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3793 Blackhawk Ridge Cir
INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: "3$80 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i PERMIT SUBTYPE: TYPE OF WORK: DATE INSPTR. INSPECTION TYPE DATE INSPTR. INSPECTION TYPE 5~ I a ~OU ~rtj Permit Holder Date Telephone # PLUMBING H VAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL - 1 INSPECTION RECORD ~..&TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. i Permit No. Permit Holder Date Telephone # S/W PLUMBING ~y i HVAC a3 93 y ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation 3 Framing C g~_~;7 ) Roofing 3 .Z Rough Plbg. 2 J l" i %11 u v Rough Htg.%5 Isul. ~7 < ~ j Fireplace 3 SS~ Final Htg. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. 3-3/-0? Jsi - • F TWA -430 0*9 Xmb f., P~1tr its t 551 22-1 897 #d: ~t / f g 11 (612) 681-467 , SITE ADDRESS: 2 APPLICANT: 0 kf Of it ",I. ACK HAWK PTOO'E 2"o (612) 798-3123 P T SUBTYPE: TYPE OF WORK: Aes Pennit Haider Date Telopho6 # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH { PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD ' i FIREPLACE i FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT.FINAL DECK FTG DECK FINAL WSPECTIONWCORD, m , OF OA PERMIT TYPIR: ~ r z t- ~ s rt~~ 'N of Knob Road A Permit Number: r~, A n sota 5512 Date lsed; 4 't ! (612) 661-4675 n yy~~ `s $ffE~,A©DRESS: t,OT 14 3l' t fi : PPLICAPM 6 t.. (10i A W 0TOOF C T C ° it t o to to H AWK t ' N l'l 4± l R* 0 ~ PERMrr SUBTYPE: TYPE OF WORK: 51: 'Vt46 HfW' b. All 44 t ~t @R ar IF, THAt I iv' `M E M : lWMplit M& P MW Heider ~ . I SOW I PLUMOM HVAC ELECTM "tow ELECTM I toplown Do" k p k 4 Foum~ i pm*v z P4ugh P". lye P4 ►PmAgh Is& i Fwld t ft 0" Too 4 FWi* Pbg. P" -ter G .Oleo i Bkl!g, ROW Dock t tuck Ann V" Pr.. CITY OF EAGAN (sA~iIICEFia S TERMINAL NO: 799 DATE: 09/29/98 TIME: J.4:57:46 ID'. NAME: GREG DUSCHER ;321.0 9001. 3793 Bl.-CKHWK RD 50.00 2i. 55 3001. 3793 PLCK1114K RD 0.50 Total. Receipt Amount.- 50.50 CRO978 J. 8 US17,:T, ID-. NANCY i Wertificate of cccupanc4 mt~ of Wagan This Certificate issued pursuant to the requirements of the Unifor►n Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: SF DIC Bldg_ Permit No- 20273 Occupancy Type ' Zoning District RI Type Coast. Owner of Building W' AUZSM OWMY Address 1%0 GiE4R[.ICA+I ST, W ST Eta Buildin dress 3 ~ Z RMI OI#M ocality , B2, M AMIWK RM L 05/20/93 Date: Building Official POST IN A CONSPICUOUS PLACE Address 3793 M AGM WIC RIDE CUR-LE Zip 5512 2 'Lot- Blk 2 Sub BiAa w mrT~ 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 05/20/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage 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 E) 9V' Request Date Fire No. Rough-in Inspection Required? C] Ready Now :X Will Notify Inspector •,2~7,yes E No When Ready? I 'X licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route N__.._ City - 1C C ~i \C t~ I J Section No. Township Name or No. Range No. County, Occupant (PRINT) Phone No. Power Sup Address ~1 1 1.~ Li-C_ ~i~tt<-41~}YAK j., Electrical Contractor (Company Name) Contractor's License No. p t Mailing Address (Contractor or Owner Making Installation) V _ t1L ~ 1 i 5 k-=f t Authorized Sign2ture fContraclouOwner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 - ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooool-os .S See ins_tLw ^s fSr completing this form on back of yellow copy. X' Below Work Covered by This Request ew And Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other- (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps f ~ 0 to 100 A s Transformers Above 200 Amps Amps Signs Inspector's Use Only. u v TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee _ COMPLETED WITHIN 18 MONTHS. I, the Electrical inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY - ~~'Z • ir, r. , This request void 18 months from "s-~ - PERMIT .CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L_ D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 4 8 5 (612) 681-4675 Date Issued: 09/28/98 SITE ADDRESS: 3793 BLACKHAWK RIDGE CIR LOT: 8 BLOCK: 2 BLACKHAWK RIDGE 2ND P e I a N a: 10--14401-080--02 I DESCRIPTION: BII; Idinci Plermi C: 7°y Lae DECK Building Work Type NEW Gen LJS Code 434 AL Te RESIDENTIAL j i REM~rAf1:REVIEWED BY BILL ADAMS, I I FEE SUMMARY: Base free $80,00 Surcharge 50 Total t=ee $50.50 I CONTRACTOR: OWNER: A p p l i c a n t DUSCHER GREG :3793 BLACKHAWK RIDGE; CIR E.AGAN MN 55122 (612)798-3123 I hereby acknowledge, P:L r3 t;: T have read t r i. appl ic;at-:i.e,n and .t,-are I.hat th information t~ correct and agree t:o comply w ,t;h all appl i.ca,ble :Mate of, Mn. Sft atut:e s and C:i ty of [::agan Q di.nanc;es, r APPLICANT/PERMITEE SIGNATURE UED BY. SIGNATURE 1995 BUMD►ING PERMIT APPLICATION (RESMENTIAL) = CITY' or Z&G 3W MOT IMOBAD 3 surimp i 2 copies of pwn ! 2 wpm of plam (kwfude beam & window sues: poured ft. design; etc.) ♦ 2 site surveys (@xtadx additions & decks) I #nergy ca♦ 1 energy 4"istions for treated additions 3 oopiw of tree pmvvatl t _ if Fot putted a*r 7r► rquftd: Y No DATE: b CONSTRUCTION COSM, DESCRIPTION WORK: P-e c-/-- " t%"1tt w, t!"L P J6 et? S ADDRESS 3 2,9 LOT, ~ BLOCK: StJBC3.IP.l.©. d o go d Name: auxcA -P r-- C j^ Phone 9,'= 31 a~-,3 PROPERTY LM First OWNER . Street Addi-en City cze Stow. Zip: a- cam- Company: CONTRACTOR f License # City Zip: ARCHITECT/ ENGINEER Company: Phone Ne• RegiStraticra ' Street A4d3teas: City State: Zip: Sew & water licensed plumber (new consbuction truly): Penalty applies v►han addre" chane and lot change is requested once p+enT it is Issued. 1 hereby acknowledge that l have read this applicalion and state bud the inomu-40n is-comoct and agree to corrt* VAJV fl appkat Mate of Minnosota-Statutes and City of Eagan Ordinances Signature of"Applicant . r OFFICE USE ONLY Clues of Survey Received Yes No Tree Pnmervation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation 0 06 duplex Cl 11 Apt./L+ ing 13 16, r Finish 0 02 SF Dwelling Cl 07 4-plex 0 12 Mini Repair/Rem. C.'I 17 Swim -Pool Q 03 SF Addition Q 08 8-plex O 13 Garag Accessory P,. 20' PuW Facility 0 04 SF Porch © 09 12-plex 0 14 Fireplace 0 21 Miscellaneous 0 05 SF Misc. ❑ 10 -plex )k15 Deck WORK TYPE ~ 31 Now Q 33 Aferations 0 36 Mare O '32 Addition 084 Repair ❑ 37 Demo GE#4E RAL INFORMATION Ccnst. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq ft. City water U 3 pa sq. ft. Fir. Spdrkferod Zoning sq. ft. PRV # of Stories sq. ft. Bocstes` Pwmp sq. ft. Consus l Cte. Footprint sq. ft.... _ ~ Census Unit - APPROVALS Planning Building ~ Engineering Variance., Permit Fee Valuation; s. 4~?40 Surcharge Plan Review Ucon MC/WS SAG City SAC Water Cann. Water Meter Acct. Deposit S1W Permit SMl Surcharge Treatment Pi. Pork Ded; Trails Dad: Other Copies Total; % SAC SAC Units CITY OF EAGAN Page 1 of 5 ' PERMIT TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS 1. Location L ~~jic~c 1~: 2l Atli IJ~ti: X10 ti• ~D-~ 2. Nature of Work UNC,~Eg ~2b SF<i~V"L E F- 3. Indicate below items to be affected and include a sketch or plan of work to be done. Curb & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Buildings Other AVM: 4. Method of Installation or Construction 5. Work to start on or after: l and shall be completed by:`~1 unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary? tNo If necessary to detour traffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing, at least 72 hours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT t Y2S° PHONE ~f 1Co3~i PLEASE PRINT ADDRESS C-y9- C-CF- L7 STREET CITY STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK ll im a1S (aC t~~ CONTACT PERSON ; A~ a Q. (-i~S=S?S EMERGENCY (24 HR . ) PHONE ADDRESS ~m~ DAY PHONE ~~cA -z52 STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained d gree to fully comply therewith to the satisfaction of the City of Eagan. Signed: Title: (rA DATE:~ I FOR CITY USE ONLY AUTHORIZATION OF PERMIT FINANCIAL SECURITY: AMOUNT: TYPE: (Cash,bond,LOC,etc.) Fee: $ Receipt No. Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: P_y : D T. OF PUBLIC WORKS APPR B / A E ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND 0 "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REP TED TO THE EAGAN CITY ENGINEER. r Permit No. Page 2 of 5 PERTINENT REGULATIONS Safety 1. Traffic shall be allowed to pass and to be protected at all times. If it is not possible to allow traffic to pass, a suitable detour must be provided and plans submitted to the Director of Public Works 72 hours in advance. 2. Barricades shall be erected in a manner which will provide suitable visibility in all directions. All barricades shall be in good condition, and all signs shall be of such size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one on an advance warning sign. 3. Excavations must be shored or sheeted when necessary to prevent under-mining of roadway, trailways, utilities, or for safety reasons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permission. 5. Flagmen shall be furnished by the party or organization performing the work whenever the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do so by the City. OPERATIONS 1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in progress in the custody of the individual in charge, and shall be exhibited upon request made by any City official. 2. Provisions and Specifications--These general provisions, specifications and Std. Plate P-1 shall be considered as forming an integral part of each and every permit issued for operations within Eagan. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and shall conform to all requirements and standards of the City. If at any time it shall be found by the City that the work is not being or has not been properly performed, the permittee, upon being notified by the City, shall immediately take the necessary steps, at his own expense, to place the work in condition to conform to said requirements or standards. 3. Execution--The permittee shall use diligence in the execution of the work authorized under this permit in order not to endanger or unnecessarily obstruct travel along any road or trailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the work herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to Laws--The installation shall be made in conformity with all applicable laws, regulations and codes covering said installations. All installations shall be made in conformity with regulations of governmental agencies for the protection of the public. a. The applicant shall furnish a bond or financial guarantee in the amount to be determined by the City which is required to ensure adequate & timely completion of repair. This bond or financial guarantee shall remain in effect for 2 years subsequent to completion of street repair to protect the City from defects in material, workmanship or non-compliance with City Standards or specifications. Permit No. Page 3 of 5 b. The applicant shall furnish evidence of public liability insurance of not less than $100,000/300,000 and property damage of not less than $25,000 issued by an insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. C. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trailway upon completion of work shall be at least equal to or better than specifications of originally provided road or trailway in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted within right-of-way or easements and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those operations requiring direct access to the boulevard area. b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. C. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles per hour. Vehicles shall operate at slower speeds when weather conditions, trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general public. d. Driving shall not be permitted within those boulevard areas where damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manner as to unnecessarily impede the safe and efficient use of trailways by the general public. Permit No. Page,4 of 5 12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded or chained tires, caterpillar traction, or any other form of traction which will result in damage to the surface. 13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end of each work day and swept clean after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to control or destroy trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as stated above and relevant City Ordinances. DATE: -7 ~h SIGNED: C Revised 5/93 LTS#l-PERMIT.FM PAGE 5 OF 5 FPROPERTYLINE I I I 3 4 SAME AS REMOVED _ (3" MINIMUM) • ' . ' " ' : SAME AS REMOVED (6" MINIMUM) 5 2 I TRAILWAY 1. Curb and Gutter shall be removed only after saw cutting at joints and replaced according to specifications or Standard Plate. 2. Bituminous pavement area removed shall be saw cut prior to patching. 3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod. 4. 2341 bituminous wear course shall be paved between May lst and November 15th for permanent patch. Temporary cold mix patch should be used November 16th to April 20th (or as permitted by weather). 5. Class 5, 100% crushed aggregate base. 6. Roadway closures in accordance with Appendix B - Traffic Control for street or highway work zones - MnDOT/MUTCD. 7. Bituminous trailway closure requirements same as roadway in #6 above. 8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction. All suitable backfill material placed below a depth of five (5) feet below the final pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18) inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698- 64T (Standard Proctor Density), method "A". All suitable backfill material placed within five (5) feet below the final pavement surface shall be placed in lifts not to exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of the above ASTM Specification. City of eagan STREET AND B17UMINOUS TRAIL WAY approved : Standard plate # PUBLIC EXCAVATION/PATCH DETAIL 5193 W.'WORKS PARTMEN TRAFFIC CONTROL REQUIREMENTS P-1 DE] , . { f 2422 Enterprise Drive * * Mendota Heights, MN 55120 * PIONEER (612) 681-1914•Fax 681-9488 y LAND SURVEYORS • CIVIL ENGINEERS T* engineering LAND PLANNERS • LANDSCAPE ARCH17ECTS 625 Highway 10 Northeast * Blaine, MN 55434 f * * (612) 783-1880•Fox 783-1883 Certificate of Survey for: McAllister Construction,- Inc. House Address: Blackhawk Ride Circle Ea an MN CKHAWK RIDGE BLA CIRCLE R 60.00 57'18'16" a irk- p.Le p.Le L-60-13 949.4 p o ~so4 949.1 nM ! 30.0 \ 7 f 22.67 t q N O~ )6.59 10.00 a 19.17 0 14.50 8 4 I ~9 \ \ J GARAGE \~s gSb,OS~ N ! N ! 12.33 \ lP , PROPOSED HOUSE u \ ~ a4-1 r ! ' u 12 COURSE BASEMENT { _ 37,65 - QO t5l 1 S ` 25.50 0 28.50 \ ! 38.63 _ , ~1 8~~ 4655" £ ~ i <11 N 84' \ 94S,to A49,3 y _2S 16 S66~y4 30 63.16 S 89'20'52" E X 900.0 Denotes Existing Elevation PROPOSED.._HOUSE _ELEVATION x06-6;0 Denotes Proposed Elevation Lowest Floor Elevation: 843.55 Denotes Drainage & Utility Easement Top of Block Elevation: 851.66 Denotes Drainage Flaw Direction ' ---o- Denotes Monument Garage Slab Elevation: 851.33 --E3-- Denotes Offset Hub Bearings shown are assumed LOT 8 BLOCK 2- BLACKHAWK RIDGE DAKOTA COUNTY, MINNESOTA 2ND A D D I TI O N I hereby certify that this survey, plan or report was ppared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this day of ---A,D, 19 3 S C C1 I e . 1 inch = 3 D feet ROSERIGW {kJOH,L.S. EG. NO, 14891 6~ orry. - >B . . :.:y' `i::::: :::;;:'iYi+Y :J;•: n-..:. u::::::i'<+{. Yi:r. {6...... . ...r .'`iFi'.'Y: ? ; 't•iy-{:: . • ~ :r:.:: .:..:;Y • .......,~',✓~,~~~',~,.,.~,.,.,.,r,-.:::{.,^::::.,v mmHg 1993 PLUMBING PERMIT (RESIDENTIAL) CIW OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 68IA67S PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TO L SHOWER 3.00 3 WATER CLOSET 3.00 Z_ BATH TUB 3.00 G 4 LAVATORY 3.00 f KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 t_ WATER HEATER 3.00 FLOOR DRAIN 3.00 .3 _ GAS PIPING OUTLET • minimum - 3.00 3 _3 ROUGH OPENINGS 1.50 IL/r 5-0 WATER SOFTENER 5.00 PRIVATE DISP. - Dai.ay. oc. 15.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS - to casting . 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 p " r//1df~•C TOTAL: 5_0 SITE ADDRESS: J ? ` 1-C C [G (A w le-- -e- C Its OWNER NAME: w c 14F L- p-" INSTALLER: G C... Ic' t ADDRESS: CITY: STATE: Zr? CODE: PHONE SIGNATURE O PE EE n- } :~'•1 tir::j•,: i .iLv'%:i::ti~:%:i}?:•:::,i::~ y J ~:$:•`.i%:n';'};.'}}}'::}}:hi':::i{:~ •':L:ii$'::i:::;:?:J:4riiiii};i:::;i::i:i:i!::::::: ¢ it 1•+:{•i:%}}:'.i:j':;n:%~::5 %}v:%~:%:Yi%i '':i~+>`::yyi: ji:::::::'<'r,.':::i:: ti%$;•:L,; ~:::~:?{%yY•,'.:?i;':fy:•:: ~!ij!_~{X:iF~iF:<`~}:!%}:i: nA•:: ~ •.w:., .:::u•:: n•x :v::::.uW::: S.?:`iiiij'cc?"?is''2°i'ki'<~t%`"'2?`;: o.a+ , 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681467S PLEASE COMPLETE FOR ALL COMMERCL ANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUFF :SINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U I`. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE. 1% OF CONTRACT FEE. STATE SURCHARGE. $.50 FOR EACH $1,000 OF PERMI'T' FEE MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT r y }.~<;;:.cx• ~*.,•:ts•• •~ib,`.•'::.Y::::;:::2•v?•aYT)'k..'23:tx,.o,§ciit;^SC•ti• . ~'a•~}k?t'~aT. loft- a ..:5;:.:: •:.'•r,•: ;•a.:aka i::t:.i.,...;r',T~.~.a; w;• ' .:~:t •°::r.+s'~'T^;f +$x• F«o :FJa`.;»:; r:~,• : :rsr.:.:i. I:;T::w2.^:a:,,..T;C;.,..o.:., {ide• a: r 8 s5,;: af;>; . r,~ ~?+5' T:: r•:<:3.,i.,r,;}+: ' r„ • . ••:c«, rjw,. , f+. .f~..s•2##,. f^.:.•. :a:'::,ic'::i.fGR:;;•:;: ti "t{.ac{'. Tf `:,C•' i <i>:.yr ~gaitx 77 TSY.-i:;;:~'.•-;t't.^,: i''s ,,te~aa ~ ,r{yi.: ~y T,F,4, it...: 'j;'T~:LT~vs { Z ~ JYr. 1993 MECHANICAL PERMIT ('RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE a l 3 FEES 24.Ib HVAC: 0-140 M BTU ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM I @ $3.00 EACH) ADD-ON/REMODEL (ExisTlNC coNsTRvcnON) $ 15.00 STATE SURCHARGE .50 TOTAL 36-5:a, SITE ADDRESS: 1 fi' c K Rcti,< G E l brt OWNER NAME:- ~ ~~~t~ ~s' (©w TELEPHONE aj- Jl~T~yG i'' c_ INSTALLER: o c G ADDRESS: a i n o2 o CITY: STATE A/ ZIP CODE: TELEPHONE SIGNA RE F ERM E I 4• " } •y +»+s xt:j; Ti;.;?:;aYT};;ijtMj; .•r:;::a:?;<.+:;:;;?Ctjati}'{rax..xc;{::Ci'4tiK~:•:jd`.YjSjj,,};.'.`T ~ ?:7{Y?#}a.??::•Tj:•a'.•t YY~,.'t?_•;,s:• . ' ;;a':F 't' ..!j.~:ti'.'- :,,~.?4j»:jrj;+,4au}. c...;,A.;<}::.sr+.?Y'•,^.xc ~^^~.:::ii*-~{»{:i • c:;,.ts ?x f 1sS~: n.}.:...~; C.-:{4::}.}Yt+{: iv'ar3?.•T'- nav'v, k;..::: ..;,n,{.a, v ..:r2t,~vS1'•T~C75' .SQ{?~ J. '':`t4 . :,r~t',2.2i? .,r.Sr 4w. ..'i f..a ,+v:• '•'M> .}.r jiL;?:4?:4?t4.i:•: i.:.:'•iii?.`•:}:jvi i? :{,'•i~i: •4:{:Ti: v :v : Y , vj ...vA, , r:' 1~ v ::.t:}'.y f.•: r: r: Y.. i'a:44?`r.'.::."iFEj}arv4:j: a:.. w. vv'jn~Y.: ,.y:.j'r' •Y{:1':?a', 1R'. ua'Y>jf ~~ta,6',\4 ' \...:f. .Q:A. r}.:. : ,:>.:iy,,.: :,:L:.. ,r?4:+•r .Y..,>.. • i K+ ,'?}.a a . yy?3T'::., :,~,4x - :,..^..~i:: ha'4+.::.: vi.. n.:...~rx *Gr~. ,ar ,..A.v n , .a,a..: ^•:1r. ,:,<,;,i+,i:o'.?{•s.. :.:g ..aKx 4:,?a. • tta ~ 444 :j:•3.~s • ..t•;e•? . . jT}•.,xa.....ta• v >s. ,.l•At' :.?f:a}? ,:tT;~ .r, •alt;:, a:>}:vup:• ;a: f:%iy~;.;{.Y~., 44•:{,{. {::•..,4 vT?4?: }'f,'„'+., •T.:?ar ♦.f: rl'~5 uw t:,,~...,.:.,1:.;. 'a;:::..<r4::>i?::':Fj::ft+}Y hT:,{k?::cf.•j:.f.:.,;~;~°,: t:2irj::,'{i4~C.T~:: `}'.••.og.},,9}A J,'~tiw,':•s': ;,}.::h. 'a`'ti:~ . ~AG ,:,.S•i`>,• :af•`•'aG .a =::r:6:` :A.:.: ;s}i:+:~a<•,R4?.#T}},ac. ,t „r4..'`tia,✓, a :.q ~'s ,t3~, f,:~4"ti`.s3C,;.,•o,{'~, ~At?, {?:i:::i:> .,a,r; ~:r: •Y'.: • • ~ i'ia } f. "5 1;•$>8; .A~, j~::".' . :•,x.•:T,•k~fi:'{w:.~:.4:,..,•. •.a.~:ar,~;:aY~~~~>r.+aa~.4~~.`••`s~~~'~ "`r~`" .,x~,asrac:.•'{,~.:a: 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL (INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS• WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ! W FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR REACTIVATE CITY OF EAGAN PERMIT # 1993 BUILDING PERMIT APPLICATION c 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Da e Valuation of work 3 'Ze A, Sit Address: 1~1 1d STREET SLOfE 0 Tenant Name: (commercial only) 5 _4 LOT BLOCK SUBD. ~ P.I.D. Description of work: The applicant is: ❑ Owner Contractor ❑ Other (Describe) FL" Name Phone Property LAST RST. Owner Address S 13-S 6- STREET STE City State 21~L Zip Company GD Phone Contractor Address d License # 6,00 34 txp.~~ V?y City s &,ewrz State _ Zip Architect/ Company G Phone JJ Engineer Name Registration # Address X, C*GJ7'1~ City _WL~Ae State Zip 4' f Sewer & water licensed plumber Processing time for sewer & water permits is two day once ar has been prov d. 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ Ol Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish JRr02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE M 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System Yes (Allowable) V_t4 1st F1. sq. ft. City Water . UBC Occupancy R-3 M-1 2nd Fl. sq. ft.. PRV Required Zoning Pp R-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code poi Depth 140• On-site sewage SAC Code APPROVALS b1d040 Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site O Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final O Draintile ❑ Fireplace Permit Fee valuation: Surcharge G 4aA4 ; Plan Review s goy Zr License I Y. JV = (tv .5-- f = % `4 7- f. MWCC SAC City SAC «-i - x- xq !6= /!,lay / x '4 = `I Water Conn. 2-Y#= Z.1 Water Meter 30 x3y 1020 ► 3x~ Cl Acct. Deposit a -9 14 ~ .29 S/W Permit -2sv2x = 57 X/c/- Z2t-1) S/W Surcharge Treatment P1. 3 20 I '2y 3 x 53 - ' Road Unit ~ y 2G x 15'= 2) , 3g o Park Ded. isr FLvok ~ c.► S~1 Trails Ded. ' -l i3 Copies 3 r►i T 14 2 t,. 10 2 = t z. Other Y. Total : 53 = ne,2114 SAC % na SAC Units i 4L * . 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEER LAND SURVEYORS - CIVIL ENGINEERS (612) 681-1914-Fax 681-9488 engineering LAND PLANNERS - LANDSCAPE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 (612) 783-1880-Fax 783-1883 Certificate of Survey for: McAllister Construction, Inc. House Address: Blackhawk Ridge Circle Eagan, MN LACKHAWK RIDGE B CIRCLE R - 60.00 ~da`f T r. 9¢9,tp = 57'1816 S 10, - Po ei L 60.01 949.4 ~RA o Sso.¢ 949.1 30.0 \ aN l 3 ~ o ~i ~ 83o.3v 22.67 9 9 OD }6.59 0.00 v r~3 14.50 I~~ \ 19.17 ~J GARAGE } 1 SSO, os~ C\,) u 12.33 - - \ PROPOSED NOUSE tp / I 12 COURSE BASEMENT \ 11~. 1 37.65 - S / 25.50 No 26.50 - - \ QQ ~ , / _36.63 - - N 84'4655" E <11 64s1o ~ ~ ~ ~ Sb.o ~ \ i.~....„ r.`Y3.x 66:342<. XAGAZTJ RiNG P~' 2 63.16 S 89'20'52" E X 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION x 9DD.D Denotes Proposed Elevation Lowest Floor Elevation: 843.55 - - - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 851:66 -o- Denotes Monument Garage Slab Elevation: 851.33 -e- Denotes Offset Hub Bearings shown are assumed LOT 8 BLOCK 2- BLACKHAWK RIDGE DAKOTA COUNTY, MINNESOTA 2ND ADDITION hereby certify that this survey, plan or report was ppared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this day of ':TAN), A.Z ch _ 3 0 feet ,t 8° i1CIGH I .S. PEG. NO. 14891 Scale . I In 10-3-91 91117.03 • LOT 60RVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LzoA :a°- Date of survey: 4Z2 ;z z Q: - / DOCVKENT STAND Ana Lt' 0 0 • Registered Land Surveyor signature and company D 0 Building Permit Applicant - 8~0 0 Legal description 0 C~' ❑ Address 0 0 North arrow and bar scale 0~0 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) B'0 0 Directional drainage arrows with slope/gradient t. V 0 0 Proposed/existing sewer and water services 21"D 0 Street name D~ 0 0 Driveway ELEVATIONS Existing D ff"o' 0 Sewer service ❑ 0 - Lot corners 0 0 Top of curb at the driveway 0 0 0 Elevations of any existing adjacent homes Pro; I3"~ 0 0 Garage floor 0r 0 0 First floor K D D Lowest exposed elevation (walkout/window) K D D Property corners E0 ❑ Front and rear of home at the foundation PONDING AREAS lit aflplicable) D e 0 Easement line 0 0r ❑ NWL 0 0' 0 HWL ❑ 0r0 Pond # designation D 0~ ❑ Emergency Overflow Elevation DIMENSIONS 0 0 Lot lines D' D D Right-of-way and street width (to back of curb) Fd' 0 ❑ Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) D~ D ❑ Show all easements of record and any City utilities within those easements LS D 0 Setbacks of proposed structure and setback of adjacent existing homes 0 0 Retaining it ts, if any Reviewed: e / Na Date October 1992 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: SITE ADDRESS: c CONTRACTOR: M t4),57-t--R CO/ S-r-DATE: PHONE: Determine working square foo age of each: c 1. Total exposed wall area ...j'`'' ' sq. ft. x .11 = ! 2. Total roof/ceiling area f sq. ft. x .026 = 4-10, 7 ~ Total exposed wall area above floor = ~~7 q a. Total wall window area b. Total door area "7t,~ c. Total sliding glass area a , d. Total fireplace wall area e. Total wall framing area (average 10%) 0-7, f. Total net wall area above floor } { 'Zoo g. Total rim joist area << Total exposed foundation area = h. Total foundation window area.... i. Total net foundation area above grade.. Determine 'U' value of each wall segment: x x 'U, e. s x 'Ut otl le, f. I 1 , x 'U' ho x 'U, i. X VU? 3. Total = 07 ' If item #3 is the same as or less than item #1, you have met the intent of SBC 60 06(c)2. Total exposed roof/ceiling area = v 'ry = j. Total skylight area _ k. Total roof/ceiling framing area (average 10%) d f~.f+ 1. Total net insulated roof/ceiling area OVER • ' 3 Determine 'U' value for each roof/ceiling segment: j. x ' U' k. x IUf , OLO 3,13 1. ~ r x IU' • 31 C) 4 . Total f If total of #4 is the same as or less than X12, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and #4 shall not be greater than the sum of Items #1 and #2. 3. 3C-7 - + 4. '~')q,1S 2 r ' 4 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from'rthe heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation. will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. GUIDELINE TO (R) FACTORS rROtt ASHRAE MANUAL OF TYPICALLY USED PRODUCTS (R) (R) Interior Air Film (flails) O,G8 Gypsum or plaster board 3/8" Exterior Air Film (Walls) 0.32 0,17 Gypsum or plaster board I/2" 0•45 Interior fir Film (Vented Ceiling) 0.61 Gypsum or plaster board 5/8" 0.56 Exterior Air Film (Vented Ceiling) 0,61 Plywood 3/8" 0.47 Interior Air Film (Ilcn Vented) 0,61 Plywood 1/2" o.62 Exterior Air Film (Ito,, Vented) 0,17 Plywood 3/4" 0.93 Sheathing, reg. density 1/2" 1.32 Aluminum Sidinq 0,61 Sheathing, req. density 25/32" 2.06 Aluminum with Backer 1,82 Nail-base sheathing 1/2" 1.14 Aluminum with Backer E Foiled 2.96 1/2 x 8 Lcp Sidinn (Wood) 0.81 Built-up Roofs 0.33 7/16 x 12 Hardboard Siding 0,67 Asbestos-cement shinglis 0.21 Asbestos Sidinns 1/4 Lapped 0,21 Asphalt roll roofing 0.15 Stucco (Brt-in and Finish Coat) - Aspahlt Shingles o.44 3:4" flood Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00 1/2" Plywood ',heathinq 0.62 Insulation: 3 1/2" Fiberglass IF.OO 1/2" Particle bc,.rd 0.66 Insulation: 6" Fiberglass 19.00 WOODS: BLOWItIG WOOLS Fir, pine L similar soft Woods 1 1/2" 1.89 Approx. 3" 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 3 112" 4.35 Approx. 6 1/4" 19.00 5 1/2" 6,87 Approx. 7 1/4" 24.00 Approx. 14" 30,00 i Approx. 18" 40.00 All other insulation materials must be Filled verified (R Factor) (R) Vermiculite 8" Concrete Block (S L G Req.) 1.11 1.93 12" Ccncrete Block (S L G Reg.) 1.28 3.15 8" Light Weight 2.18 5.03 12" Light height 2.48 5,82 NOTE: (U) x Area Square Feet All Windows _;It') LL (w/Scorns I" to 4" Space) ,56 Removal Double Glazing (ROG) •55 _ Thermo or welded 3/16" air space .69 1/4" air space .65 1/2" air space .58 (Other windows specifically tested can use better ratings) 1 3/4 Solid core door .46 = w/storm, wood .31 - w/storm, metal .26 • Pease SccelDoor Insl/t,/Gl 7.45R .73 Sliding Glass Door, Wood .65 Metal .715 - i I I I I t1INIMJt1 "U" VALUE AND R-FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK A Provide insulation baffles in every' R~~F ~LINC~ rafter space. - l - - _ CP} vA~ WTE-7 to Hum Q Q ~3 U~P ED,'- ~ [NSU~A ~toN : OO EX ~E~;oi- Ftr Ft~M • ~ ( tt It _ 0-'2- ® . j I[z _oZs T~TAL_ CRS s~ -WALL 11A L • - - : ~ ~ I - ~l~ ~ONITG ~1Dtt~ . Al-l' FIB 17 I m & . "I TOTAL (R ? e-r 12 t 3 ~L [t1TE1'1o1', AT, Flu-1 _h j z Rlt~l ~lsT . / , 9"7. 1 r 2 ~f 15 J~Fl Z 5 G g. AM FILM 7 13' TbTAr o° - - 00 C ~ Vt~LU~ - 1N TE[7t~iZ Atrc Ft~t't - on- o Ehj~~~lo2 AIR FILM • 17 c7° U~• tct,u Floors 0%7,er unheated spaces must have rrininuz R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) must Have a minimum R-factor of R-33. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN Py-;Ls 407qb 3830 PILOT KNOB RD - 55122 \~,5~ ~D 651-681-4675 CaQ New Construction Reauirements G~ ~\0 R2model/Repair Reguiremenls > 3 registered site surveys showing sq. & of w, sq ft. of house 2 copies of plan and gl rooted areas (20% maximum lot coverage allowed) 1 set of energy caiculatlons for heated addillons > 2 copies of plans (show beam 3 window sizes: poured ind. design; etc.) 1 site survey for exterior addif u & decks > 1 set of energy calculations > 3 copies of free preservatlon pion N lot planed after 7/1/93 L{ ~0 DATE: CONSTRUCTION COST. 1 DESCRIPTION OF WORK: 2-!2-0- STREET ADDRESS: ck C,I - ~ j qjp Cc"Lad, LOT: BLOCK: SUBD./P.I.D. a I'L w L r C g C 2 c~ Name: LAs c-mil, Phone N " I ~a 3 PROPERTY Last First w OWNER Street Address: 3q 9 3., t4 c l ~JL, City State: M/" Zip: Company: Phone VV6 (area co e) CONTRACTOR Sheet Address: License # 4 City " U CO, CDC,~ State: Zip: ~~ra2 ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration City State: Zip: Sewertwater licensed plumber (if ipstalling sewertwaterPhone ( I hereby acknowledge that I have read this applkxftn, state that the Information Is correct ee to comply with of applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican OFFICE USE ONLY MAY - 4 ` Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required I_ OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Pjbg -Y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex 20 Pool ❑ 30 Accessory Bldg. K W TYPE a1 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 01 # of Stories sq. ft. No. of Units 0 Length SIC sq. ft. No. of Buildings ► Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code 1.1 CA (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building C) , Engineering Variance Permit Fee Valuation: $ 1 N, 0 0-0- Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC PIONEER (612) 681-1s14•Fox 681-9488 LAND SURVEYORS • CIVIL ENGINEERS ~`r-- D PLANNERS* LANDSCAPE ARCHITECTS engineering 625 Highway 10 Northeast Blaine. MN 554,34 * ~t (612) 783-1880•Fox 783-1883 Certificate of Survey for: McAllister Construction. Inc. House Address: 3793 Blackhawk Ridge Circle. Eagan. MN BLACKH A.WK _ RIDG CIRCLE R 60.00 57'1816" 41• GuG~i { ;o' ~'l Peie . .1 D C Lam' L=6o.0 t 9849. Say 30.0 QI~D, 3 U O 16b• / B~q --I j5.60 OQ. ,8 59 0.00 c 22.67 0 14.50 8 4 .9 . - / GAGE 19:17 12.31 . -j m / - PROPOSED HOUSE a tP 12 CcwFSL.9A5E1AEN1 / J 37.85 9 ` 25.50 c 28.50 - - / i34R,q Q 0kL / 38.83 -1--N_84' 55• E 94~1~-7 I~ ~s ~ y. 41,3 8 -t+o S660 30 8slZ 63.16 _ V• S 89'20'52" E x 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION x oo. Denotes Proposed Elevation Lowest Floor Elevation: 843.55 Denotes Drainage & Utility Easement Top of Block Elevation: 851.66 Denotes Drainage Flow Direction - --o- Denotes Monument Garage, Slab Elevation: 851.33 Volume No. Cert*lf Ica eo T*Itle OWNER'S DUPLICATE CERTIFICATE Certificate No. 8 3 8 5 8 Document No. 215905 District Court No. Transfer from No. 8 0 5 9 8 Originally registered the 18th day of April 19 59 Volume Forty page 59 State of Minnesota, SS County of Dakota. J •~~cti Ca cn~r( J 1/crr'` Ileritor Development Corporation 605 West Travelers Trail of the City of Burnsville County of Dakota and Stare of Minnesota is nocv the owner of an estate, to wit: fee simple of and in the following described land situated in the County of Dahota and State of Minnesota, to Evil: Lot Eight (8), Block Two (2), in BLACKHA14K RIDGE 2ND ADDITION, according to the recorded plat thereof. Subject to the encumbrances, liens and interest noted by the memorial underwritten or endorsed hereon; and subject to the following rights or encumbrances subsisting, as provided in Laws 1905, Chapter 305, Section 24, namely: 1. Liens, claims, or rights arising under the laws or the Constitution of the United States, which the statutes of this state cannot require to appear- of record; 2. Any real property tax or special assessment for which a sale of the land has not been had at the date of the certificate of title, 3. Any lease for a period of not exceeding three years, when there is actual occupation of the premises under the lease; 4. All rights in public highways upon the land; 5. Such right of appeal or right to appear and contest the application as is allowed by law; 6. The rights of any person in possession under deed or contract for deed from the owner of the certificate of title; 7. Any outstanding mechanics lien rights which may exist under sections 514.01 to 514.17. That the said Meritor Development Corporation is a corporation organized and existing under XXXdSRkXThwaxXXXXXXXXXXym. XrXX-X XX the laws of the State of Pennsylvania. XX16XT`ED(XXXXXXXXXJI)6nxXXXXXXXXXXXXXd41t16bmk. , ,11t ~~cf~ze~1 llle)ten . I haue hereunto subscribed my name and axed the seal of my office, l this 17th day of May 19 89 JAMES N. DOLAN Registrar of Titles In and for the County of Dahota and State of Minnesota. (Seal) 31F.3101HA1. ,:,MI cv Li, ,N of Estates, Easements or Charges on the Land described in the Certificate of Title hereto attached. DOCUMENT F D OF DATE OF REGISTRATION DATE OF INSTRUMENT NUMRER UMENT MONTH DAY YEAR HOUR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR A. M. P.M. 215904 ation f Pro ec ive ovenants ( nd o her land U t Ma 17 198 3:00 4 27 '89 - The Public James N. Dolan 63969 tility Line Sept 8 972 2 6 19 '72 $1.00 Town of Eagan Easement erpe ual Eas ments for anit ry ewer purposes and other lands) James N.Dolan 208395 Easement for Ingre sad E ress Oct. 12 988 10:3 4 4 '88 $1.00 City of Eagan James N. Dolan (and the lands) 239209 Pressure R ducin V lve gree ent (and th r lan s) Between City of Eagan and Fe 6 19)l 10:46 12 7 19 - Meritor Development Corporati n James N. Dolan s PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 68811--11914-Fox 681-9488 glneering LANG PLANNERS* LANDSGAPf. ARCHITECTS 625 Highway 10 Northeast Tj B{oine, MN 55434 (612) 783-1880-Fox 783-1883 Q*rtificate of Survey for: McAllister Construction. Inc. House Address: 2723 Blackhawk Ridge circle, Eagan. MN BLACKHAW.K_ RIDGE CIRCLE R 60.00 1td~ r e 57'1 S'16" 41, ,01- pot, Tiy~' D i= ~,6C 949. ~~q o L.=60.01 $SO•¢ 49. 30.0 D 66 930, 3 0 © B g 0.00 b 22.87 - 1450" Q . 1917 . GARAGE t\r 4 ! J 0a 9s'o. os'' GSED N4u5E u \ tp PROP 12 CdDh.,~ BA.... . ~ _ - . ~ . 37.85 QQ t?~ 9 / 9I~ 25.50 c 28.50 / 36.83 _ . --1- N 84-44,55' l 41➢3 8. \ 160 ~ sss,~ 4 2~ a zo Bsz 63.16 _ _ . V S 89"20'52" E x 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION x 9DD.o Denotes Proposed Elevation L Denotes Drainage & Utility Easement Lowest Floor Elevation: 843.55 Tap of Biocklevation:851.66 ----Denotes Drainage Flow Direction --o- Denotes Monument Garage Slab Elevation: 851.33 CITY OF EAGAN Page 1 of 5 PERMIT TO WORK WITHIN CITY PROPERTY/RIGFIT-OF-WAY/EASEMENTS 1. Location t,C"r`' E ~ .C5c 1 i '2 . t l,cx k l l: Ki DcF 2 ( t»t c~J 2 . Nature of Work UNt7F,2 yuc~ a S trJ 1~. 3. Indicate below items to be affected and include a sketch or plan of work to be done. Curb & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Buildings other na~ttVR~ 4. Method of Installation or Construction 5. Work to start on or after: and shall be completed by:'Aj3c~ -1, unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary? No If necessary to detour traffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours in advance of any detour being established, changed or discontinued. Cc \2) Dl- % NAME OF APPLICANT ~ L ~ ~ Cwt- 2S J PHONE ,I PLEASE PRINT ADDRESS (~LACYk-3L(el pCr- CCUQCL ALZ, M+N~ ~i S ZZ STREET CITY STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK )ViKN - f1S ~4'~Cay~ CONTACT PERSON: EMERGENCY (24 HR.) PHONE ADDRESS Sgm~z C\S ,f DAY PHONE ~,c1-zS- zq STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained K to fully comply therewith to the satisfaction of the City of Eagan. Signed: Title: l DATE: C{ FOR CITY USE ONLY AUTHORIZATION OF PERMIT FINANCIAL SECURITY: AMOUNT: TYPE: (Cash,bond,LOC,etc.) Fee: $ Receipt No. Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: APPR D T. OF PUBLIC WORKS B . / A E ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND 0 "SPECIAL PROVISIONS" TO BE COMPLIED WITHI THE DATE WHEN WORK IS COMPLETED MUST BE REP :TED TO THE EAGAN CITY ENGINEER. . Permit No. Page 2 of 5 t PERTINENT REGULATIONS Safety 1. Traffic shall be allowed to pass and to be protected at all times. If it is not possible to allow traffic to pass, a suitable detour must be provided and plans submitted to the Director of Public Works 72 hours in advance. 2. Barricades shall be erected in a manner which will provide suitable visibility in all directions. All barricades shall be in good condition, and all signs shall be of such size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one on an advance warning sign. 3. Excavations must be shored or sheeted when necessary to prevent under-mining of roadway, trailways, utilities, or for safety reasons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permission. 5. Flagmen shall be furnished by the party or organization performing the work whenever the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do so by the City. OPERATIONS 1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in progress in the custody of the individual in charge, and shall be exhibited upon request made by any City official. 2. Provisions and Specifications--These general provisions, specifications and Std. Plate P-1 shall be considered as forming an integral part of each and every permit issued for operations within Eagan. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and shall conform to all requirements and standards of the City. If at any time it shall be found by the City that the work is not being or has not been properly performed, the permittee, upon being notified by the City, shall immediately take the necessary steps, at his own expense, to place the work in condition to conform to said requirements or standards. 3. Execution--The permittee shall use diligence in the execution of the work authorized under this permit in order not to endanger or unnecessarily obstruct travel along any road or trailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the work herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to Laws--The installation shall be made in conformity with all applicable laws, regulations and codes covering said installations. All installations shall be made in conformity with regulations of governmental agencies for the protection of the public. a. The applicant shall furnish a bond or financial guarantee in the amount to be determined by the City which is required to ensure adequate & timely completion of repair. This bond or financial guarantee shall remain in effect for 2 years subsequent to completion of street repair to protect the City from defects in material, workmanship or non-compliance with City Standards or specifications. Permit No. Page 3 of 5 b. The applicant shall furnish evidence of public liability insurance of not less than $100,000/300,000 and property damage of not less than $25,000 issued by an IIIti insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. C. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be ,done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trailway upon completion of work shall be at least equal to or better than specifications of originally provided road or trailway in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted within right-of-way or easements and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those operations requiring direct access to the boulevard area. b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. C. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles per hour. Vehicles shall operate at slower speeds when weather conditions, trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general public. d. Driving shall not be permitted within those boulevard areas where damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manner as to unnecessarily impede the safe and efficient use of trailways by the general public. Permit No. Page 4 of 5.. 12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded or chained tires, caterpillar traction, or any other form of traction which will result in damage to the surface. 13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end of each work day and swept clean after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to control or destroy trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all. the PERTINENT REGULATIONS as stated above and relevant City Ordinances. -71513 t DATE: SIGNED: ~ I Revised 5/93 LTS#1-PERMIT.F14 i-AUt o Vt b r f' pROPERTY LINE ti I 3 4 SAME AS REMOVED (3" MIN14AUM) ; SAME AS REMOVED MINIMUM) 5 2 TRAILWAY 1. Curb and Gutter shall be removed only after saw cutting at joints and replaced according to specifications or Standard Plate. it 2. Bituminous pavement area removed shall be saw cut prior to patching. 3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod. 4. 2341 bituminous wear course shall be paved between May 1st and November 15th for permanent patch. Temporary cold mix patch should be used November 16th to April 20th (or as permitted by weather). 5. Class 5, 100% crushed aggregate base. 6. Roadway closures in accordance with Appendix B - Traffic Control for street or highway work zones - MnDOT/MUTCD. 7. Bituminous trailway closure requirements same as roadway in #6 above. 8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction. All suitable backfill material placed below a depth of five (5) feet below the final pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18) inches and compacted to a minimum ninety-five (95X) percent of ASTM Specification D698- 64T (Standard Proctor Density), method "A". All suitable backfill material placed within five (5) feet below the final pavement surface shall be placed in lifts not to exceed twelve (12) inches and compacted to a minimum of one-hundred (100X) percent of the above ASTM Specification. city of eagan STREET AND BITUMINOUS TRAIL WAY approved : Slate rd P PUBLIC EXCAVATION/PATCH DETAIL 5193 !Jim DE PARTMENWORKS TRAFFIC CONTROL REQUIREMENTS p-1 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 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 Cert of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Solis 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 Dated f Construction Cost Site Address3 e jK `ZC~.y~~ j~t~c C XP_ Unit/Ste # Description of Work Multi-Family Bldg _ Y l/N Fireplace(s) - 0 _ I - 2 Property Owner ~~c7 ~~1(iSC tit Telephone # (V r) 7 `~3 / Contractor ~_9'740~_A' 11, 1 u ~Sotj 0- -k--.t C__ Address City State C vt, M4 Zip J a- Telephone # ~~03) _ f' lv o~ p 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 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 co es of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only a;nfn '(for permit, and work is not to start without a permit; that the work will be in accordance with the acase of or whi h requires a review and approval of plans. Applican s Printed Name ture 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 ❑ 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 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) _ FinaUC.O. Footings (addition) _ FinaUNo C.O. _ Foundation _ HVAC _ Drain Tile Other Roof - lee & 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 PERMIT CITY OF EAGAN 1110 3830 Pilot Knob Road PERMIT TYPE: U ,t L, OT N t, Eagan, Minnesota 55123 Permit Number: 0 2 0 2 V (612) 6814675 Date Issued: 02/09/93 SITE ADDRESS: t; 1.Fi 0793 E L.. `l I HAWK RIDGE LOT: 8 BLOCK: 2 Bt_ACK1'ix'',1:.1K ,.:1 isisL°, ND DESCRIPTION: BHi I r!r1it Type SF OWG UBC nocupHnoy R-3 M-1 Ut K'_VH 1'00 i. v11 ion inq R- 1, tot t.!%nq t.!&Lh 1~h REMARKS:` FEE SUMMARY: VAt.UA ION 17S,000 Base Fee $902. 00 Misc FLES Surcharge W'50 IA C 050.00 SAG 100 LAC UniQ-,-, 1" .1. N _ s . . 0 CONTRACTOR: A p p l z can L--- : ,r a i_. I cOWNER: M(F,I.I._1 "f ER t:'(Ji'+S 14518070 0003885 MCALLISTER COMPANY 1960 CHARLTON S! 1960 CHARLTON ST (1 ) !#I L-HO70 (61 )4bl -007its ' ' ' 1it(U;M ,.1.U" i5 cot no .i . I'i0; j1`: t_! U a n d c i ny o t ti_ on L I A /PERRTEE SIGNATURE ISSUED Y: SIGNA UR INSPECTION RECORD ~:.1.1r i I'l 1 I,r L~ CITY OF EAGAN PERMIT TYPE: 8 3830 Pilot Knob Road Permit Number: 0 2 0 2 V'11 Eagan, Minnesota 55123 Date Issued: 0 / 0 9 / 3 (612) 6814675 SITE ADDRESS: APPLICANT: I PERMIT SUBTYPE: TYPE OF WORK: I INSPECTION DATE INSKR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSUI Al`I:C..1N FINAL_ FjRFPUAC'F 8 F -1 r • ~v LOT BLOCK o2 SUB RECEIPT # 7 9 & DATE CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Application Date: 1c-1e1- Commercial project Gallons per minute/commercial only A" Residential project (sprinkler systems for development projects) x Existing residence Area/address to be sprinklered: C vzCi.E 5 Installer: Street address: City, state & zip: Telephone Owner name: Street address• mi`l`-ice ~3►~C~~~v`'r'' ~ac~ cid2Cti City, state & zip: rL~ , Yh 1ct S S tZ2 Phone \ Z) - `I y Irrigation contractor, if different: Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. i Signature of Permittee New service required Fee due: $ ~5~ 5 Calculated by: i CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCEDURE 1993 I 1. A plan must be submitted to the City's Engineering Department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial P~ ro'ect: $ 25.50 underground sprinkler permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with Engineering Department regarding feasibility of City installation (City will only install taps up to 1"). b. Residential project: $ 15.50 underground sprinkler permit. $ 50.50 water permit fee if new service is installed. IIII $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Existineresidence: $15.50 underground sprinkler permit - (fee not required if backflow preventor previously installed); however, plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined Protective Inspections Clerk Typist will contact Utility Billing Clerk for cost and notify installer of all costs associated with project. If new service lines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(Engineering Department will advise Utility Billing Clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the i inside water line and backflow preventor. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of meter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. i p , ~,w~ _ _ \ G ~ ~ . ~:.:l ~ s f s (?.~i " ~y~ 1 ~ „s ~ " l :A, ,I ~ ~ ~ ~'y ~ ` ~ T S - ~ - ..~o-N-, ..,,.~..ye,_,.. /..r e ~Y 't`.....~i 1~ ~ i .r' oex+" i ~ N~ e ` t MJ 3 T~~ l^~ .S= a r 7 - ~ I, / ~ w ~ 1 ' J ~ ~F _ i r . f ~ r. 1 j J ' ~f r, 1 i S 1I{~}. ~f I r P _ :..7 FI ~.;..,_s...._.....__~_ i a , Y ~ i r . e,. ~ .,..~..a......T.. - .....-.....~...:~...v..~w~y.... - n t, ~ a f "y, ate,, M1 ' `Vi - I i.. ~ a I ~ C t f ( ~ 1 _ _ t f i 3 ',~s ~ ~..f ( f .r' j t j oF_,.~ s~` ~ ~ ~ °Y > rx. (,m„ `1 ~ ~ PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA096171 Date Issued: 09/28/2010 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 3793 Blackhawk Ridge Cir Lot: 8 Block: 2 Addition: Blackhawk Ridae 2nd PID:10-14401-080-02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Standard Heating & Air Conditioning Gregory- A Duscher 130 Ply-mouth Ave. N 3793 Blacldiawk Ridge Cir Minneapolis NIN 55411 Eagan MN 55122 (612) 824-266 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink jab, For Office Use I ? I City of Ea Permit 1 Q I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Rec d: 34 Phone: (651) 675-5675 ll. I I Staff: Fax: (651) 675-5694 I - - - - - 2011 RESIDENTIAL PLUMBI PER IT PLIQAT N Date: Site Address: ?Tt L Ten ant: Suite RESIDENT / OWNER Name: Phone: e Address/ City /Zip: CONTRACTOR Name: G If*; 1 / License 7 A p ddress: 42 1/ O C1~' ~ Cit Y Stater Zip: Phone: Contact: TYPE OF WORK _ New S;~Replaoement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL PERMIT TYPE Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures L- Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.cioo4gf.~ftonecall.org I hereby acknowledge that this information is comp) a and accurate; that the work will be in c orma th dhe ordinances and ode a City of Eagan; that I understand this is not a p it, b only an application for a permit; an is to ithout a permit; a work will be in accordance with the approved plan in t se work which requires a review and proval App icant's Pri ed Name id as Signature FOR OFFICE USE Reviewed By: Date. Required Inspections: Under Ground _Rough-in -Air Test -Gas Test -Final Use BLUE or BLACK Ink r For Office Usej,, 2 2 I Permit#: City of Eap I nn _as I Permit Fee: 3830 Pilot Knob Road 'O 1-711-3 Eagan MN 55122 ; Date Received:; Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: r Unit Name: Cx-e-0, J:,eJC_L1e Phone: l0 - Yq~4y Resident/ Owner Address /City /Zip: aLC CCj `Ir- Applicant is: Owner k- Contractor Type of Work Description of work: IQ_ V f C~b Construction Cost: Multi-Family Building: (Yes / No ) Company: C~[0_U`'v l.-.MP&,tA Contact: )L~i 4w Contractor Address: CC,) City: WA, State: _Tw" Zip: Phone: License I~_ ~ (fay 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: 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. 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.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 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 is an x x CO V Applican Printe Name Applicant's Signature Page 1 of 3