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4249 Blackhawk Rd I For Office Use Cityof En n Permit#: Cy I V I Permit Fee: 3830 Pilot Knob Road 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1 S fC ? hCxc./t` Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: t~(J L 1101,,,8 66 ySr /y7(' License / 3 - 20 Address: g q 5 L-I! City: State: Utlle-l Zip: 'DcJ Phone: (iI 3 a- Contact Person: ?l/(~t COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _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. 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P: 0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: _ - - Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances, Misc. Charges: 1 ; Total: By Date Paid: Date of Insp.: / r Insp.• CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PeO. Box 21199 PERMIT NO.• Eagan, MN 55121 DATE: — Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.• Date Paid: . ,. � � Use BLUE or BLACK Ink �----------------- � For Office Use � . ��».��. I /�a I �� Permit#: �� /✓�� ' 17 2014 � i Permit Fee: �7 �OC� I 3830 Pilot Knob Road � � I Eagan MN 55122 � j Date;ReceivecL• � ��:__ Phone:(651)675-5675 ' I � �""� �. Fax:(651)675-5694 I Staff: f� I I `��_J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��j �l�`J� Site Address: �o� �� .•�. Unit#: ' Name: Phone: Resident/ Owner , Address/City/Zip: ,. , � . , . . : ' Applicant is: Owner • ° 'Cantractor 4 , TypB Of WOPk�� : Description of work: ��-"" w"1'� t=w`�`''� U-'/ � �"']� � ,. • . Construction Cost: Multi-Family Building:(Yes /No ) Company:_��t/ �,�(,�9f'�,�,�,-� CCC. Contact:�2`�$ Contractor ` Address: � Bt1� ��5� 1�k �1. ,�l(� City: �r��n0u�`�i State:�Zip: ��/ Phone: �i%d'��0`'S��,� Email: i r,(?I�tn� R I� �y d�eS�W,�'�ti()L�u'�� License#: ��yl.�� Lead Certificate#: F l0$7d.S�'� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) v �-- /�b � � �3 i i � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ', In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? I _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: '- � � Phone: -N.OTE.,Plans and supporting docum'ents that you sulimit are eons�t�red to':be pu�lic information .Pprtro�s of the information may be'Q/�ss�fie�t a�nai��iublic if}�ou provitle$�ecr�c reasans that wault�perm�f the'C��y fo z � .� � � . � � � � _;:� . ` � ` � �� °„�, conclucJe.tliat t�ie are tratle secrets.�� . ��:, " �- � �� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection�gainst underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.popherstateonecall.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 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 �� Pe�� X ApplicanYs Printed Name Applica ' S gnafure Page 1 of 3 r , �'z�� /� . ` . DO NOT WRITE BELOW THIS LINE l � / 3a� SUB TYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) 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 �� Occupancy �j�� MCES System Plan Review � Code Edition ° G?'j"J SAC Units � (25%_100% Zoning �_ City Water Census Code y3`� Stories -�' Booster Pump "" #of Units j 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 I!� Footings (Addition) � Final/No C.O. Required ' Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final � � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �� Q' /� � 3I G� � Base Fee �¢ ��'� �c� ,� ��,�� ►,�.� g �� _' Surcharge . � � Plan Review �](r �" �/�� MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies TOTAL ` , � Page 2 of 3 . `--` , glack wk �' � � � C. R. WI�tDEN � ASSOClATES, INC. lANO SURYEYORS T�t iss-3t4• • 19�1 fUSTiS iiy fT. �AUL, MINN. f510t R.M.C. DEVELOPMENT CORP. � -; r` "�� l•�-?3�S � � � � '.h ��W . 3 i._.� _ �� . � . � ////// � a /I�/ �K�� _ k,a 9... ... ... � �/a2�/�� _ NOTE: Scale : 1`=3U' o Denotes Wooden Stake. � ODenotes Zron Proposed Garage Floor El. 908•3 Monument ( 9pe�o ) Denotes Proposed Bearings Are Assumed Finished Ground E1. —�-- Denotes Direction Of Surface Drainage. . Vertical Datam - N.G.V.D. 1929 �OrQ;n4ye �`� l/��'/��(� EctSemenf � ! !1t B4� ��I�I�i` E Q f?0.33 `/O�� N � 901..0)`i" � �� II �0 � � ' Qyeihon9 {� � �� O � N � o, 3�.3 J � ' --�-. Li —t— .°� r� ��24?) /Z v � � H 3 � � ^' ProPosed a 30 � �r � x � Doub le `-� �Ci N —— — —--— — �" _'�„" li t �. 0' v . ' � � cV O � O � "�.""� 4 Bun�o%w a� �� r N m� � o = z ]�/,�f{ 2P 1 Y // ` N p� u �� f�-� +ti 0 rr t^lZ�ig/ 0�1 Q � f' N � /2 + � ,- -f �� 30•3 v ' m � �� L.. �` � i L�_ ~ O/�t�hon'� j l ( � L._ -J '� y N ��3..2_ d � p�� Nb6��S�i�" E � � � • �� `� �CJ�/�,.�� C�/"'� � Lot 2, Block 7, SUN CLIFF FIRST ADDI�ON, Dakota County, Minaesota. WE HEREIY CERTIFY SHA1 TMiS iS A ?RUE ANO CORRECt RE►RESENTAttO►� OF A SURVfY Of tFtE ►OUNDARtES OF 1Hf LAND A10Yf DESCR�IED AND OF TF4�E tOCAT10N OF Atl �UfIDINGS, IF ANY, 1NEREON, AND All VISItIE ENCROACMMENIS, IF ANY, FROM OR ON SAID tANP. Dot�d ti►i� /� t� �ar �(��/�,np _A.D. 14 8C. C. R. W dEN i ASSOCfATES, INC. �r ,X/��+N,�-�C..��+•�.._ Svrvtrer, Minw�s�to R�i�tratian No 7771 PERMIT City of Eagan Permit Type:Building Permit Number:EA126960 Date Issued:09/17/2014 Permit Category:ePermit Site Address: 4249 Blackhawk Rd Lot:021 Block: 07 Addition: Sun Cliff 1st PID:10-72975-07-021 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Morleea Ibson 4249 Blackhawk Rd Eagan MN 55122 (763) 228-0621 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA145732 Date Issued:09/22/2017 Permit Category:ePermit Site Address: 4249 Blackhawk Rd Lot:021 Block: 07 Addition: Sun Cliff 1st PID:10-72975-07-021 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Morleea Gibson 4249 Blackhawk Rd Eagan MN 55122 (763) 228-0621 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature