3700 Blackhawk Lake Cti., ir?, tr
? ?85-69 ?
?, /?-? . A, ,
"Ate
Request Date
? f
C/ ire No. Raugh-in InspecGon
Required?
? Ready Now iA Nolify Inspectpr
Wh
R
?
Yes ? Nn en
eady
I 4 licensed contractor O owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Ro Nq.) y City
J
Section No. Township Name or No. ange No. Cou
y
l
Occupant (PRINT) Phone No.
Power plier Address
?
/
? r?
Eiectrica Contrador (Company Name)
/ /1 C'h... / Co r's License No.
F
Mailing Address (CoMractor or
Making I stallation)
r
J 70 u,t 1 rcJ
Authorize7SIgn (CoMracto er ld g In Iation) Phone' Ny mber
MINNESOTA STATE lTOARD OF ELECTRICITY
Griggs-Midway Bldg. - Raom 5173
1821 unWeroity ave., St Paui, MN 55104
Phone (612) 642-0800
THIS INSPECTION REQUEST W{LL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REGIUEST FOR ELECTRICALUM& :TION
? Ses fnshuctions for completlng this torm on bac w copy.
F 2 8 5 6 9 `X" BeJow Work Covered by Th.is Request
J?a-oo001 -07
u / i/-?
Y
e Add ep. Type of Building AppliancesWired EquipmentWired
' Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer 7ther (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Other (speaty) Contrador'. Remarks:
Compute Inspection Fee Below:
# Other Fee Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps r? ; J 0 to 100 Amps {` '-
Transformers Above 200 Amps Above 100 Amps
Signs Inspec[or§ Use Only: TOTAL
Irrigation Booms
`
Special Inspection
Alarm/Communication
Other Fee , rj G
I, the Electrical Inspector, hereby
certif
t th
i
ti
th
b
h Rough-in t oat ???
y
a
e a
ove
nspec
on
as
been made.
r o 7 Ci.
OFFICE USE ONLY
I
This request void 18 moMhs from
. :?.? _ .:.? ,.?: . ,_ ..;? .. . ,. ,?
CITY C1F EAGAN
??•• . ` 5830 Pilot Knob Road, P.O. Box 21-199, Eagan,.?Mhl 55121 .
PHONE:454=81UU "
IBUfLD1NG F'EFtMlT .. . Reoeipt #
Ta he used for ?p MK/G" ?Y??t? ?
Est. Valu? Date ,.1 9
Site'Address 37W RACKHM LAU Ct
Lot ?.? Block 2 SecfSub. PIACKNM KZDIX
PaFC@I (1j0. Nai'1'1@ COLLEM CITY COOT
? Address 6970 1SIST SR ,
City A.V. . Phone 431``1211
Name SM . ' .....
? Address - - -
city Phone
Name _
Address
?'ilfy ____
Phane
I hereby acknow#ege thet I have;reaq this applicetian and state that the
infarmation i$ correct and agrdle to;?comply with all applicable State of
Minrsesota Statutes and City, gf EagAri Ordinances.
5ignature of Permit ?' % r ` `i? ?--?'
ce, Cogs= A Bui[ding Permii is issued tb: _--- CITY CNW
4n the express Condition that al( work shall bs done in accordance wiih alf
applicable State af Minneso tutes and Ciiy af Eagan Ordinanees.
Building Off icial ?,,??:•?
Occupancy
Zaning
(Actual) Gansf
(AlEOwable)
# oi Swries
Length
Depth
S.F. Total
S.F. Footprinks
On Sile Sewage
On Sile WeU
N?WCC System
C+ty YVater
PRV Required
Buoslet Purnp
QFF1CE USE {?NLY
FEES
-? Bldg. F'erml
?. 73#00
To
-11
xx
?•
APPROYALS
Planner T
Council ,..?._
BIdg.01f. ?
Variance _
Surcharge ?
Plan Review
??* 00 {
SAC. City
'"?7'?000 `
SAC, MCWCC a
water Conn
90.00 A
Water Meter
???
ACCt. Deppsit
?*00 i
S/W Permit
" ?'??
a
reharga
SMJ9u ;
,
2".00
Treatmertt P! ?
3".00 1
Road Unit .
Park Ded. ?
CCOeS • R
TO7Al. 7ay x?r ?
l
...._,..., ,. .....__ ?..,....,:?ar__?.a....,.._a
' pormie rro. P*Mlt ?older Date #
WbFkR Q
SE4WQR
PLUMBING
H.V.A.C.
ELECTR3c Llg
Inspection Date 1nsp. Gomments
Fro°tings I
Fourrcation ?!/ ? - •?` „p
Fr?nirrp /106 4-ZcL - p, `?
iming
Aough plb8•
Rotngh FNp.
?.
€+repleoe ?? ? ?hat S L ,1Jd't l JA
RnaI
Fina[ PI6g.
Const. hAe€er Plbg. tnspector - Notify Plvmber
£ngr.lPlan
Bldg. Finat
DBdc Flg.
Deck Fina!
Well
Pr. Disp.
. *
,. .
CONFRACT PRICE:
Site Address
Lot Block
PERMIT & - ? -
PLUMBING PERMIT RECEIPT #
CITY OF EAQAN ;?y
3830 PILOT KNOB ROAD, EA(iAN, MN 55122 Di4TE:
PHONE: 454-8100 BLDG TYPE- WORK DESCRIPTIDN
Sec/Sub
? Name
Address '
c City Phone
Name , -- ?
p 1 City Phone
FEES
COMM/IND FEE -155 aF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,090.00)
, ? ; ? • ? , t ..f' ?; / 1..?r•-s.`
. ?_
SIGNATURE OF PERMITTEE
, FOR: CITY OF EAGAN
Res. ? l New
M u It Add-on
Comm. Repair
Other
RE3. PLBG. ONLY - COMPLETE THE FOLLGWINQ:
NO. FIXTURES TOTAI.
Water Closet - $3.00 $ 8aih Tubs - $3.00 ` ? -
Shower - $3.00 '
Kitchen Sink - $3.00 '
UrinaVBidet - $3.00 '
Laundry Tray - $3.00
, Floor Drains - $1.50 ?
? Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMI`I)
Softener - $5.00
Well - $10.00
' Private Disp. - $10.00
?-Rough Openings - $1:50
FEE:
STATE S/C: -
GRAND TOTAL: ? ' • ? L
f
PERMIT # -
, MECHANICAL PERMIT RECEIPT # CIN
-
CITY OF EAGAN q/? ?,?g
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100 For Office Use Only: •
Site Address Q a 5" P
WOR
DESCN
•
BLDG. TY
E ?
Lot Blo¢k/'??; ? Sub
G?
C
? =
Res. ? New
)?.?,Gc: ?
r. L -
Mult Add-on
- Name
?
+
? Comm. Repair
? Address
•
.: ? i Other
c City Phone
.a
•
Name -• ? ? ! ? A
``- ? ?-?
?!? FEES
RES. HVAC 0-100 M BTU - $24.00
c Address ADDITIONAL 50 M BTU -&00
p Ciy hone t- ?
? lP l ! (FtES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMI'n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 136 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
TQWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINtMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU R REMpDELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C1F PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE: _ c., ?;_? ? j ; . , .,, , > ._,.; • ta.._ k '5:- ?,.'Vt.C?-t? .
SIGNATURE OF PERMITTEE
S/C:
TOTAL• FOR: CITY OF EAGAN
SEWE6 &:,111EAIEWPERMIT
CITY?OF EAGAN
3830`Pilot Kfob Rd.
Eagan; MN 55122-1897
DATE
Ir ?
eiTC nnnneec?2 U d s'5 `4C •? ??? ?
APPUCANT<:?-*
ADORESS'-)--??-
CITY, $TATEf''?
PHONE:
PLUMBFER!?a'
CIIY, STA
PHONE:_
OWMER: _
OFFICE USE ONLY
METER # ?I PERMIT DATE 9/11/89
CHIP # Ii PERMIT # 10$87
I C 3780
METER SIZE ?
I B.P. RECEIPT #
0y
ISSUE DATE ? B.P. RECEIPT DATE
X)!-- PRV BOOSTER PUMP
Vr , ;'
PERMIT REQUESTED
WATER - TAPS
SEWER 1
C !3 t1 t? r 0
.
I
' COMM/IND ?. RESIDENTIAL
- ZIP 1%7?77 X-1 NEW - EXISTING
La'wn Sprinkler Meters are to be Installed
Aliead of Domestic Meters on Water Line.
' c ci. Credit WILL NOT Q,;given for Deduct Meters.
)a ZI r' 1"? !I .??•- ?
? ?.
C( Q k./
CITY, STATE- ? c C7r tt c- C Zi-U/ /1
PHONE: ?-? - C^ dc7
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL
SEWER PERMITS, CONTACT ENGINEERING DEPT.
1 AGREE TO COMPLY WITN CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
5?4-5220 FOR INSPECTIONS. FOR STORM
;• N >
r
As
z t
il . 7'?'?• ;ci. - ??1"b rt'.3 ??"i+:?i . .
sEWERm wi?Pu?tr } -
-cmr? eACaN
3&30 ?'110t !(F?b RC1.
E?, MN 55122-1897
DATE
SITE DRES?7 0
LOT?BLOCK? SEC/3U
) /'+ r
eooI 1neuT•+C* J/ P c. .w
ADORESS:Q
CITY, STATE
PHONE: _
ADDRESS: t? '+
CITY, STATE ?
. PHONE:
oFPIOE uss bN:Y
METER # 4/.4"Aa 3?? PERMIT D,ATE
CHIP # a..?7 3 a??d PEaM11T #
ME7ER SIZE ?oC B.P. RECEIPT # C 37.?0
ISSUE OATE 212 g7 B.P. RECEIPTDA??
3q_ PRV' BOOSTER PUMP
PEINNf i HEWE?7`3A
?.. ? XSEWER x WATI?R;• TAPS '
v r
-COMMJIND X_ I?S?tTi?IL;ZI --? XNEW FJCIST6NG
? Lawn Sprinkier Meters are 4a be trsWod ;`
n
- Ahead of Dornestic MMers awt:0ater line. `
? r. r rcyr- ar Credit WILL NOT ven fvr [1oE1id iYebrs: •.
AGREE OWNER: /pl f B G? ??'Q ?' EAGAN TORDINANC Y WI'?#1 ?1F t?-
ADDRESS: ?
CITY, STATE a q b' I 0
PFIOME: " O ATCIRE MVWEN
+ 4 i
PLEASE ALLOW T11101NORKNt3 DAYS FOR PR?MIG. CAL.L 464UN FOR ftR 570M,;
SEWER PERyIT3, CONTAgr-,T EMI"EFM DEPT
7..-
s : * A
(Itr#'tf'trafe uf Mrrupaury
titp of eagan
Er,prgr#tnpnt u# WuQinm,g Jnoprrtirnc
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Buelding
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For ihe following:
use cimiscanon SF DWGTC.AR eiag, perm;, No. 17046
occawncr 1Yve R3' 1.1 1 zoning uisa;ct PD/1Z 1 rype comsc VN
Owner of Building M= CITY OMR• pddregg 6970 151 ST ST. • A.V.
B,fla..j&naa? 3700 MA#iAWK LAKE O'1URT1,.ktyL16, B2, ffi.AMlEtW RIDGE
nete: OGMEiER 30, 1989
Buildfng Officia -
POST IN A CONSPICUOUS PLACE
DATE:
9/11/89
3700 BLACKHAW[C LAKE CQURT, L16, $2, BLACKHAWlC R1D6E
xx Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
e reasons:
-$
a
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE:
9/il/89
4-?,`.FM3700 BLACKHAWK LAKE COURT, L16, 132, BLACRHAWK R1DGE
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your 5ewer & Water Permit for the above property cannot be completed for the following
f reasons:
?
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed untii further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
, .? CITY OF EAGAN N 2 17 0 4 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt# e-,
To be used for SF DWG/GAR Est. Value $150, 000 Date SEPTEMBER 8 19 89
Site Address 3700 BLACKHAWK LAKE CT
Lot 16 L Block 2 Sec/Sub. BLACKHAWK RIDGE
Parcel No. _
W Name COLLEGE CITY CONST
37: Address 6970 151ST ST
° City A • V. Phone 431-1211
ZF Name SAME
?a Address
UF City Phone
?
UW Name
0 ; Address
a W City Phone
I hereby acknowlege that I have ad i application and state that the
information is correct and agr to p with ali applicable State of
Minnesota Statutes and Ciry ag O? ances.
Signature of Permite ?
A Building Permit is issued . ('.(li.i.F.[:F. (:TTY .ONST
on the express condition that all work shall be done in accordance with all
appiicable State of Minnesota -Rtatutes and City of gan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning PD R-1
(Actual) Const -Yn Bldg. Permit $ 814. 00
(Albwable) Surcharge 75.00
# oi Stories - 407 . 00
Length 70 Plan Review
Depth _U SAC, City 100.00
S.F. Total - SAC, MCWCC 575.00
S.F. FOOlprinfs -
On Site Sewage _ Water Conn 580.00
On Site Well - Water Meler 90 . 00
MWCC System xx 30.00
Ciry Water ?g Acct. Deposit
PRV Required .? SNV Permit 20. 00
Boosler Pump - SNV Surcharge 1.00
Treatment PI 228.00
APPROVALS Road Unit 340.00
Planner - Park Ded.
Councii
BIdg.Off. _ Copies
Variance - TOTAL ?3,260.00
RESIDENTIAL BUILDING
Permit Application
City Of Eagan ?
3830 Pilvt Knvb Rvad, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremerrts RemodeVRepair Requirements office Use OnN
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert oi Survey Recd _ Y_ N
(20% maximum Iot coverage allawed) . 1 set of Energy Calcula6ons for heated addfions Tree Pres Plan Recd _ Y_ N
2 copies of plan shawing beam 8 window sizes; pourad found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N
1 set of Encrgy Calculations AddNan - Irtdicate i/ on-site septic system Orhsite SepGc System .^ Y_ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Qptians selecUon sheet {bldgs with 3 or less units
?
? C ?
