1502 Blackhawk Ridge Way: . .,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date issued:
SITE ADDRESS:
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
?? ?. : ?
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING 7-r? ?(?p7rJ
HVAC f??,?' ?• f?,?V?
E L E C T ?j4,04V(
Id'? 'rJ?
?UF
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing 23
Roofing
Rough Plbg.
Rough Htg.
Isul.
d?
Fireplace
Final Htg. e,
•- r
Orsat Test
eS
Final Plbg. ?. ? :'' Plbg. Inspector - Notify Plumber
Canst. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
'`A PS Y
,
?
?
CeL'ttfiCQte t1f cCCIipQIiC?
Kit? of Cfagan
?e?artmcat of ?uitbing ?u??ection ?
This Certificate issued pursuant to the requirements of the Uniform Building Cod? F r?
certifying that at the time of issuance this structure was in compliance with the variou?
;
k
ordinances of the City regulating building construction or use. ror the following:
Use Classification:_4'_?,?. Bldg. Permit No. 92289
Occupancy Type R31AI t Zoning pistrict PD/R1 Type Const VN
oWner otBuitding BAtdM HOMES naa.. 4376 HTaiORY HILLS It, FrS,IOR LAKF..
Building Address 1 AaGIAGIK RT= WAY t.ocaliry ?, B 1' BLAGWW RID M
,r ` ? Date- ? 9?
_ j . Building ial
POST IN A CONSPICUQUS PLACE
?
Address 1502 BLE1,rIqiAWK RIDGE WAY Zip 5512 55122
Lot 5 Blk 1 Sub BLAaKHAtaK RIix;E
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
, .
Date: g Q Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb 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 instaliing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
BA xK.av HomEs
C?,1E C PIANNEAS ndGIAND SgUAYEYOAS
rENGINECRING 9 K.2,03
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OMPt#NY rNC, oC2. ZZ
?r..-•? .?.. 1000 EAST 1461h 5TREET, BURNSVIII,E. MiNNESOTA 55337 PH 432-3000??`?$"
CERTIFICATE OF SURVEY
Legal Descriptian:
/
SCALE : 1' = 30'
($.?.Z %o ) DCNOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
.r.----- INDICATES DIRECTION OF SURFACE DRAINAGE
868.33 - FINISHED GARAGE FLOOR ELEVATION
g?O$ 3l = gASEMENT fLOOR ELEVATION
868.66 ; TOP OF FOUNDATION ELEVATION
C871Z?
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R/G?E DR/VE' . E[.E? = 849,81
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I hereby certify
land as shown and
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a true and correct representation oP a tract vf
hereon. As prepared by me this /Z 7t? day of
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Minn. Reg. Nv. 4099*
A C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I,Pl. : 10-14400-050--01
PERMIT
# T d C.
s?
BUILDING
022289
i0/zzrs3
DESCRIPTION:
SF qWG
NEW
Ft--3 M-1
V--N
Pq ft-1
72
39
Ix- ? V1, . F ` e
.?
a °?
a g a n
1502 BI.ACKWAWK RIQGE WAY
LQTe 5 BLqCK: 1
BLACKHAWK RILICE
REMARKS:
PRV S& W PL,BR - SALZER PLB6
FEE SUMMARY:
8ase Fee
Plan Review
Surcharge
sac
SAG %
5AG Units
5ubtata],
VAI.UATIQN
$61.7 . 00
$401.05
$47.50
$75@.0@
100
1
$1,815.55
PERMIT TYPE:
Permit Number:
Date Issued:
$95,000
MISGELLANEOUS $1a744.50
CQPY .50
Total Fee $3,560.55
CONTRACTOR: ` Appl'??ant - Sr° LxC° OWNER:
BAKKEN HQh1ES 14475287 0001407 BAKKEN HQMES
4376 MIGKQRY HILLS 7R 4376 HICKQRY MILLS 7Ft
RRIOR LAKE MN 55372 PRIOR LAKE MN 55372
(612) 447--5287 (612)447--5287
Awl R?,d
SSUED BIY. SI NA7UR
REAC7IYATE ,..?,,,PE?N?,IT ? I?U ?
`?E D
y
31993
CITY OF EAGAN
1993 Bll1LDING PERMiT APPLICATiQN $,54
681-46?5
A - nA :1 in n)
v
SIHGLE & MULTI-FAMIlY 2 sets of plans, 3 registered site surveys, I copy af energy
catcs.
COMMERCIAL 2 sets of archite ctural & structurai pians, 1 set of
specifications, I copy of energy calcs.
Penalty applies: 1} when permit is typed, but not picked up by last working day of mc?nth:-
in which request is made, 2) address is tha nged or 3) lot change i.s requested once permit
is issued.
.pate /a Yaluation af work
1
Site Address: -0 'elA
W ?
SIREET fU17E 0
Tenant Name: (comnerciai only)
LOT BLOCK SUBD. , P.I.D. N '
w
Descri tion of work:
'
Contractor
The applicant is: Ollowner O Other (oescrice).
? Phane7-S"?!K7
Name
Property LiST FIRST
Owner Address e ?
STREET ;tE *
C i ty A??dec State Zi p ?--
Company r S Phone 41'?/?`'
Contractor Address -3 74 's
= ? license #6f?C? Exp..?°
C i ty &-i`o Y,?zfzP St ate .91=- Z i p??`.??' 7 2--.
Company 1e? r Phone YL
Atchitect/
Name
Registration #
E11git1@2C
Address
City State Iip
Sewer 8 water licensed plumber 7- e1- r 14 Pracessing time for
-'
sewer & water Rermits is two days once area ?avou'.
has eea appr
. ,
I hereby acknowledge that I have read this application ar?d state that the information is
with aii applicable State af Minnesota Statutes and City of '
ree to com
l
t
d
p
y
carrec
an
ag
Eagan Ordinances.
Signature of Applicant: _ :. ?
OFFICE USE ONLY
BUILDING PERMIT TYPE [3 01 Foundation O 06 Uuplex ? 11 Apt./Lodging
Jg` U2 SF Dwg. 0 07 4-Plex E3 12 Multi. Misc.
? 03 SF Addition C] OS 8-Plex ? 13 6arage/Accessory
0 04 SF Porch C] 09 12-Plex ? 14 Fireplace
D 05 Sf Misc. E3 20 Multi. Add'1. ? 15 Deck
WORK TYPE
M 31 New E3 33 Alterations ? 35 Tenant finish
? 32 Addition ? 34 Repair ? 36 Mave
GENERAL. iNFORMATiON
Const. (Actual) V-N
) _
llowable
ecupancy
U8C
Zon -n
g ?-i
# af Stories
length
Depth ?
aPPROVALS
8asement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
footprint Sq. ft.
On-site well
On-site sewage
Planning Building
Engineering Yariance
REQUIRED tNSPECTlONS
? Site O footing
D Wallboard ? Final
? f ram i ng
O Draintile
. 0 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
license
Mwcc sac
City SAC
Water. Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
7otat:
v,tuscian: S 9,J J oo o I
Ga„? 2b X30 = 780 ?c ?6
k 69 4fft
3(Ak ;y :. 73 Z.
??Z e>c S'f = 7 I?'?i ?
?
q 6.5'z
r
,.
i sh
im Po01
O 18 Conm./Ind.
E3 19 Cowm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Oemolish
MWCC System y
fik
City Water -
-
?
PRY Required ?
6ooster Pump
fire Sprinkler
Census CQde
SAC Code
?
i.
Assessments
sAC x ?
SAC Units ??
d
LOT BURVEY CHECRLIST FOR RESIDENTIAL
? N BIIILDIN PERMIT APPLICATION
m
<
m ?
0? 'Z1
?-
PROPERTY LEGAL: x Z
w _
? < ? Date of Survey: ?
D
< Z 2 DOCUMENT STANDARDS
8'"'? ? • Registered Land Surveyor signature and company
2." ? 11 • Building Permit Applicant
0? ? ? • Legal description
? &0* ? • Address
C-}" ? ? • North arrow and bar scale
0?? 0 • House type (rambler, walkout, split w/o, split
lookout, etc.)
0000,0 ? • Directional drainage arrows with slope/gradient %.
P-"? 0 • Proposed/existing sewer and water services
?"0 0 • Street name
ck-'0 o • Driveway
ELEVATIONS
Existinct
? Be 11 • Sewer service
?0 ? • Lot corners
00011 ? • Top oF curb at the driveway
00,00"0 • Elevations of any existing adjacent homes
Proposed
20'? ? • Garage floor
cx' [] 0 • First floor
000*0 ? • Lowest exposed elevation (walkout/window)
Hr'? ? ? • Property corners
l? 00 • Front and rear of home at the foundation
PONDING AREAS (if applicab].e)
? 0'00*0 • Easement line
? 01' ? • NWL
? 0'" C] • HWL
? 0 • Pond # designation
? a--,? • Emergency Overflow Elevation
entry,
DIMENSZONS
15'0 0 • Lot lines
B' ?? • Right-of-way and street width (to back of curb)
.0''? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
? • Show all easements of record and any City utilities within
those easements
?? 0 • Setbacks of proposed structure and setback of adjacent
existing hom
o ?0 • Retaining equ' ements, if any
Reviewed•
Na e / ate
October 1992
ENERGY CODE DESIGN BY ACCEPTAALE PRACTICE
'1b Determine txxrpliance with the Minnesota Energy oode
(Section 602 of the Stabe Amended 1983 Moiiel Energy Code)
7hfS form ts anI
Y aPPlicable bo detached vne-and two-£amily dmllings. The zequizenents t,exei
are based ctt Tabl.e No. 6-11 in lieu of the criteria specifiec3 in Secticns 602.2.1, .2 and .3.
, •
Building Address
ContracEor or Owner
,?' .--?- - -- - - Bullditxq Element
ceilirgs
Wallo (utterior)
Floorg (over unheated spaces)
"Windvcss (in bldgs w/o sliding glass door)
*Witxdows (in bldgs with a
sliding gl.ass door)
Fburdation WaIIs
S1ab-ctt-grade floors
"R" Values Area (sg ft), $ ot Ext. Wal1s
Design0o.ty Req'd 38
besign .v Req'd 20 1941_
(w/o fdn)
Design??Req'd 20
Design Req'd
(glass) "
Design Req'd 10
(giass)
Design ,Req'd 5(when insulating £vll depth oF
foundaticn wall)
Des.ign ID.I R,eq'd IQ (when insulating onl.y bo £rost
depth a»d footings extend below)
Design Req'd (See Figure No. 3)
"Doors (1-3/4" metal faced) Design4__Req'd 3
? All wirx3ows shall be double glazed or have storm windows
Cbnventional doors other than metal require a storm door
t
(EF7'rIFICATTON
I hereby eertify that I have oarpleted the above information arid that it ocmplies with the
'41nn2 sota S ta be 4%erqr Code. ).
Signature
Date JA ..?„J1•A ?''?a9
3-CSD 3-69
X/SM/6593
2006 RESIDENTIAL BUILDING PERmiT AppLicaTloN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 registered site surveys showing sq. ft, of Iot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage aAowed)
1 Soiis Report 'rf proposed building is to be pfaced on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Caiculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodellfteaair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicafe if on-sfte septic system
22q0-
4??, 010
f)ffice Use t3nN
Cerfof?uiveyRecd` 1' N
Soils Repurt N
Tree Pres-#?lan N
Recd ?
Tree Pres;Requirer! Y ?i.
pn-site'Sept?c Sysf'em..K .. y Y _:N
Date q
Site Address Construction Cost
1,0 Lt -,4 Unit/Ste #
Description of Work
Multi-Family Bldg _ ? e?v"
Y_ N i'' Gc ?
Fireplace(s) _ 0 --
_ 1 _ 2
Property Owner Telephone # ( &S1)
Contractor $?-li?v GLa,?-,1
._. :
Address
State
Zip
City
Telephone # (/p 57) y 3 rl,
COMPLETE THIS AREA ONLY !F CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Gate,gory 1 _ Minnesota Rules 7672
Energy Code Cafegory • Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q 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
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 peimit, 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 gnature
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' OVPE: ° TYPE ?? WORK: ?u
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Pt. Dimp.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139045
Date Issued:10/05/2016
Permit Category:ePermit
Site Address: 1502 Blackhawk Ridge Way
Lot:5 Block: 1 Addition: Blackhawk Ridge
PID:10-14400-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Jennifer A Ward
1502 Blackhawk Ridge Way
Eagan MN 55122
(612) 306-7655
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature