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1521 Blackhawk Ridge Ct
Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - City of EaRdn Permit U 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122" Date Received: I Q Phone: (651) 675-5675 Fax: (651) 675-5694 DEC 2 0 2010 ' ' 1 Staff: 1 -------.~----------i 2010 MECHANICAL PERMIT APPLICATION Date: -,X~-I l) Site Address: c~ VYV (n ILa fr s Tenant: + Suite RESIDENT/ OWNER Name: Phone: jAQ - _tl) `f Address / City / Zip: - 507,; SVILLE HEATING & A/C, INC. License D1 13 CONTRACTOR Name: BURN 3451 W. Buillade Parkway Address: Suite 120 City: Burnsville, MN 55337 State: Zip: Phone: Contact: Email: I TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: VAPJ, NOTE- Rootmetanted artild gravid mount8t) ttianl i,aqullsmet a leq tv d tb bB; ra ati;bj1 S"it Code: F+laasa aotttac# xhe AASCFsaniced 16 lot;ksiafti6cit t k e 40 64 s#ixg. 'AID f#ftry. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace - New Construction _ Interior Improvement - Air Conditioner - install Piping ` Processed - Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / Remove) ''Other When installing/removing tank(s), call for inspection by Fire I Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) - $ -VI60 - If Permit Fee is less than $1,000, surcharge is $.50. Permit Fee - If Permit fee is > $1,000, surcharge increases by $.50 for each = $ ~ 00 Surcharge $1,000 Permit Fee (i.e. a $1,001$2,000 Permit Fee requires a $1.00 surcharge). ~-7 = $ L" - V TOTAL FEE GALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. wwwsgopherstateonecall oro 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 t approved plan in the case of work which requires a review and approval of plans. x . mn4w Applicant's Printed Name ` Applicant's Signature FOR, OFF}CE USE R~1►lewecl $ )Jots Required Inspections: Under Ground FEW 'in Jr Test' Gas Sets W Test t Gr~Ht` :~FHs81 Exterior HVAC Pt*041nspectloO INSPE ' 'IO RECD ~ 0 2 $ 2 .w, K t5 FAGAN PERWTYPE: Eagatt,. MnOMWft 55123 Date C&At1Ocf: (612) 6814*76 Y 8'TYPE TYPE Of WORK: 0 "1 Pe"PA 006 Pam* Hotder Q~ Toeptwo • fives' c~v 09 19.11 84,~o©a5 0(1p1I Deft wp. ConwneM f Foo*vs I a RremkV PAO" nough PIV. Rough Htg. F IGL- Omat TOM :t FMW Pbo. Plbg. kqmkx - ter Plumber cone!. MeW Engr~ Bldg. Fes! Deck. Deck Hold Wo1t , Pr: mw. (Irdifirafr of (Orruvaury Citp of Cagan 'arvahaw of lu"Wo 3wertim nu Certificate issued pursuant to the requirements of Section 306 of the Uniform Building t., 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. UN aaufflca6oa SF DWG/GAR M& RTrym~ii No. 255 -V- R- 3 M- 1 R-1 Of MITTELSTAEDT BROS 785 SUNSET DR., EAGAN, MN Am- A RIDGE L, B, BLAG A GE 1ST so8ai~ Locality JUNE 24, 1992 Daw 'Ifudding Official POST IN A CONSPICUOUS PLACE Ad$ress: 1521 BLAUKHAWK RIDGEoC,T 9Blk 2See/Sub BLACKHAWK RIDGE These items were/were not complete at the time of the final inspection. w Date. JUNE 24, 1992 Yes No Tnq Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gases Sod/seeded grass Trail/curb damage Porch Basement finish , 'µr 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. 4 PECYCLEOPWER White - City copy Yellow - Resident copy Pink.- Contractor copy 06397, Request Date Fire No. Rough-in Inspection Re wired? Q Ready Now lI Notify Inspector Yes ❑ No / - When Ready? ly licensed contractor D 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 Occupant (PRINT) Phone No. Power Suppliers Address Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Ownen Making Installation) Authorizedgnature (Contr c1orJ0wner Making Installation) Phone Num er MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ~SNEy~ REQUEST FOR ELECTRICAL INSPECTION e6-00001-08 h lo- J 063Q7 See imAructions for completing this form- on back of yellow copy ,mo"X" Below Work Covered by This Request a r New Add 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 /r Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: ,f TOTAL Irrigation Booms ' f ~ 9' ~r Special Inspection I N--- Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT. f, the Electrical Inspector, hereby Rough-in Date`7L~ s; certify that the above inspection has Final Date been made. -Y~ OFFICE USE ONLY This request void 18 months from s PERMIT GITY OF EAGAN X830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 9 8 0 (612) 681-4675 Date Issued: 10120197 SITE ADDRESS: 1521 BLACKHAWK RIDGE CT LOT: 9 BLOCK: 2 BLACKHAWK RIDGE P.I.N.: 10-14400-090-02 DESCRIPTION: (NO BEDROOMS) Building Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge .50 Total Fee $50.50 a CONTRACTOR: OWNER: - Applicant BATTAGLIA PAUL 1521 BLACKHAWK RIDGE CT MN 55122 EAGAN (612)296-8904 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. Ima bad M9 APPLICANT/PERMITEE SIGNATURE ISSUEIYST. I A R 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)d , CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes No DATE: ---0// S- CONSTRUCTION COST: DESCRIPTION OF WORK: ~cr ef'Gh .1 t -~/•1115, 1 S A STREET ADDRESS: S Ri LOT BLOCK SUBD./P.I.D. PROPERTY Name: Pau Phone OWNER L,s. FIRST t~ Street Address:. / S d/ ~~a c k ti, w k ~4P 1 City: G 211A1 State: Zip: s a t CONTRACTOR Company: S e / f Phone Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licerced plumber (new construction only): Penalty applies when address change and lot change are equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is rrect and gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY 19 v a v D Certificates of Survey Received Yes No C, ;1 J ti 197 Tree Preservation Plan Received Yes No Not Required 4ve~ OFFICE USE ONLY S BUILDING PERMIT TYPE o 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging j2r" 16 Basement Finish o 02 SF Dwelling o 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool o 03 SF Addition o 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility o 04 SF Porch o 09 12-plex o 14 Fireplace ❑ 21 Miscellaneous o 05 SF Misc. ❑ 10 _ plex o 15 Deck WORK TYPE I ❑ 31 New -EI'0'33 Alterations o 36 Move 0 32 Addition o 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 413y Depth Footprint sq. ft. SAC Code 0 Census Bldg i _ Census Unit APPROVALS Planning Building /w8 Engineering Variance I Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies C) .zS Total: % SAC SAC Units - - PERMIT Control No. 0228 z CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000255 (612) 681-4675 Date Issued: 04/15/92 SITE ADDRESS: 1521 BLACKHAWK RIDGE CT LOT: 9 BLOCK: 2 BLACKHAWK RIDGE 1ST DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning PO R-1 Building Length 70 Building Width 54 REMARKS: RECEIPT -111.61S ~6,~ MCDONALD PLBG. PRV FEE SUMMARY: VALUATION $131,600 Base Fee $748.00 MISC FEES $1,610.50 Plan Review $486.20 COPIES 1.00 Surcharge $65.50 Total Fee $3,611.20 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,999.70 CONTM,q pR - Applicant - ST. OWNER: MfiTt ~ t'AEDT BROTHERS 14569125 0003 43 MITTELSTAEDT BROS 785 SUNSET DR 785 SUNSET OR EAGAN MN 55123 EAGAN MN 55123 (612) 456-9125 (612)456-9125 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. APPLICANT/PERMITEE SIGNATURE ISS BY: SIGNATURE - - - - Control No. - INSPECTION RECORD I 0228 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000255 Eagan, Minnesota 55123 Date Issued: 04/15/92 (612) 681-4675 SITE ADDRESS: LOT: 9 BLOCK: 2 APPLICANT: 1521 BLACKHAWK RIDGE CT MITTELSTAEOT BROTHERS BLACKHAWK RIDGE 1ST (612) 456-9125 PER SF" MIT&BTYPE: TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. SITE FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT N MCDONALD PLBG. PRV 1992 BUILDING PERMIT APPLICATION CITY OF EAGAN / RE©UIREMENTS: SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY tAWLC MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE OR 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. To B Used For: Valuation: Date: Site Address % 7- OFFICE USE ONLY Lot Block FEE Occupancy Bldg Permit Parcel/Sub 4 em_ - 6 T Zoning Surcharge Actual Const Plan Review Owner Allowable License Fee # of stories SAC, City Address Length SAC, MWCC Depth Water Conn. City/Zip S.F. Total Water Meter Footprint S.F. Acct. Deposit Phone S/W Permit On-site sewage S/W Surcharge Contractor t L , ;,g , On-site well Treatment PI. MWCC System Road Unit Address :2C _4 a City water Park Ded. PRV Trail Ded. City/Zip Lq&'qn/ AV, Booster Pump Copies SUBTOTAL Phone 1/!~&%;5License_ 6tb 3 yy3 APPROVALS Penalty Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # Sewn r/WaterLicensedContr. jV, ho,c'V "&Z' . Processing time for sower/water permits is two clays-once area has been approved. "/Q' -,;(7 - agrees that all work shall be done in accordance with ignature o ermittee all applicable State of Minnesota Statutes and City of Eagan Ordinances. ! PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot change is requested once ermit'is issued. Date / / Valuation of work Site Location: STREET STE S Tenant Name: LL.T ( BLOCK SUBD. j3 LACK)-IAWK 1e~1~lTL. P.I.D. is T Aa~i-n oN Description of work: The applicant is: ❑ Owner ❑ Contractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: I OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural 02 SF Dwg. ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 19 31 New ❑ 34 Remodel ❑ 37 Move ❑ 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy R-3 M-( Basement sq. ft. MWCC System YE 5 Zoning D ! 1st F1. sq. ft. City Water E s Const. (Actual) V-N 2nd Fl. sq. ft. PRV Required y0i (Allowable) V -Al Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ~o On-site well Census Code /0/ Depth On-site sewage SAC Code o! APPROVALS Planning Building 2- D,5 Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee 9LA 8, 0 Valuation: S J 31, Surcharge Plan Review p (1R~2A~brE ; 91K;L0.- LI20 License 10 X A0 = P-00 MWCC SAC 700-00 r oz 16 ' `T9 2 0 City SAC 160 , 0 $ a`iX32-7C~S Water Conn. , p p 2 X _ C9~ Water Meter Acct. Deposit o. D 6' x 15- ~C~FD jQ S/W Permit S/W Surcharge C.~we(` .50 Treatment Pl. 0Q. c's a 4 2= '2 Road Unit g Park Ded. Trails Ded. Copies I.o L-k-.JQs Other gsnT-- 672 Total: L.~e,,1 _ Ego SAC 96 /00 I'~x9 -rl S~ q SAC Units x~ _ r7 y,3 DATE . j~gt Zy 7 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER r~J Ti46 "1 "&=tQ.J SITE ADDRESS / / /'~j t ,r3i : l~r~j• f l /1(,~i 7- CONTRACTOR -f-t-E L4~TM E AT i l -11'erK ~&TIL e-ADDRESS 7 $ ; L7~.CT t\A tkLoU) PHONE y~(9.• Qi DETERMINE WORKING SQUARE FOOTAGE OF EACH. 1. Total exposed wall area ?jj22-rj, 3 sq. ft. x • 11 D " .3 q. Aj 2. Total roof/ceiling area Iq 7 g, p sq. ft. X .026 Total exposed wall area above floor - 2,lqj 10, a. Total wall window area 2 5L,9 b. Total door area 3g,•~ c. Total sliding glass door area &3, ln d. Total fireplace wall area O e. Total wall framing area (average 10%) 30 2. 7 f. Total net wall area above floor I Q 2, Q. g. Total rim joist area 3b~ , 2 Total exposed foundation area h. Total foundation window area 3 i. Total net foundation area above grade 100.10 Determine fluff value of each wall segment. a. 2 5G• 9 R 'full • b.- 3q, v X fluff , 017 C. G 3,~ X fluff 4(2 26,'7 d. O X fluff Q O e. 302 .'7 R fluff 33.3 f. 1 ~Q1.2 x fluff .0434 92. / g.- 34< . 2 X fluff . o y U - /5" 9 h. 11, 1 X frull 8 47- 41, -7 i. 1 f10, D X fluff tip 3 . ...............................Total Q 0 77772 If item #3 is the same as, or less than item #1 ave met the intent of SBC 6006 (c)2. -I- - Total exposed roof/ceiling area /y i7 $ J. Total skylight area k. Total roof /ceiling framing area (average 10X).. ~,y/ 1. Total net insulated roof/ceiling area 3 8 5. L Determine "U" value for each roof/ceiling segment. J. X fluff n a a k. X fluff ,0258 2, Al X f,Uff . Gal r 8 • 3a. 2 4 ..........................................Total • IC 3 1 ' ff If total of #4 is the same as, or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items A3 and 114 shall not be greater than the sum of items 111 and #2. + 2. • 3. + 4. • -2- rif r O~UtOB SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS. CONST. l I NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL S VERTICAL LOC- ATION OF STRUCTURE ONLY. SEE ARCHITECTUAL PLANS FOR BU ff -Ilk 8 FOUNDATION DIMENSIONS. NOTE: NO SPECIFIC SOILS INVES TI HAS BEEN COMPLETED ON't e y LOT BY THE SURVEYOR, SUITABILITY OF SOILS TO THE HOUSE IS NOT THECRESPONSIB Ir. T IFA As ENGINEERING DEPT THE SUWEYOR. dQ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET 0 DIwNO T ES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 8~4.¢ FEET X000,0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - Sr_~• 4- FEET DENOTES PROPOSED ELEVATION PRO) (5~ TOP 'OF~ BLOCK S(-S. ~ FEET WE r-iEREBY CERTIFY TO MITTELSTAEDT BROS_ CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTAT,ON OF A SURVEY OF THE BOUNDARIES OF; Lot 9 , Block 2, BLACKHAWK RIDGE, according to the recorded OUT thereof, Oukoto County, Minnesota. IT DOES r,-40T -P!jRPORT TO SHOW IMPROVEIMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED L'r ME DR UNDER MY DIRECT SU VISION THIS 2ND DAY OF APRIL '199a PRIOPOsED r7RAOES SHOWN WERE SI ED; JAM HILL, INC. TAKEN FROM THE GRADMO S DEVELOPMENT PLAN FOR \ 6,y BLACKHAWK MIDGE, PREPARED - BY PIONEER ENG. JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 vs ` M n 4 m James • Hi Inc. z rn > s M "U PLANNERS / ENGINEERS 1 SURVEYORS rn~ cD , I i 1 Cn N m 'n z 2500 W. CTY. RD. 42 * BURNSVILLE, MN. 55337 * 612-890-6044 F SUAVEYOR'S CERTIFICATE MITTELSTAEQT EROS, CONSTRUCTION -I- I 1 I G r J ~ F 4 t b" ~ 1 S ~`&Q~' o cp) p ~ \ LOT r./ I R' N N t^) 0 ~yOVSh`ri N N i ~ l 4~ 8r _ 1960 23.8 ~~Ic. 4 J - I --1 ~z S6 X861,5 8.0 tj 1- f P~'QPQSr~ D 1' { 51 ~ 24 0 ~i~ ' h o 140 - - - _ o BENCH MARK a ` -gam 20, Q j ~.p 1 r---TOP OF P IPE 9.61 : 8~i3,73 aE:N-ll MARK TOP OF PIPE = i C1.~51 00 ~,as,i~ ~ o PROPOSEb s~~\ QRIVEW4y r J Lax i 1 Q J~,~ c-Z_.~?~ 8614 56.78 8s2. i 171 Ill N i 'R W~k • !$g.Zg RIDGE- COURT SCALE ' I INCH a 30 FEET T~D z Jam > Hidlinc >N:~j FC ANNERS / ENGINEERS I SURVEYORS 1 n `p j ; 1 0 W . CTY RD, 42 0 BURNSVILLE, MN. 55337 * 612.890-W44 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # Cl l 77Y DATE : ?1 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST '25__ ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 / BATH TUB 3.00 LAVATORY 3.00 j OWNER NAME: KITCHEN SINK 3.00 / LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TUB/SPA 3.00 p ! WATER HEATER 3.00 LOT: / BLOCK e,2-- SUBD. / FLOOR DRAIN 3.00 INSTALLER: GAS PIPING OUT. pp (MINIMUM - 1) 3.00 ADDRESS: ROUGH OPENINGS 1.50 OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE SUBTOTAL $ ST. SURCHARGE .50 '-SIGNATURE OF PERMITTEE TOTAL: ~OMtE(G2A"::!IDLfSRAL 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 i OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN~f FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ~iEOt~AN'TCRMIy DATE : - 9N'' T- L" PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST Ll ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU K,~W REPAIR ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM 3.00 l OF 1 PER PERMIT OWNER NAME : 0 ,rte SUBTOTAL: SITE ADDRESS: QC /IGL,~ 1t v(i STATE SURCHARGE: .50 LOT : BLOCK SUBD. d~Q e_-4&kJ)L, i ck, z TOTAL : INSTALLER: Burnsvilie iicating & Ate ine. am~- A%V~ 12481 Rhode Island Ave. So. ADDRESS: ATU OF PERMITTEE Savage, IVIN 55378-1122 - C/ Y`Y-ir v t~~tt e.<~S.QCc~ 894.90 CITY: P. 3~''C 1~. O o '_ry 14* PHONE c4- - t d b,bkMERCIALjINDUSTRIAI 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. _______.._i______________________________________________________________ - CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 _ LOT: BLOCK SUBD. _ $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 70 OrD 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan If lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost c~ ` ,~/C1 Site Address JC, P Unit/Ste # Description of Work Teclr &C/ Multi-Family Bldg - Y - N Fireplace(s) _ 0 _ 1 - 2 Property Owner R, L IJt~ ~G~C d °L Telephone # (&,-t) ~2CJ -G r!~f Contractor k16_7C_ Address 1 f City State Zip 1 16 Telephone # 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 (4 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 which requires a review and approval of plans. J re H- P Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total grEcTiONArcolk!) EAGAN OF, PE TYPE: U R116f Knob Road + Permit Number: Eagan; ,RAinnesota 55122-1897 Date Issued:. 43 ? (612)'681-4675 SITE ADDRESS: u, APPLICANT: t6 .l BLACK!#AW* t 106 CT A# KAQVIA PAM PERMIT SUBTYPE: TYPE OF WORK: BASEMENT PINTS A Of 141PT1 44 two VOitt4t*s) INSWATION tit 74-ft" 9 'j -7 17, r~ ~ J I i' i' 4 }n t l I J 1 L Permit No. P~ Holder Telephone 9 M* Comm ft FOOTIM" FOUND 000" ROUGH. - PI.L" AIR TEST ~ ROLJC`H HEATM TEST avc INSUL i 4 GYP BOARD FIREPLACE r FFIREP CE FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL PERMIT City of Eagan Permit Type:Building Permit Number:EA117586 Date Issued:10/21/2013 Permit Category:ePermit Site Address: 1521 Blackhawk Ridge Ct Lot:9 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-090 Use: Description: Sub Type:Reroof & Siding & Windows/Doors 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. 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: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Paul A Battaglia 1521 Blackhawk Ridge Ct Eagan MN 55122 Bear Roofing Exteriors 2000 Oak Knoll Dr White Bear Lake MN 55110 (651) 407-1987 Applicant/Permitee: Signature Issued By: Signature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`&\[ K,421#&(&"2 2.#*2 U;88&I2*3L*,C&(L,&Z7:U7&"#2$%M2C%&E*).,&G E =,L*##,&FZ&&::77'X2.2+&FZ&&::7UU QW:U\]&WV:9\\\\;: 5&M,3,>@&2$%+ C#,).,& M2 &5&M2L,&3,2)& M*=&2AA#*$2 * +&2+)&= 2 ,& M2 & M,&*+O 3K2 * +&*=&$ 33,$ &2+)&2.3,,& &$ KA#@&C* M&2##&2AA#*$2>#,&/ 2 ,& O&F*++,= 2&/ 2 1 ,=&2+)&G* @& O&X2.2+&J3)*+2+$,=N (AA#*$2+ D4,3K* ,, &/*.+2 13,5==1,)&"@ &/*.+2 13, PERMIT City of Eagan Permit Type:Building Permit Number:EA139779 Date Issued:11/08/2016 Permit Category:ePermit Site Address: 1521 Blackhawk Ridge Ct Lot:9 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 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 - Paul A Battaglia 1521 Blackhawk Ridge Ct Eagan MN 55122 (651) 407-1987 Bear Roofing Exteriors 2186 3rd St, Suite 107 White Bear Lake MN 55110 (651) 407-1987 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175083 Date Issued:03/11/2022 Permit Category:ePermit Site Address: 1521 Blackhawk Ridge Ct Lot:9 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-090 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Paul A & Nancy W Battaglia 1521 Blackhawk Rd Ct Saint Paul MN 55122 (763) 218-9177 Twin City Heating And Air 10600 University Ave NW Coon Rapids MN 55448 (763) 757-4678 Applicant/Permitee: Signature Issued By: Signature