3785 Blackhawk Ridge Cir. ? ,
INSPECTION
M? ???: #_t!)1 i.l:? ? h1?;
11:+#011 ??:?+?"N PFR
?33?t ,. . _ ..MC?,? , F±? ?4?r? Eaort, Wwies? 5 S# 22-1 837
(0, 2) 6k31-4675
SITE ADdRE3S: ? 1"" _ 4 0 t?? 1 0 APP1.lCAFNT:
fi t A t;fi't?At-}f; 0 11.) #,V t„ 1"R Ai. L t tWt (t)N?r i`
?3 k ? i ? ? tf ??b? h? F'• :l i ? E? ? _ .`.' t? 4:? ? ?a :l ?? ? E; ? ;? ?? 5s .?. fh S?P
. ??RMIT ,??BTYPE: ??E OF W{?RK:
(4 A f f. 14 f= O°t. F" Y P4 I Is FP RA t i ON
?,;?,,
r ! pwwa rim ! Pwmk"oktw I Doe 1 Tolop? # !
I EcEcTFUc WW?f'?* &ACS&&YrAL j7JAAf.
? PLUMEONG
HvAc
? lowma"m ? I kmqx t coavmwft I
FoOrnrGs
gcxUrao
FRAMING
ROOFWG
FKXMH
PLUMSM
PLOG
AIRTEST
?
GAS SVC
TEST
INsUL 1/$
GvP Ocr,?
AIR7M
FWL PLOG
FINAL ?
oRW
r
TES
?,
MMO nNat.
SSUt'Ra,
FKAt
.
SSWT
DECK FrO
DECK FINAL
E ? DIFFfGE J
' nnt-rEta # ,i? 7A 7 D (
CHIO
ME7.ER SIZE "
15SUE,DATE 14 1
3E ONLY
PERMrzaArE: 031,18/92
PERMIT # 12603
B.P. RECEIPT C.. 0178[??' :
B.P. RECEI.P'T DA7E 03l 17 f 9`d` ` ,
A?_ PRV T B(70STER PUMP
j S17E ADDRESS 3785 BLAC"AWK AIDGE CIR
i lOT 14 BLOCK a SEC/SUB BI.AGKHAWK RIDGE ZND:
? ? -
' APPLICANT:
`. ADDRESS:
; CITY, STATE
' PHQNE: -
PLUMBER: I'1ATTHEW DAI+IIELS INC ADDRESS: 15185 CAROUSEL WAY
CITY, STATE ROSEMUItIdT MN ZIP 55068
PHnNF• 423--3730
PERMIT RE4UESTED _ X ? SEWER X WATER - TAF'S u'
? COMM/IND _X_ RESOEhtTIAL ;
_X_ NEW ____?EXI?TING
Lawn Sprinkler Meters are to be Instal!`ed ?`.
Ahead of Domes#ic Meters on Water` Line; ;'
Credit WILL NOT be givert for Deduct M.eters:,
ZiP
INSP?CTION C? ??? ? o ???
CITr O? EA"N
? . ?PiM Knob RoW
DoWftsuod:
(612) 681 .4675
.
OM A-DWEss:
L*T ? ???AM
s If etaVK 2 ,.
¢ ???? DL ??oor cl* +?? 3:"
SU19TYPE• ??? ?? WORK4 . . . .
?
?
ri •.
?
e PWwA lia ° owi nit Hotdar ` Rr6s #?
?A.tNua?
33 8'3 ? ?, : 5"°
COMMAMft
Four4MM
r.rlo" ?
pm&v
RXO ?N- ??• -S? - ?'? ?' a?u ?
? ??9- ! 7-t? ? f `? 2 --7 ?
l8td. ?
Fksp*M'°
Fh*iilq: -W -09
Orsat TAat k ?
F'ind Wbv. ? ftg. lns?-hk#Igr Kmber
CoW. AAeter
Eag[1PIan _
81dp. Finol ?4'
t#edc Ptp. f
.
Oeck FfrW
L5
Yilo
Pr. DI6p. .
? t ?
, .
. ?
?.' '?` i ,,:, {•
` ??rfift.Cate of COr t1Ipairg?
Citp of tagan -,
lorpartncrtct nf Wuning litcprrtinn
This Certificate issued pursuan! ta the requiremenls of Section' 306 ojthe Urriform Building
n
Code certifying that at the time of issuance this shucture was in compliance with the various
?
ordinances of the City reguJaAing building consrruction or use. Fqr the fa7lowing:
k.
?71II? CL t .. ^?` .
"- I?SC QL4SI?IpU04 ? ?. Rf*NO. •.7O .
O-OPI-PTYM R3/?,? ?liJ ZoningDistria ?i Typeramt VN
pweer c( Bnsdiog WREWXD oo• Address 4 s?
&n7diqB Addrms 3785. '' ?JCEJDM Q`?"7,oaliq, L 10s" 9 's. MAaQM RJ= 2ND
?
i,
5 6' 92
??.. , . ?
POST IN A CONSPICUOUS PLACE "
? .? . ,
, r - t ?
A'ddress : 3785 $IACI<HM iuDGE CjR Lot ip Blk Z Sec/Sub BLACKHAW gIDGE 2Np
These items werejwere not complete at the time of the final inspection.
Date : 5/26/92 Yes No
Final grade (6" from siding)
Permanent steps - garage ?_ •
Permanent steps - main entry ?
Permanent driveway f
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. &
PECYCLEO R1YEP
White - City copy Yellow - Resident copy Pink - Contractor copy
o- O -8 84 ???
_
/r ?
D
? s ,
Requ t Date
?
/
? Fire No. Rl5ugh-In Inspection Required
(You mu call inspector when ready) Inspection Other 7han Rough-In
? Ready Now WWill Noti!y Inspector
. Yes ? No Date Ready
I?? licensed contractor ? owner hereby request inspection of above electricai work at:
Job Address (Street, Box or Route No.)
3 -7 O AA City
Secfion No. rw-,,ship Name or No. Ra e No. County
t) cx_?-tatr
Occupant(PRINT)
t
? Phone No.
.?./?..•r""" ^ ?
C"'?"'?'
'/l
Power Supplier Wdress
Electrical Contractor (Company Name) Contractor's License No.
Mailing Address (Contractor or Owner Making Insta4lation)
Authorized Signature (Contractor/Owner Making Installation)
5 _ ?
`? _".. ?`' _ '?..i _it, 1'-1
-- P one Number
?i S'/ ' 0 f'
Ph pT
one 612) 642 A800 S oPmSMN851041CITY iilll+lllll(Iilllli(IIIII_Il?filfllllllllllllllllli UNLESS
a t d ? ysrq?
1?/???5
REQUEST FOR ELECTRICAL INSPECTION
, SPe inshuctions for completing this form on back of yellow copy.
Below Work Covered by This Request
??- EB-00001-09
New Add Rep. Type of Building Appliances Wired Equipment Wired
\ Home Range Temporary Service
Duplex Water Neater Electric Heating
Apt. Building Dryer Load Management
Cornm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Mspection Fee Below: / ".al
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A ve 100 Amps
SIgnS Inspector's Use Only: TOTAL
?
Irrigation Booms (.?Q •? L???? ,?
?
Special fnspection
AlarmlCommunication TiiIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMP4ETED WITHIN 18 MON7HS.
I, the Electrical Inspector, hereby
tif
h Rough-in o
cer
y t
at the above inspectian has
been made.
Finai
Date /?d
1
OFFICE USE ONLY ? ? ? S
This request void 18 months from
,
. f RESIDENTIAL BUILDING ? ??
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVuction Reauirements RemodeVReaair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20°/a mauimum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calcula6ons Addition - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date ? /
Site Address
Description of Work
Multi-Family Bldg _ Y ZN
Fireplace(s) ? 0 _ 1 _ 2
Unit/Ste #
Property Owner `4?t\(1 V1 L?YA Telephone # (?jh 0105• t"L4QO
Contractor RENEWAL BY ANDERSON
Address 1920 COUNTY RD. "C" WEST
ROSEVILLE, MN 55113
State 651-264-4777
LIC # 20130983
City
Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #
I hereby apply for a Residential Building Permit and acknowledge that the informati4a, is complete and accutate;
that the work will be in conformance with the ordinances and codes of the City of lEagan and tYre ?5tat?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'n the case of work which requires a review and
ap oval of plans.
C
Applicant's Prin arne Ap cant's ignature
'ACA-_-hawY-- !
Construction Cost ?? ??? ? i
,, . ?V • ,
} ?
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insularion _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
vV.?a.s?•.? :uv $?.ov rna tOJ a!1 g4?fp t
?L`rl'?L ?k? ?lYt1?tSPf
re
.,?.
..
Itma 7,
- City of &gaF,
3836 Pilot $nob Road -
EaSazi, MN 55122
To Whom It May Concxrn: .
Eider Jones is authorized to p'all building permits for R,enewal {sy Andarsen_ ptease atIow
E1der Ioncs to prm•ide tbs ?erWcc far us in
datc bcyaad 6/6101; uAtil aonewal by Andarsen ''TTtis autharizatian is vaIid far any
to the City_ mMMM 04nu1Y revake.s it in writiag
I rcquest this authorxzatian be . .. ..
not
vur building Pcanits any afously
delgLy fuxdxcr.?pitcasc can c If thcc? atrc nny qncst ona? I?cau? ?rtg af
! canta?ctcd at 763-502-47Ob_ . .
q f .
Your immoiatc aftation to this mattcr is a M-atm. KInd-IL -Itau
on lvattagcr
Rcnowal by Andcrscn Corporativn
C'.c.: Ksrtx?-F1c?e;r Tnne? -
MFMY4:WI=:7;Z ?,y ??AL
n,ioo?
?
.
wuu
Received Ti-me Jun. 7. 1:07PM
PERMIT
CITIr" OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
Bu?,£ l ?di ng,,,.,,. P e r m i. t Ty p e
SITE ADDRESS:
3785 BLACKHAWK
LOT. 10 BLOCK: 2
BLACKHAWK RIpGE 2NC}
DESCRIPTION:
$741.00
$48_1.65
$64.50
$700.00
iee
i
sa
54
REMARKS:
RECEIPT # e Q 17'307
FEE SUMMARY:
VaLUATTON
Base Fee
Plan Review
5ureharge
SAC
SAG %
sac units
Subtotal
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
3785
BLACKHAWK
$1,9$T.15
PRV REQUIREp
Control No. . 0048
PERMIT TYPE: BUZ LDING
Permit Number: 000036
Date Issued: 03/17/g 2
RIDGE CIR
SF DWG
NEW
R-3 M-1
VN
R-1
$129,000
MISC FEES 11,610.50
Total Fee $3,597.65
INSPECTION RECORD C°ntr°' N°. 0048
PERMIT TYPE: BuxLaING
Permit Number: 000036
Date Issued: 0 3/ 17 / 9 2
LOT: 10
BLACKHAWK RIDGE
RIDGE 2ND
PERMIT SUBTYPE:
S F DWG
TYPE OF WORK:
NEW
INSPECTION .. . ..
SITE FOQTING
FRAMING IN5lJLATION
WALLBOARD FINAL
FIREPLACE
REMARKS: RECEIPT # PRV REQUTRED
F
L ?
BLQ c K: 2 APPLICANT:
CIR WINDWOQQ CQ TNG
(512) 891-4605
Al
REOUtREMENTS:
SINGLE FAMILY
?Si7A
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGtSTERED SlTE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT iS REQUESTED, BUT NiJT PICKED UP BY LAST WORKING
DAY OF MONTH !N WHtCH REQUEST {S MADE QR LOT CHANGE IS REQUESTED ONCE PERMIT iS
ISSUED.
NOTE: ADDRESSES F(3R CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHtCH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUIIDING PERMIT IS ISSUED.
To Be Used For: ???(OLO rAMd? Valuation:
?g Address 37£3S 042e-e.jz-
Lot 10 Biock 2-
Parce!/Sub JDi-
Owner w_W rrJ,p vU
Address ??"'??
City/Zip.
Phone eR ( -- 4(0o
Contractor `5;wr-
Address
Citlr/Zip
Phone
Arch./Engr. _
Address
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
Aill-
#AR 12 REGD
2 SETS OF PLANS, 3 REG{STERED SITE SURVEYS, 1 SET ENERGY CALCS.
,A)K--146G4F 2410L
P14Ez9
Ucense Ooozi9'7
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S. F. Total
Footprint S. F.
On-site sewage
On-site well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
Date: -3
?=?4&AJ
Bldg Permit
Surcharge
Plan Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P!.
Road Unit
Park Ded.
Trail Ded.
Copies
suBTO-raL
Penalty
lot Change
TOTAL ?
FEES
Sewer/WaterLicensedContr. b¢?u"? qQotF3-jW4, Processingtime
for sew, , is two ays once area aF s_6een approvce .
., ,.?, .
,vA, agrees that afl work shall be done in accordance-with _
ignatur o Perd4fteey
all appfic e State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s.urveys, 1 copy of energy
calcs.
COMMERCIRL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work
.
Site Locatian•
STREET SiE !
Tenant Name:
LOT BLOCK SUBD. P.I.D. #
Descri tion of work:
The appl i cant i s: ? Owner 0 Contractor O Other (oescr;be)
Name Pho ne
Property IAST FIRST
Owner
Address
STREET STE R
City State ZiP
Company Phone -
Contractor Address License # Exp.
City State ZiP
,
Company Phone
Architect/
Engineer Name Registration t
Address _
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Sign-iture of Applicant:
_ -z
1 -,
J _ .
OFFICE USE ONLY
II BUILDING PERMIT TYPE
L] 01 foundation
g 02 Single Family
D 03 Two-family
11 04 Multi-fam. T.H.
?i ? 05 Apt. Bldg.
WORK TYPE
i Ef 90 New
? 91 Addition
? 92 Alterations ?
O 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
O 10 Swim Pool
O 93 Remodel
? 94 Repair
? 95 Tenant Finish
GENERAL INFORMATION
Occ j Zonunancy R'3 /
9
? Const. (Actual)
(Allowable) V/y.
# of Stories
Length . --74-j
i Depth
APPROVALS
0 11 Res. Add. /Porch
? 12 Cortrn./Ind. New
O 13 Cortnn./Ind. Add
O 14 Comm./Ind. Rem.
? 15 Public Fac.
O 96 -Move
O 97 Demolish
? 99 Undefined
Basement sq, ft. ?0 o 0
lst F1. sq. ft. 33-Z
2nd F1. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Planning Building
Eng?neering Variance
REQUiRED INSPECTIONS
Of 5 i te C?3 Foot i ng
01 Wallboard 01 Final
W Frami ng
O Draintile
Permit Fee v8tuacfo,: s
Surcharge
Pl an Rev i ew
L i cense
2 V
Y oo-
Mwcc sac oo
C i ty SAC ---?------- ~ .
Water Conn. _ ? ?S
Water Meter qs' ? 30, S ? ?3z
_
?
Acct. Deposit 3o f?
3
X ? 7:__ 4;-??
S/W Permi t
S/W Surcharge
Treatment Pl .
Road Un i t 360
390 13 ? 4/
Park Ded.
Trails Ded.
?
?
Cop i es _-a-
-
Other "2'???-'?,r`a °? -
Total :
SAC 96
SAC Units • ? `
,.
? 16 Agricultural
O 17 Suilding Move
O 18 Demoiition
O 20 Miscellaneous
MWGC System
City Water ?
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code ?
Assessments
,O Insulation
O Fireplace
0 . . __
- - - - --------
,(,1/iA/,D[Noo.D ,.??sES
RO•QE C nOLS?UAVEYOAS
PN PLRNNf.R$ ad AND
4031- 0/
8e. /gy
GINGERING
3 •: ?.............. ::... 16. 79
COMPRNY, 1NC.'
1000 EAST 1461h STREET, BURNSVILLE. MINNESOTA 55337 PH 432-3000 CERTIFICATE 4F SURVEY
Legai Description:
SCALE : 1' - 30'
0
?
T/O, BLO? Z, ,Bl11C,r?,y.9w,? Ri?E zvo ?I?,di
DENOTES EXISTING ELEVATION
C 8497) DENOTES PRC?POSED ELEVATfON
tNDICATES D{RECT{ON OF SURFACE DRAINAGE
850, oo = F{NtSHED GARAGE FLOOR ELEVATION
843• 63_ m BASEMENT FL04R ELEVATION -
S 1, 67 = TOP OF FOUNDATION ELEVATICIN
? D
-? ?` BLA?Kf/?1w'e tAK
IiLl
?---?
C844-,6
\
„ % %, R = /o °S
_ ,2 = Z/0, 09 i
,
L = 93. 25
\o
Lay? ?
? .. ?8?6.7`? 25.00 6•0
?? ?' (851.0
x
.? ?
13
a-
''Z???S ? N gl
f ? I O? 3 ?Z,o a w
30.50 1$ N ?
?850• DD ' 0 2?i:op
> \,} 1\ ??? 8
93 44
39?" ?
L?J
1? y?o 011
S
t42-'??
?a4i.-?
L? .
D.QA/rVA6E 4ND
11711,17Y --4S,6/y1E•VT
. ? .',
'+..
?..
?
T?-
z
?
?
Z
?
cp ?
\ 0
?
>>
?
3.69 0 ? ^
10 ? ?-
>
30 FT. `.20NT B?J/GO/itlG
9,6;rS.4CA;f UAVE"
I hereby certiPy that this is a true and correct representation of;a tract o;
land as shown and described hereon. As prepared by me this ? day o.
192v . .
• Minn. Reg. No. /6085
. ,,
r ?
I ? Y
"CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
?. 'T ?•i ° ? i2-?- 1 .. . ?L
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
?0
:J i_ ` ' : Y . : t a .
[ 4 ??., f `? ? ,
? j•9 •..i . 1 ._ ; 9 i?- ?1.. !' • --
!i ?.. 1 - . ....
REMARKS:
FEE SUMMARY:
F .. .. ? ? ? .
, . ?-
, > .? f%1
t. ? _.
5 rl !,,
41
?P?AQG42-
J. :1 r` 0 i,
CONTRACTOR: , , ? ._. ... . ?? ? !_ I ?v . OWNER:
(? ?r> t.i A L w t.I W t'; Y i'^'i (=n r+: i?.
T LrC:
4J t?y ft" 1'I 1'4
* .. . ( _ . _ . . ,,. _ ., l_ ..
I Fl ei" eby c'9 c:i; il ot 1 ledgGt '° hr.3 t .{. hc1 :,' {r, th'E.: £.` <x r?'f.)1[+:: 1. Cl i"i o t"i t,'? ; fw i:l te ti°I u'e fi th e
:t, C'I ff? t" ("I1 atJ., f.? i`! t, z=: t'. {i t;° : S f"fl p.ty t,? 1'1;', i 1 i'A'AL ?p
PI ,1 e.t b I e
3 t c c7 f 'Mt 7.
:;t'cstUt?"?.?-.? e?Zfi1C? tW1.t?+' t,)f' r {E?E7 0"C'?`.3,.ils?tlt.k.,:
C_....
. ?
AP I T/PER E IGNA ?
E D-1: SIG lATUR
--
INSPECTION RECORD -- -- -
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: 1? j' !h':. rr'">
(612) 681-4675
SITE ADDRESS: APPLICANT:
I A 1:1tK s,.("I E. ;T 0
PERMIT SUBTYPE:
!+1 I' N '1 ? 1: r! 1 . : ;
TYPE OF WORK:
1' ?': R A _C () 14I
INSPECTION
F-??r,M r,i?:?_f D. .
? 17; DATE INSPTR.
O U C ? I-i [: h! I' t. f? r;
R
F:l il! A L
.
I?
L___.
GiTY +DF EAGAN
3830 PIl.OT KNOB RD - 56122
9995 BUltDING PERMiT ARPLICAT1ON {RE31t'3ENTIAL}
681-4675
A 40offo
? 3 nghkad sft swv.rs • a coplae cr plan
+ Z topes ed pNns ti%We beam & whxxlow sizes; pour*d fnd. daaion; ete.) ? 2 atft $urvsys tSAKk+r OddlOM bd0*11j
tt enogy cWmdsftm ? 9energy cWcAaWn tor tnsded oddicm 9 Coipbs d 1nu pmarvabot plan if kA Wded atiW 711193
+puked: ...,. Yes ,.,.. No
t?A7'E: A&ZAS --- C4NSTRUCTIDN GtJST:
DESCFttPTlQN C1F WORK: /
S'PREET aUDRESS: 3- 7L,'S-` A f eAAAeV k- 12f id Ia4
Lt}T BLOCK SUBD,JP.I.D. #:
Ptit1PERTY
OWNER
Stte@t
Ci#y: State:
Ct)NT'RACTQR Gompany: JALII? Ld?'?"??T^1
Stree# Address:
City:_State: .+.2....?...?. zip` ARCHITECTI Company: Phtne #ENGlNEER
Name: Regi??ion #'
Street Address•
City: Sta#e: ? Zip-
&ewer & woW kennd pfwmber: PoneltY apiks wton? and iot
c?temgs are reqtes#ed antce perm?t is isscted.
1 heweby acknowledge that ! have read this "iwtion and state VW the
appUCabie Siate at Minc+esota Statutes and City of Eagan Ordinances.
Signature of Appiitant
t)FfICE USE ONLY
Certif'icates of Surny Rowivgti Yes No
Phore#;
AM
Z.ip'
* &.,.._
PhQ" #: ".,-
i.icerme #`... 4-1??.?......?.
['3
UJu'?? . ?ilr,'I,Ir`j'±•;??.J
o c T z 5 1995
to wroY with a1!
Tree Prosen?aton P%n Rereived - Yes No
aFFIcE usE oNLY
BU1LDiNG PERMlT TYPE
a 01 Faundation Q Ofi Dupfex
n 02 SF DweINng o 07 4-ptex
o 03 SF Addition a 08 S-plex
0 04 SF Porch o 49 12-plex
o 05 SF Misc. 0 10 i plex
1.1+?
n 31 New G??-33 Attcrations
0 32 Addition o 34 Repair
GENERAL 1Nf?QRMA1'1{?N
Cor?st. (Actuai)
(Allowabla)
E)t3C C}cctipancy
Zorting
# of Stories
Length
Depth
A?PPROVAl.S
'•?
? 11 Apt.ll.odging d0,:?1-16 8asement Finish
? 12 Multi Repair/Rem. 0 17 Swim Foa!
0 13 GaragelAccessory n 20 Pubiic Facitlity
0 14 Fireplac,e 13 21 NiismHaneaus
fl 15 Dedc
0 36 Move
? 37 [emolition
Besement sq. ft.
Main level sq. fk.
scf. #t.
...?......... .? sq. ft.
sq• ft.
_._...._.._ ? sq• ft-
Foatprint sq. ft.
Pfanning Building ?
MC,/UVS Sys#em
? City Wster ` ,?,,,?.....
Fire Spinki"d
? PRV
.__.._.._r_ Booster PumP ?
? Censm Cocl+e.
sAc code ?
Census Bldg .,,....,?G.,._
!Gensus Unit C7
Engineering _Variance
Permit Fee Valustion: $
surc,arge
Plan Review
L.icense
MCNVS SAG
Ci#y SAC
Water Conn.
Vllater Meter
Acct. D"mit SNV Parmk
S1W Surcharge
Treatment Pt.
Road Unit
Park Ded.
Trails Del.
ather
Ccapies , _ -
Tctal:
`% SAC
SAC Uni#s
Volume No.
•i*er
Ica
eo T*Itle
OWNER'S DUPLICATE CERTIFICATE
Cer(ilicate No. 8 3 S 5 0 Dccument No. 215905 Disfrict Court No.
"lrans(er (rocn No. 8 C 5 9 8 Oriqina(1y reqistered the 18th d?tyaf Ppri1 19 59
X'o(ume forty pa9e 59
State of Minnesota,?ss
CDU7rlty Of I7a,kOta,. (1 /a ce??l??, /?cc/ Meritor Development Corporation
605 West Travelers Trail
ofthc City of Burnsville
Counry of Cakota and State of Minnesota
Is now the owner of an estate, to wit: fee simple
folfowing described lnnd siruated in the County of Dahota
i_ot Ten (10), Block Two (2),
in BIACKNAWK RID6E 2ND ADDITION,
according to the recorded plat thereof.
of and rn the
and State of 1Glinnesota, to Lvit:
SerGject to the encumbrnnces, fiens and interesr r,oted by the memorial underwritten or eridorsed hereon: and suGject to the to1lowing rinhts
or encumbrances subsistinq, as provided in 1 aws 1905, Chapler 305, Section 24, namefy:
l. Liens, claim.e. or rrghts arising under rhe (aws or the Constitution of the United States, which the statutes of thrs state cannot requrre
to appear of record;
2. Any real property tax or speciaf assessment for which a sate of the (and has not been had at the date of the certificare of iitle:
7. Any lease for a perrod of nor exceeding three years, when there is actual occupatiott of the premrses under the lease;
4. AIl rrghls in public hrghways upon ihe land;
5. Such rrght of appeal or right to appear and contes[ the appfication as is allowed by law;
6. The rights of any pr.rson in possession under deed or contract for deed from the owner of the certificate of title;
7. Any outstnndinq mechanics lien rights which may exist under sections 514.01 to 514.17.
"I-har rhe scrid Meritor Gevelopment Corporation is a corporation organized and existing under XXX9(h(XIOIfXFX?X(XlPIfXXXXXXXXXXtkIPXJ(•
)qJ(VXKk'AXX the laws of the State of Pennsylvania. XXlOn%vXXXXXXXXXX(XNDiK4(XXXXXXXXXXXXRhX4hw4t/•
i?/&?zed9 I have hereunto subscribed my name and n?xed the scal of my ofrice,
rhrs 17th day of May 19 89
JAMES N. DOLAN
Regrstrar of Tilles
In nnd (or the County of Dahota and State of Mrnraesota. (Seal)
ril?:AlOItIAI,
. ,, .. ,
of F,Rlalex, F,aRemen[x or ChargeR on lhe I,and dexcribed in lhe Cerliticate o! Ti(/e herefo allached.
DOCIIMENT KIND 0( DATE OF RECISiRATION DATE OF INSTNUMENT
NUMOEN INSTNUMENT MONTN DAY YFAR ??O UR MONTH DAY YEAR Q?1011NT RUNNiNC iN fAVOR Of SIGNATURE OF REGISTRAR
A.M, P.M.
215904 Declaration f Pro ec ive oven nts ( and c he land )
Ma ll 198 300 4 27 189 - The Public James N. Dolan
239209 Pressure R ducin Va lve gree ent (and th r lan s) Between City of Eagan and
Fe . 2 19 1 10: 46 12 719 - Meritor Development Corporati n James N. Dolan
---ce------------ I
For Offi Use Cty of Eap I I
i Permit 9004
Permit Fee.
3830 Pilot Knob Road Eagan MN 55122 Date Received: i
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
- - - - - - - - - - - - - - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:. au k a g c I
Le-
Tenant: Suite
RESIDENT / OWNER Name: i C _lL . Phone:
Address / City / Zip: D f L.(~ ~l tPrt J c cc, ' C-,"r l 'e,
Applicant is: Owner Contractor
TYPE OF WORK Description of work: :e 1P_ I-C:(=
Construction Cost: ( C - O y <DC) Multi-Family Building: (Yes / No V
CONTRACTOR Name: CO Q 11' ~c (0 A <J1)tU icense 9O 7'4 (
Address: ! I J6 L? -7 V, 1 r (J-P_ S w
City: D-Q 1/o- l1 C~ State: M tai zip: 55 3G9 b
Phone: / 7-d 2O -373(g- Contact Person: L 'k L'2_,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 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 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 and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 (G ~~up ` k L- S c31, x
Applicant's Printed Name App can s Si a ure
Page 1 of 3
*'
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATIONa
37ffS /c
Date: at210 %3 Site Address: �
Resident/
Owner
Name: ; \ IAC
Address / City / Zip:
#:
Phone: 3//32y'//96
Applicant is: Owner Contractor
Type of Work
Description of work:
Construction Cost:
/2efri ilx14 SZe
Multi -Family Building: (Yes /
o,X)
Company: Contact:
Address: City:
State:
License #:
Zip:
Phone:
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of pe it issuance.
x
Applicant's Prrnted ame
x
Applicant's Signature
Page 1 of 3
,
� , . , Use BLUE or BLACK Ink
�-----------------�
� For Oifice Use �
� � ���T� I
(r�} �� �� �� � Permit#: � I
V �r� � RECEIVED j Permit Fee: � l � j
3830 Pifot Knob Road I — � I
Eagan MN 55122 MqY p 8 Zp�� I Date Received: � � I
Phone:(657)675-5675 I , I
Fax;(651)675-5694 � Staff: �
�-----------------�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION ,�_/ �
� _. �/�,
Date: �j Site Address: Unit#:
Name: l\�C.-l� �l,%�v�l�"(J-�� Phone: �`��Z� L���
Re5itlerttf �.� �'� ��`��, �'
t}wner Address i c�ry i z�p: � 7�� ��aG�-��%ll ��=� C��
Applicant is: Owner �Contractor
.�.�/pe af Wf}rk Description of work: �
� �-= ��C POS�t" �°Q �,
� Construction Cosfi ��DDD,` Multi-Family Building: (Yes /No )
Company: ��� F� ,./i�'�l�U�° Contact: 11��� !1(�y�'l,�
C€111�!'�C'�U�' Address: ( ( �� / � � City: �/��%�/��
' State:�Zip:�Phone:7�Z Z�D��Emai�:�D7/�I`I�Id'l�C�. ,���
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1 / �
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:
NUTE:Plans anat supporti►rg tivcurnents fhat yr�u submit are considered trr be public�r�€ormativn. P�rtivns of
the infortnation may be classi�etf as r�c►n-pwblic if yo�r praride specifi�r�asor►s that wor�fcf permit ft�e�ity to
conclude that the` are trade�ecre#s.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)�4-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to�eceive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge thaT this irrformation is complete and accurate;that the work will be in conformance with the ordinances and codes of khe City of
Eagan; that 1 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.
Euterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be compieted within 180
days of pe it issuance.
x x ��-C�`�
Appli anYs Printed Name Applicant's ignature
Page 1 of 3
, M, . ° 3�7 �'� �I����i�� � ��a��
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'`
� Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall 'Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System !
Plan Review Code Edition ,,�'#,�� SAC Units �
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump �
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
' Type of Construction _�j`� Width ,
�-���-
REQUIRED INSPECTIONS
Footings (New Building) Meter Size: �
� Footings (Deck) Final I C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining WaIL•_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls ,,,�-� Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge �I��
� ��
Plan Review �
MCES SAC
City SAC ,'� �
� � o� ;
Utility Connection Charge � �
. ,.
S8�W Permit& Surcharge �,�°`� � ��'
Treatment Plant . �,,
Copies �
TOTAL
� � �
Page 2 of 3
��]�� � ►���� ' °C�U► i��°S�S�
.;A. .
�! � � CONSUIT • .,�.. ,j�l/i�t/,DtNOD,D ��ES �
A
IN�3 EN3INEEAS ' � ��!
I;O•L�E P�ANNEAS and LAND �UAVEYORS �r„ '� �3/•O/ �r
•i••. <
�NGI�VEERING . ..:�::
��,:;�k4:,,.` ,B,� /69 �.
�
�� .
;
COM(��NY INC.� , ., � . ..;..,,,�;�. �6. �' .�:
� - � ���:,. ���
1000 EAST 1461h STREET, BURNSVII.LE� MINNESOTA 55337 PH 432-3000 ''r:... `��
CERTIIFICATE 4F SURVEY
. .
Legal Description: LOT/O, e�oc,e�, ,BLAC�rCy�9w,� ,e��E �o �D,o�T,o�v,
OA�OTA COUi1/TY, /yl/.VNESOT�9
C g�%?,_) DENOTES EXISTING ELEVATION
C 84�?�7 ) DENOTES PROPC�SED ELEVATION
..�...- INDICATES DIRECTION OF SURFACE DRAINAGE
850,oo = F�NISHED GARAGE FLOOR �LEVATION
� 3• b3 � BASEMENT FLOOR ELEVATION •
� _�51� 67 .= TOP OF FOUNDATION ELEVATION
SCALE: �• m au� l ��`��
, � 1
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' � � o ��.,--� i` �' o a� ��� 23.� �.�� ��� ���
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�� j i� � . .�--°'^` � C�C. �6ARA�E g o' 3,69 0 � � ��`�°�l
� I ,.\� ����� 30.50 �,�v � � � °b/
r O RZ �t g� �
V ,.-� � � � �Gl��.�,� � � �O Z�1:0� � ���.9/ �Q � m��� t� j� � 4� �W� Q� � � „���"a A
7 d S"
f,,. r� ` � . � ,�)�� :� ibda�-)> . ►� �,`+. e� e'� w '��'�'Y� , r�� 3y�`�
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1� __ „ ,g� R .,;
(���j� �_�--�;�� �39.g3
� /� �A' � F,� � i....h y� $;,'�i' q.�8°s�b k,'°'4'�i�i a."=.;. �i��i�'� �,:����:��.�.
U..,: �70� �t . .y s,M��x�. �:.�.� �
��42�7? � � r'�
�842, '' 3o FT. �"•2oNT BviGO%t/G
� l �� � SETBAC�� G/.V�
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�
D2A�iv�96E �4ND ',� � � " '>
UT/L/TY E.9,5'E/�'IE.VT ��' � 0 � � � �`��''��
I hereby certiPy that this is a true and correct representation of ;a tract +
land, as shown and described hereon. As prepared by me this � day �
�/ylAacH , 19�.
. ;
Minn. Reg. No. /6085
. .,
� �