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1512 Blackhawk Ridge Ct SEWER & WATER PERMIT OFF'tCE USE ONLY CITY OF EAGAN PERMIT PATE-"-11114 89 3830 Pilot Knob Rd. WATER PERMIT # 11094 _ SEWER PERMIT P.O. Box 21199 f C 4"1 -7 3f Eagan; Mid 55121 METER # B.P. RECEIPT # B.P. RECEIPT DATE. 11131139 METER SIZE lw~ ISSUE DATE - PRV BOOSTER PUMP srrE ADDRESS ~ t 2 _~'L K R 1~}~s E GT. PERMIT REQUESTED tOT--BLOCK_%_SEC1SUB UA 14*WJ4 R=I D6C- AOPCIGANT: }Ndt6iso J !(J4?oo &fJLT Its -SEWER - WATER TAPS ADDRESS: 15-7J, E / t S f - COMMAND X RESIDENTIAL'. CITY; STATE _ 111e!"%a _lJJf A41 J, ZIP S S7 31 PHONE: - 149!L- 973012 - NEW EXISTING PLUMBER: P L-~ M ~I. V N1 C3 h) 1a ADDRESS 1 AGREE T6 COMPLY WITHCITYCAF c1TY, STATE L1G+ ZIP EAGAN ORDINANCES: PHONE. 13 ' 24 OWNER: $A"C A-5 AM I Gh l"- ' _ ADDRESS: ATURE WHE M ER ISSUED CITY, STATE ZIP PHONE: All PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEW PERMIT , CONTACT ~ ENGINEEII)IIGDEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Knob Rd. PERMIT DATE - P.O. Box 21199 WATER PERMIT # SEWER PERMIT # t Eagan, MN 55121 METER # B.P. RECEIPT # READER # B.P. RECEIPT DATE 3 ' t ` !METER SIZE ~r ISSUE DATE _di PRV - BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK --'L-f--SEC/SUB APPLICANT: i ' ; ; SEWER 'c WATER , TAPS ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP PHONE: _ NEW EXISTING PLUMBER: ADDRESS: t Af„ Q0 I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: OWNER: ! i3 y t , 7 ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. i CASH RECEIPT CITY OF GAN j, 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE FADra i AMOUNT Fs & DOLLARS O CASH YCHECK '0 i Foa 6,hiv FUND OBJECT AMOUNT ~I Thank You BY OLZ C 4571 White-Payers Copy Yelkwi---Posting Copy Pink-File Copy J, DATE: 11/14/89 RE: .,e512 BLACKHAWK RIDGE COURT, L1, B2, BLACKHAWK RIDGE xx YOL Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO JCALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Nour Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 11/14/89 RE: .'f512 BLACK>IIAWK RIDGE COURT, L1, B2, BLACKHAWK RIDGE. 3M Yodr Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 'Coachman Road) until the meter is picked,up. BE SURE TO f ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ILL '(our Sewer & Water Permit for the above property cannot be completed for the following ' easons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. j WARNING: BEFORE DIGGING; CALL LOCAL UTILITIES - TELEPHONE,' ELECTRIC, GAS, ETC. - REOUIRED BY LAW. k CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. I Secretary, Building Inspections Dept. CITY OF EAGAN NO 17 2 9 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 (A BUILDING-PERMIT PHONE: 454-8100 Receipt # I To be used for SF DWG/GAR Est. Value $138,000 Date NOV 13 , 1989- Site Address 1512 BLACKHAWK RIDGE CT Lot 1 Block 2 Sec/Sub. BLACKHAWK RIDGE OFFICE USE ONLY Parcel No. Occupancy R-3 R--1 FEES Zoning R-1 W Name JOHNSON-REILAND CONSTRUCTION I C (Actual) Const V-N Bldg. Permit 772.00 Address 1526 E 122ND ST (Allowable) VV^N City BUR.NSVILLE Phone 894-9300 # of Stories Surcharge 69.00 Length 481 Plan Review 3,96-00 ZF Name SAME Depth 54' 100.00 SAC, City Address S.F. Total SAC, MCWCc 575.00 City Phone S.F. Footprints - F On Site Sewage - Water Conn 580.00 W w Name On Site Well - N,, Water Meter 90.00 X ~ Address MWCC System X Acct. Deposit 30.00 City Phone City Water XX PRV Required $X S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes an ' o Eagan Ordinances. Treatment PI 228.00 t ~.r Signature of Permitev APPROVALS Road Unit 340.00 A Building Permit is issued to: JOHNS 6N-REILAND CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and ity of Eagan Ordinances. Bldg. Off. Copies Building Official fi- . 1,4 01 1 I II Variance TOTAL 3,191-00 CITY OF EAGANJ 1,172 A 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100" Btj.ILDII PERMIT Receipt # To be used for SF DWG/GAR Est. Value $138,000 Date NOV 13 195 Site Address I5122BLACK Ai'iK RIDGE CT I BLAC~CI AWK RIDGE OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. occupancyFEES JOHNSON-REILAND CONSTRUCTIO Zoning J V- 772.00 Iw Name I (ActualI Const Bldg. Permit 520 E I 122ND o Address' T (Allowable) Surcharge 69.00 Clty Phone 4-9300, # of Stories ~b CD SAME Length ~ Plan Review 3 Name: Depth SAC, City IbQ.UU O¢ Address S. F. Total SAC, MCWCC 575'00 ~ City Phone S.F. Footprints 580.00 On Site Sewage Water Conn ~ Ww Name On Site Well 90at0 w w Water Meter =3 Address MWCC System XX 30.00 aw Cit Phone City Water Acct. Deposit y PRV Required X)(- S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of 228.00 Minnesota Statutes and City of>Ea an Ordinances. Treatment PI Signature of Permdee,- APPROVALS Road Unit A Building Permit is issued to: ,IOW4SON-RI ILAND CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 3'191'00 Variance TOTAL Building Official Y Permit No. Permit Holder Date Telephone # r WATER-,,~ s t i G Ll~ ~C / - - SEWER PLUMBING j' M- " / 1 % r: i H.V.A.C.,,, . I . r ELECTRIC r Inspection Date Insp. Comments Footings l Foundation Framing lJ e, ~Q py Roofing Rough Plbg. -6- Rough Htg. Al Isul. Fireplace , Final Htg. Final Plbg. 3- 51 -c7e Z Const. Meter yob Plbg. Inspector- Notify Plumber Engr./Plan C Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. i Address: 1512 BLAM WK RIDGE CT. Lot I Blk 2 Sec/Sub BLAMAWK RIDGE These items were/were not complete at the time of the final inspection. Date: 3/29/91 Yes No Inspector@ 1) 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. RECYCLED PAPER White - City copy Yellow - Resident copy Pink.- Contractor copy Tatifiratt of Mrruvaur Citp of Cagan atpubaw of lwbhtg jWntion This Certificate issued pursuant to the requirements of Section 306 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 CwS9rMtkM SP =/G R Rd& %rmit No. 17290 R3/M1 VN Ow of I JuRaM REII# 1526 E 122[ SST, $ROMIZE 1512 real _ RIDGE Loafiry ' ' RM 3/29/91 Date: 1 Building POST IN A CONSPICUOUS PLACE i i Re es Date Fire No. Rough-in Inspection Required? ❑ Ready Now n Will Notify Inspector ❑ No When Ready? I U4itensed contractor 0 owner hereby request inspection of above electrical work at: Job(+dcjr~ (Stye Box or ) City 16 Section No. Township Name or No. Range No. County 1 44C Occeipant#PRINT) ~ ~ ~ • Phone No. 1 \ r) Lt Z ~_2 Power I! r Address t4 - - - I Electrical Contractor (Co any NA e) C ors Lic se No. "k _t Mailing r s ( actor or Own Making Installation) Authorized Signature ( ntr todowner Making Installation) Phone Number MINNES S WE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Btdg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. X . y-. i r '4 f ~ I REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 10~ Se@ instructions for completing this form on back of yellow copy. X" Below Work Covered by This Request F ew Add Rep.- TypeofBuilding Appliances Wired Equipment Wired Home Range mporary service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Ab A s o L Signs inspectors use Only: LIS T Irrigation Booms - jo Special Inspection Alarm/Communication Other Fee f, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Dat dY been made. OFFICE USE ONLY t J, This request void 18 months from MRSIDErrL MECBANW.AL y city Of rag* 383i36rt T~ar~b ~$~d, ~a~an t`5.~1~~'. Tdepbou$ # 651-675-5675 PWM CMVIdt fos: Si F*UWy DWeHMP e TvWnbOtW and Cam whoA pests ut:ret fi t t Ado rew 1 I t ca et C~ C-t . ~ . f Owber a+aaAsaetor Wohlers Southside Htg. & Air, Inc. 6950 W. 146' St., 4106 °sraetAddrm Apple Valley, MN 551241 (952) 431-7099 - Staft Telephaw# . Fj= 'rft Af t Is c ~ Contrsetur t A"-oe, wmd1Mmt r attttra~ilou to eAvdft dw, g unit ooh ' - fumwe repimement D C 1 air exctwnW air a ar idltacaw Kew Replo anent other ~i T as~ci It aptly hor a Rsat&aftal Afeeb;ameal Pmnt and acknowkdge that the uVonagion fad sow ia4 it t', W ia-eoc bmwam uri#h the ordunm and co&s of tlias City of Eagaa and w*h The 11 tho*,d C 04m; p"taxa' bw ply an *VI-anon for a;permit, and wo* is not tb start witt> " at pmak the vo* vrsl~ l~ ,i~x ~ ' ` ` a Wepved pbu in the case of work wtuch requires a, review aM approval of ptac Wchler-s 'R, ll~&111'a Printed Nam Applicant's _gigaaWrc Ct l 3Ai1 I ANICAL l Plead COMPIft for monwxdall%dtuCq W buik1jAp ,xn4fi-famfly bungs alien s WrW p 47M.H*Mn.. e t / sit* i unit # Igo ~ ) F~r~ T~ IwTt~+ae t Coutracter Streat A city, zip Teieplae { 1 Betel: tee: The AP la Owner co mactor ftei Brent T Now a wn _ lnstail- Removb U rte; W Tarn interior Unp cement 5ct a bwqw*on durkV RWWWm or r vid, of tank Prot ~ Piping; Nature cf.W wh: Pen* Fee mm MWDM Fee { dqs State SWOUAV) pct Value S _ x 191 Permit Fee • If permit fee 1,1 or lac, raid $.50 State Swehasgc If permit fee is over $1,00k add S.50 per 31,ft40 Permit Fee $ `fietal Fee I hereby apply for a Co alFeet and admowledge that the motion is ca fete and acma►te;: that the. Wo-k will be to ace : the ordkmvm and codes of therChy of Eagan and with die Mechaoical {:odes; that I t rstand this to - not a permit, but only an application for a p+ernnit,' and wo* iwAot to staff witlnt a permit, that the work will be in accord&we with the approved plan in cue of work which requires a review vW approval of plem wsle Apglicants Suigsaturp Approved By: 11%pector. Date: ,y 0•* 1989 BUILDING PERMIT APPLICATION '1'12* 00 1, CITY OF EAGAN 69 - 00 t- 336-001- 1 391:1 -00*+ SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS P SETS OF PLANS 2 SETS OF PLANS 712 ' 00 + `REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 69 •0 0 1- i SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 336-00+ 1 SET OF ENERGY CALCS. !MULTIPLE DWELLIRW RENAL UNITS i FOR SALE OMITS 3, 1 91 -0 'J " + NOTEt ADDRESSES FOR CORNER LOTS - COXTUCTOR/BOMEOWNER MUST DE IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT ....vYL'L.• SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. 3 e r~ M OCT 16 WE To Be Used For: SlMlti Valuation: 1 Date:/a..130.82 7-7-7--A VWW r. OFFICE ME ONLY ` e Address 19 m K R1 -0 Lot Block To, Occupancy FEES Zoning - Parcel/Sub ,C3(ALAC#"It Actual Const Bldg. Permit Allowable.-._- Surcharge S Owner _ JQIwuo) - Ile)( awr. # of stories Plan Review 3d Length SAC, City Address Depth SAC, MWCC S.F. Total Water Conn° City/Zip Code Footprint S.FWater Meter e Acct. Deposit O_ Phone On site sewage S/W Permit On site well S/W Surcharge Contractor sw• Ate# ~ 40a. lJ MWCC system ~ Treatment Pl. z.z City eater ✓ Road Unit Address 1514 F.- IM" ST. PRY required Park Ded. Biter Pump Copies City/Zip Code VSV~~GE S3`~T'7 SUBTOTAL _ APPROVALS Penalty Phone -93de Planner TOTAL Council Arch. /Engr. JN IIeMS4N • 1~E 1t>D Bldg. Off. ~o~t8 Variance Address S A tr City/Zip Code Phone # 1 i z~~ D ~ / 5 1. ........_w_.._ . J i 19~q jPEL LvT r Z S• p. z~n EXTERIOR XJIUMAGE "U" COHrvTATION SITE ADDRESS_' ~ - CONTMCrOR DATE I'I otw. ' y Determine wo.r)cing square footage of each. 1. Total exposed wall area ~ (00 2.- sq. ft. X~ - • a 8(0.2 Z 2. Total roof/ceiling area `f Z•J~ - sq. ft. X, z7. z~ A. Total wall kindaw area....... 1 9r I3.•Total door area Co Total sliding glans door area 3c.rC D. Total fireplace wall area U. Total wall framing area (average 10%) Zoo I". Vital l;im joist area Q-7 G: 't'otal Net; wall area above floor.............. • • • 180 • 'Total er.~x•sad foundation area - 97 . II: Total foundation window area 9 . X Total net foundation area above grade........... $ S Determine "U" value of each wall sey-trant. n. r X I,(1„ h 7; i3 3 X "u" 3 ~z l 1 g 7 X ,.u., Q - r Q • e. -7-00 X "U" •1 Q 1 a ' ~'~D x "uM 0 9 . ~8 ~~O NUN D Q I V Z • X Njj1~ .~~~r• L7 • V . S~ ,.1J., , 09 e, 3 rgtal LS If Umn 113 3;: Lhe sauus ,t:l, cat: lce:a th;lrt item 01, you 1mve tnet the lnLent or' SIX (GUUG (c) 2. Total e:cE~u!sc:ci t:LclC/ceiling beta J. Total !.).Y.1igilt at:ca....................... • . • • . k. Total rool:/c6ilittq Crtunitiq arua (average 101.) 1• Total filet ill:sul-ated roaf/ceiling area...... • • • . • 10/3 Detesanine "U" valuo for each roof/ceiling segment.. X ,.U.1 • k. ..U„ M x,69 • 1. 1413 x ,.U,1 d2-~ ' 2z, zq .....................................'total ~`f If total of #4 is the tame an, or less than 112, you have met the intent of SYC 6006(c)l. Alternate Duilding Envelope Design 'do utilize the total envelope system method, the values established by the susn of itcrls fits and 44 shall no'., be greater than thc; sum of items ill and 112. 1. C;ZbLO z-~ _..........+2. 3. ` ~.11,7V + 4. a- Lt. a8 . - ~ti 23(o,7 of rl,:.ulu^ wall area for tratn~ rc,nat tact ivu ~E'ol>:tfa:uct ion R-Value I---- 1• SILT' 1 f o r; I r i 1.1m- 2 El . t/Z' iSOC14- 3. nc:hcy soft wnc,rl G.88 i • S/o%IXfl • w.~ DASD. 5. ~ WALL G. Exterior air film ~ 0.17 Total (d • I'ir. !I1 TOPVIE14 OF 1 IWIE WALL 1. Interior air film 0.63 . . 20 r...t y • . +~S • 3. n/sac tq.Cro 4 L~ 3Z- 2 .at % 5- V7 -1) G. l.xteriur. air film 0.17 FIG. 42 1~ Total Z3.0 ~ -r--- 1. Interior. air film 0.69 21. (0, lw5tj(- 19,C0 3. b1m. 4. 7-VII L L [FiT! L 'ir,yc~a,. ~ L~, '•,J : Exterior Sldl. Exterior air film 0. 1.7 ALL-&, `l .,<<•:'t~•r s Total C;L L(, 1. Interior air film 0.60 S , r ms VL- 3. Z r rJ ~y` .r • t~ f' • i'% G. Exterior air film 0.17 _...._i1 Total ~p ! 3 SLAII 01.1 CRAM. • _ A Ill • r Mi. 111 ~ 1 - IG. 11:1 I _ l • O I~~ 110,M: 11111{1::t1.!! ~.)'r l!, "I:•' valtw, fie1)th .110 ' plorumetit (3( ltt:zu.la(Acm. ~~.~!r •-~.i J~ , NCon:a_• t•uc t:.i on (U::c for It= I,) It-V_r 1 III! K3D OA 1. Itit•t•.,ricir nir, film tJ.G.I !1 - - 4- ):::t'.c3:f0V a1Film 001 vl;Irr . Total s-, 701 • CI,C:. FRAIM IMG (Use for Item K) Vcutcd ucat f lor••r up 1. Illt cri O' r Air film O. 61 ' 3. Dir-11ea tooft: wood ~/L 3t I~IG. q5 4. Inc he, tnsul nhove f~: a 36 -CO 5. Air ril.tn 0.GJ. ' 'tdl 42.. 6 _ 1. 1 Lar.ior air film ..._0. G I 3 .._.r._ _ Y = _ 4. R'xtcrior atr film (still) 0.61 LO, Total -•02 11cat flov up . Vented ~ , ,FxG. ftG . D3 r(D r 1. Itt:;.i.cia ,..r falttt _ 0. GJ. f• _n,•t..~~ 2.. S. Uttl•::icla ai.r, f: i1: rt 0•'••I 1 ! . •~•r''""_ - • . _ Total • N pU. -riitlTI:ll) t:ol:c:: U::c.: rtii,].it•i.c,ttnl. :;1tc:c.tif marcr n1+ac•t, In • t, ed--.t1 Col. Ot.tnil:t 011:1 Cttlculittlowt. taunt: flue Up * * * 2422 Enterprise Drive 1r* PIONEER Mendota Heights, MN 55120 *~eng* Bering.,. 1(612) 681 1914 ~t * I Certificate of Survey for: tJOHNSON A2E1AN V N . % 'yo 28 Q2 tr1 ~ b ry Z3 i ~7, 5 g a ~fit.:o~(t s C,AR' • ~ lloo yA \ " 1.0 ~b2 I.5 oPoS~p ~ 86~./p , ~ rf1 Q!Z J5~ j a~° I Rt ~e.y o t~•q 14 ° I z A 1 t 8cs, i I ~b.o1 ' X4.0 alp •;0 l w $63 p , o (7, A ~ -ta N i 00 )P' 750 ~ - -T--!`-~~~C-- ..u 900.0 Denoles exish.n~ Elevation PROPOSED HOUSE ELEVAT1OfVS 900.0 Denoles prop d Elevation Denotes Oralnq e € Wilrl Easement lowest Floor Elevation 96,3. s denotes Drains e Flow grows Top of Bloch Elevation = 97f, C> o Denoles monzirn enl gjcaraP glob Gevafon 970. S 8 earin js shown ar r assu rrn ed PAV a R E IRE D LOT 1 , Rork 2 , SLAC04AWk RIDGE DAKOTA COUNTY, MINNESOTA SUBJECT- TO EASEMENTS OF RECORD I hereby certify that this survey, plan or report was pr pared by rn or ndQr 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 SCa l e : 1/~CbL 40+ eel 39 3°00(0(0.0.3 ORFR T R. SIKICI 11_.S. RFG, Nn. tAAQI 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 Reauirements Remodel/Repair Requirements Office Use OnN 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 Certof Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report -Y _N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pies Plan Recd -Y - N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _Y - N 1 set of Energy Calculations On-site Septic System _ Y - N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date a / 16-1 Co structioon Cost / Site Address Unit/Ste # s~ Description of Work 077 0 Multi-Family Bldg _ Y N Fireplace(s) - 0 _ 1 - 2 Property Owner 1/Lh tom. I[~ Telephone # (651) ~'/j `7' r yb ~0 Contractor LC Awl ~~LCt o~, sly -a G Address City c ~~Gcjl r State J~ Al _ Zip Telephone # (/p S7) -2~3 cz,'y32~ 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 (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the. work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work wh' h requires a review and approval of plans. I _'0 F('e-o+ u-l d App icant's Printed Name ZIs s Signature For Office Use I City Of Ea~d on I Permit I ~~o 3830 Pilot Knob Road Permit Fee: ' ✓ I Eagan MN 55122 j Date a d. Phone: (651) 675-5675 1 D _ Fax: (651) 675-5694 I Staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLI ION Date: , n" Site Address: Tenant: Suite RESIDENT / OWNER Name:' ( } Phone: Address / City / Zip: CONTRACTOR Name: License OMMLHS CONDITIONED W Address: 9150 ATEK RIVE City: BEAIWE /55449 State: - Zip: Phone: mr Contact Person: L TYPE OF WORK New _ Replacement - Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ . 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 o plans. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 11114189 3830 Pilot Knob Rd. WATER PERMIT # 11094 SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # C 4571 Eagan, MN 55121 READER # B.P. RECEIPT DATE 11113/ 9 METER SIZE ISSUE DATE X PRV - BOOSTER PUMP SITE ADDRESS - 4 512 L.A ~-K U✓1 ' 1 F~ E G7. PERMIT REQUESTED LOT _--BLOV'K _-*X-SEC/SUB raAc4t"w K. ►S APPLICANT: o t rt C'00- Rf~ 1 L *?.j 0 cwsT • I ~X- • _ x SEWER WATER - TAPS ADDRESS: 2V 2.2 t!~) S ► • _ COMM/IND X RESIDENTIAL- CITY, STAVE S #JX &6Vi L&0 MN • ZIP !SS 33 PHONE: _ X40 NEW - EXISTING PLUMBER: P Ly M 0 J ~l. V M C31 N (s . 10 ADDRESS: 017-9 A I AGREE TO COMPLY WITH CITY OF CITY, STATE H VC-c- - , M Zip EAGAN ORDINANCES: PHONE: R ' 2-Y 7!j . OWNER: _ !;AMC /1'5 1 W1- ADDRESS: SIGNATURE WHEN METER ISSUED i CITY, STATE ZIP PHONE: PLEASE /ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: ; y PHONE: 454-8100 For Office Use Only: Site Address ( BLDG. TYPE WORK DESCRIPTION Lot Block - -Sec/Sub Res. 'ter New Name Mult. Add-on t Comm. Repair f t. m Address t~ ~r t} , ^ 3r r . c City ` Phone -4 ~ Other k FEES Name n~,r L~• t RES. HVAC 0-100 M BTU -$24.00 Address ADDITIONAL 50 M BTU - 6.00 p city =y - - Phone h (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU s_uLc.! APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 j Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # I BEYOND $1,000) Other FEE:SIGNATUR E OF PERMITTEE r S/C: TOTAL: s . FOR: CITY OF EAGAN ' PERMIT # PLUMBING PERMIT RECEIPT # f, rf CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: . CONTRACT PRICE: PHONE: 454-8100 Site Address ~~~~~1eX4>~t,J~ - BLDG.TYPE WORK DESCRIPTION Lot- t sib k 59c/Sub Res. New T - Mu It. Add-on 4 Name k re S'0'= ~-,A ti G Comm. Repair m ` co Address /a~ yE w~✓ c+'": ilr~t- ' r Other C City 15"44k 4 IL Phone % e,, RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name ' ds'«~i~°~c✓ Water Closet - $3.00 m Bath Tubs - $3.00 u C Address 41 _Lavatory - $3.00 t" p City Phone 11 Shower - $3.00 c^' Kitchen Sink - $3.00 3 'a FEES Urinal/Bidet - $3.00 COMM/IND FEE- J%_OF.CONTRACT FEE--- - L - Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 > 1 MINIMUM - RESIDENTIAL FEE -$12.00 / Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20-00 i Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 41 s-Rough Openings - $1.50 SIGNA RE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA099521 Date Issued: 06/13/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1512 Blackhawk Ridge Ct Lot: I Block: 2 Addition: Blackhawk Ridge PID: 10-14400-02-010 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zoning: Square Feet: 0 Comments: 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. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Jolm 1\1 Houdek 1920 County Road C West 112 Blacldiawk Ridge Ct Roseville NIN 55113 Eagan NIN 55122 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146665 Date Issued:11/06/2017 Permit Category:ePermit Site Address: 1512 Blackhawk Ridge Ct Lot:1 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 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 - John M Houdek 1512 Blackhawk Ridge Ct Eagan MN 55122 (651) 245-2405 Built Strong Exteriors Llc 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178207 Date Issued:08/04/2022 Permit Category:ePermit Site Address: 1512 Blackhawk Ridge Ct Lot:1 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jessica Whalen 1512 Blackhawk Ridge Ct Eagan MN 55122 (651) 338-4682 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature