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3705 Blackhawk Rd r CITY OF EA07AN CASHIERs JS TERMINAL Nod 001' DATE." 12/17/9 9 TIME: :13:52;28 III,- NAME MANLE:Y I:ROTVIERS COWSTRUCTION c?252_ 3220 3 f a TK.A(;KHAWK 30.00 32J.0 9001. 3705 DL.ACK'HAI&V 1 p :318.5 3866 3379 3705 RLACKHAWK 100.00 34.22 3001 3705 BLACKHAWK 857.06 2275 9220 3705 BL..ACI?HANK 1.10 9.501 34.46 3001 3705 BL.ACKHANK 10.50 21.55 9001 3705 BL.ACKHAWK 0.50 374:3 3220 3705 PLACKHAWK 50.010 2J.55 9001 3705 BLACK(lAWK 79.00 3868 9220 3705 BLACKHANV 468.00 CR121.3f.,6 CONTINUE USER IDr. :IAN CONTINUE: >K~k*~c%K~:?K~k>k~~K?k~K~K~K~k~K~K?>z~K~K?K?K?K>K~~K~* ~k*~k~K>I~~ ~K*~k~K (4 c~ >*>~**>K* CONTINUE CITY OF EAGAN CASHIER: JS TERMINAL N0: 007 DATE: 12/17/99 TIME.: 13:52:29 ID: NAME". MANL.EY BROTHERS CONSTRUCTION 3 716 9220 3705 BI...ACKHAWK 114.00 3713 92201 3 705 BLACKHAWK 50.00 3865 9220 3705 BL.ACKHAWK 825.00 A- Total Receipt Amountz 4a342.ii CR 1.21.366 USER IT_J- JAN :~~~K~c ~*?k?I~?~?~?K?1E~K~k~~Y ~:#~~~t~K*~k>O<~~~~?K~k~X~~K~t~k~K~K* 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OP EAGAN 9 3830 PICOT KNOB RD - 55122 -ibQ q .(4-J 651-681-4675 New Construction ggaukements D 3 registered site surveys showing sq. ff. of W. sq. it. of house 2 copies of plan and all roofed areas (20% maximum lot coverage a~awed) 1 set of energy cats p~ns for heated add#bm 2 copies of plans (shag beam & window sizes: poured fnd. design: efc.) i see survey far exte~ additions i alecks ➢ 1 set of energy calculations A 3 copies of tree preservation plan I lot pkdted after 7/1/43 DATE: I !9 hi CONSTRUCTION COST. DESCRIPTION OF WORK: #3 STREET ADDRESS: 7 LOT! BLOCK: ^ SUED./P.I.D. Name: Phone #F; PROPERTY Last Find OWNER Street Address: City State: ZIP: Company: Phone (area code) CONTRACTOR License # Street Addresa• 55~-`~ City state: ~ 1J zip. ARCHITECT/ ` Name: ENGINEER Company: t Q b Telephone area code -3 Street Address: Registration: City State: Zip: Sewer & water licensed plumber (rea&td for new construction only): 1 . Penalty applies when address change and tot change Is requested once pear tkiss'u?ed. '-+-7 I foreby acknowledge that I have read this application, state that the Informalfan Is correct, and agree fir comply with all appEcabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received ✓ Yes No Tree Preservation Plan Received Yes No Not Required i OFFICE USE ONLY Y BUILDING PERMIT TYPE V 1 Foundation 13 06 4-plex 13 11 10-piex 13 16 Fireplace ❑ 21 Porch (3-sea.) 2 SF Dwelling ❑ 07 5-plex ❑ 12 12-piex ❑ 17 Garage ❑ 22 P l . (4 sea. ❑ 03 1 of piex ❑ 08 6-plex ❑ 13 16-piex ❑ 18 Deck Cl 23 Porch (screened) ❑ 04 2-piex ❑ 09 7-piex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-piex ❑ 15 Lodging ❑ 20 Pool C7 25 Miscellaneous WORK TYPE W 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. 1)1) Census Code 1 d I (Allowable) Main level sq. ft. J 1v 1 SAC Code 01. UBC Occupancy +Pa r i 1~L.,Y L sq. ft. ) I No. of Units I Zoning sq. ft. '~-6s No. of Bldgs 1 # of Stories bhp sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. 20 6 Booster Pump Fire Sprinklered APPRCiVAI.S Punning Building ~ Engineering Variance Permit Fee Valuation: s. S 61 i~ Surcharge Plan Review Ld,,,~~ 1 ~L I License MC/ES SAC E. 3~ ~ 2g = t ~6. 1 J I 7 r2 = sr 1- 7 All S S-0 City SAC Z X z N Water Conn. Water Meter Acct. Deposit 3S- k2:W = t 06 N SAN Permit ~2- Xz s 3 0 S11IV Surcharge :3 k3.9 xZ Z3 = 120 ) S N 4 C y, 5-S 14 Treatment Pl: Park Ded. 2~ 1 Trails Clad. Other 3$ x ~~l I V; L Copies rZ = ) I3 6 kSN C► -3y 6 r Total: 4 R y a 1, G •P5~ SS ~r SAC Units Zi - SXZ = S S k' 7 ~ISs''( Q %SAC Irks = So 651 681 4360 "t1i23i99 09:48 EAGAN MTCE FAC 4 CITY HALL-DNSTRS NO.174 P002/004 6514549371 FROM MANLEY BROTHERS CONSTRUCTION PHONE NO. 6514549371 Nov. 23 1999 09:07AM P4 F'}a0`~a I1L5, 83=ibC~1 (7p t. 2C !999 :W Wd4 1' Wk: X0:(1-LIt4FTIrjG FR(7r; Kliahask Lpyp~rplliCB R6l~AT Permit i ~tisnesota at►er" Code i tenwas $eitvsra esacian a.0 3 btianesotz Davartme"L of public sez-VICe Ckeolte krY/~rt® ~-612-+~96-539s s•-soo-bs7-l~io COtiiiSY = ~iwtr 111 't Ld11S't~tt3C'1'IQIa q'YpE: Single !'aailY TYTM VX,WSC1' IIiPORMtI►'1`YGa= Dave i JanAl Prs$a11 cawhm Yti9'OYtIl~~'t0~t: Unlgy COABtsuetlCan COWLIANCZ: V+gnised FJA +As 4s Xo,,xr 43S Area Cr 1"aul 4beatu aiasi+aalDOOx '?ariaetar g-V.11.a. R-Vslap WVa3isa UA M«w«rrww mow.-.•r y.r ~.._-..-~W r..wrMww ww--- CMxLIA93 'Zia 19.0 3.0 42 1ibr,Y,g: wood Bra~►e, Ira" 72 W&LLa: wood rW&mG t I$- O . C _ 2404 L9.0 2.0 WALLS: Waot Prases, 16" 0-C. 1179 it.0 8.0 61 QLAZO.": VLU4ewg or Doors 362 0.360 67 76"ING. iiiadcn+s at, Doors 244 0-350 as OW11*6 s Vladowa or Joys 193 0.330 04 peCSii al 0.169 7 iesul. 823 10.0 46 ar«...•awwr. .~....r ~----~~.~w--v.~r....... «.....r W W--«-wr ww------ COMPLUUM9 STATZN=Tr 7ria PrOPOSed building 9aa19n reVW060nt0d its those 44cameats ivy oaasictent with the building plans, yyreo$~lvstiCiu. &A8 othet calculstioisa submittrd with th• gerzit ~91!CRtitr~o:. 7ho prepeebd building ft" been dosigaed too o00t ttsa r8gxlr0*0nt8 cff thQ6 Mi,Dasota Xn#V Y Cgdw. l3uiiderlDrsir y,~~,. Data G51 681 4360 11/23/99 09:48 EAGAN MTCE FAC 4 CITY HALL-DNSTRS NO.174 P003/004 65145493'71 FROM MANLEY BROTHERS CONSTRUCTION PHONE NO. : 6514549371 Nov. 23 1999 09:06AM P2 Oct. .ic X9.77 iv• pN(jPt~ hKy, A9s0~115 FROM FDY 1' I►f~ 1f"T I NG ~ : o~ 12 : 411e k ~ I 1S,NM31t C'_Fri[CKF i8t• _ _ ~ III IMUld R~ ilt~dsNT ~ ~ G►Tltr~iAY 11 (Cairsomy 2) i>i6ZiU171~1i } Vapor barrier installed I ~ Irita:'ior folladat3Dr~ s~t9.ll: Vapaz tarsier iust~ll~d Insulation installed; S-~ S ) kafaeLitsa barrios installed ' C I Attic insulation illstilledt l Attie cord Posted with croo-' s9 n4o6 ilhatellad , [ 3 P1ear ~s~,tYAt~i~f1 izsatallad: • 1~A19iulEt) ~installed: C 3 ; ui~ v~►~x wutx~ca~ls incta]~ad ] jtilis►ts Sn + 1 [ ! Nissd wsab bsrrasr at All e3terlir 1 Is a$ E j bverhangs faantilsvared floors aid bdy windaws) have wind aaab barYliro ; lOrG1'lA~I~ E 13ueta rur iminv outside ao"dittoAto L I avgg~iatil a87 e! t3 svsce aeale,i and f.nsuletatl vic,ft mamLl"M dt *--8 iietstalle+, trsaadi►tvrr if v~ or alma Item in this aaluAa ( ]s aeales $ is ea ms spa" wo furnace is ebedksdl salls [ 3 =1=tc in unbsated avacss E 3 Wat4r tister bss Vivo i^fulation at beat =reps installed t 1 T xtaavs' JUMM z L ; Central Air 3831:...•._.. .--~iQT>16 ~ pITiL.D (a~iilditsq p4~ilrt~rAt RS4 Os+1Y}~a~-~r~~~-~r~~-~~~+••-•r~r•••~ 651 681 4360 'I1i23i99 09:48 EAGAN MTCE FAC 4 CITY HALL-DNSTRS NO.174 P004/004 6514549371 RROt4 MANLEY BROTHERS CONSTRUCTION PHONE NO. : 6514549371 Nov. 23_1999 09:07AM P3 PHONE NU. ~ROM Koxi-DRAFTIHG tea. _@ ;~iih F" r ^i ° i `It U~4...- S N _ :r$.T.k f• ~ - Vii- . *jaw [+098 VjLt;LV LNSHIECT10M jigg%Gy CIMCILW ST ~dINYd4L7td A~QCiALSN&lrrs ~ OrP'i'It)lIAL {CASSanlts ii} (CwxECORY 1? e [ zxtertar r R`-. j 5U5:mo~t-Shads L~sul at ion instollwd- R-~.r ; i auata in slabs lu~vv ft~5 1AsuL&%&0u bottom and 01409 , a~L!!]1TiO118 [ 1 Srtiataow Sud door grams* &041,04 i ] rouadation rim joist $00104 airtiakt C i upPor story biad 6eista £ 7 Pro=04 wsll opesings ibto attlo sealed ai tight ro sl o4) t 1 dtl~r jclnta in wsiL swalo4 yeilins 1►oly 046104) to top { DrdPpad aesliag air.--blaaDsad L l of tnterwv "ttltioo Wells . E Z ZlwabitaQ peaEtV&ttps►s srale~3 ' E 1 ftterior Walls bob&" tut) and sbavor swa Lod { 3 plumbigg swat ataek seoled CbisnwT 6`4040 waaled at aosling i Y paXiasters of all grills and rrOisters seal4d to vaVor barrier ' I 1 glfrtrival service SOsled } aeooosed light fixt4YSi esalod j wirt panatratious into attic } { Elogtrical boxes se*led to aeala~*~ E I "IspuQue Cable se t Fasss scaled w where vapor re vayvr barrier I I JV%A hQU*t96S A air pealed 1 s~otxsted 651 681 4360 11/24/99 13:33 EAGAN MTCE FAC 4 CITY HALL-DNSTRS NO.195 P002/002 6514549371 FROM :'MANLEY BROTHERS CONSTRUCTION PHONE NO. : 6514549371 Nov. 24 1999 01124PM P2 ~ w•.~ • 11/24/1999 10:46 612d794870 Azo," rI Al 0 VfejV-R Af n?t f,-76F oROdm a 3 MT7 0 AOVR 8 aT 4' QK ass cxx l q me 8t, R4 art _3 3 ;L Y. lip 16 ~-A JeQ'L'~t r~- -3 ~•-AfO cr h", o/j, t4 k K - 9' ;,-A %J l,. L 017 - ~yrt Ajj L..t4 H60C w LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION • PROPERTY LEGAL:t filsIAt+1d! / DATE OF SURVEY: a -24 N LATEST REVISION: C W o t1: L DOCUMENT STANDARDS 0 O XEk' Registered Land Surveyor signature and company ❑ Building Permit Applicant ~p ❑ Legaldescription ❑ Address ar/ ❑ North arrow and scale . ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ Directional drainage arrows with slope/gradient % r,Y ❑ o Proposed/existing sewer and water services & invert elevation ❑ Street name ❑ ❑ Driveway ❑ Lot Square Footage ❑ Lot Coverage ELEVATIONS Existin4 ❑ Sewer service (or Proposed) ry/ g ❑ Property corners ❑ ❑ Top of curb at the driveway Elevations of any existing adjacent homes ❑ ❑ Adequate footing depth of structures due to adjacent utility trenches Propose V d ❑ ❑ Garage floor ❑ First floor ❑ Lowest exposed elevation (walkouttwindow) V ,A ❑ Property corners r' ❑ ❑ Front and rear of home at the foundation PONDING AREA (if applicable) re/'❑ ❑ Easement line ❑ NWL 00 ❑ HWL ❑ Pond # designation ❑ Emergency Overflow Elevation DIMENSIONS ❑ Lot lines/Bearings & dimensions p ❑ Right-of-way and street width (to back of curb) eal❑ ❑ 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 ❑ ❑ Retaining wall requirements, if any Reviewed: e r°/~ , " me / Date March 1999 CRA0SLDGPRMT.FM k WY UM ONLY Sc -7 r RE CEurr / ~7 G T'Y or _2AGW _ 38" VkZM ' ? ~X&OW`W- 563,2 t}53.=X83-~~75 DOW. c4dwitrte this secdoo Sm.& if you we iz ti iwk is sia Ie &Mily dwolling, tDac ot'cas O HVAC: 4-100 MI T U 1.40 At3i31At, St! M iyi'U ,6:00K Gas outleft mini um of cis ragr $3:00 aa.) s3 a .50 co" this ftedw gi* if You arc` iw"wall.~ 40 exists sirgk-ftow dying, tovmbomal condo. Phme.b&ca * if it it * w_ items, ahawo , o r mpw. New', Aiteratioet _ _ _ R it ~ Other Fumwe Air condi io~ Air each anger Other 30.W Fee SUft*mbwv Test $ 3o ; As~i txsp wow All SMARSis: OWNER NAMB PHONE 0: NAML- PHONE it., (ARS).. CrTY: 24 t}8 Gat ary Tr. STAU: ZIP. S IAA d t ~_9' 17, cmr use .y St FtECE4#aT* r= APPROVED BY' CI'T'Y 0jr ' 383 : VILOV 10M MD ZA40*r 30. 0 2 PWw cmrnpkfe for a# =vvi bu td k rrwttl 4bff ty *M whw sepwaft pis aye l r"LOW fir' dws" urNt DAM. PtacessedPipft A im of work: f: Un tm* nmavsUitrsbdk*a r mWount0 r, Combed price: S - x 1%-S Oh" Fee) cail" at s-V fbt out $1 State StuCharp, f TOTAL. $ OWARNAML- plion 91 MAW 3riAMfi (MOROVEA+lENTS ONL`Y): WAS TIRE A PREfi OUS `ENANT IN TMS'SPACE? DAME: INSTALLt: crff: STA 4: ZIP: IGNATCIRE t~P~~!Ffl'I"i'EE 11 -Ing NNE= 0 32.1977 13 OFFICE OF THE REGISTRAR OF TITLES DAKOTA COUNTY, MINNESOTA ' CERTIFIED THAT THE WITHIN INSTRUMENT A i WAS RECORDED IN THIS OFFICE ON AND AT I JUL 7 4' 3o PH '95 ~ .DOC.NO.- I ' CERTIFICA 0 ' VOLUME PAQ JAMES N. !AMSTRAR OF TITLES 8Y: Dep FEE HARG~ ~I ASSURANCE FUND ; NON-ASSUR MI C FEE i CASH f 1 CHECK ESCROW I 1 WELL[ I CHARGE I 1 CHARGE TO: REFUND DO NOT REMOVE State of Minnr~ County of Dakota certified to o a t; and correct copy the original on file e and of record in my, office thia 1"> day of I 19 (v~ l JS-~AN, County Recorder BY- r~ Deputy 1 _ 321977 ~ >0 ~iw ' CONSERVATION EASEMENT IN CONNECTION WITH EAGAN CITY PROJECT NO. 665 THIS EASEMENT, made this,,,'D day of ~l GLiV 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". i WITNESSETH: j ' I Tnat the Landowner, in considon 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 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 perform 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; Transfer Emend fits 7,"_~' Of q, Dakota County Treasurer-Auditor,. 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 r 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, m3 ,cll has J_uz-1sdictiGA-L over the easement premisp~s, 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 ti on By: Mario Cocchiarella Its: Chief Executive Officer 4 STATE OF MNNESOTA ) ) ss. COUNTY OF DAKOTA ) On this /9-day of 1995, before me a Notary Public within and for said County, orally appeared MARIO COCCF3QARELLA, to 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 en Q be the free- act and deed of the corporation. WIRfLVN I NCR MOTMY RfVA -MMIUM My Comm. Ems. JN. $1.2000 N tary Pu APPROVED AS TO FORM: C' Attorney's ated: APPROVED AS TO CONTENT: + ad-r' 0 t Public Wor Department Dated: Tuh e Zo ~y 4S' THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX SBELDON, P.A. 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 RBB/wkt 20612869 INDICATES CONSERVATION EASEMENT 'y dv 1.4 • ■t tKR ! V .run BLACKHAWK FOREST wc- •r • x[ s/r : ~ . mn-- ~ ' 'tlel o< ' a-„e 1 ~ 1 t`- ial 2 ,2t1 Vat (IM nn ee O. itrrM I•IU t ; 1 ' 1~:. /;a'. _ r ,y\ ry, • P••. . ~fi~ • _ in .ra ` " aoq am um ?YW i \ • L a"~li S >1 ~,j..~- M4+a~ -~~1' 4 I srerwt 'h tl+t \ t \rNY 1 • br '''>•~1y. / \:?~i' - 1 W n vlat (M.,, W It.." r 1 ve 9 b fp ia0 t~ 9 ~ w \I 3S . s ~ o \ \I• .,S••., •ia ~ : ~ ::':1;4 :•'r:•~ :•:::•~:v::':-: - - - - - - - `21 f '.t4. / r' 13 \ ~ '~"''~+:1:•:4;: ~ \ ,i • Side In Feet 11 1 -1:~`.~ . •~i. n' •'>a:: ~~n•~M G"',gy''''p j~ ~'vr:' :•r, ~ { ~X• 1 •.y- 1 1 •r.••• \ `{t • \ . FI f- • t•:~v:::;:: 't:v - -1. . 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J 'ti 1d~:•:~: ti ::7R; pl{b • / Y!• I gb .M.. eWl: ' I^ - 1 i 5'^I.».li„ li \ ..;::•::':tiv: ks•>, ; , I f'` t ~ !6 A _ ~'n fs~.. \ ~ttti 1 uwy :.•.r:~; ~;:✓~•r~:•:•:•:~:v:~ ti~J41$ ~•~0 / ~,R„---~ ~ I~~j' t---? 1 ~ ~ _r'T' ~ t ""'-1'Fj'-'. 1,11., _ I f__ M - r `1- ~ __ai - sw__ }cam.. _ _ 1, \`~-~tvw i, mr...rt •t I I ^•r•_-.~ t' F 1 A 1 0.l a ~`rsi~e 1 .1-_^J L.r.r~.. M23 1 //a • 1 j ~l r' R l` Y r! I Mly 10 1111 4 a.a W _-.~p_ ~t~~ ~~i 1 + \ 1• 1 1 / ' I~•' M b; a ~i 1 1 i rc N' a 1 • ti• 1 k.4 ft uR..ra ►dM >f '.N 22 f'p. 3 ! 2• r , r ' `y fi:1. 1 i 1 I= .w.• a1 1•KtaN M d...t a= F~--sz_ 2, - ala Li°_~-Jit it t ;o al 1 `r \ !i 4 t, 4 jk;t _ . >w:°at 1 1 iir' ;i: SCH0ELL MADSON. INC. K ~f • 1/ to t 21 I;I:LIT111IJ 1 { t:t ENGINEERS • SURVEYORS • PLANNERS - - - 1 ;r• ,i av I R 1 1 SOIL TESTING • EN41RON11ENiAL SERVICES SHEET 3 OF 4 S14ECIS CITY USE ONLY ~ BL RECEIPT r C SUBO. RECEIPT DATE: PERMIT # 2000 PLumBiNC PERMIT (REsuwx iAQ CITY OF F.mAN 3$30 PILOT KNOB RD FAGAN, MN 55128 651-6$1-4675 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 Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x I = $ 3 Floor drain 3.00 x _ $ on Gas piping outlet * minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ ' Laundry tray 3.00 x 1 = $ , Lavatory 3.00 x = $ Septic System new/refurbished * requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ .5© Shower 3.00 x = $ 10,30 Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ G3 (n Water heater 3.00 x = $ 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 $41,0o Total Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - 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 they facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 0 c~ UCA&h~1 OWNER NAME:: ~CAn~Q~J, Q~GJ . VU6k'0f TELEPHONE (AREA CODE) C INSTALLER NAME: ~\Umb\ TELEPHONE CV3a -gIA9 -61I 3a (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP. 5'5 -7.L SIGNA U E OF PER ITTEE RESIDENTIAL BUILDING PERMIT APPLICATION CIT Y OF EAGAN 3830 PILOT KNOB RD - 55122 651.681-4675 f9r Reauiremerds 3 registered site swveys showing sq. R. of lot, sq. t of house; and all roofed arms • 2 copies of plan (20% maxhnum lot coverage mowed) • 1 sat of Energy Calculations forhealsdaddlitibro- , 4i 2 mpiBS M pler► showing bearr► 8 window sizes; Poured found design, ate.) • 1 site survey for exterior additions I dears 1 aet`tof Enen9Y calculations • {erlicate #!x rne serusd by sept>E ~ foriltddidcns 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim ,fit Detai Options selection sheet (tridgs with 3 or less units) )ATO VALUATION 106 SITE ADDRESS O F MULTI-FAMILY BUILDING, HOW(AANY UNITS? I ` 'ROPERTY OWNER i'tG~.~t I YPE Of WORK ~.at ld; FIREPLACE(S) d 1 2 ~3 %PPLICANT re-h~.l PHONE # 6 Sl 4~~ - 4~5G %DDRESS 3'? O s l k►.t.~, .l ZIP CODE 'AGRR # CELL PHONE # 6t,~S So~G FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 U New Energy Code Worksheet Submitted 1 : ) Plumbing Contractor: Phone B Plumbing System Includes: Water Softener Iawn Sprinkler Fee: _ Water Heater No, of R.I. Baths No. of Baths Mechanical Contractor Phoney # Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # kfl above information must be submitted prior to processing of application. hereby acknowledge that i have read this application, state that the information is correct, agree to comply with All applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant :erfificates of Survey Received _ Tree Preservation Plan Received Not Required updaW V& OFFICE USE ONLY SF 3 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg 3 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch- (3-sea.) ❑ 31 Ext. Aft - Multi 3 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF 7 04 02-plex ❑ 10 08-plex 9,18 Deck ❑ 23 Porch (screened) ❑ 36 Multi 3 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage 06 04-plex ❑ 12 12-plex Plbg Y or _ N ❑ 25 Miscellaneous 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair 3 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 W indows/Doors f 3 34 Replacement *Demolition (Entire Bldg only) = Give'PCA'handout to applicant y /aluation Isao Occupancy WIVES System :ensus Code 7RT2 Zoning City Water SAC Units Stories Booster Pump dbr. of Units Sq. Ft. PRV Jbr. of Bldgs Length Fire Sprinklered "ype of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests -Final Fireplace _ R.I. -Air Test -Final Siding _ Stucco _ Stone Insulation Windows (new/replacement) Approved By Building inspector - - - - - - - - 3ase Fee ,Wp Surcharge 701 n Review 0tz"C_ 'Ia AC/ES SAC y SAC: Hater Supply & Storage AW Permit & Surcharge "reatment Plant 'lumbing Permit Agchanical Permit .icense Search ;opies ether dotal I ' L ~ . T 08! qt , tnv ssx. Ott YLU xFR •t~- ~x't say ~ - - 't'om ~ U ` ~ _ - - - y - n . l -V !fit 10 J-W I ,t sit AddreSS - - 3705 Blackhawk Rd Zip 5$12_ Lot 2 Blk 2 Sub Blackhawk Forest THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: e) Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway ✓ 5 V-E- 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. 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 ~a- 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use -0-n -L 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y Pal (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y t 1 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y f l 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date Construction Cost Site Address Unit/Ste # Description of Work o 4 Multi-Family Bldg _ Y ~N Fireplace(s) 0 - 1 - 2 Property Owner '00-1L)f Telephone # (bl~ ~6~ - ~d C~ Contractor a--1M 1 t1 e _Z v Address l OCc I I <.e._a t W Cityl'/ ~e I^cJ (4+ State Y-YA VA Zip 530) 7 Telephone # (6-5-/) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 - submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet 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's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 30 Accessory Bldg ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 31 Ext. Alt -Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 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 ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 46 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Building'` ❑ 43 Reroof ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes 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 Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/C.O. _ Footings (addition) _ FinaVNo C.O. _ Foundation _ HVAC _ Drain Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco Lath _ Stone Lath -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 ~37~ 3. ,6v 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date sue- / / 06 Site Street Address 3-70S Unit # Property Owner Telephone # (C~(2-) J-G S 5066 Contractor Telephone # (2-)865 S O&C; Address Szvt~ City State 4l A/ Zip SS l ZZ The Applicant is: Owner _ Contractor -Other Septic System _ New - Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. if you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new - replacement _ Lawn Irrigation _RPZ _PVB new -repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 1 hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not.terRta-rt withou permit and work will be in accordance with a approved plan in the event a plan is required to be revovye e ` nd appro Applicant's Printed Name Applicant's Signature 9 ~ I 50. ~ 0 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION VI -1 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I e / ~ / Site Street Address Unit # r, Property Owner Telephone # (E,/~) qGS -SbG c Contractor Telephone # (v rte) X65 S t y Address -3700 City State~~,~'i Zip z The Applicant is: Owner _ Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterat• ns to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $113/0.00 if a 5/8" meter is required) -Other: Water Softener Water Heater $ 15.00 _ new, replacement Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is n >Staft thout a permit and work will be in accordance with, je approved plan in the event a plan is required to be re `e"(d nd apor ed. Applicant's Printed Name Applicant's Signature S RESIDENTIAL BUILDING PERMIT APPLICATION , t ~0 2006 City Of Eagan (i 3830 Pilot Knob Road, Eagan MN 551224 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cent of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _ Y - N 1 set of Energy Calculations 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) Minnegasco mechanical ventilation form Date e' / ~_~t✓ Construction Cost ~ r..' Site Address >7~tf5 Unit/Ste # Description of Work r rz Multi-Family Bldg _ Y ZX Fireplace(s) _ 0 2 Property Owner Telephone # (6 (~7_>) Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 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 ~'n~ ~n cc I~ I Telephone # ( ) Sewer/Water Contractor NOV d 7 2006 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's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 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/perola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ® 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair Y' 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code' Zoning City Water T SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) Final/C.O. - Footings (addition)` Final/No C.O. _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing Siding _ Stucco Lath _ Stone Lath Brick _jL_ Fireplace R.I. Y Air Test r_ Final _ Windows ✓ Insulation _ Retaining Wall i Approved By: f r` r e 4, 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 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ceit of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y - N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y - N- 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _ Y -4 1 set of Energy Calculations On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) f Minnegasco mechanical ventilation form J~ ~ wit, Plans are considered public information unless you state the are trade secret and the reason. Date Construction Cost 0~ ' ~r r -r Site Address 3 70 5 Unit/Ste # Description of Work Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 1 71 _ 2 Property Owner Telephone # (C 2 a Contractor ' i Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 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 ca , w which requires a review and approval of pla 2007 Applicant's Printed Name Applicant's Signature BY - DO NOT WRITE BELOW THIS LINE 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/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex -;K- 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 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 Description: Water Damage Yes Valuation 0 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 Sprinklered Type of Const I/ Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) ~C Final/No C.O. Foundation` C HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ~C Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace R.I. -Air Test Y 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 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside. plumbing on the same application; separate applications and permits are required. Date Co I l 1 7 Site Street Address Unit # Property Owner Telephone # (h 12 { ) Contractor Telephone # Address City State Zip The Applicant is: t/ Owner & Occupant - Licensed Plumbing Contractor Septic System - New - Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive plumbing re airs are made to a building. Alterations to existing dwelling $ 50.00 Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 - new - replacement Lawn Irrigation -RPZ -PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 I Total $ 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complgt accurate; that the woin conformance with the ordina nces and codes of the City of Eagan and the plumbing codes; that 1 unde stann ((only an application for a permit, work is not to start without a permit and work will be in gdrdance with e,ap l i1a plan is required t e reviewed and approved. ' OCT Applicant's Printed Name Applicant's Signature By ~ 242 En` uprise Drive ~ ~ Mendota Heights, MN 55t2Q (651) 6131-1914 FAX:691-948 I ~ .r 1 ~ ~ ~ - r . ~ _ Y • ~ ~ ~,e f. f of Survey for. r, nati:rcRS • .Iwo EwciNEtxs E mo.. F' ONEER©PRE:,SENTER.COM _ rv.__~ ~ - - r _ 3705 Ol1~CKNAWK ROAD {1•a `gin v~"~ ~,no ~~u,s7s• ~nnoscnNraacylTCC7s 625 Hign+May 10 N.E 1 ~ y~. Blaine, Mt~+! 55454 - ~ ~ ~ (612j 763-1860 FAX:763-1663 E-mail; f~IUNEER2(~PRESSENTER.COM s~i~ !i + - LOT AREA -51,51 ~Q. ET. I l' HOUSE AREA =2,118 SQ. FL COVERAGE =4I I'~ NOUSE TYPE-2 STORY W.Q. i~ EX1S1iNG Ci)NiOURS PER GRADING; PLAN (TYPICPJ_1 1 x 84 .3 6 1 l + E _ - EXlST1~I ' \ HOUSE + x 838.6 8512 + 14.05 o sas.3 ~ x.~ ss l~ V ~ - • f B.~iLS / - - - - 843.1 + _ ~ - 1~ ~ I . ~ - - - - ~ x I ~ , _ I ~ _ r \ ~ ~ _ _ - - - _ ~ I ~G _ _ - I _ ~ ~ - _ ~ ~ x, 831.0 ~ ~ \ - - ~ ~ p~ n} ~ x 83A.7 b I i x 846. ~/r ~ ; I ~ ~ A t°® x 829-0 ~ ~ % ~N r ~ ~ 81.5 '`t. ~ \ ~ 1~ ~ r sao 4rS3 _ ~ ~ PROPOSE[ CON;lOURS, ~ ~ I _ \ , , i S,~N ~0 9~ 8M13-6 N , ~ ~ o r V J~ ~[r ~ ~ 87..7 ~ _ `1 ~ b' C~ ~ h ~ I ; ' ` :JJ \ F 2 ~Y. ~ ~ ~ ~ ~ ~ s+~ i ~ ~ o ~ , ~ ~~'a s . z m m', ~ ~ ° , 6.L + I / ~ ~ ~ s o.~ / G ~ ~ + j ~ ~ ~ 1 83 N ~ 1 x 3-~ r - r.__~._. _ _ _ _ _ _ p - _ - ~ ,1 , ~ I \ ~ - _ ~8s2 ~ X8.00 i ~ ~ ~ ~ CONSLRVATI(?N ~V \ _ EASF~IIENT ~ 840.4 , 1 I ~ ~ , - I i ' + \ ~ _ POD _ e _ I ~ - N 1 ~ _ - ~ _~w WETLA D ~ 839. c AP-27 ~ ~ ~ _ - - c A ~ " ~`v NWL=503.0 \ ~ _ - ~ _ ~ ~ - _ ~ 75.~~ , HWI.-. 805.E ~ - ~ \ _ ~ \ \ _ - " va v ~ _ _ U+ i ~ o \ 99 ~ ®14 i ' N~2 2, , . 4 126. q I EO(E OF WETLAND I f'LR f'I.AJ ~ + I SHORE LINE I F _ • Fro OT • ALL PZ,S ®f TNg~ c~s~' T® NAVE ~'E 5 S Eka~6~ ~E® 1"® °1'N °~~~/xC~ NOTEPROPOSEDGRADES SHOWN PER GRADING PLAN BY: SCHOEII & MADS'ON NpTE: BUILDING DIMENSIONS SHDWN ARE FOR I~IORIZONTAL AND VERTICAL LOCATION OE STRUCTURES ONLY. SEE ARCFIITECTUAC PLANS FOR BUILDING AND FOUNQATION DIMENSIONS -.~ma ,i NOTE: NOSPECIFIG SOILS INVESTIGATION HAS BEEN CCMPLE~, D ON THIS LOT BY THE ~a SURVEYOR.iHE SUITA61LIlY-0F SOILS TO SUPPORT THE SPECIFIC HOUSE. P I T PROPOSED IS NOT~:THE RESPONS181LITY OF THE SURVE'lOR- _PRO _~ED F ~USL ELEVA .ION SST f ~ VATI( '7t r r NOTE:'THIS CERiIFlCATE-DOES NOT RURPORT TO SHOW EABEMENIS OTHER THAN LOWt_ LOOR CLE )N dHQSE SHOWN ON THE RECORDED PLAT, Mtf i0P OG BLOCK ELEVATION: ~ - V I RI WAY IfN. _ NOTE: CONTRACTDR MUST ER fY D VE DES ~ r_~ , ATM GARAGE SLAB ELEVATION. _ u";~'+>~ NOTE BEARINGSSHOWN ARE BASED ON AN ASSUMED D U E ~ ~~a + . i0B @ LOOKOUT ELEVATION______ - X 000.00 DENOTES EXISfiNG ELEVATION (000.00) DENUiE5 PROPOSED ELEYAT19N WE HEREBY'CERTIFYTO MANLEY BROS. CONST, TNAT THIS IS A TRUE AND CORRC+;T REPRESENTATION OF A ~ oENaTES oRnlNncE ANO LinuTr EASEM€N?, SURVEY OF' :THE BOUNDARIES OF: - DENOTES IJRAINACE ELOUi DIRECTION DENUiE5 h1UNUMENT OREST DENCITES DFr~ET H~© I.OT 2, BLOCK 2, ~LaCKNAK F DAKQTA COUNTY`MINNESOTA IT DOES NOT °URPORT TO SHOW IrJ~PRfJVEfviENTS OP, :NCNROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 8Y ME OR UNDER 111' DIFtE:CT SUPERVISIONTNIS 24 SAY OF MA'. 1999. SIGN D: ~'IONEER EwISINEER' G ~ ~ ~ ..~~R; e~r ~ " ' - - SCALE : 1 INCH = 20 FEF ohn C. parson, L..S. Req Na. 99`~ I:i~ 99282.00 JJS - - ~~.,,x,~ ,~,,mm_~._ r - - - - - - - - - - - - - - - . I FoF Office Use 4 n F`yz I Permit I City of Eun I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 'a2oZ j Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: L -----------------I 2008 MECHANICAL PERMIT APPLICATION Date: lO 12Z_ lbGi Site Address: S a 1~ l d Tenant: Suite M RESIDENT / OWNER Name: Phone: Address / City / Zip: Q CONTRACTOR Name: W License Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK New Replacement Additional Alteration Demolition r'~ t~ns'~-(( Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL /Furnace New Construction Interior Improvement _ Air Conditioner _ Install Piping Processed Air Exchanger _ Gas Exterior HVAC Unit ' HVAC units must be screened _ Heat Pump _ Under / Above ground Tank Install Remove) _ Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ so° So TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordin codes of the City of Eagan; that I understand this is not a permit, but only an application fora permit, and work is not to start without a permit; that ork will be in ccordance with the approved plan in the case of work which requires a review and approval of plans. X x X Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: ' Date: Required Inspections: -Under Ground - Rough In -Air Test Gas Service Test -1n-floor Heat Final 31 qTA!RS OF FOUR OR MORE RISERS, F. HANDRAIL EOUIVALP'T TO ArD ) -L'D ON AT LEAS r ONE sir 116 614,111S. A AP:P. Fiitf,17.45). 1,11f8 I BE INCTAUED 014 THE WARM SIDE OF vst-i-3126.Q-46ok.o-.64_o s AT ; •T• • - • .• 1;r14 • . SMOKE DETEcTORS ARE REQUIgp ON EVERY LEVEL OF THE HOUSEAMIN EVERY SLEEPING ROOM AM IN EVERY HALLWAY LEADING TO A SLEEPING ROOM 75-5 3/5" .11.,•••••••=.11,411•••• ri WALL MOISTItit---- _:s. .- ._- 13'..-5- BARRIER IS RE U1RED IBETWEEN _ NSTIATION AND OUNDATION WALL _ --r-----ri FIRE STP SOFFITS AND ALL OTHER DEAD SPACES. r RADE. 1 — —V2i_—_,/40_70462.-2AA0 -9 1/2" ENCLOSED USABLE spAce' LINDER STAIRS MUST SE FINISHED WITH i-LL;41 SCARD ' I 1 WALK /0 514‘A) 1 ti Pock...a-Dow- (1 it 11 ±`J 1 : REV WED ECTIONS 13.194;10) • kAietts ,/ / 1 / 1 / Y/ /// / /. f‘.....".•••••••••t* • I PERMIT City of Eagan Permit Type:Building Permit Number:EA164016 Date Issued:09/17/2020 Permit Category:ePermit Site Address: 3705 Blackhawk Rd Lot:2 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - David Prehall 3705 Blackhawk Rd Eagan MN 55122 Regal Enterprises 13114 Ottawa Ct Savage MN 55378 (952) 890-4051 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169509 Date Issued:05/28/2021 Permit Category:ePermit Site Address: 3705 Blackhawk Rd Lot:2 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David & Janel Prehall 3705 Blackhawk Rd Saint Paul MN 55122--112 (612) 221-5322 Joel Smith Heating & Ac 13915 Lincoln Street NE Suite E Ham Lake MN 55304 (763) 792-1066 Applicant/Permitee: Signature Issued By: Signature