EA187949 - Building - Single Fam - Issued Date 11/28/2023 PERMIT
City of Eagan • , , Permit Type: Building
3830 Pilot Knob Rd ,-�,- �•,.', E A AN
Permit Number: EA187949
Eagan, MN 55122 •-
(651)675-5675 re
1111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 7 9 4 9 *
Date Issued: 11/28/2023
Site Address: 1604 Blackhawk Lake Pl
Lot: 11 Block: 1 Addition: Blackhawk Glen 3rd
PID:10-14352-01-110
Use: * 10 - 14352 - 0 1 - 1 10 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: framing joist
Census Code: - Occupancy: IRC-1
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: BL-Base Fee $83.50 0801.4085
Valuation: 2,000.00 • BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
24 Restore Christopher Becker
6615 141st Ave NW 1604 Blackhawk Lake PI
Anoka MN 55303 Eagan MN 55122
(763)753-8080
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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.
Applicant/Permitee: Signature Issued By: Signature
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For Office Use
I
Building Permit#:
187949
I
S&WPermit#:
EAGAN I
Permit Fee: ! !JO• I U
ECEIVE
I Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-5675 FAX: 651 675-5694 NOV 0 1 2023 1 I
I ) I Date Issued: ------
buildinginspectionsCc�cityofeagan.com I________________
BY:
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/7 Site Address: 1604 Blackhawk Lake Place Unit#:
Applicant is: ❑ Owner 14 Contractor
o
Meredith Becker
Name:
Homeowner 1604 Blackhawk Lake Place Eagan
Address: City:
State: MN Zi ; 55122 phone: 610-212-58 Email: meredithblackwood@gmail.l
Description of work: framing of joist
?Ype" # 350 PD, Blackhawk Glen
1111Or1 Construction Cost:
wl' Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company: 24Restore Contact: Kelsi Knack
Building Address: 6250 McKinley St NW city; Ramsey
dontradtioti, MN 55303763-753-80 permits@24restore.com
State: Zip: Phone: Email.
BC301371 3/31/25
� License#: Ex iration Date:
Sewer& y Company: Contact:
Water ..
C0 racttir Address: City:
R'equired`for State: Zip: Phone: Email:
neer construction..
License#: Expiration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTA.. 'Wris and eupp rting d' ca�'mertts`that.ydu submit ere ortisidered td be ptablic mformatipn'. girt `ns of tide -
information tii�►y` a clasltieds nan-public if.you ptoVide specific masons that would'permit tine�ity'tcon [�de tholt they,
are't0ade secrets .,
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
X
Kelsi Knack * A��
Applicant's Printed Name Ap licant's Signature