Date
! / Construetion Cost
Site Address Tnjo w,r.?uK j4fZo CWrI' UniflSte #
Description f Work ?rAM Q 16 lAWUVS Tn ?C?• ??r4p
Mu I- amily Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2
Praperty Owner _ ?? ? Qh ??le. Teiephone # 01
Contractar R Eki[r fur
Address (cj City M44. U; C W
StaYe ? 1?? Zip 5-51 ? Telephone # (763) 796---&Ou
COMPLETE THIS AREA ONLY IF CONSTRUCTtNG A NEW BUILDING
/- Minnesota Ru1es 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Categary . Residential Ventilation Gategory 1 Worksheet • New Energy Code Workshee4
0 sUhmission typea Submitted Subrnitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan wiTh a similar plan?
fee applies.
Licensed Plumber
Mechanica[ Contractor
Sewer/Water Cantractor
Y- N If so, 25% plan review
Telephone # (
Telephone # (
W;o
M4 #? hJ
I hereby apply for a Residential Building Permit and acknawledge it?a-f the information is c mplete and aceurate;
that the wark will be in confartnance with the ordinances and code ? d the Sta.te of NIN
Statutes; I utiderstand this is not a permit, but only an application for a perrrut, and work is not ta start withaut a
permit; that the work will be in accordance with the apprvved plan in the case of work which requires a review and
approval af plans. /
C. ? C'% S N e w1 e, 2 r A'UL
Applicant's Printed Natne ApplicanTs- Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation 0 07 05-plex ? 13 96-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling 0 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
13 03 01 af ^ plex El 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
17 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? Ofi 04-plex ? 12 12-plex PI'bg_Y or _ N ? 25 Miseelfaneaus
Work Types
? 31 New ? 35 Int Impravement ?? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handaut to applicant
Valuation Occupancy MCXS System -
Census Cade Zoning City Water
SAC Units Stories Bvoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Firq Sprinklered
Type of Const Width
REQUIRED INSPECTI(JNS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final
_ Framing Siding Stucco S#one
_ Fireplace i R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connectican Gharge
S&W Permit & Surcharge
Treatment Plant
License Search
Capies
Other
Tofal
Building Inspector
? 114`
SINGLE FAMIL'i lNWEI.LIPGS
2 SETS OF PLLi+1S
3 IMISTERED STTE ?UMYS
1 SE'L OF E1MRGI GALCS.
19$9 BZIILDIAG PERMI'P IPPI.ICaTFON
CTTY OF EAGAN
11011,
MLTIPLE DiiELLINGS
2 SSTS OF PLLNS
UGYSTERED SITL SrfRVEIS -
(CHECE YZTB BLDG DIy.)
1 3B'r OF 8MGI CALCS.
i.
COMEACIAL
2 SETS OF /RCHI?ECTEIRAL
& STADCTtTAAL PLINS
7 SET OF SPECIFICITIONS
1 3ET OF EIERGI CALCS.
MITI.TIPLE Di1ELLING.S RENTAL UNITS Fm SALE MPITS i 0F ONITS ?
NOTEs 1DDRESSES FOR LORNER I.0TS - CORTR?GTOR/IIOHEOWNER lID3T DE.SIGNATE V8ICg ADDRESS
IS DESIRED. BCt GH,Al1GES WILL EE lLLOiiED QNCE Bi1ILDING FERMIT IS I88UEE3.•
SEWER It WAZ'Eti P£RMIT FEFS 1ND ICCDIIAT DEPOSIT lTsES i?TILL B& INCLUDED WTTE TSE BUILDINQ
PEEiIT FEE. PROCF.SSING TIME FDEE SEMiER lAD WITEA PER14TtS I3 TVQ DAIS QNCE 1 PEAMIT HLS
$EL'N CAMPLETED IIQDICATIpG A LICENSED PLttllBEB.
PENALTY APPLIFS WHEN: PERMIT xS NOT PAID FOR IN SAME MDtITH IT IS REQOESTED.
LOT CHANGE IS AEQIIESTED DNCE PERMTT IS ISSIIED.
SEP 0 6 1989
To Be (lsed For: ?' )-,j Valuation:-71 Date:
20 0FFICE USB QIQLY
Site Addres
T.ot 1 ? Block ?
rsub&),
t?timer c ?r Y' a,,?
Address
?
0
CityJZip Code? e-'
Phone LL2 - ? ?
?.
Caatractorc::-/e ?o
Address? 9ri
cftyizip coa ? r?? Au
Phone 1121 -
Arch . lEngr .? krLr "f Cd ?
Address
Citylxip Code
I Sc: > , oo0'-
4caupaney m FEES.
Zoning PD R- I
Aetual Canat U- N 81dg. Permit 1 y?ap I
Allowable ?- N Suroharge ,DD
1 cf staries
- Plan Review o,C>o
Leng t h T? $ACO Cit p O ?
gepth SAC, MWCC 5r15.OO
S.F. Total Kater Conn a.Da
Foatprint S.F.? Yeter Meter O. oO
dn aite aewage
Ot efte Well
MWCC System
City water ?
PRV required
Hafls#.er Pump
AMCRit.S
Planner
Couneil
Bidg. Off.
Varianee
Aeet. Deposit 30,00
SfW Permit 2O?G?
S/W Suraharge 1.oa
Treatmer?t P1. ZZB;a
Road Unit o,an
Park Ded.
Copies
sasrcrrst, ?
Penalty
ZOT`L ?
Phone #
1/A Llft r4TIO?J
?
..?.?----
? IB? X 1y- I???Z
r._--
?z?s? sa - ? rz.sd
? Wo
14 14 ? 1 L-1 y
I'/z
3? ?-??1? ? ?a
1 x i?o = 10
?---?--
, 2 ? ?' ? ? ? ?o baza
-------------
? W ??
f 6XZ.L F-1
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? . .
LANosuavtreRa•cIvit,ENctMgps
* j;#1qj!1VqQh 1ji,. t.nlanvcaNNtrrs•tAMit9rhPEARCNITECrt
Ar #**
.?. ? t?• ? ? r, ??'?
CeriificAte oI SUrvey forr ?ou""r^e CIIY CCAJsT-RvCTj0m-
5.09NdKT?1
I?
?
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L9vcr.v I?Prrnles prc?pod ??? filEvafivn
Ut?10I"405
PgUPQSELl 11ous€ tt.FmTI QNS
/ awesI f loor tlevafrot7 = _ g3?.1---
_--- Denol es Ururir,'r ?v Flaw'Arovws , rUp of' Plock Elevaf r'on = -s ,4L--1---
o I.1el70k5 01Ur7ufi1fletd-
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VAk'ora Coumry, M?NvFSax-A
GarlP 0a6 tlevallon-8,1r- 5
5ub,iect /a ttasemen/s a "record
,f3LACK14AWK kl'6
( I1RtP?y Cp1?IFY tllA? tI1SS lUfvBy. Alqh bt tPf1(1t? yVAS prPopr1![I Ffy rrae under my direcf gupervisfien and th4t 1 em duly Registertd Lend $u?veyer
unrior tltn laws of Ihe 51eta e1 Minnpioto. beferllh#sday ef
? c(if G : j ir-?6; ,? ? fkt
.. . . _ .__ . ._ - - - - _ --?- _ ------•-- ' ----
7??y?. R F1ESZ A. 4I Csl i.. FtZ. ran. 14 1
QN r"° s 7'c:ti1
4?r
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L,,,
2422 Enterptise brlve
Mendvte Hefghts, NIN 59120
(02) 8814914
? ..._. _s.
. _? . _. ._?'....7Ze-o
. ?. ? ? .
i ? oalNER
E"'`.RIOR ?',,.?'','^LOPE AVEaAGE "U" G01,171TATIOq.,
x, .?.1%e,+ :
? ? " ? ?-? r ????- ?- _, °?' '? ??'?•??:,:. ?.
, .
SITE ADORESS 3 7 6 /-? ?e4 CO v r ?
COti1RACTOR emc?,rcss ti'ry DATE E _ PNOHE
,. ?.. .
?,,,Oetermine working square footage of each. .
.
1. Total exposed wall area ...... Z,-oA- _ sq. f t - x
?
2. Total roof/cei 1 ing area ...... iS-10 sq. ft. x., OZ?v a .
•Tota] exposed wall area above f1oor a
a. Total wall window area ........................... 2 7,3
b. Total door area ..... ................•........... .?,
t. Total sliding glass door?area ................... Q•
d. Tatal fireplace wall area..............:........ o .
• e. Total wall framing area (avera.ge 10?}............ 1'7 O .
f. Total net wal l area above floor ......... ......:. Z 'oo
g. Tota] rim joist area ............................ 19 2'
. ?' .
Total,exposed foundation area s ?0 Q- .
h. Total foundation window-area...........:.......... o
1. Toal net foundation area above grade ......?.::..• ?? l04-• .
. . . , .
petermine'"U" value of each wall segment.
8 , '
X ?? ll
U
,,. •?? _
`7 7 . t la
t1• C?''
S?
X.
nUu • . .
• w$ a
•
, Q4-
C. ?
d3 .. 'x NuM
. d. o x "up o a _ ?.
@. 17C) X «Ull r QQ 2. ¢ __L15.
.
X
lout$ ?,.
' x „ull , 04.. 1
.
•
h ? r y
? Nu1/ ? O = O .
f• ? O? X 11u11
...........................
3.
....
....
.
otal °
`10.
If itcm 13 is the same as,or les s t1? an item #1, you have met- the intent
of SaC 6006(c)2.
1_ .
? . , -•? ? -.
. ?...r ,.,+'
: Total..exposed roof/ceil ing area a 178.0
.
J. ?otal skyllqht area.....:....................:.. ? .
k. Total roofJceiling framing arca (average lOX).., l? g
' 7. Total net.insulated roof/ceiling area...•........ tLjC22.
Oetermine `U" value for each roof/ceiling segment. .
. ? ? xNu,, a a n
.
k•_._._ ? 1$ x ' NU" .? . o 4-- ( 2
1•?_?_'YlC.' ? X uU 11
4 ..................................Total
If total of 14 9s the same as, or less than :2, you have met the intent of
S[tC .GOQu (c )1. •
' Alternate Building Envelope Design
7o utilize the total envelope system method, the values established by the'
. sum of items #3 and #4 shal.l not be qreater than the surn of items A1 and 12.
" i. + 2.
3.' + 4. . ?. .
t
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REMPT # /oWo--
CTI'Y OF EAGAAT
UNDERGROUND SPRDVxLER SYS1'F.lM PERMIT
I993
Date: t ?' C
Commercial project
? Residential project
Fxisting residence
Area/address to be sprinklered:
Installer:
Street address: OGr" /Qc4/4? ? -- - -
,
GYty, state & zip:
Telephone #• scQ
4wner name: h6u 10?r???
^
Street address: SiA
...:,City, state & zip:
Fhone #: SW6
Irrigation contractor, if different:
Phone #: I(&
I hereby acknowledge that I have read this application and state that the infarmtion is =Tect and agree
to comply with all applicable City of Eagan ordinances. .
?-?-?- 7 Z 0
/v/e
atute o zrmi ee
New service required /? 0_
?
Fee due: $ 15 Calculated
CrtY CI?F RAGAN
iTATDERGROUNTi M'RIIMa" SYSM PROCRDURE
' 19f:;
2. Plans must be submitted tv e
C?r'a en??? ?rtt ?r apprrc'
?l bdci?
installing a lavm ?pri?kler ? ? If d&g in tht bvulvwd, a r*M-d'wq Penuit
may be requfred. .
2. QnGe plan is appraved, it`rM be pmmnted to tlw CWs Pkmbbg bspecW fot shing
of tfie meter.
3. Jeriy Wobschall, Finanae Dewbnent, wil cwcwate ge?t few as foUows:
a. Commercial ?.: S 25.50
p??b?.pwer?t.
$ 50.50 v?aftr pemoft fee l?:?s,;??}
$10Q00 per tsp K ???+legse consvk wlth
dep*ftneig; . IZ111101ft ' fieait'biIity of fky
° Insuatioir ?Cfty*W 0* bub11 taps up to 10?
b. Residential
=jW: S 1S.300kin"g
? 50.50 water pra7mit fee : y ?- '.,?.im..?.??-
$65.i10 p+e cmec? - WAC
$?" .oQ plant
c. Existing.rosidenc&: $15.',?U phmbing perqit -(ro 're i quirad if badfflm
. Pc"utor prevk'ualy kwtaad) howcver plan must.Vill, bia
presented for spprmal wtd sn appkation must be OW
flDt. 4. Qnce me?r size ns ' clerl€typist wri? ??iiity
billing clerk for cast snd, d?i?* ?tallcr 'of a?asspdatead vvIth Pro3ecL If ww
service ir??a m not --d, one dmk mW ba wniftn `ftc weter aW pMuk twts.
No meter wtll be soW bdbn - sll sewer and watw hugec"$ an cmplele o&.? am
service-(engineering,deparnumt will adwise uft b• ?en m???an be
? . +r.k?k??C +a
sola). R?ipt wffl te coded to 2o-3716 ??? ?? onlyj wfth pink copy
farwarded to utility billft dak
5. The installer is to contact huilding4nspectim divis3oA at CA1-4675 for inspecticMof
the. inside water line andbukBow p?tmtor. The poW wwb departnua# may be .
reached at f 8I-43Q0 fatwatir tait4m and sa and seg €f mtter. topeatiw houn are
8:30 AM to 3:30 PM, bianday through Pridsy. R,equca,ts for AM iispecrii? shoyld
be made on the ?wmk day, Requesu for PM uspections,will 1e accepted
until 12:00 noofl that day.
CITY OF EAGAN Page 1 of 5
' PERMIT
TO WORR iTITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS
1. T.ocation 3700 ?04? ! ?a K 2 RGACKF1A_w_K !?me
2. Nature of Work G`?'Uvi2.
3. Indicate below items to be affected and include a sketch or plan of work to be done.
Curb & Gutter Street Surface
Trail/Sidewalk Trees:
Pond/Wetlands Public
Traffic Control Devices/Signs Private
Drainage Utilities
Structures/Buildings
Other
4. Method of Installation or Construction ?J4
5. Work to start on or after: 2-3/ and shall be completed by: o";' 31 unless an
extension granted to: by:
DATE STAFF/DATE
6. Will detouring of traffic be necessary? ?V . If necessary to detour traffic,
describe suggested route:
DETOURS: The Director of Public Works shall be notified in writing at least 72
hours in advance of any detour being established, changed or discontinued.
uS: - ? 7s"3
NAME OF APPLICANT PHONE "
PLEASE PRINT
ADDRESS *,ReliN/Y'i.C?: GK c;r- -II/ o!/ 5 ,S4
STREET CITY STATE ZIP
NAME OF PARTY OR ORGANIZATION PERFORMING WORK
CONTACT PERSON : yG eve_ Z EMER.GENCY (24 HR. ) PHONE ' :?SU'--
ADDRESS :2;31q M.c/ DAY PHONE loonE
STREET CITY STATE ZIP
The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan
as herein contained and agree to fully comply therewith to the satisfaction of the City of
Eagan. ?
ft-& Z DATE: P" 3j' ? 3
Signed: ? Title: 42-4V f
--------------- ------------------------------------------------------------------------------
FOR CITY USE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT:
Fee: $ Nane Receipt No. 14 IA
TYPE:
(Cash,bond,IAC,etc.)
Permit No.
In consideration of agreement to comply in all respects with the regulations of the City of
Eagan covering such operations, and pursuant to authorization duly given by said City of
Eagan; permission is hereby granted for the wortc to be done as described in the above
application, said work to be done in accordance with special provisions as hereby stated:
APPROVED BY: DEPT. OF PUBLIC W4RKS
v- /DATE
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO SE COMPLIED
WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER.
Permit No. Page 2 of 5•?
PERTINENT REGULATIONS
Safety
1. Traffic shall ba allowed to pass and to be protected at all times. If it is not
possible to allow traffic to pass, a suitable detour must be provided and plans
submitted to the Director of Publfc Works 72 hours in advance.
2. Barricades shall be erected in a marnler which will provide suitable visibility in all
directions. All barricades shall be in good condition, and all signs shall be of such
size and legibility to provide adequate warning to oncoming traffic. At least two 7"
flashing amber lights shall be mounted on each end barricade with one on an advance
warning sign.
3. Excavations must be shored or sheeted when necessary to prevent under-mining of
roadway, trailways, utilities, or for safety reasons.
4. Guys or stays shall not be attached to trees on right-of-way or private property
without written permission.
5. Flagmen shall be furnished by the party or organization performing the work whenever
the work being done creates a hazard either to the traffic using said road or the
personnel engaged in the construction, or when directed to do so by the City.
OPERATIONS
1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in
progress in the custody of the individual in charge, and shall be exhibited upon
request made by any City official.
2. Provisions and Specifications--These general provisions, specifications and Std. Plate
P-1 shall be considered as forming an integral part of each and every permit issued for
operations within Eagan. The work suthorized by this permit shall be done at such time
and in such manner as shall be consistent with the safety of the public and shall
conform to all requirements and standards of the City. If at any time it shall be
found by the City that the work is not being or has not been properly performed, the
permittee, upon being notified by the City, shall immediately take the necessary steps,
at his own expense, to place the work in condition to conform to said requirernents or
standards.
3. Execution--The permittee shall use diligence in the execution of the work authorized
under this permit in order not to endanger or unnecessarily obstruct travel along any
road or trailway. Operations shall be so conducted at all times as to permit safe and
reasonable free travel over the roads and trailways within the limits of the work
herein prescribed. All safety measures for the free movement of traffic shall be
provided by the permittee at his own cost.
4. Conformity to Laws--The installation shall be made in conformity with all applicable
laws, regulations and codes covering said installations. All installations shall be
made in conformity with regulations of governmental agencies for the protection of the
public.
a. The applicant shall furnish a bond or financial guarantee in the amount to be
determined by the City which is required to ensure adequate & timely completion
of repair. This bond or financial guarantee shall remain in effect for 2 years
subsequent to completion of street repair to protect the City from defects in
material, worlmanship or non-compliance with City Standards or specifications.
?
• Permit No. Page 3 of 5
b. The applicant shall furnish evidence of public liability insurance of not less
than $100,000/300,000 and property damage of not less than $25,000 issued by an
insurance company suthorized to do business in the State of Minnesota on which
the City is named as an additional insured party.
c. Except for the negligent acts of the City, its agents and its employees, the
permittee shall assume all liability for, and save the City, its agents and its
employees, harmless and defend same at its aole cost and expense from any and all
claims for damages, actions or causes of action arising out of the work to be
done herein and the continuing uses by the permittee, including but not limited
to the placing, constructing, and reconstructing, maintaining, protecting and use
of said facility under this application and permit for construction.
5. Existing Facilities--The utility facility and installations shall not interfere with
any existing utility facility on the City's right-of-way or easernents. It is the
responsibility of the applicant to call for necessary locations of existing utilities.
(Gopher One 454-0002)
6. Private Property--The work permit or permit for construction as issued does not in any
way imply an easement on private property.
7. Quality of Work--Finished surface, base and sub-base of road or trailway upon
completion of work shall be at least equal to or better than specifications of
originally provided road or trailway in accordance with City Standard Specifications.
5urface shall be finished within 48 hours t1DOll comuletion of backfill.
8. Cutting Trees--The permission herein granted does not confer upon the permittee the
right to cut, remove or destroy trees or shrubbery within the legal limits of the
right-of-way, easements that are not specifically identified on the plan attached to
this permit or relieve permittee from obtaining any consent otherwise required from the
owner of the property adjacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted
within right-of-way or easements and will he approved on a case by case basis.
11. Driving Limitations.
a. Driving or parking on City trails or sidewalks shall only be permitted for those
operations requiring direct access to the boulevard area.
b. Vehicles operating ar parked within the right-of-way area shall utilize their
warning flashers at all times.
c. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles
per hour. Vehicles shall operate at slower speeds when weather conditions, trail
conditions, poor visibility, obstructed sightlines or other conditions require
special precautions to ensure the safety of trail users and the general public.
d. Driving shall not be permitted within those boulevard areas where damage to turf
trailways or other infrastructure may occur.
e. Vehicles shall not be parked on trails or sidewalks in such a manner as to
unnecessarily impede the safe and efficient use of trailways by the general
public.
Permit No. Page 4 of 5
12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded
or chained tires, caterpillar traction, or any other form of traction which will result
in damage to the surface.
13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end
of each work day and swept clean after construction is completed and left in a neat and
presentable condition.
14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to
control or destroy trees, brush and other vegetatian is prohibited without prior
approval from the City.
15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and
maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT
REGULATIONS as stated above and relevant City Ordinances.
DATE : ?_ ? 1` Cf '`? S IGNED :
,•
Revised 5/93
LTS#1-PERMIT.FM
PAGE50F5
PROPERTY LINE
i
i
i
?
TRA{L.WAY
SAME AS REIAOVED
(3" MINWUM)
SAME AS FWMOVED
(6" MIN1MtJM)
1. Curb and Gutter shall be removed only after saw cutting at joints and replaced
according to specifications or Standard Plate.
2, Bitiuninous pavement area removed shall be saw cut prior to patching.
3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod.
4. 2341 bituminous wear course shall be paved between May lst and November 15th for
permanent patch. Temporary cold mix patch should be used November 16th to April 20th
(or as permitted by weather).
5. Class 5, 100% crushed aggregate base.
6. Roadway closures in accordance with Appendix B- Traffic Control for street or highway
work zones - MnDOT/MUTCD.
7. Bituminous trailway closure requirements same as roadway in #6 above.
8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction.
All suitable backfill material placed below a depth of five (5) feet below the final
pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18)
inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698-
64T (Standard Proctor Density), method "A". All suitable backfill material placed
within five (5) feet below the final pavement surface shall be placed in lif of
exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent
the above ASTM Specification.
standard
c ity of eagan STREET AND BITUMINOUS TRRII.WAY approved : plate
P U B L I C EXCAVA710N/P1?TCH DETAIL
5/93
UP WORKS
? N
ARTMEN TRAFFIC CONTROL REQUIREMENTS P-1
DE PN
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(r?o-+o2s) • .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117767
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 3700 Blackhawk Lake Ct
Lot:16 Block: 2 Addition: Blackhawk Ridge
PID:10-14400-02-160
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 .
Natalie Velez
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 -
Patrick J Boyle
3700 Blackhawk Lake Ct
Eagan MN 55122
Great Northern Builders
9419 Buckley Ct
Inver Grove Heights MN 55077
(651) 436-5672
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122398
Date Issued:05/07/2014
Permit Category:ePermit
Site Address: 3700 Blackhawk Lake Ct
Lot:16 Block: 2 Addition: Blackhawk Ridge
PID:10-14400-02-160
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Patrick J Boyle
3700 Blackhawk Lake Ct
Eagan MN 55122
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140742
Date Issued:01/18/2017
Permit Category:ePermit
Site Address: 3700 Blackhawk Lake Ct
Lot:16 Block: 2 Addition: Blackhawk Ridge
PID:10-14400-02-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Patrick J Boyle
3700 Blackhawk Lake Ct
Eagan MN 55122
Dana Hoagland Plumbing Inc
410 Regency Lane West
Hopkins MN 55343
(952) 935-5150
Applicant/Permitee: Signature Issued By: Signature