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3812 Blackhawk Ridge Pl INSMCnON RECORD- i'WYOF EAGAN POW TYPLI: 3830 Pilot Knob Road P+ t Number: V.;' ,'p tt t EaganiVinneeota 55122-1897 Date fswed: (612) 8814675 1.01 t~f t:.ti t <t1~t, t,tt~a. trtt3r tit t 1. ti,r C~rT' PORW SUBTYPE: TYPE CAF VKM VOV* 141L ! PAktor DaM # 4"t~C PAL. ow Nlap cowAmft Foo"Ws FOUM FRAWO ROOFM I lktSi PL88 AM~TBST Fv XM HEAMM VC W VC poem {GYP BOARD FONPLACE FWAMACE AMR TM FM L PL.Bti FMIAL "TG C MAT TAT BM FMtAL SSW FLL BOMT FM►AL DECK FTd DECK FKAL 9 INSPECTION'U-CORD IT T 3034,'iiot Knob 140ad Permit Number mmesota 55123 Date issued, (612)'661-4676 K I At AC;KHAW► R10toE'- PL 6O MAN CO"$1 MWI US YK ~ FE E" O YF RJRK: N C, t4 1 Moog"" f44)1 F FRAMING 11 6` i7 ~t 5i f , .c [M.MW iV •f fa T"4 7 ~ - R Y A - s 0'1~V ,1 i t. lM~rpltlM~, . ~lki W VA* U a ~ oil wAt IAN ~ Mo. Co ~ MEL i; 13 CAS r Corot mew o.Rnd CM* FVW wok f Wer if icafe of Ce aneV its of Wagan ~f~►Q.L't1ltCttt D~ ~lttlbtlt~ ~1t~~lethDtt This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: SF DWG 20877 Use Classification: Bldg. Permit No. Occupancy Type Zoning Distri ct T} t -PML Owner of Building G Address 11V Building Address 3812 M RIDGE aiity L15, B2, BIT RIDGE 2ND Loc 06/18/93 4 Date: Building Official POST IN A CONSPICUOUS PLACE I~ I Address 3812 sLACKHAwK RIDGE PLAT-E Zip 5512 _ Lot- 16 Blk 2 Sub m_A, HAwR RIDGE 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 06/18/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) L/ Permanent steps (main entry) Permanent driveway Permanent gas V", 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. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0021 Y Request Date Fire No. Rough-in Inspection r ~ R red? Ready Now +J Will Notify Inspector Yes No When Ready? I icensed contractor Downer hereby request inspection of above electrical work at: A b A ss SS rest. Box or R to q.) I City Section No. Township Name or No. Range No. Courty Occupa PRINT) Ph~-~ D r''1~hGc~. (Z' Power Supplier Ad ress ® Electrical tractor (Company Name) Contractor's License No. r, r nc__ 7 Mai mg Addr ss (Contractor or Own Ma rig Installation) r ~3 Authorized Si nature (Contractor Own aking Installation) Phone Nu ber 3s ESOTA TATE BOA D EIECTRiCITY THIS INSPECTION REQUEST WILL NOT riggs•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. J REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 18 ► See instructions for completing this form on back of yellow copy. Y I L-002 "X" Below Work Covered by This Request % VC. 10 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/Feed rs ee Swimming Pool 0 to 200 Amps 3d's .47 to 100 Amps Transformers Above 200 Amps bove 100 Amps Signs Inspector's Use Only: d TIrrigation Booms ? d Special Inspection ` AlarmtCommunication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspector, hereby Rough-in ate ? y certify that the above inspection has Final oate been made. OFFICE USE ONLY This request void 18 months from PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 8 8 3 (612) 681-4675 Date Issued: 06/23/95 SITE ADDRESS: 3812 BLACKHAWK RIDGE PL LOT: 15 BLOCK: 2 BLACKHAW*RIDGE 2ND P.I.N.: 10-14401-150-02 DESCRIPTION: Building Permit Type DECK Building Work Type NEW I REMARKS: FEE SUMMARY: Base Fee $30.00 COPIES 1.50 Surcharge .50 Total Fee $32.00 Subtotal $30.50 CONTRACTOR: OWNER: - Applicant - BIELSKER BETTE 3812 BLACKHAWK RIDGE PL EAGAN MN (612)681-3608 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. IL Statutes and City of Eagan Ordinances. APPLICANT/PE RMITE I NATURE ISSUED Y SI ATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 5 8 8 3 Eagan, Minnesota 55122-1897 Date Issued: 06/23/95 (612) 681-4675 SITE ADDRESS: P . I . N 10-14401-150-02 APPLICANT: LOT: 15 BLOCK: 2 3812 BLACKHAWK RIDGE PL BIELSKER BETTE BLACKHAW RIDGE 2ND (612) 681-3608 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL i CITY OF EAt3AN c c~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION RESIDENTIAL 581-4675 00 Z-Z ♦ 3 regWtsred sate surveys ♦ 2 cooplas of plan ♦ 2 copies of plans (ode beam & window sizes; poured fad. demon; etc.) ♦ 2 sb surveys (exterior sddftm & decks) 1 energy =kuia ♦ 1 energy csfCulaftne far fiested additions ♦ 3 copies of fee preservation plan of lot platted after 711193 required: _Yes No DATE: k-L-5 -4C1' 5 CONSTRUCTION COST: DESCRIPTION OF WORK: iI STREET ADDRESS: 6l0 31 act u.)k LOT BLOCK SUBDJP L.D. ~ , v ~ r F PROPERTY Name: 1'a: A Phone i laL Ll. a' `a.9 OWNER Street Address' 32 91a a a City: gs~agqgl) State: AL).. Zip:., sM/" CONTRAClrOR Company: 5 R Phone Street Address: License City: State: Zip- ARCHITECTI Company:- Phone ENGINEER Name: Registration Street Address- City: State: Zip: Saw S water licensed plumber: Penalty applies when address change and lot charge are requested once permit is issued. I hereby aacla wAodge 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. f- Signature of Applicant: i OFFICE USE ONLY RECEIVED Certificates of Survey Received Yes No JUN 15 10 Tree Preservation Plan Received Yes No c OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation a 06 Duplex a 11 Apt./Lodging ❑ 16 Basement Finish a 02 SF Dwelling a 07 4-plex ❑ 12 Mufti Repair/Rem. o 17 Swim Pool 0 03 SF Addition a 08 8-piex ❑ 13 Garage/Accessory o 20 Public Facility a 04 SF Porch o 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 0 05 SF Misc. a 10 _ piex X15 Deck WORK TYPE ,0~31 New o 33 Alterations ❑ 36 Move cr 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCJWS System (Allowable) Main level sq. ft. City Water _r.._._._ UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Cocks. y'J Y Depth Footprint sq. ft. SAC Code D/ Census Bldg APPROVALS Census Unit Planning Building Engineering Variance Permit. Fee Valuation: $ ~2 Surcharge Plan Review License MCJWS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SM Surcharge Treatment Pl. Road Unit Park Dad. Trails Dad. Other Copies Totals % SAC SAC Units I f l~ 2422 Enterprise Drive ' Mendota Heights, MN 55120 ,-MCNEEA LAND SURVEYORS • CIVIL ENQNEERS (612) 681-1914-Fox 681-9488 LAND PWINERS LANDSCAPE ARCHITECTS engineerilln- 625 Highway 10 Northeast Blaine, MN 55434 * * * 1(612) 783-1880•Fox 783-1883 Certificate of Survey for: Joe Gorman Construction Co. House Address: 3812 Blackhawk Ridge Place. Eagan. MN I S 89'20'52" E 93.16 14 19 ~ 49• p0 15 I o N I x I 0 T~ 8 o esi• V 537.6 ' ms ~ . ° '9 S5~'•so 'o % - I O X30.00 y \ sa ! o 0A. rn 1 \ I w= L _ 1 to gSs', rrb 40.64 BLACKHAW 86"6.3 53.65--- 566.6 8s6.7a RIDGE ~D LrLNT 138.93 PLACE Pom N 84 / fi ~.l .a~',C G r'"•+..+•-..... ■ ■ W ■ red 4~ ft.....:. 1,?1~ G_~~Ca :.1 l.: ~~:..~nn r~,my°; NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS k 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION x 900.0 Denotes Proposed Elevation Lowest Floor Elevation: 849.72 Denotes Drainage & Utility Easement Top of Block Elevation:857.83 - Denotes Drainage Flow Direction ' -o- Denotes Monument Garage Slab Elevation: 857.50 -9 Denotes Offset Hub Bearings shown are assumed , LOT 15, BLOCK 2 BLACKHAWK RIDGE 2ND A C DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this 5TH day of M AY A.D. 19 9 3 Scale: 1 inch = 3 0 feet ROGER'". REG. NO. 14891 ® 93105.00 x.....a •:.:v::: r..1y~ t•;}.. F . ...Y•}}}....... ..v ........:..x..... ;.......::::::.v........ • •::.vv:.•... t:}?:{tt•?:{i^:•}:•: i}}:{{ii•?}}::r .v. µ.{v; {w::::v:::::::\::w; .........}w::v:.v:.:::: • ::.:::::::::::v::::.......::::}?}}:.?•;.}w,v:x :v::::::nv: ~?.•x::::: x:::. i{•{i:?:S:v:4}}}:tom??:•?}:{•}:::}}}???}??::vr{: L:^?:{::: t::.v{:::.v :v:4?}}v:•}:4}:•:.v:::::::},}:4}:•}:•}}}}:•}}:•}}}}:!•}}}?}:t.?}}:6}: ti4ii:•}:^}:•:+.}}}}'?'-?:{iC??? w: + : •.J:::?,}• ..::.v:.i•:.w::.~ w::: r. w:::::::::...... 0,0i .r. ~ . J .........................v:::.:v..• :w:: v~.. n•. . .n...ri......... .~::::f::::::::X ..4'~•:...~........................... . . ;~.~.....t.t..,c• v.... .,.:'t. r.: r:F.r .:.w..... rr..... ::..::r. r: . .rt r.... .....,.......,,.,e. s.... r:r.:. ,r r::. r....?. { ..4.. .a. >.,..v.... v{ v..vv.•:.................. f,w;?:::::.v::'•:::isis~•.'•:•?.`•:•}+:~'rTi:-is}~{'>~'•iii is i~:+ t::.w.v:::.v;: xtvvr...••::: r: v: f. ,:?:ri:}>$vv:•ri:i riii:~i:!?C~:~' •«i'ii~iiii'riiii:4ii::;:y;:j: it;{{:ji:?;:;r:{jj{•: Y}}:{?:{?~i:Ct •'i'+~ h r: v • j~:•it'.}<;:}~iviii~i'r:~:<:>}4::: i::: :tit\i•:•:}~i::Y{t~iii::t:i}}}:i-? }:G:{ti4}:i• .v....v...•...,:..:.v .n.:. r....... . v. : r ~:•ii$i:•'rr;:;{.;;;}v::::.} :'+•??i x~{Y~~IH~r. x: r:.v: ..:.xv.v...~ivtih:n•.y:x::\.n...v}:.vv.,{:n4/.v4k:}.K,a •:}+•.v,w.v:::::nY.:.:~:•}`.•}:•:{•i}:v}::.•x:: r::•:~:•}:+r}:•k•.vv, :.•.•~.•.•.{{v •.1.'. i•.:•.'•. •l.•`~,"•.-:~+:^..•.'+f.•:•:•}:}:4}:,{t~~:ti?~:ti n'{i{tiCi~ MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE A?: FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 *GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) -Q ADD-ON/REMODEL (EXISTING CONSTRUCnON) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: __s OWNER NAME: TELEPHONE INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN ZIP CODE: 55068 TELEPHONE (612) 423-1144 A E OF PERMITTEE t PERMIT 70 CITY OF EAGAN - 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 0 8 7 7 (612) 681-4675 Date Issued: 05/06/93 SITE ADDRESS: 3812 BLACKHAWK RIDGE PL LOT: 15 BLOCK: 2 BLACKHAWK RIDGE 2ND P . I . N 10-14401-150--02 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning R-1 Building Length 58 Building Width 48 REMARKS: S&W CONTRACTOR - GENZ-RYAN PRV FEE SUMMARY- VALUATION $125,000 Base Fee $727.00 MISC FEES $1,74,4.5.0 Plan Review $472.55 Total Fee $3,756.55 Surcharge $62.50 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $2,012.05 CONTRACTOR: Applicant - ST. LIC. OWNER: GORMAN CONST 17313240 0003331 GORMAN CONST 2217 BONNIE LN 2217 BONNIE LANE ST PAUL MN 55119 ST PAUL MN 55119 (612) 731-3240 (612)731-3240 T 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. A PLICANT/PE ITEE SIGNATURE SS D BY. G ATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 0 8 7 7 Eagan, Minnesota 55123 Date Issued: 05/06/93 (612) 681-4675 SITE ADDRESS: LOT: 15 BLOCK: 2 APPLICANT: 3812 BLACKHAWK RIDGE PL GORMAN CONST BLACKHAWK RIDGE 2ND (612) 731-3240 PERMIT SUBTYPE: TYPE OF WORK: 5F DWG NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S&W CONTRACTOR - GENZ-RYAN PRV REACTIVATE _ H k U k U V L U1 CITY OF EAGAN PERMIT it T APR 2 9 1993 1993 BUILDING PERMIT APPLICATION ss1-as75 ~ . t~ 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: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date -D - Valuation of work j O S__ 0-0 0, 0 d / 7 Site Address: z? STREET SUITE N Tenant Name: (commercial only) LOT BLOCK SUBD Ili P . I . D . Description of work: The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name Phone :).3 l - 3 Property LAST FIRST Owner Address j a Y) STRE T STE 9 City State Al A Zip Company w. Phone -731 3 2- O Contractor Address License # Exp. City 5--Fl state h Zip 55'11 Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days one are 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 applicablLte of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE C K ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 002 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Flex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'1. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ,3 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) \I-t4 Basement sq. ft. MWCC System (Allowable) v - 1st Fl. sq. ft. City Water YE% UBC Occupancy td-1 2nd Fl. sq. ft. PRY Required y~5 Zoning k_1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length r _ On-site well Census Code >D/ Depth 4Z On-site sewage SAC Code of APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace DO Permit Fee vetuati«,: D Surcharge Plan Review GA, aaGE ; 22x22= 'q$`1 x 16' _ 9 ~9 License MWCC SAC SSM7, 30-958.r 1'7q0 City SAC 2 X r) y Water Conn. Water Meter 2 X 13 = .2(,r, Acct. Deposit 4 7. Z ~ c2r6 S/W Permit S/W Surcharge IST FLOOR: / (0g15z- .249b0 Treatment P1. Road Unit 2%2-xS = 32 Park Ded. JS:5wr~ 16 4 Trails Ded. (09 (0 X54= Copies Other ) ~Z4 28 'Total. SAC % SAC Units r 2422 Enterprise Drive ' Mendota Heights, MN 55120 * PIONEER (612) 681-1914•Fax 681-9488 y LAND SURVEYDRS • CIVIL ENGINEERS engineeing -LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast * Blaine, MN 55434 * * * (612) 783-1880•Fax 783-1883 Certificate of Survey for: Joe Gorman Construction Co. House Address: 3812 Blackhawk Ridge Place, Eagan, MN l 1 \ S 89'20'52" E 93.16 14 041-00 15 9 /X C. '0 / SJlo•°~ / gJrlp•~ X 1 I O 855.6 7"y \ 8 ss 8 / $ %100 es~ o \ 857.5 dU t ~`U J z '0 7,n 71 855 so ~o y+$~~,'b ' 0 30.00 1 j t9, 10 om: L__ _~o~ 10 66,51 fcq 40.64 BLACKHAW~.3 53.68-- 855.9 8,r-(~ -1~ n RIDGE D L,c rir N 38.93 ~s`Q,za PLACE flo L.E 84• / A *4 V 6., w ui NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS X 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION X 900.0 Denotes Proposed Elevation Lowest Floor Elevation:849.72 Denotes Drainage & Utility Easement - Denotes Drainage Flow Direction Top of Block Elevation: 857.83 -o- Denotes Monument Garage Slab Elevation: 857.50 Denotes Offset Hub Bearings shown are assumed LOT 15 , BLOCK 2 BLACKHAWK RIDGE 2ND A C DAKOTA COUNTY, MINNESOTA 1 hereby certify that this survey. plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this 5T"~ day of -M )6ty A.O. 19.9 3 S C al e. 1 Inch = 3 0 fee{ RO@ER'. tl H . REG. NO. 14891 ® 93105.00 c~ LOT SURVEY CHECKLIST FOR RESIDENTIAL J w BUILDING PERMIT APPLICATION w 2 PROPERTY LEGAL: in J w N Date of Survey: U Z DOCUMENT STANDARDS 9~700 Registered Land Surveyor signature and company 0 Building Permit Applicant 2"D 0 Legal description f~Y'❑ ❑ Address CC~'~ ❑ North arrow and bar scale Ca' ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) Q'~ ❑ Directional drainage arrows with slope/gradient [Y 0 0 Proposed/existing sewer and water services 8'' ❑ ❑ Street name ❑ Driveway ELEVATIONS Existinct 0 Z'0'0 Sewer service 0'' ❑ ❑ Lot corners ❑ ❑ Top of curb at the driveway ~j 0 0 Elevations of any existing adjacent homes Proposed ❑ 0 Garage floor ❑ ❑ First floor ❑ 0 Lowest exposed elevation (walkout/window) f~ ❑ Property corners CJ ❑ ❑ Front and rear of home at the foundation PONDING AREAS (if applicable) ❑ 0"" ❑ Easement line 0 1~ ❑ NWL 0 CI ❑ HWL 0 0 Pond # designation ❑ ~ 0 Emergency Overflow Elevation DIMENSIONS Ef~ ❑ ❑ Lot lines ❑ ❑ Right-of-way and street width (to back of curb) 0 ❑ 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) C~ ❑ 0 Show all easements of record and any City utilities within those easements 0*~ 0 ❑ Setbacks of proposed structure and setback of adjacent existing homes ❑ 1d 0 Retaining w ~ it ents, if any Reviewed: Na / Da e October 1992 iL • P.01 REcEWED CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE ' U' COMPUTATION MAY 0 3 1993 OWNER: ~ SITE AbDRESS , X r{ 1°,,...~ CONTRACTOR: ~~l fem. c~ CQ h.4 L DATES PHONE; f ~ln Determine working square footage of each: 1. Total exposed wall area /7 sq. ft. x .11 2. Total roof/ceiling area Z7 F sq. ft. x .026 Total exposed wall area above floor = a. Total wall window area -2 7-7,5- b. Total door area ...............ar.r.rr..r...rr..... 77 e. Total sliding glass area d. Total fireplace wall area e. Total wall framing area (average 10%) i ff. Total net wall area above floor C, / g. Total rim joist area Total exposed foundation area h. Total foundation window area 1. Total net foundation area above grade /la Determine 'U' value of each wall segment: a.2~= 5 x 'U' . O b. X 'U' d. - - - - x ' U' e. /7376c1 x tut r o 92m - X Out .G c h . x 'u, x 'U' Ell, 4-_ Total = : ~'g If item 03 is the same as or less than item 01, you have met the intent of SEC 6006(0)2. Total exposed roof/ceiling area j• Total skylight area ..............,,,,.,►.,,..I,... k. Total roof/ceiling framing area (average- 1. Total, net insulated roof/ceiling area . . . . iG~9.^ OVER CONSTRUCTION R VALUE CEILING SECTION (INSULATED): 1 Interior air film O.F1 2 ~r " /7.cs. ,e 3 4 4 Ext e for alr film (still) n.Al TOTAL R , 76 U 1/R 16Z ~ ■ CEILING FRAMING SECTION: n.E,l 2 5 1 Interior air film 2 AIR VENTED 3 Out .vs 3 , FLOW 4 Interior air film sti l i n.61 $ 2 ~ inches so t woof ~L, 3$ TOTAL R • U • 1/R • t~~ CEILING SECTION (INSULATED): a~•.rtccx~~~ -f ~er,ev,3_~~ 1' Interior air film n.Fl 2 3 4 Exterior air film still 0.(11 TOTAL R n U• 1/R• I L& 3 4 5 CEILING, FRAMIlit; SECTION: 1• Interior air film n.Fl VENTED 2 3 4 Exterior air ilm still n.61 5 Inches so t wood TOTAL R • U 1/R• 3 4 5 1 Inside air film n.(l 2 Outside air film n.17 2 T07AL R i/R • Page 4 • CONSTRUCTION R VALUE WALL FRAMING SECTION: I Interior air film O.E.a (2 1 3 Inches soft wood 4 Z.S u~L'r2.~T~c- Z ~ ---(1, Exterlor air 1Tlm n~ TOTAL R - f- U-1/R- ~D Z TA F_ WALL SECTION (INSULATED) 1 Interior air film _ ft,f,R 5 _ --{A Exterior air film 0.17 / TOTAL R 7 U- 1/R- a4 RIM JOIST SECTION: 1 Interior air film n.6A 2 3 6 -(h Exterior air film Zc~~Lo FOUNDATION INSULATION REQUIRED: TOTAL R - Min. R-5 on entire wall OR U - 1/11 - . n• A •;•,a Min. R-10 down to frost depth A' FOUNDATION SECTION: D -xl Interior air film n,AR -,&7. 2 fia6~4 qd-- -ZX ly . 3¢ ~i pro d • 4 4 Exterior air film n.17 ~ 4 TOTAL R - U I /R - SLAB ON GRADE all Heated Slabs: . E , . e, Minimum R = 8. 5 • ' q~ t 14. ~--4 Unheated Slabs: .4<, Q ; 'j Minimum R = 6.2 ,d.• 4 1 , 4 a 4 Page 3 i Total. cxpo;;cd roof:/ceiling area J- Total skylight area. . . . . . . . K. 't'otal. root/Cr i-l..uf; tr.am:i.n}; area . . . . 13 Z L. Total net iu:,c-if.nLLCI t:oo1:/cc f irRg ~ Detcrmine "u" value for each roof/ceiling; segment. .1 , x "U" k. -~3 - x 'lulu x 'lull , ~Z --G to 6. 4 . . . . . . . . . . . . . . . . . . . . TOTAL. = 1 If total of #4 is the same as or less than #2, you have met the intent of SBC 6006 (c) 1. Al.tcruate (Sodding; Envelope Design To utilize the total envelope system method, the values established by the awn of items #3 and #4 shall not be greater than the sum of items #1 and #2. l . + 2. 2 2 y.~ 2006 RESIDENTIAL BUILDING PERMIT APPUCAT1ON City Of Eagan4 ( v `r 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Repair Requirements office use only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and L11 roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y = N (20% maximum lot coverage allowed) t set of Energy Calculations for heated additions Soils Report _Y _N t 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 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date b / V1 Construction Cost ~ l.g qo Site Address 3 3 ) tL ! w 14 , d.1 Pi. Unit/Ste # r r Description of Work i?lk tq t c;r Multi-Family Bldg _ Y_ N Fireplace(s) r 0 - 1 ^ 2 Property Owner Telephone # ( J 51 ) 4 S 2 Contractor City Address A/ State Zip Telephone # 57) 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 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. & dr 1'P 54t/,~~ 49Az Applicant's Printed 'Name Applicant's ignature - - - - - - - - - - - f I For Office Use City of EaE ~n ;Permit r 3830 Pilot Knob Road Permit Fee: I I Eagan MN 55122 I I I I Phone: (651) 675-5675 Date Received: I - I Fax: (651) 675-5694 I Staff: ~t I L------} .----------I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2 Site Address: C P Ck Tenant: Suite RESIDENT / OWNER Name: Phone: ~7~`~~J- Address / City / Zip: ~L C IPJ~~~ ' CONTRACTOR Name: License Address: 651-365-1340 36 d Rd. #100 City: Eagan: MN 561.23-133. State: Zip: Phone: Contact Person:- TYPE OF WORK _ New V! Replacement _ Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL ~4ater Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge). $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) `Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without al accordance with the approved plan in the case of work which requires a review and approval of plans. i Applicant's Printed Name Applicant's r ; , , x x 20o08 FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In -Air Test -Gas Test Final Use BLUE or BLACK Ink I For Office Use 1 533 City ~nQ Permit of l ~Qllll b I ff I I Permit Fee: 1 ~Cj. a~ I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 3 Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 1 5 C.- ~°2..✓ 1~~- Phone: Resident/ y p:~ Owner Address / Cit / Zi 61/ Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: v~ L.c~D Multi-Family Building: (Yes / No ) Company: -VIV, ( t~ Contact: Contractor Address: (~;I, Fite State: Zip: S Phone: License Lead Certificate #:s 7a 6/p - (3 - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: f Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minneso State Buildin Code must be completed within 180 days of permit issuance. x Applicant's Printed Name Applican s ignature e1of3 1 For Office Use y �/J :::::e. b 0 .. V 6 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinginspections( cityofeagan.com Staff: Commercial Plan Submittal: eplans(&cityofeagan.com L 2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 't 5 3-1 Site Address: 3 8'2 81 a.c,t-.X cf,c✓x y"r 9 e_ pt Tenant: I,e-a(IC .-Ti-eit`"1.e?/1, Suite#: Resident/©caner Name: t e S it C,.. TSc1t.e.✓rt-� Phone: 65 1 - I1 S-42-6&C / Address/City/Zip 3.i(12 E(AC>rL dk' yti'e P1 Name: p �l` ? 100r0 S4-6fr. /l&Ch License#: till? 7 a:-i U 7? i Contractor Address: f 1 / 1 I Li City: 1-1-4,3i11,14/.3- !, i i4/1,/,‘, A� State: rar L Zip: gS0 3 3 Phone: Co i a -e2 0 7-C341S - Contact J" LU lt' rvt- Email: ,f-'1"1-0,cl r rl. c' L 4Aea/ CQ'I RESIDENTIAL XFurnace Air Conditioner Permit Type Air Exchanger Heat Pump • Other New x Replacement Additional Alteration Demolition Type of Work a - Description of work: /24?-10 Igtc`''`5 'e-Occ's—{'A 1f t.dl1-tiGe__- 1 RESIDENTIAL FEES i I $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge a $100.00 Residential New, includes State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 requ'res a review and approval of plans. x 111 ePP x54.--s.-- Applicant's Print d Name Appli ant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In ' Air Test + Gas Service Test, In-floor Heat Final 51: 1 For Office Use � r• er e • c 1119 Permit tt: ! :� , il E AG N Permit Fee: AR-2--6 1 0 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections atacitvofeagan.com L eduCli" 2019 RESIDENTIAL BUILDING PERMIT APPLICATION b�'� Date: 6/25/19 Site Address: 3812 Blackhawk Ridge Place Unit#: NA Name: Plaza 1 Inc Phone: Resident/ 9617 Oak Ridge Trail, Minnetonka MN 55305 owner Address/City/Zip: Applicant is: Owner ✓ Contractor Description of work: Egress window in extg basement wall Type of Work $3900.00 Construction Cost: Multi-Family Building:(Yes /No ✓ ) Company: d.t. meisinger development inc Contact: David Meisinger Contractor Address. 1242 Ottawa Ave City: W St Paul • State: MN zip: 55118 Phone: 6123661361 Email: dtmeisingerdev@yahoo.com Lead Certificate#: NAT-84940-2 License#: BC 634449 If the project is exempt from lead certification, please explain why: f'D Home was constructed in 1993 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the informagon may be classified as nonpublic If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.ciopherstateonecall.orq 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 approv ns. xDavid Meisinger x /f � Applicant's Printed Name Applicant's Signa rel DO.NOT WRITE BELOW THIS LINE 'Y 61L k it �.t L e L 'I/q 54 SUB TYPES _ Foundation _ Fireplace Porch 3-Season ( ), Exterior Alteration(Single Family) p Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi — Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex _ Lower Level _ 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 *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation et Z, coo.- Occupancy ,XgG-- 1 MCES System Plan Review Code Edition rut 20 is SAC Units (25%_100% l0 ) Zoning P 17 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings(Addition) }o Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool: Footings _Air/Gas Tests _Final 10 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: Reviewed By: 70/7/ AK(Y14 , Building Inspector RESIDENTIAL FEES Base Fee F herr Fee— Surcharge ee..Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA176478 Date Issued:05/18/2022 Permit Category:ePermit Site Address: 3812 Blackhawk Ridge Pl Lot:15 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Christal Anderson 3812 Blackhawk Ridge Pl Eagan MN 55122 (612) 695-6360 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177345 Date Issued:06/27/2022 Permit Category:ePermit Site Address: 3812 Blackhawk Ridge Pl Lot:15 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-150 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 - Christal Anderson 3812 Blackhawk Ridge Pl Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature