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3721 Blackhawk Rd0 1999 BUi1.DING PERMIT APPLICATIQN (RE51QEN'TIAL) ?? ??i.v ? KNOB ? 55122 . fi51-681-4675 D S rnWMeted *e swveys showhg sq. ft. of lot, sq. it. of twtne 2 CopteS ci plan tind ig roded creas (gn.?gWMM.iitt cgLStM eillowed) 1 sest of eneW ¢oteukdibns far ttiealod addMom D 2 copiss ot pkms (shaw beam & wMdcw sizres: pouieci fnl. de:ign: etcj t site wneey Te? *? addftm i ciocka > 1 sd of energy cakuladbns D 3 copiea ofi hee pteasetvdfon plan I bt plaihed dW 7/1/93 DAi'E: c? C4NSTRUCTIC}N CC3S?': 't?o;-? Df.SCRiPTION OF WORK: STREET ADDRFSS: L4fi; Bl4CK: SUBd,/P.i.D. #: .----= Nome:0C, 49a.X..,- Phone #: PROPERTIf OWNER . S#teet Address: City State• Zip: Company: 1&1r?b ?" -#??2k.C Phone #k: J? . ? (crea co+de) coNTRAcTOR stroet Address: I q!tz.Q 6 Iler,ia ,. iicense # .????,:?a. ? ?? ? Ci1Y I.7 ?e11?efe S#oto: Xip. ARCHITEC'!'/ ,?T? /? ENGiNEER Company: PI,? CD .,#» /'! C• Natne: K`gk ' Telephane orea cade ( ? C? ? ) . ?' ? ? "' 0 ? 7, ? 4 ? S#redt Address: ????'.S w45/.1»sbM R"istrcMon City S#ate• Zip; S?? Seww & water Ncensed plumber tEt,,.qubg.far row Sgpdglr2,n Z&,b?&,4*ri AcaLN-4 ? PenaMy appges when address change and tat change Is requested once psrnit hIssued. 4'.5 I - ? Fa ? i hmeby aeknowiedge tfiat 1 have read ihis tippgccdion, s#afie that thes kftrnatian Is correc#, and agrert 1o ca?rrply with *11 appliCabi SFtde of Minnesota Statutes and Ciy of Eagan Ordincnces. , A - Signatwe cf AppkaM: OFFlGE USE 4NLY Certificates of Survey Received Yes 'tree Pnaserva#ion Ftan Received Yes No ? OFFICE USE ONLY BUIl.DING PERMIT TYPE 4 ? 01 FoundatFOn 0 06 4-piex ? 11 10-plex 0 16 Firepiace G] 21 Porch (3-sea.) g 02 SF iAnrelling . ? 07 5-plex 13 12 12-plex C] 17 Garage C] 22 PprchlAddn. {4sea. 0 03 1 of _„_ piex ? 08 6-plex O 13 16-piex O 18 Dedc 0 23 Porch (screenec:) CI 04 2-plex . ? 09 7-plex ? 14 Apartmen#s Cl 19 Lower Level Q 24 Starm Damage CI 05 3-ptex . 0 10 8-piex 0 15 Lodging ? 20 Pooi D 25 Miscellaneous WORK TYPE . 31 Mew ? 35 Tenan# lmpr ? 39 Gas line Qnly C] 43 gidinglSoffits/Fasaia ?• 32 Addi#ion ? 36 Move Btdg.. C] 40 Gas Insert C) 44 WindowsfDoors : CI 33 Altera#ion ? 37 Demolish Bldg.* ? 41 Wood S#ove O 45 Fire Repair Q 34 Repair ? 38 Demalish (Interior) ? 42 Reroof * Give PGA handout to applicant for demolition permit GENERAL tNFQRMATIC3N . . Gortst. (Actuat) Basement sq, ft. 102- Census Gade (Ailowable) _ Main levei sq. ft. to(1, ?, _ SAC Code GI UBC Qccupancy F-3 -u? '2f L-V sq, ft. Wg 3 No. of Units t Zoning, i C.,,?2., sq. ft. No. of Bidgs # of Stories ? {sq. ft. ?4 MC/ES Systemm . Length sq. ft. City Water Width Footprint sq. ft. 144 ?5 : Booster Pump PRV Fire Sprinklered APPRC3YAi.S Pianning - Building Engineering Variancs Pecmit Fee Valuation: $ C-)CC'? Surcharge Pian Review ?o (o Z-k Z..S 0-=^ Lic,ense (o62X S-+? 740 e?f` , ? nnciEs sAc , c?y s?c ln?3X-5? - 3 ? , E 8 Z-- .? , Water Conn. (o l? X ?8? Water Me#er ( ? ?C sb ?' ? ? ? Ac:ct. Depasit , - Sli1V Permit . SNU Surcharge , 16 3 -1512 Treatrnent Pi. 1 Park Ded. Traifs Ded. 4thec Copies Total: r SAC Units % 'aAC ENEKGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLTNGS .. , ,',:? : ?2pL4 `'ta , f.. --- - - SITR ADDRESS CITY COMPLETED HY:1tJJR'16rf4T HOMES t'N_L_PFI0138 # ? AATE $IIILDING CLASSTFICATIOTi: ? catagoty 1(etandard) or19 aategory 2(must includa ventilation) 2fINIMQM CRITERIA FoundaCion Insulation-R10 Walle & Windown Roof Attic Tnaul.ation; Slab on Grade Insulation-R10 (See Cable on reverse side for allawable percentages) R44-With Attic No Heel Floor over unheated spaces-R24 R38-With Attic Raised Fieel Foundation Windowa 1/2" R38 & RS-Solid Rafters insulated Glass. -Wood or Vinyl Frame STBP.1 Window & Door Area STBP 2 Calculata area ae a percent o£ wall A. Total Window & Door Area in Sq. Feet ? WINDOWS (Including Foundation Windotas): WINDOW MANUFACTURE NAM8:W1NCK_,?tR C. From Step 1 divide box A(Window & Door WINAOW MAN(IFACTTTRE TYPB:H #CSMT WINDOW MANUFACTURE U FACTOR:.? b Area) by box B(total wall area) times 100 equals the windaw and door area as a percent of wall area (box C). QuanCity sq.fL.Area 31- bb m e p 's,a,.r?r? t Cf ,5 '''" _ L P_OX A 4 77 X 100 = C 8ox B Zdlm 1_ ., X , " i . S Z?_ Qtl X I y 11! lz STBP 3 Deaign Featurea X ASSEHBLY X 31 ?Zc` FRAMItIr; TYPE: °-' X'??'`t?'` f 55 STAPIDARD FRAMING _ X studs 16" o. c. ?.. " X 0 RDVANCEf) FR3IMING e,tuds 2411 o . c . X 13.5 CP.VITY INSULATION R x 4'-6" 11 I 8 '7 SHEATF3ItIG TYPS: 2= '' 4."- "' ? 4 LESS THhIJ < R-5 X T " R-5 > OR htORE X Q,1- '" U-FACTOR L1 h <_ RS;? 36 2.CY, XZ1'041 ? ` S 4 From the table, (reverse side) determine the maximum percen4 window & door area for the X ?" 36'5 design options sel.ected and enl-er L-he V value in Box D below based on the window mfg. U- factor: X !-? 3S•S + D I? ? o Tutal Area of A47' aq, ft . Windows & Doors B. Total Wall Area in Sq. Ft. The : value Prom the table in IIox D shall be equal to or greaCer than Che o in Box C Wall Total Height Area Perimeter .0_ 6Z1 1 ?$ 030 '1'otal Area oE Walis D=?$ sq.ft ONE- & TWO-FAMILY RF-S[DEN'T`IAL 13L1rLDING P E(COOK-BOOK) APPROACH MAXIMUM WINpOW AND DOOR AREA AS A PERCCNT OF OVERALL WALL AREA From Mln?t ul? ar?7670 7?? 4t?bpart 2 item F Cav1t Exterior Wlndow U-Factor Framin Inau{ation Sheathin 0.49 0.36 0.31 0.27 STANDARD R-13 Z R- 7 13.4?'Q 17.8% 21.3?0 24,3% STANDAItD R-13 R- 5 12.4% 16.4°/a 14.7% 22.5% STANDARD R-15 > R- 5 12.9% 17.1% 20.1% 23.4% STANDARI3 R-18 -19 < R- 5 11.19'0 16.0°/v 18.8% 12,0% STANDARD R-18-19 ft - 5 14.0% 18.6% 21.8% 25.3% ADVANCED R-18-19 < R- 5 12.9% 17.1% 20.1% 23.4% ADVANCED R-18 -19 > R- 5 14.50h, 19.2% 22.5% 26.1% STANDARD R-21 < n- 5 12.8% 17.0% 19.9% 23.1% STANDARD R•21 > R• 5 14.5% 19.3% 22.59'0 26,1°/a ADVANCED IZ-21 < R- 5 13.6°•i, 18.1% 21.2% 24,6% ADVANCED R-21 R- 5 15.R. 19.9% 23.z9'6 26.9% AddiclQr?.al calculatcval u e STANDARD R•17 < R- 5 11.9% 15.79'0 18.4°Io 21.5% STANDARD [t-17 > tt - 5 13.8% 18.4•io zi.5°io 25.0% ADVANCCD R-17 < R• 5 I2.6°/v 16.8% 19.6% 11.9% ADVANCED R-17 > R- 5 14.3% 19.0°/v 22,29'0 25.79'0 Notes; Wlndow area equals rovgh opening minus lnatsllation ciearances. Window U-factor mast bc determined by either the National Fenestration Rating Council standard 100-91, or AZ'PNRAE 1993 Handbook of Fundamentals, Chapter 27, 7"able 5. x i ENEKGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS SITB ADDRESS CITY c-R COMPLETED HY:I&HT H0ME5 d4_L-__1'f{ON$ # ABIIILDZNG CLASSIFICATION: ? categoxy 1(standard) or ? category 2(must include ventilation) MINIMUM CftITERIA FoundaCion Insulation-R10 Walls & Windowa Roof Attic Ineulation: (See Cable on reverse side Slab on Grade Insulation-R10 for allowable percentages) R44-With Attic No Heel Floor over unheated spaces-R24 R38-Wi.th Attic Raised Fieel Foundation Windows 1/2" R38 & R5-Solid RaEters ineulated Glass. -F7ood or Vinyl Frame STSP.1 Window & Door Area A. Total Window & Door Area in Sq. Feet ? WINDOWS (Including Foundation W1hd05J6) : WINDOW MAN(IFACTI7RE NAMB: klfIWOS,_PI{< WINDOW MAbI'CTFACTQRE TYPB: {?H -* CS?N4r WZNDOW MANUFACTURH U FACTOR:_,_?6_ R. O. Quantity sq.fC.Arc-a 3t*mepqs 13A-Z" I q.S Sz::.n 11-D" x 11•1r3" I !!.S" z ?-o„ X . , ., 11 - .. X ?? u I X ?s??c? t11 01 Itr - }t r"•? <` ? ?tM X?I !Z 4--; X 4'-lr?" 1l 207-4 2x 4?-6? II ?r \ a6 ,- If ftgl ? X t X 41-610 _ 1 1n&RS :x 3`-6., 1 a =C" x Z I-O" ? 5'-6" X .? •^ { X ,4, 'I'utal Area of Windows & Doors B. Total Wall Area in Sq. Ft. Wall Total Fieight Perimeter I$ 36•5 .4 1W - -4 a-,?77 oq. ft Area STHP 2 Calculata area aa a percent of wall C. From Step 1 divide box A(Window & Door Area; by box B(total wall area) Limes 100 equals the window and door area as a percant of wall area (box C). PoxA477 xiao= C Box B 7-411" STEP 3 Deoign Featurea AsseM6:_r FRAMIt7`? TYPE : S1'APIDARD FRAMING X sttids 16" o. c. ADVANCED FRIIMZNG etuds. 24 " o. c. CAVITY ItJSULATION R11_ SHSATHZt7G TYP$: LBSS THF.IJ < R-5 _X_ R-5 > OR hSORE U-FACTOR U From the table, (reverse side) determine the maximttm percent window & door area for the design options seZected and enCer the 3 value in Box D below based on the window mFg. U- factor: I b'fo D The : value from the Cable in IIox D shal.l be eqiial to or greal-er than the t in Box C T'otal Area oE Walls { D=?41tqsp.ft 1 ? OrrE- & Tw0-PAMiLY xF-.S[DENTUeL aUrLDTNG PRFSCRP-nVE (COOK-BOaK) APPROACH MAXfMUM WINpOW AND DOOR AREA AS A PERCENT OF OVERALt, WALL AREA From Mlnn Rules parl 767 .4Q75, aubFArt 2 icem F Cavit Exterior Wlndow U-Factor Framin Insu{ation Sheathin 4.49 0.36 0.31 0.27 STANL7ARD R-13 Z R- 7 13.4% 17.8% 21.3% 24.3% STANDARD R-13 R- 5 12.4°to 16.4% 19.7% 22.5% STANDARD STANDARD STANDARD R-I5 R-18 -19 R-18 -19 > R• 5 < R- 5 R- 5 12.9% 12.19'a 14.0% 17.1% 16.0% 18.6% 20.1% 18.8% 21.8°io 23.4% 22,0°1o 25.3°io ADVANCED R-18-19 < R- 5 12.9% I7.1qo 20.1% 23.4% ApVANCED R-18 -19 > R- 5 14.5%. 19.29'0 22.5% 26.1°/, STaNDARD R-21 < n- 5 12.8°r. 17.0% 39.9 23.i°io STANDARD R•21 > R- 5 14.5°JQ 14.39b 22.59'a 26.1% ADVANCED CZ-21 < R- 5 13.6°h 18.1% 21.2°I, 24.6% ADVANCED R-21 R- 5 15.09'? 19.4% 23.2g'o 26.9% Adsti114?Ls?lculated vatuefl STANDARD R-17 < R- 5 11.9% 13.7%o 18.4% 21.5°!0 STANDARD R-17 > R- 5 13.89'n 18.4•/a 21.5% 25.0% ADVANCCD R-17 < R- 5 12.6°/d 16.8% 29.6% 21.9% ADVANCED R-17 >R- 5 14.3°/P 19.Q% 22.29'0 25.79'o Notea: , Window area equals rough opening minus Inatailation ciearances. Wlndow U-factor rriast bc determined by either the NationaI Fenestration Rating : Council standard 100-91, or ASNRAE 1943 Handbook of Fundamentals, Chapter 27, Table 5. ? a LOT SURVEY CHECKLIST FOR RESfDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: ? i 4_?2 215_16? _07 DATE OF SURVEY: '/0 --.? -?? LATEST REVISION: /0 DOCUMENT STANDAROS ?o ? • Registered Land Surveyor signature and company ?? ? • Building Permit Applicant q? ? o • Legal description ? ? a • Address Ey' ? ? • North arrow and scafe gl?p _?_ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? o • Directional drainage arrows with slope/gradient % " - _ ? a i • Proposed/existing sewer and water services & invert elevation E N c7 e ?a ? ? • Street name r ,? ? • Dnveway r?a ? ? • Lot Square Footage o ? • Lot Covetage ELEVATIONS Existina ?a ? • Sewer service (or Proposed) 75tFE7 N01' ?'"` ? ? ? ? • Property comers o ? • Top of curb at the driveway m," ? ? • Elevations of any ewsting adjacent homes ?? ? Adequate footing depth of structures due to adjacent utility trenches Proposed ? ? o • Garage floor ? ? • First floor ? ? • Lowest exposed elevation (walkouWvindow) ? o ? • Property corners ?? ? • Front and rear of home at the foundation ? PONDING AREA (if applicable) /? a • Easement line d ? ? • NWL ? ? • HWL a • Pand # designation ? ? ? • Emergency Overftow Elevafion DIMENSIONS /-fo ? • Lot lines/Bearings & dimensions ?S o? • Right-of-way and street width (to back of curb) Ck/ ? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc. (i.e. all structures requiring permanentfootings) ? a ? •' Show all easements of record and any City utilfies within those easements 00,/ ? p` • Setbacks of proposed structure and sidey rd setback of adjacent e?asting structures ? m? ? • Retaining wall requirements, ff any Reviewed: Name Date March 1999 CRAIG/BLDGPRMT.FM Certi.ficate of House Location For: Wright Homes, Inc. , DELMAR :i. SCN'WANZ LANO $URVEYORS.INC? . Rphared UnMr tow of TM StNe of MInn"oN 11750 SOUTH R08ERT tAAll ROSEMOUNT, MINNESOTA 55085 %Yr2/123-1789 651 ? ? ? ? ? ?-??- SURVEYOR'S CERTIFICATE 6Z. y a, ` p C) CY ?` 7 1 \? r rn \ \ a N < l? ?1 . •?:+?e? 1i---- - ? ? ? tD f. ?\ ?s ;ar ? II ? cc) m.. 2 j? ? N I ('. 22 O ? ? ? cu.. ? t\I ? ° o N J -i W ? . . N 1-4 AaW?1 H ? ...? o ' ..< o ? m ? a ou m ' ? N . . .? . ? e_?.r% ? t5 ' ? ? !0 I r + o I I 1 ? rn ? ( w ? Z .. I CD i N 1 w Z ? m n A I ? m -1 '14 1- LO Z. m rn ? N I \ \ ? ? r 1A m A1,'o \ .,. ? I F?.? ? s9'• \ 1 F\ 1 i I ?, ??._. _ • `? E ? -:s:_ W 10 ( ?, ? ,. ? ? f m 22 rn _ x w cn ? A 1 V, N N , ~ ? G) A m (7) ?n m m W G)- Lp N , . A til m ' ` I cmn m O1 a • rn r m N O W 446 N . ? w g m 0) } N + N 11 ?t*5 ? N ? J M ?4 ' 3 20.33 4 9.67 m + ---T- V P +a- -- "` L '£dti?=d : .0£,b5.g0°a L4 "' f ? aCDf ? B99215 b? 0 ? . rn to . ?-j ? X W ` n ? . ? ?• . ? ? ? ? a ro rt- ? Z x ? o A m O m. • ' «u ? `~ . ?. ? m` i ? V m A °' ?? »a .?o??' L*? Bk:188/bl ?°° ?d ? 11 II Il II II ? Pt fD fQ N :J' ?• • CA lV . ? ? ? II ? u+ H ? o ? Fh ? ? Ch a o N rt ? x ? ? H II O N WpJ ? 11 . 1`0 rt m ? t:r ? :, rh m C ?m-+ m+ C C G,) 0 CC) et . . . (D 1-h rt o c 1\• " s r ? .•'?If ?? ,`\ ??. 64,?' ?.. • ? ? .. ,. ,? : ? ?,?„? ? ," ,• , "`? , UELVjAR H. JG H;V'1 AY %2 ,r'. 6625 "' y?•?"'•. "??:,? i??r???•?.??, . ?,?? `Z???` ?..1€? ... .r + 10;K 1 hereby certily thet thif survey, plan, or report was ?- 7?7-- ; properedby me or under rtry dlrect eupervision an4 ? i thel 1 em a duiy Reqifterod tand Surveyor under g?-?? ? -?-?? r°- ??'? '`? s ? the Iawe ol the Stda ol Minnesota:' m ? '???`; ,- (f ;? ?",`•f?i w + bated 10=05-99 ic W?mn H. Schwmz '. Minn"ofo fioqhhaNa+ No. 6125 I0--19-99 Revisions: Added pond info, sanitary sewpx infor draina9e arrcws, type of hse ' Address 3721 Blackhawk Rd Zlp 5512 2 Lot 6 Blk 2 Sub Blackhawk Forest THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OFtTHE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sad/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 cv_t? a??NLA . CITY USE ONLY LOT ?p BL -D-' RECEII'T #: 1 ? I 'S -?) SLTBD: QGt-- C-k, k C- VA RECEIPT DATE: 1 D- " D- O` lg MECHANIGAL PERMIT # -3 t ( -11 1999 hIECHANICAL PERh+ITT (RE.SIDEN'TIAI) CffYOF £AfiAN 3$30 PIL,OT KNO$ ftD £AfsAN MN 55122 (651) s81-4s75 _ Date: Complete this section o_ nlv if you are installing HVAC in a single farnily dwelling, townhome or condo nder construction and not owner /occup,ied. • HVAC: 0-100 M B T U ADDI I'IUNAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) ?t.rA vC?. ? State Surchazge Total s ? 6.00 e'oe 93&5 SO $ szo ? Camplete this section orrlv 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: Ca11681-4675 for inspectivns. Furnace Air exchanger SITE ADDRESS: ? ? -m L 0) Air conditioning Other s 30.00 State Surcharge . .50 Minimum Total Due $ 30.50 OWNER NAME: V-) ?- _ ? ?40 v-v) e.t:, ra ( INSTALLER NAME: ? d`wt r ri i?-n .n QI <? ?I-. e n,: ? I?i? ~ sntEET ADDxEss: a k 0 3y u L?. .? cyry :)NE #: - (AREA CODE) PHONE #: S 1 - 0V 7 d. (AREA CODE) TE. r)nvx ZIP: -5 -5 c) aU Q A' SIGNATURE O P CtTY USE ONLY L BL RECElPT #: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT #: 19991VIECfiMICAi. i'MIT (CUMMEtCIAL) CiTY 0f EAfiAN 3$30 PILOT KNOB RD EAfiAN, MN 55 122 (651) 6$1-4675 Please complete for: a{I commercialrndusfriai buitdings multi-family buildings when separate permits are nrt required for each dweiling unif DATE: ? .? -a3 - (Q q CONTRACT PRICE: WORK TYPE: ? New construcrion Tnstall U.G. Tank Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) **NOTE: When installing/removing underground tank, ca11651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: I% of contract price OR $30.00 minimum fee, wluchever is greater. COI*JTR.ACT PRICE x 1 % PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of pemut fee due on all permits.) TOTAL ------------------------------------ --------------------------------- ---------------------------- SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (ROROVEMENTS ONL1'): INSTALLER: ADDRESS: PHONE #: - (AREA CODE) CTTY: STATE: Z7P: SIGNATURE OF PERNIITTEE c.t# a4`tLky L ? BL ? CtTY USE ONI.Y RECEIPT #: SUBD. ??.CL.C.k-? RECEIPT DATE: ?C'? '9/ PERMIT # J l t o`-? 1999 PLUhiBiNe PERmIT (RESIDENTIAL) CITY Of EA6RN 3$80 PILOT KNOB itD EAFiAN, MN 55122 (651) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backfiow preventer for underground sprinkler system FtxruREs EACH # T!'JTAL Bath tub _. - ?. ------ ? $ 3.00 x '? r = v Floor drain 3.00 x = $ Gas i ift outlet " minimum - 1 3.00 x - $ 3 Hot tub/s a 3.00 x _ $ Kitchen sink 3.00 x = $ 3 Laundr tra 3.04 x = $ Lavato 3.00 x = $ (Q Minimum fee aiterations to existin dweliin 30.00 x = $ Private Dis osal S stem new/refurbished " re uires MPC iia 75.00 x - $ Private Dis osal S stem abandonment 30.00 x - $ RPZ new instaliation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rink{er if existin dwellin 30A0 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ 3 Water softener if dwellin under construction 5.40 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .54 --> ----> ----> $ .50 Total _> --> ----> _...> $ 3s-cc) d Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------------------------------------------------------------------------------------------------------------------------------? I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City af Eagan assumes no liability far any damages caused by the City during its normal operational and maintenance activiGes to the facilifies constructed under this permit within City property/right-of•way/easement. StTE ADDRESS: 3-) o? 1 z 1 CC C,kN-1(A:,L0`<. OWNER NAME: : i.J_ r;GI?? 1-+0 yvieS _ TELEPHONE (3^-(AREA CODE) (NSTALLER NaME: STREET ADDRESS: TELEPHONE S ? U,?62> "17 9 14 (AREA CODE) CtTY: Fa Q' 1Mi m G6 y, STATE: (/N _ ja, ZIP: ?f C?AAJL SIGNATURE OF PERMITTEE ?- ,? :? city oF cagan PATRICIA E. AWADA Mayor PAULBAKKEN December 9, 1999 BEA O? P EGG A CARLSON SANDRA A. MASIN Council Members MR EV WRIGHT THOMAS HEDGES WRIGHT HOMES INC City Adminisirotor 14420 GLENDA DR E. J. VAN OVERBEKE APPLE VALLEY MN 55124 ciry cierk 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: l. 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, ,?o'G?/:l%??rl? Bob Kriha Construction Inspector C: Russ Matthys, City Engineer Eric Macbeth, Water Resource Coordinator Dale Schoeppner, Assistant Building Official G: RM/99/Memos/Erosian-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 COMMUNIN Equal Opportunity Employer www.cityofeagon.com MAIFtTENANCE FACtLITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (651) 681-4300 FAX: (651) 681-4360 TDD: (651) 454-8535 32197;? ; . . . i, ? !?•?- ! ? ? - .,?} ( - . . ,dd< ? _,_,.. f:?... ...?.?.,. •' OFFICE OF TME REGISTRAR OF TITOS ? . DAK07A COUNTY, MINNESOTA THE ; i WAS R FFGOADEDTIN TH S' OF'FICE ON ANDNAT ' I jj JUL 7 4, 30 PR '05 I m oo ?2??.+'7"? ? ? . a No. ? • CER7IFICA?N?O1 I . ; VoLUME ??•? ? PAQ JAMES N. ? STFtAR OF TITLES • BYC.: Dep ? ?. FEE ??._ SIJRCHARG , ?I • ASSURANCE FUND ; NON-ASSUR MI C FEE + CASH t J CHECK ESC3iOW l I : VuELL I] CHARQE I I ? CNARGETO: , REFIlND DD NOT REMOVE , ! ! ? State of Cnunty otDakots certified to be a briae incl correct copq of the original on Glc and of record in mp office this day of !'m 1 19 (13 > J t?$-?aIyAN, County Recnrder $y ? ?--r?-s Deputy A- ` 323977 1?.. . ? r, V CONSERVATION EASEMENT . IN COIVNECTTON WlTH EAGrAN CYTY PROJrECT 1V0. 665 THIS EASEMENT, made this?o,-- Lt day of 1995, between MAPLEWOOD DEVELOPMENT AND CONSTRUCITON, INC., a Minnesota corporation, herein referred to as "Landowner" and the CITY OF EAGAN, a municipal corporation, organized undez the laws of the State of Minnesota; hereinafter referred to as th6 nC1ty}r. WITNESSETH: T'nat titc Landowner, ist co'nsidmtion of the sum of One Dollaz ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant aad convey unto-the City, its successors and assigns, a permanentconservation easementfor the purpase of preserving aud protecting the naturaE character of the easement area, over and across the following described premises, situated rvithin. Dakota Coun.ty, Minnesota, tawit: A pezpetual easement for conservation purposes over and across tbat part of the following described property: Lots 1, 2, 3, 4, Sand . G, BIock 2, $L,ACKHAWK FOREST, m according ta the recorded pIat thereof. Which lies westerly of a line 200.00 £eet westerly of, measured at a right angle to and parallel with the east Iine of said Lots 1, 2, 3, 4, 5 an.d 6. " The Landowner, for itself and i.ts successors and assigns, covenant and agree tha.t it shail not itseifperfarrn nor shatl zt give pexnaissi.on to any thard party to pelfonm any of the following activities within the easement area, without the prior writxen consent of the City; A. Constucting, installing, storing or maintaining anythuig made by man, including but not limited to, buildings, structures, fences; walkways, ciothes line poles and pla.yground equipment; B. Parking of vehicles; C. Planting of gardens; .. , •-NMW. EntVW davot 1 Dakofa County T'reasurec Audkor ,c%. i. D. .- Storage of firewood; or E. Clear-curiing or removal of naiive vegetation or trees. The Landowner, for itself and its successors and assigns, fiuiher covenants and agrees that the general ropography of the easement area shall be continued in its present condition and no excava.tion or change in the topography sha.ll be ailowed, save and except as may be required by any federal, state 'or local government agency, other #han the Landowner, which has jurisdiction aver the easement premises or as autho;ized by the City, in writing,. as the City shall, in ifis sole discretion decide is appropriate; that no cntting or harvesting of any Iive tree or other live vege#ative cover shall be permitted - except-as may:be reiuired by any federal, state ox local govemuaaent agency, other t?an Landowner, w$icil has jurssdictzc:. oveT t,he easezu:ent gremi?p* ar as atithorized 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 specificaIly provided herein. This easement shall be effective upon Lan.downer's execution and sha.ll continue in force in perpetuity. Landownor reserves the right to occupy and use the property and easement for all puiposes not inconsistent or inter£eziug with the xestricrions set -forth herein. The easement- grantied hereunder and the covenants coniained herein shall zun with the land and shall be bindiug onto the parties hereto and its successors and assigns. And the Landownex, its successors and assigns, does covenant with the Cify, its successozs and assigns, that it is the Landowner of the premises aforesaid and has good .. right to gant and convey the easement herein to the City. IN TESTIlVIONY Wi3EREOF, the Landowner has caused this easement to-be execnted as of the da.y and year first above written. MAPLEWOOD DEVELJP1ViENT AND CONSTRUCTION, ZN'C., a Mirnesota corpo tion By: N.tario Cocchiazella Tts: Chief Executive Officer i. .. . STATE OF MDNESOTA ) } ss. COUNTY OF DAKOTA } pn Yhis /9-f-day of a?o 2.1995, before me a Notiiy Public within and for said County, r onally appeared MAR.TO COCCHIARELLA., to me personally laiown, who being me duly swom, did say that he is the Chief Executive Of"icer of Maplewaad Development and Cflnstivcti.on, Inc., the carporatian named in the foregoi.ng insmment, and that-said insttvment was signed on behalf of said corporation by authority o£ its Board of Directors aad said Chief Executive Officer acknawledged said vmen to be #he free act and deed ofthe corporation. WIRILYN J. ?Lt?R NOTMY W WC-1? . tiAY Co?pen. E?. JM?.33. Z000 N tazy 67 APPROVED AS TO FORM: 't ; Ptiblic Warl Department Dated: J'vhe Zo ?.. /9 rs' THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX SHELDON, P.A. 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 . (612) 432 3136 RBBlwkt 206;12869 APPRQVED AS TO C4NTENT: ?- INDICATES CONSERVATION EASEMENT ? .?• ~ '?.i __... 4-4 wa t ? wt ya* i s ? stns ? l?ESi" BLACKNAWK FO s'f? ?? ? ? l• .,•c_.r . xc oar : w . c?-_?.` ' ? r n ?I i? ?? t i?• ? '? Ah L? ? ? ? ? \ •'? ? ? ? f `uot v a - ? ? ?- --- ? '?'•• ? 15 •?/ F; ?'3>1 '?? l n : =r:?' ',:,, _ ? ?: i , • ?N u?2.2wc ?'r ?'??' ? ?+.L , ? vu» : ? ? \''S 3?<?' _..N ? - ?a?•x?+r Y ? j ?.?.e • ?.t•. ,r.' K+u+?° f .i??•:. ? , y` ?? °?' 3E S ?e?i V' ? 1 ..k ? 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'?'f ..:. • ?', ? ?.?3 ? I }.Yl.:.tl + r? •:.•.:•:• :;i;ia.w{?;'r}a?'?? _''{!?,. ,? -3 a • •;•.i;.;?i;.r'- ':: . ? ??-= " ° ? - - ?'?;:'??:?::? ? .y:?:???•:•:V:: ;: ? ,??+ ? ??' ?--? ROKAIJL R ? ? I ? f t` ? /? ?0? s q? ?Jt V M1K MN?att 1ra?MK4? tp`iaR MQY?.Y wu : '?, g:??Fi?;'?,;: :; }:;:;=:?? :+' ?- ?? L?. ? I o.?[ ? RNt nLL 14V Gn.M rt u-L.A .a ? a. ren.a " •'.?,:?: •? . '?', ,• ,• ; • '.: : :•:•: Y ? ? ?r tk.n.. »m. ?? , f?' •.-•?..: r; :;••:; ; : ?;{ ? ? ;:, , ? ? ? MoM? 0... r0 s.'N « P. al U. a w _t?«K a?.? k u?w+ n s 3.? rr'?!{i(?li?4l; . :.; ; •. j 1. ? ?? I ? .. -a "..%y •'? ::?? '' t,,l`i ` M 1 4 NO?C tf?*. M0, et?ie - crtr4.t. M ?, ? • ??? •'?'?.? :ti:% .,.; ? . tay x. u..e ? .? ? ?'•?•: • ^ 1 ? t ,,. :;,- i J? .. •i?n"?' :°.:.:; ?::?: :;:: •. _? ? ?::r• .. ?e ? " ? ' ::•::?. : r:: i.<a-r : t, '' • ti';?.::•:•:::;;:? ,? ;? :?.:;;e?,. ?--_? ? ?? ?1? ? ? sa s??, ? '•;??;: : V.• '• / ??`. / tl a ? a.?......y an, t......+? .. o, ?ir ?•?j;Fti.:ti3;:•. :????;:?1{H'::? / ? Y`. Y ? ?b ?vw.: •;:?i ??•? : .: ?; .; ?:.?"' ;?:;.?,;, r , r ? ? g,? p` r sia'rt ' ..t????;:f?:: :•'• }:: ;titi?J41? cm ?,?"'y• , :j:'r:: :•:• usa . . ? ?.._ ? ?__ ?r \?- ? ?n? ?rt = t ? ? t? I L-Aa°i?.".lji&?+'???{?'"? i/ l? ?,; N I e2 ? q fcrt , •?!, \ -?- ? ? ? ?,> L - ? „c ! I, u M*i+l ?0 4N? Md ??Ar? ? 4N M \ r. `\ (fl.is::h:flriWF y .Z3? _ ? \i•'' ? 1 f?r, ' ''' SCNOORL At MAD80N, tNC. ENCiNEERS . S11FivEY0R5 • PIANNEHS $01; TESTiNO 0 EYMRON1AENfM. SERY(CES SHEET 3 OF 4 SFiEEf; - - - - - - - - - - - - - - - Fw Office Use --T I ? C E C???? Pe ? I ? ? My ? ? Rn?t #: of EaiaIl ? ? 1 S E? I? 200? ? Pe?n?it F?. 38M P i lo t Kno b R o a d i ? Eagan MN 55122 ? Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i ??; ? ?-------------_--J 2008 RESIDENTIAL BUILDING PERMIT aPPLICATION f,Dafe: Site Address: ?czN L7l/94/1/qll?k- hfip Tenant: Suite #: N1 S Phone:????' ? ??? l13/l? SA?? k RESIDENT / OWNER O/ Name U ,L Address i cicy i zip: 1&4Mt?k 2')' A Applicant is: Owner ? Contractor TYPE 4F WORK Description of work: /ew rc(J odD/?r Aet?Ufe' Construction Cost: iJ L? Multi-Family Building: (Yes / No4j CONTRACTOR Name: rm -5 License #: dsa Address: 1c)(02,3 tl- , /,,/? : teZi St `?'1? F ??? ' p a 1 i t • City: /?/ Phone:q q ContactPerson: / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rutes 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category submitted submitted SubmissiOn type) • Energy Envelope Calculations Submitted In the last 12 moMhs, 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 PtUmber: Phone= Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submii ane considered to be public Informatlon. Portions of the information may be classifled as non-publlc N you provlde specif/c reasons that would permit the Cfty to conclude that the are trade secrets. 1 hereby acknowiedge that this iMortnation is compfete and accurate; that the worlc wiN be in contortnance with the ordinances and codes of the City of the worlc will be in it that Eagan; that I understand this is not a pertnit, but ony an application for a pemiit, and work is not to start wz axordance with the approved plan in the case of work which requires a review and ap{xoval of plans. x ' ? Applican s Prin Name ApplicanY Signature Page 1 of 3 - DO NOT WRITE BELOW THIS LINE ' SU ? B T`ifPE3 .Foundation . ? 05-plex ? 16-plex ? Aocsssory Buliding ? Pool RP Slnyle Fampy ? 0"plex ? Flreplace O Porch (3-season) ? Ext. Aft. - Multi O 01 of _ Plex 0 07-plex ? Garage ? Porch (4season) ? Fxt. Alt. - SF ? 02-Plex ? 08-piex ? Deck ? Porch (screen/gazebo/pergoia) ? Multf Misc. ? 03-Plex ? laplex ? Lower Level ? Storrn Damage ? 04PIex ? 12-plex O Miscellaneous WORK TYPES ? Nevr ? Interior Improvement ? Siding ? Demolish Building' V Additiaf ? Mowe Building ? Rerooi 0 Demolish IMerior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? ReplacemeM ? Egress Window ? Water Dama9e ' Demolition (entire buiiding) - give PCA handout to applicant DESCRiPTiON: - Vatuation ? a,? ? o? •'" Occupancy r- , pC - I MCES System Plan Review Code Edition 1MA 200"7 SAC Units (25% 100% Zoning City Water - Census Code Staries Booster Pump # of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footinga (new bidg) Footings (deck) Footings (addition) Foundatan Drain Tile Roof: k:e 8 Water Final ? Framing - Freplace:- R.I. Air Test _Fnal ? Insulation /j/ Reviewed By: _ Sheetrock FnaUC.O. FInaUNo C.O. ? HVAC Other: Pool: _Footings AidGas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windovrs Retaining Wall Building Inspector RESIDENTIAL FEES: Base Fee Surcharge _ Plan Revlew MC/ES SAC City SAC _ Utility Connection Charge S&W Parmit & Surcharge Treatment PIaM Copies Totai Page 2 of 3 09/16/2008 12:56 469-4191 PIETSCH BUILDERS . REScheck Software Versian 4.1.3 Compliance Certificate ReW 04te: ow, aroe beM Rbnome: C:Wrrlpron FNsstC!?etlCSftESahecklSeyW. John.ncfc E+e+9f' Code= 200o tECC I.ocatlon: "Wn, MlnnNbta sl?ftQ?11'?M=,nhps: 'Ing W?iNlllly Heo*g Dogme DaYs: 7lQ1 Constivdbn 81te: OwnerlAgQnt DesignedCflntraopr: COmpliwnos: O.blG 10"Ibr'Ehan Code Maxlmwn 11A' 10 Ycwr UA: 168 C4"V 1: Fhd C411*41 °f Sftw T^iss 411 44_6 0.0 WwA 1: Waod FYeme, 16' o.c. 758 18_0 4.0 Windvw 1: Waod Frome:Dwib4 Pane wM law-£ 73 Fioa?1: AIEWood .loiWTruss:Over MOrydNloned Spapa 2d0 38.0 0.0 Floor 2: SMb-On-Qr*drFiwt*d 88 15A inm,WAor, doPu?: o.T Fbor 3: IUHWaod Jo1st/Tn*s:Over Outside /lFr 34 35.0 OA Fu?nllolp 1: FacnQ Flot AhRp AFUE 11is CwdNiww 1' EIOCttic Owntra1 Afr13 SEER Furtacs 2, Forvqd hat Ab78 AWE 0.280 Cau??nAr?va S?irr?sr?t: inp propoeed bupAfity daWyn deacbtl nd here ks ?nslstertt wifh ifie bulldk?y Piw?s• ?R?or+s, and ? cak;ulstions eubmitted wMh the psnnit MPPMQaor+- Ti?e ProPcseri buildtng has besn dasiprwd to mset irw 20001ECC requiremvnta I REBpheck YWsbrt a. 1_3 wnd io aornpgr w(Eh ft mandedory requhsrteened tieWd In the RESdwck Irap.cdort Cltieddfst. PAGE 02 PmqW TIU6: --- RepbR dritb 1 Dala fNs??rr?e- C.?lPsngrern F9aslChaddRE8chedli3syer, Jahn.rdc Pape 4 rt A ? i . .....r _ , . .. ...i?. , i?..)"?.?Y - . _ ?..'?, . . '? . . i.? .....? .... .'i:: ?... e ! t? . ., i . .. . ..' .. . ? r . t Y t ".. ...? :. .. ? .... .. . ... :. ... ? • »: ? ?` t? t: . . .• : . . , ... y:.? + • :.... ....:.:...:. ., ? ,, ,.. :?,: .. ,,., ?; ..t., .. .. . . . . . . ... ?. i . . . . .... . .. . .. . ._ .. ?,i _. '. - . . .. . . . .. . .. . . ? . . „ . . . ?? ? .. . , . . ?.? ' _-' ._... . .. ? . . :: . ;..,, ,. _. :_ . _. _ ":_: : t-•r} :..,.._ ,, :?.? ..... . ';... .... . .. - . . .?.._ ,:,. .,. . - . ? ' , . ..?v?• ? ;-?i.f Y . .. .,....,.... ... ., . ? , t ... . .. . . . ? C;' ' j . . , .. ? . -.:: .?, : .. . . . Use BLUE or BLACK Ink ---------------, � For Office Use I �1� V�L� Ull �� ,/ � I Permit#: ��G'3d� I � � ' l,.o, oa � 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 AUG 2 0 2014 I � �� Phone:(651)675-5675 � Date Received: � � � Fax:(651)675-5694 � � JQ.l.� I ��':____�_ ______ � Staff: � � ��J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 8/12/14 SiteAddress: 3721 Black Hawk Road, Eagan, MN 55122 Tenant: Suite#: Resident/awr�er Name: John S eye r Phone: 6 51-3 9 8-6 916 Address/City/Zip: Same Name: K&S Heating, Air Conditioning & Plbg LLC�;�nse#: MB5216 � �o�#r�� " Address: 4205 Hwy 14 W c�ty: Rochester � '�� state: MN zip: 55901 Phone: 507-282-4328 contact: Heidi Brown Ema;i: hbrown@ksheating.com New XX Replacement Additional Alteration Demolition 'Type of Work Description of work: I NOTE:Rot�f mounted and ground mounfec�meclianica{equipmenf�`s�reqt�iretl fo be screened by Gi�y , i Code. Please contactthe Nfech�ni�al lnsqe�tc�rfor ir�foYmatio�on-p�rrrmi#ted��re�ni��method's: � RESIDENTIAL COMMERCIAL Furnace New Construction _Interior Improvement ' �`�1'CYtI'�Ty�e XX Air Conditioner _Install Piping _Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank (_Install/_Remove) Other RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge' **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. X Rick Keehn X �� . Applicant's Printed Name Applicant's Signature �OR CIF�ICE US� � : ° ;, - Requiretl Inspections: - Reviewed�y: �� '=- �bat+��; U�rt��rgrour�d �Rough In- _ °Air Test ` G�s 5er�rice Test ' Inr�tatsr Hea�� : F�n�l �, HVA�Scteenin� - Use BLUE or BLACK Ink ,. �------------------ � For Office Use � • jI � I Permit#: j _ C�t� of �a�a�. ; Permit Fee: d�a � 3830 Pilot Knob Road � � Eagan MN 55122 j Date Received: j Phone:(651)675-5675 I i Fax:(651)675-5694 I Staff: I I I i��J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date:� Site Address: � 2 i Unit#: _ � �� ,:: �� _ Name: Phone: . '�� .�., Resident/ ' _ -- - Owne1'�� Address l Ciry/Zip: � G(/l Applicant is: Owner ,�Contractor Type of Wo1'k Description of work: -�ef��-�Y.e,vvo� rPar+-r;ynt �e�e�ranons n n Construction Cost � Multi-Family Building:(Yes /No�) Company: Contact: ��i� COIItCeCt01' Address: V (l V City:�T•1��,! .S f'�,Y I�, . . . . y _ _ _ _ _ _ _ . _ _ __ State:�Zip:V��T� Phone: License#:�I`�-��i��V I(I Lead Certificate#: �'J I �;�J41�� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �V ,�� 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: NOTE:Plans antl supporting alocumenfs that you sWimif are considered fo`be publ�c►nformat�on Port�ons of: the information may be"classifieal;as non-putilic if you proviale spec�fic reasons fhaf woultl permit the'City to= `' � . . ., " co,riclude thaf they are trade secrets ;; CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is compiete 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 oniy 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. -__---_ � r � y w i � - ----_ __ _ days of permit issuance. x ��l�t/1/Y!t/l/M 1 4�� x Applicant's Printed Name App'c ' n ure Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156981 Date Issued:07/29/2019 Permit Category:ePermit Site Address: 3721 Blackhawk Rd Lot:6 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Seyer John W 3721 Blackhawk Rd Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature T. I- For Office Use 1,4 Permit#: 1 " E AG N Permit Fee: , EC E I V E0 Date Received:/ /-7 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 OCT Z 1 2019 Staff: buildinginspectionscitvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION �� h Date: lb -Z \- 2OI9 Site Address: 372_ [ 1 f]3 Unit#: Name: SV1 k tOM l.'1Y-S ) — t7 Phone: Resident/; j ,/ (, �( Owner. Address/City/Zip: 372- 1/�1 - Y k ut_LAK Rat eTAde/V ) Applicant is: • Owner � Contractor Rv( //4Cd1/1gw _ Wee - Type Of Work Description of work: F .c-- ef Construction Cost: 3 7 S-06) Multi-Family Building: (Yes_ /NoX_) Company:P Jvk6 1(208_ ('7 '7-' ` 5 CCS M IS Contact: Pas�1� .2Q-A-07 Contractor Address: I City: ' - State: Zip: "'-'51e2._ Phone: 952- 9q 5t,3 mail: c S.1.--r4Av sG/5 44irxG DvV License#:/6(od 2'I ?�l Lead Certificate#: If the project is exempt from lead certification, please explain why: 6c.)t-St cDoo 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 yea; date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be.s classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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?tceive locates of underground utilities. www.qopherstateonecall.org 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 perm'• that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x -1 x Applicanft Printed Name Apprcant's rgnature ty DO NOT WRITE BELOW THIS LINE --77� I cck-�c,;_d(- 1.5 �� J SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) V Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) I I Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous — _ r01 of_Plex WORKLower Level Pool4 Accessory Building S TYPES e t New _ Interior Improvement Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage 1 Retaining Wall 1 *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 411126j Occupancy MCES System Plan ReviewCode Edition AF, i 11 SAC Units (25%_100% ) Zoning /if City Water r Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction1 r) Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) 1 Final/C.O. Required Footings (Addition y Final/No C.O. Required Foundation oundation Before Backfill V HVAC Service Test Gas Line Air Test Hood Roof: Ice &Wa er Final !� Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In x Air Test X Final Siding: Stucco Lath Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final rZ Braced Walls Erosion Control Shower Pan Other: Reviewed By: ��_ , Building Inspector j9/--G \;`tAiiii,� , rtif-�� `- ' RESIDENTIAL FEES y1/(/ V�,�y Base Fee � -+ " 4 Surcharge, (/ 1k Plan Review �,- MCES SAC f 0 VI; City SAC Utility Connection Charge 00f / 2,, y 7 Treatment Plant Radio Meter Read Copies /( Z TOT Page 2 of 3 1 . . asq ,To add. 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I .\ 41, . ., : . co rg s I ..:: 0 I a ' • 14 _ `Y`J`` S. \ 1 1 N 4) 4) al 11 is 1 \ B� i gl u Z 1 \ \` ‘iT .- M :g4 4-I .A a4 1 \ N g 4 4' Cn I \ I\i ka to .. • 1 \ I n ,!, 1 I rnm . i• � 1 ,Cs-. 1 \ 1 crt 1 (-NJ �i \ z I\ W 1 + �Q Nr 1 I o N i Z : .. CV m 1 • z 1 m I I N 1 •N .g A I I ,., $ 1 a 1 CI 44 .1 .. 1 i 0 b 1 O I 5 01 I fl ,-...,., 43 11i , {I N, ,...,,, i .. N .61 1 ,s. 1 4 .01 c7S ■ g u u u u 11 b \ r w V ■ a41 O t mEC w 1 1 Da N r1 • . 1 oEi\ m t•-• CO cUo j , t cr z' (.0it 11 to ;, .�+ C 1# . as?.. ` . a ,...i W• Q I ...1 O W O J Q Om � a 1.29 , � I N 12 11.16• N 31V01311U30 S.UOA3Adf1S TS9 69/.1.-tit/t'1; MSS V1OS3NNIW'1NSOMOS011 11VN1 1t139011 H1(1oS OSL►1 __ •Orwin to wits*al w 11a01+•YIHI p•••ataY '710'SU0A3AHns ONV1 ZNVMdOS •N adw i a • 9 88T: ( ,,�� r T / STZ66H ,,, • -our isatuoll 40TIM 0 :.zo,4 uoneoai esnog 3o al. -uniaD PERMIT City of Eagan Permit Type:Building Permit Number:EA158920 Date Issued:11/07/2019 Permit Category:ePermit Site Address: 3721 Blackhawk Rd Lot:6 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-060 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Seyer John W 3721 Blackhawk Rd Eagan MN 55122 (952) 994-5631 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature Ct r<v W t� O a ,i;r_ (n «N C..' '�� .Qi 4.'r�.4 Q Ld �(--", �.�. 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