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3701 Blackhawk Rda Daft Site Street A Unit ?? pry Te t Te st?s (if applicable) ° n mow.. pbom '(_-• ) Costcacter Strut Addreaa city es zip Telephone { Expires: The 0 cant 1* , ?. owner CQ6ftact" Odw Wo rk TypaC ',New Con ructon Underground Tank tnstOll ROMpve'`*sae below. interior v tent, InsW Piping Prooessed Gas Naftre, of Work: ? lJtl .t nlnstel » /remoWngun round aMi, l Inspection by F ft 1?7C? Aim l sm*W V- C+IA MAT i a. ' ,,.,,a 1.:.,....n,:.:.....tww..i,,.t I hereby apply for a Commercial M nical Pamit and acknowledge that the information is complete and accurate; that the wo t Address _ 3701 Blackhawk Rd Zip 5512 2 Lot 1 Blk 2 Sub Blackhawk Forest THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: I Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass ...- Trail/curb damage far,. 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. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 S O 651-881.4675 > 3 rimed site surveys showing sq. ft. of lot, sq. ft. of house and g roofed areas (20% nuodmurn coveroae allowed) > 2 copies of plans (show beam & window sizes: poured h?d. design: etc.) > • 1 set of energy calculations > 3 copies of tree preservation plan if lot platted after 7/1/93 DATE: l J__Qr 2 copies of plan I set of energy calculations for heated additions 1 site survey for exterior' & decks CONSTRUCTION COST: ' 7 5 ,'-4`d DESCRIPTION OF WORK: STREET ADDRESS: `?7 7D / g (a? u ha wt( Il . LOT: ' BLOCK: SUBD./P.I.D. #: ?rl Lk, `fi PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: ?C A Of 6 r-° Phone #: Lad First Street Address: City State: Zip: Company: w ^r t ro 3 -i? C Phone 4 (area code) Street Address: 1 ?7 0 G d ?i - ?T _ Licertsae R city 40e & 1 f r State: I1,1. zip: Company: e°t fri Name: Telephone #- area code Street Address: Registration tk: City State• Zip: Sewer & water licensed plumber (re??A for new construction onh?k Penalty applies when address change and lot change Is requested once permit Is Issued. I hereby acknowledge that I have read this application, state that the inforrmation Is correct, and agree to comply with all app al State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY 61, Certificates of Survey Received Yes No G99 Tree Preservation Plan Received Yes No Not' Requrrd ` OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) K 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea. ? 03 1 of_ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ?; 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ?' 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/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. Z2 Z,20 Census Code ( (Allowable) Main level sq. ft. / C) SAC Code UBC Occupancy 8--u-,/ sq. ft. No. of Units Zoning sq. ft.7'?t r J O C No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. -7 7- /Q Booster Pump PRV Fire Sprinklered APPROVALS Planning Building _ Engineering Variance Permit Fee Valuation: Surcharge Plan Review J 2 0 a X License 12O l? X S2/ ` MC/ES SAC J 2 (57 d S?1j` . • C ?/ ??`? G City SAC Water Conn. /oelx 1 - GS 7 Water Meter Acct. Deposit 4;., S1W Permit S1W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC coi TREE PRESERVATION PLAN SUMMARY CITY OF EAGAN FORESTRY DIVISION 651--681-4300 (SEE ATTACHMENTS) Development u-cr. aU." L "AV Lot Number Block Number 2- Address ?? )C?Cx?Qc..?.k. D r, Builder Tree Protection Requirements: X Tree Fencing Oak Tree Pruning (Seal wounds during April 15 to July 1) Therapeutic Pruning Retaining Wall Other: Replacement Trees: Attachments: Additional Notes: Not Required As Follows: Yes No EAGAN FORESTRY DIVISION REVIEW I BY OATS_ SURVEY FOR: BRENT SCHAFER SCHOELL & MADSON, INC. ENGINEERS • SURVEYORS • PLANNERS SOIL TESTING • ENVIRONMENTAL SERVICES 10580 WAYZATA BOULEVARD. SUITE 1 MINNETONKA. MN 55305 (612) 546-7601 FAX:546-9065 '00 Qrl } 8111 872.0 66? .J GENERAL NOTES: 1. 0 - Denotes iron monument. 2. x890.0 - Denotes existing spot elevation. 3. x(890.0) - Denotes proposed spot elevation. 4.__- - Denotes direction of surface drainage. 5. Proposed garage floor = 862.4 6. Proposed top of foundation = 862.7 7. Proposed basement floor = 852.8 8. Denotes Existing Contour. 9. (629)"" - Denotes Proposed Contour. 10. Revised 9-2-99. Grades in rear of house. at client direction. S Gor09e wall t-, RelOmmq Wo8 \ cP CID CP. Y 6 \ (96-59) A l m E?Z1 1718 644 862. n .? . 001 OTSB 07S.T n 5 S '^ / 061 dJ EASE I.D bQtOl /?? • \ \ \ Oi 0 " .4 661.4 2 1 jr? Q \ \ ( 67.00 ?? es1.7 (e 1 D11'? ?../erzs • 4.0 } PROD 014,0 RETAINING 7N\ \\\ N86'21'49 wau 2.00 vACMT TREE LEGEND Number following abbreviation denotes estimoted diameter in inches, three feet above ground level. The second 1RS 'I number (if any) denotes the number of trunks of that "pq,? re wtitV,40A% dt'VU.CMe4 location (1 denotes a dead tree). t xbTj B L Number following shrubs denotes its diameter in feet. I 0 Denotes deciduous tree Den tree t t b r m d A.? ' I hereby re ared certify that this survey was supervision and that under m . o es o e x•? ove e . p p y th d S /, I am a er e urveyor un Licensed Land Denotes coniferous tree. Denotes tree line. laws of the State of Minnesota. This drawing ha bfn checked and CH s Denotes Cherry Example: . ? reviewed this day of EL Denotes Elm 0 BE 8 2 ichord J. Willio s\ Jr. 19 0 Denotes Oak PI Denotes Pine 40 0 40 80 120 Feet Dote: JU LY 19, 1999 License No. 19840 by, PO Denotes Poplar DESCRIPTION: Lot 1, Block 2, BLACKHAWK FOREST BENCHMARK: Top of iron monument as shown Elevation = 863.38 (NGVD-1929 Datum) S89'45'50"E 556.82 CR. CP ITS, ADDRESS COMPLETED BY: cKI<<"IT BUILDING CLASSIFICATION: ? cat MINIMUM CRITERIA Foundation Insulation-RIO Slab on Grade Insulation-Rio Floor over unheated spaces-R24 Foundation Windows 1/2" insulated Glass. -Wood or Vinyl Frame CITY DATE ory 1 (standard) or OF cat Walls & Windows (See table on reverse side for allowable percentages) 2 (must include ventilation) Roof Attic Insulation: R44-With Attic No Heel R38-With Attic Raised Heel R38 & R5-Solid Rafters STEP 1 Window & Door Area A. Total Window & Door Area in Sq. Feet WINDOWS (Including Foundation Windows) WINDOW MANUFACTURE NAME: W)IIJD5O1? WINDOW MANUFACTURE TYPE: 'T. WINDOW MANUFACTURE U FACTOR: R. O. Quantity eq.ft.Area Dimensions x 3.z x 3!A` / ZD X(J.I' f 7 ) X 1 On Il -CIO X(l ,? ' , l/l 1 ?' 1 x r o" x o' , 1 br X rj D STEP 2 Calculate area as a percent of wall C. From Step 1 divide box A (Window & Door Area) by box B (total wall area) times loo equals the window and door area as a percent of wall area (box C). BOX A X loo C Box B 35(.,9 115- 111 STEP 3 Design Features J ASSEMBLY FRAMING TYPE: STANDARD FRAMING ?j studs 16" o ADVANCED FRAMING .c. studs 24" O.C. CAVITY INSULATION ]] it lcl DOORS: X X Total Area of A- eq. ft. Windows & Doors B. Total Wall Area in Sq. Ft. Wall Total Perimeter Height Area Z? o / 5 -7 e Total Area of Walls B3SG q.ft SHEATHING TYPE: LESS THAN < R-5 R-5 > OR MORE U-FACTOR U From the table, (reverse side) determine the maximum percent window & door area for. the design options selected and enter the % value in Box D below based on the window mfg. U- factor: lio D The % value from the table in Box D shall be equal to or greater than the t in Box c I ONE- & TWO-FAMILY RESIDENTIAL BUILDING PRESCRIpMF (COOK-BOOK) AP1'ROACIi MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL AREA Mated va[uee STANDARD STANDARD R-17 R-17 < R - 5 11.9% 15.70/9 18.4% 21.5% ADVANCED R-17 Z P. - 5 <R-5 13.89'0 12 6% 18.4% 21.5% 25.0% ADVANCED It-17 R - 5 . 14 3% 16.8% 19 001 19.6% 22.9% . . 9 22.2% 25.7% Notes: Window area equals rough opening minus Installation clearances. Window U-factor must be determined by either the National Fenestration Rating Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table 5. tee Fart 7670 0475 a? Fart 2. mF LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: / L%- DATE OF SURVEY: Z "rf LATEST REVISION: DOCUMENT STANDARDS ? ? Registered Land Surveyor signature and company t li P it A ? ? can erm pp Building ? ? Legal description rg` ? ? Address ? ? North arrow and scale [V ? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) 4/0 ? Directional drainage arrows with slope/gradient % ? ? Proposed/existing sewer and water services & invert elevation ? ? Street name ? ? Driveway ? ? Lot Square Footage ? ? Lot Coverage ELEVATIONS Existin cp' ? ? Sewer service (or Proposed) ? ? Property corners ? ? Top of curb at the driveway ? 1-11/ 0 Elevations of any existing adjacent homes ? ? Adequate footing depth of structures due to adjacent utility trenches Proposed /? ? Garage floor qar ? ? First floor ? ? Lowest exposed elevation (walkout/Mndow) rz ? ? Property comers ? ? Front and rear of home at the foundation PONDING AREA (if applicable) ? ? Easement line ? ? NWL ? V? HWL ? ??'o Pond # designation ? ? Emergency Overflow Elevation DIMENSIONS r?,. ? ? Lot lines/Bearings & dimensions CII/ ? ? Right-of-way and street width (to back of curb) ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ? ? Show all easements of record and any City utilities within those easements ? ? Setbacks of proposed structure and sideyard setback of adjacent existing structures ? p ? Retaining wall requirements, if any Reviewed: Date 14 March 1999 CRAIG/BLDGPRMT.FM SURVEY FOR: BRENT SCHAFER TREE LEGEND Number following abbreviation denotes estimated diameter in inches, three feet above ground level. The second number (if any) denotes the number of trunks at that location (1 denotes a dead tree). Number following shrubs denotes it's diameter in feet. 0 Denotes deciduous tree. Denotes tree to be removed. Denotes coniferous tree. '"`rte Denotes tree line. CH Denotes Cherry Example: EL Denotes Elm BE 8 2 0 0 Denotes Oak PI Denotes Pine PO Denotes Poplar GENERAL NOTES: 1. • - Denotes iron monument. 2. x890.0 - Denotes existing spot elevation. 3. x(890.0) - Denotes proposed spot elevation. ', eet '",tac 4.r-- - Denotes direction of surface drainage. $72.0 5. Proposed garage floor = 862.4 6. Proposed top of foundation = 862.7 7. Proposed basement floor = 852.8 8. °? - Denotes Existing Contour. 9. .?(S29)'? - Denotes Proposed Contour. 10. Revised 9-2-99. Grades in rear of house. at client direction. 11. Revised 9-14-99. Notes 12. Proposed Building is a Walkout. 13. The property address is 3701.8LAC_KqAWKj;?oA0. 14. Lot area = 55,483 Sq. Ft. (1.2737 Acres) 15. Proposed foundation coverage = 2,383 Sq. Ft. 16. The basement and main levels of the house are below the existing service elevation. S89'45'S0'E 556.82 oa I VAt2? Z? J 7 \Jd W ` . 72.00 This drawing has Mchecked and reviewed this day of 19` by ` 13arN Ti1E RAse E+JT M4 FIRST FLdaR5 Witt. neEb To "t3E Pumeeo To THE SEW1 seRVlCE. Tt1E z140STaRyCAt4 N&vE GRkvvey FI.OLO. 94.0 R . 4.0'x, \ °`@ N86'21'49¦E 9 D -IRP 5 k= LU i s 63247-001 532/58 (96-59) A DESCRIPTION: Lot 1, Block 2, BLACKHAWK FOREST Mr "K If`LII A A DV. Top of iron monument as shown Elevation = 863.38 (NGVD-1929 Datum) Garage Wall &-. Retaining Wall \ Ifl \LP s CID N d?_ (Pd \ Z tS o f 1.4 861.4 Z) ¦ m 6 % 4 67.00 PROPOSED r S= / BOULDER L G. I RETAINING WALL V1WIT ?n I SCHOELL & MADSON, INC. ENGINEERS* SURVEYORS* PLANNERS SOIL TESTING • ENVIRONMENTAL SERVICES 10580 WAYZATA BOULEVARD, SUITE 1 MINNETONKA, MN 55305 (612) 546-7601 FAX:546-9065 40 0 40 80 120 Feet C?p 'a X611.2 1 I hereby certify that this survey was prepared under my supervision and that I am a Licensed Land Surveyor under the laws of the State f Minnesota. i hard J. Willie., Jr. Date: JULY 19, 1999 License No. 19840 R E C E WED IS, E, 1 1 m 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 60 ,0 41978 3830 PILOT KNOB RD - 55122 651-681-4675 Ca?? New Construction Reaulrements Remodel/Reodr Requirements 2? I 0 d 3 registered site surveys showing sq. ft. of lot, sq. ff. of house 2 copies of plan and g roofed areas (2096 maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam & window sizes; poured Md. design; etc.) 1 site survey for exterior additions & docks 1 set of energy calculations 3 copies of tree preservation plan if lot platted after 7/1/93 DATE: 714WJOO CONSTRUCTION COST: DESCRIPTION OF WORK: aCh Aak If multi-family bldg., how many units? STREET ADDRESS: S7O/ la C 4iWA d Qt? , &? ?3-ZZ LOT: BLOCK: SUBD./P.I.D. #: 1 /A K./( /' lam- t Name: "a P.l? f Phone #: (57- 2 -2/lto PROPERTY Last First OWNER Street City State: le Zip: Company: CONTRACTOR Phone #: (area code) Street Address: License # Exp. City ARCHITECT/ ENGINEER Company:, Telephone #: ( ) Name: Street Address: Registration #: City State: Zip: Sewer/water licensed plumber (if installing sewer/water: I hereby acknowledge that I have read this application, state that the information of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No 1A kd. State: Zip: to comply with all applicable State JUL 2 7 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY } BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 '12-plex WORK TYPE 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? ? 17 Garage ? 110 18 Deck ? ? 19 Lower Level ? Plbg Y or _ N ? ? 20 Pool ? 21 Porch (3-sea.) 22 Porch/Addn. (4-sea.) 23 Porch (screened) 24 Storm Damage 25 Miscellaneous 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ____ No. of Units a No. of Buildings Const. (Actual) (Allowable) UBC Occupancy R • .3 Zoning X-/ # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ? 31 Ext. Alt - Mufti ? 33 Ext. Aft - SF ? 36 Mufti sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review 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: Valuation: $ SAC Units % SAC SURVEY FOR: BRENT SCHAFER SCHOELL & MADSON, INC. ENGINEERS • SURVEYORS • PLANNERS SOIL TESTING • ENVIRONMENTAL SERVICES 10580 WAYZATA BOULEVARD, SUITE I MINNETONKA. MN 55305 (612) 546-7601 FAX:546-9065 DESCRIPTION: Lot 1, Block 2, BLACKHAWK FOREST BENCHMARK: Top of iron monument as shown Elevation = 863.38 (NGVD-1929 Datum) i "*-k 0 V 00 ` s h ?SL This drawing has been checked and reviewed this day of ll ?y , 199, by s72.o 883.3 GENERAL NOTES: 1. • - Denotes iron monument. 2. x890.0 - Denotes existing spot elevation. 3. x(890.0) - Denotes proposed spot elevation. 4..,0---- - Denotes direction of surface drainage. 5. Proposed garage floor = 862.4- 6. Proposed top of foundation = 862.7 7. Proposed basement floor = 853.1 8. Denotes Existing Contour. 9. ,..(629') Denotes Proposed Contour. 63247-001 (96-59) N Garage wall A, W ll R i i a eta n ng q, 3 /-'BU RON 0 a Q? \ . x / ,•3,9" 10 n 29.93 x 0 88 64 I 862. N • ` 10.5 2.1 y 1 •, • ;(6 .1 0 5 5' 8$ 1 % ri ry m ?I'm , 9 l 1 4 ?o to I 6 •(9 6 ix 1 D ° 4 97.4 2 1'+?= 5 .4 IN 67.00 49 PROPOSED-' INM ATNNBPROPOSED ?-CURB RETAINING WALL WALL VAST TREE LEGEND Number following abbreviation denotes estimated diameter in inches, three feet above ground level. The second number (if any) denotes the number of trunks at that location (1 denotes a dead tree). Number following shrubs denotes it's diameter in feet. I hereby certify that this survey was 0 (9 Denotes deciduous tree. Denotes tree to be removed. prepared under my supervision and that nder the d S i d L I am a urveyor u an cense L Denotes coniferous tree. /-?? Denotes tree line. laws of the State of 1Minnesota. CH Denotes Cherry Example: EL Denotes Elm ff'?1 BE 8 2 Theodore D. Kemna 0 Denotes Oak t?, l 80 120 Feet Dote: JULY 19, 1999 License No. 17006 PI Denotes Pine 40 0 40 PO Denotes Poplar C N08 CITY USE ONLY LOT __A__ BLRECEIPT #: _ SUBD. f 40A kC WY- C' kJ_aj-' RECEIPT DATE: At(? --I 1I MECHANICAL PERMIT # 1999 MECHANICAL PERMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 da?? (651) 6$1-4675 Date: Complete this section on[v if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. o HVAC: 0-100 Mui iii U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) $ 30.u 6.00 11 State Surcharge .50 Total $ J9, tV Complete this section g Lily if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair Other Reminder: Call 681-4675 for inspections. Furnace Air conditioning _ Air exchanger Other SITE ADDRESS: -3: -7C 1 61 G (,\( Hau? T ep, $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 OWNER NAME: r o E-S PHONE #: (' INSTALLER NAME: t r (AREA CODE) ?Ay'ty ,,,?Q ? 4a PHONE #: X05 I - 14 (Q34? ?C T. 't' (AREA CODE) STREET ADDRESS: 21054- C k i ippe-r3 ,(e, l,. CITY: _ STATE: (T Qs ZIP: E 0 L ( Q Q A A SIGNATURE OF RMITTEE L BL CITY USE ONLY SUBD. APPROVED BY: , INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 661-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) **NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of pg_t fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY L { BL RECEIPT #: SUED: RECEIPT DATE: PERMIT #p 1999 PLUMBING PERMIT (RESIDENTIAL) crrY OF £A6AN 3830 PILOT KNOB RD EA6AN, MN 55122 (651) 681-4675 Please complete for: > . single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub Floor drain 3.00 x a _ $ Gas piping outlet * minimum - 1 3.00 x l $ Hot tub/spa 3.00 x $ Kitchen sink 3.00 x I $ 3 Laundry tray 3.00 x = $ Lavatory 3.00 x 14 - $ 1 Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished * requires MPC iic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x 3 - $ ,S - Shower 3.00 x l = $ Underground sprinkler if dwelling is under construction 3.00 x $ Underground sprinkler if existing dwelling 30.00 x $ Water closet 3.00 x 3 = $ Water heater 3.00 x 9 - $ 3 Water softener if dwelling under construction 5.00 x $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- $ State Surcharge .50 --> ----> • ----> $ .50 Total --> --> ----> ----> S tX Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -- _ _ -" -_----- e -""----_-- -"---"-"------------"------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 3'I n' Bk 1c- V6OWNER NAME:: a___ 41n Inn _ TELEPHONE #: (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE* 1,05 i -L((g3--7 ''Z.L( R (AREA CODE) SIGNATURE OF PERMITTEE city of elagan PATRICIA E. AWADA Mayor PAUL BAKKEN December 9, 1999 BEA BLOMQUIST PEGGY A. CARLSON SANDRA A. MASIN Council Members MR EV WRIGHT THOMAS HEDGES WRIGHT HOMES INC City Administrator 14420 GLENDA DR E. J. VAN OVERBEKE APPLE VALLEY MN 55124 City Clerk Re: Blackhawk Forest 3701 Blackhawk Road & 3721 Blackhawk Road The attached letter was written and mailed out to general contractors on April 15, 1999, and has been distributed with building permit applications since that time. The aforementioned permit was issued in your name. A City staff person has observed the site where the permitted work is taking place and has found deficiencies in the erosion control efforts. The City of Eagan is committed to protecting the water quality of surface waters from non-point source pollution as required by your NPDES Permit. The City Code clearly states the authority of City staff in enforcing the removal of siltation, dirt, clay, or soil (SILT) upon any street within the City (Section 7.05, Subdivision 5.1 of the Eagan City Code). The following erosion control efforts should be taken immediately: 1. Installation and maintenance of approved silt fence at curb & property lines 2. Installation and maintenance of gravel entrance pads You have 48 hours to bring this site into compliance with this section of the City Code. Upon your failure to bring this site into compliance in said time, the City's enforcement actions will be as follows: 1. Order silt fence 48 hours after initial faxed/mailed request 2. Draw on Letter of Credit from development contract obligee 3. Place hold on Issuance and Inspections of Building Permits until compliance We appreciate your cooperation with our erosion control efforts. Please call me with any questions. Sincerely, H-O Bob Kriha Construction Inspector C: Russ Matthys, City Engineer Eric Macbeth, Water Resource Coordinator Dale Schoeppner, Assistant Building Official G: RM199/Memos/Erosion-Wright MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (651) 681-4600 FAX: (651) 681-4612 TDD: (651) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity Employer www.cityofeagan.com MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (651) 681-4300 FAX:(651)681-4360 TDD: (651) 454-8535 OFFICE OF THE REGISTRAR OF TITLES DAKOTA COUNTY, MINNESOTA -l CERTIFIED THAT THE WITHIN INSTRUMENT i WAS RECORDED IN THIS OFFICE ON AND AT JOL 7 4 30 PH '95 3219 77 DOG NO. CERTIFICA 10 . VOLUME PAG JAMES N. STRAR OF TITLES BY: Dep FEE SURCHARG ASSURANCE FUND NON-ASSUR MI C FEE CASH i I CHECK 1 ESCROW I I WELL I I CHARGE I I I CHARGE TO: REFUND DO NOT REMOVE vx) ask / - State of Mi^ no - -i. County of Dakota certified is be a true and correct copy of the original on file and of record in my office this day of n 19 tt b (? = ti? v._,? ,v n Ca ? JA1VI IRAN, County Recorder- v?s B, Deput}f 321977 CONSERVATION EASEMENT IN CONNECTION WITH EAGAN CITY PROJECT NO, 665 THIS EASEMENT, made thiso?or day of U 1/i . 1995, between MAPLEWOOD DEVELOPMENT AND CONSTRUCTION, INC., a Minnesota corporation, herein referred to as "Landowner" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the City". WITNESS ETU: Thai; the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of-which is hereby acknowledged, does hereby grant and convey unto-the City, its successors and assigns, a permanent-conservation easement for the purpose of preserving and protecting the natural character of the easement area, over and across the following described premises, situated within Dakota County, Minnesota, to-wit: A perpetual easement for conservation purposes over and across that part of the following described property: Lots J ? 2, 3, 4, 5 and. 6, Block 2, BLACKHAWK FOREST, according to the recorded plat thereof. Which lies westerly of a line 200.00 feet westerly of, measured at a right angle to and parallel with the east line of said Lots 1, 2, 3, 4, 5 and 6. The Landowner, for itself and its successors and assigns, covenant-and agree that it shall not itself perform nor shall it give permission to any third party to performs any of the following activities within the easement area, without the prior written consent of the City: A. Constructing, installing, storing or maintaining anything made by man, including but not limited to, buildings, structures, fences; walkways, clothes line poles and playground equipment; B. Parking of vehicles; C. . Planting of gardens; Tnsnsier Entered This 4-13 Dakota County Treasurer-Auditor 4. i- D. . _ Storage of firewood; or E. Clear-cutting or removal of native vegetation or trees. The Landowner, for itself and its successors and assigns, further covenants and agrees that the general topography of the easement area shall be continued in its present condition and no excavation or change in the topography shall be allowed, save and except as may be required by any federal, state 'or local government agency, other than the Landowner, which has jurisdiction over the easement premises or as authorized by the City, in writing,. as the City shall, in its sole discretion decide is appropriate; that no cutting or harvesting of any live. tree or other live vegetative cover shall be permitted except-as maybe required by any federal, state or local government agency, other than Landowner, which has jurisd ction over the easement premisess or as authorized by the City, in writing, as the.City shall, in its sole discretion, decide is appropriate. The easement- granted herein does not-entitle the City to use or occupy the surface of the easement except as specifically provided herein. This easement shall be effective upon Landowner's execution and shall continue in force in perpetuity. Landowner reserves the right to occupy and use the property and easement for all purposes not inconsistent or interfering with the restrictions set forth herein. The easement granted hereunder and the covenants contained herein shall run with the land and shall be binding onto the parties hereto and its successors and assigns. And the Landowner, its successors and assigns, does covenant with the City, its successors and assigns, that it is the Landowner of the premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowner has caused this easement to-be executed as of the day and year first above written. MAPLEWOOD DEVELOPMENT AND CONSTRUCTION, INC., a Minnesota corpo lion By: Mario Cocchiarella Its: Chief Executive Officer i. STATE OF MINNESOTA ) ) ss. COUNTY OF DAKOTA ) On this /9-day of .1995, before me a Notary Public within and for said County, r orally appeared MARIO COCCHIARELLA, tb me personally known, who being me duly sworn, did say that he is the Chief Executive Officer of Maplewood Development and Construction, Inc., the corporation named in the foregoing instrument; and that said instrument was signed on behalf of said corporation by authority of its Board of Directors and said Chief Executive Officer acknowledged said umen to be the act and deed ofthe corporation. --------------- W t.YN d. MO U>ER NOTMYRJ$IJC-IMMIt OTA MY COMM. Exp. Jan. st. =0 N tazy Pu .9/ APPROVED AS TO FORM. Public Wor Department Dated: Zuh e Zd ? /9 rS' _ ' , r THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX SHELDON, PA 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (612) 4323136 RBB/wkt 206-12869 APPROVED AS TO CONTENT: -INDICATES CONSERVATION EASEMENT •? t i { li .ac-.-t • .11 wr : a . s•.;"-- .•P P' 'Iwt r - 4 ?i 1 Is • ?, \?'sy?? f t .fw•L: ? ? ? 'l,rqKt?V•. •f ? ti's+l\ '°.? yt?4'ra 11 t., 12 / ,.1 SLACKHAWK FOREST i ?? r >5 ll t "t m vm (coact 414.11 , t0 •0 120 in - - - - - - - '"tit •f1 i?i ' <" Seot• m red P 0 N 61 y r = +f \ Y 77 la r .? h J R+VR r\ ?gg • ?) 1.7. `????r v.• ?? \ :?? ?{ '? \ fi'?• Z 1 It •rRM r % a _.. „ t 23 d /%^\143 ; 22 ! I113 24 - 1, :': '1f • A,tC + r»w ?;J L`: r?..? Ir . ICJ Gr • eRt•f ter' S ? ?? E _ 1: {'{::'tr:} r- aas LANE. '` ?' t ! ,r r v w. d .•t a,p.np, w,.•.t)* terra •.+ca•.• KU 14-0. IMM is { u / • - th P,, 1 J}{NA . 1._trv.., .N 4.n &,. ,••r•..• •• • . ?• / •/ lk.s*. 170p•. • Y.?'t / / rl » plc o.o,,.w .N N.t, c...•..a... ?>t\ `la1e"'•.1txt?l?Rn.lji?.'•ll[!N? ..!-___J L._.__.. 1 r - t ! 10 1..1 •• .I.N ...• ! ? ?''?• ? ' • ri%t.::}:1 Ir:,t•I? j a?: ?? ? >r: ,. ?.?" w::W M !s+ SCHOELL & MADSON, INC. ENGINEERS • SURVEYORS • PLANNERS 1 \ ` i $OIi TESUNO • ENVIRONUEHIAL SERVICES 1 t j -I.ztr Mluw u.Zg.aL ..1•e - C j lM t?1 ti 1 ?:: r. .tifi3ti n?r• 1 s ?°?y Aa 5ME1 J Ur 4 SHtt jS PERMIT # I533C? Please complete for: SITE ADDRESS: OWNER NAME: : INSTALLER NAME: RECEIPT DATE: O- n RESIDENTIAL PLUMBING PE+IIT APPLICATION crrY of EAGAN 3$30 PILOT KNOB RD A€AN, MN 55122 651-681-4675 ? single family dwellings > townhomes and condos when permits are required for each unit backflow preventer for irrigation system STREET ADDRESS: CITY: STATE: Place a check mark next to the nermit work tvnP ZIP: ?? New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system new installation/rep air/rebuild of RPZ lawn irrigation system t t d rMAYI wa er urnaroun Nature of work: _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $- j Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water I hereby acknowledge that I have read this application, state that the information is correct, and with is the applicant's responsibility to notify the property owner that the City of Eagan assures no liabilit r a operational and maintenance activities to the facilities constructed under this permit within City pr - TELEPHONE #:65-;" 1?7 "'G ll O (AREA CODE) TELEPHONE #: 6/2-' 9'?c -O/ ? (AREA CODE) etc. e City of Eagan ordinances. It by the City during its normal t. SIGNATURE OF PJERMITTEE ( Updated 1/01 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 701 i Q 651-681-4675 ---- • 3 registered site surreys showing sq. ft. of lot, sq. ft of house; and jiff roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing tram & window sixes; poured found design, etc,) • 1 set of Energy Cala.atans 3 copies of Tree Preservation Plan if lot platted after 711193 Run Joist Detail Options selection sheet (hldgs with 3 or less urdls) DATE l7 /I / U I .?OB SITE ADDRESS 3 70 I l?C? iizk1 IF MULTI-FAMILY BUItD G, HOW MANY NITS? PROPERTY OWNER TYPE OF WORK Ily-sk APPLICANT ADDRESS- PAGER ac?J CELL PHONE # FAX it NM RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY,, Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category I Worksheet Sub , "(?(?? j Energy Envelope Calculations Submitted ?j U F? ` " _ MINNESOTA RULES 7672 Y .`' New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: """""'"' Plumbing System Includes: - Water Softener - Lawn Sprinkler Fee: $90.00 Water Heater - No. of R.I. Baths No. of Baths Mechanical Contractor. Phone it Mechanical System Includes: - Air Conditioning Fee: '$70.00 Heat Recovery System Sewer/Water Contractor: Phone it All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informati corre , nd agree to,comply with all applicable State of Minnesota Statutes and City of Eagan Ordina Signature of Applicant Certificates of Survey Received _ Tree Preservation Pt Received Not Require Updated 1101 XCLUDING LAND}, In 1 . , - OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porc hlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 1 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg Y or X N ? 25 Miscellaneous ? 31 New ? 35 33 V Addition ? 36 Alteration ? 37 ? 34 Replacement Valuation .14S11L Census Code y3 N SAC Units Nbr. of Units 0 Nbr. of Bldgs I Type of Const ;yllr/ ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF b 36 Multi Int Improvement ? 38 Demolish (interior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water Final X- Framing Fireplace _„_ R.I. - Air Test - Final Insulation Occupancy Zoning Stories Sq. Ft. Length Width REQUIRED INSPECTIONS Final/C.O. Final/No C.O. _ Plumbing HVAC MC/ES System City Water Booster Pump PRV Fire Sprinklered Other Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco - Stone _ Windows (new/replacement) Approved By Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total TOM M AO! PERMIT City of Eagan Permit Type:Building Permit Number:EA118298 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 3701 Blackhawk Rd Lot:1 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-010 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 . Paul Cunningham 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 - Brent S Schafer 3701 Blackhawk Rd Eagan MN 55122 Cva Group 7263 Washington Ave S Minneapolis MN 55439 (612) 216-5513 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink � . . r-------- --------, � I For Office Use C' � Permit#: � �/(l7� / �'' �by Ol L���11 I r i F : �' �� I Pe m t ee 1�i' 3830 Pilot Knob Road � � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C���''�� Site Address: C Unit#: �� � `„ �---�-, � y�, � Nam Phone:(�,/,a�f�J-�J,�� � . � V � � \ �� � � Address/City/Zip: ��� i Oa �`>" � � ; Applicant is: Owner �Contractor ���.. �� �`��� � \ � Description of work: �t��� ���['y �� ���c�t�k � ` �� �`\: i Construction Cost: J�� i Multi-Family Building: (Yes /No� \� �z��, � �`��� Company�C����-1,�'� ��_- G�=ct��T��_l_�Contact + — 7 — � x ��` �� . � �— � � � rJ ,������ � Address:C`�� t��'�zC�' �C���-��_��[ ,, Z City: t�,, u�t�'YP�C'#C1� ���� ,,�y� ��� " State:�ZiP' �� Phone:��',�i��-,(�t�El`naiL ����� � , �, ' ���� License#: Lead Certificate#: � � If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: �QT����� a���`�uppctn�g d€�ccr�,�6a�ffr�,�� �ubm�f are c����[e� ��ae��rl�1�"�y \ \ af�'cr� �c� , �c�f -. ��ir���trmat��a z ��b+�c�rfr+��s� �pui��� tt� �v�de sp���`�i ,an��'aa#w#��tt����c�t�t� , �o � �..... ��, �o����te#faa�.. ��.�. �c�e secret�. ;. ����: ���... � ..._:,... ,�� = ��; CALL BEFORE YOU DIG. Call Gopher State One Call at(651�454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qoqherstateonecall:orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Cod ust be completed within 180 days of permit issuance. � }` x X Applicant's Printed Name - Ap IicanYs Signature Page 1 of 3