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3723 Blackhawk Lake Ct . °•~r 4-w--n. 771 ~l'~".-~.x7L { 1E tt 30 0 P1it Knob Road, P taxi `tty1~►3 PFi~t~! 4;r~9+t6ti BUILDING FERN T f eeipt r { To be used for BF ■.w.i 40 'Est. value l r 1 Situ Address Lot 13 Block I Sec/Su ta OW Sao Parcel No. Occupancy ~ 1 1 Zoning ¢ Nant® A 1A d CONSTIM Y (Acluaq Const Bldg. Permit E 10", Address 4W r AVE S (Allowable) ii4r Phone'! # of Stories Surcharge Lengths Plan Review ' " a r Depth 7"t SAC, Ctly S.F. Total SAC, MCWCC Phone S.F. Footprints On Site Sewage Water Conn r~e On Site Well Water Meter MWCC System City Water X Acct.oepetsil PRV Required X S/W Permit 1 hereby ack ' that 1 have read this application and state that the Booster Pump • ~ S1W Surche~e, ihttxmation is rest and agree to comply with all applicable Slate of Minnesota Statutes and City of Eagan Ordinances. Treatment Pt..... Signature of Permitee APPROVALS Road Unkt A Building Permit is issued to: Planner Park fwd. • ~.r. . 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, i Copies 70TA1 t Building Officials Variance PtxtN Ms. Dtlb Tdepl%M #t WATER S AR PLUMBMO r H.VJkC. I? 5 ELECTRIC Deft ceowmft FookhW 1 Faundafm 2- 3 Framing IB'3o S w, `sS a`' /'e s is 2 t i t• s Rough Pi6g. Rough HN. Rnpims FlnDl MIEp. On" Test P". Plbg. Inspector - NoMy Plumber ConsL L46 ter EngrJPlan B14 FmW Deck Fig. Deck FkW Wd Pr. Disp. CITE' OF EAGAN - t; ~ ~ ~ 3830 Pilot Knob Aoad permit t+ wber 6 Eagan, Minnesota 35122-1807 we isawd. - ; (612).681-4675 SITE ADDRESS: - APPLICANT: tR)t' t. HLOfK r~t.~,~;:tKt~~w~ t.nkx ~ r ~ M1'txHFi~~?f. PERNUT SUBTYPE: TYPE OF WORK: t <;t t t' w :tw tt ALTfrkkt'Y0#4 pokinFt 1#4 p1.0It _ t tN t. k'MAttA t. PARA.IV PE PM UT IS 0f t;U10f-0 f01A ANY 411,kJAR•t0#6 OR IF t,E:'4.4-0I.c* 46I6IRK l 42, ftmilt No. P*=R lbtdw date Telephone # a1P . . FCIJND FPAWW Z-G- R000 Ims Svc MML s MALI OR TEST BLDG FINAL BSMT A.F. BSMT FINAL PECK FTG DECK MAL INSPECTIONRECORD CITY OF EAGAN ~ PEROT 8836 Not Knob Road PermR Nurriber: Eagan; Miniks.d a 55122-1897 Date I8 d: (612) 681 Y4675~~ t+t A a s R SITE ADDRESS: COT ~ 13 6 L OC I(_ 2 APPLICANT: 31 3 at ACKHAWK CAKE CT I UT7. MirNA~l nt Ac HAW9 (It find 300 (612) 601-9046 PEF II1 SUBTYPE: TYPE OF WORK: Ntsa c "q. +r Fn ~-9 77- «gp~ _ _ q T ~f ' i~ ~U .f4 t s. T k J. ~Y! 1 , C Panait No. Pe a* Hdidar Data Teftpmm # SACTJW top"Hon I ilow 1: COMMON FWJN0 -ROW* 4 TOT IN& L BYP BC NtD RR€PLAOM FwkPL861 RNAL HTQ ORSAT TEST BLDG FWAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL _ rJ , All ~ OF =SEONL This r st void 18 months validation date printed in s box Illllllillllilllllllllillfllllllllllllllllllall Y 60 * D 4 1 6 1 5 2 7* PLEASE PRINT OR TYPE Request Dpte R h4n in on r uired;! Yes 1 oug specri eq ❑ No Inspection Other Than Rougha~d]~ Now Will Call t jL I ~ (You must call the inspector whe ready) Date Ready: 1.x011-1 I, ❑ licensed contractor P owner hereby request inspection of the above el rical vi etAi '06 Job Address (Street, Bo or Route No.) City 14P ode Section No. Township Name or No. Range No. Fire No. County Occupant Phone No. Power Supplier Address ~11"C41 C- Electr cal Con (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only) 9e -F Mailing Address (Contractor or Owner Performing Installation) Authorized SignatujjCan1,,,,dor or r rming Installation) Phone No. EB-0000141 1 8/96 crevF Penn rntav _ crr tucrtattr nnuc nu nary nr vct t nw mov REQUEST FOR ELECTRICAL INSPECTION& 7 416-152 71 1^821 University Ave.,r Rmof Electri . S-128 St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service (r 'X' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. n Alarm/Remote Control Swimming Pool I hereby cart that I ins i s I herein on The d Irrigation Boom Rough-in Date Special Inspection Date Investigative Fee fh~G~ THIS INSTALLATInN MAY BE nRDFRFD DISCnNNFCTFD IF NOT COMPLETED WITHIN 18 MONTHS. roar yr v J 147 5 0 Request Date Fire No. Rough-in Inspection Required? C eady Now n Will Notify Inspector G Yes I. When Ready? I icensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street, Box or oute No) City 2;;9 3 - od 'e!~.-46:A- Section No Towns Tip Name or No. Range No. Goun Occup PRINT) Phone No. Power S keC,~ Addre I Ele ncal Contractor (Company Name) ~/~A ~ ~ Contractor's License No. -s 3 Abf -4 Made ddress (Conlr or Owner Making InstaHati Autho ignature (Contra V w along Insta tion) Pho Number MINNESOTA STATE BOAR OF ELECTRIC( 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. /l(e f9 REQUEST FOR ELECTRICAL INSPECTION T!_%;w I=a- oo,-oa 1 ► See instructions for completing this form on hack of yellow copy. J X" Below Woik Covered by This Reques New Add ReP-~' YPeofBuildin9 APPIiancesWired E9uiPmentWired 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 -T 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's use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in u / Date certify that the above inspection has Final ate been made. OFFICE USE ONLY This request void 18 months from SEWER & WATER PERMIT OF CE USE ONLY ` CITY OF EAGAN METER.# yr( /d 9 PERMIT DATE 12 /Q3/9'i 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # g) e24 k 4 PERMIT # METER SIZE ; B.P. RECEIPT # l I q, ISSUE DATE cam- i i 14 9I NOV 13, 1991 B.P. RECEIPT PATE . / / DATE PRV BOOSTER PUMP SITE ADDRESS 3723 BLACKRAWK LADE CT PERMIT REQUESTED LOT 13 BLOCK 2 SEC/SUB BLACKHAWK GLEN 3RD X SEWER %-WATER -TAPS. APPLICANT: ADDRESS: - COMM/IND _X__ RESIDENTIAL. CITY, STATE ZIP X NEW - EXISTING- PHONE: VV Lawn Sprinkler Meters are. to be Installed . PLUMBER: d BRUCE NELSON PLUMBING Ahead of Domestic Meters on )fqaterLine 'ADDRESS: 1272 S PT DOUGLAS RD Credit WILL NOT be giv fo D d .cc Meter ,r CITY, STATE ST PAUL MN ZIP 55119 PHONE: 738-9354 AGREE TO COMPLY WITH CITY OF OWNER: D M R CONSTRUCTION INC EAGAN ORDINANCES ADDRESS: 8505 JEFFERY AVE S CITY, STATE COTTAGE GHOyE mN ZIP %5016 WW EN 459-9327 SIGNATURE WHEN METER ISSUED PL L LL 454.5220 FOR INSPECTIONS. FOR STORM SEWER , CONTACT ENGINEERING DEPT. Wrtiftratt of Mrruvanry- Citp of Cagan - arvatumt of luaim Jmw"twu This Certff We issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure mm in comp&uwe with the mririous ordinances of the City reguladng building conowcdon or use For the following: the C -W DGf m ew8. Pa=c TIm 19872 O=Upa-TTA- Ed 1l l z.-i's Dkwa R Typo c,- uN o-otaawm Lm cm=xn T 00 AM= 8505 AM= Am S, COE= 4mm 372 TJAZ M TaMoar T L..uq T.11, R9,19AMIM IMEN 3M tGcal POST IN A CONSPICUOUS PLACE Address: 3723 BLACKH&y LAKE r_T Lot 13 Blk 2 Sec/Sub BLA,KHAW GLEN 3RD These items were/were not complete at the time of the final inspection. t : 2/P9192 Yes No Tnqpprtor; 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 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. RECYCLED "A White - City copy Yellow - Resident copy Pink - Contractor copy ! CITY OF EAGAN NOM .19877 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' BUILDING PERMIT PHONE: 454-8100 (L o i Receipt # l.• ! / To be used for SF DWG/GAR Est. Value $161,000 Date NOV 13 tg 91 Site Address 3723 BLACKHAWK LAKE CT Lot 13 Block 2 Sec/SubBLACKHAWK GLEN 3R OFFICE USE ONLY Parcel No. occupancy R-3 M--1 FEES Zoning .R.1 W Name D M H CONSTRUCTION INC (Actual) Const V_N Bldg. Permit 853.00 c Address 8505 JEFFERY AVE S (Allowable) Surcharge 80.50 City COTTAGE GROVE Phone 459-9327 # of Slories - Length 66' Plan Review 554.00 41 sac, city 100.00 =o Name SAME Depth r u¢ Address S.F. Total SAC, Mcwcc 650.00 City Phone S.F. Footprints - On Site Sewage Water Conn 660.00 W Name On Site well 95.00 W W X Water Meter M' Address MWCC System 30.00 <6 City Phone City Water X Acct. Deposit PRV Required X S/W Permit 30.00 I hereby acknowlege that I have read this application and ate that the Booster Pump S/W Surcharge .5o information is correct and agree to comply with all ap State of Minnesota Statutes and Cit of Eagan Ordinances. Treatment PI 276.00 Signature of Permitee + APPROVALS Road Unit 370.00 A Building Permit is issued to: D M H CONST INC 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 I y~,, Building Official Variance TOTAL 3,699.0 1991 BUI AP CATIt1N CITY OF SAGAN SALE FAMILY INGS XMIPLE, LLINGS 2 SETS OF PLANS 2 SETS OF PLAN'S I, S OF AWWUPTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS ST=CTtWW*1-,PUm-:.. 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) $9T OF MnM 'ATION'S 1 SET OF ENE C, IJOULATTI S 1 SFFP `r No. 'CALLS # OF RENTAL UNITS # OF FOR SALE, UNITS PENALTY APPLIES WREN: TYPING OF PERMIT IS REMStTED, BUT NOTPIQ= `u ,EY`11AT' D ING. DAY, OF MONTH IN WHICH REQMT IS MADE. LOT CHANGE IS REQUESTED' ONCE.. P2MT IR IES NOTE: ADDRESSES FOR CORNER LOTS . CONTRACTOR/ROMEOWMAUST I a IS DESIRED. NO CHANGES _WILL. BE ALWM O=F, BUILUI S_ 2=76 TS. IF.fl►. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS .ONCE;A P T PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: '~11+1G1.,E ~AKIUY JIA&Valuation: •,1 te; { Site Address ~wa,1CNAWK • 3-77.5 LArAE 0-r. OOV Optics `QSE Lot Block _ Occupancy` Sldg. P Zoning Parcel/Sub &mY.AAWK G&&a - Actual Const ~loitn RAW r Allowable Y~ +1! a i Owner (MICE L u T Z # of storie* ow, MWCC Length Vater-C A Q0 Address 322 A L. t) F- tJ PiajdJ04. Depth x S. F. Total ~;_t Dolt Cfty/Zip Code L1GAatFootprint S.F._ Phone On site sewage_ Troatmoft On site well "a'd jjjj~ zN Contractor D-M, 14. QVftT*JA&M Zg%, MWCC System Park Deed. City water "]W .r Address 9150-5 a'e, F P-Y que.03!„;..,..,..,.~ PR9 ~ ~'e~i+st . 16 Booster Pump City/Zip Code QTP` G,p My. Phone A~ Pe~al,ty . ; 45ef- 93 ~7 Planner Lot Council Arch./Engr. Rift. Off.S Variance Address City/Zip Code Phone # 1". 3"t1._ ~ PA.f+d►. agrees that all work. shall be done to co a with. (Signature of Contractor) all applicable State of Minnesota Statutes and City of. Eagan 'ftdimoa. Li A, 4 logo IA 6FARA&e ~y.6'? x35-= X63 14,11 y (113) 735 1,33 x z = 3~' ~267~ y2 ~ 532 VzYM3= Z~3 3,`7 X 1233 u S 1305 I sT 13os 53 = bq J 6 5 2Np ~Dri . 2X 2~, Z -WZ ~ ~oyZ~ 8L 1 8 5 yC !ao = 1-7 0 ^x ~l57 XS3=~~_ 1 , 1 3123 W CERTfF CAT Q SURVEY for' D.M. Rae 7'10N 100.00 N 0°19'19"W - 5 5 C505 _~;OP~ST~E.tCTION 1 r C3- it3s AC33 Gvraye L-~ a ~ ~rajoaSeo/ t 23.6 W Aaez e O d' ?2. Ac co a I t 1 -I L_</ I OD z 07 t 0 1 C_ O 1 Ki a• OD' F 0 R B N e' N .*~!';N! LOT 13 'PERNT ONLY 5 ~ ORAffifAGE 8 tlT1Lf 1'Y rAsEmENr PER- PLAr`" IOf?.OD rAY 9766 W/. 33 9c9Poib g2d !29 'nms, 100.00 S O 'D 19'19 F - • DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR 939.3 FEET X000.0 DENOTES EXISTING ELEVATION . PROPOSED LOWEST FLOOR - 930.G FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOC --Cff raw o DeneAS . we0a/ ha, oIt"rcX t o B/act Bl A~'kyAYV Gl1`N 3 SCALE: 1 Inch= 3d Feet o Denotes Iron Bearings shown are assumed. Jop No. Bk.Pg. We hereby certify that this is a true and correct representation of a survey of the E.G. 1 ~~4► SONS, INC. . boundaries of the above described land and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. LAND SSURVMRS TE. G. RUC} Bl SONS, INC: 9180ieAngton Avenue N. Dated this ~ day of 0v 19-. by~~ Circle Pines, 6.555 ota,55014 Telephone: 7886.5556 Minn. Reg. No. 9BO8 D.fd.". CONSTRuenON OPTIONAL DESIGN METHOD 8505 JEFFERY A`F_ SO. ( OOKBOOK APPROACH) COTTAGE GROVE. MN `r 16 OWNER/n11L LLaz .JOB ADDRESS?;_1 'A &LA' 4KWAWV. Lr1AWjre.T. CALCULATIONS DONE BY LAQ.ni t4,nLTj PHONE 455-4$47DATE TYPE OF BUILDING 7_51-Y ACTUAL VALUES MINIMUM R AUIREM NTS ROOF/CEILING ASSEMBLY AS DESIGNED LF bTATE ERGY LODE R ONE & IWO FAMILY CEILING AREA: ~ SA. FT. ELLINGS - SKYLIGHT AREA SA. FT. R-VALUE OF CEILING INSULATION: R-38 (MIN) R-VALUE OF SKYLIGHT: WALL ASSEMBLY (ABOVE GRADE EXT. WALLS) WALL AREA: _ p$A, FT, R-VALUE OF WALL INSULATION: / 97 R-ZO (MIN) FLOOR ASSEMBLY (FLOORS OVER UNHEATED SPACES) FLOOR AREA: 1110,-4 45' $A. FT. R-VALUE OF FLOOR INSULATION: R-20 (MIN) NOTE: FLOORS OVER EXTER OR SPACES SHALL BE INSULATED THE SAME AS ROOMEILING ASSEMBLY. WINDOW & GLASS DOOR (PATIO DOORS) ASSEMBLY WINDOWS ONLY (BUILDING HAS NO SLIDING (GLASS DOORS--MUST BE AT LEAST DOUBLE I LAZED WINDOWS) TOTAL WINDOW AREA: n hALC - IS. $A. FT. PERCENT OF WALL AREA IN WINDOWS: 12Z (MAX) WINDOWS & GLASS SLIDING DOORS (BUILDING HAS BOTH WINDOWS & GLASS SLIDING DOORS--MUST BE AT LEAST DOUBLE GLAZE TOTAL WINDOW AND DOOR AREA _341.0SQ. FT. PERCENT OF WALL AREA IN WINDOWS AND GLASS SLIDING DOORS: 10% (MAX) DOOR ASSEMBLY (METAL INSULATED OR WOOD WITH STORM DOOR) DOOR AREA:_ ~5..57' SA. FT. R-VALUE OF DOORS: J R-3 (MIN) NOTE: ATTACH DOOR & WINDOW SCHEDULE. (SUCH AS PAGE OF ENERGY CONSERVATION tVALUATION.) FOUNDATION ASSEMBLY R-VALU OF FOUNDATION INSULATION: 4_ R-5 (MIN) (FULL ASEMENT WITH IN ULATION OVER COMPLETE HEIGHT OF WALL.) R-VALU OF FOUNDATION INSULATION: R-10 (MIN) (FULL EASEMENT WjTH INSULATION ONLY DOWN TO "b" BF9LOW FIN1 H GRADE, SPLIT LNTRY UR CRAWL PACE.) IHIS OPTIONAL DESIGN METHOD MAY BE USED INSTEAD OF THE STANDARD ENERGY CONS RVATION VALUATION. AREUNOT,METCHTHE STANDARDEENERGYUCONSERVATIONTEVALUATBIONMMUST BE COMPLETED TO DETERMINE IF THE TOTAL BUILDING ENVELOPE MEETS THE MINIMUM REQUIREMENTS OF THE MINNESOTA ENERGY CODE. SKYLIGHT, WINDOW AND DOOR ASSEMBLIES + -Value ht Manufacture I Manufacture No. No. Used Total Sash Area (A) R-Value U=1/R U x A Totals Enter Pace 1 XX XXX X XXX X XX X - a ue Windows Manufacture Manufacture No. No. Used Total Sash Area (A) R-Value U=1/R U x A CRIMUM QeAZ-240 Z.2 3 :Z-77- C) 0-0-Al- 2AAn_ •4. - r~ &C A2 -1 A15 18.10 cc z - o 60,A 1 -2-440 Zz 4A.64 ACA L2440 7, 44, A 26601 Totals Enter Pace 1 vXXXXI X Foundation - a ue 'Wall Window I Manufacture Manufacture No, No. Used Total Sash Area (A) R-Value U=1/R U x A I Totals r_nter age - aue - aue R-Value Storm Door Door U-Value Dcors Manufacture Size No, Used Total Door Area UU Door (If Used) Assembly U=1/R UxA Let E (o° { Z.~-T 2 g ` 1 1-7,16 1 26 1 f i otais ztiter ace XRMX,xx 1- I 7 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 2 5 (612) 681-4675 Date Issued: 12/17/96 SITE ADDRESS: 3723 BLACKHAWK LAKE CT LOT: 13 BLOCK: 2 BLACKHAWK GLEN 3RD P . I . N 10--14362-130-02 DESCRIPTION: B'r. ilding :Permit Type BASEMENT FINISH €3uilding Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.60 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - LUTZ MICHAEL 3723 BLACKHAWK LAKE CT EAGAN MN 55122 (612)681-9046 'I hereby acknowledge that I have read this appliwat"ion acid state that the information is correct and agree Co 'comply with all, applicable State of Mn. St,~tutcs and City of L,agan Ordinances. APPLICANTIPERMITEE SIGNATURE ISSUED F1' NA OPE CITY OF EAGAN 14316 3830 PILOT KNOB RD - 56122. 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) `J 1 681-4675 RomodetfRaeait HNUJ ementa ♦ 3 registered site surveys ♦ 2 copies of plan 2 copies of plans (trrduds beam d window sites; poured And. design; etc.) 4 2 site surveys (exterior additions & decks) 4 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan M lot platted after 711193 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ~~sPU-+,~,,..`~ ~l ~c • r+S STREET ADDRESS: 5 S` l Z2 LOT BLOCK SUBD.IP.I.D. JIM b-f'L PROPERTY Name: V V L t c ~l c~ Phone ("R OWNER y Street Address- R 1c,A ha-k,', City: T-a.C' cy State: A4 K) Zip- 12 2 CONTRACTOR. Company: Sc Phone Street Address: License City: State: Zip. ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip. Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once pem-dt is issued. I hereby acknowledge that I have read lltiis 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: " L OFFICE USE ONLY Certificates of Survey Received Yes No 1 DEC 0 4 1996 Tree Preservation Plan Received Yes y No 1 B OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool n 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility a 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous a 05 SF Misc. ❑ 10 ___:.plex ❑ 15 Deck WORK TYPE ❑ 31 New 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) ytti Basement sq. ft. MCMS System (Allowable) L Main level sq. ft. _ City Water UBC Occupancy 3 ~F-7P sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft.Booster Pump Length sq. ft. Census Code. Depth u' Footprint sq. ft. SAC Code 0( Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total; % SAC SAC Units PERMIT ~"PUTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Permit Number: 030521 Eagan, Minnesota 55122-1897 (612) 681-4675 Date Issued: 07/28/97 SITE ADDRESS: 3723 BLACKHAWK LAKE CT LOT: 13 BLOCK: 2 BLACKHAWK GLEN 3RD P.I.N.: 10-14352-130-02 DESCRIPTION: Building Permit Type DECK Building Work Type NEW 'Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $50.00 COPIES (3) x.75 Surcharge $.50 Total Fee $51.25 Subtotal $50.50 CONTRACTOR: OWNER: - Applicant - LUTZ MICHAEL ' 3723 BLACKHAWK LAKE CT EAGAN MN (612)681-9046 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 Mn. Statutes and City of Eagan Ordinances. GC 1 P LICANT E ITEE SIGNATURE ISSUED BY: SIGNAT E 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL~~ p S a I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 Now Construction Reaulrements Remodel/Repair Reauirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam & window sizes; poured find. design; etc.) # 2 site surveys (exterior additions & deciw) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 711/93 required: Yes _ No DATE: 7 - 9 CONSTRUCTION COST: fOd DESCRIPTION OF WORK: oy' /,cot STREET ADDRESS: LOT BLOCK_ SUBD./P.I.D. 3 PROPERTY Name: 41 t a 4, Phone OWNER LW Street Address: City: _ c a 4~ State: M A/,_ zip: _t1/- CONTRACTOR Com Ry: Phone Street Address: License M City:. State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: R Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. 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: OFFICE USE ONLY EIVED 2 4 1°97 Certificates of Survey Received Yes No JUL Tree Preservation Plan Received Yes No Not Requi' OFFICE USE ONLY , BUILDING PERMIT TYPE ❑ 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool ❑ 03 SF Addition o 08 8-plex a 13 Garage/Accessory o 20 Public Facility o 04 SF Porch ❑ 09 12-plex o 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. 0 10 _ plex ,W 15 Deck WORK TYPE ,ef 31 New o 33 Alterations ❑ 36 Move o 32 Addition o 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water / UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. A13 4 Depth Footprint sq. ft. SAC Code Census Bldg Census Unit a_ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other _ Copies 3 ; . 7 S Total: % SAC SAC Units 37 2 3 $kNck . I VE RTIFICAT OF SURVEY • H. A CONSTRUCT 4 BL,4L'~YN~Wif~ L,4 E L'DIJ~T . 100.00 N 0°19'19"W - ` 0 2 5 8505 JEFFFR SO. COi'T~-,3r CI.-)• o--- b73 - ~ z3 .z 4159. - ck bz I a-- 1233 %R33 Goraye b -/4 ~ Pra~oseo! 3 _ 23 _ W f/QUSe b ~d'w /9.33 N ?2. L6 1. CU L_ L`l ao - to z i ~a s-f 0 112 0 lO o • ao CV Of OD FOR M6.~ ILY I LOT 13 P E R M T 5 DRAINAGE 8 UTJLlTY 5 EASEMENT PER, PLAr~ 100.00 _ ~ ~~D 8 Qf p 0 ` 8?•L6 4l.33. 9~fPoio' p v• s s 5~ _ '0 E D ._._X : M• "Iciel 100.00 S 0019,191, E 4 2GAN~ EERI DEPT DENOTES PROPOSED SURFACE DRAINAGE _ O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9SR-3 FEET X000.0 DENOTES EXISTING ELEVATION • PROPOSED LOWEST FLOOR --Bad_C FEET (000.0) DENOTES- PROPOSED ELEVATION PRO?QS 17 TOP OF BLOC O Pe voAr woos/ fiat ow ol>se.l, E s lof 8/oc~ ,Z ACAW,4WA * 67. N 3 ~~•~lf'/~~', ~o:~o v Coan~~yl, M~.~rr~ SCALE:1 Inch= -3O Feet o Denotes Iron Bearings shown are assumed. Job No.-Z&-&A--r- Bk. Pg. We hereby certify that this is .o true and correct representation of a survey of the 1, RUD & SONS INC. boundaries of the above described land end of the location of all buildings, it any, thereon, and loll Vie" encroachments, if any, from or on said land. - LAND SURVEYORS ,E. G. RUD & SONS, INC. 9180Lexington Avenue N. Dated Chia I day of °V 19-& Circle Pines, Minnesota,55014 by Telephone: 786-5556 SURD. f, Pin! M.'MIA 2. _ 4. o' 61 Shmmr x~ Water C &00 " .3E" ' .a Bath Tub 3.00 z- 4 too Kitchen Gh* Leundr?y.T( a".»...~ T~~4 44 _ Hot Tuwspa .t a ~ Water'Heater 100 Floor ter 100 .A..I.~. Gay Pier tartlet' mwmwn - 3; , Rough Opp 160 ; x k. (new, and refudbhod '.r U. G. Sprinrk#er * h ►r ems. 3.00 ~ Alte vtions t o)" .t'l0 Water 'urn Around 2D.00 ON MV CHAM9 TOTAL SITE ADDRESS: OMER NAME i6o INSTALLER PlAI?lE` 5e! r-7 t La c s , STREET ADORM, CITY: ST'.: , t~ - r! PHONE t ~ _ v - - SU`rte M t # PUN t Mot - , t #W' lbr Pke"voto VON e -t kT, WAMFLOW, I E ~ FA LUW.'M. Fes: M~yme' m WA#E a 6 MF 4 i 7 ( 4- Rio NOW OVOMR 7 7 six-- i r~ r. S Y ib= - 1r ~ t - _ ~i Ir.lll 6 N--~rir-rr1iG -rwrr..~~. iY.i~1..~.4.rn NIS 1iG111pF - - 'r ' 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodelfReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. I of house; and all roofed areas 2 copies of plan Cad of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres. Plan Real Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres. Required Y N 1 set of Energy Calculations Add&n - indicate if on4e septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost A/9 dej C) , ex) Site Address ~ L3 &4441 (jrr, Zjgek- e, Unit/Ste # Description of Work 0 74' Z& 11 lei Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 4e Property Owner /f/It f✓ i } t.J ~,/'fZ Telephone # ( 4#6 / O Contractor Pea 'a lb ~+~tl1~S . ~fC. Address , -172 1!9Z J ~G e City State J tj&,50DR Zip ,551,IL/ Telephone # (4W) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7674 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: ) Licensed Plumber Telephone Mechanical Contractor Telephone # ( ) ) Sewer/Water Contractor Telephone i hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant' rName Applicant's Sign e OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding C.1 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinldered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco - Stone _ Brick Fireplace _ R.I. -Air Test -Final Windows Insulation Retaining Wall Approved By: , Building Inspector - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total -7 Monday, November 07, 2005 VIA E-mail - tmiklyaCajcityofeagan.com Mr. Tom Miklya Buildign Inspector Department of Building & Safety 3830 Pilot Knob Road Eagan MN 55122 Ref: Metro Roof Panel side-wall detail, installation at 3723 Black Hawk Lake Court. Dear Mr Miklya, This letter is provided on behalf of the Metro contractor on the above roofing project, Elite Exteriors (Jason Vogen) and specifically addresses Metro's side-wall detail recommendations. This Metro installation used two different techniques for flashing and weatherproofing the side-wall areas of the roof. One of which is acceptable (Front of house) and the other (Back of house), while providing adequate weather protection does not meet Metro's long-term weathering standards. SIDE-WALL Front of house: The siding on the front of the house (as requested by the home owner) was removed and the Metro panels bent up against the base wall sheathing. The siding material was then brought down over the bent-up panels to provide a counter-flashing detail. This is an acceptable method by Metro. SIDE-WALL Back of house: This portion needs to be re-done by removing the 3-1/2" stone-coated Counter- flashing and cut the siding to allow insertion of a'Z-bar' up under the siding. This'Z- bar' is then dressed down over the previously installed and bent-up Metro panels providing a long-term weathertight finish. The Metro trainer - Daniel Detamore will organize this repair with the local Metro rep - Dan Henkel schedule permitting over the next two months. Installation details as described above are acceptable to Metro and a Metro warranty certificate for the product will be issued upon correction of the back side-wall flashing detail as noted above and the attached drawing. ' If you have any questions on the above please do not hesitate to call our office. Yours Sincerely, ;V• 4 &e# P. A. Croft Metro Roof Products V.P. Sales & Marketing 3093'A' Industry Street Oceanside CA 92054 Encl. PDF of Side-Wall Flashing detail Toll Free: Cc: Dan Henkel - Metro MN - e-mail: dhenkel123 a().yahoo.com PH: Daniel Detamore - Metro Technical Training danield anmetroroofs.com (760) 435METRO-9988-42 PH: ( Order FX: (760) 435-1162 Jason Vogen - Elite Exteriors - FX (651) 688-7817 General FX: (760) 435-9412 www.metroroofs.com EtiteEW10-13-05v2 Rev. 11171051:02 PM (760) 435-9842 Tel. GD 3093'A' Industry Street 13 Oct., 2005 www.metroroofs.com Oceanside CA 92054 SIDE-WALL -Siding Flashing Detail pg.1-00 kAr RWU for S=d Fowl# (5) (4) (3) (2) (1) - - - - - - - - - - - - - - - - - - - - - - (6) (7) (8) TECHNICAL DETAILS 1 Metro panel bent-up against siding min-1 Winches 6 Panel batten (1X4 or 2X2) 2 Selant bead applied at top of bent-up Metro panel 7 Existing Asphalt Shingle roof 3 'Z-Bar' fitted up, underbehind siding as shown. Cut a slotislit in the 8 Existing 'L' Flashing as shown siding to allow insertion of the 'Z-Bar. 4 Existing siding 5 2X4 Wall framing PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA095046 Date Issued: 07/21/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3723 Blackhawk Lake Ct Lot: 13 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-130-02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Apple Lake Heating & Air Conditioning lolichael Lutz 207 150th Street West 3723 Blacldiawk Lake Ct Apple Vallev NIN 55124 Eagan MN 55122 (952) 431-4328 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA111005 Date Issued:06/07/2013 Permit Category:ePermit Site Address: 3723 Blackhawk Lake Ct Lot:13 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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. Window or Door:1 windows Tim Schenk Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Michael Lutz 3723 Blackhawk Lake Ct Eagan MN 55122 (651) 681-9046 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119601 Date Issued:12/09/2013 Permit Category:ePermit Site Address: 3723 Blackhawk Lake Ct Lot:13 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-130 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 - Michael Lutz 3723 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:EA126864 Date Issued:09/15/2014 Permit Category:ePermit Site Address: 3723 Blackhawk Lake Ct Lot:13 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-130 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 . Susie Case 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 - Michael Lutz 3723 Blackhawk Lake Ct Eagan MN 55122 (651) 283-5104 New Century Exteriors P.O. Box 261 Big Lake MN 55309 (763) 262-2378 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128787 Date Issued:12/05/2014 Permit Category:ePermit Site Address: 3723 Blackhawk Lake Ct Lot:13 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-130 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 - Michael Lutz 3723 Blackhawk Lake Ct Eagan MN 55122 (651) 283-5104 Craftsmans Choice Inc 26219 Fremont Drive Zimmerman MN 55398 (763) 633-1390 Applicant/Permitee: Signature Issued By: Signature