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1505 Blackhawk Ridge Way
PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA096789 Date Issued: 11/02/2010 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 1505 Blackhawk Ridge Way Lot: 3 Block: I Addition: Blackhawk Ridae PID:10-14400-030-01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Standard Heating & Air Conditioning Janice W Anderson 130 PIN-mouth Ave. N 1505 Blacldiawk Ridge WaN- Minneapolis NIN 55411 Eagan MN 55122 (612) 824-266 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature WY OF EAGAN PERWTTYPE: 811 3830 PlW Knob Road P NVumbw: 0,7 r, 6 F; 13 g ; MWv*sota 55122-1897 Date ! 4 t5 (~12) 881 75 a E ADDRESS: , t. APPLICANT: fl t.Af Ir, ItAW Nt-f. iF" WAY 14111 At.t0M WALt.Ater r 8t..ACXHAM('ktWi r.#H-F{44f+ e SUBTYPE:, TYPE OF WORK: 4 tX tw W t<y ftNAt. r' f } ~b Jysti k. Z} ? v ~ r e~ ~~i['F~` 1 Yi,A~~ ?ti i~Y'u 2. i's1 1Ii0 I~IIMINitOWN Dot! Tekph w# ELSGtW r HVAC. Dais slo ~ - I FRAMNO fC_ ' "OOFMO t PLW ASt Tf$T 4 F O" M TEST *AM 1 OW BOARD f FWAPEA1CE AIR TEST FKAL PLOD r~ f F3 oRagr TEST BLDG FWL SSMT R.I. SSMTFK DECK FTt# , ' u CASH RECEIPT CITY ,,#AGANlW%, >i'a 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 18 NECEIVEU f170M AMOUNT $ ' f 41,Z-160 & - DOLLARS loo ❑ CASH CHECK fOft ~ ~I f Ila? V NO OBJECT AMOU T Thank You By White ay- Copy 4494 c ~ < £~7dik FHB ~k • t3, , :~..i SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 8169, 3830 Pilot Knob Rd." E Eagan, MN 55122-1897 CHIP # - WATER PERMIT # 11083 METER SIZE B.P. RECEIPT # "94 ISSUE DATE B.P. RECEIPT DATE * # _cX PRV -BOOSTER PUMP € f ~ P SITE ADDRI S&~ 'a ti r~ I t ' PERMIT REQUESTED LOT„_._.dL:OCK._SEC/SUB ' /mar 71,17- SEWER .X WATER TAPS , ; Ct? s APPLICANT: ADDRESS: 0 - COMMAND - RESIDENTIAL CITY, STATLi,)4 ` ZIP PHONE: t J--~~' t f -NEW EX41STING PLUMBBER:1 ~I i - ADDRESS: t, ~z I AGREE TO COMPLY WITH CITY, OF ZIP ORDI CES: CITY, STAT- ° r w < EAGA PHONE: 3' , - 1~` ~L`„ AA OWNER: / ; . 1 . a • , ADDRESS: SIGNATURE WHEN METER ISSUED i CITY, STATE - ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PEWT IS PROCESSED. c PERMIT # MECHANICAL PERMIT RECEIPT CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res i.a New Mult Add-an Name m Address Comm. Repair Other y , c City Phone' FEES Name RES. HVAC 0-100 MBTU -$24.00 ADDITIONAL 50 M BTU 6.00 c Address t p City ` ` (RES. HVAC INCLUDES A/C ON.;NEW Phone -;s CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ , BEYOND $1,000) ! Other $ FEE: E SIGNATURE OF PERMITTEE S/C: TOTAL: ' ° ° FOR: CITY OF EAGAN PLUMBING PERMIT For Office Use Only CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#~t1 PRICE PHONE 454.8100 DATE: Site Address BLDG. TYPE WORK DESCRIPTION Lot i k Z!IeCISub , Res. New - L Mult. Add-on Name Comm. Repair io Other Address c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N FIXTURES TOTAL Water Closet - $3.00 $ Name Bath Tubs - $3.00 Address Lavatory - $3.00 City Phone L- Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES Laundry Tray $3.00 _ _ CC MNI:lINR Fem.-_t°~OF CQNE# ACT FE1 _ -Floor DfaMs = $4,50-: APT. BLDGS. - COMM. RATE APPLIES / Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 _ MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNAT RE OF P R ITTEE PERMIT FEE: to0 STATES SIC: FOR: CITY OF EAGAN GRAND TOTAL: k DATE: l l f9 RE: * 1505 SLACi4UVIL RIB WAY, L3, 111, M ACKRAWK RIDE zx Sewer& Water Permit for the above property has een completed-It wits be he114 at the tr lic Works Garage (3541 Coachman Roady until the meter is picked up. BE SURE TO -CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following'. reasons: A Y : r ,Sewer & Water Permit for the above property has been competed, but the rneler cannot asued or occupancy allowed until further notice. _ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be t confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 4 01'00} before issuance. WARNING: BEFORE DIt3GFNG, CALL LOCAL UTILITIES - TLLEPHQNE;.ELECTRIC, GAS, 'ETC RE'OUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TR1d ON ,POLICY. 'Secretary, Building Inspections Dept. DATE: W ain oR "1505 XAMMW 1111= WAY# L31I *ji'-XLACMVK PIDag ur Sewer &,Wa#er Perriit #or the above has been completed : It wf be ht3td at the. . property Public Works Garage (3501 Coachman Road) `until the meter is picked up, BE SURE TO CALL PUBLIC WORKS W4-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot tae completed for the fa}Iowing r aso ,i Yr Sewer & Water Permit for the above property has been completed, but the teeter cannot 16 issued or occupancy allowed until further notice. COMMERCIAL' PROJECTS ONLY: Please pay for rioter at City,Ha}i. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors -454-8100) before issuance. WARNING SEFORL DI66ING, CALL LOCAL UTILITIES -TELEPHONE, ELECTRIC, GAS, ETC. ~-REOUIRE6 0 LAWS t ! CONTACT,COMMUNITY DEVELOPMENT DEPARTMENT 0OR ATER TUR14 ON POLICY. 'Secretary, Building Inspections Dept.. i CITY OF EAGAN ND 17 2 8 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ~ n, j I I i To be used for `SF DWG/GAR Est. Value $130,000 Date NOV 7 19 89 Site Address 1505 BLACKHAWK RIDGE WAY Lot 3 Block 1 Sec/Sub. BLACKHAWK RIDGE OFFICE USE ONLY Parcel No. Occupancy R-3 MM1 FEES Zoning PD RR1 x Name COLLEGE CITY CONSTRUCTION Const V-N Bldg. Permit 744.00 li z 6970 151ST ST (Actual) o AddreSS (Allowable) V=N Surcharge 65.00 City EAGAN Phone 431-1211 # of Stories Length 601 Plan Review 372 • 00 =o Name SAME Depth 44 r SAC, City 100.00 Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints - Water Conn 580.00 On Site Sewage ww Name On Site Well 90.00 W Water Meter ~ MWCC System XX $ ' Address Acct. Deposit 30 - 00 <W City Phone City Water XX PRV Required XR S/W Permit 20.00 ! hereby acknowlege that I h Re, read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and a r e to ~ y with all applicable State of Minnesota Statute y ag cOrdinances. Treatment PI 228.00 Signature of Permi APPROVALS Road Unit 340.00 A Building Permit is issued to: COLLEGE CITY CONST 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 Building Official Ll 1 I Variance TOTAL 3,145.00 ~1~ll 1 ~.,riU I'~ - z CITY OF EAGANAll 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 BUILDING P0*tT Receipt # To be used for 'S DWG/CAR Est. Value $130, WO Date Nov 1 19 89 Site Address 1505 SLACKt MWK RIDGE WAY Lot 3 Block 1 Sec/Sub. BLACKMV"K RIDGE OFFICE USE ONLY Parcel No. Occupancy -3 t1•-1 FEES Zoning` PD IRSI Name` C 6970 151ST ST OLLEGE CITY CONSTRUCTION (ActuapConst v-N Bld9.Perrrrit, 744,00 o Address (Allowable) V^N G5.OO ~ Surcharge- ' City WAN Phone 431-1211 # of Stories 600 372 OO ~ ~ Plan Review .Length ZF Name S1')v Depth SAC, City I• Oa Address S.F. Total SAC, MCWCC 575. City Phone S.F. Footprints 580.00 On Site Sewage Water Conn li t w Name On Site Well Water Meter 90.00 Ua Address MWCC System Acct. Deposit 30'03 aw City Phone City Water 20„00 PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1000 information is correct and agree to eorrrply with all applicable State of 228.00 Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: COLLEGE CITY COST 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 Building Official Variance TOTAL 3,145'00 Permit No. Permit Bolder Dated Telephone # WATER SEWER -v PLUMBING Ff y H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I t%' CG Foundation Framing - 07 Roofing Rough Plbg. Rough Htg. ISUL Fireplace Final Htg. Final Plbg '-G G Const. Meter Plbg. Inspector -Notify Plumber Engr.lPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. 4 • • e `S t V &r if irate of (Orrupattry Citp of Cagan arpttrbuml of NutibW9 impfruan This Certificate issued pursuant to the requirements of Section 306 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/GAR 17285 i Use Classification Bldg. Permit No. Occupancy Type' Zoning District 1 Type Const. Owner of Building + CM MM. Address 070 151ST ST, MW VA= Build; ddress 1505 BfACKRW RIM WAY Locality I39 B1, MAQQiAW[Z FJ= I FMWM 21, 1990 Date: VBuil mg Offici" POST IN A CONSPICUOUS PLACE SEWER & WATER PERMIIT x OFFIICE USE ONLY CITY OF EAGAN i METER 90-15- PERMIT DATE -118/ 89 ti 3830 Pilot Knob Rd. CHIP* S4 3 WATER PERMIT 11085 Eagan, MN 55122-1897 METER SIZE B.P. RECEIPT # C 4494 ISSUE DATE 1--70 ' qty BY, RECEIPT DATE -11 789 PRV BOOSTER PUMP SITE ADDRES S PERMIT REQUESTEV LOT-BLOCKL-SEC/SU f c " ' SEWER WATER TAPS" APPLICANT-cz ,f , a d /1 ! i ADDRESS: s COMM/IND RESIDENTIAL CITY, STAT ZIP PHONE: NEW - EXISTING PLUMBER) ~'R f tO'~' rrt I + r° {«r 1 AGREE TO COMPLY WI'CH CITY OF ADDRESS: D60 CITY, STAT ZIP > - EAGAft ORDINANCES: PHONE: cQ c ° k~. e^-;i'lw~,.► I OWNER: F ADDRESS: ' SI NA UR WHEN METER ISSUED CITY, STATEIAI Of ZIP 4~}.J PHONE: 2 S PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWE PEaw, CONTACT ENGINEERING T. APP CAN AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. r I C~ 1 Request Date Fire No. Rough-in Inspection Required/ ❑ Ready Now tMVffRo_TT-y Inspector Bh€s ❑ No When Ready? I ed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Flop No.) City Section No. Township Name or No. Range Np/ County t ev Occupant RINT) Phone N . Power Supplier Address Electrical Con a r (Company Name) Contractor's License No. Mailing ddre ( ontract(;or Owner Making Installation) Authorized Signal (Contractor/ ner aki I t latio) hone Number - 10 Id P MINNE ,ATE 130A RDA ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs dway Bldg. - -173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 ► See instructions folcompleting this form on back of yellow copy. `X" Below Work Covered b This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home ange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial rnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # S n rance size Fee # Circuits/Feeders Fee Swimming Pool to 200 Amps , IjY]0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection s Alarm/Communication Other Fee 1 U I, the Electrical Inspector, hereby Rough-in Dat _AP certify that the above inspection has Final at, been made. OFFICE USE ONLY i~ This request void 18 months from LOT:_ BLOCK: SUED./P.I.D #:x - 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ll 651-681-4675 New Construction Requirements emodel Re air Re uirements ➢ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 pies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions D 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1~te survey for exterior additions & decks D 1 set of energy calculations ➢ 3 copies of tree preservation plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) DATE: QC-7- ~ (9,000 CONSTRUCTION COST: 36, © © DESCRIPTION OF WORK: _ A 0 a of App-i7t°d V1 kirc ' If multi-family bldg., how many units? STREET ADDRESS: S` 1~6,~1 G Iz W tr X rv&-,E- Name: fPC14 A EL. SoAl 4VAi-2-Y Phone 51 VU PROPERTY Lost First OWNER ti Street Address: / 5 U S` L:Fz--- 14G t- tc '1q City X~- C-AA,) State: 1`1N Zip: SS f 2~ Company: J fl Phone (area code) CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration city State: Zip: Sewer/water licensed plumber (if installing sewertwater): Phone ( I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. X/ C69 Signature of Applicant: . OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required / OFFICE USE ONLY - p ❑ 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 ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous 12 31 New ❑ 35 Int Improvement ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 32 Addition ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 34 Replacement ❑ 38 Demolish (Interior) * Demolition (Entire Bldg only) permit - Give PCA handout to applicant VALUATION Occupancy MC/ES System Census Coded Zoning- City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. t PRV Nbr. of Bldgs , l Length C l Fire Sprinklered Type of Const Width INSPECTIONS REQUIRED Footings: New Bldg - Insulation _ Windows - new/replacement Footings: Deck _ Final/C.O. Siding Footings: Addition - Final/No C.O. _ Stucco/Stone Foundation Fireplace: _ r.i. _ air test _ final Roof: - ice & water - final - Framing Pool: - figs _ air/gas tests _ final APPROVALS Planning Building Engineering Variance Base Fee Surcharge y Plan Review Lga x5 ~'Gl~© MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: ~o _ j M" 66120 use * # 461216614914 4t t:~ti~~cace or r ~'~►1~E~~ ~rsr' ~'r~N'~r~4t~ rta g 431 ArW96 r i f i\ rAl. , . iii . a Yyl _W.o Denotes InIf in EIgP[nahon ~ ~ttt~P~sja UggE_f_ LEVAIJOUL r sQoj Denalas pnDpaNd ElevWicta ' _7 , f0enafes a t* Uni, first ►rn~ ' ' Iowa t f o~►r Eh►v~cr~~n * t now rrsws ~ Tap ot"S8larekE1twhan = U1.71 Urrn~es ~ win Gc~r° S~vb Etevrsl~icrt~ _ o Denoles monument eartn#s spawn are assumed P. .V. R E U R EDP LOT BLOCK SLACWHAWK RID-Of QA1WTA COUNTY, =NtWkWTA SWWr M EAOMEM ar Qf"WV t h.tuby "nify *0 thin Ow"If. WW of t PWI OM IWO- ad by Ot t~d1l► tm direct t+x wrvkl" owl that / am duly Regilew of tend tt rv"ov WNW the taw! of tits stare of "hilaw. u tld ti It _ dw of Aat3. is . lie iclLe: 1*6-. 4404-2ti 'Sglf~ 1+1,11 ttT stt<tt-tt t..5. t:t?~. wet. t4ti~l/ Rl~,tdsi A t 2422 Enterprise Drive * PIONEER _ Mendota Heights, MN 55120 ng* eering- 1`(612) 681-1914 II Certificate of Survey for: COLEY CITY ('.o'V5-17J&6-UVA7 ROgt2 A~n (L1.S NOPM g~cK I~ f, R. 43r.°►7J?,. A:r~38 12h.44 1'1 ,.u (00 Qaa'40~\ y mot' fir, Q 1 "I ul~l ~D / \ 1 00 f 9oo.o Denotes exishn Elevafion P` PROPOSED Nou.sE Earmr1aNS 9ooo Denoles propod Elevation Denoles Drama e t Utilit Easement lowest Floor f/evalion S~° ~5 Denotes Drains e Flow /grows 00 Top of Bloch [levcvb'00 = 868.7 o Denotes monument Carta Slab Elevafion :.-.968.43 B earin~s shown are assurned P. R. V. 77 e7l' E D LOT 3 , BLOCK l , 8LA%rML114AWk Rlioa DAKOTA fou"Ty, MlNNEsoTA suejECT TV EASEMENTS OF RECORD I hereby certify that this survey, plan or report was prepared by m or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this SE day of _ -A.D. 19_ . ale : 1 e 40 p eel /17 Sc SON`l a RnRFRT n. SIKICII I..S. RF(:. NO. 148111 ° f 2,122 Enterprise Drive PIONEER Mendota Heights, MN 55120 eng * eerir>tg , . (612) 681-1914 Certificate of Survey for: 600440E CITYI- _C( 57 ANC-110 AI Rbgp Nit c.s NOPT11 g~~K NpwK -I& 56,/7 126.44 - - f I I ~ 1Q`r ' (00 d \ J 6r~ ~ 9 j ti~ 4Q V ~(20 9oo.o Denotes exishn¢ Elevation PROPOSED 140U.5E EIEVATIONS ! 900.o Denotes prop d Elevation / Yl - Denotes Orainq e r U */i f Easement aQ Lowes f Floor Elevation = S~oT 1 Denotes Drama e Flow grows Top at Bloch Elevation = 868.E o Denotes monUmenl Ca'arp4,1 Slab Flevafion = 968-43 8 eeirins shown are assurn ed a r,"'IJIRED LOT , BOCK l , 8LACrL%114AW9 P1,011E DQaom cou"TY, ml vNEsom SUBJECT TO EASEMENTS of RErOaD I hereby certify that this survey, plan or report was prepared by m or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this Sf day of V. A.D. 19 Scafle : 1/nCbt 40 eef 904.0 n0RFR7 R. 51111CII I..S. RFr.. 111.14811 _T CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 5 9 (612) 681-4675 Date Issued: 05/24/95 !i SITE ADDRESS: 1505 BLACKNAWK RIDGE WAY LOT: 3 BLOCK: 1 BLACKNAWK RIDGE P.I.N.: 10-14400-030-01 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge .50 Total Fee $30.50 CONTRACTOR: OWNER: - A p p l i c a n t MICHAELSON WALLACE 1505 BLACKNAWK RIDGE WAY EAGAN MN 55122 (612)688-8445 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. II Statutes and City of Eagan Ordinances. I~~-~- APPLICANT/PERMITEE SIGNATURE SS ED B d SIG T R INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 025659 (612) 681-4675 05/24/95 SITE ADDRESS: P. I. N. : 10-14400-030-01 APPLICANT: LOT: 3 BLOCK: 1 1505 BLACKNAWK RIDGE WAY MICHAELSON WALLACE BLACKNAWK RIDGE (612) 688-8445 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DDATE INSPTR. INSPECTION DATE INSPTR. ('FOOTINGS FINAL 7 L 4 CITY OF EAGAN 43MO 3830 PILOT KNOB RD - 55422 09 BUILDING PERMIT APPLICATION (RESIDENTIAL) 889-4676 ♦ 3 regioU red sits surveys ♦ 2 copes of ptan 2 copies of pans (elude beam & window sizes; poured Ind. design; etc.) ♦ 2 sde surveys (ems 8110*0 It dWks) ♦ 1 energy calculations ♦ 1 energy crlcuiatim for Iwel d addlItions ♦ 3 copies of tree preservation plan N lot plated after 7/1193 required: _Yes =1 No DATE: - 1 f CONSTRUCTION COST. DESCRIPTION OF WORK: P&- 4L STREET ADDRESS: LOT BLOCK SUBDJP.I.D. PROPERTY Name:- /C' ,f1 CSo~/ Cr1 (lrf+r~'- -n21L OWNER Street Address .,4Zk4Cf 4, I~ City: State: CONTRACTOR Company: ~.2/-4eti19:EzaPhof llt: j Street Address: Lli City: taste:. 7' ARCHITECT/ Company: aG~iv~~L Phone ENGINEER Name: ReB.isbCn Street Address* City: State: Zip: Sw*w & water licensed plumber: Petlo applies when address change and lot change am requested once permit Is issued. Thereby acknowledge that 1 have read this application and state that the information Is oftlet OW " to COnply with ON applicable State of Minnesota Statutes and City of Eagan OrcJinances. Signature of Applicant: OFFICE USE ONLY tR E C EWE D Ceffmites of Sunray Received Yes _ No MAY Z 2 1995 Tree Preservation Plan Received Yes No - - - - OFFICE USE ONLY Y t BUILDING PERMIT TYPE i a 01 Foundation ❑ 06 Duplex a 11 Apt./Lodging a 16 Basement Finish a 02 SF Dwelling ❑ 07 4-plex a 12 Multi Repair/Rem. o 17 Swim Pool o 03 SF Addition o 08 8-plex o 13 Garage/Accessory a 20 Public Facility a 04 SF Port o 09 12-plex o 14 Fireplace ❑ 21 Miscellaneous a 05 SF Misc. a 10 ,,,,_-plex -e-15 Deck WORK TYPE cz~-31 New o 33 Alterations ❑ 36 Move a 32 Addition ❑ 34 Repair o 37 Demolition G GENERAL INFORMATION Const. (Actual) Basement sq. fit. MCNVS System (Allowable) Main level sq. ft. City water UBC Occupancy sq. fit. Fire Sprinklered Zoning sq. ft. PRY # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq, ft. SAC Code o t Census Bldg Census Unit APPROVALS Planning Building EngineeringVariance Permit Fee Valuation: $ /Z-oo Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment Pl. Road Unit Park Decd. Trails Deal. Other Copies Total; % SAC SAC Units Lot Line (D (O Building Line 12' 0" 0 io 1505 Blackhawk Ridge Way Site layout Eagan, MN i i 0. 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 144,00+ 53600+ 372.00+ viol SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 1 } a 0 0 3)143.00*+ 2 SETS OF PLANS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 7 4 4. 0 0 ~ 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 65-00+ 1 SET OF ENERGY CALCS. 372.00+ MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 1 j964-00+ 3 9 1 43 ° 00~~-~- NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST D1 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMI' SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. _ "Orv C ° 1989 To Be Used For:rn Valuation: ' Date: J J" -S~ Site Address ro q OFFICE USE ONLY Lot 3 Block Occupancy ~ R-3 M-I FEES L- P ' Zoning Pp R7-1 l Parcel/Sub Actual Const -N Bldg. Permit Wy.QQ 1 a E} ? Allowable N Surcharge (6S OO Owner Al-f e /f 0 # of stories Plan Review 2, 00 } Length /00 ` SAC, City 1 yc>. 00 Address y~ r' n Depth SAC, MWCC S"1 .00 S.F. Total Water Conn Zit t50 City/Zip Code ~y`~~ Footprint S.F. Water Meter 90.00 Acct. Deposit 3o,c.o Phone On site sewage S/W Permit Z D,00 On site well S/W Surcharge 110 Contractor~f-o /e MWCC System Treatment P1. 22g,oo City water V° Road Unit 3yO,t Address 1f PRV required Park Ded. j Booster Pump Copies City/Zip Code / SUBTOTAL APPROVALS Penalty ~r Phone Planner TOTAL Council Bldg. Off. f/2 Arch./Engr. W Variance Address City/Zip Code Phone # I VA L U A~T (D "IJ i:~~~~ x iy = 19a4o S~D 1X2! * * * 2422 Enterprise Drive * PIONEER _ Mendota Heights, MN 55120 engineering- (612) 681-1914 -lot * 1 Certificate of Survey for: COLLE(Ir CITY CONM&C-UPAI Raap qwK N~~c s NOQUI g~pcK N R - 43r.°►7 1265.44 -'1 - - ' 10 I o I s ~o ~ ~ tip' z~~ ~ ~ r \ 833 ~~°//V~\ 4 ~ s db•, ' 10 . 2 b 00 i N. 9 k f ~ ~ • 900.0 Denotes exisfin~ Elevation 9 PROPOSED 140V5£ ELEVATIONS / r 900.0 Denotes propaMd Elevation Denotes Ora!ncr a jWild Easement Lowest Floor Elevation 960. a Denotes Draw e Flow Zrrow-f Top of Bloch Elevation : 868.75 o Denotes mont4menl Ciar0f,' 51ab Revafion :-96e. 43 B earirl~s shown are assu rn ed yll~ RRY~ R71. 4 11 LOT 3 ROCK l 81AVrA114AWK ROOF DQKoTA courJTY, mitmEsoTA 90akcr TO EAsEMENT5 OF RECORD I hereby certify that this survey, plan or report was prepared by m or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this day of w, A.D. I9_"_, Sal le: 1'nCb = 40 f ee f L LI ROBERT R. SIKICIA L.S. REG. NO. 14891 1591 044.0 TER !ELOPE AVERAGE "U" C( IM' Of ~ OWNER 1;,) P . t L k D t nc 1J~U C~~ C , d ~i , -ham A.r-J SITE ADDRESS (7. LIE(QF. Gl-rV X-,,~DATE 10 t_ `f PHONE l 1 CONTRACTOR eot' Determine working square footage of each. 1. Total exposed wall area Z~C)A- sq. ft. x 2. Total roof/ceiling area t B-10 sq. ft. x OZtiv z " ~ -Total exposed wall area above floor a. Total wall window area 'z. Z C7. b. Total door area t. Total sliding glass door area 1. d. Total fireplace wall area........... c~ e. Total wall framing area (average 10X)............ t~ f. Total net wall area above floor ;-2 o0- g. Total rim joist area %971 ti , Total exposed foundation area = (a 4. h. Total foundation window area...... o i. Toal net foundation area above grade to 0 Determine"U" value of each wall segment. a. 2Z 's a X "u" _ ,3 (0 -7 l (o C; d •X "U" p a C d 0 X 'fU" 21 e. 1-70 X "U" 0q?, a . lb4- ~3 f. (1(00 X "U" 0 9. IC( Z X fouls '04-1 _718 h p X "u,, 0 = Q i . I O A- X "U" . 0-7 3 .....................................Total If item 13 is the same as, or less than item 91, you have met the intent of SSC 6006(c)2. I 0~nID U Vi 1 V A NA L Y.5 i s caF j i t~ j l_ A2 E 0 AREA 5' 'WINDOW A RE-A TyPr; of WINDOW Z THE W/MDO&0 tUuiTS j4Avt $L fn/ Ti.Srco FOR. re VAA-µ>6, -rkAY A AA L. 61 ABoJ s qy0 iyvy Q[ 4 Dcs141V CsoFf-) VAA-64-9- OF R a Z. 1 ~.ss~SNE~ L41 M 1►I C ~ N,Q / rJ 1r A S R I'~1 L M 5, Foo T A At, ZZ 3 -4- Foo rac a FoUNDAT I ON WI N oo W ARZA : TYPE of ~~'/~^~DOy✓ T}►!: VV/NOOW IJ#JJM/4-qif& at." rr,STLD FOX#12- V.oLAlC.0 THLYARL AS t~s7L.0 Agb&VR A&M M4Y Sr Assi4NL-0 ^ DcsIttp4C3P, crD VA,-"IL os= '$",c I-c4-wQ*M4;i AIR *1LM S I.Irj1= 1/via. • Foor.►c4 + FoorAUL ; V S L i D) No; C41LAS S Doo R Aizfip : 1 YPL OR DOOR : t4-10,44Q Ci L 455 0001Z S 4^V c. OILL -4 Tis'r LP Fc a."R.= TNLY 4.j.irsp ADO&,L Akio m4l 66 A.S.*ji4 r-p A ols+6NGsAf9a \IAI..+4G O~•R."~ ~uau~~iW Ala r1~Ms J/- n LJ OCa R A Rf- A Type or. DAR D00q UNI-rS HAYC bk.6N TL.*rtO A'JO wcw4G rQ HAVL A#I 'R"-VALUE of '~•8f !~~..,.~o~•v4 Aim Foor. cJ ~S SPECIALs : TYFE FbRM E-~ ~o~i/7b~ r~~-7'30 5~7 Sxjn7 a • M Y J • RMAN O VA Lt A N .a• t. y s r o ~L L 5 EGT► n 44 RAM lOI'sT I tm .A : VA L LL E owL__.._Z r4 TF- R.109- AIR- frL M r--- ~ O u S U L A T r O N C R.t`~ ) Z O fo Z S N EA T► u el _~-t-Q~-t' _ 4 - a~ 5 I D I t-4 ~ I/v, SoF r woop 17 _,F!(TF.K1o R A19- Flj.wl To-r A L ✓Ai-a.4 74-39 ff ~ / TOTA6 r!;or^c,E f r ouki n AT ION WALL- AR F-A CAbovc ClKA of.*3 "R"' VALUC )J TE 12102 A t 1Z ht-P\ M I~. 0O 3 t F t M:u.wl r (R- l() -7 ! ExTLKIOR, AJZ FIL-rn Z •~3 "FOTAL 9w4 \/ALu.r` 7-OTAL rmTA41:, , c 4- Fawn s-t ~arvrif$ D Tt : GN D -I .~~AND`U~ V " A14AL.Y5IS OF SECT 10M5 Sru m / FiAM IN RE, 94. VALLLP- TNTEKtoR /11R Frc.Nt L4s~ Y L G yv.sa m WA.LL ao~e o ~ Soot tvvooo Ai VAPOZ bAQR/t¢. A19- F,L.M [D.`>3 DOTAL-' L,61= 1 PL-1 i t O .`b3 s . v z. TOTAL MOTA4C `-7 N 5 u- c. AT F- o A R I A B& T-wcs kv S T u 05 "R"- VA L 44. L •(0 Turr¢►oa ^~~t r~~M -(•C IWS~LLNT IOpN [R~t~ Z ,G C-7 S N • T W N fr .L7t-~ [ l.e 772-1 "fF . b7 ~P ~2r~ YA rsp R. P„~q K.R. ~ C.s., 7 jW,crtR.taM Ails, t~~~M Z OT A L +s. VALLAt. f Z "L.~lo TOTA L ftOr`A4R. y D CEil fQ.Q SEG-1 IQNS . *R"AND 1~/AN A ~-Y9k5 OF 41 .S'"''E1 J Jo, s'T/ FR A M) til c, AREA, VALUE INTqRIOR AIR FILM or-Tw000 a s ~ c,YPsLk r-I WALL"AQ0 I/15v~ c, • I N76R 10R. AIR FI4-M 7i~73 TOT A L " R;,1 ✓ALL Z L7.735' TOTAL FoorAG & l 7 NSu.LATEE) AREA SE.TwccN THE JOIS--5 "R - ✓A i.u. L 4a/ 114TER 10R AIR RILM 6.=INsL.tLATION CR• - b `G YPS u. M WALL aokAao i VAPOR. bA R Q I I- R.. ► N rE 1L )o& ASK r& M A,!~3&TOTA L NR,, VALLLF. TpTA~. FOOTAGE Existing Structure est Property tine 9 2 feet Number of risers = Actual riser = 8 in. 34.00 Actual tread = 9 in. Number of risers = 4 Actual riser = 8 in. Actual tread = 9 in. Michaelson 1505 Blackhawk Ridge Way 651 688 8445 r ` Location 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/Re air 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 (20% 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 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date Construction Cost 2t2o ' Site Address /'~(~J~~9,2 i~,`7 Unit/Ste # Description of Work CJ / e'F-2 O~ Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 - 2 Property Owner 4 VWJ ~ ,°~.~•.1 ~J i~1 r~ Telephone #61Z) 79T Contractor Up,Z.- -S C";,L 1Law+J nJL Address 6-2,V4 City 0O /04144 State 17'1 Zip ,S j37 L Telephone # (QS(;~ el 91 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 (l 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. Applicant's Printed Name Ap Ica i gnature i i DO NOT WRITE BELOW THIS LINE 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 ❑ 10 08-plex X 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 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 Description: Water Damage Yes Valuation 0 d:9 0 Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code `t 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) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee i Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total N !551 20 plommon *AaEsrt$dta Est, MDri" ti49 ring 1612? 691-1914 CertiMx" or !may for: C&Lfaf C°IT>r ~''~ht~T U'CT tD gOPL 'cg gow-K . ~ x d3t.9'1 017 A W017 .1 i ;p 3 \ ` r ,r ~`t 01 %I 4c- r t 1 4+ ZGAN EWGI-146E n • awl o Denoles exishi fJ whon ~ Le ~ Umgo fEVAryaU c~os s = sov.o Denalej propaW Elevation A' lowest Floor Devatiso • - - - - - - Dtnotrs ~r~to e ~ Ali/i fir Eerstmtnl Urndes t)ra t npw Arraws 1~'" Top oj'S/r,~ lrltv~t~ itx~ : 840. tf t a Denies monument 0arpla 5 Eterofion _ 16 1: f3 a euri down are anurned P R a V, " E U I R E D LOT. , BLOCK ~ SLACWHAWK RID4E DAIWTA CoUuryt M)"CWTA SOVECT M EASEMENTS OF R"A717 hw*y "filly fhat thh furvNy. PI" Of ♦POf -01 P"Wel d by as urkdar iny dIrs" wipovUlan aw that t am duty polhore d t.snd Surwyo, t WAW tt3a taws at the State of tea, Dated thh W day Of Ay. A.D. ig 0 - . ~ OR l1t7tSERTfi_Slftttyl t..5. ~'teta. t"9t'f. 7Aa33 ~ffA" A'T RESIDENTIAL r BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 00 Called • 3 registered ske kneys WwAq sq. It. of lot, sq. ft of house; and 11 room areas 2 codes of pW► (20% mmdmum lot coverage Mowed) • 1 set of Energy Cdc laticns for held a wa • 2 copies of plan atrowkg beam & whidaw sizes; poured b W design, etc.) • 1 sM survey for w terbr 0:101o ft & talcs' • 1 set of Energy Colc lsom • k dials 9 Mme served by se*e`ystem lot addgiorss- • 3 copies of Tree RvwvWm Plan if lot planed after 7!1193 • ftim Joist Detail Cons sslocbw shed (bldg with 3 or less caws) DATE VALUATION JOB SITE ADDRESS / IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 411'Lff~43~rtf' TYPE Of WORK 1'!f 61K FIREPLACE(S) 0 1 2 APPLICANT dPHONES ADDRESS l~e-oo' z& t ZIP CODE . PAGER # CELL PHONE # L11 0W1 557i FA~~III~ re~r a;; NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLIMLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted I, MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Lawn Sprinkler fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. All above information must be submitted prior to processing of application. I hereby acknowledge that 1 have read this application, state that the infortna r1 is correct, and agr t -comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance Signature of Applican~ - Certittcates of Survey Received _ Tree Preservation Plan Received _ Not Required Upd*W 1/01 OFFICE USE ONLY t 0 01 Foundation 0 07 05-plex 0 13 16-plex 0 20 Pool 0 30 Accessory Bldg ❑ 02 SF Dwelling 0 08 06-plex 0 16 Fireplace 0 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi 0 03 01 of_ plex 0 09 07-plex 0 17 Garage 0 22 Porch/Addn. (4-sea.) 0 33 Ext. Aft - SF 0 04 02-plex 0 10 08-plex ly 18 Deck 0 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex 0 11 10-plex 0 19 Lower Level 0 24 Storm Damage ❑ 06 04-plex 0 12 12-piex Plbg_Y or _ N 0 25 Miscellaneous 0 31 New ❑ 35 Int Improvement 0 38 Demolish (interior) ❑ 44 Siding 0 32 Addition 0 36 Move Bldg. 0 42 Demolish (Foundation) ❑ 45 Fire Repair 0 33 Alteration ❑ 37 Demolish (Bidgr 0 43 Reroof 0 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 'Ag'2 a Occupancy ~ -,3 MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length - Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Fin"o C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Roof Ice & Water _ Final _ Other Framingy _ Pool _ Ftgs _ Air/Gas Tests -Final Fireplace _ R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) Approved By 14*6 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CI TY OF aAGAN P127 38SO PILOT KNOB RD - SS12x . 3 F69WWW 5b surveys Acwkv sk $ of lK 4 tt of hope, anti roofed arms + 2 0pbs of ply t20% maximwn !ot oQwerage aibwed) . 13et of En9W Caiarl Vw for heated adds . 2 copes of PW showing beam & window slues; pmed bond de*, ec) . 1 sibe awvey br eoderW sditm 3 dada . 1 set of Energy Cabibi ns . tndjrabe tf home served hY septic cya n kir addihrxro . 3 dies of Tree Preservation plan if ict patted sfber 711193 . Rim Joist DOW option ubdon 009 MWP w>th 3 or bass wb) DATE q-10-0 1 YALUAION 9 d ~C,1 <e3C~ ! L JOB SITE ADDRESS 150S BLACKWAWx IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNS W L n" C_ I Ill O A 1 A TYPE OF WORK S I Q LL) Cam- mot- .&S.Z,E I N Cz FIREPLACE(S) D -1 .r, 2. ~ . PHONES G15I lea APPLICANT REGrAt. BU I LDF9S 4 REM- DELERS TZ&OL ADDRESS C 0 1=LRWIJ AU 6- -4 42, 8!~1.1ZIP CODA X511 ' PAGER # CELL PHONE +I ! a , 3 94 6 q- q- FAX # ~ 5' L - q 82 New RESIDENTIAL BUILDING ONE - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category I wor t#heet Sub Energy Envelope Calculations Submitted MINNESOTA RUM 7672 - New Energy Code worksheet Submitted By Plumbing Contractor. Phone P: Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $9().40 Water Heater No. of R.I. `Baths _ No. of Baths Mechanical Contractor. Phone Mechanical System Includes: Air Conditioning Fees $74.00 Heat Recovery System Sower/Water Contractor. Phone AN above hnforrnatbn must be subrni W prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and wee to comply with all oppricobie Stote'of Minnesota Statutes and City of Eagan dinonces. Slgnahare crt Appicant v µ 10- t es ! c.L t ! L t4 r Certificates of Survey Received Tree Preservation Plan Received Not Requlred' y~ yy .y updalWV'l{Vf I OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex O 13 1619ex ❑ 20 Pool D . 30 Aaessoty Sidg ❑ 02 SF Dwelling ❑ 08 06-plex D 16 Fireplace O 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi O 03 01 of, plex 17 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex 0 18 Deck ❑ 23 Porch (screened) O 36 Multi O 05 03-piex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg Y or N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding O 32 Addition D 36 Move Bldg. O 42 Demolish (Foundation) O 45 Fire Repair ❑ 33 Alteration O 37 Demolish (Bldg)" ❑ 43 Reroof ❑ 46 Windows/Doors O 34 Replacement 'Darrwlition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water i SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Fin"o C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Roof _ Ice & Water Final _ Other _ Framing - Pool Ftgs Air/Gas Tests _ Fiscal Fireplace _ R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation i Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Wpter Supply & Storage S&W Permit & Surcharge Treatment Plant. Plumbing Permit Mechanical Permit License Search copies .Other i Tota! r .q RESIDENTIAL BUILDING PERMIT'APPLICATION ~,V97,75 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 / ~S7-B8'I.467'B ~1 ` q^7~ madellReartr tgraukemrnts • 3 rogmtered she snrrveys staft sq. 1L of K sq. I of house; and if roofed o m • 2 Oo* of plan (2096 ma h m lot coverage aNowedj 1 se d Ermrgy ~ br tass)ed sA iorw 2 copies of plsm showing tseam 6 window 3ww, poured iovrwd d*n, etc.) • t sb siren for s idoft sodwis & dew • 1 set of Energy Calarbb= • Mdit h two seed by, *y*0* s - • 3 copies of Tme Pruervatim Plan h tot Oabd alter 711193 • Rim Joist Detal Options seta im *W Midge with 3 or less wk) op DATE f'! VALUATION v 020 JOB SITE ADDRESS IF MULTI--FAMILY BUILDING, MOW MANY UNITS? PROPERTY OWNER ! d LSt~i/ TYPE OF WORK ff0D1- Tea _ ~lr>A , cif FIREPLACE(S), 0 1 M Z APPLICANT l~~f~t ~.~a.✓ PItON9# 111UA ADDRESS ~a tsf•~ ZIPCt?DE^'.„.. PAGER # CELL RHONE # NIEW RESIDENTIAL SUILDIN ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY Y (check one) - Residential Ventilation Category 1 # =h" Energy Envelope Calculations Suk eti MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: Water Softener Lawn Sprinkler ee: 90.10 Water Neater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: r. Air Conditioning Fee: $711.00 Heat Recovery System Sewer/Water Contractor. Phone # - AN aWve information must be submitted prior to processing of application. I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to car with all applicable State of Minnesota Statutes and City of Eagan Ordinonc s. s~ 100 Signdlure of Applicant Certificates of Survey Received Tree Preservation Plan Received Not Required Up.1101 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool 30 A sapry ft ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Fact. Alt ❑ 03 01 of , plex a 09 07-piex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Fact. Alt - SF ❑ 04 02-plex ❑ 10 08-piex O 18 Deck ❑ 23 Porch (screened) ❑ 36 Will ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-piex Pibg Y or _ N O 25 Miscellaneous I PP 31 New ❑ 35 int Improvement ❑ 38 Demolish (interior) ❑ 44 Sing ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration O 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 WinwslDoors ❑ 34 Replacement 'Demolition (Entire Bldg onto - ove PCf1'1landout to applicant Valuation jal-I Q © Occupancy °3 MC/ES System 4 Census Code ,~-113 5 Zonun g C+tyWater SAC Units d/ Stories Booster Pump " Nbr. of Units, j Sq. Ft. PRV Nbr. of Bld§s' 1. Length' `Fine=Sprinkler6d J iV Width Type of Cohst REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. To , Footings (deck) 9p Final/No C.O. Footings (addition) 7 Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other 0 Framing Pool _ Figs Air/Gas Tests Fireplace Fireplace P-I. ` Air Test _ Final Siding _ Stucco _ Stone Insulation Windows (newheplacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit, License Search Copies U O Other Total - Use BLUE or BLACK Ink I-----------------, For Office Use / I 1 G/-; • ` I Permit City of EPermit Fee: I 3830 Pilot Knob Road 47 I r Eagan MN 55122 1 Date Received: la 2 - I Phone: 675-5675 1 I (651) 1 Staff: Fax: (651) 675-5694 L---------------- 2012 RESIDENTIAL PLUMBING pI, PERMIT APPLICATION Date: Site Address: I~~S ll{ (~Vt-V l ~(t Tenant: Suite Name: a Phone: RESIDENT I OWNER Address / City / Zip: 15()5 I h W L { A Q ~ 6;7-/ - s_... _ _ Name: No 4A - PI F - License 194a Lq2 Address: I /V ~ City: CONTRACTOR State: Zip: Phone: ~71_93 Contact: Email: h (w~101 166 011, 01,471x7 New Replacement _ Repair _ Rebuild Modify Space -Work in R.O.W. TYPE OF WORK - - ~ I Description of work: PL/ tAJ / ~,C1< G!I L 7 ~ / L~ ~ 1 RESIDENTIAL i Water Heater i Water Softener Lawn Irrigation RPZ / _ PVB) - PERMIT TYPE Add Plumbing Fixtures 4Main / Lower Level) Septic System _ New Water Turnaround Abandonment . _W - RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.goi)herstateonecall.ora 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 p4pns. x J-e-~ Pe d- &c- x //V &66~~ Applicant's Printed Name Appl' n ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit#: j City of Eanon ~~I 3Le Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: -----------------\v n' 2012 RESIDENTIAL BUILDING PERMIT APPLICATION C(A Date: Site Address: Unit M J~1 Name: At, -,~C3 a. Phone: ~ l -41 cf ' t{`77 RESIDENT / / r OWNER Address / City / Zip: d c kly tvk d~f Oe ~1 Q ~~C~c%J Applicant is: Owner _ Contractor / TYPE OF WORK Description of work: 9-e ,v-,0 f k'Si, ~ ot'7`~r"O O dt~\ Construction Cost: 5 , DO (D Multi-Family Building: (Yes / No ) Company: Vy~e °SSe Co 14V l"_ , Contact: t IcI > Address: J t/(d 7 ieci City: CONTRACTOR ras3«_ State: W11 Zip: 27- ( Phone: 67 License 0 ~ f q Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) F, DI 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 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.gooherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. x Applicant's Prin ed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE ZD~12,7 `.SUBTYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage, Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Fa 11y) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous 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 V O V Occupancy MCES System Plan Review Code Edition / to SAC Units (25%_ 100%--) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock / Erosion Control Reviewed By: _,Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC/ Utility Connection Charge S&W Permit & Surcharge 3c Treatment Plant Copies L' TOTAL Page 2 of 3 Use BLUE or BLACK Ink r____________ I For Office Use (1 I Permit City of Eap ; a Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: 3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:O-$ Site Address: -d ~GG sc. Unit Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner _X_ Contractor Type of Work Description of work: g,~✓ Construction Cost: ~00 .J Multi-Family Building: (Yes / No Company: V,' S Contact: Contractor Address: , City: &rt State: -)4Zip: 5; '~B lam' Phone: -77-~'g License Sgg5 Lead Certificate { If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Y t l 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: LSewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 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 Minnesota State Building Code must be completed within 180 days of permit issuance. x Z x c r` Applicant's Printed Na a Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA120961 Date Issued:03/06/2014 Permit Category:ePermit Site Address: 1505 Blackhawk Ridge Way Lot:3 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Janice W Anderson 1505 Blackhawk Ridge Way Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature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`3+*%0'C'(+)0-4 + !VNON'\\ )$3+)'53 .!:8:'#$3%&.31&'B*)F0'C3@ 3&0/*$$0'2,''::8NNI3F3+'2,''::!"" KL:"M'L:Y9NXNY 6'.0-0>@'3%&+ 1$0)F0' .3 '6'.3/0'-03)' .*4'3AA$*%3 * +'3+)'4 3 0' .3 ' .0'*+S -G3 * +'*4'% --0% '3+)'3F-00' '% GA$@'1* .'3$$'3AA$*%3>$0'< 3 0' S'2*++04 3'< 3 = 04'3+)'Q* @' S'I3F3+'U-)*+3+%04P (AA$*%3+ \[50-G* 00 '<*F+3 =-0644=0)'#@ '<*F+3 =-0 PERMIT City of Eagan Permit Type:Building Permit Number:EA174490 Date Issued:02/01/2022 Permit Category:ePermit Site Address: 1505 Blackhawk Ridge Way Lot:3 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-030 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 - Janice W & Milton W Anderson 1505 Blackhawk Ridge Way Saint Paul MN 55122--126 Mad City Windows & Baths 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177567 Date Issued:07/07/2022 Permit Category:ePermit Site Address: 1505 Blackhawk Ridge Way Lot:3 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Janice W & Milton W Anderson 1505 Blackhawk Ridge Way Saint Paul MN 55122--126 (612) 790-6833 Mc Exteriors Inc 3529 88th Ave NE Blaine MN 55014 (612) 618-8763 X84 Applicant/Permitee: Signature Issued By: Signature