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3803 Blackhawk Ridge Pl
CITY OF EAGAN N0 18910 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # C,. . To be used for Ss. DWG/GAR Est. Value $154,000 Date APR 17 199.L_ Site Address 3803 BLACKHAWK RIDGE PL Lot 19 Block 2 Sec/Sub. BLACKHAWK RIDGE OFFICE USE ONLY Parcel No. ND Occupancy R-3 M-1 FEES Zoning PD R-1 W Name CARPENTER HOMES (Actual) Const VN Bldg. Permit 829.00 Address 147 SHERWOOD RD (Allowable) VV-N c City SHOREVIEW Phone 484-3459 # of Stories Surcharge 7 7.00 Length Plan Review 539.00 zr Name SAME Depth SAC, City 100.00 Address S.F. Total ox i SAC, MCWCC 650.00 City Phone S.F. Footprints - On Site Sewage Water Conn 660.00 8 w Name On Site well _ rw Water Meter 95.00 x? Address MWCC System 02 a City Phone City Water XX_ Acct. Deposit 30.00 PRV Required XX S/W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .5o information is correct and agree to comply with all applicable State of Minnesota Statutes and City f Eagan O h nces. Treatment PI 276.00 Signature of Per rtes APPROVALS Road Unit 370-0 n A Building Permit is issued to: Planner Park Ded. - CARPFN ER HOMES on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies f ~11 j t f t.{I _ 3,656.5 Building Official Variance TOTAL O #9r.r- a w~are.MSaa?~q y, ~.~e±""~gitle"'"•".'of'^'i.~`..7i~?Ti~yt~,•~r~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT:- PHONE: 454-8100 Receipt #x To be used for (;/GAR Est. Value $154,000 Date APR 11 Site Address 3803 B ACKMWK RIDGE !PL Lot 19 Block 2 Sec/Sub. SLACKHAWK RIDGE OFFICE USE ONLY Parcel No. D Occupancy 3 FEES Zoning"_. 5 Name CARPENTER HOMS (Actual) Const Bldg. Permit BZ9 * Ott o Address 147 SH RUWD RD (Allowable) ~ A2 Surcharge 79.00 City SITOREVIV Phone "4-3454) # of Stories Length Plan Review ZF Name SAME Depth SAC, City 100.UICf Address S.F. Total _ t1ft City Phone S.F. Footprints SAC, MCWCC 650. On Site Sewage - Water Conn 660, Name 5, v On Site Well w w Water Meter ~ Mz Address MWCC System M z Acct. Deposit 30*tip aW City Phone City Water _ 30.00 PRV Required X S/W Permit 1 hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge 050 information is correct and agree to comply with all applicable State of 216* Minnesota Statutes and City of Eagan OWinances. Treatment PI Signature of APPROVALS Pertnitee u. _k 2 - Road Unit 370, A Building Permit is issued to: - C MME 110125 Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. - Copies y j 7 39656 Building Official Variance TOTAL • 9 /Permit No. Permit Holder Date Telephone # WATER /r,✓ 7 SEWER PLUMBING ' 7/ , H.V.A.C.(J ELECTRIC Inspection Date glnsp.pp.' Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. S ZOj ~S Fireplace j - S Final Htg. a, ^ Orstat Test Final Plbg. a~ Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Dedc Final Well Pr, Disp. J g Citp of Cagan EvIpwamnd of lwh) v jw. "litm This Cc*fiaate issued pursuant to the tWtdrements of Section 306 of the UalfortnBu Umg Cade cet7if.*g that at the time of issuance this sawwre ww in compliance with the various ordinances of the City regulatiatg bwWng construction or we For the following: Eke c ai ,,cm SF DWG/GAR Brag. Pkr nit Nm 1$O 1 OoaV--Y Type R3 jM 1 Zooiv DiAr-u . PD JR L TyFe vN , ovme of oadiog ARPENTER HMMF S Add= 147 SHrRwnon Afl SNnttF.VIEW Pwaa;pgAaa 3803 BEM RIDGE PL. L19, B2* la 67/1/91 Building Offica. POST IN A CONSPICUOUS PLACE Address: 3803 BLAMAWK RIDGE PLAC-got 19 Blk 2 Sec/SubBLAagM RIDGE 2ND These items were/were not complete at the time of the final inspection. Date: 7/1/91 Yes No Inspector: Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway j~ Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. a[cvaeo varca White - City copy Yellow - Resident copy Pink.- Contractor copy ~S►EEWERR *&~WA'YT'~ER POW SCE USE ONLY "04/23/91 ' 3=-PJO Knob Rd: MN 55122-1897 METER ~ f ~ F~E~drF DATE c1~ # e -lZ 'rS 7 . PEFO 4 1193 ' METER SA S S.P; ,Fi E tPT # 12L3,7 DATE APR 17, 1991 t DATES :F. REcmT DATE ' IU 91.' A PRV e t 3803 BL#GKWWK RIDGE PL PENT C s SITE ADDRESS - LOT 19 ..BLOCK 2 -ECISiUB Aiifl: RIDER 2ND X SEWER --Z- WATER TAB'S APPLICANT: ADDRESS: COMMIR41) X..:A S"*N IAL CITY, STATE ZIP A NEW ~ EXISTING ~ PHONE: . BrTQmmm PLUMBING Lawn Sprinkler 'Meters are to be Installed PLUMBER: Ahead at Domestic Meters on bn Wow U ne. ADDRESS: 10701 231W AVE N Cr WI NOT be 9i M+Wers CITY, STATE MAPLE GRAVE 14N ZIP 55369 PHONE: 424--2523 A TO 'Y WITfl°OM t , OWNER: CARPENTER HOMES ADDRESS: 147 SHERWOOI3 RD CITY, STATE SUDRVVIEV 141 ZIP 55126 c s PHONE: 484-3459 SIQ TURE WN~t 'm mmo DAYS . CAM. 4544= FOR INSPEC'fI+Cl4!$. FOR 2~VPIMIKM, C TA Met ~ , ~ ~ _ . . °~~r_ ~ _ c.q _ . ~ - - ~II _ . ! a a - ; f. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAaAN METER # PERMIT DATE 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # 12917 METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE 04' / 17 191 DATE a.x k PRV BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT 1- BLOCK = SEC/SUB LTA. , :1AtX J P(-'-~ 2ND SEWER X WATER - TAPS APPLICANT: _ ADDRESS: COMMAND ;y RESIDENTIAL CITY, STATE ZIP NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER:' e c=~~ ~T f Ahead of Domestic Meters an Water Line. ADDRESS: A V Credit WILL NOT be given for, Deduct Meters. CITY, STATE L% t C•',` . I'; ZIP x, 5'169 . PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: 147 CITY, STATE PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: APB 23, 1991 a 3803 BLACKHAWK RIDGE PL (CARPENTER HOMES) RFC; $ Your Sewer & Water Permit for the above property has been completed. It will be held at the Public-Works; Garage (3501 Coachman Ropd) until the meter is picked up. BE SURE TO CALL PUBLIC WORDS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Youewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. HOUSE HEATING TEST RECORD 4/1, +90?/ J~ SS_ e APT. FLOOR CITY &SU BURB 7HEAT CU PANT OWNER LOSS DATE HTG. INST. OLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial Max. BTU Rating INPUT?tto MAKE OF FURNACE QQ Model CON` 8 Cam- THERMO TA7 eat lug Vent Size Valve KIND OF LINER SIZE NONE Limit Draft Hood Regularor ` ~~~I Limit Setting ~ d Filters Size Number 1 Fan Setting Chimney Location I 'de ""rte Outside Pilot Type Chimney Construction `L*07^ Pilot Make NC/F' Pilot Model Smoke Bomb Wiring Pilot Timing Draft C", Test Tag i L.W. Cut Off Door Pressure Lighting Inst. 44*4 t Pressure Percent CO 2 Date Tested Input CFH `Percent 02 Company Testing Stack Temp. Percent CO Name of Tester Form 235 Request Date Fire No. Rough-in Inspection > RQ wired? ❑ Ready Now kill Notify Inspector tf es i No When Ready? I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 390-3 ~ ctc Section No. Township Name or No. Range No. County 'DA k C A Occu dnt(PRINT) Phone No. Power Supplier Address N 5P Electrical Contractor (Company Name) Contractor's/License No. Mailing Address (contractor or Owner Making Installation) Authonze Signature IContr ctor/O er Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave,, St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. PRfML INSPECTION EB-00001-08 or completing this form on back of yellow copy. "A a = X' Below Work Covered by This Request ny ew 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 Transformers Above 200 Amps ove Amps Signs Inspector's Use Only: OTAL Irrigation Booms Special Inspection L~Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in { Date certify that the above inspection has Final a to been made. OFFICE USE ONLY This request void 18 months from 73 4104 js3/7bas 3~ 9 9 ?oS Z1q4 (:~4 C; -0 Requr it Da Fire No. Rough-in Inspection 2 Required? ❑ Ready Now O .Will Notify Inspector -3T ::,,Yes E: No When Ready? 1 _7 licensed contractor A) owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City _5803 PLACE - Section No. Township Name or No. Range No. County Occupant (PRINT) Phone Nog~gg Wtl.l-!AtA o jGW)Y-,' `jRA iTtt Power Supplier Address Electri aI Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Authorize ignature (Contractor ne.M"akinnstallation) Phone Number MINNESOTA STATE RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 O BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 ` UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800nt J ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION '4 Es-ooool•oa See i*tructions for completing this form on back of yellow copy. L k Q 8 9 X" Below Work Covered by This Request ew 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: S-NT Fl a # 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 C'~(~ eD Special Inspection Alarm/Communication THIS INSTALLATION MAY BE 041 ERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. { I, the Electrical Inspector, hereby Rough-in 1 ate/ 41,41 certify that the above inspection has Final I Date been made. OFFICE USE ONLY This request void 18 months from 2004 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 Cert 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 rfon-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units Cost Date / Construc on Site AddressO 12( Unit/Ste # n Description of Work Multi-Family Bldg _ Y N) Fireplace(s) - 0 - 2 fob -~lyfv~ Property Owner Telephone #(6-S7) Contractors Address j~ L-J, - City (1~L ~6 State' Zip 3 ~7 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 (d 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 applies. Licensed Plumber Telephone # ( j Mechanical Contractor Telephone # rr7 Sewer/Water Contractor Telephone # ( 9 2004 I hereby apply for a Residential Building Permit and acknowledge that the informati n is complete and acc rate; that the work will be in conformance with the ordinances and codes of the City of e- 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 a case of rk which requires a review and approval of plans. Applicant's Punted Name Applic is Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 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 O 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 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 _ lee & 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 PERMIT ,CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N Eagan, Minnesota 55123 Permit Number: 0 2 2 6 8 4 (612) 681-4675 Date Issued: 12/08/93 SITE ADDRESS: 3803 BLACKHAWK RIDGE PL L0T- 19 BLOCK: 2 P.I.N.a 10-14401-190-02 BLACKHAWK RIDGE 2ND DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $35.00 Surcharge _ M._. 5+e Total Fee $35.50 CONTRACTOR: OWNER: - A p p l i c a n t SMITH WILLIAM 3803 BLACKHAWK RIDGE PL EAGAN MN 55122 (612)686-8761 I hereby acknowledge that I have read this application and that the information is correct and agree to comply with all applicab_L,- -~t~yte -)i Mn. Statutes and City of Eagan Ordinance-,. Li SU !-n APPLICANT/PERMITEE SIGNATURE I SUED B SIG G ATURE REACTIVATE CITY OF EAGAN - Hot PERMIT ` y 1993 BUILDING PERMIT APPLICATION',. D 1993' 681-4675 SINGLE k MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural S structural plans, 1 set of specifications, 1 copy of energy talcs. 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 i.s requested once permit is issued. Date a / Q Valuation of work Site Address: 320 K a STREET SUITE .0 Tenant Name: (commercial only) - LOT BLOCK _ SUED P . I . D . N 5~ E 4 ElN't5 Description of work: 13 The applicant is: 0 Owner ❑ Contractor ❑ Other (ooscraw) . Name 5)111 N C IN 61 J . A VVtt.~~6M V a r~ : Phone 976 ~ Property LAST FIRST Owner Address 3303 STREET STE S City CA6AO State H Zip 551 Company Phone Contractor Address License # Exp. i City State Zip ~Architecti Company Phone. Engineer Name Registration # Address City State Zip Sewer S water licensed plumber Processing time for sewer S water permits is two days once area has been approved. I hereby acknowledge that I have read this a lication and state that the information is correct and agree to tomP1Y with all aPP1`icable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1 L OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging vie ww- ►Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-P1ex ❑ 14 fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION . Const. (Actual) Basement sq. ft. MWCC System owable) 1st Fl. sq. ft. City Water ll e UBC cupancy 2nd F1. sq. ft. PRV 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 o APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing 0 Framing ® Insulation' ❑ Wallboard 0 Final ❑ Draintile ❑ Fireplace Permit Fee valuation: 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 Bed. Trails Ded. Copies Other Total: SAC % SAC Units /Q CITY USE ONLY L BL RECEIPT Fe~~ '79 A4~ F8' SUED. RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 X Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under cons+_ 3.00 = U.G. Sprinkler * for existing dwelling 20.00 ,oG Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: -.M0 3 OWNER NAME: a INSTALLER NAME: TELEPHONE yI3 ` l > STREET ADDRESS: S i CITY: d STATE: ZIP: L~ lZ I lu,~ 72 `9 SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPL$G PERMIT (R~~S~ - i 8 . vv-. w:: -.v., ..................w .ix. .,:-v.::..... ,;:.yY}: v.,• v; r.,.., , ri'+!'i.',:.:};;•w:. 4.. ~:}':?nv. n,:.v::: ..1,}..:}}• v..}:::...:.v. ...i,. r f.,., vr....v .u•••.... ~.>f. .vr. v`{'•:i v.f.....{•)::{:iihN...{ :+1s. a~N~i•?...v... •TY ................x .ih•.,:......,,,,::r .vr •.Y;: • .4'•h,;t +.;ti,:-:.fi'• •}'N:••. yt• {S. •.}Ti;•)):l~iyii'+" r+ '{\U";4~3. 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FIX=S EACH SHOWER 3.00 WATER CLOSET 3.00 BATH TUB J 3.00 ~ , ~ LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 3.00 HOT TUB/SPA WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum - 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. - Daixty. tic. 15.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS - to existing 15.00 f WATER TURN AROUND 15.00 STATE SURCHARGE - .50 TOTAL: SITE ADDRESS: Sow 7c"ctc gjw,,K 1-1064 PLC -l &&w M0 s s! ZZ OWNER NAME: '1iVyt~~kt-l fl (7H Jf-C ti.1D~t J . Sit 11-j± INSTALLER: c.ef-,,~ ADDRESS: CITY: STATE: ZIP CODE: PHONE 192- NAT PER ITTEE SI6 .!t{rSN{ny}•: n:x ,vt:{?n:•}}:K:•: PY.?{tin}v{x .}T:i{+.•ti•}v::/t i{?Mv}.rn•. •.'!r:}{Sti::;:?:>.{~::t:;{vvi:Y~}:thit::ir: v'i '?N. :KrryP;N.:.:?•:a}i ...:-n n.......+,.K......n...::$`CC::;:x} $$....vn r. x, v....:: .h; ..v. .$`..•Sv; v,.r..:v?$$ na:}.};_.n:: a}} ¢ n,,,ir. w:v t.a. rn,n ,P.n.. -:U+:}•,•:?:•T: i•}:i '}'~i:$:$i}: a:: ~ .:v. r.::::,.:?: n\x•: ,4 vnvn. ,\v:•\v v.{•}~vv v:.\•. §X, }•T'3}}••:{PT}:?.}:?•`.-T+:•$$$:S?•}T}:;•}•+.Pn h .v .h w $'i •L.- . n r}:. r r:::::...::.~,:.v..o}•}.P.:. •P}rt• x...} - SrJ C ~ ~ , n... V t .f n `k,. {}::P$••,Y.:`:L. ?ri'f:•,~t,}.;:. • :::......................r:::.:::::::.,.::;.::::::::-:{.}}:}:,:::::••::.::.~::•.~ ..r.::::.....:,x"'.::.. „rn..n:.., ..w...a...}.:. h. m..r01' : , 'g~'.';.t.,.... r.... p.',+... a•} '?n T£4 •.2PT.. •a}::•}T x Y•:w:+:r'.; ta:•}}}:•}}}} } :;s': {ti.>. }~.5}4...'.a:kti'-''.a.}.} y,.yy`'~;Y'?.f}}.tr,., .•}.J.,} •.}z~4: P}T {PY..r iy:: ti?i.;:a•:r:t::•:?•}:a%?•;{,rr}:?+::}}}:a.:3 .i':P}}}p'.{a' }T:: v;•}T}'?aTT}: \ ' n G.T,',•~`k,•r}r'ht;•,t;•.v: x2 trv::.v:}mn :.:.4•.v..'}2,.w. . vh, •).P}.,v Si.,:.:i:'r::'::i}$}'r$: ........................:..........,w::.v:::P}}:;::::::::: : v}}}}}::P.l....I..:2'.•}:v v.}v}}% „r}}h::.v.:. n.}:. •:n:?titv.S,...v... :::t•% ....{P:'$}:?•}:a:?{:::PT .C-isa}•.%:T iii:':ti}>;i::?$$$}:^:{{{::: },...ha'v t•}}}•:: }:•T}iii}}: I tiP v .Ph ..~.....x :.Yr.. n , h4:.}:•:?i$:$;i:$$}::$\,'' ,T}i ..P~ h}„ ,.•vy':. , . T v::: :v:, - ,.::nv: v, v.... rave vrn S^ rr}{•}:n}}:'.n:{.Y+?a{}:{-TT}}:: v~t•} N.+.$,/..•'fyr,. .;rh'. ~.v.:.{'::::::..:i'~ ~v~vr•. p..=h2•~'n{}h ~y .y x.+:$'' 'Si..: xh,._......... v?•}:.,...,:C•.......v....n:: V.{vm~„hvirnv....x..3.. nv.,vk•?h. n,.v... xv}.. hk\~<G~~~;$~ ~t.: v..v:r}r}r:}:•TT h?:-}}$:•}i}i:a:.}i}: 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U ',-,T. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $-50 FOR EACH $1,000 OF FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ _ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: - ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT 1991 BUILDING PERMIT APPLICATION 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 1 SET OF ENERGY CALCULATIONS (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: c 1`..f Valuation: 15 LIJ Date: Site Address OFFICE USE ONLY Lot Block FEES Occupancy Bldg. Permit ~Z`f,oa Zoning A Surcharge '79.0 d Parcel/Sub I1. t{''6 ( Actual Const V-f4 Plan Review 5731,00 /Uj3 e_-V' Allowable Y-N SAC, City f 00100 Owner # of stories SAC, MWCC 650,0 d Length Water Conn. 6U, 00 Address Depth Water Meter 95,0 D S.F. Total Acct. Deposit 3U100 City/Zip Code Footprint S.F. S/w Permit 30,00 S1W Surcharge 15V Phone On site sewage- Treatment P1. ~~6 00 On site well _ Road Unit 3~0, 00 Contractor( MWCC System Park Ded. City water JZ_ Trail Ded. AddressIq -7 i PRV ✓ Copies Booster Pump ` City/Zip Code ~Vom 0 L~ SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch. /Engr . P Bldg. Off. Y X65, Variance Address Itf-~ ~ G.r City/Zip Code Phone # agrees that all work shall be done in accordance with (S gnature o Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VAL. V A-r' i d7iil 3z 30 U • A L4- 32 JJ Z~13 _ Z~ Tl°JJE ~3)°JJr _ 2, 21 1° a J D ~'4( = '`JAS Z- ~J~~) 55.50 ST~oo~. (~N i3?°0JT Sit-} Z N'D app,(` L)Z CEOIFICATE OF SURVEY FORBUiLDING For: Sue Carpenter Homes PERMIT ONLY ~ g5o.3 , o Denotes wood hub at 11 foot offset. \ Denotes direction of drainage. BSo 3 ~ Denotes proposed elevation. 903x! Denotes existing elevation. gs~'9 y X X Garage Floor = Top of Block = Lowest Floor = FV7. .S ~aS3 bt~ 3 Q ♦ ti t~~ ~J N \ / rr t P y~ ) ti / 0 ~pti 83~ Lot 19, Block 2, BLACKHAWK RIDGE 2ND ADDITION, _ ,7 Dakota County, Minnesota. , .Dias : 95. G i x 30 = /00.26 • SCALt; 1 Inch = 30 Feet o Denotes Iron Bearings shown are assumed.. Job No. 9122! gk pg We hereby certify that this is a true and correct representation of a survey of the E.G. ROD & SONS,'~NC. boundaries of the above described land and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. LAND SURVEYORS r y E. G. RUD a SONS, INC. 9180Lexington Avenue N.. Dated this _L__~_day of.~y,~ 19 9/ Circle Pines, Minnesota 55014 by Telephone: 786-5556' Minn. Reg. No. I 1 1 .foot',Offset • 4s"P '4 `A ,,DenQes ~•rrj6od hub at 1 sQ•, e°~ r tr • k y• inotes'direttion of drainage. it Denotes'.proposed elevation. ion. nrp•. ~.';-p$flotes existing elevat Q 9!Ox. p~~ 3 8sr.9 T ~ ,•,~~'~.Q4r10te.5 Q~fiS}ir7d~ ' GontOVYL`, g mow. +~1 •~f• K ----,l r►o+es propossd aonlauw'' ! gam, ~ ,tee ` . ~"':<Gara e F 1•oor ^ o ~o•~ xcs.) I~, :.'Top. of ,Block - 8S7. 1' -A,Lowest•* .F l oor = 8~5. p' ~iZ crs. w.` ~ s4~•s ~ .4.' Sr 6#1 j~:~• rB~.x~ck~••AAark Tap. o ~ dr.~r,. ~ 13 ~ r ,1~',. 6 ~ , qco esq., V r._ ,y s ,-•,r-,,:._..._.-. ~x;:~:`i~F93.~:...::~ ....1'...,~ $41~'~ cF' N` .t 4 MA. + 849.5 N :qtr f... Q,, ' : r ` ` Kam' ~ ~ ` / 4 ",~E•. $~fS.S 4 'life 847-14*t~- #47.g ~ y '~6'',.^s'o `T'~ 'r`te ~ r Lot 19, Block 2, BLACKHANK RIDGE 2ND ADDITION, :g37 :Dakota County, Minnesota. .`bids 95.Gyic 3D=.0.0 ;iCAt;Es.l.inch:= Feet' • o Denotes.Iron Bearings shown., are'.assuteied. Job No, 9>x~! Bk..~...Pg.' - '.`-We hereby 'certify - tbol this is'a trot and correct reoreseelallon of a survey of the' RUD p. & SONS, ~N4~ ;i.`boundories -of the above described A and and of the location • of all buildings, it any, 'E. . ~'~tiNreon~,and all visible 'enCrocabmeote, it any. from or on said land. LAND SURVEYORS E.G. RUD & SONS, fit 1k, ff . ray, INC. slso'l.aicir►,gtanr4venueN, 11 d' ffl I-ff.. US W, MEN cxis>{ a/iv r' Con~.yr 00 JI by Telephone; 786-M Minn, Req. Na. TOTAL P.01 Sohn Bradl architectural consultants inc. _5003' 03T. S.E. OSSEO, YN. 6636! MI. (eW-494-3779 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Plan Z 7_ 9 1 Dote 4- S -51 Owner, .0 c Contractor, Site Address: PHONE 1)TOTAL EXPOSED WALL AREA sq. ft x'U 2) TOTAL EXPOSED ROOF/CEILING AREA sq. ft. x U ' WALL AREA CALCULATIONS: TOTAL WINDOW AREA GLAZED TOTAL DOOR AREA 3-~ sq.IF t.x"U" it GLASS DOOR AREA "7o sq.ft.x~U''~Z - GLAZED TOTAL FIREPLACE WALL AREA sq.ft.x"U" ' '7--e' - 4 , c TOTAL WALL FRAMING AREA sq.ft.xfU" 'a - Z Z. NET INSULATED WALL AREA 33 sq.ft.x'U" #V t TOTAL RIM JOIST AREA sq.ft. x"U" ` ° f = (0 TOTAL FOUNDATION AREA (EXPOSED) -7o sq.ft.x of U of "a TOTAL FOUNDATION WINDOW AREA sq.ft.x'U" --ice 3) TOT~'~` If item 3 is the some as, or less than item 1, you have met the intent of 2 MCAR 1.16008 A and 0. ROOF/CEILING CALCULATIONS TOTAL SKYLIGHT AREA sq.ft.x'U TOTAL ROOF/CPEILING FRAMING AREA Sq.ftx'U" ` ° - NET INSULATED ROOF CEILING AREA E X37 sq•ft.x'U" 2? - C 4) T4 AL ~ If item 4 is the some as,or less than item 2, you have met the intent of 2 MCAR 1.16006 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the sum of Items ! and 2 shall ' be greater than the sum of items 3 and 4. i) +2) _ 3) +4) _ 1 hereby certify that the building here described meets or exceeds State of es Energy Conservation Act. (signed) I F~:-,,,4-, ~I CONSTRUCTION . WALL FRAMING SECTION I interior air film 0.68 3 SZ inches of soft wood (e.v1 Lsl sc 4~.+-u+E L. o L %4 6 exterior air film 0.17 TOTAL R I 1 = - U = I/R °2 WALL SECTION (INSULATED) I interior air film 0.68 2 % -(q s S g 115 6 exterior air film 0.17 TOTAL R L3 .11 U = I/R_ RIM JOIST SECTION I interior air film 0.68 2 I19. 3 q A-5 I le a-J I1.4awE z , 6 exterior air film 0.17 - TOTAL R 1 U = I/R o 0 FOUNDATION SECTION EEffl EEffl . I interior air film 0.68 A w 2 <jl TQo I tI t- o 4 exterior air film (5 0.17 TOTAL R 11 GRADE U = I/R_ CONSTRUCTION CEILING SECTION (INSULATED) (I iinterior air film 0.61 5 cz (2 1$ ►EEr ISco e ~ 4 (4 exterior air film (still) 0.61 TOTAL R 4S. Pm U = I /R ~QZ-Z rJ CEILING FRAMING SECTION AIR ( I interior air film 0.61 FLOW 2 (2 `50'P7-._, n N ~c. - - - S? o I VENTED (3 2 uo--t I tips ~u 3~ (4 interior air film 0.61 (5 winches of soft wood 4.ss TOTAL R 3E, ( 3 U = I/R 0Zlo CEILING SECTION (INSULATED) (1 interior air film 0.61 (2 (3 (4 exterior air film (still) 0.61 TOTAL R U = I /R CEILING FRAMING SECTION ( Linterior air film 0.61 i ~ ( 2 3 4 5 (3 VENTED (4 interior air film 0.61 (5 inches of soft wood TOTAL R U = I/R 5 4 %ILI 3 EXPOSED BEAM CEILING SECTION (-1 interior air film 0.61 (2. (3 (4 (5 exterior air film 0.17 TOTAL R U = I/R 2 I CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT #d PHONE: (612) 454-8100 RECEIPT # C7 rt DATE -5// ZZ 21 Itl?'?fr PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST yCR ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: & SUBTOTAL: SITE ADDRESS: STATE SURCHARGE: .50 LOT : BLOCK SUBD. TOTAL : ~f $Z CEDAR VALLEY HEATING INSTALLER: ADDRESS: 8415 CENTER DRIVE SIGNATURE OF P ITTEE "NMEAPOtIS, Mm 5= CITY: ZIP: PHONE 2: Y ZZ 'IMAI~1DUS'RTr 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: 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 MINIMTIM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # o~ g PHONE: (612) 454-8100 RECEIPT # C! N DATE: =/j Ng;MW t€ 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 ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR - WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: ~-a KITCHEN SINK 3.00 LAUNDRY TRAY 3.00-'> SITE ADDRESS : 3~ 3 W/C~ 4',' HOT TUB/SPA 3.00 LOT:BLO K ~ SUBD. WATER HEATER 3.00 FLOOR DRAIN 3.00 ~ GAS PIPING OUT. INSTALLER: 1' (MINIMUM - 1) 3.00 ROUGH OPENINGS 1 ADDRESS : OTHER .50 ` WATER SOFTENER 5.00 CITY: g/' ~w e ZIP: PRIVATE DISP. 15.00 U . G . SPRINKLER 3.00 PHONE SUBTOTAL ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: $ t3MMEAA. 3ND17STRIAl' 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: 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 2007 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 showing footings, beams, joists Cert of Survey Recd _ Y _ N i20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd Y _ N 2 copies of plan showing beam & window sizes: poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required - Y _ N 1 set of Energy Calculations On-site Septic System -Y _ N 3 copes of Tree Preservation Plan if lot platted after 71 i93 Rim Joist Detail Options selection sheet (buildings with, 3 or less units) hfinnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date Z Q Construction Cost Site Address Pl a 6e°--~-- F`nitlSte Description of Work won DV-( "I Ili ~ ~ D i Multi-Family Bldg _ Y X N Fireplace(s) 0 2 l ) ;Property Owner _k "Im, Telephone # (651 I Contractor rir"" r 1 t;1 h C ' ~ r7 f T Address Ciri l i State Zip . ~ T_ _ Telephone # (40Z 3 I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category i Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet ( submission type) Submitted Submitted • Energy Envelope Calculations Submitted I in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? j Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) _ I i Mechanical Contractor Telephone # ( ) I i j Sewer/Water Contractor Telephone # ( I 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 ~ig re PERMrT TYPE: 30 Pilot Knob Road ~ Permit Number: 0, Eagan, Minnesota 5512 < We Issued: 4812} W 1-4675 C ESE "14PkICANT: t4 t.~~'kHfl#~i#t ti :1t:)f~#^;~'t~t? ' (bt~'~~s~tt~--r;}~ °PWT` st,1'YpE: TYPE OF WORK;, r M6. _ 1 W,01 t t t I O N F, 'i P1 #t t:t rs V E N A L n ~4r+rafR 11e~ Dow IN' p! I# SAW Mlt W Odis his a bit P [k - E SW FbW P Dig* r Fiat CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD . y, EAGAN, MINNESOTA 55122 DATE ~ 19 F - FRCCIVEO - AMOUNT $31 :5zo & DOLLARS O CASH HECK ~Ap /19/p..,- 604 FUND OBJECT AMOUNT z Thank You BY White--'Pay- Cfpy Yelbw--Rosting Copy PERMIT City of Eagan Permit Type:Building Permit Number:EA121238 Date Issued:03/20/2014 Permit Category:ePermit Site Address: 3803 Blackhawk Ridge Pl Lot:19 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-190 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. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark W Galloway 3803 Blackhawk Ridge Pl Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature !" #$%&'()' *+*, -./$%'"&0-1 43/7$,+ -./$%'63/7-.1 89:;??9 =*%-'!>>3-519?@A:@?A9B -./$%'#*%-+(.&1- -./$% C$%-'855.->>1'':MA:''24*DTJ*IT' $5+-' 4'' 5X"# $% &&'())* * + &&"#.$%N.C%&E*)J-&'+) 234 5675GG6576'75X6& :;- =->D.$0%$(,1 <=>&?@A- E-;*)-+ *.# B /%&?@A- E-A#.$- 4-;$/*A * + B. -/&_-. -/ T- -/&<*`-T- -/&?@A-T.+=P.$ =/-/<-/*.#&Z=M>-/E-M -&Z=M>-/ *+-&<*`- 2#-.;-&$.##&"=*#)*+J&3+;A-$ * +;&. &S8V5\\&89V7V89V& &;$N-)=#-&.&P*+.#&*+;A-$ * +O #(//-,%>1 ,./> +&M + R*)-&)- -$ /;&./-&/-K=*/-)&C* N*+&56&P-- & P&.##&;#--A*+J&/ M& A-+*+J;&*+&/-;*)-+ *.#&N M-;&ST*++-; .&< . -& "=*#)*+J&, )-\\O 2 &7&2-/M* &L--&SB<&\]D /&B_\\WVXO66&6!65OG6!9 E--'C3//*.&1 <=/$N./J-7L*R-)W5O66&X665O'5XV "(%*41 F<AGAA' #(,%.*D%(.1HI,-.1 7&&(AA#*$.+ &&7 ,N.MA* +&2#=M>*+Ja-PP/-@&4&4*-/>-/J-/ H896&4 ))&E)OQ&c566H!6H&"#.$%N.C%&E*)J-&2# Y.J.+&TZ&&VV5'HY.J.+&TZ&&VV5'' S8V5\\&H8V75HG6S8V5\\&GVG7GVHV 3&N-/->@&.$%+ C#-)J-& N. &3&N.1-&/-.)& N*;&.AA#*$. * +&.+)&; . -& N. & N-&*+P /M. * +&*;&$ //-$ &.+)&.J/--& &$ MA#@&C* N&.##&.AA#*$.>#-&< . -& P&T*++-; .&< . = -;&.+)&,* @& P&Y.J.+&F/)*+.+$-;O (AA#*$.+ D2-/M* -- &<*J+. =/-3;;=-)&"@ &<*J+. =/- City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 OCT 1 4 2016 Use BLUE or BLACK Ink For Office Use Permit #: / 3q:--;(75 Permit Fee: .?/7/6 b Date Received: Staff: p-q,i(11 ,i 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' 1 —� _ Site Address: i r' CIi1C ace Unit #: Name: •)e -PC 1 9)&r D Pro)Ndi Address / City / Zip: pv" i i ietC Z Applicant is: Owner V Contractor Phone: €61- Y-51/- S 35 Ptfktre- 16P -4N 3-5% Z2. Description of work:,ii P ,�� td- t n5-�I /�S �C36 "in�,�r,;:� Stvl�• � Construction Cost: 1110 tic Multi -Family Building: (Yes / No ✓ ) Company: /cf/ of P i5 aAc �� 1 Address: SO1 E. Cliff iZd Contact: X1i - y City: &_y„s'v //e State: /Mid Zip: a33 1 Phone: /531 "/0.6 Email: °1/144 is> V ii-ey fee/fi ft56- License #: Lead Certificate #: N�1t• If the project is exempt from lead certification, please explain why: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: Fire Suppression Contractor: Phone: ire considered to be pub avide specific seasons tt conclude that they are trade secre 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 S • to Building Code must be completed within 180 days of permit issuance. x � � � L/ l l _'4o" Appl cantsnted Name Applicoe gnature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Fireplace _ Porch (3 -Season) _ Exterior Alteration (Single Family) Garage Porch (4 -Season) _ Exterior Alteration (Multi) Deck_ Porch (Screen/Gazebo/Pergola) _ Miscellaneous Lower Level X Pool_ Accessory Building WORK TYPES New Interior Improvement_ Siding _ Demolish Building* Addition _ Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace Repair _ Egress Window Water Damage Retaining Wall DESCRIPTION Valuation Occupancy � MCES System Plan Review Code Edition ;� :��,� SAC Units (25%_ 100% y) Zoning City Water Census Code f Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Suppression Required Type of Construction Vie) Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Foundation Before Backfill HVAC _ Gas Service Test Gas Line Air Test Roof: _Ice & Water _Final \f,Pool: "(Footings K Air/Gas Tests \/ Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In _Final Braced Walls Erosion Control Shower Pan Other: t -T"i ,R 6y, e/0 r Vt2 Reviewed By:'icrle(, Building Inspector 1 f *Demolition of entire building — give PCA handout to applicant RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL i 6,-0-9„06,„ or„ i3O �6Q Page 2 of 3 To: City of Eagan From: Jeff and Sherry Dierberger, homeowners 3803 Blackhawk Ridge Place RE: CUP to exceed 25% impervious coverage in a Shoreland Overlay District toffie_6-/ App Attached you will find the application and supporting documents for our conditional use permit to exceed 25% impervious surface coverage in a Shoreland Overlay District. Our goal is to install a pool on our property while not increasing storm water runoff to adjacent properties. Our lot is currently covered by 21.5% (4,155 sq. ft.) impervious surface. We propose to remove 245 sq. ft. of concrete from our current patio. Leaving us at 20.2% (3910 sq. ft). The proposed project would increase our impervious coverage to 25.7% (4,969 sq. ft.) 25% impervious surface of our lot would be 4,829 sq. ft. of coverage. To mitigate for the remaining 140 sq. ft. overage of impervious surface we are proposing creating a rain garden in the northeast corner of our property to collect storm water and infiltrate it on our property before it reaches the city storm system. The rain garden is designed to treat an area of 205 sq. ft. The rain garden is to be planted with appropriate vegetation spaced at a maximum of 2 feet. Thank You for your consideration. Jeff and Sherry Dierberger ig6-4.5-6467 (new Subcat) <Subca> Reach (new Pond) Routing Diagram for jell Prepared by Jeff Dierberger, Printed 5/31/2016 HydroCAD® 10.00-16 sin 00691 © 2015 HydroCAD Software Solutions LLC / (7.5- POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: wattka,,ok Applicant Name: ernr1\e1 W g GENERAL INFORMATION x ¢ b o z ,E1 ❑ ❑ Applicant name and contact information 0 ❑ ❑ Property owner name ❑ ❑ Address of property ❑ CINorth arrow, scale (1" = 30' or 40') ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls and fences. A ❑ ❑ Location and name of all streets adjacent to property id ❑ ❑ Directional drainage arrows (existing and proposed) pd ❑ ❑ Lot Square Footage ,i ❑ ❑ Lot Coverage ELEVATIONS Existing yi ❑ ❑ House corners ittl, ❑ ❑ Property corners ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed CI❑ Finished pool deck corners g ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) jZi ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ All property/lot lines ❑ All Easements on the property Proposed ❑ Pool ❑ Pool plus integrated deck/patio ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: G:FORMS/Pool Permit Checklist/11-20-12 a ate //3,4 4ckshioat CER''IFICATE of SURVEY For: Sue. Carpenter Homes o Denotes wood hub at 11 foot offset. ---a- Denotes direction of drainage. ED Denotes proposed elevation. vx, Denotes existing elevation. arage Floor = 855'.4 op of Block = cf'6C.0 owe st Floor = PV?.? (22cm w. 0) rbc; Wal/S frro.( I'q' (4 Poe! 6iti, 3 00 ee -et 7-0103UILDINo PERMIT ONLY <yQ o cam. s7-, 4; ,51 4-770 B• D,.. LAGAN LNG G DEPT. a Lot 19, Block 2, BLACKHAWK RIDGE 2ND ADDITION, Dakota County, Minnesota. > ci •9 G7k 30 =•Ma26 P ALE: 1 Inches 34 Feet 0 Denotes Iron . Bearings shown' are,assu'med..'•: re .hereby certify•that this s a true and correct representation of a survey of the Dundaries of the above described land and of the•location of all building's, if any, - wean, and 'all visible encroachments, if any, from or on said fond. • E.G. RUD & SONS, INC. atod this of Minn. Reg. No. 94e) . Job No ..9122///,£ 'E.G. Rcib' &•SONS,• -INC. 'LAND SURVEYORS • :bl8olexington•Arienue IU: . Circle Pines, Minnesota 65014• g• •Telephone:786-5556' 1 ti