1559 Blackhawk Hills Rd
uest Date
Ju ly 21 , 19 8 9 Fire No. RougA-in Inspection
R?
' t-?'?'
TR,.d, Pfuw y?••
I
'
t
¢C
] Yes
[] No or
E
W en
Ready
g] Licensed Eiectricat Contractor 1 hereby request inspection ot above
? Owner electricai work installed et:
Street Address, Box or Route No. City
1559 BlackhAk Hills Rd Eagan
ection o. Townshig) ame or o. anpe o. Countv
Dakota
Occupant (PRINT) ? Phone No.
Jerry Person 435-6303
Power Supplier Addres I
akota Electric FaAigton, Minn
Electrical Contractor (Gompany Name) Contractor's License No.
Nelson Elecric 041-545-9
AAailing Address lContractor or Owner Making tnstailationl
Webster,Minnesota 55088
Auth zed Signature ( ontrac r ak' g Installation) Phone Number
461 -2274
MI ESOTA STATE BOARD OF ELE TR1C17Y THIS INSPECTION RE4UEST WILI NOT
Griggs•Midway Bldg. -- Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 Univsrsitv Ave., St. Psut. MN 86104 UNLESS PROPEf4 INSPECTION FEE IS
pti??A (Alli ?_?? ENCLOSED.
"X" Below Work Covered by Thrs Request
Now kdd Rep. TYPe oi Buildinp Appliances Wired Equipment Wired
Home Range Tempprary Service
Duplex Water tteater Lightin,y Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bldg. Furnace Siio Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tenk
Farm ihYr peci y DtnQr (Sl3er,ifV)
t r SRecify t er Other-
Compuie Inspectian fee Be1ow
k Fee ServicBEntrenceSize # feedera ti Fee Circuils
(? to 200 Am s s a to 30 Ani s
Above 200 qmpy rzps 31 to 700 AgNM
Swimmin Poo! Amps
=Above Above 1(l0_Am '
Transiormerg orns Partial`Other Fee
5igns ection
S
TATA
Remarks ! F ,. ;
v -
flouqh-in ? ?7 Date i, the Elec '
T Inspector, hereby
Final p certify thas the above
? ? nspettion has heen
.,.
r msee.
_.
rnis reeuest rofd 18 months iroM
° REQUEST FO#t ELECTRICAL 1NSPECTION es-00001-05
? See instrwctions for completing tbis form on hack o1 vellow copV. e,;5"Q
??
. , . ?. -. . . 1;,. .
Bock I
t
?•.
?jMd. Permi#
..? 't?
? ?Pfan.Gheck
G; 0t 4M
F
dt-? '&urcti,fAdm, . ? ?
01 ? • ?CAC/Adm.
.. ;` tY{4fis
` 7? #?d Unit
20-3885 `Water Conn.
77
'; ?-38fi8 Waw Trmt. ?
WatetMoter ? clu - `
2b-2252 Atet. Dep.
2fl-3713 Water Permit
2"740,
?
? l .?'
t
?.
?
?.
.
S
.
?FUNW7D ,
MkCT .
.
? ?ulfr
,
, _ .
G , . . . _ . . . • - :. • ? RF- -r^ .. . . ?. -°^#f?.rT-r"??-'t?'7'i', T.4.wt. Tr? q. -s } ?.-
w M ??'
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagah,lUFk15512,
PHONE: 454-8100
BUII.DINQ PERMIT
To be used for 6Y
Est. Value $1 07 > 40C'
Receipt #
r .,..
1989_
Site Address 1559 ??CKfiAWK HZLLS RD
Lot 33_ Block I Sec/Sub. BLACKEiAWK GLEN
Parcel No. 1ST
W Name G DPEI?R5ON Cfl'if}STIRUC'CltiN CO
o Address 17670 YgI.?'TU?i A'I? ?i
City I.AiCY-VII.L+Bt Phone .303
0, Name s?
Address ? _ .
?- City Phone
t W Name
? ; Address
a? City Phone
I hereby acknowlege tHat 1 ftave read this application and state that the
information is Correct and agree to comply with all applicable Staie of
Minnesota Statutes and City of'Eaga rdinances;)
?, ? -
Signature of Permitee _? ???•??'- ?^
A Building Permit is issued to: ro A it 43t«iON CUNST CO
on the express condition that all work shall be done in accordance with all
applicable State af Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy a"3 14"' FEES
Zoning A?k
(Actual) Const
? ??,? ?y
Bldg. Permit .
(Allowable) - Surcharge _U.L"
I of Stones
th
L ' •_*°
Plan Review ? a
eng
pepth •, ? k f `' SAC, City -1000?
S.F. Total - SAC, MCWCC SM?
S.F. Fooiprints -
On Site Sewage
_ ?w?
Water Conn
On Site Well Water Meter ...?i?
MWCC System ?
?
?
Ciry Water ? .
Acct. Deposit
PRV Required ? S/W Permit _20, w..
Booster Pump - S/W SurCharge i•?
Treatmerrt PI 22s*?
APPROVALS Road Unii , 340*?
Planner - Park Ded.
Council _ ? ?.
BIdg.Off. -
varia,c8 - rorAL , 3,063.50
Permit No. Parmit Holder Date Telephone #
MAtER 9
SEWER
PLUMBING
H.V.A.C.
ELECTRIC ?9
InspeCtlon Date Insp. Commerits
Footings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Ht9• j?
is,i. , /i D
Frceplace K.P/A9
Fnal Fitg. -?j- -
Fmal Plbg. M6 -Olel
Const. Metet Pibg. Inspector - Notify Plumber
Ergr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
- .. , . . . _ .... ., -- ? {?r. .a}r . .'. F. .+, .?.. .._.- . ,. ,. . .. -. -. . , . ,. . .:,?? •?, -.
. 4r? r
, PERMIT #'
PLUM9ING PERMIT RECEIPT f?
CITY OF EAGAN ?. ???
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: ff 9
COFITRACT PRICE PHQNE: 454-8100
Site Address 155 9 BlaC1[ awk Hill8
Lot 1
,?lock Sec,b
S
7
3 i
:LC )
?
g
Name ? t% P umbin
?v Address 5910 `:htster A?e
c Ciiy ?orthfield Phone 4 1-20g
rvame D Pearson CoAStx"uCtfO
3 Addre s B On .Ave W
p City ? B? ? Phone 4 3 5
`
FEES
COMM/INO FEE -1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPUES
MINIMUM - RESIDENTIAL FEE - $12.00
MlNIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNA URE OF PERMITTEE
?
FOR: CITY OF ERGAN
BLDG. TYPE WORK DESCRIPTION
Res: x New
M ult. Add-on
Comm. Repair `
Other
RES. PLBG. ONLY - COMPLETE THE FOLlOMIING:
NP FIXTURES . TOTAL
_:ZWater Closet - $3.00 ` ?
Bath Tubs - $3.00
?Lavarory - $3.00 1.2. "
I_Shower - $3.00
Kitchen Sink - $3.00 • " .
Urinal/Bidet - $3.00 ?
=Laundry Tray - $3.00 . ?`r r • "?
Floor Drains - $1.50
-.l.-Water Heater - $1.50 !• S?_ ?
Whiripool - $3.00
=Gas Piping Outlets - $1.50 '
(MINIMUM -1 PER PERMIT) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?Rough Openings - $1.50 ?
FEE: °?• rO ._ '
STATE S/C:
. ? ...J . ..`
GRANDTOTAL• ' •--'
. . _ -,?. . _ _ . _ . . . ,
- • , , ' PERMIT #
? ' •' MECHANICAL PERMiT RECEIPT #
CiTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /
CONTRACT PRICE PHONE: 454-8100 For Office Use Only:
Site Ad ? 3 ` 1 ?s " ' ; 1 ` BLDG. TYPE WORK DES?IPTRQ?,
Lot
¢lock
.?-..? Sec/ ub
Res
New
?
1..?ci?_,, Ly .
m
Name 'f M ult Add-on
? I
Address 15715 n?? ?f-c+ St??l Camm. Repair
c City x't S?r)rCfir)± , ftLkPhone <'- 3•575 aher
t Name ?--'T • V. !'YCt r ?C?l
3 Address
p City L? kc' L;j l!E +/I; ?lJ Phone
TYPE OF WORK
Forced Air ,
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
_,..._ TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CQNSTRUCTION)
GAS OUTLETS (MINIMUM - 7 PER PERMIT) - 1.50 EA. ;
COMM/IND FEE - 196 OF CONTRACT FEE
AP,FL,I€S?-,_ .,_.,,_,.,
APT. BLDG$• - GQMM• E?TE . _
?
TOWNHOUSE & COND?9 - RE$. RA7E APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 1200
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMtT - - .50
SO BAEYOND $1!000) PERMIT PRICE GOES
.,
z.,
SIGNATURE OF PERMI .
?. ?1-
-*? • FOR; CITY OF EAGAN
u.}?.t'ld r:'F? :Alt.? -
aLvMBINc
- - CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site
Lot.
m
?
?
Name Ju r e Cv% r
Address to 3 3 a K a+ s J4 0 1J
City 5+, Itwti?er Phone'77d-8o2'
` Name K iC.1".. Janc
c Address 15 54 It?cKhu
? City Ea5 ar.
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - C4MM:IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
1?P .. .
i
For od ??
PERMIT # ?
RECdPT #
DATE:
BLDG. TYR? WORK DES IPTION
Res. ?f New .
Mult. Add-on
Comm. - fiepair '
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTl1RES TOTAL
Water Closet - $3.00 $
Baih Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Oudets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
?- U. G. Sprinkler System - $12.00 ?
Coe
SIGNATURE OF PEPJM
m' PERMIT FEE: .10F70
ST TES I/C: ' s?
; FOR: CITY OF EAGAN 4ND TOTAL;
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
?
PHONE: ?OFFICE USE ONLY
SITE ADDRESS
LOT
oBLOCK ?SEC
APPUCANT:
ADDRESS: -
CITY, STATE .? ?
PERMIT DATE 6/`1I$$
WATER PERMIT # 0473 SEWER PERMIT #
METER # B.P. RECEIPT # u 2235
READER # B.P. RECEIPT DATE 5131 lA
METER SIZE
ISSUE DATE
ZIP ??? ?
?PLURABER: p? / -.?l•v?-i:.? ?e;?
ADDRESS: C3
i
CITY,?TATE ?ZIP_
PHON f0'?i?6 ?
w •
owrvER: _.._..-
ADDRESS: ?
CITY, STATE
PHONE: _
ZIP
XX PRV _ BOOSTER PUMP
PERMIT REQUESTED
/
?SEWER - WATER _ TAPS
- COMM/IND _ RESIDENTIAL
f
?L NEW _ EXISTING
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
:?`-•?arA9_.n'""'??"?'?-
o,,
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
. .?
? DATE: 6/1/89 '
RE:A8'59-41CY' VIEii->CO?3RT;,?.;LS* >$1, SAF;ARX 2ND
- - _..... . .,? ..
?._
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Roadr Until 3he meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOl)R PERMANEIdT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the follow'ing
?asons:
lfour Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice. •
6.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
eonfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTI&10- FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. .
kv . .
f ? DATE: 6/1/89
. RE `#ft9 •Sif'i . dlEW CQU1tT, L5, 81,, SAFARI : 2ND
xx? Your Sewer & Water Permit for the above property has been completed. It will be held at the
Pubiic Works Garage (3501 Coachman Road) 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: `Your Sewer & Water Permit for the above properry has been completed, but the meter cannot
be issued or occupancy aliowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
,confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
; -
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPNONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY.
;./ •
Secretary, Building Inspections Dept.
CITY OF EAGAN Remarks O/V zo o a1{f
Addition BtaskhA.tirk G-Len-l-s} Lot 33 eik ? Pe?cei 10-1435?.p.-330-01
Owner
Street 1559 Blackhawk Hills Roacitate. Eagan MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, ioTb 187 -3-.-ZFX 0. 70
STREET RESTOR.
GRADING
SAN SEW TRUNK . prior iv sion
SEWER LATERAL n . .
ew r La er 1 137 1972 106.12 20
WATEFiMAIN Bn 1075 . .
WATER LATERAL
WATER AREA • 61.88
Storm Sew Trk 107 1 8 10. 22.18
STORM SEW TRK •
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
..?
?
?
(Urtt#tratit af (Orrupanry
Citp of eagan
Drpubnm o# Irdbmg Itt?pprtinn
This Certificate issued pursuant to the requirements of Section 306 of the Unifarm Building
Code certifyiRg that at the time of issuance this structure was in compliance with the vadous
ardinances of the City regularing building construction or use. For the follawing.•
vse clasificadon _.SF_DWGIC'i 91d8. Perniic tvo. 16522
p-upgay ? ?!i4 Zoning District Ri 'Iype CansL VN
Owner ofBWd;ngC;[) P'E4-R.90[d JONST. M. pddrm 17670 TSr.F:'Imi AVE W. T1?xF:VtTxF
B,,;,?; ? 1559 gAgMW HIIS ROAD,.-,;ty L33, B 1. %ArdC[?AW1K. GJ.+1 15T
'?t - naw: M'a'BIIt 27, 1989 ?
euik ,9-615-in
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN ? 16522
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # T?5
To be used for SF DWG/GAR Est. Value $107, 000 Date MA?-' 25 , 19 89
Site Address 155.9 BLACKI3AWfi. HILLS RD
Lot 33 Block 1 Sec/Sub. -B-LACKHAWLC GLEN
Parcel No. iST
W Name G D PEARSON CONSTRUCTION CO
a Address 17670 ISI.ETON AVE W
City LAKEVILLE Phone 435-6303
1- Name SAME
0
?Q Address
m City Phone
?W Name
wW
?? Address
<W City Phone
I hereby acknowlege that I have read this application and state that the
iniormation is correct and agree to cgmply with all applicable State of
Minnesota Statutes and Ci}i of EapervOrdinancesrl
Signature of Permitee
A Building Permit is issued to: G D PEAR50N CONST CO
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Zoning R=1
(Actual) Const V-N Bldg. Permit 664.00
(Allowable) V-N
Surcharge 53.50
# ot stories --
?
$ '
Plan Review 332.00
Length +
Depth 38' SAC, City 100.00
S.F. Total - SAC, MCWCC 575.00
S.F. Footprints -
Water Conn
580.00
On Site Sewage _
On Site Weli Water Meter 90.00
MWCC System xx
Acct. Deposit 30.00
Ciry Water XX
PRV Requfred xx S,'W Permit
Booster Pump - S?NV Surcharge
Treatment PI 228 - 00
APPROVALS Road Unit 340.00
Planner Park Ded.
Council g,*& penalty 50.00
BIdg.Oft. -
Variance - TOTAL 3,03 -.5C
'f .
ei
SEIKER & WATERPERMIT
CITY OF EAGAN
3830 Pilot Knab Rd.
P.O. BOx 21199
Eagan, MN 55121 '
ls?.0 1
SITE ADDRESS ?
LOT -?ff-BLOCK -/-SEI
.33
APPLICANT:
ADDfiESS: -•
CITY; STATE
PHONE:•
PLUMBE
ADDRES
CITY, ST
PHONE:
OFfICE USE ONLY
PERMIT DATE b/ 1„/89
WATER PERMtT #' ,SEWER PERMFT
ME'fER - B.P. RECEIRT # G 2235_
' ??i ?k B.P. RECE4F*T DATt.S/..
METER SIZE
? 1SSUE DATE ? Xx PRV T 800S7ER PIJpAP
? . ,
' PERMFT ESTED
;UB
- TAPS
72e-ys / 5Y SEWER - 7WAIEXRESIDEN'TIAL
MM/IND - G 3n-A -
ZIP
N E W - EXI$TING
I AGREE TO COMPLY VYiTH CITY OP
EAGAN ORDI NCES:
?.?-,.""__`
OWNER:
ADDRESS: ' SI N T RE EN R ISSUEd
CITY, STATE ZIP °`"
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR SfORM SEWBR PERMITS, ONTACT ?
ENGINE ING DEPT,? ?
??? ti'
RESIDENTIAL
BUILDING PERMIT APPLlCATIQN
CITY OF EAGAN
3834 PILOT KNOB RD, EAGAN MN 55122
651-6$1-4675
Naw Canstructlnn ReaWremerts Rent4deflFlealr Reaulramena
• 3 regisigred site surveys showing sq. ft. oi bt, sq. ft of house; and all rooted areas • 2 capies of plan
(20% maximum lot coverage aliawed) • 1 set of Energy Calculatlam fOr heated addllions
• 2 copies at plan showing bearn & window sizes; poured iound design, etc.) • 1 site survey tor eAsrlar addrdons & decks
• 1 set of Energy CalculaUons . Indicate il home seived by saptic system tor edcltions
• 3 coples of Tree Preservation Plan if bi platted after 711F93
• Rim JoWt DetaG Options seleCtlon sheet (bldgs wfth 3 or less units)
DATE 0` 19Q -o2
SITE ADC
NPE OF
WORK-
APPLICANT A
STREET ADDRESS
TELEPHONE # i?
CELL PHONE #
IIULTI-FAMILY BLDG -Y N
FIREPLACE(S) _ 0 _ 1 _ 2
A?e . -STATE JzWZLP ?
FAX
PROPERTY OWNER ? bAn TELEPHONE # ?? -Zegg '&996
-------------------------------------------------------------W-----------------___-------_-____
COMPLETE THIS SECTION F4R pNEW_N RESIDENI'IAL BUILDINGS L?NLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ?T
(4 submiss9on ?R?iTI?S ?f?i'??, ?
ut
?) • Residential Ventilatian Ca?9orY 1 Worksheet Submitted • j? Ehergy oae Worksh?t
• Energy Envelope Calculations SuDmitted i[??? E P 2 0 ?001 k ?
