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3948 Blackhawk Cir
INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: cur ' 3830 Piet Knob Road Wmbar: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 .SITE ADDRESS: L01 1 05 ;R L'o C I - APPUCANT: TW, 313AR:4 PI.AfKHALIX UTR RrNfWAI_ OY AMOfR~E* } PERMIT SUBTYPE: TYPE OF W!DR1(: ~t.~'~~la~~ter~ ►1 "i NFtIPT ION FRAMIN(I F TNAi 14+ 14 Permit Na' plamb Flakier Date Telepime # ELECTRIC PLUMOM ~nsn Este Imp: ~oarm FOUND FRA WNG FgWFfM 'PLpIlra" WMT ir~}IJ~H HEAI~fUC Q AS SVC TEST INSUL GYP BOARD FIRE-PLACE FIREPLACE AIRMT FINAL FLOG F114AL HTG ORSAT TEST BLDG FINAL BSMT R1 BSMT FINAL DECK FTG DECK FINAL P~~ : ' R"~4:2 . .gam 'a+.A#R s+s ~rrl~t,i EA N pp 3M Poet KW* Reed 30480, MN 53133 PRONEs 434.9100 BUILDING PERMIT Receipt To be wed fer GARAGE Est. Value $5400 Date September 4 19 $l V'a Site Address - 3948 Blitekhawk Circle ?uI_ Erect }M Occupancy Lot b Block 1) Sec/Sub. Cedar Grove 8 Alter ❑ Zoning Parcel # 1 C; 16707 (']60 09 Repair ❑ Fire Zone Enlarge ❑ Type of Cartst. at Name Dennis Erickson Move ❑ # Store Z Address 348 Blackhawk Circle Demolish Le Ci Eagan 55122 Phone 452-6850 Coode 13 DDepth Sq. FiN.....; Name Sussel Co. Approval. Ewe Address 1850 Como Ave, Assessment Permit city fit. Paul 551nre 645-0331 Water & Saw. Surchargte•_ Police Plan check W Name Tgm.! Driveway to Blaekrawk Fire SAC - iz Address Road not Allowed Eng. Water Conn. _ W Ci Phone Planner Water Me"r Council Rood Unit fir . 1 hereby acknowledge that I have read this application and state that Bldg. Off, the information is correct and ocoble ogres to mply, witb all ap 259 State of Minnesota Statutes and City ojn norrces. r APC Tales Signature of Permittee A Building Permit is issued to: Suseel Co. an 1111W tor4iesss all work shall be done in aecordonce with aN opplieoble,State of Minnesota Statutes and Cby of Easaa Building Officlet F Permit No. Permit Holder Milo. Permit No. Holder Plumbing "Xi6c. Willi Weter Disp. Sewer Electric Inspection Dote Insp. Other Footings Foundation Framing Rough Plbg. ough HV Insulation Final Plbg. Final HVAiC Final fy wow Describe Location: Wall Sewer Pr. DIsP. DATEf 4/26tg1 RBCZ,IPT: 013100 SITE ADDRESS 3948 BLACKHAWK CIRCLE Unit # Permit # 143 0 L 6 B 9 Sect./Sub. CEDAR GROVE 8TH DENNIS L. ERICKSON-HOMEOWNER-452-6850 INSPECTION INSPECTOR DATE COMMENTS INSPECTION INSPECTOR DATE COMMENTS CI'T'Y OF M -AT 3(95. Pilot Knob Road Eagan,. Minnesota 55.122 PEI;DaT NO.. 510 The City of Eagan hereby grants to Wenzel P122bin11,& heating Ing of 3600 Kennebec Dr., Eagan 55122 a PLU'MB114G Permit for: (Owner) Mel-Roy at 3948 931ackhawk Circle , pursuant to application dated. j~l/1B/74 Fee Paid: $20.00 dated this 23 day of Sept. , 19„ 4-.4 b .50 s/c Building Inspector Mechanical Permits: Hid Total: CITY OF EAG.0 3795 Pilot Knob Road Eagan, Minnesota 55122 PERYJ-T NO.: 581 The City of Eagan hereby grants to mill City Heating & Air Conditioning Co. of 13005 B 16th Ave. No., Mpls. 55441 a _ RRATTNG Permit for: (Owner) MEL-ROY at lg4R R7ankhawk circle , pursuant to application dated 9/20/74 Fee Paid: ,20_no dated this 23 day of Sept. , 19 74 , .50 s/c Building Inspector Mechanical Permits: Bid Total: CITY, 0; G.AN N2 .3905. BUILDING PERM111T .3795 Pilot Knob Road Owner, _ Eagan., a,` F 3P 1 .C~!-_d J ~ Minnesota 5S1isZ . Address resent s 454.8100 Builder Address jDB:e DESCRIPTION w stories T Be Used -For: Front Depth Height st. Cost ermit Fee Remarks LOCATION Street, Road or other Description • of Lochtion ' 'Lot Block Addition or Tract J This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it gi the owner or his agent the tight to create. any situation which is a nuisance or which presents a hazard to the health,; safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST HfYPT 0NgHE permission WORK IS IN PROGRYPS. p This is to certify, th has to :erect a.:... u on the above described premise bject to the provisions of all applicable: anc t th o agan. --......:r....._.. Per _ . M Building Inspector CITY OF EAGAN Remarks II Addition Cedar Grove L#8 Lot 6 Blk 9 Parcel 10 16707 060 09 Owner -Debt ll`, L,. C- flleoh Street 3948 Blackhawk Ciucle State Eagan,MN 55122 I~ Improvement jDate,o Amount Annual Years it Payment Receipt Date STREET SURF. 6' 1 5 LO P d 107- 141,, . STREET RESTOR. GRADING SAN SEW TRUNK LS 12 .00 5.00 25 Paid SEWER LATERAL 1539.10 307,82 51 Paid WATERMAIN # WATER LATERAL 1974 WATER AREA 9F- STORM SEW TRK E # STORM SEW LAT 1974 5111 CURB & GUTTER SIDEWALK STREET LIGHT I~ I~ WATER CONN. 28OrOO 11 O $-2 BUILDING PER. SAC 00..00 11530 tJ,-2gi6,(4 PARK if Ir" CITY OF EAGAN 6857 8795 P16t Knob Road Eogen, MN 58122 PHONE=" 454.8100 BUILDING PERMIT Receipt To be .need- for GARAGE Est. Value $5400: Date September 4 19 8l Site Address 3948 Blackhawk rc a Erect M-1 Occupancy Lot 6 Block 9 Sec/Sub. Cedar Grove 8 Alter Q `Zoning Parcel # 10 16707 060 09 Repair Q Fire; Zone Enlarge Q Type of Cont. n I% Name Dennis Erickson Mom Q # 'Stories z Address 3948 Blackhawk Circle Demolish Q Length 2 city Eagan 55122 Phone 452-6850 Grade Q Depth Sg. Ft. Name Sussel Co. Approvals Fees d Address 1850 Como Ave. Assessment Permit 56.50 u~ city St. Paul 5510 hO/E 61+5-0331 Water & Seer. Surcharge .00 Police Plan check ~W Name HM! Driveway to Blackhawk Fire SAC Z Road not Allowed =G Address ,::Eng. Water Conn. <W Ci phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information Is correct and agree to mpl wit all" alp cable APC Total $59.50 State of Minnesota Statute nd City 114,G nee Signature of Permittea A Building Permit is issued to: on the express condition thm utes and City of Eagan Ordinances. all work shall be done in accordance with ppli4a le to-f;-Minnesota S t4d Building Official ' ~"A CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations BUILDING PEM+lIT APPLICATION 1 _ set of energy calculations- Date O 'rte/ To Be U For Val ''OFFICE USE' ONLY Site Addles wt. V7 Block Sec./Sub. Ci ~q•.~ Fxect Occupancy to f (0 -7 0 C)bC3 o i Alter zoning Parcel Repair Fire Zone Enlarge Type of Const. Owner • move # Stories ft. Address- Demolish Front ft. City/Zip Code Vol G de ` Depth Phone 8 FEES Asse Permit . f/_ r Contractor: taater Surcharge Address: Plan Check -C SAC City/Zip Code: Water.Com. Photye Water Meter - Read Unit Arch./trig.: dg. Off. Address: City/Zip Code: • TOTAL q t° Phone NQ 1TY o EAG►N 338 BUI DING PERMIT . 3795 Pilot Knob Road. Owner . . ~ Eagan; Minnesota 55122 . I 4 Address (presen 7....................._. 454,--8100 01 Builder . ' Address DESCRIPTION Stori To Used ror 1: Toni Depth . Heigh Est. Cosa Permit Fee Remarks V !~.so 7777 ~z~A LL r-~ r) LOCATION Street. Road or other Description., of Location L I, Block j' Addition or Tract This permit does not sutho a use of streets, roads, alleys 'or' sidearalks nor does, it give the owner or his agent the right to create any situation which is. a' nuisance or which presents a ` hazard to the health. safety, convenience. amd general welfare to anyone in the community. . a THIS PERMIT MUST BE KEPT ON THE -PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that -------hes permission #o erect a - - - ---....._ngoss the, abo a descri p emise subject to the-provisions.of all applica n" es for the -ii of Eagan.' - Mayor JBuilding Inspector f a G-rr~al --filtd undW- f~ e. SFr EAGAN TOWNSHIP BUILDING PERMIT N~ 2930 Owher °X'..... Eagan Township Address (present) . . Town Hall Builder Date Address DESCRIPTION Storie To Be Used For Front Depth Heigh! Est. Cos! 'Permit Fee Remarks 9 sk_ LOCATION '7 2 o~ Street, Road or other Description of Location I Lot Block Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR*S. This is to certify, that .....~..e nr. ................has permission to erect a 4ak ~ the above described premise subject to the provisions of the Building Ordinance for Eagan To ship adopted April 11, 1955. Per Hof- nw oar Building Inspector EAGAN TOWNSHIP BUILDING PERMIT X° 2374 Owner f' -x a- Eagan Township Address (present) _44 Town Hall Builder Date ---'1..~ s l?~ Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost ermit Fee Remarks LOCATION Street, Road or other Description of Location Lot Block Addition or Tract oe G 7 - S ~J /6 1,3 9J This permit does not authorize the use of streets, roads. alleys or'iNewalks not does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS This is to certify, that... has permission to erect a.. S.. : ~...__~.._upon the above described premise subject to the provisions of the Building Ordinance for Eagan owns hip adopted April 11, 1955. e.../`„ Per ~-6irnffan of Tnwn Board Building Inspector . viL"W©E EAGAN WATER' SERVICE 'PERMIT N95 Pilot Knob Road PERMIT NO.: 158$ Eagan, MN 55122 DATE: 9/23'%74 Zoning: 1z1 No. of Units: Owner: Address: Site Addressi394-R RlAckhawk Ci>:cl Plumber: sar~n.._ uel :PI umbing & Hea3tinq Inc- Meter No.: - 240.02535 Connection Charge: ,2g0~9® ~d Size: 54$ Account Deposit:. Reader No.: 607902 Permit Fee: :10 00 Pd I agree Yo co"Wlr with the. Village of Eagan . Surcharge:: . 50 vd Ordinances. Misc. Charges: 60:00 pd : - Total- By Date Paid . Date of Insp. Insp.: VX E-SF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2349 Eagan, MN 55122 DATE: 923/.74 Zoning: RI No. of Units: 1 Owner: Mel-Roy Address: T Site Address: 3948 Blackhawk Circle Plumber: Wenzel Plumbing & Heating Inc. 1 agree to comply with the Village of Eagan Connection Charge: 400.00 pd Ordinances. Account Deposit: Permit Fee: 10.00 pd Surcharge: .50 pd By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: This request void 18'montf_is from ll( it :'M !d rf:o t~ 2750 Request Date Fire No., Rough-in Inspection "R quired?Ready Now~Will Notify. Inspec t J'E] es _No l for When Ready - Licensed Electri cal Contractor. Y i . I hereby request 'inspectionlof above Owner electrical work installed at ,a Street eAddress, Box or Route o: City j' ection No. Township Name or No. Range o. County, Occupant (PRINT Phone~No. Power Supplier - Address - - Electrical Contractor (Company Name) ' Co. ractor's License No. O Mai.ling Address (Contractor or Owner Making Installation) Au ed ignatur (Cunt, or(Own Making'.tnstallation) Phone iNumber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST,:WtLL NOT Griggs-Midway Bldg: -Room. N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave:, St. Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS ENCLOSED. Phone (6121 297-2111 ~ rI.- REQUEST FOR ELECTRICAL INSPECTION" E6 00001.03. W27 $ Q}„~ See instructions for completing this form on back of yellow copy. "X" Below Work Covered by T4 s Request ji 3zq6 Ne A d Rep. Type of Building Appliances Wired Equipment Wired j Home Range Terrjporary Service Duplex ..-I' Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating.- Commercial Bldg; Furnace Si14,Unloader j. Industrial,Bidg.- Air Conditioner Bulk Milk Tank Farm Other p,-c, y OtheI (Specify) - th Other Other fl Compute' Inspection Fee Blowi - # Fee Service:EntranceSize . _Fee _ Feeders /Subfeeders # Fee Circuits 0 to 100 Am s'. 0 to 30 Amps 0 to 30 Amps S -101 to 200 Amps 1 o 00 Amps 11, 31 to.100 Amps Above 20Q-Amps Above 100 _Amps Above 100 LAmps Transformers Remote Control Circ. Tab -Partial/Other Fee Signs Special Inspection S ' PT~ Remarks ~O T it Rough-in Date. I{ I. al t iil Inspector hei'ebv, tea- certify that the above Final a inspection has been li made. This request void • ._.I.,' . 18 months Jrom j,, PERMIT CIT*OF EAGAIN 3830 I.rlot Knob Road PERMIT TYPE:i! B I L z ~v Eagan, Minnesota`'55122-1897 , Permit Number' 0 3 0 0 8 6 Date .issued: 0 5 2 7 J 9 7' (612) 68174675 .SITEADDRESS 3948 -8LACKHAWK GTR. LOT. 6 , B LOCK s 9 CEDAR: G.ROVE:8TH P,I,N10-1670.7-060-09., DESCRIPTION: REP LACE . WI N01{9W.S :(:2.) 1#I, Permit -Type sl (MISC. ) . ' M Tau hrI;i i7I Work Type' AERATION 434 ALT. RESIDENTIAL REMARKS:. FEE SUmmARY: VALUATION $1,10} Base-Fee $37.50 Surcharges.. Tota1 Fee $38.05 -i' CONTRACTOR: Applicant - ST. L OWNER: ANDERSEN 15717816 20040 30 ERICKSON DENNIS ,RENEWAL*:BY 700 BUERKLE 3948 'BLACKhiAWK CIR.. HITE BEAR LAKE MN 55.110 E-AIS AN MN, ~ 612)' 430-7255 2) 452-_685 k,rl f,a_t iif t f'il,`S; } };_L'✓:_: Ye7 j C.ik. aF)} I at!i l c. ~ to 1~}'E.j ;i . .y., 111rd f, ,l IJ (1 J ' fi 1 l t. 11 i 1:-. j.- Ll p p 1 7 U 1 t fy t.Y' ('...r.._ I"c I f 11 Y'•..1 C:[ 1 I lC! r r, r 11 L'c v f {i 1_ I I < PI . ` APPLICANTIPERMITEE SIGNATURE ISSU _,1BY: SIGNATURE It 4 i CITY OF EAGAN • {k n n ~ - CASHIER: S TERMINAL. NO: 40 DATE: 05/28/97 TIME: ~ - i~,a46w10 ID.- NAME. ELDER BONES jj it 32210 9n4i 3948 PL.ACKHAWK 37.50 2155 3001 3348 BLACKHAWK 0.55 Total Receipt Amount: 3i3dt)5 I CR074348 1 USER II3 a NANCY 3 . Ir d , 1 fj d - r tip y 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 0' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New construction Reouiremen s RemodeVReoair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (Include beam & window saes; poured fnd. design; eta) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations 0 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan H lot platted after 7/1/93 required: _Yes _ No 00 DATE: S Z Z G-1 CONSTRUCTION COST. Ti O O DESCRIPTION OF WORK: TKU h4/rYOU►- (S 1,4 Elam ,.J t T(4 FOC.kZT f 4,5iEer 1,fit -fQ 47 h(~ STREET ADDRESS: 3a4 a ' tSC.tiC4-ll~~rJ IC C.1~ LOT BLOCK SUBD./P.I.D. PROPERTY Name: a4k Ue5c-4 _ Phone 4SZ OWNER Street Address: 3q~$ • 5VNLI,4 ~1 Ole- Q (L, City. State: M-J . Zip; SSt 2Z CONTRACTOR Company: 295INt2irvAk- 6-1 fs"02UKEY4 Phone 571 ' 2 g a6 ' Street Address: -S% T32/WC- NE' 34 iT` 8 License Zy b3O City: State: Mel Zip: 5'5'(ZZ ARCHITECT/ Company: r4 jA- Phone ENGINEER Name: Registration M Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant RECEIVED OFFICE USE ONLY MAY 2 7 1997 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required BY• OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ '21 'Miscellaneous ❑ 05 SF Misc. ❑ 10 - plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 1 y? 0 w Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PLOT PLAN SMVIGARAGES SUSSEI 6AUSIS SUSSI[l WMIRNINC «r NAME ADDRESS 3 R 4 Y 13 CITY K LEGAL DESCRIPTION LOT: tFr . f 8LOCK: ADDITION: Y J ' - LOT SIZE: HOUSE SIZE: ~ ~a r r g CROSS STREETS: f ry J l'. I DIRECTION CITY OF KAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # 3 3 O PHONE: (612) 454-8100 RECEIPT # / DATE : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 _ LAVATORY 3.00 OWNER NAME: iritA KITCHEN SINK 3.00 ~I 0 3, LAUNDRY TRAY 3.00 SITE ADDRESS : c 7 ~'1'~ ~~lJ HOT TUB/SPA 3.00 p WATER HEATER 3.00 LOT: BLO 7 SUED. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ~ ROUGH OPENINGS 1.50 ADDRESS: Od~ _&Lt~ OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE t SUBTOTAL Z ST. SURCHARGE .50 SIGNATURE 0 PERMITTEE TOTAL: $ I 6. sy p{~L`„t~1]RT PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR CITY OF EAGAN MASTER CARD LOCATION A64AIL CZ OWNER r STRUCTURE AND LAND USED AS 4 -4 13 777 r Issued To Permit I No. Issued Contractor Owner BUILDING PLUMBING 3'38 19• f CESSPOOL - SEPTIC TANK g0 WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved ~ Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING na 4,,9-10-,7f - 7! TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING - 75 2 5-- OF WELL GAS INSTALLATION i SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING - ~v- !2 ^ WELL SANITARY SEWER r Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ❑ ACCEPTABLE SUBSTITUTIONS OR COMPLETION OF CERTAIN IMPROVEMENTS DEVIATIONS. ❑ WILL BE DELAYED BY CONDITIONS BEYOND ❑ NON-COMPLIANCE. BUILDER WILL COMPLY CONTROL. WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: 1-1 REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which 1 have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 23 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomeslcondos when permits are required for each unit Date- ,V ft C- f~ l Site Address q7y~ °e- Unit # Property Owner D/-e 11 n { S 0r l e k_s 6 n - Telephone # (b Q 'Contractor ny 5 vi i ! e, Street Address 36 pt 1/i f G KW City P__)K* ,5 y1 1 11& State M n Zip Telephone # Bond #:0!5 L/ / l Expires: -7476 e The Applicant is Owner V/ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 _ furnace _Additional Replacement N o V 0 4 2005 air exchanger air conditioner -New -Replacement By other State Surcharge $ .54 1 Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 2005COMMERC M= ANICAL PERAHT APPUCATIOI T City Of Eapn 3830 Pilot Knob Road, EagaR MN 515122 Telephone # 651-675-5675 Please complete for cvmmercialfindustrial building multi-family buildings when separate permits are requimd for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # Contractor Street Address city state Zip Telephone # { ) Bond M Expires: The Applicant is Owner Contractor Other Work Type New Construction Und round Tank nst . -Remove "see below ' Interior Improvement _ in" Fjping _Proces Gas Nature of Work: **Who n Installing/removing underground MM, calf few nspeedw byRM MM#al and Plumbing Inspector Permit: Fees: $70-" Underground flank insialladanhumvel $50.S0 w um (includes State Sumrhur) or Contract Value $ x 1% $ Permit Fee • If perrnit fee is $1,000 or less, add $.50 $ stagy surcharge If pe rmit fee is over 51,000, add $50 for - - every $1,000 permit fee $ TOM P I hereby apply for a Commercial Medtaa ical Permit and aclan wledge that the information + ►tnplete and accurate;. the work will, be' in conformance, with the ordinances and codes: of the City of Eager and with the Medboiical Codes; thattT undarstod this is not a permit, but only an application for a pormit, and work is not to start without. a permit t the work will be in accordance with the approved plan in the case of work which requhn a review and approval of plus. Applicant's Printed Name Applicant's Signabittr Approved By:. . linspeCtM Date PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA099071 Date Issued: 05/16/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3948 Blackhawk Cir Lot: 6 Block: 9 Addition: Cedar Grove 8th PID: 10-16707-09-060 Use: Description: Sub Type: e-Reroof & Siding Construction Type: Work Type: Reroof & Siding Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existina material (i.e. debris that could block vents) and take steps to Fee Summary: BL - Base Fee S6K $132.75 0801.4085 Valuation: 6.000.00 Surcharge - Based on Valuation S6K $3.00 9001.2195 Total: $135.75 Contractor: - Applicant - Owner: Window Concepts NIN Dennis L Erickson 990 Lone Oak Rd =114 3948 Blacldiawk Cir Eagan NIN 55121 Eagan NIN 55121 (651)905-010 I hereby aeknowledae 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA122221 Date Issued:04/30/2014 Permit Category:ePermit Site Address: 3948 Blackhawk Cir Lot:6 Block: 9 Addition: Cedar Grove 8th PID:10-16707-09-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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: 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 - Dennis L Erickson 3948 Blackhawk Cir Eagan MN 55121 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use City of Eaall Permit#: )1-101141C) Permit F " e t ee: � /( 3, 3830 Pilot Knob Roa / Eagan MN 55122 RECEIVED Date Received:/F Phone: (651)675-5675 Fax: (651)675-5694 DEC 212016 Staff: (91,1 tad 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 71-1( Date: I 7/2l/2-°I 6 Site Address: 3196 6k )}' a ec1' Unit#: /44 PWk'►12rt Phone: 6519278 -7 40 � Name: �cLfon b Resident! Owner i Address/City/Zip: 20555 StAp'I}er CI eel c, kevi)Ie, /IN 5501111 r Applicant is Owner Contractor T e of Work Description of work F;nish;r1 toserkc.►+- Rectro0w► Yp J i Construction Cost: '710 Multi-Family Building: (Yes /No X ) ,.,. Company: „� Contact: i � Ccs 0s, `f Vc.,.. (D' C �.� if6 - 3/07 Address: ! . N a i City: A C yr Contractor d I` �- � i State:/ VA Zip: )! Z Phone: Email:: s ��License#: I � � � �° Lead Certificate#: If the project is exempt from lead certification, please explain why: ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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: I Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 1 Fire Suppression 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 I a _a a a conclude that they are trade secrets.aaa aaaaaaaal 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.qopherstateonecall.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 b (ding permit issued in accordance with the Minnesota State Building Ccide must be completed within 180 days of ermit isrance. i y - x i� /' (� r A 61. ^�l"4' rUv x 1/11 fA lii is r me me lS�PP � Applic t s/bi nate Page 1 of 3 Ai1cdn10 rk1/affl-C ticz DO NOT WRITE BELOW THIS LINE 1LIDU SUB TYPES � c �4w� ci a_ 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 1� New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior X 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 f 0 Occupancy Jxa(, le MCES System Plan Review Code Edition 1,4 14 SAC Units (25%_ 100% X_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V9 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: _Footings Air/Gas Tests _Final kFraming >-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 )C Other: >;"..f ., c i a$ rt Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 1A,(Peek‘) Plan Review I MCES SAC ? I City SAC p f'i9, in,d Utility Connection Charge - S&W Permit& Surcharge Treatment Plant 5-0(V (C 2C d �,- (0 it2-C'Copies 'TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use L ( City of :::::e: � � l S/ 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651)675-5694 1 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: P ^ ) a') 1 Site Address: 1 tg 88f c C L )1.w i'( c 1'C I Tenant: Suite#: -IiR � Name: Aaron P LAV r-� Phone: G / 'a t --2o..90 Address/City/Zip: 3 14 6)n c "41 C+ t c ) Name: }ats'sDceN r)Hwbi" . ,S.eIt-'iLet License#: -Lt it – 3S l Address:r C) z o n City: i•4AQ4"` itglINVOntifitOtOreltm State: /1 Zip: SS)24- Phone: 60 - (81- g Z s L Contact ti • Email: j–. i Kt€ h.ejt k C r. 1'.."i'". - C-r. New Replacement —Repair —Rebuild `RAodify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener NHRRNKgg� ;� Lawn Irrigation( RPZ/—PVB)SIP*Th � Septic System ( Add Plumbing Fixtures( Main/ mower Level) NewWater Turnaround Abandonment RESIDENTIAL FEES: .. . $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ O. 06' 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. vwuw.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. x x Zfr-2- 7--`-: ,1"// f------ Applicant's Printed Name Applicant's Signature kiu,I' FICE 717 n'd jfJ ft1„ � � a le ;dltign; Required 4� � In � Air y ��' t , l $ , ;MS� + k `I oitivomoviewm: Size � R �� �. .zm....u, ,.,.A ..,ti,..,,. ,.. .. ... ........ ,,.,wh;�sF,;, � ,,,. .., ��� - �'; 4iae;. l_,,. !lam `,, a,t2a.,;?..,"I:.rw, PERMIT City of Eagan Permit Type:Building Permit Number:EA156983 Date Issued:07/29/2019 Permit Category:ePermit Site Address: 3948 Blackhawk Cir Lot:6 Block: 9 Addition: Cedar Grove 8th PID:10-16707-09-060 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - New Creations Properties Llc 20555 Jupiter Cir Lakeville MN 55044 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (952) 895-8100 Applicant/Permitee: Signature Issued By: Signature