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3703 Blackhawk Lake Ct? INSPECT'ION REC?? -Cl'FY OF EAGAN PERNlIT T1PPE: E?i? t? r? t ME; 3ET30 Vilot Itnob Road Permit Number: 0 ?"S 0 3 Q Eagan, Minnesota 55123 . Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ; l0.; i:i rst t:1iAt-tt; I AK t f. r ????rrtft?N AtARK {i! Ai h:P1AWJ,. ?;t p N f{?!1 t t, i;.' f 4 +0. c:,fiq:! PERMIT $UBTYPE: TYPE OF WORK: ' At I ??ATV,a . ? ' ?; t;-; r. ?, r N y k it t? t?i t?[? ?t ?? rl M) , _. IlA!l1:Nri i?t?lt?ik? fi4f 1't.f3t; E??N th? li?ii F.t9vAt f'F'IqJit?K`-,, A "-!"}IAf<A111i'i f?Mi l T`, itf.Vlllt?t-[s Fiil? rlHV i 1 f- i'I 1:?C A1 Wt.i1=K ? r.r?e?.. ' , - t?4r,?Is ow. ?e?en.? wa? ?ttUIANO ? - . . . FOONW I . ? ? .? PWINS ?. j .- ? ?Fft Rough Wo 44( IwA. 116 ! *1100 Fnsl ft - Ortft'fot Rrel Plbg. Plbp. lrapecw - NoWy PM+mDor Gonst Meter EngrJPlan Bk1p. Finai DeCk Plg. Oedc Final Weli Pr. Qiap. ` EITY OF EAGAN 3830 Pilot Kncab Road Eaagan, Minnesota 55123 ` ' (812) 681,4675 ?pu ADDRESS: `or r Ie BLocK; 2 3703 NLAcKUMnt t?AKa CT , d1.AGKHAWK GLEN 3RD i PEMT tS?TYPE: ? EMlSU C. A 1' i DM ? f INAi? ? '; r d F ; . ? itl?lNlltlf 5 t RtCElM?T * a?irN N4.9R, PLes« • ' ? ? ?t"I•_ W y ? . . .. . . . . a?'e?S_k-?' .... . ._.. . , _?_a UNSPECTI01 PermlR No. Pandt tb1AW Dafto 5JV1! . • ? ??v? ?? ? -_ _ . . .?- . - . . . . ! Vo""" Diu VAP, ? J- f F&&Ajftn , & Pago ft I . ( . . ? ' . . " ... . .. .. .. . ' , . . ' _ , . . . ' Orm TM . . . ? ?? ? Rnol Pff* mg. wpssOOr-mYy P1ar*aer CaMt. MeUx EnprJPan , BM& FinW % Oeck P08. Dedt Firtel Well P[. Diap. ?s?.?&W/- ?&/ I ?.? ? (gtr#ifrra#t af (Orrupanry Citp of Cagan lor}wdmrtt2 of adbiag inwrtian Thir Cenr=te rssueod pursuant to !he requirements of Section 306 of 1he Unfform Building Cade cerajying that at the time of issuance this structure mas iri conrpliance with !he Karious ordinances of 1he City neguladng building conshuction or use For the following. vae cl69iswrioo SF ?-R 04ftmit No. 687 O=Uwas lYa -R3/M 1 Zoing DWkt R 1 .iya r„st VN o.., oc anaaj.6 APM2901+T JCJNST. IIV?' . A4d. 4209 MM DR. WOODBql7Y 3703 BLACtZHAWR LAKE ?'?'JURL 18, B2, ffi.AaQiAWC GM 3RD 8/95/??2 enw?a oe?.i i POST IN A CONSPICUOl1S PIACE Address: 3703 SI.A'„[q-lAWIZ LAIiE rT Lot 18 Blk 2 sec/SubgArKRAW q,EN 3RD These items were/were not complete at the time of the final inapection. Date: AU(?JST 25, 1992 Yes No _ Final grade (6" from siding) ? Permanent steps - garage Permanent steps - main entry ? Permanent driveway ? Permanent gas ? Sod/seeded grass ? Trail/curb damage Porch Basement finish 1? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ? RECMCIEDG?MN White - City copy Yellow - Resident copy Pink.- Contractor copy t 1 %. . HOUSE HEA71NG TEST RECORD AOdRE55 -??02" ? e- APT. FLOOR G1jY SU6URB? OCCUPANT IWI>04 ? 'YL02- OwNER ? ?L'X-?+'`? i?t-?'?2 HEAT LOSS DATE FITG. INST. X- Z'C Z- SOLD BY fNSTALLED BY Et.etricot werk By Gas Line 8p 7YPE OF HEAT CA FA _k,HMI STEAM SPACE MTR. UN1T HTR. OTHER GAS DESIGN CONVERSION MAKE AW A"*"'j A_ MAKE OF BURNER Med.l &U C. Q9_b C-35 C:._. ... , hAodel Swiol "1 Z--e34 7-7 5'4 2_3 Mex. BTU Ratiny INPUT 4C...o ec 0 AU1KE OF FURNACE Modal CONTROLS THERMOSTAT Ni: r•. ' PI.S ; (o Valvo Lin?it ? T??-?-- Limit SoMiny +?0 Fon SMinq `rl?"'i e'D Pilot Type Pilot Meke n,, ua,d.i 50 A- Sd - 2c b Pilot Timinq My 5 7- L.W. Cur Off AI)A Pnssun? ? S Percent C02 G Input CFH Po?cent OZ -7 Staek Temp. PweMt CO Yro 'n4Af ' Vent Size KIND OF LINER SIZE NONE Oraft Heed 4/ / A" Rpulewr - 3 11er47t l JV?dI? Fi ItKS Sis. 1E' ?z-:5T</ NvmbK of-r E- O?imnnr Loeetien Inside X64?Nsido aimn.,, con:m,ctfon Spillage &1?1 swook. eomb 14, wi.in9 Orvft l?o,.eTest Toq Dow Pr.asure A?1Ot Liqhtinq Insl. UE? Gate Tostod g Cornpenr Testinq N S i Nome ef Testw ,+m 14 Certificate of Compentency_ # b .( N ir i 953 ?C>z,eb-' 7 °v [? gaa Re uest ate ? Fire No. Roug -In Inspection Required ready) wh (You 1 inspector In^spectlon Other Than Rough-In Now ?Wilt Nofify Inspector Reacty ??t n No Yes Id LJ D Read I? licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Streat, Box or Route No.) 70 3 Nq ' LJk- C.. ?. - City ? Ct' h Section No. Township Name or No. Range No. Gounty " Occupant(PRIT') ? ? Phone No. ?? '7 ca T 7 r? Gl.?l? Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Mailing Adtlress (Co tracto! or Owner Making I stallation) 5 7Q 3 z 'Z Lk r? M 5? a?` ? . 1 _ ' . t Authonze SignaWr (Contrac Owner king Instailatlon) ? ? ?-'?,??? Phone Numher *5_2_--6S¢3 1CITY I m S B 89 v I?III I?II 'I ??II ?III ?IIII ?II? IIIII ?IIII III IIII E O p I T Stp MN 5104 Ph e? B121 642 e00 u N UNLESS PDROPR INSPECTION FEE CLO RECIUEST FOR ELECTRICAL INSPECTION zk EB-00001-09 See Insiructions for completing this fortn on back of yellow copy. . 100- n ? :1? //i?Q,S - ? Below Work Covered by This Request ?'`??_?,,... ' Ne Add 14ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specif ) Farm Air Conditioner Other (specify) CoMradors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Aboae 100 Amps Si nS mspectors Use Onry: TOTAL Irrigation Booms I ,50 S ecial Inspection Alarm/Communication TH15 INSTALLATIQN MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. .. ? I, the Electrical Inspector, hereby if h h ao,qn-in ` T cert y t at t e above inspection has been made. Finai -- ?-',, J ?'= ?" e• i OFFICE USE ONLY ;',_5h,}, Sek(_, V-0 G? This request void 18 months from S,.. \n ? A i(`O Ci 1r1r\ Sy"I C C2f,- 1 1114 (?8 6 ?.?? ? ao 0 ?,? g. ? Request Date FireNo. Rough•in Inspection Required? ? Ready Now ? Will Notity Inspector When Read ? Z_? Ves O No y I)f licensed contractor CJ owner hereby request ins ection of above electrical work at: JobAddress (Sneet. Box or Route No.) YIIL. 317 03 B?.c„? a.(,j ? C t- City i Section No. Township Name or No. Range No. County • 4- Occupant(PRINT) Phone No. I Power Suppher Address ? Z Electncai Contractor (Company Name) Contrador's License No. ?ST%?? Cl"TO' MO Mading Adtlress ICOntractor or Owner Mak,ng Installatwn) ? S4- Authonzetl Sign Cont?ac e? Mak?n allation? L Sv 14 ?s? ', ?03 PNumber `'54? MINNES?bTAISTATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ?/r REQUEST FOR ELECTRICAL INSPECTION \ Caa in -ntinne /n. lhie 4nrm nn hor4 nl ?nlinw rnnv ?? EB-00007-08 ??/., . . /c ,-I J40 -- 8 --- ? 7fi - ?W T "X" Below Work Covered by This Request - ew ..dd r ? Rep. . TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner ? Other (specdy) Contractort Remarks: Compute lnspection Fee Be/ow: # Other ? Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers? Above 200 Amps Above 00 Amps Signs ? Inspectw§ Use Only: T TAL Irrigation Booms ? Special Inspection L Alarm/Communication CONNECTED THIS INSTALLATION MAY BE ORDE IF NOT Other Fee , COMPLETED WITHIN 18 MO i, the Electrical Inspector, hereby if Rough-in 01 Date cert y that the above inspection has been made. Final uate OFFICE USE JNLY J,???"? r This request void 78 months from 1= ? (. ?i RESIDENTIAL BUILDING PERMIT APPLICATION cirv oF EacaN 3830 PILOT KNOB RD - 55122 Z ?o ce??4.ea7a _ f_ ?Z 0 ? j N4w Conswctioe ReauiremeMs RertadeYReoalr Reauirements S . 3 registersd site sunreys Wwwing sq. R of bt, sq. ft. oi house; and ?II roofed areas • 2 copies oi plan _- (20% maxanum lot coverage allowed) • 1 set of E?wgy CalWaM for Ieated addibone . 2 copies of plan showing bearn & window size.a; powed fowxl design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calctdatioris . Indicate if lame served by septlc system for additions • 3 copies of Tree Presenration Plan if lot plalted after 711l93 • Rfm Joist Delas Options selec;tion sheet (bldgs wdh 3 or less unikg) ? 1- DATE=4b,"' zz? 2-?"-::7? vaLuAnoN? ?LA ,8 so JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWPIER???-?`' s NeVS.-"T,, TYPE OF WORK FIREPLACE(S) ? 0_ 1_ 2 APPUCANT PHONE# ADDRESS A-4 40 4-Zt'? ??i v:- N V0 DP CODE PAGER # ` AU CELL PHONE # 6 Iz •ZZl C\54 ? FAX # -16M. 533 ,76d15 mw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted NIINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Conhactor: v\t, Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor.?PrE M Mechanical System Includes: x Air Conditioning _ Heat Rei;overy System Sewer/Water Contractor. _ Fee: $90.00 Phane # `?63 •? Z •11? 6 Fee: $74.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga Ord' nces. Signature of Applicont Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updated 2002 OFFICE USE ONLY 13 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex O 04 02-plex 13 05 03-plex ? 06 04-plex 0 07 05-plex O 13 16-plex 13 08 afi-plex ? 16 Firepiace ? 09 07-plex ? 17 Garage 0 10 08-plex 0 18 Oeck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg Y or _ N O 20 Pool ? 21 Porch (3-sea.) ?11_ 22 Porch/Addn. (4sea.) ? 23 Poroh (scxeened) ? 24 Stortn Damage ? 25 Miscellaneous ? 30 Accessory Bldg 0 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Muiti ? 31 New ? 35 IM Improvement ? 38 Demolish (interior) ? 44 Siding A 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration 0 37 Demolish (Bldg)` ? 43 Reroof ? 46 VYndows/Doors ? 34 Replacement "Demolition (Endre Bidg only) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered -?-- Type of Const ? wdth REQUIRED INSPECTIONS _ Footings (new bidg) FinaUC.O. _ Footings deck ,,?_ l? ? ? FinaUNo C.O. _ ootmgs (addirion) (t lj Plumbing n HVAC Drain Tile Roof Ice 8c Water Final Other ? Framing _ pool _ Ftgs _ Air/Gas Tests Final Fireplace _ R.I. _ Air Test Final _ Siding Stucco Stone ? Insulation _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge I'1"?UI`J•?- r Plan Review MC/ES SAC City SAC ? r Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RVCT pet-ft„ ftnd fax MWrnitW memo 70 Fft,a•o•+ ? Fpr: DalwRndersan ConstruCtion .dr.fl- r"-62 euO . ?. _ Lct 1$, 81-ock 2, eLA 3RD RppITIOH, Qakota Minrresota. ? . ld? r . ?•"?• ? - ?, -7,??? ? BLEN ' .?? 3• C ????,.... '.. yalrA. _.-- ,? 4e ?: •%?, ? 1 ? ?• ' 1 ,? / ,? ` f ?? •'; , : ? '?•`` .,k ??? `,3/ ? • '. . ? ! • . . . ? . ' ? ` ` . , iw i fto {? r If 1- f . . . ?M: ?i 'a ? !y : :; ? : h: r` * • ; . ZI?# ? ???,.,.....?,.. .._.?...... +.?,..?-... ,...-r. ?? \ . . .,t • _... ? s?? ??? s.. ? ? ??... : J ? u!,'l:? 6:,»e Ee?srm.e.rt ? fsi .,.y I ± ?i t°?•?,e,??? `•.,?r.? a+?. ' r.? • . ??!•s?irs•??v ` - ; ?d Proposed Elevations __---------------- Y ? .01 Top of Block = 844-9 ?`'• ' ? ? / ?? ? 56 ? i : 843.8 Y Gnrage Flaor k.GMr@St Floor = 834./ IZ eo&rsc ti4 ••,? "?, ? i / N.0? )44, o Denotes Nood hub at 41 foot offset. ! ?}31 A4AT 0) Denotes propvsed elevatfon. ? --t Denates dSreCtian of draXnaqe. / ?----?l??''- - ---- __..-- - - ? D; 42.L9x84- fi9z • ! ' s :? .. ? -: .- . _ _ . . i rAI.E? 1 JV Feet opeotes itvn Beorinqs shown cre assumed. Job Nc.? pq. -? Ih bwvby N?flfy fAet t11is ho M1N Ovw iOrfstl rsptesetttotlvi? Of a itiryy 4f TBo F.G. flUD C[ SVIh?? INC. eftawi" of fn. obow e..atb.a raMt WW at rn. rooation et Qli avaeirqs, if o,,?, thnmn, ona ou :Wel. *naooafiaMnft, it wq, rran or oa we tand. LAIVDSURVEYM o?.e ,a?? ? a? ar.?,,. ?. E. Q. Rut7 ?i soM . IHC.. 918O,dWoon awne K r.tmls Ph»r. Mtnnaoar mft F?? c z?.. o s.. by..?__ c? - ? ?.:-r?c-?-? s ?-?? ?:--r??, '?<x?-? ?? r -z?a,?, +?t? )k ?. ? ? 's+? ?'s + t? e ?,. ? C!" ? f 6125332668 O1/25/t? FRI 16:18 FAX 6125332668 SAWHORSE . . , ? 001 1O EXTERIOR EIdVELOP$ AVERAGE "U " COMPU'Z'ATION by cas SAWHORSE CONSTRL7CTI ON 4740-42nd Ave No p. ? ? ? ?t4bbinsdale, ?In 554 22 ? ? 533-0352 owner: Bjqrn and Christin Carlsoh Phane: Address: 3703 B1ack Lake court Date: 1/25/02 UETERMI33E WORKING SQUARE FOO TAG E OF EACH: 1 TdTAL EXPOSED WALL AREA.._. 360.00 sq ft x "U" 0.11 = 39_60 2 TOTAL ROOF/FLObR Ag2EA..., 384.00 sq ft x "U" 0.026 = 9.98 3 TOTAL EXpdSED WALY. ARF,A GALCUI,A?'YONS: Tota1 exppsed wa11. ' area above block lxne 360.00 sq ft a) Total wa21 wxndow area: RelocatedinsuZ _ gl 60.00 sq ft x "vll 0.310 = 18.60 gzaaed._. 0.00 sq ft x 'lU't 0.000 = 0.00 b} Total door 0.00 sq ft x "U" 0.150 =- 0.00 c) Total sliding glass doar area: glated... 20.00 sg ft x "U'l 0.310 = 6.20 gl.azed... sq ft x "U" 0,00 d) Total fireplace walZ. 0.00 sq ft x "U" 0.000 = 0.00 e ) Total tva11 framing area (average 10%). 28.00 sq ft x "ult 0.075 = 2.13 f) Total net wall area above floor (ins 252.00 sq ft x "Ur' 0.037 = 9,32 g) Tota1 rim joist area. 32.00 sq ft x "Ull 0.022 = 0.70 Total foundation area (exposed)._.,. 0.00 sq ft h) Total faundation window area........ • sq ft x "Ul' W 0.04 i} Tatal net faundati.on azea arjbVE grade._. 0.00 sq ft x "U" 0.105 = 0.00 #3 TOTAL a) thru i) = 36_96 01/25/02 FRI 16:18 FAX 6125332668 SAWHORSE 4002 , ift- . #3 TOTAL a} thru i) 4 36.96 Tf item #3 is the same as, or less than item #1• You haVe met the intent vf 2 MCAR 1.15008 A and o. 4 TOTAL EXPOSED ROOF/CEILING CALCULATXpNS: Tatal exposed - roof/ceiling area.__ 384.00 sq ft j} Total skylight area.. 0_OO sq ft x t'U" 0.310 = 0.04 k) Total roof/ceiling framing area (average la%) . 38.40 sq ft x•'U" 0.026 W 1.00 1) TOt31 nat 2,TlSu13ted roof/ceiling area.. 345.60 sq ft x"U" 0.022 = 7.60 #4 TOTAL j) tl'lz'u 1) = 8.60 If total of #4 is the same as, or less than #2, yQU have met the intent Qf 2 MCAR 1.16008 A and O ALTER.*dATE HUILDING ENVEI,OPE DESIGN To utilize the total envelope SyStemmethOd, the valuss establ.ish by the sum ot iteins #3 and #4 shall not be greater than the sum o items #1 and #2_ Allowed #1. 39.60 + #2. 9.98 = 49.58 #3. 36.96 + #$. 8.60 = 45.56 4.03 C E R TI F I C A 7' 1 O N I hereby certify that I have calculated the "U" factars and "R values herein and that the building here desCribed meets or exceeds the State of Minnesota Energy eonservation ACt. (Signature) yAgVAG ? ? ? L.? IrcmiTY OF tAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Contral No. C547 PERMIT TYPE: BUILDING Permit Number: 0006$7 Date Issued: A 6/ 01 / 9 2 SITE ADDRESS: 3788 BLAGKHAWK LAKE CT LOT: 18 BLOCK: 2 BLACKHAWK GLEN 3RD DESCRIPTION: 8uilding Permit Type Buiiding Work Type UBC OGGUpaRCy Cvnstruction Type Zoning Bui.lding Length Building Width SF DWO NEW R-3 M-1 V- IV R-1 52 43 REMARKS: RECEIPT # CC? t? S&W PLBR. - NEU PL86. PRV FEE SUMMARY: VALUA7IUN Base Fee Plan Review Surcharge SAC SAC % SAG Units Lic. Search Fee Subtotal ;7'65.00 $498.75 $66.59 $7O@.B0 10e 1 56.88 $2,917.25 =is3.4ve MISCELLANEOUS $1,619.50 CQPIES $1.00 Total Fee $3,628.75 CONTRACTOR: - Applicant -- ST. l.I OVI/NER: ANDERSON CONST INC OALE G 14591353 000261 DALE G ANDERSON COMST INC 4709 SALEM OR 4209 SALEM DR WOODBURY MN 55125 WOOqBURY MN 56125 (612) 459-1353 (612)469-1363 I hereby aaknowledge tMat I Mmve read this app].ication ancl state that the information is correct and agrea to comply with al.l sppliaable Stx?te of Mn. Statutes and City of Eagan Ordinances. ? ? ???x - 4, APPLICANTlPERMITEE 51GNATURE 15SUED B. IGNATURE low. , tti CITY OF EAGAN 1992 BUILDING PERMtT APPLICATION 681-4675 liAY 2 ` R[cf SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. CUMMERCIAL 2 sets of architectural_& structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date _') / 2_i - /Valuation of work Site Address: 18-103 Bt.'Ar??V_- t-?L C-T - STREET STE / Tenant Name: (commercial only) l0T BLOCK r. SIJBD' P.1.(/. # _-_ Descri tion of work: 1c ??lNfaL.? ????" The applicant is: O Owner ?-Contractor ? Other ccseribe> Name _ Phone prpperty u,sT F1RST Owner Address - STREET STE # City State ZiP Company ORLF- ? 4109A21_,&r---) (!o0f,-T• Phone4GI"1353 Contractor v1L °2-41ca Address '?`??`? ?c-F.?ryn License ??;??? ?} Ci ty W gc5M.a State Zi p? i? Company Phone Architect/ Name Regi stration ? Engineer Address City State ZiP Sewer 8 water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is f correct and agree to comply with all applicable State of Minnesota Statutes and City o . Eagan Ordinances. k ? C?? ?? z._ Si9nature of APplicant: . CFFICE USE ONLY _ BUILDING PERMIT TYPE D OI Foundation O 05 Apt. 81dg O 09 Basement Finish e02 SF Dwg. Q 06 Garage/Accessory E3 10 Swim Pool 0 03 Two family D 07 Fireplace ? 11 Res. Add. D 04 Multi-fam. T.H. ? 08 Deck 0 12 Res. Porch WORK TYPE Ef 31 New D 33 alterations ? 35 Move O 32 Addition ? 34 Tenant Finish O 36 Oemolish GENERAL INFORMATION ,. . „ ?- ? ` I ?? 13 Comn/ind 4 w ? - [3 14 Comm/Ind Add D 15 Conm/Ind Rero D 16 Public Fac. O 17 Agricultural Const. Actual) ? V-/?1 Basement sq. ft. MWCC System r? owable) (Al ? lst F1. sq. ft. City Water `(e-:s tiBC Occupancy R_3 M-I 2nd F1. sq. ft. PRY Required Zoning T?-i Sq. Ft. total 6ooster Pump # of Stories Footprint Sq. ft. ' Fire Sprinkler Lenqth ? On-site well Census Code 777 Oepth On-site sewage SAC Code ? APPROVALS Planning Building L)LL-L91 Assessments Engineering Variance REQUIRED INSPECTIONS D Site ? Footing O Framing Q Insulation ? Wallboard ? Final O Draintile ? Fireplace Permi t Fee `? S.S 0 0 SurchMrge ,So Plan Review yq?,?1$ Licpnse MWCC SAC 100,00 C i ty SAC ? no,C)a Water Conn. ?1751 a0 Water Meter 95,00 Acct. Deposit 30,.00 S/W Permi t 30,00 S/W Surcharge , ??-?n Treatment Pl. Road Unit 90 ? Park Ded. Trails Ded. Cop i es - 1,00 Other Total: SAC % loo SaC Units I_ no v.tust;on: : Cgf\P_A6E; ayxa 4= sr? 6 x i? =- 92) 4, ,13 5 m T? ,.s--- 12 Z • a3 x3?: s5t). I 1?r S? CS s, )05 sT Fi.oaf?_ 2>srnT -= 9 89 ?i ou'L ?19 7 yx???= 32 10 5'z31! ? 13 ? ;41AY-26-1992 69:01 FROfM E.G. RLM) & SOyS TO 6814612 P.01 f` C?RTIFKATE Of ???Y .a??+ ? I Pbgl:n° brar+d rax trar,gn,ittal memo 70 For: Dale Andersan CortstruCtion ?a- .?'w'n Ae? ? co' r?ce. a,°?_7r?? ~ • ?n r r- . . . F?I .. ..... \ Lot 18, 81ock 2, SLAC?kUAWK GL6N 3RD AppITIOH, aaxota co;,ntr, Mi nnesflta . `•. . ? \ r?w .! / ? ?? '? I?MI 'TCDI ? ? ?? ? 4?• .. _ ? ? ??? .. . :.. -._..? ,? ? _._ . _.. ?. ? ? ? ? r; ? ? c „ ,? f .,.. / ? i ?'y .t?'? • ,`` \ ? , ' -- ?.. ? '?. • , ? ,? _ ? ?? ? ?,• (3 v ??--?---t- ? ?: ?i a ? !v •, ,' ? i h, ?- '?.. . ? ur? /o e. ? • ..... ? ??????R PropOSed Elevati0ns ___--------------- Top of B 1 ock = 644 ? ?°-• Garage Flaor = 8¢3 8 t.oK2S't F100t' _ -I-M•/ /2 Oee,rss o Denotes wood hub at 91 foot affset. (g) Denotes propvsed eleration. -? Denvtes dfrection of dra;inaue. ?? • ? * .10 _.,.. ...._ _ -?,. ?? ? :... i S?• ?` ? ? \ .w 00 R• ? l? ?a r / ?'• *3?B.CAG'X?.??,? ? ?? p rIk? 71 D' : ?.69xB4•sd.9? ?' '$5 -- _ . CAII: i 1nch=.-V Feet o perrotes ir•an Beorirtgs shown tire assurrsed. Job Nc. Z?9 1Ag Qf?,_,,,pq, R! herEby Nrfif7 tAet fhK h• tr{H Oetd iOrYttt rsprtmslativn Of a fYryy Q1 Tllg E.G. RUD & SOtY:? .¦h' INC. bOrndorin of tM obove dreeiibed lend ond ot ths tooution oi oil evHek", ii mry, tM?Ion, ond ali riaitrie incroadmwts, it o+ry, ttan or 0n taid i4rtd. LANa5L1RVEm EA avu & soMS. INC. !Pfw wwhoo?,Aw" it rum iniy -/-Z al? d??RW M.M. C'nvle Phiee. Mirnaota O"Fe ?2a? _?_?.?. 4s- by ..s... e- .- Tdopte^e. 7$M TOTfL P.01 04 ? t? .._. ? .. . ' , •-• iE ;. MUNICIPAI. BUILDING 2100 Radio Orive • Woodbury. Minnesota 55125 '- OODBURY ? Buitding Inspection FURNACE SIZE CALCULATION MORKSHEET 731-5770 SITE ADDRESS DA ? .---, NEATT NG CONTRACTOR `'?-i- •? I!.? ?Ca PHONE GENERAL CONTRACTOR OR OWNER "MQSQ*3 1?X3wlGT PHONE? 4Tt' k3'Y3 CALCULATIONS PRFPARED BY af?:-r- PHOt?E The basic informatlon belox, must be ascertained from the plans for the structnre to be buitt. 1. Sq. feet of exposed wall area above grade IK70 -- x"U" - a-<- x 90 degrees. (Deslgn temperature dlfference.) 2. Sq. feet of exposed rindok area x°U" x 90 degrees. 3. Sq. feet of ceiling area W43 x"U" • 0 3 x 90. 4. Sq. feet of basement floor area IQ4J x 3 BTU sq. ft. 5. Sq. feet of basement Ma11 area below grade 4m x°U" •= x 90 degrees. A- 6. L1n. ft. of x(.5) 1nf11tratton for Mindows 3 x (1.085) x 90 degrees. 7. Lin. ft. of infiltration foc doors I CO x (1.25) x (1.085) x 90 degrees. 8. Lin. ft. of lnfiltration for sllding glass doors x (.75) x (1.085) x 90 degrees. 9. Allowance for kitchen and bath fanss ? t kitchen fans ! 600 BTU ea. t 3 bath fans 8 200 BTU ea. 10. Allrnrance for fireplacess !_? 1_ B 2.300 BTU ea. 11. Total BTU loss for a11 above items !A• 12. Add for combustion a1r (SSC 7722) (.001) x net loss above, x (12.5) x (.075) x 90 degrees. 13. Add line 11 and 11ne 12. 14. Maxtmum incroase allowabl• by SBC 6007 1s line 13 x 115%. Output size of furnace shall fall betaeen 11ne 13 and 11ne 14. Q??S 31? 14-11 "-"-1 12,2?, 4600 !cr-? /3 426 d42- Heating Contractorls Stgnature , . . . ? . ? r5w, [dU,r,,? u-e-P-r, ENERG'f CONSERVAI'IOIV 5UPP1.EMENT TO Bt1ILDING PERM[7 ARPLICATIdN ? ' . . • i'LAP{NING AND INSPECTjON DEPaR7MEN7 . AT -N: Za f.'i 3oa LQCA; ioN '51 DM_-1:5 _1?,??.?E C.;<_?.?. ?aa d?n ? YY?tin. . _ ?- pWNfR(5) M"r, eQ.kin _ Grionlyw, PHONE CDFiTnACTOR T>dA-t.. ?"• /"??'C+?.ad+?_'t,:,i0 /?,y'? 1 • ? ?FiONE ?5 '???J?I- - A. Determine The Total ExpOSed Wall Area As Follaws: 1. Total wall wintlow area (A) S00• 00 2. Total door area ($1 + 82) 15.O0 _ 3. Total patio door area (C) '70•o4 4. Total firQplace wa11 area (D) ?r $. Total watl framing area (avg. 10%) (E) Z,38- oo fi. Total rstt wall area above fioor {F) Iri5 (. oG7 7. Total rim joist area (Z) ???• 0 0 Subto tal: Total exposed wall area above floar (X) ?.00 8. Total fouridatian wirrdow area (A) ??. ?C•? 9. Total da4r area (81 + BZ) ld. Total patia door area (C) 11. Total foundation traming area (avg. 10%){p} J - 12. Total net foundation area abqve grade (Y) ?.o4 Subtotal: Total expased faundatian area (Y) I? ?J •?? GRANCt TO7AL EXPOSED WALL AREa (W) ?S?IrI.00 6. Multiply The Grand Total Exposed Wa1i Area x. 11° ?-8',?•? 1 Item I'???. ? G. Determine The Total Exposed Raof/Ceiling Area A5 Follows: 13. Total skylight area (8) 14. Total roof/ce'iTing framing arQa (A){.?Q°?? _{?r?`' •?? ? p 15. Total net insulated roaf/ceiling area (tl) 1.? ?• oo GRANp T4TAl. EXPOSED ROOF/CEIIING AREA (Y) +ozc--A, ,. oo D. Multfp{y The Grand Total Exposed RoafJCeilinq Area x.02 6 5 Z•1?P Ftem IX21,,A?s .< • ? '- E. oetermine The "U" Value Df Each Segment (1-1Z) And Multiply By The Area A5 Follows: 1. • -S[.JO-60 x ? Ifuq r74'.00 2. k 1 • 00 x ut}n 4 • V? 3. '10, Oo x -vo . ?-? • ? ?. ?jt3 4. ?-' x ,iuiq ?- 5. IF??? SJ? t./o A FIuH 6. Iri +. 0L./ fi IIUM r V? ¦¦i¦?.. {?* "7 L/ '??j . '?`,?.?. 7. ??j4'r 00 X fiu tln .04 ... -.... o ?• 1 z.. r?- - 8. E ?. oo x - - -ult ? _..... $ . x u un ---?- x „V$ .?-- _ .---?.-, II. ? x ,ou,t ,?...?-_- ? - • x liuu Add 1-12 Far Total Wai 1 Sewnts - ??.?• ?'? ttem I i I'?-?? •'?'? F. DeternRine The "U" Yaiue Qf Ench Segment (13-15) And Multiply By The Rrea As Fallaws: 13. x „uil 14. 0 0 x ,Ulf . G??,..?" ? ? . ? ? 15. Add 13-15 For Tota] Roof/Co1l1ng Segments Item iY .z. ??,....._ G. If Item No. CII is the son as, or jess than Item Na, 1, Yvu have met tne intent of State Suildtng Gode 6005 W2. H. If Item No. IV iS the same as, ar less then Itea1 t4o. II, you heve met the intent vf State Building Code 6006(c)1. 1. Add Y tern No. ? -Z M( + Y tem IVo. I I 71• 4`6 "510• -q5 J. Add ttem No. III ZZ?• +Item i1a. YV ??• ?? _" ???"?'; --~? K. If the sum afi Items III and IV are less t.hnn Itetns Iand II, yai, have nj vf the cvde for total envalope system. a - ct #.jW-1 grt8tiJ1"e oar.e • MAY 2Q 192 11:05 FROM NS/I ` ' . HEAT ?'$5 CAlALAI'IM"r aEPARTME" OF INSPECTlOV Wtad?rntr? ? C?apfrttcteoa Ria, Guiie 'LViadowa l7oon T_o Refames Oat. 1R1.a faGva11 Csdieg Roa( ?7^( I'?• Raast 1-eft0h IW VVidth lS?.` i-[oeg4+t ? Fl.? Windows end Deor:---Craifew and Aras and saen ?[s?Al, xa e nea 1aa. of P6ha at p?n? Ili'h!t tli erncl? ?T L?t .? ?. ? ? .._ Glass Exp. ? plet e?rp.1?sll Iat wOU ?in?-...?. Flaar To?a3 ?u. E.R. or eq. ipw, WA ?,,e?x?sr aKa rv?,a ? ? h t ?, ?ora-Cracksae and Atea ?r¢ t ea?p. wai) StU Reqt?ired aeb ft. E.[y.. esr p, ies. V.. Irs?sde?P area ?'7• ?oo?? Lengtl? ' Wie ' Httht ` Wiado?vra abd ?racksge and A?ca Gta,s Exph x+all ? i?Prt zap..nll [nt. wall ---?-` Fl?1Ii R: F.?1.R. br sq. ies. gkq 1113 ? .? „- PAGE.0Q2 H6x w? A? Fa ieu• oi p+.rtl Heitht sr yaai N?ef ftINt _ydserslc v[ atwek J?ea? It, ?4C? piw Infiilratioa ? Eitjh RYR &l esF. WA lat, waQ Caiag F'lw loru Ben, :ral sq. & EpPL or inR VA l*ader arm Fl.t vt ft"an I 1?e.?tt? Wid? ` C m v aa?a ? a D1n WHM fd La.ns p1y G? ?L 11?4tF Fwlpwel !?, alarMk w!!L ia.!!_ Iafilq?t3?a , ? Glew Fap. waR •`.?,r- ' ' Nkt cxp. rraH Iat. weli Ceifing F1aar .?. Totat $ta. RemuW p- ft- F-fi ft a scy. ina. WAL [,"&r a? 0 ?7+? Eiaam 1 ?,,e? ` Width ? ' Iici?ht IVi ? adaw? ? Dqprs?-Cra ? ? s ![a1eR lEa *i LIM"1 ? ia4?r eL p?? L4r6ts e! etl4lt Lna MiTakioa Esp.wal! ?'' Ne etp. wa0 iot. wQ C4l?Itfg 'Y---r n. f ? C+O?? &i ?ct3 ? - _ Re?++ted p. it Eb.R, et sq. ins. W.A. Iretdcr ,"ea • MAY 2Q '92 11:05 FROM NS/I FFAT IA55 CALiCRATiONS Weadkentrip ?? . Windm+rs Lloos Rtfasoee Ott.l Y«?-=-IVo Y 14 Fl.L4 ft Reom Leatith Z.Z` V _ W"wi aad Uoote-Crtcka6e end Area 40 •. 1 atm 1n61tcatioa 351':'a Glaas lExp. wall 7x4' 39 Ar Net cxp. „a11 N LnA trall - Ctil?g Pleor ? . D£FARTMENT OF iNSPECTION Coadrutdoa Na. Int. VaU Ceitiag Roaf F7oor t` Height Pi' ([ E1.E b*. wi PAGE.O@3 Insefataa How A,pplied . ? Width E1?ia6t W =dom and Doore---Csack w setd Am Ra w atn ot ?M xefslit O[ pe xa ec 6M ?,t?u tt ot cracL Ar?. ?Y. h. i ? 'l ` d2 ZI Ia6ltratioa CJAN ?Z Zo?S E-p- wat1 ' Net av. ••all t ? fee. aall !o` ' Ceiling Floor Tbtal $tu. -30 Required ay- ft, E.D.R or . ias. WA I,4,dn aa?ea ri.1 lAVA tuoai ? t,eagth 1(?` Width 1 Z% Iieight ` W' ukdOwws a Ad t)oars--Crackav and Area No. SCID of na o!psne ?fg b. tllrfiu L111401 !E. et eraak AtlA p, it. 1 ' • ,1., Goef_ $?u lefiltradva Glm Zl0 1.v Eep. wall ? ' - - IVat axp. wall lm5cj Lel. wall Floor ? Toeal &n. Reqaired :q. ft. E.D.R. ar ay. ies. Rf.A. Leader aree E 10 tl. Room LeaBtL 1W Width Id` Height • Wiadows and boors--Craeleb aad Aroa Na 7vldtN ef 1?a• i??ldht oS Paue itu ? (s?lib eal K. ot e*Rek A?ea a[. !t A V 4 4o- 7' J CQlf. Bq lafiltratioa CJass E5p. wall °t' Nat walt jnt. arA ' ' . Ceiliag Foor (?Z- • 5?0 r, .- avcal ViY. Reqtina eq. [t. F-Q-EL or :q. ats. WA. Lesder am Total Etn. Requnmd sql• fs. E,d.R ar . ina. W,A. Lander area Fl.? ?ioo'le I L+et? ?? WidtL ?` H?ighf ?j w mwn+i aa a wo+r ?sa ge ena nrc a No, wlacn oi s -Flirbit oi xa et lqihtw L1nta e. oi eraak sx. w. U. 4f Cotf. Wilteatien Cla.. (2 ? W. well Ne.t csp. w.0 ? ]nt. ?ra!! ?? ' Ceiling Flao. 3eta1 lnu. 1St? Re4uinJ w• ft- MR oz se;. ieis. W.A. tmader area FLI Eboom I Leno Widdt H*ht V utdbm A8d D06ie--Craekaw Sild Am 1't96 t o[ Laem A O s! P&AG tfa vi Sfghtt Ltnbi R ed aaaek Area .!!. ? EkIL 'Fdr? SMI.-M 444157 * - li `V%Wrmpif&- `s, Requited sq. ft. EDR or eqa iaa. WA Lesder at+ra ** TOTAL PAGE.00 ** RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatructlon Reauirements • 3 registered site surveys showirg sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot ooverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies oi Tree Preservation Plan if lot platted after 7/1193 • Rim Joisi Detail Options seleciion sheet (bldgs with 3 or less units) DATE ?Y 11-54Z d X SITE ADDRESS 3 ?D1 Qdc,C)?uu/il Z'A TYPE OF WORK )NS V2 ? ? APPLICANTCj?tO55 alw04 71/5h? FIREPLACE(S) _;,•-0 _ 1 _ 2 STREET ADDRESS 5_3? 3 a 53I"4Wr - CITY-14'? STATE.Wa ZIP? ?V TELEPHONE # ?d ? ?VV7d3F CELL PHONE # ;70' X/????? ? FAX # %w ?'V 7.` PROPERTY OWNER TELEPHONE #0/ ,?0 3 y,3a?.S.J COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RLJLFS 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Piumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Y Air Conditioning _ Heat Recovery System MULTI-FAMI41f BLDG _Y N RemodeURaoair Reauiremerrts • 2 copies of plan • 1 set of Energy Calculations for hea(ed additions • 1 sRe survey for exterior additians & decks . Indicate if home served by septic system for addidons _ Phone # Lawn Sprinkler No. of R.I. Baths Fee: $90.00 Phone # ?? ll L? ? D Phone # 1 3 2002 I hereby acknowledge that I have read this application, state that the information is corLt6)tig_ with all applicable State of Minnesota Statutes and City of Eagan O? nces,/ L/ Signoture of Appllcant J1 OFFICE USE ONLY _ Water Softener _ ? Water Heater Y No. of Baths 00 VALUATION Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY 0 01 Foundation O 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ox 02 SF Dwelling ? 08 06-plex O 16 Fireplaoe E3 21 Porch (3-sea.) O 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex )<19 Lower Level ? 24 Storm Damage 0 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding O 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof x 46 Windows/Doors O Replacement ??/!W,V6 w ( w " 1(V) *Demolitfon (Entire Bldg only) - Give PCA handout to applicant Valuation 5, b0o t!::t' Occupancy MC/ES System Census Code swo+ Zoning ? City Water SAC Units Stories Booster Pump Nbr. of Units a Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const V•? Width REQUIRED INSPECTIONS _ _ Footings (new bldg) FinaUC.O. • _ Footings (deck) _L< Final/No C.O. _ Footings (addidon) _ Plumbing _ Foundation HVAC _ Drain Tile pther Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final ?C Fraxning Siding Stucco Stone _ Fireplace _ RI. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector ----------------------- ---- ------------- ------------------------------------------------_w_?---_---____-____ Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ! ,?. , . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3703 BLACKHAWK LAKE CT Lq7s 18 BLC1CICe 2 BLACKHAWIt GLEN 3RD P . I . N . : 10--14352-180-02 DESCRIPTIQN: ? r 'No , GLVqqS BuzLoIn?G 025030 01/11/95 REMARK5: A SEPARATE PERMIT I5 REQl1IRED FQR ANY ELECTRICAL WQRK FEE SUMINIARY- VALuArIoN Base Fea $63 . P10 Surcharge ,$1.75 Tata1 F'ee $64e75 CO[VTRACTOR: ? ? h e r a ErY :ackn in forma t.zo n. is cp 11 , C.i,ty: StaG6tes &m41 ? . th?t ? 'h -:ect anet re0 ?f Eagan Ardinance APPLICANTlPE $3s50e OWNER: - Appliaant - GaRDoN MARK 3703 gLACKHAWK LAKE CT EAGAN MN 55122 (612)452-5843 s ap?p1a.c'*.?,0?t .??d: e...t?t?? 'via 91Q i ISSUED 1 SIGI9Ai UR i C1TY 4F EAGAN 050 1995 BUILDINt3 PERMIT APPUGATION (RESIDENTIAL) 0 6814675 G_ ?' i p_'r New Construetion Reouirements ???t , ? 8 rogi6terod siEe surveys ? 2 ocpfes of plsn ? 2 copfes of plans (indude beam 8 window sizes; pourod ind. design: etc.) ? 2 sft surveye (exterbr addilim & dsdcs) ? t enerpy cslculations ? t enerpy akulations ior healed addtioin ? 1 the preservatlon plsn if lot platted after 7/1/93 tequired: _ Yes _ No DATE: CONSTRUCTION COST:b5oo DESCRIPTION OF WORK: F? A P tle l STREET ADDRESS: P03 QC??-?`!?? L?? ?-k- • C7' LOT BLOCK ,LSUB . .I.D. # PROPERTY Name: 040V? /, ?l _Gr P4- Phone 5g¢3 OWNER Street Address• 376) 3 blcq??c?,',J?- City: ?? rq tx State: MIv Zip. Z Z coNTRAcTott Company: Phone Street Address: License #• City: ARCHITECT/ Gompany: PhOne #ENGINEER Name: Registretion ?• Street Address• City: Ste#e: ? Zip: . Penatr applies if address ctrange ar lo# change Sewer 8 water lioensed plurnber. /t ? are requesied once permit is issued. i hereby acknowledge that 1 have read this appiication and state that the information is conid and agree to corriply with sN eppiicable State of Minnewta Statutes and City of Eagan OrtlWoncas. . Signature of AppliCent: OFFICE USE ONLY J j? ? CEQ 1/ ED Certificates of Survey Received Yes ro .1 A N 0 9 1995 Tree Preservafion Pian Reoeived Yes __r,_ No - - - - - - - - - - ----- CITY OF EAGAN 3830 PIIOT KNOB ROAD EAGAN, MN 55122 4FFICE USE ONLY BUtLDING PERAAIT TYPE a 01 Foundation o 06 Dupiex 0 11 Apt.lLodging o 0 02 SF Dwelling o 07 4-plex o 12 Mul#i (Misc.) o 0 03 SF Addition a 08 8-plex o 13 GaragelAccessory a 0 04 SF Porch o 09 12-plex o 14 Fireplace o p( 05 SF Misc. 0 10 Multi (additional) 0 15 Deck WORK TYPE 0 31 New 4>,_33 Alterations o 36 Move 0 32 Addition o 34 Repair a 37 Demolitian GENERAL 1NFORMATION 1 . 4h?-, 16 Basement Finish 17 Swim Pooi 20 Public Facil'rty 21 Miscellaneous Const. (Actual) Basemerit sq. ft. MCIWS System (Allowable) Main level sq. ft. City Water UBC Occupancy ? sq, ft. i Fire Sprinklerod ? Zoning sq. ft. ? Census Code 4'311 # of Stories sq, ft. SAC Cade ?t Length sq. ft. ? Censtts Bidg. Depth Footprint sq. ft. Census Unit a APPltOVALS Planning guilding - Engineering Variance • Permit Fee Valuetion: $ 3 ? Surcharge Plan Review license MC/WS SAC City SAC Water Conn. Water Metier Acct. Deposit S/W Permit S/W Surcharge Treatmen# PI. Road Unit park Ded. Trails Ded. Other Copies Total: 96 SAC SAC Units #15 7, a s- 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?? ?'?23 CITY OF EA6AN a-- 3830 PILOT KNOB RD - 55122 ? J?? V c? ?l 651-681-4675 New Construction Reauiremenfs ? 3 registered sfte surveys showing sq. ff. of lot, sq. ff. of house ond ail roofed areas (20% maxlmum lot coveraae allowed) > 2 copies of plans (show beam 8 window aizes; poured tnd. design; etc.) : 1 set of energy calculations > 3 copies of iree reservation plan If lot plafFed after 7/1/93 DATE: ? 12_7 ? , L\ DESCRIPTION OF WORK: STREET ADDRESS: Remodel/Repair Reauirements 2 copies of plan 1 set of energy calculations for heated additions 1 sHe survey for exferior addiFions L decks CONSTRUCTION COST: ? %0 ArTeQ- 3ZC:3 LOT: ? O BLOCK: SUBD./P.I.D. #: 9au C V'_? r? PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name• (2A"?-'Oco? Phone #: (°6L- (f)LeC last First Street Address: i?4'`'?-"F- City State: Zip: Cornpany??i-??`J Phone #: (area code) Street Address:300 ?, '? ?'?• ??? ???12Z0 Ucense # j+ Exp. ' ( cxD City l?'Z? State: Zip: ??? ?? Company: Name: Telephone #: area code ( ) Street Address: Registration #: ' City State• Zlp: Sewer & water licensed plumber lreauired for new construction onlv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and cgree to comply with ail applicable State of Minnesota Statutes and City of Ecgan Ordinances. Signature of Applicant: ? OFFICE USE ONLY Certificates of Suroey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation `02 SF D ? lli ? ? 06 07 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) we ng 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex 0 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New O 35 Tenant Impr ? 39 Gas Line On ly ? 43 SidinglSoffits/Fascia ? 32 Addition ? 36 Move Bldg. O 40 Gas Insert ? 44 Windows/Doors 0 33 Alteration 0 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) 42 Reroof * Give PCA handout to applicant for demol ition permit GENERAL INFQRMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump APPROVALS Planning Building Permit Fee 1 S 3. a? Surcharge ?.?-. G c) Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/V1l Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: I '?; -7 -D, ? Valuat SAC Units % SAC LOT 18 BLOCK Z SUBD. BLACRHAWK GLEN 3RD RECEIPT # 62483 SEWER PERMIT #28425 crnr oF EAGAa SEWER/WATER REPAIR PERMIT 1996 Date: ? Sewer Water Fee: $50.50 Description:???? SS&vAk Arealaddress ta be repaired: Installer: Street address: -i? ?? 11A? City, state & zip: Telephone Owner name: Street address: City, state & zip: '?c...?' °?? "`?•? Phone #: 0I$j1i4ItJIC VI rOnflnLvW AIR CONDITIONING • HEATING • PLUMBING • REFRIGERATION • SHEETMETAL NS?i NORTHWESTERN SERVZCE. INC. 791 HAMPDEN AVENUE • ST. PAUL, MINNESOTA 55114-16 f 0 • PHONE 646-8677 • FAX 646-7496 August 25, 1992 C i ty of Eagan , 3830 Pilot Knob Road Eagan MN 55122-1897 Subject: Permit # - On File Enclosed is the Orsat Test for 3703 Blackhawk, Eagan for the above referenced permit. If you have any questions, p1ease call me. Sincerely, . She 1 1 ey C 1 arke Controller Enclosure SC/krm cc: #24052 Oct 08 08 05:42p Trebil F4undation Inc 3209748996 p,2 City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(65i)675-5694 i -+ ?'oromceUse ----- ? ; Pormir a: ... x ? Pemiit Fce: t ? ? Dato Received: _ -?-- 1 ? t I Stafl: ? `__-_---.r-___---_J 2008 RESIDENTIAL BU1LQING PERMIT APPLIGATION oate: Si,e A¢dress: 484(A< LAK-E L'r. . .. Taiiant: Su,t,#: R?SIDENT / OWNrR Wame: ?1` PrJ,? Or'?L-' N?-Wl?_w Phone: "? ? - L Q 6 ? _ . ? ... ... .? . ?dress / CitY , Z;p Applicant is: Owner ContrdCtor TYPE OF WORK ? scription of woiic_ ??? ae?A('U? TC? ` ?.?2 1?lr"•c.U 7JE P ft6: 6 z?Fl?'?C Z ? , . ? AZ£ Gon$truction Cost: Multi-Family Buiiding: (Ycs __ / No CON7RAC70R Namc?1? License 41: ?? ?..., OF- -?? r.. Add reg. St t T ? a . Gity- RhonC-M q 74 " CJ / Z ? COntact PerSOn: C4MPLETE THIS AREA ONLY IF CQNSTRUCTIIVG A NEW SU1LD1l+IC Minnesata Rules 7670 CateAON. t Minnps R fes 7672 ? • Now Energy Code Workshoot Enetgy Gode • Rosidential Ven6tittion Gategory i Wodwtieet Submitte:d Ca1egOf1/ Suhmitled (J submission type) • Er+e^9Y Envek4)e Caiculatlons Submittod hl the (85t 12 months, has the City oi Cag8n issued a pBrmit for a similar plarl baSEd Qr1 a noster ptan? Yes No If yes, date and address of master plan: LiCensad Plumber• ?_ _._ _?..... Phane: Mochanical Conttactor: Phone: Sew¢r 8 Water Contraetbr: Phone: NpTE: PJans and supparttng dacumerits rhat you submit are conslder+ed tv be pubtic informatlon. Portions of the Jnforrrratlon mey be classlfled as non -public rf you provide specJflc roeasons that woteld permit ihe Cfty ro conclerde rhmr rhe are trede secrets. I horoby adcnowledgc+thal Ihis inlarmation i& Comploio and accurate; That the work will be in coMartn2nce with tho ortlinaneos ano coaes or tne LILy vl Cagan; that 1 undpn:tand thls Is not a permit, but onyr an applicalinn fnr a pormit, and work is not io Flart withaut a pcrmit: that Iho work witl bo in accardan e with fhp approvod plan in thc ca ;c of work wnich requires a rcvicw and approval r,t pixns- x x ?' 4- - -- ApplicanYs PN ted P1ame ? Applicant's Si natura Page I of 3 Oct OB 09 05:43p Trebil Foundation Inc 3209748696 p.3 I - DO NOT WRlTE BELOW THIS L1NE SUB TYPES fJ Foundatian ? 05-plex ? 16-plox CJ ACCessory Bullding ? Podl U Single Family ? 06-p{ex ? Fireplaoe ? Porch (3-seasvn) ? Ext. AIi. - IUlufti LJ Ol af _ Plex ? 07-plex Cl Garage ? Porch (a-season) ? Ext. Ait. - SF 0 02-Ptqx ? 08-plex L7 Oeck U Poroh (screenlpazewpercqota) CJ MuRi MisC. 0 03-Plex O 70-plex O Lowar Lpvol ? Storm Dsmage O 04-Plex fl 12-plex ? 1Nisoeffeneous WORK TYPES 0 Nerr 0 tnterior Impravement 0 Siding LJ Demolish 8uilding` ? Addition CI Move Building U Reroaf ? Dernotish Interior 1=1 Altoration U Fire Repair L1 Windows O Demolish FouAdation O Replacement O Egreas Window Cl Water Damaga ' Ocmolition (erslire builCinp) - giva PCA handoui to atppliCant DE$CRIPTIpN: Valuatfon Occupancy MCESSystem Plan Review Code EttitioA LA'l A?? SAC Llnits (25% 100% 1 Zoning city water Ccnsus Code Stories --- ----_-? BOOSter PumP . # of Units $quarp Fvet PRV # oi Buitdings Lertgth -- --? Fire Sprinkiers Type Of CpnSi. Witlth REQLitRED INSPF-C71dNS Footings (new bldg) 5heetrock Footings (deck) FinailC.C1. ? Footings (addition) ? FinaUNo C.O. Foundetion HVAC Drain Tile Uther• Roof: Ice & Water _Final Pool: _Footings T,AidGas Tcsts Final Framing Siding: ,,,Stucco Lath _Stone Lath _Briclt Fireplace:_R.1. _ Air Tesi _Final Wfndows Insulation -? Ret3ining Wall Reviewed By_ Bullding lnspeCtOr -------------------------- ----------------------------------------------------------------------- ---------•- ---,-----------,------- ------------------------------- RESID-CNr1At FEES: Base Fee • S SurCharge Plan Review MC/ES SAC City SAC Utitity Cannaction Charge SB.W Permit 8 Sureharqe Treatment PIBnt Coplos Tota i r'ago 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114229 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 3703 Blackhawk Lake Ct Lot:18 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-180 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Joan Ciesler 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 - Christin C Carlson 3703 Blackhawk Lake Ct Eagan MN 55122 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116836 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 3703 Blackhawk Lake Ct Lot:18 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-180 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Christin C Carlson 3703 Blackhawk Lake Ct Eagan MN 55122 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118139 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 3703 Blackhawk Lake Ct Lot:18 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Christin C Carlson 3703 Blackhawk Lake Ct Eagan MN 55122 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature ]K 08 08 05:43p Trebil Foundation Inc 3209748896 .5 Bid Date 9 ./1 - Phone - Phone H INSTALLATION Start Date FOUNDATION 5Y ► L C Quality We Ca WO -430-5851 Pg. c /a _ 8e - 'Y97V DATE, gi /f BUILDING INSPECTIONS DtYISKO'N -'Fr, ir..1 11' Name d 3 ,. / ,� /./.w e_ 1 •f ez .4 l'f! Job Site ssMailing Address City, Stat City, State i .dr ,pr. 1 ! A2' r 2�Y ei 4..4; .e)2., .A .._ peg .5 r11i Approximate number of days for job completion: ALL MATERIAL AND LABOR ARE INCLUDED IN TOTAL PRICE. Additional charge for moving objects out of the work area $ Gopher One 4 Yes ❑ No Amount of bid $ % CA Pius permit fees if required ■ Ho -mit to get • it Our priority isto rix the problem with your foundation, that's what our customr t- oti`1.1 or. p mind that we can not be responsible for any finish carpentry, painting, paneling, etc. that may be necessary after ur work is completed. Jesse Trebil Foundation Systems, Inc. will not be responsible for any landscaping, reseeding or re-soding, unless otherwise noted on bid. We will call "Gopher One" to have all public underground lines located. If you have private lines such as satellite dish cables, propane line, sprinkler system, etc. you are responsible for marking them. Jesse Trebil Foundation Systems, Inc. will not assume responsibility if there is damage to private lines. If you live at a rural address, public lines will only be located to the pole or your property line. If damage to any of these lines in an area that was not marked occurs, you will be responsible for all repairs. if your city requires outside engineering, this quote may need to be rewritten to meet their recommeydations_ , ,r"r iv due u 1 on pletion. 3'k, .+vrrharge Mtulrkasd/Vra r - Representative's Signature L'' - Authorized Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158901 Date Issued:11/07/2019 Permit Category:ePermit Site Address: 3703 Blackhawk Lake Ct Lot:18 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Christin C Carlson 3703 Blackhawk Lake Ct Eagan MN 55122 (612) 802-4991 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature