3796 Blackhawk Ridge CirCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3796 Blackhawk Ridge Cir
Lot: 7 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10- 14401 - 070 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935 -9669
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Owner:
$88.50
$1.50
Karen A Botz
3796 Blackhawk Ridge Cir
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801.4085
9001.2195
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA088130
02/05/2009
ePermit
??tT TYPO"
s.f r Date Issued:.{
SITE ACCESS: P , .. , .
`#? f"r14A,t ft1,U; is! "000. 134) It }t !t INC.
Pf plf. ? HAW, f{.l. Sjkii ( lr100W
PERMIT SUBTYPE: TYPE OF WORK:
*: S f?xtW :..tiq •_^" .sue ?te+ x •na w¢? c? ?T a.
!} _ ?.a F J A$ T N fit,.
sjw idol
-PLUMOM Q5- f3lf .D/"
14VAC A& _j /lP 9r °„-
ELECTFOC
ELEC
caw +wr?.
FOOWVS I p3 6s
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RMOV,
pauo W4
Az?
IVA
5 IWO
Vii'
74611
D" yea
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P?+?????i';iit-?'i':'ki`1(,??C????Iti
T
C 7 1 Y OF =:'.I iG N
CASHIER: ._•(.f !•Ii:Ii^'{:.Nf?!. _ NO" 766
,.tT
lt:::?" r r^ r:) };
09f15/99 '?'::,Ii.:Pt r
:5
,.r...,
P9:38P9:38:55
W
NAME. VINYL.. IMPROVEMENT PRODUCTS
;l2:
..;??_.;.17 9001 Jf' E IFI 1i•, /
3796 BI-1<1-114K ' ?ixE
:E ".N; >. 25
?wt
205 900i 3796 BL.VHNK ROG 4.50
Total Receipt Amount: 171. t
USER !D.°, JAN
,erti .cafe of eccupanev
it*jagau
zpart ent of t3xitiii. b i edian
This Certificate issued pursuant to the requirements of the Uniform 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: Bldg. Permit No 20575
---- -
Occupancy Type _ Zoning Distant 1 Type Const.
INC 6712 BR' MT AVE N, BBDORLYN L
Owner of Building Address
B - g Address 37416_ Bl C11 JK RIDE r-IEKU.. 7 B2, W EHAk1K RIDE 2M)
Building Official
POST IN A CONSPICUOUS PLACE
_ ? y
Address 3796 &AUMAwrz RIDGE CIRCLE Zip 5512 2
Lot, ' 7 BIk 2 Sub Biz RIDGE 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date- A 9 Yes No Inspector:
Final rade (' from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish l,/
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
24378
5°5.5
Request Date Fire No. Rough-in Inspection
Required?
? Ready Now ®JAll Notify Inspector
G-f" E No When Ready?
I tensed contractor ? owner hereby request inspection of above electrical work at:
Job Address )Street. Box or Route No.) City
* R"04;16 X' -/ _
2 22 w .-?
Section No _
Township Name or No. Range No. County
Occupant (PRINT) Phone No.
Power Supplier Address
< 4 2 ;c)
Electrical Contractor (Company Name) Contractor's License No.
trill 1 `q
Mailing Address (Contractor or Owner Making Installation)
Authorized Signature tractor/Ower Making Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
L 'vp,p.3 78
REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on back of yellow copy.
X" Below Work Covered by This Request
E6.00001.08
New Add Rep. Type of Building AppliancesWired EquipmentWired
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 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: OTAL
Irrigation Booms a-4
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby
tif
th
h Rough-in Date C
cer
y
at t
e above inspection has
been made. Final oat
a ??3
OFFICE USE ONLY
This request void 18 months from
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF
EAGAN 3830 PILOT KNOB RD - 55122 Q
(651) 681-4675 1 ` 1 9
New Construction Requirements Remodel/Repair Requirements
i 3 registered site surveys • 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design: etc.) ? 1 site surveys (exterior additions'& decks)
i 1 energy calculations , # 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/0/93,
required: _Yes' __ No
DATE: CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS: D I `1 t"?14 1' 1HW? ?<<? ?- L 4( 1
Vk, C1 1 k4 Pk CQLO 0
LOT: BLOCK: _ SUED./P.ID. #:
Name- POO?L ?Xttq Phone #: 51 Uzi Ol _
PROPERTY Last First
OWNER Street Address:--
-
City State: Zip:
Company: "?I!?'?-! !!? Phone #:??
CONTRACTOR ?h
l
Street Address: 1 4 RIC6 1? 5' (5 License # Zb 15Z? _E P• "31-3
City State: Zip:
ARCHITECT/
ENGINEER Company
Phone #:
Name Registration #:
Street Address:
City --__ State:
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the i
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Zip:
Penalty applies when address
is corre t, and agree to comply with all applicable
SEP 131999,
Tree Preservation Plan Received Yes No Not Required I' r
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 __-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. ? 17, Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
Census Units
Census Bldg
MC/WS System
City Water
Booster Pump
E'RV
Fire Sprinkleced
Planning Building Engineering Variance
Permit Fee l L? • a-`?? Valuation: $
Surcharg e
Plan Review
License
MC/WS 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
SAC Units
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----- - --- - ------------------------ - ----- --- - ---
k NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE April 15, 1993
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
FEES
$ 24.00 X
6.00X
$ 15.00
.50
SITE ADDRESS: 3796 Blackhawk Ridge Circle
OWNER NAME: Boone Builders TELEPHONE #: 867-6282
INSTALLER: Kleve Heating & Air Conditioning, Inc.
ADDRESS: 13075 Pioneer Trail
CITY: Eden Prairie STATE: MN ZIP CODE: 55347
TELEPHONE #: 941-4211
SIGNATURE OF PERM =E
wo? le,
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN.
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
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 tBAX FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF P FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
^/'
L CITY OF EAGAN
fd PLUMBING PERMIT
SUED. (612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS.
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION NO.
NEW CONST
ADD ON
REPAIR
OWNER NAME :
SITE ADDRESS : 37 ?V?y.t?1? Z4. Gr
INSTALLER : P//'/` C ba rs'-G In 41-44 'n"A
ADDRESS : Jif x1 i2 / % Ac
CITY: /"? 14-?_ ZIP:
PHONE #: 236: :!55/ o3
SIGNATURE OF PERMITTEE
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
I
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #: INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
CITY USE ONLY
RECEIPT #
DATE ALSO, FOR TOWNHOMES AND CONDOS
---------------------
COMPLETE THE FOLLOWING: -----
FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00 ?,-
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY
3.00 _
HOT TUB/SPA 3,00
WATER HEATER 3.00
FLOOR DRAIN 3.00 _
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND, 15.00
STATE SURCHARGE * 50
TOTAL: S-5:z
$
(SIGNATURE)
Volume No.
Certificate of Title
OWNER'S DUPLICATE CERTIFICATE
Certificate No. 8 3 8 5 7 Document No. gg 5 District Court No.
Transfer from No. 8 0 5 9 8 Originally registered tl2e day of 19
Volume Forty page 59 18th April 59
State of Minnesota,] SS
County of Dakota. Meritor Development Corporation
605 West Travelers Trail
of the y of Burnsville
County oft Dakota and State of Minnesota
is now the owner of an estate, to wit: fee simple
following described land situated in the County of Dakota
Lot Seven (7), Block Two (2),
in BLACKHAWK RIDGE 2ND ADDITION,
according to the recorded plat thereof.
of and in the
and State of Minnesota, to wit:
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 [arid 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 oeritor Development Corporation is a corporation organized and existingq u der XXXI? Xk`i(S('XXXXXX XX ?,p'H.
X(?'k'f(RfkXXX the laws of the State of Pennsylvania. XXSfk'zXXXXXXXXkt;('RScXXXXXXXXXXXXgR?S??SEI-
pit I have hereunto subscribed my name and affixed the seal of my office,
this 17th day of May 19 89
JAMES N. DOLAN
Registrar of Titles
In and for the County of Dakota and State of Minnesota, (Seal)
MEMORIAL N : "
of Estates, Easements or Charges on the Land described in the Certificate of Title hereto attached.
DOCUMENT KIND Of DATE OF REGISTRATION DATE OF INSTRUMENT
NUMBER INSTRUMENT MONTH DAY YEAR HO UR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR
A. M. V.M.
215904 Declaration f Pro tect ive oven nts ( and ot her land
May 17 198 3:00 4 27 '89 - The Public James N. Dolan
124147 Right of Way Plat N o. 9-5 (Par el 4 B) Minnesota Department of Tra sporation
Aug 27 198 1 - - -
(A ces s co trol on a ve & oth r la i ds) James J. Foutchis
126524 W.D. Jan. 24 1983 3 1 14 '83 $2,0 0, 00.00 (Subject to Access contro
on above & other lands) James N. Dolan
63969 ility Line Sept 8 972 2 6 1 9 172 $1.00 Town of Eagan
Easement erpe ual Eas ment for anit ry ewer purpo es and other lands) James N.Dolan
208395 Easement for Ingre ss a nd E ress
Oct. 12 198 10: 9 4 4 '88 $1.00 City of Eagan James N. Dolan
PERMIT QI
CITY OF EAGAN 3 75
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
SITE ADDRESS:
DESCRIPTION:
I REMARKS:
FEE SUMMARY:
CONTRACTOR:
OWNER:
ISSUED : SIGNATURE
REACTIVATE.-
`
PERMIT it
?s7c
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION AJAR 2 4 RECD
VV
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
caics.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy caics.
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.
Date / Valuation of work " `) `' as
Site Address: 37f6 Sl4,k Ad .J< k4ie
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK Z SUBD /< C f /t P . I . D . 0
Description of work:
The applicant is: ? Owner M Contractor ? Other (Describe)
Name . - v s Yw . Phone- _
Property LAST FIRST
Owner Address 6 77/2- -i
STREE STE
City ji-O-d??(. ("mac State k (!1 Zip
Company Phone ? - S? 3 7
Contractor Address 6 7l 2 8-'' HID License # __is?? Exp.
City rr l ?r ??. 7 State /0? V( Zip '(
Company 'COL Phone 42-11- 7 7 7 2-
Architect!
Engineer Name Registration #
Address
City ____ State * Zip ?'53?
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.
Si
t
f A
li
gna
ure o
pp
cant:
OFFICE USE ONLY
BUIL DING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
(-02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 35 Tenant Finish
32 Addition ? -34 Repair ? 36 Move
GENERAL INFORMATION
E" r
E
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? .19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) 1/-N Basement sq. ft. MWCC System YES
(Allowable) v-N 1st Fl. sq. ft. City Water
UBC Occupancy R- M_I 2nd Fl. sq. ft. PRY Required
Zoning FD -I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length it On-site well Census Code Jo,
Depth 38'- On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee vatuation: $ ( 9 '384
Surcharge
Plan Review
License . rsp
MWCC SAC
Zli6_7 52ax/68,320
City SAC
Water Conn.
>> '0 k 3'2 1y'io o
Water Meter I5TLpn?
Acct. Deposit
S/W Permit
I X q
S/W Surcharge
Treatment P1 . 3? <.3a = `'( a
Road Unit t x x ?y z -
Park Ded. --- 14
Trails Ded.
Copies 50
Other
Total: t> x3"z
SAC 96 1'0 1h '3=
SAC Units
John Bradley.
309 - I St AVENUE N.E.. OSSEO, MN 55369
Bus: 61 2 / 424-9772
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
Plan Date 1. oT7
Owner, Rc.. ?...-
Contractor.•-
Site Address: l-6T ' lRt,ock 2 LAr ,MAW & 2H8 4b1*0NE
I)TOTAL EXPOSED WALL AREA 2-'31 Z sq. ft x'U".! r ? 2-
2) TOTAL EXPOSED ROOF/tEILING AREA 1 2 sq. ft. x'U"'
WALL AREA CALCULATIONS:
TOTAL WINDOW AREA
TOTAL DOOR AREA
GLAZED
sq.ft.x'U"L2_
¢?- sq.ft z'U" Z_
TOTAL GLASS DOOR AREA
GLAZED
TOTAL FIREPLACE WALL AREA
TOTAL WALL FRAMING AREA
NET INSULATED WALL AREA
TOTAL RIM JOIST AREA
la h? sq.ft. x"U" --" '"-_
Z3 sq.ft.x'U" 09 = 20, F73
sq.ft.x"U" `04- = ?1 4i..
t?2 sq.ft.x'U" s^ = ?, c
TOTAL.,FOUNDATION AREA (EXPOSED) / sq.ft.x'U"
TOTAL FOUNDATION WINDOW AREA sq.ft.z'U"
3) T TAL
if item 3 is the some as, or less than item 1, you have met the,intent
2 MCAR 1.16008 A and 0.
ROOF/CEILING CALCULATIONS.
TOTAL SKYLIGHT AREA
TOTAL ROOF/ EILUNG FRAMING AREA
NET INSULATED ROOF CEILING AREA
sq.ftx"U"
I Z? sq.ft.x'U",
> sq.ft.z'U"!Ua
4) TOTA
If item 4 is the same as,or less than item 2, you have met the intent of
2 MCAR 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the sum of Items I and 2 shall
be greater than the sum of items 3 and 4.
_
1) +2)
3) +4) -
I hereby certify that. the building here described meets or a eds the State of Minnesota
..Energy Conservation Act.
(signed)
.
RAYWG SECTION - •
air Him 3m
8f :off 909 a ?
Sfr.t ski..j4poff 24060
-1
i All
. feriof fir film 0.17
ToTAL a' I.•?
ECTION (INSULATED)
tenor •ir film
o
j5? a? ..?.e.+•,c l.o c.
fr?e':or oar fiirr. 00.17
TOTAL III
-USA
ST SMION •
te';or Oir film 0.5E
?Titrior oir film 0.17
TOTAL. •
V s --g_°°
TION SECTION
inferior Oir film 0.58
(rferior Oir film
0.17
TOTALS ' f-
J
' i?
CONSTRUCTION
1i
CEILING SECTION (INSULATED)
(I 1interior air film 0.61
(2 41$ 15?--
(3 44
(4 exterior oir film {still) 0.61
TOTAL R
U I /R
CEILING FRAMING SECTION
( I interior air film 0.61
(2 e?r'8 ??? ,a te ,S!r
(3 N,wu Z!,
(4 interior air film 0.61
(5 inches of soft wood
TOTAL R 3°7.13
U = I /R 1 DZ(-O
CEILING SECTION (INSULATED)
(I interior air film 0.61
(2 5/y? s c SC.o
(3 11 ' r i T r z,6- C)
(4 exterior air film (still) 0.61
TOTAL R
U = IIR lots
VENTED
CEILING FRAMING SECTION
( (,interior air film 0.61
(2 '?/?? -5) Lac IL ?S?
(4 interior air film 0.61
(5 inches of soft wood t)
.TOTAL R 1 8
.u = I R ___
EXPOSED BEAM CEILING SECTION
(.I interior air film 0.61
(2
(3
(4
(5 exterior air film 0.17
TOTAL R
L = I/R
Established in 1962
LOT SURVEYS COMPANY, INC.
LAND SURVEYORS
BOCt1E BUILDERS REGISTERED UNDER LAWS OF STATE OF MINNESOTA
7601 - 73rd Avenue North 560.3093
Property located in Sections
16,and 21,,Township 27, Range
23, Dakota County, Minnesota
to 13
4
Q
TOi3
e6l-I
,:,kor? Frame.
C
COrAst
PIRIVU alt
SewEP-
856.0
The only easements shown are from plats of record or information provided by
client.
VW hereby wrtly that this is a true and correct representation of a survey of the
boundaries of the above described land and the location of all buildings and vis-
ible encroachments, if any, from or on said land.
Surveyed by us thisday of _ Mardi 19 93
Signed
Type of Building /-
Fy1Ibd5"B-tt
S
Gray ?
nd A. Prasch Minn. Reg. No. 6743
10
Minnespolis, Minnesota 55428
uru goat d!edr lra*
sq,
'foci? bi
Toplrorr _
1`1.7 41.18
*5Tj
`I??d
Lot 7, Block 2, BLACKHAWK RIDGE 2ND ADDITION
'0
V/
0
V
i' m
ti
\
P8
8e?. 1
U)
Q'
N
INVOICE NO. 33775
F. B. NO. 584-14
SCALE I" = 20'
0 Denotes Iron Monument
o Denotes Wood Hub Set
For Excavation Only
x000.0 Denotes Existing Elevation
??o Denotes Proposed Elevation
E-?• Denotes Surface Drainage
852.2 Proposed Top of Block
9 Il Proposed Garage Floor
8442- Proposed Lowest Floor
City of Ea all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office''U ---?--
I y?
Permit #: O
Permit Fee:
Date Received: Staff:
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: PU951023 -___ Site Address: C KY?r ia' R`i r r
Tenant:
Suite #:
Ph
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RESIDENT/OWNER one: qa
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Name: Nu:m
Address/ City/ Zip: r JI bau) , Ryj ?e E
Applicant is: Owner Contractor
TYPE OF WORK Description of work: o r -
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Multi-Family Building: (Yes No
Construction Cost: t
J4 f V
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CONTRACTOR License #a
.
Name:
Address:
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City: ?"r??.1?????State: ?n Zip??.
Phone] 9,51 '?f (D Contact Person:
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 i o
Applicant's . ted Name
x &.?Jl ?L-t ?>b'c'-'
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117712
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 3796 Blackhawk Ridge Cir
Lot:7 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Michael Bischel
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Karen A Botz
3796 Blackhawk Ridge Cir
Eagan MN 55122
(651) 260-8397
Bischel Building Contractor Services Llc
100 8th Street
Farmington MN 55024
(651) 463-8762
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120944
Date Issued:03/05/2014
Permit Category:ePermit
Site Address: 3796 Blackhawk Ridge Cir
Lot:7 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-070
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Karen A Botz
3796 Blackhawk Ridge Cir
Eagan MN 55122
(651) 260-8397
Bischel Building Contractor Services LLC
100 8th Street
Farmington MN 55024
(651) 463-8762
Applicant/Permitee: Signature Issued By: Signature
' � 12/2/2019 1:15 PM FROM: Fax T0: 1-651-675-5699 PAGE: 002 OF 003
Use BLUE or BLACK Ink
�-----------------
� For Oiflce Use ° �
' j__Pertn��: ' �� "� j.
Clt of �aDa� � �3 ;
� b � Pertnit Fee: � �.
3830 Pilot Knob Road � �
Eagan MN 55122 � oate Received: j
Phone:(651)675-5675 I I
Fax:(651)675-5694 I Staff: 1
I I
��������.����`����J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �alal �y S�teAdd�ss:3�9� Bl�c�lha�,�<< R�d9e Ci►'• unit�:
Name: 1'�QY�rI �nf Z Phone: �S�-���'U��
Resident/ 1
owner Address/City/Zip: �1�1 G �I G C�� 11�InJ k R i d�e ('�r
Applicant is: Owner � Contractor
, Description of worlc: 1'Q I �'�
Type of�UVork
_ Construction Cost: o��''I�b Multi-Family Building:(Yes /No�
Company: J��lrIG�ArG� wCl�Cr �QI')fil�d� Contact:���}L1 /�l.9/ltv
Contractor Add�esS: 5 33� LG1�(�luhd /gl/-e l� c�y: �r�U:jl-�l
State:�Zip: SS y2� Phone: 7b3-S 3 7•l��l Email: I'1'I��<{� �i�d�v�V'�✓•«'1
Li cense#: � � DU I S o�� Lead Certificate#: /?GI t a�y 3���
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:
Mecha�ical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:P/ans and suppo►ting documents that you submit are considered to be pub/lr.informatlon .,Pottlons of
the informatlon may be c/ass�ed as non publlc if you provide specffic ieasons that would pe[mlt�the Clfy to
conc/ude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher SWte One Call at(651)454-0002 for proteGion against underground utility damage. Ca1148 hou�s
before you intend to dig to receive locates of u�derground utilities. www.000herstateonecall.ora
I hereby acknowledge that this infortnation is complete and accurate;that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a pennit, but only an application for a pertnit, and work is nol to StaR without a peRnit; that the work will be in
acccrdance with the approved pla�in the case of wodc which requlres a review and approval of plans.
Exte�lor work authorlQed by a building penntt Issued In eccordance wlth the Mlnnesota State Bulld(ng Code must be completed wlfhln 780
days of pertnit issuance.
x � lYC� x
� ' 12/2/2019 1:15 PM FROM: Fax T0: 1-651-675-5699 PAGE: 003 OF 003
���c� i�i�� k h��►� (��:��. c�� ��
DO NOT WRITE BELOW THIS LINE ���S� �
SUB TYPES
Feundatlon �ireplace Porch(3-Sea�on) Cxterior Altz�ation(Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multl)
_ Multi _ Deck i Porch(ScreeNGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level ^ Pool _ Accessory Building
WORK TYPES
_ New _ Interio�Improvement _ Siding _ Demolish Building•
_ Addltfon _ Move Building _ Reroof _ Demol(sh Interlor
_ Alteration Fire Repair _ Wlndows _ Demolish Foundation
_ Replace � ' Repair _ Egress Window _ Water Damage
_ Retaining Wall •Demolltlon ot entlre bullding-glve PCA handout to appllcant
DESCRIPTION
.r
Valuation �'T Occupancy �'rtG�� MCES System —
Plan Review Code Edition �_ SAC Units ''
(25%_100%� Zoning P/� City Water —
Census Code y3Y Stories � Booster Pump '�
#of Units � Square Feet '"' PRV "
#of Buildings I Length Fire Sprinklers —
Type of Construction � Width T—
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 8�Water ,Final Pool:_Footings _Air/Gas Tests _Final
Freming � Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings____Backfill_Finel
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls �--�-�''� Other:
Reviewed By: Building Inspector ,
RESIDENTIAL FEES I
Base Fee � ''�
Surcharge
Plan Review �7�
MCES SAC
City SAC
Utility Connection Charge
S8W Pe�mit 8 Surcharge
Treatment Plant
Copies
TOTAL
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