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1520 Blackhawk Ridge CtSITE ADDRESS 1520 BLACKRAWK *1 CT LOT 3 BLOCK 2 SEC/SUB BLACER WK IIIT PERMIT REQUESTED A SEWER ) WATER • f TAPS APPLICANT: COMM/IND %RESIDENTIAL ADDRESS: CITY, STATE ZIP A NEW EXISTING PHONE: ; . ... E 2 Lawn Sprinkler Meters are to be 'Installed PLUMBER: Liri N 8L Ahead of Domestic Meters on Water Line. ADDRESS:, 1959 S Alr? Credit WILL NOT be given for Deduct Meters. CITY STATE ZIP 551 2 , PHONE: 45 1565 '- -- ` I AGREE TO COMPLY WITH CITY OF OWNER: ST CHARLES ROMES EAGAN ORDINANC S ADDRESS: - 7065 UPPER 134T11 ST _z/ / CITY, STATE APIA' V'AI IAY I ZIP 5124 PHONE 891-2211 SIGNATUR WHEN- METER ISSUED , y' IN VG KI / P ' ' FOR STORM 220 =5R INSPECTIONS ALL PLEASE L o ..G OR [ AYS FOR ROCE; O NG . C - SEWER PERMITS&ONTACT ENGINEERING DEPT. , . '" 01 OFFICE USE ONLY METER PERMIT DATE 1 DI1 /91 CWiP # PERMIT # 12346 METER SIZE cU B.P. RECEIPT # C 14957 91 ISSUE DATE B.P. RECEIPT DATE 0$/14/ A_X PRV BOOSTER PUMP SEWER ;,WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 65122-1897 DATE i' OCT 16, 10391 METER # CHIP # METER SIZE ISSUE DATE OFFICE USE ONLY PERMIT DATE 10/16/91 PERMIT # 12346 B.P. RECEIPT # C 14957 B.P. RECEIPT DATE 08/14191 ?L PRV -BOOSTER PUMP SITE ADDRESS 1 520 1{L C1 :U,AWK t=1DCE ",T LOT '? BLOCK -'SEC/SUB 14JLAC RA K R1 APPLICANT: ADDRESS:- CITY, STATE PHONE: _ PLUMBER: l1'RZI,'.L 1'LUMLI,,'C ADDRESS: 1955 StANEE PD CITY, STATE .ACnt Pf NI`, 065 PHONE: 452-065 ZIP ZIP 55122 ST CHA LYS OWNER: ADDRESS: 708.5 U: PEI; 1 6TV ST CITY, STATE APFL„ V!ALL Y ;'1= ZIP 55124 PHONE: r{031- 2 11 PERMIT REQUESTED SEWER WATER TAPS COMM/IND X RESIDENTIAL NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN N2 . 19549 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # L? ('t LC9 ,7 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $176,000 Date AUG 13 19-21- Site Address 1520 BLACKHAWK RIDGE CT Lot 3 Block 2 Sec/Sub. BLACKHAWK RIDGE Parcel No. Name ST CHARLES Address 7085 UPPER 136TH ST 0 City APPLE VALLEY Phone 891-2211 , Name SAME 't I 8 Address City Phone Ww Name Address <W City Phone I hereby acknowlege 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 Eag n Oryi nces. Ay/ Signature of Permiteel ?rfI A Building Permit is issued to: ST CHARLES on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes andyCity of Eagan Ordinances. Building Official O I (1 LC! OFFICE USE ONLY Occupancy R-3 -N--l FEES Zoning PD RR=1 (Actual) Const VV_N Bldg. Permit 906.00 (Allowable) V=N Surcharge 88.00 # of Stories Length 70' Plan Review 589.00 Depth 37' SAC, City 100.00 S.F. Total SAC, MCWCC 6 50 - 00 S.F. Footprints On Site Sewage Water Conn 660 - 00 On Site Well Water Meter 95.00 MWCC System R City Water X Acct. Deposit 30.00 PRV Required X S/W Permit 30.00 Booster Pump S/W Surcharge -50 Treatment PI 2 7 6 - 00 APPROVALS Road Unit 170.00 Planner Park Ded. Council 50 Bldg. Off. Copies . Variance TOTAL 3,795.00 +rv;rseylnrr.•#`4,Cti:.?RIFaPw!x"!a4lr f.'vxav?<,t^^.a. :,.-:.=`s 'i9?'*'; y???,wl;,_ wtKP'.'xy'!*>{rl'`?'.; x ! rt-.^ .pr ?.?:.rruyT!gLf, CITY OF EAGAN r s 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '" PHONE: 454-8100 -j BUILDING) RMIT Receipt # t To be used for S F OW /GAR Est. Value $176,000 Date AII1 13 1991 Site Address -15att' RTA_4AL RIDGE CT Lot 3 Block 2 Sec/Sub. R1_r AWK T DGP Parcel No. OFFICE USE ONLY Occupancy R-3 . FEES Zoning PD - cc Name -ST CHARLES--- Address 7085 UPPER _136TH STS 7 ?-gr ? City APPJ.I" VAr_1: EY Phone ..R9+9444- Name SA! 771 Address City Phone W W Name Zz Address CM W City Phone I hereby acknowlege 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 Eagpn Ordinances. Signature of PermiteeY In., •'. A Building Permit is issued to: =~fi CHA 111 t s on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official (Actual) Const Y Bldg. Permit (Allowable) Y?lu Surcharge 88-00 # of Stories Length f S$9.OQ Plan Review Depth L SAC, City 10(L_00 S.F. Total SAC, MCWCC 6 O.00 S.F. Footprints On Site Sewage Water Conn 660-00 On Site Well Water Meter 95.00 MWCC System City Water __ Acct. Deposit 30. {}C1 PRV Required S/W Permit! Cab Booster Pump S/W Surcharge in Treatment PI 276-M APPROVALS Road Unit 470-00 Planner -- Park Ded. Council 50 Bldg. Off. Copies . Variance TOTAL 3.795.00 Permit No. Permit Holder Date Telephone # WATER 26! ?1/ SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing (lj Roofing Rough Plbg. Rough Htg. Isul. Fireplace ` Final Htg. Orstat Test Final Plbg. Z g- Ibg. Inspector - Notify Pi tuber Const. Meter Engr.lPlan k Bldg. Final 7- Z_ Deck Ftg. /'-/ Deck Final Well Pr. Disp. } Qtrdifiratg of (!rrupaurM (itp of Cagan ErpWrttartct of &uitittgtsprctimi< 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 folio wing: Use a mri s - /GId Bldg, Fuc No. 19549 Occupancy Type R3 /,n I Zoning Di* PD/R1 Type Ca„c VN ownerof sanding ST CU MPS ES Address 7085 ui'i 1361H ST, APPLE VALLEY Bw1wi??Addnss lIC RIDGE CT. i rainyL3, B2, MADE" RIDGE 2118M leg- POST IN A CONSPICUOUS PLACE Address: 1520 BLA iAWK RIDGE COURtot 3 Blk 2 Sec/Sub BLAU WK RIDGE These items were/were not complete at the time of the final inspection. Date: 2/18/92 Yes No TnRnectoro Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage h S e", 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. PECVCLED MP" White - City copy Yellow - Resident copy Pink,- Contractor copy 07 z44; 485 7 Request Date I"' Fire No. ough-In Inspection Required (You must call inspector when ready) Inspection Other Than Rough-In Ready Now E] Will Notify Inspector 0 Yes ? No Date Ready I $.licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 6"- i L7 Section No. Township Name or No, Range No. County c -7 Occupant (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Authorized Signature (ContractorrOwner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY ( THIS INSPECTION REQUEST WILL NOT Griggs-Midway v 8 ? Il l VI I I I? I I ( I? ? f ? I ?I I I ( ? ? ? ??? ?? (? ? I II II ?? BE ACCEPTED BY THE STATE S F E 1 A 1821 e., St. Paul, MN 55104 I I UNLESS PROPER INSPECTION E Phone (612) 642-0800 i I I I ( II i ) 111111 I l I ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Eta-000011-09 See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request New fCdd ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: l t r Compute Inspection Fee Below: ti ; h # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms o Special Inspection t Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. r I, the Electrical Inspector, hereby tif th th b i Rough-in r ate 7 j?rG r / cer y at e a ove nspection has been made. Final I `o 5'x9 ate OFFICE USE ONLY This request void 18 months from <S' 9? /03S'9y' 6549/ ro Request Date 771 Fire No. Rough-in Inspection Required? 'Ready Now ? Will Notify Inspector When Read ? es C No y i$licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Section No. Township Name or No. Range No. County Occ pant (PRINT) Phone No. ower Supplier Address Elect 1 Contractor,(Company Na e) ontractor's License No. t 4y Mailing Address Contractor or Ow r Making Installation) y ? v! j?? AV ? Authorized Si (Contractor,owner M king Installah Phone Numb OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE !0._ Griggs-Midway Bldgom 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. /? ?.?? REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 dons for completing this form on back of yellow copy. "X" Below Work Covered by I nls rrequest ? .. ° ew i Rep., - Type of Building 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 % 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: ((/ TOTAL Irrigation Booms Special Inspection Al /communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. I, the Electrical Inspector, hereby Rough-in ate certify that the above inspection has been made. Final ( Da e OFFICE USE ONLY This request void 18 months from - - - - - - - - - - - - - - - - - - CITY OF'E'AGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit NL. fiber: Date Issued: BUILDING 025895 06/30/95 1520 BLACKHAWK RIDGE CT LOT: 3 BLOCK: 2 BLACKHAWK RIDGE P.I.N.: 10-14400-030-02 DESCRIPTION: Building Permit Type SWIM POOL Building Work Type NEW REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED FEE SUMMARY: VALUATION Base Fee $187.25 Surcharge 6.00 Subtotal $193.25 $12,000 COPIES Total Fee $2.50 $195.75 CONTRACTOR: - Applicant -- VALLEY POOLS INC 18941480 651 CLIFF RD BURNSVILLE MN 55337 (612) 894-1480 OWNER: BLOCKER STEVEN 1520 BLACKHAWK RIDGE CT EAGAN MN (612)454-8147 F- I I hereby acknowledge that I have read th is application and state that the in ormation is correct and agree to comp ly with all applicable State of Mn. S a utes and City of Eagan Ordinances. L pj'? --i APPLICANT/PERMITEE SIGNAT R JU C j) mm GN RE ISSUED BY U E : INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 5 8 9 5 Eagan, Minnesota 55122-1897 Date Issued: 06/30/95 (612) 681-4675 SITE ADDRESS: P . I . N .: 10-14400-030-02 LOT: 3 BLOCK: 1520 BLACKHAWK RIDGE CT BLACKHAWK RIDGE PERMIT SUBTYPE: SWIM POOL APPLICANT: 2 VALLEY POOLS INC (612) 894-1480 TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL (REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED L CITY OF EAGAN 3830 PILOT KNOB RD - 55922 1 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 689-4675 ? 3 registered oft surveys ! 2 copies of pion 2 copies of plans (include beam & window sizes; poured Ind. design; etc.) ! 2 site surveys (exterior additions & decks) ! I energy calculations ? 1 energy calculations for heated additions ! 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes No // DATE: l9 - 1 01 - 9 CONSTRUCTION COST: r r n .... DESCRIPTION OF WORK: S ET ADDRESS: ekL LOT BLOCK SUBD./P.I.D. #: STF) r) 13Goc: PROPERTY Name: d t Q S Phone #: OWNER 'AP -0 Street Address- City: ? A State: V) Lj Zip: w.. / 2 CONTRACTOR Company: 1141 'tV Phone #: Street Address: o!S I C(i ' { R c License #• City:.urcyYl?a.?, l i e. • I State: , Zip' x' 53 3.? ARCHITECT/ Company: Phone #• ENGINEER Name: Registration #• Street Address* City: State: Zip* Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is Issued. I hereby admowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Is correct and agree to comply with ON JUN 191995 OFFICE USE ONLY BUILDING PERMIT TYPE a 01 Foundation a 06 Duplex a 11 Apt./Lodging a Basement Finish a 02 SF Dwelling o 07 4-plex a 12 Multi Repair/Rem. t 17 Swim Pool 0 03 SF Addition o 08 8-plex a 13 Garage/Accessory 0 20 Public Facility o 04 SF Porch 0 09 12-plex o 14 Fireplace o .21 Miscellaneous a 05 SF Misc. 0 10 _= plex 0 15 Deck WORK TYPE 1 New a 32 Addition 0 33 Alterations a 36 Move 0 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length wi Depth 3 APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building MCIWS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance __ _r,_ _ Permit Fee Valuation: $ /Z1 0:?o Surcharge Plan Review License MCMIS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SM Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies z. sv Total: ?p AAA( teL 0 ('f? % SAC ; SAC Units ST. CHARLES HOMES . R V E Y O R' S CERTIFICATE NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPc r G(1\v® THE SPECIFIC HOUSE PROPOSED V IS NOT THE RESPONSIBILITY OF THE SURVEYOR. B__LACK HW- 862.0 2.9 861.8 R=239 X29 2a 4 . C 8? 3 (v ) 120 41 04 11 52.98 (A M AAK 0° ec `E ti 6 as r°= 5 pRO EW All( 1 0 I ?, 0 6ENCH MARK !b l r .? N \ TOP OF IRON P ! , _ 2t.0 ,p \.6 ELEV. 863.82 _ _•? G lin ARE ?' '•? sn ?-' 37.33 T w , - N w 1 cov `? 7-4 a . PFt4P°SED - -i ?t??? 1 ' \ iT "0 r- I 630 ,ja P e 0 Qo W U i Z " I Io ` 0 (fl m IR' I t togad U t8 53,1 DRAINAGE a UTILITY ` 5 EASEMENT PER PLAT to irp 114.34 'LL PAIN. ?„?? 1,,, NOT BUILDING MENSIONS SHOWN ARE I T- 1 L 6 VERB')CAL'LOC- L? F-STRUCTURE ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING _a_ELAu QA 40U. DIMENSIONS. ------ DENOTES PROPOSED SURFACE DRAINAjRGAN ENGINE ING DEPT O DENOTES IRON MONUMENT SET CALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 8(, 5. g FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8:5 S.I FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 86-?,,Z FEET CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-14400-030-02 DESCRIPTION: PERMIT o (1-, PERMIT TYPE: Permit Number: Date Issued: 1520 BLACKHAWK RIDGE CT LOT: 3 BLOCK: 2 BLACKHAWK RIDGE Building Permit Type DECK Building Work Type NEW /0 -9q1-01L--t BUILDING 023737 05/27/94 REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge ,50 Total Fee $30.50 CONTRACTOR: OWNER: -- Applicant - BLOCKER STEVEN 1520 BLACKHAWK RIDGE CT EAGAN MN 55122 (612)454-8147 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L '?-x 1, -?, U-i- APPLICANT/PERMITEE SIGNATURE 'ISSUED B : SI NATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 3 7 3 7 Eagan, Minnesota 55123 Date Issued: 05/27/94 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 3 BLOCK: 2 1520 BLACKHAWK RIDGE CT BLOCKER STEVEN BLACKHAWK RIDGE (612) 454-8147 PERMIT SUBTYPE: DECK TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL 7 7 'L_ CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 2 sets of plans, 3 registered site surveysf ears. MAY 14 1994 M 2 sets of architectural & structural plus, 1 set of . specifications, I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit Date e.., ____ . .... ! .,: /° Valuation of work, ,.. 'Site Address ; S z o 1 c ?iA ? I , ' 3 .tr, /?s1v ST 1-?,z.. SUM 0 Tenant Name: (commercial only) ro'1' SLO+CX SURD g P . . b. --J zickv: Ue Szik t- on of work: The applicant is: er 0 Contractor 0 Other (D*$C 1be) Name Ica F/ d' V6- . Phone 4?5 S(!5 Property " LAST F1*ST Owner Address /5 o ,1 •?c iw STREET erE a City ,?t•t/ State / i1 Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approve . 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: BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 62 SF Dw9. ? 07 4-Plex ? 03, SF'Addition ? 08 8-Plex ? 04 SF Porch ? 09 12-PI ex ? 05 SF Misc. ? 10 Multi. Add'l. WORK TYPE X3 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL 'INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory 0 14 Fireplace , 15 Deck ? 35 Tenant Finish C] 36 Move 0 16 Basement Fi ? 17 Swim Pool ? 18 Comm./Ind. E3 19 Comm./Ind. ? 20 Public Fac ? 21 Miscollane ? 37 Demolish Wish Misc. ility ous Const. (Actual) Basement sq. ft. MWCC System (Allowable 1st Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSP ECTIONS ?.Site ;' Footing ? Framing ? Insulation ? Wallboard I Final ? Draintile ? Fireplace Permit Fee Vat ton: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. kCopies Other Total : SAC % SAC Units -- ,RVEYOR'S CERTIFICATE 8+3'3 .8 1?a? 862.0 2.9410 861.8 N RX239.29 n 5752 ? ?? 0 x41104 243 ,1(8co3cr,) o - 5? c , 6(a iL o N Nm PROPOSED P i ? 1 ..• 37 33 v T / Out V_ pROPOS A3 DRNEw 10 GP m Z 0 I (sq.) r LOT ST. CHARLES HOMES NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBLITY OF THE SURVEYOR. TOP` OF g6dq 6T ELEV. -? (?? ?` P to 1 ' ymil ?r L 0 (0 91 OPAINAGE S UTILITY LASEMENTPERPLAII 1 , (8 s3, l) 114.54 D IRE O VAN R ?1 9 U NOT BUILDING M SIGNS SHOWN ARE ' ' . r .LOC- L d VERTICAL I j -"- ARCHITECTUAL PURE ONLY. SEE PLANS R)R BUILDING 6 DIMENSIONS. ?-- DENOTES PROPOSED SURFACE DRAIN A AGAN ENGINFE ING DEPT INCH - 30 FEET O DENOTES IRON MONUMENT SET C LE: 1 • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 86 5, s FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 838,1 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -- 86G,Z, FEET WE HEREBY CERTIFY TO ST CHARLES HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3 , Block 2, BLACKHAWK RIDGE, according to the recorded plot thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15TH DAY OF JULY 1991. PROPOSED GRADES SHOWN WERE SIGN : J S H. HILL, INC. IJ TAKEN FROM THE GRADING Bv-j DEVELOPMENT PLAN FOR BLACKHAWK RIDGE, PREPARED BY PIONEER ENG. D r F n L > m rivi W Nt0 m z ZO m w -Z. 2 (8(oz,1) , = I5298` 4 w 9ENCH MARK TOP OF IRON ELEV.-863.E X to c y A r- JOHN C. LARSON, LAI''' :JRVEYOR' Seel ( MINNESOTA LICENSE It vIBER 19828 James R.Hi11, inY PLANNERS / EN( _ERS / SURVEYORS 2500 W. CTY. RD. 42 • BUR E, MN. 55337 • 612-890-6044 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 6,,y/_54 PHONE: (612) -434-$1OO CNCAY MIS ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: ---------- --------------------------------------------- FEES /sao /??-' 'h 9wk i2 SITE ADDRESS : '- y f LOT: BLOCK. SUBD. INSTALLER: 9f /?1-,Ai9i?ii° ai c Zri . ADDRESS : :57 / 7 / 9 2 2 Lw CITY: "40 AJ ZIP: ,i Z7`7 PHONE #: L/G -/2 3 SUBTOTAL: $ 2 7 STATE SURCHARGE: .50 TOTAL: IGNATURE OF PERMITTEE FOR CITY USE ONLY PERMIT # RECEIPT DATE : / COMM£RCIALZINDtSTRIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) FOR: CITY OF EAGAN 0 manWm CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # HIG'C DATE : < <5 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- --------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST ADD ON REPAIR NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 oZ- SHOWER 3.00 WATER CLOSET 3.00 OCR BATH TUB 3.00 c' C) 4 LAVATORY 3.00 OWNER NAME: Ur. i2,Gt.?l A n . KITCHEN SINK 3.00 . . ( O AA f LAUNDRY TRAY 3.00 .$y SITE ADDRESS: I ??„? L Lid HOT TUB/SPA 3.00 ' WATER HEATER 3.00 LOT:_ BLOCK SUBD. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: ?,P ? ? //!wry (MINIMUM - 1) 3.00 6,00 ROUGH OPENINGS 1.50 Z ADDRESS : _ / y?? J?,?L1 f2 J 41 OTHER WATER SOFTENER 5.00 CITY:_ ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE S 4j, SQ SUBTOTAL O& ' ff & ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: 0qr00 S U? OMMERCIAL/INDUSTRIA2 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: PHONE #: ZIP: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) FOR: CITY OF EAGAN 1991 BUILDING IT A LIGATION TAUS 9 CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ,h Valuation: Date: Site Address Lot I Block Parcel/Sub _!JLGC!! ,(?,,? ,Q,dcj Owner S?t?t? S 13lc ike, Address !lLL/ /D ?? ,Qyf I City/Zip Code "117t S 'c -s t/Q°7 Phone R,Z 7 - ,Z, 72 3 Ara c ? tof' ' S/ /S Address 7UJ? r?!lA1r / 't 4 Si'. City/Zip Code 4P///' U S, Phone Arch. /Engr . ?L,9 /1/ ( p Address City/Zip Code h Phone # , ")/'v 2tl L Ir AOa.? OFFICE USE ONLY 6a FEES Occupancy R-3 M-) Bldg. Permit ?06.oo Zoning PP R- I Surcharge 89,00 Actual Const V-!d` Plan Review 589,oa Allowable SAC, City / 00.0 0 # of stories SAC, MWCC so,?ao Length 70? Water Conn. 6i6O, "+ Depth 37, Water Meter 4jr, S.F. Total Acct. Deposit 30,va Footprint S.F. S/w Permit 30•&0 S/W Surcharge )50 On site sewage- Treatment P1. .276,,00 On site well Road Unit 7D.o0 MWCC System Park Ded. City water L/ Trail Ded. PRV Copies rS? Booster Pump SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL -`S Bldg. Off. Variance /IV, 44aj// agrees that all work shall be done in accordance with igna ure o ontractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ,..? , VA L.UXTIQN GA2A X2V Li ro 12hzz = Z6y 13x2?iz- (32) 9r2u 15' /06-90 l35t?t?, Z?x3g /069 )3 x zs= 3zs /39c (/4= l9,yy , Pam 12r A/ z - l'/ Y x53. 76 3'2- IST ?SMT= 13 3x3x Z 3" ;2y 3z .G3xs3= `7753 ICY FL OOK, Z?SX3? -? +b6? Iz?cy IiLJ s3= (mob c26 11 r 2 3 G -7571 0 .7 •^ €7 SURVEYOR'S CERTIFICATE 12°1 52 g TO W 5 pROPOSp? ? ? 0jaIgE` (S(0s'S) _- 21.0 11.6? GAR P, W 863.3 862.0 2.9 , 1%* e61.e 528 ! R=239 ?2 11 S? 4. (8Ifa3,(9 862.2 y i CSCOZ, ) ' O 5[- 0 \1 O 1 BENCH MARK TOP OF IRON ELEV. =8 63.82 m x 0 to D m 37.33 cp ? ROpOSED I in P ?nUSE NW I' + e O) NOTE. :CHARLES HOMES NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBLITY OF THE SURVEYOR. N,A NO qs IRO" .T NR C OFp 64.67 E EV 15, W I 1 vo D `.J o Os j(8Sq.oI)DI W DRAINAGE 8 UTILITY I A LOT 3 (853.1) 5 ?EASEMENT PER PLAT 15 WI-INGAZION ,# :, ...°f - ... ..` - DIMENSIONS. -- O 14.34 a a I _? e a ? ? may,` .. NOT BUILDING DIMENSIONS SHOWN ARE \J ?. I L_ ' U j L TUB RREE ONLYL.SLOC- ARCHITECTUAL PLANS FOR BUILDING DENOTES PROPOSED SURFACE DRAINA. Gi ... DEPT 'iL DENOTES IRON MONUMENT SET -CALE: 1 INCH 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 86s.g FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 85s,) FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - $6-ro,Z FEET WE HEREBY CERTIFY TO ST. CHARLES HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3 , Block 2, BLACKHAWK RIDGE, according to the recorded plot thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15 TH DAY OF JULY ,.1991. PROPOSED GRADES SHOWN WERE SIGN TAKEN FROM THE GRADING 8 DEVELOPMENT PLAN FOR BLACKHAWK RIDGE, PREPARED B BY PIONEER ENG. ;4 -0 03 M "T1 -n 11 4 - c I O r W O < p L D .= cn - D m ? v z mo CD w o ? p m co z 00 Z O W M ? R. HILL, INC. JOHN C. CARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS /ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044 MI ':SOIA StAIL ENERGY CODE CALCULI 'ONS BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION Adoption Effective 171%8 Owner Phone Date Site Address L Contractor G --e, Phone ' Building Classification: Type Al (Single Family & Duplex) Type A2(Residential) (3 stories or less) NOTE: Complete pages 3 and 4 first. (Other) (Over 3 stories) GEMERAL INFORMATION 1. Building Perimeter /564-, ft. 2. Wall height (ground to eave) _ft. 2 3. 1. x 2. (above) gross wall area t. 4. Building dimensions (L) X (W) ft.2-roof s floor area 5. Square foot area of rim joist - Floor joist size (2 x ?D ? X Perimeter . Rim joist area ?17 2 ft2 T r 6.' Doors - Area CThickness In. U factor Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. .. 8. Windows: Manufacturer State approved U factor TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 EACH UNITS 9. Total ft.2 Glass-- 0. Fireplace area. Width X height X = Ft.2 1. Exposed foundation: Height X Perimeter i?(?(77?X Ft.2 :OMPLETiON OF THIS FORM IS•REQUIRED FOR ALL NEW CONSiRUCTTON, MAJOR REMODELING AND BUILDINGS BEII iOVEO WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. i2. l rami ng area 10% of g• s wall area. 13. Gross wall area G I ,r-~ 2 Window area A 6?' ft. Rim joist area A 91 7i? ft.2 2 Door area A ft. p' ?O=f' 1 /?- 2 ..Aplate area A ft. Exposed foundation A el-7, -3 ft.2 Framing area A ? 9"114-4 ft., Net wall area 'A AZ. r '?7 ft. ft,2 U windows = ?? .O U x A U rim joist = io4- U X' A _ ?0'b4/ U door area = L_?._. U .X A = ii y U Mrfpi ace U x A U foundation . ! U x A *__?_t U framing area =0 U x A 3 U wall 2__ U x A i (1jB) TOTAL U x A a ?1 14. Gross wall area x 0.11 (13. above) x 0.23 x .23 x 28 A 15. Ceiling framing area (A-1 single family & duplex = allowable U x A/Code (A-2 other.residential) (Other buildings) (Over 3 stories) BTUH Must be larger than x L Code I T• 13B above Af) equals 10% of ceiling area ( . or the. same as) 15A. Gross ceiling area - (L) x (W) f158 Joist area (Af) = 10ro ceiling area ft.2 15C.' Net ceiling area (Ac) (15A - 15B) = Il -1' ft.2 U ceiling x A c= U framing x A f= 1 vZ - x _H? x 15D. TOTAL'U x A ...................................... 15. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x 0.033 (9-2 other residential) x 0.06 (other) 0Z,(D BaUFI Must be larger than .150 (above) A L15.A, 32Q x U (code) F (or the same as) NOTE: Use U and A values obtained from pages 1,-3 and 4.' CERTIFICATION: I hereby certify that I have, calculated the "U" factors and "R" values herein and that the building here described m4ets or exceeds the State of Minnesota Energy Conservation Act. Date 5 gnature 4 . N 14- 1 t ? ? 1 l 4x4 - !I,'l- ;x I I ° I ?? ???? jtp ZO I 1 Tap> = I? x 1. I U), 0 X11. EX4-- e7.1-11(2 t 61 ?2 f p ? v ? try .... ... ...........___..... .. _...... ........_?_.. «.A.? ?,?." ' 44 z., L WALL SECTION STUD SECTION SECTION . RIM JOIST k VALUE U VALUE Inside air film .68 Interior wall •?? (Wall) U Insulation Sheathing Z?i7(D Siding , (p1 Outside air film .1111 R TOTAL Z J Inside air film .68 Interior wall s stud R= (015 • ,(Framing) U • R • Sheathing Siding .cal • ©??' Outside air film .11 2 R TOTAL I r . ? 7 Inside air film R= .68 Inter for wall ?.? Insulation (Wall ) U R z athin xtertor w overing Exterior air film R • . R TOTAL Interior air film R= .68 sulation f inch soft wood R=1.88 (Rim U $ i Joist) Sheathing 0 (a Exterior wall covering •(07 -+ Exterior air film R= .17 R TOTAL 2A4Cv Interior air film R= .68 rj•oo Insulation 1 Foundation (Fdn.) U = i = Exterior air film R= .17 • -•n I R TOTAL xposed Stock 3. CEILING WITH VENiL" AIi1C SPACE ABOVE R VALUE FVAUE FRAMING CEILING i 1 0.61 L 0.61 Z, 1 C' i.r•3 Air Film 0.61 Insulation Joist Ceiling Air Film 0.61 Total R U oZ-z FLAT ROOF OR CATHEDRAL CEILING R Value R VALUE FRAMING CEILING 0.61 0.17 Inside air film 0.61 Ceiling Joist (stud) Insulation Air space Roof decking Insulation Built-up roof Outside air film 0.17 Total R U Jindow infiltration .5 cfm/lineal foot of crack tesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement 'ion-residential door infiltration 11.0 cfm/lineal foot of crack Jb 12" concrete block no insulation = .47 R 2.1 !b 12" concrete block insulated cores = .26 R 3.8 !b 12" lightweight block = .32 R 3.1 Jb 12" lightweight block insulated cores = .12 R 8.3 ! single glass = 1.13; with storm window .54 J double glass = .55 J triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). vapor barrier must be on the inside (heated side) of wall. vapor barriers of, the polyethelene thin film have no R value. 4. RESIDENTIAL ??-J-- BUILDING PERMIT APPLICATION LA COPY OF EAGAN 3830 PILOT KNOB RD - 55122 651.681.4675 • 3 registered site swveys showing sq. R. of lot, sq. ft. of house; and pi roofed areas (20% maxbnurn lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail options selection sheet (bldgs with 3 or less unitss) a6 C) ice- -1 ?. -d l DATE 121 14 I 61 VALUATION 11. 0 () 0, c1 0 JOB SITE ADDRESSJZOC YiK Tb . CJ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? 1 PROPERTY OWNER Y o TYPE OF WORK FIREPLACE(S) 0 :. 1 2, ZIP CODEss a NEW RESIDENTIAL BUILDING - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category I Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Water Softener Water Heater No. of Baths Phone C. Lawn Sprinkler Fee: $90.00 No. of 11.1- Baths, Air Conditioning - Heat Recovery System Sewer/Water Contractor. All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the inforrnatiorl. ' , ,t.. rtply with all applicable State of Minnesota Statutes and City of Eagan Ordi ances. Signature of Applicant Certificates of Survey Received Tree Preservation Plan Received Not Required updated 1/01. Phone # Fee: $70.00 Phone 4 0 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of „-_ Alex ? 04 02-plex ? 05 03-plex O 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg Y or _ N ? 20 Pool ? 30 Rory B ? 21 Porch (3-sea.) d 31 Extr Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screened) ? 36 Multi ? 24 Storm Damage ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.Q. - Footings (addition) Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other Framing Pool - Ftgs Air/Gas Tests -Final Fireplace _ R.I. - Air Test -Final Siding _ Stucco Stone - Insulation - Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ANSPECTION RECORD CITY OF EAGAN 01i'4s3 330 Pilot Knob Road PERMIT, TYPE: 601101"" Permit Number: 0a :3 ;3 l Eagan, Minnesota 55123 Date Issued: 1612) 681-4675 ADDRESS:. ?.? APPLICANT: 4[. 6@ - t t # 4 C ?: 6 P9 - E: :r t 'V U N 2C " __?_hy+ S i ? • ? ? _ ? ? ? ? I I I I I I I I III`?I?I? ? ? ? ? ? ?. ? ,. j INSP' :?????? UM .+? C? VF EAGAN ` 3M Pa# Ktmb ROad ?nF n,WrksCSta 55122-1$97 ? ?612}-661-4675 ° AWNE+? : 1 0 ? fi t.1?! ?6 1*41 ?? ???MT SLIMPE; F'oo4 ?WTYPE: fi??`r?t ?t?rc F? ?PPUCAFi i ; VAt 4_ #Y Pf)O1. S £ t#t;° i 61 R' ! ?.?# 94.. "k. 480 TYPE OF ?ORK; ? ? ? ? ? ?? ? ? ? ? ? ?? ? ? ????? ?? ? ??? ? CASH RECEtPT ? ?.. ? CITY OF EAGAN 3830 PILOT KNOS ROAD EAGAN, MINNESOTA 55122 ? DATE 19 ?I ??-- ?V4 AMOtJNT $ ? -'q(.-.. ?? „?? & DOU.ARS too p CASH 'CHECK A A C) - - 149r/ 7 White-Payers Copy ? Y91bw-4?qstitg CApX Pink-F7e.Copy Thank You -BY Use BLUE or BLACK Ink I For Office Use I 'Ir Permit non City of EaRd I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: dr? I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C! Site Address: (\,C t(- ` C Unit M Name: p ►~Jt~( Phone: ~20 '1314 Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: ~ C. Construction Cost: Multi-Family Building: (Yes /No k ) Company: k-fGCj:C4ri Contact: Contractor Address: 1 `CQ,S 1V City: State: Zip: Leo Phone: License C C(T-u?J 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 permit issuance. AwN xa (~-A_&G x Applicant's Printe Name Ap ' ant's Signature Page 1 of 3 Use BLUE or BLACK Ink Far Office Use City Of i 1 JUL 2 7 2017 penult f /Y7P 3830 Pilot Knob Road Permit Fee: (P©-v � Eagan MN 55122 Phone:(651)675-5675 Oahe Received: 7'oZ 7-11 Fax:(651)675-5694 Stet L ___� 2017 MECHANICAL PERMIT APPLICATION 0 Please submit two(2)sets of plans with all commercial applications. Date: 1—ato-17 Site Address: I' O 131.azV-kaw k_ 'Gt L` °J-Q Tenant: Suite 6: ` Resident/Owner Name: •ed.e-VI 1 Lb 01(4 +� Phone:1,251-yS U-1-a!4 7 Address 1 City!Zhp: 0 gio. _.—- t .A . , r 0.' ' '' % slate 0 i Name: S1ne1t1 61 es License#: Address:1y no C akCorriia► .• city: Pa.+AQ Contractor �,,�,t C-c� 651- ,} ! State: '11�►`+ Zip: .3J i b� Phone: tp�•1�o--735" t Contact" "Pin pscA 1 Email: o...,C„,). ! I d1-4 _ • __.:21. —New _X Replacement Additional Alteration Demolition Type of Work Description of work: tfi' .e., -lAO NOTE Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical hiepector for information on permitted screening methods. RESIDENTIAL COMMERCIAL xFurnace New Construction Interior Improvement — permit Type Ar Com _Install Piping _.._Processed _Gas —Exterior HVAC Unit —Heat Pump Under/Above ground Tank (_,_Inst dl/ Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,ktciudes State Surcharge $100.00 Residential New,includes State Surcharge =$ ttl O.O 0 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal.includes State Surcharge =$ Permit Fee Surcharge Surcharge=Contract Value x$0.000.5 =$ If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is carrihlete and accurate;that the work we be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an for a permit,and work is a permit:that the wok win be in accordance with the approved tin in the case of work which requires a review and approval of plans. if 0 x that LO Y(,,�A..e l.,a., x ...0, ;" Applicant's Pfinted None I FOR OFFICE USE Reouired inspections: Revkaved Bv: Date: PERMIT City of Eagan Permit Type:Building Permit Number:EA150137 Date Issued:06/21/2018 Permit Category:ePermit Site Address: 1520 Blackhawk Ridge Ct Lot:3 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-030 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven G Blocker 1520 Blackhawk Ridge Ct Eagan MN 55122 (651) 454-8147 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature