.O.
Fina]/No C.O.
_ Plumbing
HVAC
Other
Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Final _ Windows (new/replacement)
_ Retaining WaII
Building Inspector
, - . ??'***#***#*******#***?*ii***#**?4#?**
C? T Y?] F E A A i? *"'?: ?'A?'? QF FEE AT TI.ME OF
i .. * APPLICAT'ION DOES NUr OONS72'.I'[?i'.E ?
AFPR0VAL QF PF•RI+". .
APPLCCATION FOR PER,MIT
. . * TNSPDGTION i3F SEWER AM/at: UMM ;
, .. ? INSTALLATIONS WILL NOT BE.9CF?- ?
SEWER-ANDlOR 1NATER GQNNECTIQN ? ? ?M ?'?T ? ?
? , . * APPROVID. ?
- * '
. **let*?r*tt?r?r*??r,Mrk*t,h*?rdr?r**?rIt,Mr**,tlr*yt,t*
p ease Print y
LEGAL DESCRIPTIOH]: "
-°--a , .. . .. .
_. ., .'.. ....`?
PRFSENT ZQNINGf pRQFUSID C.'SE:
r
? - CMERCIAL/RE.'TAIL/OF'FICE
C2 : IMLISTRZAL
? INSTI=ONAL/GOVERNME.'N'I'
. ]CF EXISTING STRL'CTC.'RE, DATE OF ORIGINAL $UILDING PERMIT ISSL'A.VCE: ' . - . .
. . (Mon Yeary
rM R-1 SINGLE FAMTLY
? R-2 DL'PLEX ( Tro C.?nits )
R-3 TOWNEiiO[JSE i Three + Units ) I [7nits )
R-4 APARTMELVT/CONXMINILM ( Units )
2) NAME:
• CITYo
ADBRESS:
STATE, ZIP:
." PHONE:
3) :, • u i: a?-
_ - NAME:
• :;?>
ADDR£S5:
. PHorE:?lS q 7.2 rAsTM LIrErrsE# X7-_7.?2 si
Pltanbers License: Prctive
Expired ,
l+1ot recorded
Staff Initial '
4) • • ?a?-
. NArE:
AnnREss:
cix^i; SrATE, M. zsP:
?_.
, . . . ... .. , . 1HONE:- `r`:SS? ? S y !?' ' ?
•??:. :? ?e• ; t a• • ?• : a i ?s
• ' , .... . ° ? ? V-4 CONNEC.'TION T0 C3TY SEtiVF,Et [?4_CONDIECrION TO CITY WATER C( QTIM ' • ? . .
?'}. ?b _ " • ?" p PLF.A.SE FIOLD APPROVID PEEtT'iIT F'C?R PICK-LiP BY ONE OF ABCJM _ . -- • - -- ..
PLFASE MAIL APPROVID PERMIT TO 1, 2.;?4, ABOVE .:
• ? ? :? ? ' (Circle one) "
FOR GITY USE ONLY
PERMIT # ISSC'ED
-7 ? 5- .1
Pd w/Bldg. Permit
$
$
$ ,
$
$
$
?
$ 5 e) 6 - 0 G>
$ ?7 7.S , e D
$
$
$
S -
$ -?% Ca
$
$_ s?
RECEIFT
FEES:
$??j
S
$
$
$ ?.f7 - Cr...?'S
$ _. ? `??" ? dh C)
$
$
$
$
$ '
?$
$
$ 6=i', e Z9
, , -76
RECEIPT
i
SEWER PERMIT (IIVCLC1DE SL'RCHARGE )
WATER PERMIT ( Ii+1CLUDE SL'RCHARGE ) .
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCO[.'NT DEPOSIT - WATER
WAG
SAC
TRLIVK WATER A58ESSMENT
TRL'NK SEWER ASSESSMENT
LATERAL BENEFIT/TRL'NK SEWER
LATERAL BENEFIT/TRLNIi WATER
WATER TREATMENT PLANT SLiRCHARGE
OTHER: TOTAL
DOES LTILITY CONNECTIOLV REQLIRE EXCAVATION TN PUBLTC RIGHT OF WAY?
F--j YES IF YES. THEN A"PERMIT FOR WORIC LdITHIN PLiBLIC
? RDADWAY" MLST BE ISS[,?ED BY THE ENGINEERING
NQ DIVISION. LIST AS A CONDITIOIV.
SUBJECT TO THE FOLLOWING eONDITIONS:
?
x .
? ,.
? .
r ? APPROVED BY. -?_-a
TITLE:
DATE : 213 tt le'6
r
• .
.
-7 7
1986 BIIILDING PEwIIT AFPLICATI4H - CIIn OF EAGAN
NOYE: .ALI. COHTRACTQR3 MUST HE LICENSEA WITH THE CZTY OF EAGAN
,,'SIBGLE FMIILY DTdEI..LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, i SET OF ENERGY CALCULATIONS
M[TLTIPLE DTiiEI.LIAGS - RESIDSNTIAL
INCLUDE Z SETS OF PLANS, CERTIFICATE OF SDR9EY - CBEC[ WITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
crVAWrrrr e t
INCLCIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$29p00 LANDSCAPE BOND
To Be Used For: EOipowat-t;: Valuation: ?-°•-,. Date:
Si'te Address I6;r-1I lg;O,Lg
Lot Iq Block I_
Pareel/Sub fzo?w "It.- }}-22rTjor,1
Owner M/4?--:t'i*?
Addres8 c7° fi'W,c'?i /qe.
City/Zip Code F-/tr4-- Wp(afg 6o0(.8
Phone (312) ? 9b -- z"j . .
Gantraetor •-r/nAaw-Lira,g- Smka IraL .
Address 3?Z--7 So.
City/Zip Code 6-At-A-0 5S1'13
Phone 5aI Qj
Arch./Engr.
Address
City/21p Cade
Phone #
RENTII. DNITS FOx SALE IINITS
OL7P'ICE i1SE ONLY - - - -
Erect ? Oecupaney 06 3
Remodel Zoning Al
Repair Type of Canst ";W
Addition # of Stories
Moae Length ???
Demolish Depth
Int.Imgr. Sq Ft
Install
APPROVAI.S FEFxS
Assessments Pemit
Water/3ewer Surcharge
Pvlice Plan Review Z ?
Fire SAC .?
Engr Water Conn ?C)00
I'lanner Water Meter ' ,
Council Road Unit 2g?
BZdg Off z? Treatment P1 ?
APC Parks
Variance Copies
TOTA[.
. .
,
a
NOTEz ADDRESSES FOR CORNER LOT3 .- CONTRICTOR/HOMEOWNER MUST DESIGNgTE iiHICH ADDRESS
IS DFSIRED. N4 CHANGES iiILL BS ALLO'iJED ONCE BUILDING PERMIT IS ISSUED.
fl
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548•QD}
73•OOt
274•00+
575 • 00+
5Q?r00?
b3•50f
290 •OOi-
156-00+
2479•5Q*
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,
CITY 4F EAGgN ?
EXTERIQR ENYELOPE gYERAGE 'U* COHPUTATION
OiiNER: NtRfLT1,J Sr?a15T MOr
.
SITE ADDRESS: 1?? i B?r? ?-???'1c ?y?
CONTRACT4R: `("1 raaMp?a r P >u +u7?2.5? ?e??= DATE: PHUNE: 14-;11-93-21$
Determine wrorking square footage of each:
1. Total exposed wall area ... -? '2 tp39 sq. ft , x .11
2. Total raaf/ceiling area ... sq. ft. x.02b
Total exposed wall area above floor : 28S-3
a. Total
b. Total
c. Total
d. Total
e. Total
f. Total
g. Total
wall windaw area ............................ 12-7
ddor area ................................... ?
Sl1d1Tig g1355 area •..............?r..... **r:
firepZace wall area ......................... ?--
wa11 framing area (average 10%) .............
net wall area above floor ................... Igq ?
rim joist area .............................. -z-Si
Total exposed f4undatien area = 6']
.?.?
h. Total foundation window area....................... i. Total net foundation area abave grade .............. 6'1
Determine 'Uf value of each wall segment:
a. x ' U' S17• /°
. b. l 6 3 x ' U' ? 3c> = ?°?s . qo
c . x ' U' --- e
d . ? x t U'
e . Z2 X OUt ..
f. tet ? x rU'
9. X 'u,
h . .?. x gu t
x ' U' .0-n C-.
3 . .............. ..... ............ .......... .......... Total o _z-
.,,..?,.. -
If item #3 is the same as or 3ess than item #1, yau haae met the intent af SBC
6006(a)2.
Total exposed roof/ceiYing area = ?? 317
J. Total skylight area ............................... .. ....?:.....L?
k. Total raof/ceiling fr-aming area (average 10%) ..... ? :Z5Ee I !j o
1. Total net insulated rreeflceiiing area ......... ... .. 'a S?
?
. ?? ci
(OVER)
1
. ? "?
?
r
y
Determine 'U* value for each roof/ceiiing segment:
J. qLll' x + U' , -30 =
u 75 ?
k. ? traL g rur .?` n ?3•?i
l, X ,u, .6L?
Qy? ?
?F. ?. . ??' ??
..? :.. .. ..° . .... . .. • v rr..• ? ? j J • ? .
............ . . . . . . . . . ... . . . Tatal 73
If tota3 of #4 is the same as or less than #2, you have met the intent of SBC
600b(c)1.
Alternate
e
Envelo
Buildin
Design
g
p
To utilize the total envelope system method, the vaYues established by the sum
of Items #3 and #4 shall nat be greater than the sum of It,ems #1 and #2.
? ,
1. + 2.
....?.
3. + 4. 2_4' ?. 07
a
? f
• ?
•. ? , GUICELIt1E TO ( a) rncruas rr,on r,simw nr,:iunL
, of Trr itr,LLY usco rr.ooutrs .
(R) (R)
Intcrior Air Film (Ilalls) OM 6ypsum or plaster board 3/8" 0.32
Eaterior pir Film (Nalls) 0.17 Gypsum or plasier board I/2" 0.45
' Intcrior l.ir Film (Vented Ceilinq ) 0.61 Gypsum or pl:,ster 6oard 5/8" 0.56
Eaterit.r A1r Film (Vented Ccilin9 ) 0.61 Plywood 3/8" 0.47
- Intcrior Alr Film (tlcn Vented) 0.61 Plywood 1/2" 0.62
Exterior Air Film (tlon Vented) 0.17 P1yNOOd 3/4" 0.93
llumintun Sidinq
0
61 Sheathinq, reg. denslty 1/2"
h
i
" 1.32
Alwninum roith Backer .
1.82 eath
S
nn, reg, density 25/32
Nail-buse sheathing 1/2" 2.06
1,14
Aluminum with Batkcr E FOiled 2.96
1/2 x 8 Lap Sidinn (t?ood) 0.81 Built-up Roofs 0.33
•7/16 x 12 flarCboard Sidinq 0.67 Asbes[os-cement shinqlis 0.11
l.sbestos Sisiinns 114 Lapped 0.21 Asphalt ro}1 roofing 0.15 '
Stucco (Orc.,m and FinlsA Coat) • Aspahit Shingles 0.44 ?
3;4" Vood Subfloor or Sheathing 0.94 fnsulation: 2-2 3/4" Fiberolass 7.00
1/2" Plywood _hcathinq 0.62 Insulaiion: 3 1/2" Fiberglass 1)-.00
' •. 1/2" Partitlc Bo..rd
i 0.66 Insulation: 6" Fiberglass 19.00
WODS: BLOU1nr. 14aol5 • • '. . • -_ .
Fir, pine s similar soft t7oods 1 1/2" 1.89 Approx. ;" • 9.00
2 1/2" 3.12 Approx. 4 1/2" 13.00
3 112" 4.35 Approx. 6 1/4" 19.00 . •
S 1/2" 6.87 Approx. 7 1/4" 24.00
' App rox . 14" • 30. 00
' ADprox. 18" 40.u0 ' . . . ' ' -
Ail other insulation materials nuse be ?. . ' ?
fllled verified (R Factor)
(R) Vermituli[ c . .
8" Concrete 81oek (5 E G Re9.) I.II 1.93 •
12" Concrete 61ock (S G G Reg.) 1.28 3.15 . '
8" Liglic 1Jeighc 2.18 5.0;
12" Lighi i;eiqht 2.46 5.82
NOTE: (U) x Area Square Fect
All uindows
(v/Storns 1" to 4" Spocc) .56
'
Removal Double Gluzing (RDG) .SS
ihermo or wclded 3/16" air space .69 '
1/4" air spacc .65 -
1/2" air space .58
, (Other wlndoas specifically teste
- d wn ose better ratings)
----
. '
•
.
1 3/4 Solld core door .46 .
' ' '=•;?`.
w/storm, waod ,31 . , "
w/storm, mecal .26 ' . .
; Pease StcelDoar Insl/?:/GL 7.45R ,i; ? •
S1ldinq Class Door, uood .65 •• . :
Metal
. ? .715 '
• -- - -°- - _ -
_-,
v ?
?•
. CITY OF FAGAN •
PIINIMU;I "U" VALUE A,?tD R-FACTOR AT ROOF, ZdALL, RIr[ 1l?CD CO`CRETE BLOCf;
: . . RQDF
va
o <<?-fE'MoK .IF, c- I ?
. 0 5i - s" t,vP ED.
. C`4l .. _ ,..
OO EX ?EC?,D? AtF FILM ?•???
t?`CILL? . ?
?r r? ? 1' •_ ?-
u = jiz - _of -?-oTA? ?r? ?_yx 3ti?
• ---- ??„ ? ? ? ? .
• ? WALL ? . ? . (-?l I/AI
QQ it? Ict=10(? F,ltZ FILM J(j`
? 'j2 ` GYP' RD.
? ?? ,r I tNSUCAT'tot? i> >r /?. ?
q Siz
?, ,..7?
, ?- ,:
laI',, kli, F1Ltl - ' • t ?
ToTAL (F,)
6107
(TO Vr-1?
I-OZ
? OL
10- 2 Fl rz- Rlr--t ?oisT
. 105 ?i • ' . -' _ '
2? j-;z-??
p A7- FtLM . ?. ? . ?? •
16 u Utf 7-oTR:. (R) = z 3. 33
. ?_--.. .
. .r..
? o:}?kDA tDi??
0 tN iE.t7lZ Auc FtLPt vAt-t
. • ?'.
?s-
?
lt j?l??X CGj?1C,. '3Lh, l L?
S.E?: j Gr.to;? AlR FtLM
u Vll
Floors ove; unhe2Ced spaces mus[ have mininum R-factor of R-20 (tuc!:-undex garages). •?
Floors ovcr autdoor air (overhangs) nust tiave amininum P,-factor of F-33. '
, ? . .
. .
?
. . . •,
SINGLE & DOUBLE FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application,
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
. ?
. ??? ? ?
MEMO TO: DIANE DOWNB, IITILITY BILLING CLIRRR
FROIrt: SD RIRSCHT, 6R. ENt3I1tEERING T8C8
DATE: NOVEMBER 15, 1991
SDBJECT: STREETLIaBT SNSROY COSTS FOR
LOT 1, BLOCK 1, BLACKRAWR 8ILL8 18T ADDITION, JAM88
BELLSEN
LOT 2, BLOCK 1, BLACKRAWK HILLB 1BT ADDITION, GIRORGB
BOHLIG
LOT 31 BLOCK 1, BLACIQiAWR 8ILL8 18T ADDITIOW, LLOYD WASS
LOT 91 BLOCK 1, ROSEHILL ADDITION
This memo is to inform your department to start to invoice the
energy costs in the amount of $2.80 per quarter per lot with the
next utility billing for the following listed properties.
Lot 1, Block 1, Blackhawk Hills ist Add. - 1690 Blackhawk Cove,
James Hellzen
Lot 2, Block 1, Blackhawk Hills 1st Add. - 1680 Blackhawk Cove,
George Bohlig
Lot 3, Block 1, Blackhawk Hills ist Add. - 1670 B].ackhawk Cove,
Lloyd Wass
Lot 9, Block 1, Rosehill Add. - 1691 Blackhawk Cove, Martin
Schuetze
The City will be billed by Dakota Electric for the streetlight
energy cost for a streetlight that was installed recently in the
Blackhawk Cove cul-de-sac.
a.aw ua .a v• a4a. vvaa a. Sr. Engineering Technician
cc: Michael P. Foertsch
Ed Brunkhorst, Dakota Elec.
Enclosure
EJK/jf
"woo 2005 RESIDENTIAL MECHANTCAL PERMIT APPLICATION
: City af Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please ctimplete for: single family dwellings & townhomes/condos when pcvmits are required for eacM wlit
V??D.?)O
Date?/
Si
Add
(to it #
U
te
ress n
Property Owner Telephone #(='?"j(
' Contractor
Street Address sTANDARD HEATING & AIR CONpITIQNINCi City
State MINNEAPOLIS, MN 55408 Zip Telephone #( )
Bond #• Expires:
The Applicant is Owner ? Contractor Other
Add-on or alteration to eaisting dwelling unit ? 30.011
? furnace _Additional .?S'Replacement
? air exchanger
air conditioner _New _Replacement
other
State Surcharge ' $ .50
t
l ' •
T ? '?
o
a
I hereby apply for a Residential Mechanical Permit and acknowledge that the infonnation is complete and aecurate; that the work will
be in conformance with the ordinances and codes of the City of Esgan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicaxion for a permit, and work is not to start without ?ermit? ihat the worj4^be in accordance with the
appr ed plan in the c k which requires a reeiew and approval of p s. 1 .
Applieant's Print Name Applicant's Si
(" 5'? I
r ._ _--
?-- 1-
??,i`3 ??? I?I
2005 C+0MMRCIAL 1Vi'F,.CMAMCAL FLRMT AP`P?,?CA1'TON `
: CYty +Of Eagaa
,
3830 Pibt Kaab lt"d, Lugan ltN 455122
: Tdophose # 651-675-3695:Please complete for: commerciaUindustrial buiklisjgs
multi-famity buildings w}en sepmft Permiu art &a required for aiich dvvolib$ unit
Date
Site S#reet Address Unrt #.
Tenanf Name (if sppfieabfe) Previeoa Tew1ut Name
Property Owner , .
# ( ? ) --- -
Contractor
Strect Address
Srate Zip
Bond #• " Ezpires:_.. ..
The Applicant is Ov+mer CoMamr Other
wo,k Type
. . ' . ' •S. ?':.i.':
New Construction Undergrouund Tank _Instal! _Remove'""sae beivw ,
Fnterlor Improvement _ In" Piping Pro" -C3as
Nature of Work:
*`When lnatallinylremoving undaVround tmk, cM for lnspectrorr by Ffre Afarahat and F"1crmWng hopocior
Permit Fees: s70.50 Underground tank installadonikenoval
s50.59 M3ni+rmm (inciades Statc SuichM)
or
ContraGtValue S x 1% _$ PermitFee
? If Rermit fee is $1,000 ar less, add $.50 ? $ State Sinmrge
If perrnit fee is over $1,000, add $30 far .
every S 1,000 p pit fee $ Total Fee
1 hereby apPly tor a Commercial Mechanical Pctmit and adanawledga that the'ififormaticm is complete and accuMe; mat me WrorK
will be° in conformance wi#h the ordinances;and codes.af tlw Citjr of Eppo.and with the lalecharlieW Gades; that Iuttderstattd tjtis. is. .
not a permit, but only an apptication for a permiti-arnl work is nat to start Wit6oUt .a Peftii; that #,ke. work"viU bc14n_ scoordance -w-ah•- ;.'?.
the apprQVed plan in the c,ase;of work which zeq}iM
Ate*ww at?d;?pro? Af P'?
. t '
? . , .._ ... ... ,.. .
?'?--
Applicant's Printe.d Name Applicaofs 9ignature - . :
Approved By: , , Iopectar Date;
No:~r~~
.scA~E,~ 1'~ ~ 3a~
L~~,~F Dl~ C',k~<<~'TfpB~'.' LOT 9,~LQC'K l RGSE ~1~~ .~~a~~i~~~,~~ ~ ~ i ~
/ ~ QAJ<~i.~,~' C`0!i"l'V?";~`, M;i~iv'~`.so7:~, ~ ~
~ ~ / ~ ~
~ ~ , C~ , -
.r yt. y.5 ~ .
~ `~g, t -
1 ~ __t:., , 1
' . ~ ~,,~s ~ ~ - F!N 1.~~l~~ G~~,~ _ / ~ f~~'~R ~t~~,~,`~~ri~`
_ t . r , , r ,
~ - r ~ ~ f , ~ ~ ~ ,~~~l~t~ 1~~~.~ ~X i S ~ "i !'1 ~ ~"L ~ ~/~~;~'./D/v' _r , r, , _ ;
. , ~ c. ~ ~ ~ ~ ~j 8 ~ '~o _ / , . 1 , ;
~ ~ N 9 ~ p ~ ~ s`, ~ / ( , ' ~ ~~f~~1~~~„~ P~~J,~'~.~~:~ EL~`Er~7`f~~~°~ ~ 133,a 1 ~ ~,~r / . ,
~ y . ~ _ rr ' j /~1l~" l4~ f ~ti ^,t.
> a; , /N~; a. ~ ~ D ~~E~ a~ Of~ S~ F,~ ~ ~ DR~~, ~ ~ ~ . ~ ` 'C~" 1, 9 ~ ~ , d~
/ " ~ U~ ~ ~ ~ ` N'D l ",Ei' ti-'~ S ~ iF,~'ti` 7" B " ' !i/ ~ " ~ / C. S 0 U/4/.~f ~ C ril~.,,
~ ~ ~ ~ i ~ ~
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V ~ - ~ -3G ~~'Q/~~ ~v~~ . ~~ia ~ j ~
I ~ f° - / ~ .SE", , w
I '
~
m~ ~ ' ~J ~ , ~
~ ; t ~ ~ ~ ~ , ~
O ~ ~ ~ ~U ~ ~ ~ - - ~
~ ~:?.t2 ~ - ~ - r9 ~ ~~1~j _ ~
~ N N y„ " ,w~ y z' ~Y~ , , f ? ~ ~ u1 _ - - - _ _ _ _ - - _ _ _ _ _ _ _ _ , _ . _ _
o ~a. a 2w.~ m,~ o/ i' ~ ' ' ~ n.l ~ , ° ' ! ' ~ e2~.~- p1.s~~ i ~ 0.~ , ~ ~ ~
DO o~ `'a;jn ~ r , t C ~ ~ ~ fi G ;,'4..~-- ~ , ~ _
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, ~ . ; ' ; > , - DESIGNEO CHECKEO C . I HEAE~Y CERTIFY THAT TH~S PIAN WAS ~ ~ ; PREPARGD FOR. - SMEET REV. z'
CONSU`T~NG EPdG~NE~n~, . PAEPaREO BY IAE OH UNDER MY DIRECT f~~' F011. ~
SUPERVISION ND 7H T I AA1 A OULY ! DPAWN D0.YE 9~lANNEAS ~~rs9 I~ND SU~V~44A5 r REGISTERED~
UNDER TME LAWS OF THE S7ATE ~ :I SCALE Ti~I~E~RLINE I E I oF ~SOT~ ~ ERLINE
p~ ~ ~ JOB N0. OF
A~ . L ~UILDERS, ~N ~ ' ~ , •~f' I3 O N0. DATE BY REMARKS ~ DAT~~AEG.NO.~ REVISIONS ERS9 INCo f
V TA 55337 PH 932-3000
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JAN `+
Use BLUE or BLACK Ink
For Office Use
Permit#: 17,D0��
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
TC111-1 Site Address: IkC 1 Vt:\-) i\AL) \ Cove-, A fl MI) ` )n Q
Tenant:
J
Suite #:
Name: 1\ \r -f+:11') < `nk)e A
Phone: VA—
Address / City / Zip: trri TY'
Name: r X 1 (-+ b 'TI i (1 License #:LULA C&c
Address: O\ l_ < *S&e, 1 City: N- Lola 1 s /-
State: .61--) Zip: ,� 1-18V Phone: na'ci a`7" )1-11/1L
Contact: .91'11,__t
Email: t t v 1 ) s ;(',COM)
New Replacement _ Repair
Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
_ Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Tumaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that 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 ct Vii \)t
t T
Applicant's Printed Name
Applicant's Signature
Required Inspections:
Meter Related Items:
Meter:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142432
Date Issued:05/02/2017
Permit Category:ePermit
Site Address: 1691 Blackhawk Cove
Lot:9 Block: 1 Addition: Rose Hill
PID:10-64600-01-090
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 -
Martin Schuetze
1691 Blackhawk Cove
Eagan MN 55122
(651) 423-2739
Hammered Solutions Llc
16064 Excelsior Dr
Rosemount MN 55068
(612) 298-6620
Applicant/Permitee: Signature Issued By: Signature