L.J
Plumbing Coniroctor: Phone # B
Ptumbing system inciudes: _ Water Softener ? Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Iwechanical Conhacfar. _
Mechanical system includes:
Seweriwater Contractor:
_ Air Conditioning
_ Heat Recovery System
PMane t
Phone #
Fee: $74.00
-------------------------------------------------------------------------------------------...----------------------------
I hereby acknowledge ifiat I have read this application, state that the information is carrect, and agree fio comply
with afl appllcable State of Mlnnesota Statutes and Gify of Eagan Ordinqnces. 1 Av,44
Signafure at Appiicant
OFFICE USE ONLY
VALUATION 460406-02)
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Requlred _
Updated 4102
QFFICE USE ONLY
? 01 Foundation
0 02 SF Dweliing
E3 03 01 of _ plex
13 04 02-plex
13 05 03-plex
? 06 04plex
0 07 05-plex ? 13 16-plex
Cl 08 06-plex 13 16 Fireplace
0 09 07-plex E3 17 Garage
? 10 0$-plex 0 18 Deck
E3 11 10-plex 0 19 Lower Level
E3 12 12-piex Pibg_Y dr _ N
0 20 Poal
E3 21 Porch (3-sea.)
0 22 Porch/Addn. (4-sea.)
0 23 Porch (screened)
0 24 Storm l7amage
? 25 Miscellaneous
13 30 Accessory Bidg
? 31 Ext. Ali - Multi
0 33 Ext. Alt - SF
0 36 Muki
0 31 New 0 35 Int lmprovement 0 38 Demolish (Intarior) O 44 3iding
0 32 Addition 17 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 AlteratRon 0 37 Demolish (Bldg)" 0 43 Reroof 0 46 WindowslQoors
13 34 Replacement *Demolilion (Eritire 81dg only) - Give PCA handout to applicant
Valuatian Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIREQ INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
T Footings (deck) ? FinaUNo C.O.
_ Footings (addition) ? Plumbing
Foundation HVAC
Drain Tile
- Qther
Roof - Ice & Water _ Final v Pool v Ftgs _ Air/Gas Tests _ Final
_ Framing _ Sicling Stucco Stone
- Fireplace _ R.I. _ Air Test _ Final Windows (newheplacement)
_ Insulatian ?
? Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City 5AG
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
1989 BUILDIRG PERMIT APPLICATIDN
lqq
CITY OF EAGAN
; •
BINGLE FAMILY DWELLIRGS I?LTIPLE DWELLINGS CONMERCIAL
2 3ETS OF PLANS 2 3ETS OF PLANS 2 SETS OF 1RCflI?ECTURN.
3 HIsGISTERED SITE SIIAYEYS BEGISTERED 32TE SUR9ETS - & STaIIC!'QRAI, pL6NS
1$ET OF ENEAGY C1lLCS. (CHECS NITH B1.D(i DI9. } 1 SET 4F SPECIFICATIONS
I m pF , CkLCS. 1 SET OF F.NERGI CALC3.
!lITLTIPLE DWELLINGS RENTAL DHITS FOR SiLE IINITS 0 OF ONI'lS
lIOTEs iDDRESSFS FOa CORIQER LdTS - CONTRACTOR/HOMEOWNER NOST DESIGpATE iiHICB JIDDRESS
I3 DFSIRED. AO CflUGES WILL BE ALLOWED ONCE BUILDI`iG PExAiIT IS I35DED..
SEWER & YATER PERMIT P'EES 1ND ,CCOUNT DEP05IT !'SE5 WILL BE INCLtIDED iTITH THE BOILDINa
PERHIT FSE. PROCFSSING TIIE FOA SEWER AND WATEA PERliI?5 I3 TWO DAYS ONCE A PERMIT flLS
BEEN COI+lPLETED INDIC?TIPIG A LICENSED PLOIGEA.
.. _ .?
PENALTY APFLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.?Y
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
?e [lsed F,or: SinF???e rai:ii?y
+?;,s?, fT?it?S ?iG{.
Ct.
Site A ess ?+g5') Sriy ie,W?
Lot An? 5
Dao
xaluatlon: ?
Parcel/Sub The S
1
a i 2cd S?ddition
Owner C•')• .7earson Const?Co. Inc.
Address 17670 Isleton .",ve. We
City/Zip Code
T akeville, ? "inn. 550 +
Phone 435-6303
Contraetor Sa,-?e
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/;o Code
pa?e:
Oecupancy
Zoning -I
Actual Const /Y
Allowable 1/?1Y
# of stories
Length " Y
Depth
S.F. Total
Footprint S.F
ite
On a well
C Sys m ?
City xater ?
PAV required
Booster Puma
APPHOVALS
Planner Co?. eil OFf.
Bl ?5/Z4
nariance
+ 5/zz/89
r'EEs
Bldg. p it
Surc ge S 3. S
P Review 33?
AC, City ?QD
SAC, M[dCC S?
Water Conn S to
ilater Meter 90
Aeet. Deposit 30
S!W Permit 4 0
5/W 3ureharge !
Treatment P1. z z
Road Unit 3 yo
Park Ded.
Copies
SIIBTaTAL _
enalty
?
?
-q"W.
?/YU,, 1s"-
"1%
AM
3?° zoo
1
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Certificate For: Pearson Construction L.AL Bqak 13 5 Paqe (.?
. ;
DELMAR H. SCHWANZ
uwo aunveropa. iNc.
n.oW.d une..1a.. olrnWan"wullm«oar
14750 SOUTH qOBERT THA1L RO$EMOUNT, MIlYNESOTA 55f188 012/429-1700 , .
SURYEYOR'S CEATfF1CATE
17
N •
Scale : 1 tnGh ? 30 Feet k
O Denotes irvn monument , 5 Is? ¦ Denotes set wood hub
0 r 4 2 g?q Deriates existiruq elevation
10 ? ?enotes proposed elevation
f ram development plan.
L.b T 33
. ,
? BL-OCK I Also showing a house as etaked
therson.
Y. ?
6- Orainage & Utility Easements A
4 ?
•? . ? ? ,e? ! ? ?"+?? L Y?l` ,_,.>._ •
? 0- 9Y_ ??..? . . _ .. .. . .
. ? ? = "T#?
? ? ???•? l ?
.02 1Li, Sf4.2 q?1,4 1 I t'oP ?i? S ? g?.? 0
' ? ? 2l.T 12.4
? 31. 33 A ? Q
.
W N ?o? i - - - ¢ $
TeQH,)B=F43- 28
? a ? 43.? TaPH?6=$+?3.?r
20 ?
i ` 13.00
.f ?
p Praposed garag e f3.aor elev. _
;
8"_0
' ?? ? ? ? $•tZ• ?
, (,9A I - IV $4 44 z4 1n!
-roPt'u,?,ii= S41 Z -rto4tuts = g4Z. 5
4
BLA C.KHAWK H ? ?L -5 ROAD .
--1=0 . V: REQlJ IR E D " *•'' Description: ` . ; . .
.?
, Lot 33, Block 1, BLMKHAWiC GLEN FiRST AQDITION, accardinq to the recorded
plat therevf, Dakota Countp, Mfnnesdta. . . ? I laerobr cSrEFfy that thi11 survey, pFan, or roport was
PreMrod by eno or undsr my dlrsct supsrvision and
IAN 1am a dulr Rplsqted und gury"w uAder
Na faws of !hi 8tal+l of Minwoots.
06-3U-89
Qated
?. IEWFD
B r-
Da ? ?' .3
F,1??AN ENGINEERING DEPT
Qel+mr H. Schwans '
AAinneata RAplitTtion Nlo. a25
,-
Certificate For: Pearson Construction Book 130 Pag e 55
. ?; . . . : - ? ..
• '?
. ?
?
DELMAR H. SCHMIANZ uNn sumerona. nOc. /
n.o,we u?e« ?..ws a n?e w+. a wnMwoe.
14730 SOUTH RQBERT TRAIL ROS'?MOUM', 6AENNE80TA 560A? d1Rl43'9-1
SUFiVEYOR'S CER1'iFICA'TE
"A?E r
AD
?..._._.? ?
? ?V ir ?
nar??
30 Feet
Sca3.e.
. 1 Inch =
Q Denotes ron monument
a ?.
06 Q enqtes set wood hub -
1D?_° ,p. ?
'i .?` .6}ent??s .-.ex?.sting el.evatiorls
6- A?pe? ??gropased e3.e?ratians
Vi ?J•?OC.`ri ? ?o ' ?' . ,?
•t ro;p deveJ.rs ent plan.
4fs$3 ??•$?" ? ! • i?
// _ fp? ??'? ' ?q? ?r•
?
Qw(hk / ? • ? ??, O• ?? , ?? ? ?'t
Q t
,
?, K`? V t ??
Ao s'I?•u?•' .. .._.. ? ' °
+-QJ 5 Y, ,? F? a? k ?, ? hl ? •
• - ? - _ ._- • ? ?? 9? ? / ? . ?, tn ? _
• 4? Draina e&Uti ity `/o
b U [? ?
? _ . ? ?"
ements l ? uirr°?„f0
? . JO wZ
a .
p/?g,??4?? ' ?? "?? ? ?'? ?' `? ?
. ?r l //???? Q „? i e?/ . e 4 I• I}b'f r
rlNZ
'?'^-?° `r ' `"- ' ? ',? ?''?'s• :???,s ;t? ;?
?
Pond
, r, '°'s• '?
High Water 92,9.3
Normal Water 928.5
Water Elev./Fb5-11-8 S ', , ,M--?„?? "? ?--• . ''.
= 927 .?rv?o e?:ev??`ion ?,
l ? . ? ,
Descriptivn: .
?` • . Lot 5, B3.ock 1, THE SAFARI SECDIQl ADDITION.according to the
? recorded p3at thereof, Dakota County. Minnesata.
1 AereW certity Ihal thds iurvey. plan. or repOrt was
prsparodbymeor undor my dtroclsupervisiarnand Also showing the locativn of a op sed hause
thet 1 am a daly Rsplstsrad Land Surv"or under thereon.
, ths lavrs ot ths 3tato ot Mlnnowa.
.
??? 05-12-89 Miem?ota RAadwfaft
omblow No. Am
t:
r ` .
r.?
n '
' . ? •' ? -* EXTERIOR EAYVELUPE AVERAGE "Uu • COMPUTA'1'ZON
•Cm3D
S'ITE ADDRESS?
t7DNTRACTORDATE .SI HONE
T
Determine working sqnare faotage af each.
2. Total exposed wall area ...... 0q` sq. ft. X• i? - ( 9?1• E?"?'
2. Total roof/ceilinq area ...... 1 4 B d sq. ft. X.424 _? 3b t d?
A. Tatal wall wind.ow area .......................... 17-6
B. Total door area ................................ Q-4
C. Tctal sliding glass doar area ................... 4-0
D. Total fireplace wall area ......................
E. Total wall framing area (avexage 10$)........... 1 45
F. Total Ri.m joist area ...:.............•.......... I 4-4-
C: Total Net wall area above f3oor.•---••-•••••••• 13 0 1_
Total exposed foundation area -
Xi. total founciati4n window area ...................
1. Tvtal net,foundatian area above grade...........
18 a 4
Determine "U" value of each wa1l segment.
a. 12- Cp x "U" ?°-
b. 4-0 g nul+ , ?3 = 9, z„r?
c. 4-o x efvl? ? S'9 ? 2 3, t. 0
d. X ^[i" ?
e. 1 4S x „U" .ID - t4.50
?. l44 x "v" .04-
}( nU^ •04'
h. X Ifu" _
i. X stU" _
3 ...................................Total
If item #3 15 the same as, or ].ess than item #3, y4u have met ttte intent of
S9C 6006(C)2.
,
i 0. .
Total exposed roof/ceiling area J. Total skylight area ................................ $
k. Total roof/ceiling framing area (average iQ$)...... ? t 7
-
. otal net iasulated roof/ceiling area .............. 1c3 5!j
Determine "U" valne for each roof/ceiling segment.
? • S ' x "U^ ? 'S q IM 4-,7 2.
k. l l ? X. . a27G
.ra193
X ~Un
4 .............................. ....... ??Y = 2 8 . 3 1
If tota3 of #4 is the same as, or Zess than #2, you have met the intent a€
SBC 6006(c)l. Alterrtate Building Enveloge Design
To utiTixe the tatal envelope system method, L•he vaZues established by.the
sum af item.s #3 arad #4 shall not be greater than the swn of items #1 and #2. ?
+ 2.
3. + 4. _
19".
' t - ROOEf 4r+ILM
. ?
i
?;
Constructian (use for Item L) x-Value
1. Interioz air film 4.61
2, 5/g," SHeEtrzacr. , 5G
3. 3fl`:'do 50,00
4. nxterior air film {still 0.
Tatal
191
Vented
Heat flow
up
FIG, #5 ? Heat flow up.
FIG. #6' .
F@
F-r.r., 07
CLG. FRAMING(Use far Item K)
l. Interior Air fi1ti_ 4.61
2. -51$" S+IE.E4TRac.tc .5G
3. Tnches soft wood 3'/Z" +,'S $
4. Inches insul above framia 30.00
5. Air Film 0.61
?0#?i ?G . ? 4
l. Interior air film ' 0.61
2. . .
3.
4. Ext.erior air film (still) 0.61
Total
? . •vented
.•
1 ? Li
• NON-VTNTED
.. . ' .
? . Heat
flav up
1. Insa.de air film •' 0.61
2.
3.
4. '
5. Qutside air film 0.17
Tptal
Notc: Usc addi.tional sllccts i.f morn c-pcica is
y:aeded for cietails and cal.cu3aCions.
•.n,? ....}?+'"?'*°?,'^`:!'t%?':7_'?L,,t?c`l-+-,??•?'?.,xa?-?'a?
.. P.
...e,
].. Interigr air £iIm Q.b13,
2. 11Z., vrz-t wA L.L- ..?."gs
3. 51lL i.»ches saft waad C0.1 L
4. 5NEPT9It4G Z.IGG
5. 5tn4OG .G7
6. Exteriar air fiim - 0.17
Tatal 10.1s
'WL
:iy
FRANiE WAT•T•
Construction R-Value
l. Interior air film 0.68
2. s12." JPg..yWaj.L.. .45
3. S+jL" I?r.s u L. igj. oa
4• S44 {'e.ATI1 I N4 2.06
5. S% vI ttG .G'T
6. Exteriar air film 0.17
Total -Z;, a 3
V = . A4
l, Interior aix film 0_66
2. lu?ijL . 19,00
3. f L&'Woe sp 1.88
4. SIiF.ATId 11.1Cq .oG
5. 5t pt ?.iC. • .G?
6. Exterior air fi1m 0.17
Total 2 4-.4fa
U= .04
MATION
W=
•? .. ' u
f ` ?•
?, , • ,
o p? .
IG-'#3
• ' ? - , ` e.? •
, . • ?. e
? . .. ?
? ' • _? . t. -
l. interior air film 0.68
2. 14SUl., Auv, gEZ/W&LL . $d(e
' 3•
• 4.
5•
' G. Exteriar air film 0,17
Total 10,11
• U %-, tC1
SLAB ON GRADE
FIG. #4
NOTE:
.
_.---? , ?? ? , •" `'? • ` ?
If f ? ' . • _
?. . ?
.
,
'' .
?
..? _
'
L '
!!J
,
-
?.
?ri
?.
? .
•, o
?
?
X x
Indicate tvpe, "-R" value, denth and
p2acement of insuTation.
y. w r . •
, • ' rrALL tir-.r.TIoNs
N(zT°' . U4c- i5% of opaque wal l area far
frame cocistructa.on
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112635
Date Issued:08/20/2013
Permit Category:ePermit
Site Address: 1559 Blackhawk Hills Rd
Lot:33 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-330
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Joan E Bassing
1559 Blackhawk Hills Rd
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
3/22/2016 9:11 AM FROM: Fax Standard Water TO: 651-675-5694 PAGE: 002 OF 003
Use BLUE or BLACK Ink
F-----------------
� For OHlce Use / I
; Permit 0:
City of Ealla� I ;
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:3` '
Phone:(661)676-5676 I I
Fax:(651)675-5694 MAR 2 2 2016 Staff:
----------------J
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/22/2016 Site Address: 1559 Blackhawk Hills Rd Unit#:
Name: Sara Wordofa Phone: 612-756-4522
Resident/ 1559 Blackhawk Hills Rd, Eagan, MN 55122
Owner Address/City I Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: Draintile System
Construction Cost: 7550.00 Multi-Family Building:(Yes_/No Zi
company: Standard Water Control Contact: Mike Hogenson
Contractor
Address: 5337 Lakeland Ave N City, Crystal
State: MN Zip: 55429 Phone: 763-537-4849 Email: mike @standardwater-com
License#: BC001522 Lead Certificate#: NAT 21436-2
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor. Phone:
NOTE:Plans and supporting documents that you.submit are considered to be public information. Portions of
the information may be c/assil.ed 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(661)464.0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.gootrerslateonecali.oro
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 1 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 160
days of permit Issuance.
X Betty L Baker x dA
Applicant's Printed Name P-PYI&A-6.4 fgnature
Page 1 of 3
E DO NOT WRITE BELOW Vc� I
THIS LINE
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 u 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 PGA handout to applicant
DESCRIPTION ; "p� #
Valuation i e Occupancy u MCES System
Plan Review Code Edition ` SAC Units
(25%_100°I° ) 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
Roof:_Ice&Water _Final Pool:—Footings Air/Gas Tests _Final
Framing V Drain Tile J
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 Wails Other:
Reviewed By: ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC '
City SAC
Utility Connection Charge
S&W Permit&Surcharge "
Treatment Plant `
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174309
Date Issued:01/18/2022
Permit Category:ePermit
Site Address: 1559 Blackhawk Hills Rd
Lot:33 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-330
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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 -
Kebede & Sara K Wordofa
1559 Blackhawk Hills Rd
Eagan MN 55122
(612) 756-5422
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176377
Date Issued:05/13/2022
Permit Category:ePermit
Site Address: 1559 Blackhawk Hills Rd
Lot:33 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-330
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Kebede & Sara K Wordofa
1559 Blackhawk Hills Rd
Eagan MN 55122
(612) 756-5422
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176410
Date Issued:05/16/2022
Permit Category:ePermit
Site Address: 1559 Blackhawk Hills Rd
Lot:33 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-330
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 -
Kebede & Sara K Wordofa
1559 Blackhawk Hills Rd
Eagan MN 55122
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature