3787 Blackhawk Ridge Pl..
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This Certificate issued pursuant to the requirements of the Uniform Building Cade
certffying 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 foltowing:
SF DSiG/GAR 973
Use C7assification: Bldg. Pecwit No.
OccuPancY TYPe v 'vtt1V
?4?UA?1,sma 6 , ..HAT.ft -51..' t,t -S'1 : PAUL
Owner of Building 3787 ? 2
4 . } BLAC
Building I.ocaLry
? JANUAIZY 29y 1993
naW.
saiiaing official
PQST IN A CONSPICIlOUS PLACE
Address 3787 BLACKHAWK RIDGE PLACE
• .
LOt 2.
? BIIC 2 Sub BLA?KHAWK RIDGE 2ND
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 1/ 29 / 93 Yes No Inspector:
Final grade (6" from siding) V",
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas
Sod/Seeded grass V
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 fteeze potential exists.
Contact engineering division at 681-4645 before working in tight-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Zip 5512.-,9-
K 5 76?a? 9a°?
Request Date , . ire No. Rough-in Inspectio?
Required?
Ready Now ?WiIV Notify Inspector
$? °?s 9Z ^ KXes E? No When Ready?
kKlicensed contractor E) owner hereby request inspection oi above electricai work at:
Job Address (Street. 8ox or Route No.) p Ci ty
i
D
Section No. Township Name or No. Range No. Gounty
?
1COT A
Occupant (PRINT) Phone No.
? - 1- 801) o
Power Supplie
?i4 dT? ?---LCC c Address
F4,?C'rri tnG
Electricai Contracror 1Company Name1 Contractor's license Na.
CA o u3z
Mailing Atldress (Contract or Owner Making Instailation)
55 Izz
Author¢ed Srgn r'e?4Con? riOwnefr °?King InstaAation)
[ ?C?? Phpne Number
3 b332
MINNESOT0. STATE BOARD Of ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPEfl INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REGIUEST FOR ELECTRICAL INSPECTION
? See instructians for wmpleting this form on back ot yeilow copy.
K- Q 57? V °X° Below Work Covered by Thrs Request
Ea-00001-08 ew Add Rep. TypeofBuildinV AppliancesWired EquipmentWired
Home Range Temporary 5ervice
Dupiex Water Heater Electric Heating
Apt. Building Dryer Other_(Specify)
Comm./indusiriai Fumace
Farm Air Conditioner
Other (?pecifl j Contractor's Remarks:
Compute Inspectron Fee Below:
# Other Fee # Service Entrance Size Fes # Circuits/Feeders Fee
Swimming Pooi 0 to 200 Amps 13 1$ 0 to 100 Amps •T,2,,,
Transformers Above 200 Amps Above 100 Amps
SignS inspector's Use Oniy: TOTAI
Irrigation Booms ?Y
Special Inspection
Alarm/Communication THIS INSTAILATiON RAAY BE ORD ED DISCONNECTED IF NOT
Other Fee ,C-,9 COMPLETED WITHIN 18 MON ,:
I, the Eiectricai inspector, hereby Rou9n-in e ,..
certify that the above inspection has
been made. Final ! Date
OFFICE USE ONLY ?
This request void 18 months from
? CITY, OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
I (612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
000973
07/16/92
SITE ADDRESS:
3787 BLACKHAWK RIDGE PL
L07: 23 BI,OGK: 2
BI.ACKHAWK RIDGE 2ND
DESCRIPTION:
°-°Bu_i1d't_ng Permit Type SF f3WG
° Buiic#i6g.:;;Work Type NEW
? iJ?3C Uecup?s?r R-3 M-1
Constrca?tiort YPe V-N
Zonirtg RD R-1
Buitldirr'g Length 67
Bu.ilding Wid°th ' 40
BU41ndinn storie's e ' 2
b
M
? A?
? e ?
mmw s
W 4r as ?m m,?
? aa P -??
edv. ,. ? ?
REMARKS:
PRV S& W CONTRACTOR - JANECKY PLBG
FEE SUMMARY:
Base Fee
Plan Review
5urcharge
5AC
SAG $
SAC Units
Subtotal
VALUATIQN
$926.50
$602.23
$91.00
$700.00
100
i
$2,319.73
$182,09@
MISCELLANEpUS 11,610.50
Total Fee $3,930.23
CONTRACTOR: - applicant - ST. LICpWNER:
MCALLISTER CQNST 14518070 0003885 MCALLISTER GONST CO
1960 CNARLTON ST 1960 CHARLTON 5T
W 5T PAUL MN 55118 W ST PRUL MN 55118
(612) 451-8070 (612)451-8070
-a d this 'applibAUon and that'l-
?ct?t?rl y with ° ar'li `60,p1 icat?14 e S"t?ts m
es.
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
3787 BLRG!
BLACKHAWK RIDGE
PERMIT SUBTYPE:
S F DWG
TYPE OF WORK:
Control No. 0810
Control No. ? a -1 e
BUILDING
000973
07/16j12
NEW
INSPECTION
F40TING .. .
FRAMING .A
INStfLAl'ION FINAL -
FIREPLACE
REMARKS: PRV S& W CON7RACTOR - JANECKY PLBG
F-
I L - ; , - -? ?
Bv: s
PERMIT TYPE:
Permit Number:
Date Issued:
LoT: 23 BLOCK: 2 p?PPLICANT:
CHAWK RIDGE PL MCALI.ISTER GpNST
2ND (612) 451-8070
FERMIT #
REACT I Y'WE t
,- .
CITY OF EAGAN
1992 BUiLDING PERMIT
681-4675
APPLICATION
'T AWe +C,`„J
L-4?..? I - !?'
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 typinq of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work ,??. D8o
Site dress: 9- 7
STREET SIJITE ?
Tenant Name: (conunercial only)
IAT ? BLOCK SUBD.? P. I. D. #
Descri tion of work;
The appl i cant i s: D Owner O Co tractor ? Other (Descrtbe)
Name < Phone YX I 7l?
Property LAST FIRST
Owner o
Address
STREET 5TE ?
C i ty ?? _ ?Q,??i • State Z;
p i
Company ? Phone
COf1t1'8Ct01' Address ? license # 6603? Ex
? P•.,31,131/f?'
City State Zip
Company Ze- Phone
Architect/ -
E11gi11C@t' Name Reg i strat i on #
Address G ?
City State ? ZiP,?1l?
Sewer b water licensed plumber . Processing time for
sewer. & water permits is two days ce area as 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:
BUILDING PERMIT TYPE
O 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Parch
? 05 SF Misc.
WORK TYPE
M 31 New.
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
El 07 4-Plex
? 08 8-Pl ex
O 09 12-Plex
? 10 Muiti. Add'1,
O 33 Alterations
? 34 Repair
GENERAL INFORMATION
,_*
,
'.,..
? .?.?? ? r?
? 11 Apt./lodging
? 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
O 15 Deck
O 35 Tenant Finish
O 36 Move
y ? r
a
? 16 Basement Finish
? 17 Swim Pool ? 18 Comm./Ind.
? 19 Comm./Ind. Mise.
? 20 Public Facility
O 21 Miscellaneous
D 37 Demolish
Const. (Actual) VXI Basement sq. ft. MWCC System k-
(Allowable)
UBC O z,/
T lst F1. sq. ft.
d F
2 ? City Water ,?-
R
d
-
ccupancy 3 /4-1
? n
1. sq. ft. )3/pp PRV
equire
k
Zoning Sq. Ft. total Booster Pump
# of Stories z Footprint Sq. ft . fire Sprinkler
length ?,733 On-site well Census Code IQI
Depth 1/0.33 On-site sewage SAC Code 01_
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTI ONS
? Site lR Footing 19 Framing 0 Insulation
O Wallbaard 0 Final -O Draintile O Fireplace
Permit Fee
Surcharge
Plan Review
License
Mrrcc sac
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: _
SAC %
SAC Units
?-zrr / 2 z
% 2.S.r ib
z8
3=
Yaluetian: ooQ
g?, _IS#-
?ySk ?o ? l0 3
?SX z J 3?
1-5• ?,7..? 20 . 3i 3,
1y3?,`?x?g
?_ _ ..
I d..?- 2. 9 ? 5 z 2
* PIONEER
* engineering
* 4( * *
V,ND SURYEYORS • CIWL ENpNEERS
--
°----
IAND PLANNERS • U+NDSCAPF ARCFfITECTS
2422 Enterprise Drive
Mendota Heights, MN 55120
612) 681-1914•Fox 681-9488
625 Highway 10 Northeast
Bla+ne, MN 55434
612) 783-1880•Fax 783-1883
Certificate of Survey for: McAllister Construction Cn.
House/ 'Address: Blackhawk Ridge Place Eaqan, MN
--
?? ?
?
?°•o113`? R/DGE p UACE _
_-
i Zg1655'4?:• ??------_ -'?? . n E
'? E R= 137.22 ?6,--
42.2
i 3 29-56'02" S 9g 84a.,
sa2._2_ - _
--?
L=71.69
I ?
--7
DRIVEWAY ? I
? < 843,1?)
-T-- -- 38.4r1 ?
31.19 10.0 0 22.67
.= a6 0 15.50
I U I'N N? ,i ? to GARAGE 19.16 N
' Q
12.33
I m 'N N ? W 30 PROPOSED HOUSE
1 11 12 COURSF 6ASEMENT ?
2779 xo 25.50 °. 29.50 ? 19.18 ?
, N
-7
-?`-. s oz o3 39° E _
635.7
\ , J co co
1 ?
, \ \
1-) 7i
`n cr \ ?' ?? '
cP
z ..?_
0AT$ O cl
\ J \ O / T £ .. ? ?- _.M
"
\ \ IL
53•6 45" W
. 900.0 Denotes Existin Elevation ? p8'30
g PROPOSED_H_OUSE _ELEVATiON
X 900.o Denotes Proposed Elevation -- -
----- - Denotes Drainage & Utility Easement Lowest Floor Elevation: 836.25
- Denotes Drainage Flow Direction Top of Block Elevation:844.36
-a- Denotes Monument Garage Slab Eleva?ion:844_03
---Ei-- Denotes Offset Hub Bearings shown are assumed
LOT 23, BLOCK 2 BLACKHAWK RIDGE
DAKOTA COUNTY, MINNESOTA 2N D A D D I TI 0 N
1 hereby certity that this survey, plan or report was prepared by me or under my direct wp?rvision and that 1 am duly Registered Land Surveyor
?.-
under the laws of the State oi Minnesota. Dated this? day of !t:) V LA.D. 19
/
Scale. 1 inchl30fet
OBER . SIKJ ?.5. REG. NO. 14891
CITY OF EAGAN
EXTERIOR ENVELOPE gVERAGE 'U' COHPUTATION
OWNER: ?`?'"LL/.- ? TL?A
+-- -----.,.- ,-----.---
SITE ADDRESS:
CONTRACTOR: DATE: ? U PHONE: ,^z??? 2V
Determine Working square f age of each:
1. Total exposed wall area ... sq. ft. x .11
2. Total roof/ceiling area ... I r1 f ?, - _`"? sq. ft. x .026 = q `'? ? s-9
Total exposed kall area above floor 2?
a. Total wall window area ............................ L-11 2,-7 ?
b. Total door area ................................... 1-`12 ,t,-,J
c. Total sliding glass area .......................... -79?'7 a
d. Total fireplace wall area ......................... -°
e. Total wall framing area (average 10%) ............. 3?i -L
f. Total net wall area above floor ................... 2 L7 32? .9 '7
g. Total rim joist area .............................. "?,C) 2.<'2-?
Total exposed foundation area - ?7 -7 , S-1
h. Total foundation window area ....................... -
i. Total net foundation area above grade .............. 1'77.JJ
Determine 'U' value of each wall segment:
a x + U'
b . ? .r- 77 x ' U'
c . x ' U'
d . x ' U' _
e 76 x ' U' 1 c? L4 _ 35. t? Z,
f x + U ,
` 1'
9. .12- X 'U, w c? i?-? - 'r t
h. x 'U' -
i . t ? ?1 I s x ' U T _ 7 R
?'6
3 . ................................................... Total = ? 2 `?, QIf item #3 is the same as or less than item #1, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area
j. Total skylight area .............................. -`
k. Total roof/ceiling framing area (average 10%) .....? ?l??
1. Total net insulated roof/ceiling area..............
OVER
Determine IU' value for each roof/ceiling segment:
J • x ' U'
r--
k. X lUl
„
i. `??-2-. ? X v
;.
. c7
_ „> t
4 . . . . . . . ..... . . . ..... ......... . . Tot a 1 =
........................
If total of 4i4 is the same as or less than #2, you have met the intent of SBC
6006(c) 1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values L-stablished by the sum
of Items #3 and #4 shall not be greater than the sum of Items #1 and #2.
2. ` ? ? • j p1_ _ ?' ? t? ` i ? ?
3 . Lt 4 . s-? 11 2.?-
2
SINGLE & DOUBLE FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Root - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. EYterior overhangs will be considered as eYterior wall.
• 5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. Al1 insulated areas must be separated from'the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
AKraft -lace R-19 type insulation.will be accepted in the rim joist
areas. Air chute batfles are to be placed in every rafter space.
GW DEUAE TO (R) f'ACiURS rr.orl !„NRA[ ttl,rlUAL •
. OF TY PICALLY USCD PROGUCTS •{ • t,
tnterior Air Film (valls)
E (R)
0T0
Gypsum or plas[cr board 3/8" (R)
0
32
aterior Air Fllm (t1a115)
In[cr{or l, ir Film (Vc•nted Ceilinq
) 0.17
0
61 Gypsum or plaster board 1/2" .
0.45
Extrri,•r Air Fllm {Vcntcd {eiling
) .
0.61 Gypsum or plastcr board 5/0"
PlywooA 3/8" 0.56
- Intcrlor Afr Filn (tlcn Vented)
0.61
Plywood 1/2" 0.47
0
62
Exterior Air Fflm (tloii Vented) 0.17 PlyNOOd 3/4" .
0.93
ltumlnum Sidinq
0
61 Sheathinq, reg. density 1/2" 1,32
Aluminum .4ih Batker .
1.82 Sheathin^, req. density 25/32"
Nail-Aase Shea[hing 1/2" 2.06
1
14
Aluminum .rith Backcr 6 Foiled 2.96 ,
I/2 x 8 Lcp Sidinn (Glood) 0.81 euilt-up Roofs 0
33
7/16 x 12 tlard6oard Sidinq 0.67 Asbestoz-cement shinqlcs .
0
21 '
Asbcstos Sidinns 1/4 Lapped
Stu
o (O
d 0.21 Asphalt roll roo(iog .
0.15 .
cc
rc,,,n an
Finish Coat) --. Aspahlt Shingles 0.44
3%4" l:ood Subfloor or Sheathing
1/2" Pl 0.94 inzulation: 2-2 3/4" Fiberqlass 7.00
Ywood .hcathinq
' -. 1/2" Particlc tlo
rd 0.62 Insulation: 3 1/2" Fiberglass 11-.00
,. 0.66 Insulation: 6" Fiberglass 19.00
tt00D5: BlOL1IHG IJOOlS
---
Fir, pinc t s(milar soft t7oods 1 1/2" 1.89 Approx. 3,
,- 9.00
2 1/2" 3-12 Approx. 4 1/2" 13-00 •.
3 1/2" 4•35 Approx. 6 1/4" 19.00
S 1/2" 6.87 Approx. 7 1/4" 24.00 ' .:
' Approx. 14" • 30.00
Approx. IS" 40.00 ' -
AII other insula[ion materials mus[ 6e ". '
Fllled verified (R Factor)
8" (R) Vermiculitc -
Concrete Block (S E G Reg.) 1.11 1.93 -
12" Ccncrete Block (5 C. C Reg.) 1.28 3•15 '
S^ Ligh[ tlciqnt 2.18 5.03
12" Ligbt t:efgh[ 2.48 5.82
NOTE: (U) x Area Square Feet
?Lk
All t/1nAovz
(w/Sto ms 1" to 4" Spacc) .56
• - .- .. - _ .
Removal Oouble Glazing (RDG) .$S .
Thermo or welded 3/16" air space .69
1/4" air space .65 _
1/2" air SPdCC .SB
, (Other windows specifica!?y tested can
use better
retings) . . . . . ..
1 3/4 Sol(d corc door .46 , • • -
W/5[orm, wood ,jl _
w/storm, metal .26 '
'
Pease StcelDoor Ins UC/Cl 7.45R .13 .
. _.
Slldinq Glass Door, llood .65 .
Metal
. • ? ,715
-- •
- ?-- - --- - - -- - - .
--.
PIINI;N,1i "U" E'ALUE r'1?\D R-FACTOR AT P.OOF, jdALL, RIl`i AiND CONCRETE BLOCI;
-?
Ro?F j C?.IL(NC,
. O 5??'` UYP P-D.
? INSULA ??oN 44- • ?
OO EX jEt??o('- AtR F1LM C, r
it rl
U = ToTAt- (tz? = ys ? ?
. ,,
? LL - ? ?f?r•???
OO tN t?Pl?? A1t? ? ??? I1AL_
Q 112 ` GYP.. : g ? ?=
O Z6?" Ir1SULA
T S/z
Q 7-5.3z?t $?l%7 ,?l?c • . „ _
'toN(-(c StDI?C? ? ?' ?
. tt EXno; k.
-jopL CR) _ 2-1
J'G
? • ? ? ? <?? ?{ ??t??
FI[z-
n
? 15 Z5 sz
' ? . Z??T"cR1DtZ AlR FlL(`1
I, Ut,
. ?o;J?DATto;-t
tN -1Et7IZ Atrc FtL.t-t Ctz) vt?t??
? _. . . .
? Ll
O I " ?, ao.
(D . C, (o? AlR FIC.M •e 1'l
« ull
.
Floors ove; unheated spaces must have rr,ininu.-I R-factor of R-20 (tuc.L--under garages).
Floors ovcr outdoor air (overhanos) nust tiave a mininum P.-factor of R-33.
CTTY OF EAGAN CITY USE ONLY
L o73 B? MECHANICAL PERMIT " RECEIPT # d
SUBD. ? k 2,"
Q, w
(612) 6814675 DATE :?
RESIDENTIAL
PLEASE COMPLETE UPPER PORTTON ONLY FOR SINGLE FANIILY DWELIdNGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERNIITS ARE REQUIRED FOR EACIi DPVELLING UNIT.
OV*74ER. ?/7 ?/?t`G L, S 7_ ? C ADD-ON A/ C E1DD-ON FURNACE ?
SITE ADDRESS: ? ADD ON/REMODEL (MSTING $ 15.00
CONSTRUCTION ONLI)
INSTALLER 'D ?'i" t4 ? ?7. ,.7 X'c HVAC: 8-100 M BTU -- 24.00
PHONE #: ADDTITONAL SO M BTU 6.00
. ADDRESS: /A. GAS OUTLETS - MINIIMUM 1 @ -$3 EA.
CITY: j(_??f'}. ? 7' ZIP: SURCHARGE $ .50
SIGNATURE: / % TOTAL: $33?5o
NO PERMIT REQUZRED FOR DUCTWORK ONLY!
- COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDING5. ALSO COMPLEfE FOR
APARTMENT BUILDINGS OR OTIiER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER:
SITE ADDRESS:
TENANT:
SUITE #:
INSTALLER:
ADDRESS:
CIT'Y:
PHONE #:
SIGNATURE:
CONTRAGT PRICE: I FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
S1,000 OF PERMIT FEE. $
PROCFSSED PIPING - $25•00 (?
I$
MINIMUM FEE - $25.00
TOTAL:
$
CITY SIGNATURE:
ZIP:
L r-'23 BL ? GITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
??D.?s????? ? (612) 681-4675 RECEIPT ? 0
pATE ? G
' RESIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT,
WORK DESCRIPTIOAT COMPLETE THE FOLI.OWING:
N0. FIXTtJRES EA. TOTAL
NEW CONST X- REPAIR/ADD ON 15.00
ADD ON t SHOWER 3.00
REPAIR 3 WATER CLOSET , 3.00
JL BATH TfTB 3.00 CO
14 c-14 t (c? ? L q
OWNER NAME:
v KITCHEN SINK 3.00 ?
-7
SITE ADDRES S: 3? g/ GAuC-10
4aWK R1 c' jG- LAUNDRY TRAY
HOT TUB/SPA 3.00
3.00 ?
I WATER. HEATER 3.00 ?
FIDQR DRAIN 3.00 ?
?f+1? 2 L
?? ? GAS PIPING OtIT.
?
?
INSTALLER: ? . t (MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50 _:"LW
ADDRESS: - OTHER
T WATER SOFTENER 700
CITY: ZIP; PRIVATE DISP. 15.00
' U.G. SPRINKLER 3.00
PHONE V W. TURNAROUND 15 . 00
STATE SURCHARGE .50
OF
TOTAL : S 50. Q Z)
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILAINGS. ALSO FOR MULTI-FAMILY
BIIILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
fiEAIANT NAME :
SUITE
INSTALLER:
tyUDRESS :
CTTY:
PHONE
FOR: _--
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE _ $.50 FQR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
$
COi+TTRACT PRiCE x 1%
STATE SURCHAR.GE $
TOTAL:
$
(SIGNATURE)
Volume No. __
Cert*lf• 1ca e of T*Itle
OWNER'S DUPLICATE CERTIFICATE
Ccr!r/iccrtc No. 8 3 8 6 7 Doccunenl No. 215905 District Court No.
,l_rnrts(cr (rocn No. R C 5 9 H Orrginally r•egistered the 18th ?/uy of April /g 59
Vnluunc Forty page 59
Sta.te of nZinnesota4ss
County Of Da.kOftt. Meritor Development Corporation
605 West Travelers Trail
ofnce City of Burnsvilie
Counry of rakota and Srate of Minnesota
is now the ocuner of an cstacc, to wi(: fee slmple of and in the
(o!lowing described land srtuated rn the Counry of Da/tota and State of Minnesota, to evit:
l.ot Twenty-three (23), Block Two (2),
in BLACKHAWK RIDGE 2ND ADDITION,
according to the recorded plat thereof.
Subject to the encurnbrances, lieris and interest noted by the memorial underwritten or endorsed hereon; and subject to the followrng rights
or rncumGrnnces subsistinq. as provided in I_aws 1905, Chapter 305, Section 24, namely:
1. Liens, clarrns, or riqhts arising under the laws or the Constitutron of the United States, whic% the statutes of this state cannot requrre
ro appear of record;
2. Any real propert y tax or special assessment for which a sale of the land has not been had at the date of the certificate of titte;
3. Any lease for a period of not exceeding three years, cvllen there rs actual occupation o/ the premises under the lease;
4. All rrghts in publrc hiqhways unon the land;
5. Such right of appea( or right to appear and contest the application as is allowed by law;
6. 7'he riqhts of any person in possession under deed or confract for deed from the owner of the certi(cate of title;
7. Any outstandinq mechariics lien rights which may exist under sections 514.01 to 5I4.17.
Thnr rhe snrd Meritor Development Corporation is a corporation organized and existing cnder XXMAWX??tXXXXXXXXX??.?
0?y??,??t/XXX the laws of the State of Pennsylvania. XX???{XXXXXXXXX%j?¢xiXXXX XXXXXXXXq?? ?j?AJ.
»&fnPJJ 1111e),ro 1 have h r unto subscribed rny name and a?xed the sea( of rny o?c?e,
lhrs l?t? da,y of h?aY 19
JAMES N. DOLAN
IZegistrar of Titles (Seal)
In nnd for the County of Dahota nnd Srate of Minnesota.
', t.A I ;.? rl
I1iEI11t/IilAi.
o/ F,R(a(eR, F'axementR or ChargeK on [he Land dexcribed in !he Cerlritcale of TZlle Aereto a(tac%ed.
DOCUMENT NIND OF DATE OF REGISTRATION OATE OF INSTRUMENT
noMetn IRSIRUMCNT MONTH onv YEAN NOU R MONiH onr rcnn AMOUNi RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR
A.M. P.M.
215904 Declaration f Pro ec ive oven nts and o he land )
Ma 17 198 3:0 4 27 189 - The Public James N. Dolan
63969 U ility Line Sept. 8 972 2 6 1 72 1.00 Town of Eagan
Easement ( erpe al Eas ents for anita y ewer urpos s nd other lands) James N.Dolan
739209 Pressure R ucin Va ve greem nt and o he lan ) Between City of Eagan and
Fe . 2 19 1 10: 6 12 2 19 - Meritor Development Corpc,rati n James N. Dolan
J4 t
2005 RESIDENTIAL BUILDING PERNIlT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
i 20, 18 qo zb
New Construction Reauirements RemodeUReaair Reauirements Oifice U5e 0nlv
3 registered site suroeys showing sq. ft. of lot, sq. ft. of house; and a0 roofed areas 2 copies of plan CeR of Survey Real . Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calcula6ons for heated additions Tree Pres Plan Recd _ Y_ N,
2 copies of pian 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 Qn-site Septic Sysfem _ Y_ N.
3 copies of Tree Preservation Plan 'rf lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buiidings w(ith 3 or less units)
Date Construction Cost
Site Address ? -7 87 6?x uwr?_ ?(?aC},p 4 CE? UniUSte #
Description of Work r) OL?Z. ? Gt&iA'. [l.e
Multi-Family Bldg _ Y1 N Fireplace(s) ? 0 2
Property Owner . f?xV 1 ?:c Telephone # (CQ5t ) lolb(c
Contractor ?L?'1??`C6, S
?2 City
Address TGl..v? t`C`t' c
State f) L=C 1-YNSi.°,_0-? %n/ Zip ? f?Ej ?7Telep6one # (Y S.)-)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 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
Have you previously constructed a building in Eagan with a similar plan? ._ Y_ N If so, 25% plan review
fee app{ies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
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.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
0 03 01 of _ plex
0 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 ?nt Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy
Census Code Zoning
SAC Units Stories
# of Units Sq. Ft.
# of Bldgs Length
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
Final/No C.O.
_ Plumbing
HVAC
` Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco , Stone _ Brick
Windows
_ 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
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123435
Date Issued:06/06/2014
Permit Category:ePermit
Site Address: 3787 Blackhawk Ridge Pl
Lot:23 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-230
Use:
Description:
Sub Type:Reroof & 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.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David J Peterson
3787 Blackhawk Ridge Pl
Eagan MN 55122
James Barton Design Build Inc.
5920 - 148th St W #100
Apple Valley MN 55124
(952) 431-1670
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124902
Date Issued:07/14/2014
Permit Category:ePermit
Site Address: 3787 Blackhawk Ridge Pl
Lot:23 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-230
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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.
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 -
David J Peterson
3787 Blackhawk Ridge Pl
Eagan MN 55122
Highmark Exteriors
11237 Nicollet Ave S
Burnsville MN 55337
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133376
Date Issued:10/08/2015
Permit Category:ePermit
Site Address: 3787 Blackhawk Ridge Pl
Lot:23 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
David J Peterson
3787 Blackhawk Ridge Pl
Eagan MN 55122
(612) 686-7623
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature