1610 Blackhawk Lake Pl.? ?
m
--4wYfx."f!?.
.. . taQ.,? ..
i!ATEF!" SGRM ???PERlYiI
? ?. .
t' ?4 ?
CITYA EAGAN Permit No: j J!? ` Y'? ' ? Date:4
VidPilot Knob Road B/P No: Date: ' M-2 ' a -
P.O. Box 21199:%'
Eagan, MN 55121
Owner: Cons:•
Site Address: 11610 BIae' aWk T nI-€- P` Z'" B' B' - cb•lawa;: L1 n TII
-T. ?
Plumber:
MWCC: 4 ??ti: .,:;_
s .>d
Ciry Chg:
Acct. Dep:
Permit Fee:
Surcharge:
Misc.:
Zoning•
No. of Units: z
I agree to comply with the City of Eagan
Ordina ces. .
By
SEWER SERVICE PERMIT ?
l%
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
? ordinances of the City regutating building conslruction or use. For the fotdowing.•
Use Classification S P Dt{IG / GA..R Blag. Pera,;t No. 15792
Occupancy Type R$/M 1 Zoning District R y TyPe Const. ?N
OwnerofBuilding HUME WMST. Addrm21 19 YIBURATIJM TRAIL, EAGAN
BLACKHAWKK LK PL? I.8 , B I, BLACKHAWK GLEN 3RD
Building Address lity
f.?- na?: JUNE 26, 1989,
Buildmg iaaV?
POST IN A CONSPICUOUS PLACE
?
CONTRACT PRICE;
PERMIT # PLUMBING PERMIT ?'' ?e ? ?' :'•?'
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE:454-8100
q
Site Address
Lot Block ? Sec/Sub
.; .;
? Name
m Address
c City ° Phone
Name
c Address• r ? ,1`- Y i
O City ' Phone'
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTlAL FEE - $ 412.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C tF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
?
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
FIXTURES TOTAI?.
Water Closet - $3.00
?
?Y lBath Tubs - $3.00
Lavatory - $3.00
?_Shower - $3.00
' Kitchen Sink - $3.00
?
Urinal/8idet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
_
_
_
Whir1pool - $3.,00
7
_
Gas Piping Outlets - $1.50
(MINIMUM - i PER PERMIT)
r
Softener - $5.00
,'
Well - $10.00
Private Disp. - $10.00
Rough Openings - $15
FEE:
STATE S/C: ?
?
?
-
.
.{(!
GRAND TOTAL:
This request void ?/
18 monYhs trom /??d
__.--
qL 19 8 7 5?:. 3 i j??J?.?C?=- ICG ?` i ?t.tv? ?
Rp,ryuest ate fire No. Rough-in Insper.tion
Re
qwred?
[]Ready Now Wiil Notifv. Inspec-
t
Wh
R
?
Yes No r
en
eadY
--
nsed Elec rical Contractor 1 hereby re4uest insDection of above
Owner electrical work installed at:
Street Address, 8ox p? Route No.
C4 ( Cle
- City
?°\S+? ' •
ection No. n
ow
ship Name or No. Range No. County
Occ ant (PqfNT' Phone No,
---'
?
P TAMO-A Address .
Electricai Contractor (Company Name) ( ^. Contractor's Lfcense No.
1.C ?l ?
Mailing Address (Coritractor or Owne
Making Instaila i n)
i +
Authorize¢`$Igr{atu?e,(Ccrtitractor w?er tyOa„ g Installation) Pho?e Nu
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTiON REQUEST Will NOT
Griggs-Midway Bidg. - Room N.191 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENClOSEO.
. EB-00001-06
REQUEST FOR.ELECTRJCAl. INSPECTION
See instructions -(or completing ihis form on back of Yeflow copy.
E19 8.vt "5 "X r Below Work Covered by This Request
Add Rep. Type ot Building ApRliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lfghtiiiy Fixtures
Apt. Building Dryer Electrie Neatin
Commercial Bldy. Fumace Silo Unioader
fndt+strial Bldg. Air Conditioner Butk Mi1k Tank
Farm otner Pecitv , otMer (specity) _
t er Suec+fy Other Other -
ComUUte lnsaeciion Fee Below
k Fee Service Entrance Size N Fee Fae.ders/Subfeeders # Pee Circuits
0 to 200 Am s 0 to 30 qm s 0 to 30 Am s
Above 200 Amps 31 to 100 Arnps 31 to lU0 Am s
Swimming Pooi Above 100- Amps Above 100^Amps
Transformers Irrigation Booms Partial- Othe ee
Signs Special inspeciion TOTAI FE '
Rerrarks
L.U ?
Rough-in Dite 1, the Electrical
Inspector, hereby
ertiiy that the above
Final t Date inspection has been
?da.
t'hix rwniiesi veitl 18 moMh3 fr0t11
, This re4uest void
18 months from
E 1 qq 7 7
flepuest ate
-^? i
585
Fire No. Rough-in Ins
Vection
?red?
?
?Ready Nuw i?i Notify. Inspec-
?
0 I
? ?
s No tor When Ready
A Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work installed at:
Street p,+a,-,,- Boz or_Route No - ? City
1!,21_L) ) / '-owi ?' Lk - ?i v-(f
ecLOn No. ? Township& or'No. Range No. County
Occ pa t (PRiNT) Phone No.
Power Supplier
7 ? ,\ Address
Ele Contractor ICompany Name Contrar.tor's License No.
m
MaAddress (C, ntractor or Owner king Instailatio
uthoriz ignature (ContWctor/Owner Making nstallation) Phone Num
ber
11
?
5 ?
55
2
-
MINNESOTA ATE BDARD OF ELEC7R tTY THIS INSPECTION REQUEST WILL NOT
Griggs-41Aidw y Bfdg. - Room N•191 BE ACCEPTED BY THE STATE BOARp
MN 55104
1821 Universitv Ave.
St. Paul
UNLESS PROPER IIVSPECTION FEE IS
.
.
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR'ELECTftICAL INSPECTtON M. ea-oooot-os
j
? ? See instructiuns tor cq;,npleting..this form on back of yellow copy. W
E-1 9877 "X" Be/ow Work Covered by This Request
Add Rep. Type of Building Appliances Wired Equipment Wired
Home Fange Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electrii; Heatin
Commercial Bldy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk Tank
Farm orhrr pecity Oihe, (snecirv)
ther Suecify Other Oiher
ompute lnspection fee Below
# Fee Service Entrance Size # Fee Feeders/Subfeeders ? Fee Circuits
0 to 200 Amps 0 to 30 Am s 0 to 30 Am s
Above 200 Amps 3l to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100-Amps
TransformerS Irrigation Booms Pdrtial, Other Fee
Signs Speciallnspection
S ^
T TAL FEE
Rerriarks /
i G. ,? GP !
Rough-in Delte ?
t, Efectri
Inspec , ereby
? certity that the above
Final a 1e inspection has been
ade.
rhin reeuest veid 18 months from
I .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? 15792
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for SF DWG/GAR Est. Value $226,000 Date OCTOBER 27; 19 88
Site Address 1610 BLACKHAWK LAKE PLACE OFFICE USE ONLY
BLACKHAWK GLEN 3
8 Block 1 Sec/Sub
Lot On Site Sewage Occupancy R3 Ml
. MWCC System X Zoning R1
Parcel No. On Site Well (Actual) Const Vn
HIJME CONSTRUCTION INC City Water X (Allowable) Vn
ac Name
i 2119 VIBURNtTM TR
AddreSS PRV Required X # of Stories
°
City EAGAN Phone 688-2004 Booster Pump Length $$ '
Depth 4$'
'o
. Name SAME S.F. Total
? Q Address Footprint S.F.
P City Phone AppROVALS FEES
?Q
? W
Name
Engr./Assess.
Permit
984.00
13
? Planner Surcharge 1
.00
Z
x ? Address 9
Council
Plan Review 4
2.00
Q W City Phone Bldg. Off. SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance _ SAC, M WCC 550.00
information is correct and agree to comply with ail applicable State of Water Conn. 550.00
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00
Signature of Permittee Road Unit 325- 0
A Building Permit is issued to:_HUME CONST Treatment P1 __9n4-n00
on the express condition that all work shall be done in accordance with ali
applicable State of Minnesota Stat tes and City Eagan Ordinances. Parks _
/
_-??---
? 5 TOTAL $3.385,90
P
198$ BUILDING PERMIT APPLICATION - CITY OF EAGAN `
3TNGLE FAMILY DWELLINGS S
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES 0 SURVEY, 1 SET OF ENERGY CALCULkTIQNS
NOTE: ADDRESSES FOR CORAiER LOTS - CONTRACTORfHOMEOWNER MtTST DESIGNATE WSIC$ ADDRES3
IS DESTBED. NO CHANGES WILL BE ALLOWED C}NGE BUILDTNG PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # f3F IINIT3 ?
IAICLUDE 2 SETS OF PLAIJS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CbMNlERCIAL IIdCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ???( '? ?3 198?1
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: /???????/ ?? Valuation: I?a.te: 42
Site Address /W b
Lot BZoGk
Pareel /Subi 9,?-,&`l?4- ??7.^?I'°A"'
owner Ct?,s-/?Z0 157/ a,J s? -
.Address AWL-
City/Zip Code ???1?, d ,J / 2 7.-
Phone ?ffj°- 2 d 0
Contractor ??-
Address ;j I GJ PV?? f? L
CitylZip Code L
Phone ? 7
Areh. /Engr.
Address .T 4z 7v? ?6J ?sC??'??
Citp/Zip Code G5"d41t.-
Phone #
2 L 4 ??••- vr r.
?
On site sewage
MCC system ye-
t?n site well
City water
PRV required
Booster Pump
APPROVALS
Engr/Assess
Planner
Couneil
Bldg. Off.
Varianee
Oceupaney Q 3 M-1
Zoning R-1
Aetual Const W`!??
Al.lowab3e
# of stories
4292
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit 1784i,Od
Sureharge 11;5, oo
Plan Review ;441Z, ov
SAC, City o u; a 0
SAC, A4WCC ,='v z'?
Water Cann .5& 0 \j
Water` Meter 4 1 o o
Raad Unit 3" at)
Treatment P1 =&A to*
Farks
Copies
TOTAL
VA LU 4-t' i aNi
s.
;
6A'R A,&f
lZX? _. Z4o
?7Z-
`l `,(
7 X-q
Z
-• N
?
X1y= ISCi.y
t3s??iT'
-?' i } .
3-0 XYL= l2?b
?,)" 0 ; io
Z--
Iz ? zy _ 3??
ZX?L? -3 Z
z .---
113C1
IST PwO'L
$5?'?'r'C = 1 q 3?}
3os5 x ? :- 1?I?6?5
r t
ri?,??=
?
2
. e w
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
DATE
OWNER G So??
SITE ADDRESS ?,.. oT SLOCx I Bt-14CkHAWK (St,EN 3RC AoDN.
CONTRACTOR PHONE
Determine Working Square Footage of Each.
1. Total Exposed Wall Area .. S/,.3?9 Z(c, Sq. Ft. X .11 = y,?
-r
2. Tota1 Roof/Ceiling Area .. 310 Z.C.?Sq. Ft. X .026 = Q,
3. Total Floor/Cant. Area ..'/(I 9&,00 Sq. Ft. x .05 = c?y
Total Exposed Wall Area Above Floor = Z/??3 SO
a. Total Wall Window Area. . . . . . . . . . 9yZlo7
b. Total Door Area . . . . . . . . . . . . . sz?S,
c. Total Sliding Glass Door Area ...... 9 3,3
d. Total Fireplace Wall Area . . . . . . . . --
e. Total Wall Framing Area (average 10%) ..
/S ? O?
f. Total .
Net Wall Area Above Floor ..... / 3??.?8
g. Total Rim Joist Area. . . . . . . . . . . 2.d8.33
Total Exposed Foundations Area
h. Total Foundation Window Area . . . . . . -
i. Total Net Foundation Area Above Grade .. /SS,?C3
Determine "U" Value of Each Wall Segment.
4.
a. x „U„ ,, 3S Z _ = f?S(o•?L
b. s?s, 0 3 X ilUii _
8
1511,
c. Y,.3$ X flUff Z = z ?
3S
d. - X flUff
e. -eTYps/ X flUit
f. i.38(Q 38_ x flUff ,osi = sSSlto
g. X flUff ,oY = ,?..33
h. - X "U" _
i. 1-3 X liUil
SUBTOTAL = Z !e, 7D ?-/Qlo.La9r7s7?
TOTAL =
If item #4 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2.
Total Exposed Roof/Ceiling Area - I Wo ?-1- lop
j. Total skylight area
k. Total flat raof/ceiling framing area
1. Total net inslted flat roof/ceiling area
M. Total vault roofJceiling framing area-10%
n. Total net inslted vault roof/ceiling area ---
Determine "U" ealue for each roof/ceiling segment.
i • x i. U„ _ , z9
?
k X flU te l?.
1. x ifu lt 0_Z. 7 ?
m . X lfU ll „ _ ...?
n X ifU ll
5. TOTAL
-C ?o. 7
If item #5 is the same as, or less tnan item #2, you have met the
intent of SBC 6006 (c) 1.
Total Exposed Floor/Cant. Areas /O 96-QCJ
o. Total floor/cant. framing area (avrg. 10%) /09,6CL_
p. Total net insulated loorjcant. area ... q? eo,sl0
Determine "U" value for each floorjcant. segment.
o. SLZ & r) x n U n i d le = l o. 5??._
p._ gP&- YAn X„ U„ ----/a--? - z 2 0-9
6. TOTAL =
If total of #6 is the same as, or less than #3, you have met the
intent of SBC 6006 (c) 3.
ALTERNATE BUILDING EI3VELOPE DESIGN
To utilize the total envelope system method, the values established
by the sum of items #4, #5 and #6 shall not be greater than the sum
of items #1, #2 and #3. '
l.- y&Z 7Z_ 2. 3. ?S9'. 8O = W60, Z 7-
4. Vfo 9/& 5. 90. Z? 6. .,3jo.1 7 = .S96et / Z--
Prepared By
Date
iA/ o.
Total Exposed Wall Area Above Floor
a. Total wall window area . . . . . . . .
b. Total door area . . . . . . . . . .
c. Total sliding glass door area. ....
d. Total fireplace wall area ......
e.' Total wall framing area (avrg. 10%) .
f. Total net wall area above floor ...
g. Total rim joist area . . . . . . . . .
Total Exposed Foundation Area
Total Foundation Window Area
Total Net Foundation Area Above Grade
Determine "U" value of each wall segment.
? ?0 -_
. . lg 9 ?
. . ? S Ce e_
,?-
a. l? P. 33 X ifUll ,-31.s -r = Z 5! S?d
b. X „Ulf ?a? = 9
c . X #lU ll
C?. ^ --- J{ nUn c
e. ZZ,97 x
- „Ull - 'Oni = l?:?S7
f. _
_
C X 11 U?? ,? ? 7
g. X
? „U„
h. - x "U"
i . --' X of U
SUBTOTAL = I
???
Total Exposed Wall Area Above Floor 6 ?--Q,OQ
a. Total wall window area . . . . . . . . . .
b. Total door area . . . . . . . . . . . . .
c. Total sliding glass door area . . . . . . (p40. ?Q
d. Total fireplace wall area . . . . . ..
e. Total wall framing area (avrg. 10%) ... s3 Y
f. Total net wall area above floor. ..... _^
g. Total rim joist area . . . . . . . . . . .
Total Exposed Foundation Area
Total Foundation Window Area
Total Net Foundation Area Above Grade
Determine "U" value of each wall segment.
a . y8_ CK-2 X if U of ?.s-_ _ 9 d
_
b. - x "U" _
c . 26 X It U ?? , ?3SZ = Z 4?
d. x "U"
e . X "U°
f. 3 4< 7 7 X " U n
9 • _ 9/ ?30 X " U "
h. - x "U"
i X of U It .--
SUBTOTAL = ????
THRt} SITl!n Int. Ai r . 68 ml'.R1' I"jS • Int. Air. . 6R
5/ ' F.C. Stud 5/8" F.C. S.R. (opt.) Sb tg.
S.R. B H SInFS (Opt.) Shtg- FiOm!' SIPFS Ins.
5i8" S.P. .56 5 1K" R. .56
5/8" S.R. .56 ? 5 S.F. . .56
L
F,x Air
.17
~ = ?,
Ext. Air
.17
,
y!
Tota)_ Total
1/P, 1/n
?. !
THRi) STUD Int. Air .68 THRi? IMIS . WALL Int. Air .68
w/o S.R. Stud w S.P.. Ins.
w/ SIDING Shtg. w/ SI_. *;G Shtg.
? Siding Sic?ir.g
.! Ext. ir .17 Ext. Air .17
?-
;
tal „R" _ ?
otal
'A
"U" = ltr
THRt1 MEMAER
f1T CA??T .
Int. Air .92
Carp.-Pad
Vinyl
UT1d.
Ply. . fo.2
Joist Depth /,o?S
??.s «-P ,z. ?S
Ply. ,SCo
Ext. Air .17
Total "R" _ JI. Va
1 / R = "lJ" _
'T'HRti "Ir!S.
AT CA?.'!..
?nt. Air .92
Carp. -Pad
Vinyl -'
? 80?
jind.
Ply. •
Ins.
Ply. ,SlO
Ext. Air .17
Total "R„ = 3,.5',/7
1/R=
, ,.
THRU STUD Int. Air .GB T}1PU IMS. t;IALL Int. Air .68
w% S.R. & SIDIrdG S-.R. .ys .
w/ S.R. & SIBING
S.R.
i??S
Stud ?.g7
. I n s .
Shtg. a.p
SHTG.
Siding
' 67
Siding
7
eo
; Ext. Air .17
Fxt. Air .17
;I Total 10•?3
Total "tt"
:i 1/R= II11" -
-
1 / R = ifU ll =
?„
}
i , v? r
i
TY:RU CLG. Int. Air .61 ?.;;Rl? CLG. Int. Air .61
M-Ei'BrR S.R. INSULATI0N' S.R. ( ") •S'<r
. Clg. ?;2r?b. ?/ 3S Ins. ( SO•?
T, s. ( ") 3eS.00 S-L ill F.ir . Ei
Still Air 61 To-Lal
? ,
To??l "n." r•. .
,d
A , , :) _ „ uit ; h
.?
THR11 CONC BLOCK Int. Air .68 THR11 RIt'I Int. Air . E E
C.B. ( ") ?•'? JOIST Ins. 19?4
Opt. Ins. 1Y" Wood .l . 8 9
Ext. Air .17 Shtg. ?•4?I
. . ; .
/
° i Opt. S.R. Siding 4167
• . ? '
Opt. Sid. _ ' -?• ? • Ext. Air .17
' . ? • Total "R" Opt. Brick
- ? -?- 1/R = tiull -?? -- ? Total "R" _aysa
1/R = ifUll
. Ul'ix V.t{' ` HUI.I,DiIIU llEPAit'i'hl EN'i LI)e-
, • EX't'k;nI0i2 EHVEOPE, AVk,lZIIQ ?? II ?
' ' ? U C014PU ,CAmION
. (Ta be submitted witli building permit application)
One or Two'Family Dwelling ' - ,
Owner
/111. Otlter• . ? .
0 :8f.te /lddreae
;,;y
ContracEor.,_....k`k=?,1_ • H, (r'?A"w Uxte rlione
LItdE;Ai, FEET OF ti • EXPOSED VlALL ft. above grade
. ToxAL EXPOSED WlILL AREA sq. FT.
opnquE wni,L corisTRuCTxorl sIIuII value x Area
D8 tall " "U" ep? x sq.
referen ae ` "UII
f ro m x sq•
, tVUn
_.._X sq.
attaclted ? flUll .r.
slteete X sq.
sq.
x sq.
WiIIIOWSt "lt" Value x Area ?
t-lake & Type ?,?'Y?C"1'? iiUii x SQ.
?i
n 11 nUn`_ x 8Q.
n U u
u iiu ?? x ?Q.
x sq.
IDOOns I "U" Value x 1?rea ?
1•talce & Type
?? n X SQ.
X Sq -ilull iiUJi x S(Z.
x S Q.
TOTALS sq.
-Fm. M(n)
FT. Z. = 0)(A)
FT• ? SU) (A)
Fm. -?(u)(n)
FT. (A)
FT. ,_(U) (n)
F'T..?02- ?2? (U) (A)
FT. - (U)???
FT• (n)
F`r. ( U ) (A)
Fm. ,c !C;' ?u) - 1-1 Fr. - tu)(n)
FT. (U) (A)
Fm.??- (U) (A)
rT'
TOTAL (u)(A) vnLUE,? /7o? AVEI21lt?E ??ui? _ "7, (u) ( n )
. ,
DIt1IDED BY TOTAI; ti'?ALLL n??, I? I
nv?;nnaE ifu l?
lese for 1&Z famil -c}tvellinge
ROOF/CEILItIq t TO'rAL AItEA s
De tail reference
from ' Uii --.._..x SR. F''.
attacl?ed slteets. iiUii x SQ. FT. ?______.?(U) (A)
Deecribe openitiga --"'"I I u i? x SQ• FT• ' (U)(A)
itt roof. IiU11 X sQ. F'r. - (U) (A)
X S Q. .F`r. ( U)(A)
TOZ'llL (U) (A) VALUES DIVIDED BX ? vj????? z?-
?d 7?SQ•? 5 a(u(M
TOTIIL ROOF/CEILINQ? IlI2E/l . .- - - ,
AVERAQE I"U ll'
0025?for ventil.Ekted roofs.?
.? ?.
??
?
'W, P f ' ???1--"
w___..?_?,c?.
31-????=
? ???C?-?-??:?f ??,? -??? ? 1 ?? ??
t )
oz.
I cP'..3 = 1
?? .
? - ??X ? = I??? x 1 ?' I ?°', r?
z- Z?-X
? .?-.. ? .?.?
?14 ?
? C? .?
5,??= ?
Car? ? ? o?? 7L,I =
?
aE Roorf` Wttl.l; Riaro ancl Cona. 13loclt
' .
ItUOFaEILINq . I2 YJILU
1.1 Interior Air t'ilm 0.61
2. ) 51811 aYp. Bd. .56
. ) Insulation 44?
1•1 •
50 Exterior Air Film
11u11 ? IIR= '107:AL ???a ??77J
WALL IZ vALU
6.) Interior Air F'ilw 0.68
7•1 I" 'ayp. Bd. :?r5
8. ) xneule?tion J9:oa
9. )
10. ) p,vI L:?-- ?i rF ?
Maeonite Sidiii z ?7?.
i i. ) Jgxterior Air Film ? 17
. o4:? 7'vmAL
? I
L
. Z Y1l
U
12.) Interior Air Film 0.68
130 IneulaEion 19•00
'
111.) 21' Fir Itim Jo1eE • 1.88
15. ) P?u i??r'- PITG 1 .
Z
16• j Flagonitie Biditig . 6?
170 Exterior Air Film 017
"Uu a 1/R, ,04-0 TomAL (H)a Zy{.??
FoUt?D? ? I2 VALU
180 Interior Air Film' 0,68
19.)
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21. ) 1211 tlv nars tie Blo alt
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22.)
23.) Exberior Air Film .17
nun is 1/nn , 070 TOT1lL (JR)
__-=
, CITYQFEAGAN PermitNo: iT:57 Date: 11 J2?SP,
? 3830 PYot itnob ftoad Meter No: Size:
P.Q. Box t1199 Reader No: Dafe:
Eagan, MN 55121
.
.
Owner. tt-`'e rOn.st,
SiteAddress: 1 5-10 BlackhawSc ?sake Place ',r, 11 Iilac!=.hawtk t-:2en
Plumber. `iAorzpson Plcun'aint; III
Conn. Chg: oopd Zoning: 7?2
Acct. Qep: 15. 00Te, No. of Units: ?Permit Fee: 10< 00pd
Surcharge: •50Pd i agree to comply with the City of Eagan
Tr. Plant )4. ' ??rd Ordinances.
Meter. 62
Misc.: nAnT :got?I-??.:n By
WATER SERVICE PERMIT
CITY EAGAN Permit No: Date: i ' " = " `? '
3830 Pila?f?nob Road B/P Na: '??? Date:
; P.O.119
? Eaga55121
?
rs,:-sr.&
? Owner.
n'tiR'P
.
Site Address:
Plumber: r?
MWCC: Zoning•
Ciry Chg: No. of Units:
Acct. Dep:
I agree to comply with the City of Eagan
Permit Fee:
Ordinances.
' Surcharge:
Misc : By
SEWER SERVICE PERMIT
?
,*k NOTE: PASMENT OF FEE AT TIME OF
* anrn mnmrrva mce wrn. rrokl- *
IF EXISTING STRLiCTCIRE, DATE OF ORIGINAL BUILDING PIlRMIT ISSLTANCE:
Mont Year
6 ,R-1 SINGLE FAMILY
6 R-2 DLPLEX ('iwo Lnits )
? R-3 TOWNHOUSE (Three +:LTnits) ( Lnits)
Q R-4 APARTMENT/CONDOMINIUM ( Lnits)
12201 MINNETONKA LLVU
MINNETONKA. MN 55343
PRESENT ZONING/PROPOSID LSE:
? CONIIKEE2CIAL/RETAIL/OFFICE
Q INDLSTRIAL
? INSTIZUTIONAL/GOVERNMENT
2) lVL'1L'JC1 i
ADDRESS:
CITY, STATE, ZIP:
PHONE:
T FGAT. DF.SCRIPTION: . . . .
Lot Bloc S vision or Tax Parce ID )
3) NAME :
ADDRESS
CITY, STATE, ZIP
PHONE
riui?wers ?cense :
Active
Expired
= Not recorded
St Initia
= 12201 MINNETONKA t3LVD +
MINNETONKA. MN 5.,
: 9 3 3- 2 5. 2 1.. MASTER LICENSE # .1763M .
.
4} KI'.s', •Taa ? ?-
NAME: Hume Homes
ADDRESS: 2119 $iburnum Trail
CITY, STATE, ZSP: E a g a n
PHONE: 452- 8 3.4 9
5) XCONNECTION TO CITY SEWER o(CONNECTION TO CITY WATII2 ? OTHER
r?
6, NUMMMME": A//?
***************************************?*********,?**************************************************
*THE GOLD COPY OF THE PERMIT WILL SE SENI' DIRDCTLY TO PUBLIC WORKS TO FACILITATE MEM PICK-UP. *
PLFASE ALTAW ZWO WORKING DAYS FOR PROCESSING. SOMIDONE FROM ZHL CITY WILL CONI'ACT YOU IF TFIEE2E *
* ARE ANY PROSLENIS. *
?****************?r****************************************************************?r****************?
` APFLiCATiON FOR PERMIT
:FOR -CITY USE ONLY
PERMIT # ISSLED
Pd w/Bldg. Permit
$
S
S (c7c??
$
$
c
$
$
$ ?S o.c;o
$
$
$
$
?
s /-?f7(( G0
. ?7&6
_ 7
RECEIPT
FEES:
$ -
$
$
?
$ 157
$ /.`j (,^ U
$
$
$
?
$
$
$
$
. f 7 f 9
RECEIPT
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
WAC
SAC
TRLiNK WATER ASSESSMENT
TRLNK SEWER ASSESSMENT
LATERAL BENEFIT/TRLiNK SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
TOTAL
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK.6aITHIN PLiBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS: '
APPROVED BY:
TITLE:
DATE :
ciTr oF EnGaN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4$4-8100
BUILDING PERMIT Receipt
To be used for ?? ?WAR Est. Value $2260wo Date OCWBZIL 210 ,19
?
Site Address ???? ???? ?? PIACg
Lot a Block I Sec/Sub. gA"?? CLIN 3
Parcel No.
cc Name ?tm COOST$UCTItkR IliC
z Address 2119 ??wilm TR
° City . LWAN Phone 698"2004
?
' , o Name' SAM
d ? Q Addrass
City Phone
r?
F W Name
Address
CC Z City Phone
aW
I hereby acknowledge that I have read this application and state that the
information is corre¢t arid agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: ?? ??
on the expRg ss condition that ali work shall be done in accardance with alt
appliceble $tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official 4" ,14- ,. , ,,A
QFFICE USE ONLY
On Site Sewage Occupancy R3 Y31 11
MWCC System ? Zoning
On Site Well (Actual) Gonst vll
City Water Y (Allowable)
PRV Required ? # of Stories ?
Booster Pump Length
Depth
S.F. Totat
Footprint S.F. ?
APPROYALS FEES
9??'??
Engr./Assess. Permit ,
?•00
?i
Planner Surcharge "
'
Council Plan Review 492"00.
Bidg. Off. SAC, City 100+0W:
Variance SAC, MWCC 550"00'-
Water Conn. 550*00'
WaterMeter 67k00,
Road Unit 323•m;;
Treatment P1 404AOi.
Parks
TOTAt,
i -'
CLAIM VOUCHER - REFiTND REQUEST
CITY OF EAGAN
CLAIMANT U? .
ADDRE!
Location
Receipt No./Date
Reason for Refund
Type of Refund Electrical Permit
Plumbing Permit
Mechanical Permit
Surcharge
Water Connection Permit
Sewer Connection Permit
Account Deposit
Utility Account Over-payment
Other:
01-3211 $
01-3212 $ ? Q
01-3213 $
01-2155 $
20-3713 $
20-3743 $
20-2252 $
20-2250 $
$
$
TOTAL $_ ;.1. O
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
A7 8? I ?1 ?9
Signature Date ?
L!? /D L?w
C<Yk XIit-
?
J
! S ivixft
STRUCTURAL WOOD CORPORATION
1175 EAST HIGHWAY 36 a ST. PAUL, MINNESOTA 55109 ¦ PHONE (612) 484-0281
Gity of Eagan
Dept of Building Inspections
3830 Pilot Knob koad
Eagan, MN 5512Z
Dear- P1r _ Merchak-
Per yaur request, enclased are the calculations for the 61ue -
Laninated beans for the Steve 8 Sharon Carlson residence at 16I0
Blackhawk Lake Place_
After discussing the cantileUered Micro=Lan decf, beam with Hur?e
Construction and their Iunber dealer, we have deterriined that
there will be an additional post added to carry the Glu-Lam ridge
beam thus eliminating the point load on the cantileverec3
Micro=Lam k?eam_ This beam condition was a saurce of concern
beGause of the trerhendQUS uplift on the interior end of the hearK_
I have alsa enclosed acapy of the GIu-Lam design values and
properties, as well as laad tables for yaur- file and reference_
Let me knou if we can be of further assisstance_
Since 1y,
`?. --
Paul Legri?
cc: Gerald Robb
Hume Construction
1
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., BLDG? PERMITNpO.??.,"?7??'
01-3210 Bldg. Permit
. ?, n4 rswnn - ?ru-.= ^L__i_??
V1'JYGG-.- .TIZ[ill.ri14'liR . . !. J..?l
, 01-3445 Sureh./Adm: ?
- ?
01
3446 SAC/Adm.
' a 01-2155 Surcharge
? 75-3860 Road Unit
k ' 20-2275 SAC
? 20-3865 Water Conn.
` J ?-
20-3868 Water Trmt.
t
3 ?
20-
716 Water Meter
? 20-2252 Acct: Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
?
?
?
?Q
T07AL
O'
OBJ@CT AMf3t1NT
?4 Z???
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AO?
f
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r
? k ?K
S
'f11a.1AN}
i?k
.
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, ,
`
AMOUNT - I $ C..%"s16JCe''
? ?.
& DOLLARS
?..__....-"?, C] CASH J1?9E?K
t .? ? `?.' ..- ?f?.?1 ? s,?"f ,?`'`!i ,1'???.C"?2J
r4, e- 11?1,-?
?--
.:
FUND (18,1EC7 AMOUNT
?
Thank Yvu'
sv " . . ?.
l .
f,
8678 x.:J vvme-PayBrs CoPY . ?
Y?pai?Pt?t?Cepyt
,Pir?s--fi? Ca{ay
??""'??`??''?raFrt?`"#?A??'?-"?'?',-?5+r=?+'w+?`??i??a"'??=?'?.::,?: • .. . -- - . . . . ,-. :_.?...,"?'*'.
PERMIT #
.' • PlUMBlNG PERMIT RECEIPT 1#
ClTY OR EAGAN
3830 PILOT KNaB ROAD, EAGAN. MN 55122 DATE:
CONTRACT PRIGE PHONE: 454,8100
Site Address
Lot-?_Block Sec/Sub -
?
? Name .?
Address
??
c Ciry ?rrs:?_? Ph ne
?
L Name ?
3 Address
,?J.,IR-?•
?? ?
p ?
,
Ciry 44 Phone 445",7
FEES
COMM/IND FEE - 1a/o OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMl1M - RESIDENTIAL FEE - $12.00
MiNIMl1M - COMM/IND FEE - $20.00
STATE SURGHARGE PER RERMIT - .50
(ADD $.50 S/C IF PERMIT.PRICE GOES
BEYQN 1,OQQ.00)
,^ r
SIGNATURE OF PEFtMITTEF
FOR: CITY OF EAGAN
L....<:.. .
BLDG. TYPE
Res.
Mult.
Camm.
Other
WORK DESCRIP ON
New
Add-on
Repair
RES. PLBG. ONLY - COMPLETE TME FOLLOWING:
NQ, FIXTURES
00
Cl
$3
l TAL
?
Water
oset -
.
?-Bath Tubs - $3.00 ?
_..?Lavatory - $3.00
?Shower - $3,00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
_-J_Laundry Tray - $3.00
Floor Drains - $1.50
?
Water Heater - $1.50 /-5 U ?
_._J_Whirlpool - $3.00
_,LGas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
"'
Softenee - $5.00 ?
?---
Well - $10.00
Private Disp. - $10.00
Rough Upenings - $1.50` . ;
FEE:
STATE S/C: ..?•
GRAND TOTAL: .`.. ? ? ...::
f . .
PERMIT # ' ?"' •?
. ' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Ad.dress ' L !i )
Lot Block r Sec/Sub
.
? -?,•
I ?f- y
t
?
Name /.
? : ? , ; ; °•. .. ,
c City Phone
Name
„
c Address Z 6<i 16
p City - Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets #
Other
BLDG. TYPE WORK DESCRIPTION
Res. x New ?.-
Mult. Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CQNSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - i% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINlMUM RESlDENTlAL FEE - ALL ADD-ON &
REMODELS - 12.00
MIMlMUM COMMERClAL FEE - 20.00
STA7E SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
TOTAL• SIGNATURE OF PERMITTEE
S/C:
FOR: CITY OF EAGAIV
CITY QW EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE:454-8i00 F°? • BUILDI NGPERMIT Receipt # { ,
To#3e used for Est. Value Date 2 7' ,19 5ite Address ?fk?VZL 'AU PL.t4;X,
Lot Block SeGSub.
:?AAC?.::JAWC VI.e'":4 1,
? IkriAr?
Q Gr"Cy . Phbtke
f _ .. . . .. , . , ..
'0' Name
z
013 ,Address
M City Phone
V W 's`?8(xt?`
- ? W
AddvSsS
a w City - Phone I hereby acknowledge.thai I have read this appkication and state that the
information is correct and agree to comply with all applicable State of
.Wlinnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
's' i'1a:L i O%^,-.
, A Building Permit is issued to:
on the express condition that all work shail be done in accordance with all
appGcabte State of Minnesota Statutes and City of Eagan Ordinances.
, . ; Buildirtg Official
;. .
?.t .._...>..,. w._..... ._ _ .,.
OFFICE USE ONLY
On Site Sewage , pccupancy
MWCC System Zt?itiing
On Site Well ? (Actual) Const+
CtCy UVater ,
PRV Reguired, of Stcvries??
Booster„Punip,
- '` Lehgth
Depth
S.F. ToYa! .
Footprint S.P.
APPROVALS
Engr./Assess. _ Permit
Planner Surcharge
Council Plan Review L '
Bidg. Off. SAC, City
Variance _ SAC,MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL 'y
?
„ Permit No. Permit Holder Date Telephone #
Plutnbing ? ?145
H:1/ A.C. Cc?<? ? / Gcz I
?
Electric :?
?
l
??
A
er
Softener
Inspection Date Insp. Comments
Footings I , rzw_
??
Footings II ?
Foundation
Framing
Roofing
Rough Plbg. A&
Rough Htg. /At
isui. /a-
Fireplace
Final Htg. ` -
Finai Pibg.
Bidg. Final
Cert. Occ.
Temp.lP Cf - ?,.?`ryr
Deck Ftg. r'Ns .
?
Deck Final
Well
Pr. Disp.
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~ ~ DENOTES IRON MONUMENT FOUND PROPOSED UPPER GARAGE FLOOR =~~w','~.FEET
X DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR =8e'4 FnFEET I~l1 ooo.o ~ 1 LAKE PLACE
P ED ELEVRTION PROPOSED TOP OF BLOCK =~~z," FEET ~_~J ~ ~ (000.0) DENOTES PRO OS
PROPOSED LOWER GARAGE FLOOR FEET
SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT WE NEREBY CE~TIFY TO I . ;
REP~ESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot g, Bioc:< I, BLACK:iAr~K GLEN 3RD ADDITION, according to the recorded ~ ~ ~ ~ 198~ 2 4 1988
pld~ L~18T'~CVL~ rdkOtB COllIlrV~ MiIIt12SOtd. S~;q ~ r i t~~ ~Jb ~ ~
; !,r IT DQtS NOT PURPORT TO SHOW IMPROVEMfENTS OR ENCROACNMENTS, EXCEPT AS SHOWN. AS 7 4~ ; ~ ~ U v' # ~a
0 18TH OCT08ER 8~ r'.'-,;`~ I S U R V E Y E D B Y M E O R U N D E R M Y D I R E C T S U, E f~ V I S I O N T H I S D A Y O F , 1 s_. d E S R~ N I l 1 I N C a ~ R. HI ING.
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%JA ~S R. ILL INC. ~:~;r . - ~ _M2,~ - ~ _ SIGNED: , ~ x:~~s. ~,~~~e .,Z
~ ,(~~.~A,..~L~...' w~ssnuw'c~ / , N ~Rur.~~ l`{~
l~/1~~ l?',~ fd.~' . ga :k^§ nv t4 Sm'~, f,'~"m'~ E.' `fi.•;e ~ R~~ ffi~~k E ~ ,~i-0~,`~~a~3~ .'~+~.~ne+:s~~s;d~miR e„»c ~.r BY: _ - w+ REVISED 10-I9-88 TO SHOW EXISTING ELEVATIONS
REI~ISED 10-17-88 TO SNOW PROPOSED HAROLD C. PETERSON, LAND SURVEYOR
HousE FoR HurnE CoNSTRUCTioN ~~INNESOTA LICENSE NUMBER 12294 _
- I hereby certify that • ~ this plan, specificotion or ~
W 7i7 (n re ort was re ared b ~ P P P Y
m 00 ~ N(~ g1~ ' me or under my direct ~ W ~ Q supervision ond that I • " 0 i r L~ < i - 0 ~ ~ om a duly Registere d i nn
- ~ ~ ~ ~ ~ ~ Professional En ineer
\ (!y ~ _ - 9 ~ ~ u n d e r t h e l o w s o f t~ h e O OJn ~ ° ~ ~ ~ `
~ W o ~1 State of Minnesot ~ o ~ ~ W ~1 • 0~ ~ G} Z 'O
~ O n1 tn
- LOT 8, ~LOCK 1, LACKHAWK GLEN 3RD. AD~I1'~0 9401 JAMES AVE. S. ~ BLOOMINGTON, NiN. 55431 • y Date Reg.No._ . 55431 612-884-3029
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\ ; ~ DENOTES IRON MONUMENT FOUND f`PROPOSED UPPER GARAGE FLOOR -E~5~~,~FEE C , ft ,
X000.0 DENOTES EXlSTING ELEVATION PR~POSED' LOWEST FLOOR =°~a'3~~FEET I~"1-- i ~ L ~L C
000.0 DENOTES PROPOSED ELEVATION PRC3POSED' TOP OF BLOCK FEET ~J ~ ~ ( ) ~ PROPOS~~ LOtNER GARAGE FLOOR FEET
~ T Y T S1E~NA CORPORATIO~ 7HAT TH1S IS A TRUE AND CORRECT WE HEREBY C~R !F 0
REPRESENTATION OF A SURVEY OF THE SOI~NDARIES OF: ~
Lot Block BLACKHAWK GLEN 3RD ADpiT24N, according to the reccrded ~lat therear, Dakota Cour!ty, Minnes~ta. ~,~~~'wN .
~ ~I~~ii~(3 ~~~°~s~~"~ :~r{~t~f~ }:~J~r ~ PR INTED. .
I`I DOES NOT PURPORI TO SHOW IMPROVEfU€NTS OR ENCR0~ICNME~ITS, EnCEPT,AS SFIOV~1~1. ~S • (~~'a~t~~tf~~°~ (~`1'~~d~~:
SURVEYED BY ME OR UNDER ~iY DIRcGT SUPERViSION THIS A~~~ DAY flF OCTQ~ER ,~g~~, OC~ 2 O~. 0CT 2 0 1988
~ SIGNED: ~JA 'S R. ~iILL, INC.
,j ~ ~ ~ . ~ N ~ WS, __HdIL I e
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ n
~ ~ . ~ r ~ ~ ~ BY.
REVISED 10-17-88 TO SHOW PROPOSED HRROLD C. PETER~O~, L~iND SURVEYOR wousE Fo~ HuME conisTRUCfioN. P~INNESOTA LlCENSE NEJt~BER 12294
w ,~s ~,.,y, . . ~P a'~.5::,..
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~ , I hereby cer4ifiy 9hat ~ ~ , 9his plan, specification or ~ e ~ ~ . ~
~ PTl W ~ ~ reporf was prepared by ~y ~1 ~ O I~1 ~ ~ , ~ me,or under my'direct
, GdJ ~ ~ ~ , ~ supervision and Pha9 I ~ i ~ _ i ~ D _ ~ _ . ~ inc.
f~l ~ nl ~ ~1~ 3~ am o duly-Regis4ered ~ ~ ~ . professional En ineer
^ ~ ~ ~ ~ . g ~ - ~ Z under the laws of fhe
~ ~ ~ ~ p O _ . _ SBaPe'of Minnesoia. W ~TI . ~ , Z; G`~ ~ ~ SURVEYORS
: ~ ~ ~ .
~ ~ ' L~~ ~y ~~~~K ~ ~~.~C~~~'~~ ~~~0 4~~~~~ r' ~~i~ . 9 ~~M~~ ~V~, ~ ~~~~~I~~~~~, ~~s ~ Dafe Reg,No;_. 1,55431 ~ M-0 , °~0?29
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