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3712 Blackhawk Lake Ct ~2420 Z/ ~.2 Request Date re No. Rough-in Inspection Required? ❑ Ready Now)<Will Notify Inspector fil Yes 0 No When Ready? 11"censed contractor 0 owner hereby request inspection of above electrical work at: ~ Ciry /r Job Address !Street. Box or Ro()ule No.) 4 ~ 37l~ ~ k f w Section No. Township Name or No. Range No. Coun Occupant (PRI Phone o. Power Su Address +309 Electrical Contra for (Company Name) Contra is License No. CPO i'X 3f- 4) Mailing Atldre (Conntztractor or Owner Making InstallatLion) - Authorize slur (Contra c _A r/ wrier along Ins ion Pone Number MIN S STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NO Griggs-Midway Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 542-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION T /EM0001-08 090~'/ ► See instructions for completing INS form on hack of yellow copy. v W 4 2 4 2 0 "X" Below Work Covered by This Request (1V*- [J ew Add Rep. , Type of Building AppllancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's 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 Above 100 Amps Signs Inspector§ Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD ,CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 I, the Electrical Inspector, hereby Rough-in , ate certify that the above inspection has Final ate been made. OFFICE USE ONLY - f This request void 18 months from CITY OF EAGAN NO 18813 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $147,000 Date MAR 26 , 1996_ Site Address 3712 BLACKHAWK LAKE CT OFFICE USE ONLY Lot 19 Block _2_ Sec/Sub. A KHAWK RIDGE Parcel No. Occupancy R-3 M_1 FEES Zoning PD R-1 cc Name M T EDGELL (Actual) Const V-N Bldg. Permit 804.00 3 Address 2712 HORSESHOE LN (Allowable) V-N Surcharge 73.50 ° City WOODBURY Phone 735-5685 # of Stories - Length 66, Plan Review 523.00 o Name SAME Depth 38' SAC, City 100.00 u< Address S.F. Total SAC, MCWCC 650.00 S.F. Footprints City Phone 660.00 On Site Sewage Water Conn W W Name On Site Well Water Meter 90.00 tz MWCC System u0 Address Acct. Deposit 30.00 <W city Phone City Water 6 y PRV Required X._ S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50 information is correctnd agree to comply with all applicable State of Minnesota Statutes and i of a dinances. Treatment PI 276.00 Signature of Perm itee APPROVALS Road Unit 370.00 A Building Permit is issued to: M T EDGELL Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 3,607.00 Building Official in rta,~t,1 ~ XIT UTY PF "EAtA1+ - t 88 4 Pilot Kripb Road, P .O. Box 21 -~196144Ant 14 Wt~1 PHONE 454-8100 BU i"1[MFT Receipt # .To be Wed for Sri' 4 Est. Value Site A s 3732 VILACKWANK irk1' ~e 05amm WIN* OFFICE USE ONLY Lot 11 Block $eUSub. - *-1 1. Parcel No. Occupancy FEES r Kim I Zoning . - W Name (Actual) Const Bldg. Permit N 2112 LM --V.Wm Address (Allowable) - Surcharge `a o Gity Phone- # of Stories wyl Pion Review Length SAM c Name Depth t SAC. City MAO e Address S.F. Total SAC. MCWCC` City Phone Footprints On Site Sewage Water Conn F "Name On Site Well _ Water Meter 9 s z Address dAWCC System a 5 c c _ Acct. Deposit a W City Plhone City Water ~ PRV Required S/W Permit I hereby. acknowiege that 1 have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of y Minnesota Statutes and Cl",E OY ' ances. Treatment N. 00 Signature of Permitee APPR4VRLS Road Unit Planner Park Dad. A Building Permit is issued to: i on the express condition that all work shall be done jo accordance with all Council _ applicable State of Minnesota Statutes and City OFf ian Ordinances. Bldg..4ff. ~'eP Building Official Variance TOtAL " a'> e Podia M©. Pwmit Hkddar OM60 Telephone # WATER r 9 5E00C IPLIJMMNCr 4j' E 9 14M.A.C. Jr I Op ELEC€F~C fie q Founda(M Y/.-7 FramNg RmArng P&* Pfbg. Pft - isui. s--Z,7-0 Jos Faeo- FWW FIB, Z g ConsL Meter Plbg. trspeciflr- Notify Plumber Mg. Fatal ~ ~ ~ dll NO Fig. I deck Final 4 / ,I 3 Wei Pr. lisp. SEWERj&1lITER PERMIT I" $ OFFICE USE ONLY CITY OF tAdAN METER # PERMIT DATE ,04/12/91 3830 Poot Knob Rd. Eagan, SCAN 5512 -1897 CHIP # PERMIT # 11916 METER SIZE B.P. RECEIPT # C 12641 ,,v ISSUE DATE B.P. RECEIPT DATE 03 6 1 DATE MAR, 260 1991 PRV -BOOSTER PUMP SITE ADDRESS 3712 BLACKHANK LAIM CT PERMIT REQUESTED LOT 19 BLOCK 2 SEC/SUB BLACKRAWK RIDGE 4 'SEWER X WATER TAPS APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL CITY, STATE ZIP NEW EXISTING PHONE:' Lawn Sprinkler Meters are to be Installed PLUMBER: PAW FLUMBING Ahead of Domestic Meters on Water Line. ADDRESS: 373 COLLEEN DR P~F\ Credit WILL NOT be given for Deduct Meters. CITY, STATE VAp1~lAIS HEIGHTS MN ZIP 55127 PHONE: 420-1333 AGREE TO COMPLY WITH CITY OF OWNER: M, T EDGELL EAGAN. ORDINANCES ADDRESS: 3712 HORSESHOE LN CITY, STATE WOODBURY MN ZIP 55125 ' PHONE: 755"5685 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT M CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55922 DATE 1s AMOUNT 1 C i.r'~ . c DO WS & 100 o GASH CHeM L )N D O CT AMOUNT' Tustank , ir" - .x{64 _ - REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 uu ► See instructions for complEi TOriR on back of yellow copy. X" Below Work Covered,by This Request r C_. ew Ad R64 TypeofBuilding ApplittflC12Mired EquipmenlWired Home tDryer Temporary Service Duplex Heater Electric Heating Apt. Building Other (Specify) Comm./Industrial Furnace Farm ;Air Conditioner Other (specify) Contractor's arks: Compute Inspection Fee Betow. f } # Otf)er Fee # Servic EntraripeSi}e: Fee # Circuits/Feeders Fee Swimming f?ool 0 to 20p Itlp' 0 to 100 Amps Transformers 1 r, Above `Amps Above 1015 Amps S19R5 inspector's U(e nly; ti TIrrigationBooms $119. 50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COPLETED WITHIN 18 MONTHS... I, the Electrical Inspector;Ch rely oug An Date certify that the above inspectioi-has Date been made. OFFICE USE ONLY This request void 18 months from - H X3493 Request Date Fire No. Rough-in Inspection i tired9 ❑ Ready Now GWill Notify Inspector 3/22/91 Ye's 01,10 When Rea,0? I glicensed contrQctor 0 6vrner hereby request inspection of above electrical work at: Job Address (Street, Box pr Routa,Nd.) City Section No. Township Name or No. Range No, County i Occupant (PRINT) - Phone No. - Edgell Hoiaes 735-5685 Power Supplier Address Dakota Electric 4300 220 St. W Farnington, MIN' Electrical Contractor (Company Name) Contractors License No. Jons Electric Co. AM018 95 Mailing Address (Contractor or Owner Making Installation) ~1 4 0r at 0 kS . ri e a N 55-3137 Authorized Signature (Contractor/Owner Making Inst~' n - Phone Number - 5 O 431.4755 1~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. x'3493 i9 ~`j/9 ©o Request Date Fire No. Rough-in Inspection 3/22/91 Required? ❑ Ready Now [R WiII Notify Inspector ves O No I N lice d Cont ctor ner hereby request ' spection of above electrical work at: Job A ass (Street. Bo or R 't ) City Eagan ke t- NNK Sect n No. Town ip a o. INnge No. County Daktoa Oc ~ upant (PRINT) Phone No. dgell mes 735-5685 Po er Supplier Address Da to Electric 4300 220 St. W., Farmington, MN Electrical Con ractor (Company Name) Contractor's License No. Joos Electric Co. AM01895 Mailing Address (Contractor or Owner Making Installation Sox ix xawe RXER xax r,gurnsville MN 55337 Authorized Signature (Contractor'Owner Making Inst n Phone Number G ANO 431-4755 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. /p REQUEST FOR ELECTRICAL INSPECTION 402~1 EB-00001-08 " / ► See instructions for completing this form on back of yellow copy. 2 3 4 9 3 X" Below Work Covered by This Request e Add Rep. TypeofBuilding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water eater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial ' Furna44 Farm it itloner Other (specify) t",om nsark,:, Compute Inspect; n Fee low: # Ot er Fee Servi E ra e S Fee # Circuits/Feeders Fee Swimming ool o to 1$ 23 o to too Amps 101. Transfor rs Above mps 00 Amps Signs Inspector's a nl: TOTAL Irrigation Booms ' / G l C~ ) $119.50 Special I pection Alarm/Com un' tion THIS INSTALLATION MAY BE ORD CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH . I, the Electrical Inspector, hereby Rough-in i Date certify that the above inspection has Final / Date been made. OFFICE USE ONLY This request void 18 months from DATE: APR 12, 1991 .RE: 3712 BLACKHAWK LAKE CT (M T EDGELL) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Pubp 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 reasons: 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 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. PEW tV ~1GE,68E ONLY CITY METER # qA0 'PERMIT DATE Q4 / 12 / 91 ''38~ _ b .CHIP #aZ.r 0-7 4, 7 PERMIT # 11 166 Eagan, MN 55122-189? METE F# SIZE B.P. RECEIPT # C 12641 DATE MAR 26, 1991 .ISSUEBATEp:2_ a -I&P.RECEIPTDATE 03126/ 91 RV - BOOSTER PUMP SITE ADDRESS 3712 BLACKHAWK LAKE CT PERMIT REQUESTED LOT 19 BLOCK 2 SEO/SUB BLACKHAWZC. RID ' rX SEWER X WATER -TAPS. APPLICANT: ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP-^- X NEW ; EXISTING PHONE: Lawn Sprinkler Meters are to be Installed WMBER: \ PALMA PLI24BING Ahead of Domestic Meters 6n Water Line. ADDRESS: 373 COLLEEN DR .~Credit WILL NOT be given for Deduct Meters. CITY, STATE VADNAIS IiEIGHTS tIN ZIP 5 127 " PHONE: 426-1333 E TO COMPLY WITH CITY OF OWNER: M T EDGELL DINANCES ADDRESS: 3712 HORSESHOE LN CITY, STATE 'dOODBUKY MN Zip 1,125 PHOIAE: 735-5685 J n- SIGNATURE W EN METER ISSUED P"~ E ALLOW TWO WORKING DAYS F'OR PRQPEMING. CALL 454.5220 FOR INSPECTIONS. FOR STORM SEWER PER TS, ONTACT ENGINEERING DEPT: .<_I/ ka ~ ' ~r r. ~itp of ~a~an M CL" fiaate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance thissducture was In compliance with the various ordinances of the City reguladatg building conduction or use For the following. use aamTintim SF EW./GAR Bldg. Pen" Na 18813 O=V--Y Type ROAM zingDisasa PD/R1 Twe - VN own" of poving M T FrM, 1. Addres 2712 HORSESHQE LN, WlXAB[1R$ BumioI;Add,. 3712 BLACCHAWK LAKE Cl L.. L IC), B2, BLACIOM-SID(E 03/11/A2 ouG Building Official, POST IN A CONSPICUOUS PLACE l Address: 3712 BLACKH Wiz UKE OOURTLot 19 Blk 2 Sec/SubBLAM WK RIDM These items were/were not complete at the time of the final inspection. Date: 03/11/92 Yes No Final grade (6EE from siding) low Permanent steps - garage Permanent steps - main entry V~ Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish 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. REMED MKR White - City copy Yellow - Resident copy Pink - Contractor copy 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN q 3830 PILOT KNOB RD - 55122 J 651-88'1-4675 New Gonstructlgrl seauiremenis RoaftMii D 3 registered site surveys showing sq. fl: of kit, sq. ff. of house 2 codes of plan and cjli roofed areas f20%o moximum tot coverage aeowedl I set of energy calculations for heated addilions 2 copies of plans (show beam L window sizes; poured fnd, des%n etc.) I site Ivey for exterior addihom aI, decks D I set of energy cak:ukdlom > 3 copies of tree preservation plan if lot plaited after 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: _ 9-- LOT: BLOCK:- SUED./P.I.D. i - rr~r rrri~wrrr• Name; i_ p Rhone PROPERTY first OWNER Street Address: Z ~ ' - - City IA MW Stale: ~MZtp: Company "(COAA, 6 Phone '70-7-5169 1 (area code) CONTRACTOR Street Address• ~ ~ c4c k& City State: zip. 2~2 / ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) StreeT Address: Registration City State: Zip: Sewer L water licensed plumber {reauked 12r new onstructlon onhr): Penally applies when address change and lot change is requested once permit h Issued. I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. r - Signature of Applicant: v 6F L~ 1' OFFICE USE ONLY tf Certificates of Survey Received Yes No - y ` Tree Preservation Plan Received Yes No Not Requite - OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plea ❑ 11 10-plex 0 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex 17 Garage ❑ 22 Porrh/Addn. (4-sea.. ❑ 03 1 of , plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plea .0 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plea ❑ 10 8-plea ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Sofas/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Cade UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MCIES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building variainca Permit Fee 0l 'j Val Surcharge Plan Review y License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 1991 BUI I P IT PLICATION CITY OF KAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used FarValuation: Date: Site Address '1>'-\ ~~Q \ ~\axi OFFICE USE ONLY 1 y'7, UOV Lot Block FEES Occupancy Bldg. Permit d Zoning rD P, Surcharge f733' 5p Parcel/Sub Actual Const V- N Plan Review SZ3,CV Allowable V- N SAC, City 100-00 Owner # of stories SAC, MWCC (a 07100 Length - Water Conn. ;60100 Address ~'1 ~*-x~-~~~ ` Depth 3 Water Meter 0,00 S.F. Total Acct. Deposit S.D. 00 City/Zip Code Footprint S.F. S/w Permit 30,00 _ S/W Surcharge $O Phone ~ On site sewage- Treatment Pl. 7-176,00 _ On site well Road Unit O,0 0 Contractor s-~ MWCC System Park Ded. City water Vol" Trail Ded. Address PRV O, Copies Booster Pump _ City/Zip Code\? a c~~~...+~ 'mow • ~~~-s SUBTOTAL APPROVALS Penalty Phone 3~ ~ 5`' Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. 372916,e Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signa re of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA LUAT 3~~ 28 = I oog Hx /4 SR8 x 15= I L4 r) o•a f $SMT, a~x3y` r13•L~j~ 523 CV) 3,~J1•~~.~ 1,67 5?3•UJ~ 'l3 •'r - 1 8 a 21 20.6 - 5 -F 2 x ~ ~r~ i 13 2~ - ILL 1117 X 73 -5 T- I~1 L~13o3 Iy'~loo0 2422 Enterprise Drive PIONEER Mendota )teigfits, MN 55120 (612) 681-1914 Certificate of Survey for: 1 1 cM Nvgti}1 ~a s za33 0 1 CS L I o ~ r2.0 ~ I 30.0 - - rir~•xiZi f a 00 ~3d Alt? °4$ • !54I' I w 900.o Denotes evisltno fleval orgy EROPOSED 140 USE ELEVAT10NS• .~ao.o Utr)oles prapal d Elewnfiort ~Uenoles Urionna aUlilTV Easemenf lowest Flnor Elevalran B z,91. - Uenoles Drxtirta e Flow rows Top of 81ock tlevali'M : 840. & o Der)oles r"ontim enl (7ara ja 51ob Revahot) = ~~'33 ~ eari'tt showrn are afFu rn ed _ LOT 19 , 9LOCk BLACWHA K RtDOE D.4kcm coUNry, mitwF-som Sua cr ro EA5twwS or Rerow) I heret,y certify that this survey, plan or report wag pr ared by me under y direct supervision and that I am duly Registered Land Surveyor under the laws of the Stete of Minnesota. Dated this day of A.D. Ig f j / / ~Iz I'd Cale : I -L4-lch - 40 q(0'-1$ n rjf Rt p.StKlClr t.-.;. nFr,, NO. I4A91 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: SITE ADDRESS: ~Cj~ } CONTRACTOR: RATE: PHONE: DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA........ sq ft x "U" .11 2. TOTAL ROOF/CEILING AREA........ a~__.... sq f t x "U" .026 - w 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor sq ft a) Total wall window area: t Lob WC, 'g l azed...... °i4- sq f t x "U,. -E-01" glazed sq ft x I,U't b) Total door area , sq ft x "U" c) Total sliding glass door area: glazed...... _i e~. Dn. sq ft x '.'U" --Low 5 glazed...... sq ft x "U'l gggg d) Total fireplace wail area ~4.o sq ft x "U" e) -Total wall framing area (Average 10¢) IA-0.1 5 sq f t x 'lull f) Total net wall area above floor (Insulated)........ 01"J.- sq ft x "U" 9) Total rim joist area...... 7}~a •'~w sq ft x [.U„ 04n ..'";.r Total foundation area (Exposed) all 0 sq ft h) Total foundation window area sq ft x "U" , ~157 1) Total net foundation 11 area above grade......... 1 b 4 (D sq f t x "U" r 0'"„~ r 1 3. TOTAL a) thru 1) If Item 03 Is the same as, oe less than Item fl. you have met the Intent of 2 MCAR 1.16008 A and 0. Page 1 TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area........ H ;,2- sq ft J) Total skylight area....... -V sq ft x IV$ k} Total roof/cellinq framing area (Average 10,1)...... I2,~ sq ft x "U" . 7.A% ]).'Total net Insulated roof/cel l ing area....... 100 14- sq ft x "U" Z?-A,05 4. TOTAL J) thru .10 If total of eta Is the same as, or less than P2. you have met the intent of 2 MCAR 1.16008 A gad 0. ALTERNATE BUILDING ENVELOPE IIESIGN To utilize the total envelope system method, the values established by the sum of items f3 and 04 shall not be greater than the sum of Items nd-"#2. 2. T C E R T I F I C A T 1 0 N I hereby certify that I have calculated the "U" factors and "It" values herein and that the bulldinq here described meets or exceeds the State of Minnesota Energy Conservation Act. . Signature (Date) Pnvv 9 ' r • CONSTRUCTION R VALUE WALL FRAMING SECTION: 1 Interior air film 0.68 2• -13 Inches _soft wood lop ~ ~ KGs 5 61 L R Exterior air m A, TOTAL R = U,'7 U = 1/R WALL SECTION (INSULATED) 1, Interior air film A.6R 2 V/ ;m f , i + 01, n R 4 V 5 Exterior a1r Wm n.17 TOTAL R = U= 1/R= 0 ,.;6 RIM JOIST SECTION: 1 Interior air film 0.6R 2 1 4a' it C7 3 c'. , f~ 6 Exterior air fi n-IT FOUNDATION INSULATION REQUIRED: TOTAL R = 11 . 1 . Min. R-5 on entire wall OR U = 1/R = •0 bp.~•,a Min. R-10 down to frost depth FOUNDATION SECTION: 1 Interior air filet n.~A ' •A... _ e : d.•:a, 4 Exterior air film n.17 • A.' (5 -4 r TOTAL R s 3j U = 1/R = DE'1• SLAB ON GRADE t 4 1, 14 41 IP i4 • • • • , • •,o • Heated Slabs: •ej •'1, Minimum R : 8.5 q, Unheated Slabs: A. d • . •`~~.4 Minimum R a 6.2 16i . . `L ' Page 3 '1 '4 • • . • r CONSTRUCTION R VALUE. CEILING SECTION (INSULATED): I Interior air film n,{,l 2 45-IA54 6-44:1. (v 3 4 4 Exterlor air film still n.Fl TOTAL R .221,j~p U * 1 /R a F CEILING FRAMING SECTION: 2 5 1 Interior air film 0.61 2 IP7/9,-3 • . - c k.-. ~lrra AIR VENTED 3 11t* ro~= - i., FLOW 4 Interior air film still 0.61 2 inches soft wood fj TOTAL R ~j V= 1/R~ CEILING SECTION (INSULATED): V Interior air film 4.61 2 3 4 Exterior air film still n.61 TOTAL R U- 1/R- r. I 2 3 4 5 CEILING FRAMING, SECTION: 1• Interior air film 0.61 VENTED 2 3 • 4 Exterior air film still A, F 5 Inches soft wood TOTAL R U~ i/R*3 4 5 s. \r A, f+l ~Inslde a1r film 2 s Outside air lm n.17 ' TOTAL R U~ 1/R~ Page 4 GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL OF TYPICALLY USED PRODUCTS AIR FILMS (R) SHEATHING Interior Air Film (Walls) 0.68 3/4" Wood Subfloor or Sheathing 0.94 Exterior Air Film (Walls) 0.17 1/2" Plywood Sheathing 0.62 Interior Air Film Vented Ceiling 0.61 1/2" Particle Board 0.66 Exterior Air Film iVented-Ceilingi 0.61 Gypsum or Plaster Board 3/8" 0.32 Interior Air Film (Non Vented 0.61 Gypsum or Plaster Board 1/2" 0.45 Exterior Air Film (Non Vented; 0.17 Gypsum or Plaster Board 5/8" 0.56 Plywood 3/8" 0.47 Plywood 1/2" 0.62 BLOWING WOOLS Plywood 3/4" 0.93 Approx. 3" 9.00 Sheathing, Reg. Density 112" 1.32 Approx. 4 1/2" 13.00 Sheathing, Reg. Density 25/32" 2.06 Approx. 6 1/4" 19.00 Nail-Base Sheathing 1/2" 1.14 Approx. 7 1/4" 24.00 Approx. 14" 30.00 ROOFS Approx. 18" 40.00 All other insulation materials must Built-up Roofs 0.33 Asbestos-Cement Shingles 0.21 be verified (R Factor) Asphalt Roll Roofing 0.13 Asphalt Shingles 0.44 INSULATION Insulation: 2-2 3/4" Fiberglass 7.00 SIDING Insulation: 3 1/2" Fiberglass 11.00 Aluminum Siding 0.61 Insulation: 6" Fiberglass 19.00 Aluminum with Backer 1.82 Insulation: 35/8" Fiberglass 13.00 Aluminum with Backer & Foiled 2.96 Insulation: 9" Fiberglass 30.00 1/2 x 8 Lap Siding (Wood) 0.81 Insulation: 12" Fiberglass 38.00 7/16 x 12 Hardboard Siding 0.67 Insulation: 8" Cellulose 29.00 Asbestos Sidings 1/4 Lapped 0.21 Insulation: W' Cellulose 37.00 Stucco (Brown and Finish Coat) Insulation: 12" Cellulose 44.00 Insulation: 1 112" Thermax 12.00 Insulation: 2" Thermax 16.00 DOORS LUI WOODS 1 3/4" Solid Core Door .46 w/Storm, Wood .31 Fir, Pine & Similar Soft Woods w/Storm, Metal .26 1 1/2" 1.89 Pease Steel Door Insl/N/GL 7.45R .13 2 1/2" 3.12 Sliding Glass Door, Wood .65 3 1/2" 4.35 Metal .72 5 1/2" 6.87 CONCRETE BLOCK WINDOWS 8" Concrete Block (S & G Reg.) 1.11 All Windows (Filled with Vermiculite) 1.93 (w/Storms 1" to 4" Space) .56 12" Concrete Block (S & G Reg.) 1.28 Removal Double Glazing (RDG) .55 (Filled with Vermiculite) 3.15 Thermo or Welded 3/16" Air Space .69 8" Light Weight 2,18 1/4" Air Space .65 (Filled with Vermiculite) 8.03 1/2" Air Space .58 12" Light Weight 2.48 (Other windows specifically tested (F111ed with Vermiculite) 6.82 can use better ratings) Page 5 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # i r PHONE: (612) 454-8100 RECEIPT # DATE : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON l SHOWER 3.00 .3 REPAIR WATER CLOSET 3.00 - _Z_ BATH TUB 3.00 ~P _ _ q LAVATORY 3.00 OWNER NAME: nc~ e KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 SITE ADDRESS:7~~. 1~c11~ ~k L l~HOT TUB/SPA 3.00 WATER HEATER 3.00 3 LOT: BLOCK oG SUBD. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: lpl4 41-1 IU +f n (MINIMUM - 1) 3.00 ROUGH OPENINGS 147 -5.0 ADDRESS: ~ ?3 /.e~•, ~r- ~ OTHER .50 WATER SOFTENER 5.00 CITY: j,, ifs ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE 133 3 SUBTOTAL S $U ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: co TEAITS. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN y CITY OF KAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT Lv PHONE: (612) 454-8100 RECEIPT # /00 pritiitii`'''=m DATE: / (7 iv}X•:v:tiiia-0i•Ai}F{r ;F:0.yk.T' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT qjj OWNER NAME: E SUBTOTAL: $ al.a SITE ADDRESS: STATE SURCHARGE: .50 LOT : BLOCK o°L SUBD. TOTAL: $ ;1. %D INSTALLER: A. ~ °f- ADDRESS: GNATURE OF PERMITTEE CITY: "~--C] t'o_"j ZIP: L S~'~ d TAA,4u, [00r DOO GI. PHONE ?f 9 1 llk PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: _ EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN # CITY OF EAGAN ADS AMIATE _ 1592 BUILDING PERMIT APPLICATION 681-4675 rgyr SINGLE & NULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made or lot change is re guested once permit is issued. Date~_ Valuation of work Site Address:- jM91 e1;1' STREET SUITE # Tenant Name: (commercial only) LOT L BLOCK SVBD•3LwzKHAWK $ZIQ(C P.I.D. Description of work: J The applicant is: Owner ❑ Contractor ❑ Other cnescrlbe) Name 601,d,er 6s~ Phcnet5_-76"q? Property LAST FIRST t' ir.'-, g7,P -10 ~ Owner Address 3721a G•k STREET STE # City G State Zip s/a o~- Company rep Phone Contractor Address _O 7 0996"*4 AO License # Exp. City A►~*. State AW AI' Zi p .J Company Phone Architect! Engineer Name Registration Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as been approved. 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. Signature of Applicant: ndA fee -AW2e'0e'7- t f OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ,0 ,02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09. 12-Plea ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add 1. ,K15 Deck ❑ 20 Public Facility 21 Miscellaneous WORK TYPE PI~31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. Actual) Basement sq. ft. MWCC System (A1 owable) 1st Fl. sq. ft. City Water UBC Occupancy R-3 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump 0 of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building gss..,~~r_nts Engineering Variance REQUIRED INSPECTIONS ❑ Site ;9 Footing ❑ Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee vatuation: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter , Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. - Copies Other Total: SAC % SAC Units r 2422 Enterprise Drive * PIONEER Mendota Heights, MN SS 120 * * * (612) 681-1914 Certificate of Survey for: ~ WgeLt Hom cz-i5 NORM ~a _ x!8 "W-5a4'A/ 00 i - I - - - - _ LIE ~ ~ ~.3; _ ~ X s 39 1 Q1ri~yp..1 N6 4 r le,e1 I W ~ I~ f s rt t o i m L*T------- .o - - 3 13.00 ale EAGAN r~GI~TEE~►J*~~ ` E PT 9oo.o Denpfes exishn flevallorf PROPOSED 14OUSE LI, VArIQIYS • 9ov.o Denotes prop~~d flevat on Verioles Urnrna a Wild E, emend lowest Flog E~levaho' n a A3Z.9y Denotes Ot-a wa a flow Arrows To ar'Bloch; flevaliorl = 94p, o Denoles monam end GorA jil Slob E/etvahorl = 6 •33 8 earn? s shown aro assurn ed r LOT 19-, BLOCK #2 BLACWHAWK PtOOF ClAkm A Couigry, A4rnrKEsoTA S09JECT 7D EASEMENTS OFQtCogt? I hereby C*rtlfy that this survey, plan or repr»t we! pr ared by me crnrter direct sr under fire law! of the State of Minnesota, bated this y rpervision and that 1 am duty fiegistered Land gvrveycr -..day of A.D. 119 Scale : I'.Lach s 40fi j 911 t2 AFFt f 14 _ SIKICI I 1 c ncn rrn rwen~ - STATE RESIDENTIAL CONTRACTOR/REMODELER LICENSING INFORMATION PERMIT # 1. I have made application for license to the Department of Commerce. Date of Application Residential Building Contractor Remodeler Signature Date 2. I am exempt because I am a specialty remodeler. Signature Date 3. I am exempt because my annual gross receipts are less than $15,400. Signature Date 4. I am exempt because contracts on individual projects in aggregate do not exceed $2,500. It tow Signature Date Questions regarding the licensing law should be directed to the Department of Commerce, 133 East Seventh Street, St. Paul, Minnesota 55141, (612) 296-6319 Licensing Information, (612) 296-2594 (Enforcement). CLAIM VOUCHER - REFUND REQUEST CITY OF EACAN CLAMANT JOOS ELECTRIC CO. ADDRESS 2104 GREAT OAKS DRIVE BURNSVILLE, MN 55337 Location 3712 BLACKHAWK LAKE COURT • L19, B2, BLACKHAWK RIDGE Receipt No./Date 1005$6/3-27-91 Reason for Refund PER ELECTRICAL CONTRACTORS REQUEST Type of Refund Electrical Permit 01--3211 $ I19.00 Plumbing Permit 01-3212 $ Mechanical Permit 01-3213 $ Surcharge 01-2155 $ Water Connection Permit 20-3713 $ Sewer Connection Permit 20-3743 $ Account Deposit 20-2252 $ Utility Account Over-Payment 20-2250 $ Other., $ TOTAL $ 119.00 I declare under the penalties of law that this account, claim or demand is Just and that no part of it has been paid. 4/9/91 Signature Date : ~ . i 1 { t ~ ~ a 4 - - i•_. - 7 1 i i t 1 i. t 3 s` -uG ,oF;: y ~ z i. ~ ~ ~ (f nib i S a~ P t ~ ~ f :~s~. ~ ® , r r t t f 1 I r ~ i 4~ S~ i, _ ~ _ ~ i ' _ _ ~ t t~t 1 ~ 1 r i ~ r I Y f ~ ~ ~ ~ t , ~ t i f ~ ! € ~ 1 1k ~3 5 { l Yom!! ° ~ d x1 K J 4  ~ ~ _ - p s ~ a ~ ~ , i ~ j ~ _ _ i ~ ~ - t i 3~ e ~ 3 - - ~ ' . rs E 9 _ ~ _ _ • y9 ~ ~ 3J« ~ RL D~~ •`r _ i ~L ~ ~ I~tv ~ ~ ~DD. a ~ i _ _ SIGNATURE LANDSCAPES UNLIMI'T'ED _ beurstd ers ® the ~astd®®r ~~v~r®nerat _ _ _ _ _ . _ ~ Cilent f f Desr Date ~3 _ _ _ _ ~ _ Desi er ~ ~ gn Scale ~ _ W..__._. _ _ _ _ . a._ _ _ . ~ Phases- ~ tU~ ~ _ _ _ _ - _ ~ . _ r_ . ~m , : _ _ . - _ ' r. r - - _ , T PERMIT City of Eagan Permit Type:Building Permit Number:EA114236 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 3712 Blackhawk Lake Ct Lot:19 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-190 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 . Luanne Yang 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 - Jeremy M Bonneville 3712 Blackhawk Lake Ct Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114238 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 3712 Blackhawk Lake Ct Lot:19 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-190 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 . Luanne Yang 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 - Jeremy M Bonneville 3712 Blackhawk Lake Ct Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature