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1414 Blackhawk Lake Dr +5'> • : CASH. Ft CEIP T a OW:, §OT4, Wt ~ h AMOUntT 1 r V, ❑ tN'471'1 _ U rim r i1 ~~w}~ a Fit Ur TI u4i►~t' ~M- -OBJe - F zp C) L* 4 04 a Z~R tag a'~Fa` `e xk - w r _s''p ! y IJ M .7 R CASH RECEIPT j CITY QF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 18 ' FECENO FMU AMOUNT 'T & V DOLLARS 100 D CASH O<QHECK FOR FUND 0 CT AMOUNT Thank You BY mile- Payers COPY. Pink--FIB Copy u~ X p BLDG. PERMI NO. I I ~O ~~(a (OCR 01- Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. J 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 / Road Unit 20-2275, SAC 20-3865 Water Conn. G O 20-3868 Water Trmt. C]~ 20-3716 Water Meter oD 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL 0 0 D C~ aQF EACG'AN Permit No: 979 Date: a-21--8a. 383 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner Collega It:y Cmst. Site AddressT414, 31-ickhawk Take Drive L3 E3 Somoy Point Plumber._''hSang Conn. Chg. 55O. Coed Zoning: P,I Acct Dep: 15.00rid No. of Units: Permit Fee: I0*01E Surcharge: I agree to comply with the City of Eagan Tr. Plant 204.00"d Ordinances. Meter. A7. rle?+A s ' Misc.:_ ysr_ n' pFTzTt warn By WATER SERVICE PERMIT CITV EAbAN _ Permit No. 10934 Date: 7^21-88 083ePilot Knob Road B/ P No: 35006 Date: 6-23-88 P.O. Box 21199 Eagan, MN 55121 Owner. college-CUT Const. Site Address. 1414, K "ekhamk Lake Drive L3 113 Stoney Poiiit Plumber: Star Plumbing 550.00 R1 MWCC: ~ Zoning' City Chg: 100' 00pd No. of Units: Acct. Deq. v s 1 agree to comply with the City of Eagan: Permit t Fee : - ~ . pa Ordinances. Surcharge: Misc.: By 1 SkWER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value Date AUG 29 19-91- Site Address 1414 BLACKHAWK LA1E;E DR Lot 3 Block 3 Sec/Sub. STONEY POINT OFFICE USE ONLY Parcel No. Occupancy FEES Zoning _ Z Name WILLIAt~i EG (Actual) Const Bldg. Permit 415-00 o Address 141.A BLACKHAWK LAKE DR (Allowable) Surcharge .50 City EAGAN Phone # of stories . Length Plan Review o Name -1 R RAY Depth SAC, City ua Address _ 7"D nfRA$Y nR S.F. Total City MANASSH Phone 934-5611 S.F. Footprints SAC, MCWCC On Site Sewage Water Conn Name On Site well W L Water Meter I- c~30 Address MWCC System Acct. Deposit d W City Phone City Water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Qrdintanses. Treatment PI Signature of Permitee , 4,.;: - w ° APPROVALS Road Unit A Building Permit is issued to: i R ttOY 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. OIL Copies Building Official t Variance TOTAL 21-50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 , Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 R PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value ti) Date xT'`` GFFIiCE USE ONLY Site Add'ress' 1-414 r"! :'T on Site Sewage Occupancy =:3I `fl Lot Block Sec/Sub, MWCC`System Zoning. .l Parce No. V*~ --r On Site Well (Actual) Const city water X (Allowable) is Name i Address PRV Required X # of Stories Booster Pump Length 34 o City ~ - Phone Depth S.F. Total Footprint S.F. ~H r.._ $ ohe APPROVALS FEES 5`raa ` r r /Assess. Permit ~ En g Name VW Planner Surcharge $ j E Address 00 Council Plan Review ~ rr Z City Phone ? r. Bldg. Off. SAC, City • t r Variance SAC, MWCC q ^'n 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 Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter r Signature of Permittee Road Unit - A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL Permit me. Permit Holder Date Telephone !t Plumbing H.VAQ J Electric 7~3 Of Softener Inspection Dow ft". comments Footings I S Footings II Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Iff of /~Yeo® ().,S Fireplace Final Htg. AS JIM Final Plb¢ ,!p 4,117 h Bidg. Final i~ Cert. Occ. Temp. LP Deck Ftg. Mck Final Well ot'~ Ta U i d G O f Pr. Disp. so .r-rya. a r",. , zi•^. ~ . /sf-) L • , ' PERMIT #[A,~ G M PLUMBING PERMIT RECEIPT 4. _ 01~J 4 CITY OF EAGAN i 3830 PILOT KNOB ROAD, EAGAN, MN 55192 DATE CONTRACT PRICE./4/(/ PHONE: 454-8100 Site Address BLDG. TYPE WORKOWRIPTJ.ON Lot Block Sec/Sub Res. New tC'r 1 F` Mult. Add-on Name ! i r + t l; Comm. Repair ddress Other r 'City ; i Phone RES. PLBG. ONLY -.COMPLETE THE POLLQWING: 0 N FIXTURES q TOTAL . t i )r"" r T' Water Closet - $3.00 !k Namq~ - - , Bath Tubs - $3.00 3 Address~ r -~'`~~-Lavatory - $3.00 O City Phone j + . I l k... Shdwer- $3.00 -Kitchen Sink $3.00 - FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE _J_Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES -L-Floor Drains - $1.50 1 TOWNHOUSE & CONDO - RES. RATE APPLIES I Water Heater - $1.50 l~ MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMMAND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM -1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 ) Weil - $10.00 BEYOND $11 0qV "M Private Disp. - $10.00 - Rough Openings - $1.50 SIGNATURE OF PERMITTEE - FEE: 3 Y STATE C FOR CITY OF EAGAN GRAN TAB:.' :3Z PERMIT # MECHANICAL PERMIT RECEIPT _ a CITY OF EAGAN Sri 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: =Z CONTRACT PRICE- .4 HONE: 454-8100 Site Ad ess ILA k r-1 ZX W BLDG. TYPE WORK DTI►ON Lot Block Sec/Sub Res. V New y/ 7-4 Name r w- ~,J Mult Add-on Comm. Repair =g Address < < W ~.C.e S T c City Phone V3 Other FEES Name Q_ RES. HVAC 0-100 M BTU -$24.0_0 Address A T~ , T S r ADDITIONAL 50 M BTU 6.Q0 p CitAV6 1k11 ``SL~,1 Phone Z- (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PEA - 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 V'eTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00. Vent CFM STATE SURCHARGE PER PERMIT - .50, ' u BEYOND $/OC010) PERMIT PRICE GOES Gas Piping Outlets # Other FEE: S S/C: ' SIGNATURE OF PERMITTEE TbTAL• 0~7 FOR: CITY OF EAGAN INSPECTION CO CITY OF EAGAN PERIL!? TYPE: 14111111 1 ' N fi 3830 Pilot Knob Road Permit Plumber Eagan, Minnesota 55123 Date Issued: e h (612) 681-4675 WE ADDRESS: APPLICANT: 141 sl r 1.41 AC*JlA11k I MiA t?it CONC1:i ('1 ' IN 1 E rNt; t R~Nf Y ► 1 14 1 (I; 090- ;'.106 PERMIT ~USTYPE: TYPE OF WORK: tlA t'N Itf h tNE!s11 At EFRAVIOR 1 N~ 7ow, 1 N[; I N`•1I I A 1 I r;N f1 I"1 I bli 1 I NA 1 j I 1MIi1lrK Al ;1: 1'A1;AII I'fRNII 1'.: 1'I'iJIIIE"I0 '1 lilt ANY PIMM1OMi ON E44111'PRICAL ~ sgrtF~ n+ 1 ' al, OWN Q iaM.. ~ o S/ . PLUMB" y.4 FOOOW I iuslepm R RWJO fto. PWUM f~ W W. i0ruot iwt Pled Pbe. P"• MWIPW - NOW NWI" C."OL %W EnW~ BW HnW Dea mjp Deis Fine) wed Pr. Mp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used f?', SF DWG/GAR Est. Value $IOf,'OOp Date 'TUNE 22 _'1918- Site Address N BLACKRA1dlC. LAKE l7R OFFICE USE ONLY 3 Sec/Sub. STONEY POINT On Site Sewage Occupancy iL Lot I Block P i MWCC System X Zoning Parcel No. V" On Site Well (Actual) Const COLLEGE CITY CONST City Water ~ (Allowable) Vtt cc Name z Address 6970 151ST ST PRV Required X # of Stories o City A • V • Phone 431-1211 Booster Pump Length '50 Depth 34 SAMF S.F. Total o NMe 0 a Address Footprint S.F. City Phone APPROVALS FEES W Engr./Assess. Permit 594.00 Name W W Z Address Planner Surcharge • c z City Phone Council Plan Review 297•00 ¢W a Bldg. Off. SAC, City 1 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC - 00 information is correct and agree to comply with all applicable State of Water Conn. SSO•D0 Minnesota Statutes and City of Eagan Ordinances. Water Meter 57.00 Signature of Permittee Road Unit -00 V943uilding Permit is issued to:_ ObL.LEGE CITY coNST Treatment P1 2 .Ua orithe express condition that all work shall be done in accordance with all applicable State of Minnesota-Statutes and City of Eagan Ordinances. Parks $2,70.00 { Official- TOTAL CITY ,F EAGIAN Permit No.W 9791 Date: 7-21-88 38 libt Knob Road Meter No: YA 3 13 2 OZ Size: Pd."Box 21199 Reader Na O ! 2jW qT 3 Date: Eagan, MN 55121 Owner. College City Const. Site Address:-414 Blackhawk Lake Drive L3 B3 Slmaey Point Plumber: Star Plumbing Conn. Chg: 5 50 _ Onnd Zoning: Ri Acct Dep: 1 _ nand No. of Units: 1 Permit Fee: 1n _ nnnd Surcharge. _ _ SOnd 1 agree to com ly with the City of Eagan Tr. Plant- 204.0Qpd Ordina a. Meter. 67T99pd { Misc.: PAW REQUIn4D By WATER SERVICE PERMIT CITY OF EAGAN N! 15 2 4 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Bl BUILDING PERMIT PHONE: 454-8100 Receipt# To To be used for SF DWG/GAR Est. Value $106,000 Date JUNE 22 '1988 Sit Site Address 1414 BLACKHAWK LAKE DR OFFICE USE ONLY R3 /M1 3 3 STONEY POINT On Site Sewage Occupancy Lo' Lot Block Sec/Sub. MWCC System x zoning R1 P8 Parcel No. On Site Well (Actual) Const Vn u COLLEGE CITY CONST City water x (Allowable) Vn W. Name = Address 6970 151ST ST PRV Required X # of Stories City A.V. Phone 431-1211 Booster Pump Length 50 Depth 34 a Name SAME S.F. Total A Footprint S.F. ~I 0a Address P City Phone APPROVALS FEES I l m Name Engr./Assess. _ Permit $ 594.00 WW = Planner _ Surcharge 53, 0 Address a Z City Phone Council _ Plan Review _ 297, Bldg. Off. - SAC, City _ 100.00 I hE I hereby acknowledge that I have rea is I n and state that the Variance SAC, MWCC 50.00 info information Is correct and a ree t om ith II licable State of Min g p pP Water Conn. 550- 00 Minnesota Statutes and City of an Or i ces. Water Meter 67_.00 Sigi Signature of Permitte"~---~~ Road Unit 325.~0 A S A Building Permit is issued to: LLECE u . ^ftlacT Treatment P1 90 - QO on I on the express condition that all work shall be doalagangrdinances. ccordance with all app applicable State of Minnesot tatutes and City Parks $-Z--740--00 Buil Building Official -k~ - TOTAL 0®~1 ~.7 0 Re ues Date Fire No.' I R ugh-In Inspect n Required Ins action Other Than Rough-In (You u call in ctor~hen ready) Ready Now IQI Will Notify Inspector Yes ❑ No Date Read X"~ I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address J treet, Box or Route No.) City I Section No. Township Name or No. Range No. C my i O pant (PRINT) Ph e I Power Supplier Address Eled4cal Contractor (C mpany Name) Contractors License No. M lin dress (Contra or or r r Making Installation) f (1110 P)O_ W VIE- 6t rm i l Lc N k~ Authorize Signature (Contractor/Owner Making Installation) Pho m er '14 k~Lj MINNESOTA STATE BOARD OF ELECTRICITY THIS Bldg Gr 99u M 2)s 42 080, S oP m SMNB 51l)g VIII VIII VIII VIII VIII VIII IIIII'IIII VIII VIII EBE ACCEPTED BY THE UNLES NCLOSED PROPER NREQUEST WILL SPECTIONFOE NOT REQUEST FOR ELECTRICAL INSPECTION EB-0001--0s 100i See instrucbQps for comljeting this form on back of yellow copy. C ~ o W" Below Work Covered by This Request , o ~.1~ 3 New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (S ecify Farm Air Conditioner Other (specify) Contractor's Remarks / Compute Inspection Fee Below: b`~~ # Other Fee # Serv ice Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps Above 100 Am s _ Signs Inspector's Use Only: TOTAL Irrigation Booms f~ Special Inspection Alarm/Communication THIS INSTALLATION NJ" BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITH ON S. I, the Electrical Inspector, hereby Rough-in r Dates' J certify that the above inspection has Final Date i been made. > ~b OFFICE USE ONLY This request void 18 months from - PERMIT c-K541 43 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 025091 (612) 681-4675 Date Issued: 02/06/95 SITE ADDRESS: 1414 BLACKHAWK LAKE OR LOT: 3 BLOCK: 3 STONEY POINT P.I.N.: 10-72600-030-03 DESCRIPTION: Bu lding;Permit Type BASEMENT FINISH Building Work Type ALTERATION REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: CONCEPTS IN LIVING 18902106 20011265 EGAN WILLIAM 13108 GRAND AVE 1414 BLACKHAWK LAKE DR BURNSVILLE MN 55337 EAGAN MN 55122 (612) 890-2106 (612)454-7345 I hereby acknowledge th t I have read this application and state that the informatia is correct and agree to comply with all applicable State of Mn. Sta to nd City of E gan Ordinances. APPLIC T/PERMITEE SIGNA RE ISSUED Y SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 025091 Eagan, Minnesota 55123 Date Issued: 02/06/95 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 3 APPLICANT: 1414 BLACKHAWK LAKE DR CONCEPTS IN LIVING STONEY POINT (612) 890-2106 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F L " r CITY OF EAGAN 194 BUILDING PERMIT APPLICATION 681-4675 ~Zzo SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i talcs. FEB 0 1 1995 COMMERCIAL 2 sets of architectural & structural plans 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. ' Date / Valuation of work Site Address: SSlZ2- STREET SUM # Tenant Name: (commercial only) LOT BLOCK_ SUBD. 4 1~ P . I . D . # Description of work: e O~~ The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name Ea R4 U) I\ 11 ikm Phone `V'S'O- 9545 Property LAST FIRST Owner Address V, _'b9_A STREET STE # City P►g ATl Stated Zip 5SIZZ. Company phone Zia-a l oLe Contractor Address `310$ Cg~c~Nd. 6\3t, License #2W.t►z1oS Exp. City augNsUII1-f- State 18N Zip 553 ~t Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber G- ~.t✓vw~Processing time for sewer & water permits is two days once area has been appro ed. G Sir- I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with 11 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 4AM &.24 4Z OFFICE U£E ONLY r BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./lodging : 18, Baset Finish ❑ 02 SF Dwg. ❑ 07 4-Flex ❑ 12 multi. Misc.. C] l7 swim Pool ❑ 03 SF Addition ❑ 08 8-Plea ❑ 13 8arago/Accesspry t3 IS-C ../-Ind. ❑ 04 SF Porch ❑ 09 12-Plea ❑ 14 Fireplace ❑ 19 Comp./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC Systen (Allowable) 1st Fl. gq. ft. CRiV ty Water UBC Occupancy 2nd Fl . sq, ft. Required Zoning Sq. Ft. total Booster Puul~pp # of Stories Footprint Sq. ft. fire SprinkleO Length On-site well Census Code' Depth On-site sewage SAC Cede. Census 81,4- APPROVALS Census .Unit o Planning Building Assessments Engineering variance REQUIRED INSPECTIONS .Site ❑ Footing. ❑ Framing ❑,Imulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee SBa Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CQptes Other Total: SAC % SAC Units " pIT y 5 ' E \ ~ J r ~ iR ~t4u T 5 5t ~ w! ! owing, $ SETS OF PLWS 9 $$TS f : PIASS r" Bc ` 3.REGISTERED SIT94MMS ISTERWSITE SUNUM 1 SET OF ENERO CA O ' ( CK WM UM MbT'j ik~ R 1 " Off` mew, ' 3 s, or . z ' 1W NMM,. VK= RE r WT MUM 11; MWESI= 054, fjW? ~ T - vain AiWr ci; a fit. ? PRtEBst I% :SEiiBUt tS T *041 { FUMT MST $00 A` 19CW819D i° To Be Used For: iesi k , te Addreasya. t,~t 3 Block - 10 IP Zoal Parcel/Sub.::.[ Al.lovablt Owner LA) ~ c.LL w .*9 at* *1 a 'w'~4Y~a ~ ~f<t v Address g► y,.~., "~'44Rrrll~rYrr 1 City/Zip code r r sZ +.i wi Phoae ~i ; Ip~t. t y L f Contractor ri s s! 067 dress 1'"' t ,F .~►--,r4~~' H ! 3 n~wpA~,a,.,,;nr„ ¢.y+ ZRI j F by 4[ 1 Ci i `aA"'rlr.irerl~liMl~ N;';!° A{i a'r, ' - I +~5t2x < ~ 't xy1 iMr' 1 f 1 - I.i lYIII lR f i .ra•.401 S N r. Ia Arch. JEagr. sift* ~0M '~7< ~f ak 1 Address City/zip code , 0 .-M Y~~ ~ M1 ftone Semr/Wattr IA*e= Al Conti`. ape" that -all Frith' 3 , tiara it all applicable Mote of Kimasota Statutes and City of 2460 'c 4V - 1988 BUILDING PERMIT APPLICATION CITY OF EAGAN • 15 24 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ~r Valuation: ~►a Date: -~1 Site Addres 191-V r, 4R f OFFICE USE ONLY Lot Block3 On site sewage Occupancy R- M MWCC system ✓ Zoning Parcel /Sub S p D ; YI On site well Actual Const V-N t f City water Allowable Owner l' 4 v-" ..r c O ~G f PRV required # of stories Booster Pump Length Address Depth S.F. Total City/Zip Code Footprint S.F. Phone / APPROVALS FEES ContracstorC5/,OA- it P, C~ ; e,0)7 -A Engr/Assess Permit Planner Surcharge r+it~ aD Address G 97 0 - 151,E i ,Q Council Plan Review Z 4? 12, Bldg. Off. 7,3 SAC, City 100"" ba► City/Zip Code Ant !e 2A ICS S Variance SAC, MWCC L Water Conn Phone 9-7 ) - Water Meter 0 Road Unit 00 Arch./Engr. S4 "r+ c -"I ~d Treatment P1 2 .Cie Parks Address Copies TOTAL City/Zip Code Phone # VALua- p Z 2 X Zo ~ Yyo xiY= o X13c I~Iwo H v ks ST Fw- 1 70 X It = lg2-6 t 14 )c Z rerun ` LJ j • j \ r~ OS 7/2 K 30 ~2~ I'p i 1 039 ' * * PAN. REQUIRED 2422 Enterprise ill ive * m0f-JEER _ Mendota Heights, MIS 551213 *engineering,-. 7- G> j f (612) 681-1914 I Certificate of Survey for: e4~/~ GlTy (1 d/JSTPOG7~~D 17 r- r' Lake price Noiatll eta C a W11 EAG AN REVIEWEQ. Q 41.47 a I ~ 6 J J ~y ' I DATE G• x 20.0 rg,l ry.l2 30.0 IIOG4r. W ~A ~~t; a c QbPos+~ i dp tJ? 1_ _ 6 30.0 G.n 1rr b y -pl ia~9~ t g. i N~ o O y 50.00-- I (zi I ~ Hvw~ t l I ti I I ~ I I I ~a 59.32 V 890414TE. AgPR,0,VED '900.0 Denoles exrsh'4 Elevalion By _00USE ELEWITIOW- C, .2oo o Del]oles prUPcxs' d F/eValron aor Elevcrfiorl~ 850° ~D - - - I)en of es Orcallr) age ul i/1 Iy Easeme ERI G Dpi - C)enoies prglrla3e Flow-rp1,.~N NGIP of Broclti' Elevaf►orl = 8y . 63 4 Oenol es rrlonanj t tit Carps ~ Slab Elevation : 8!q 3 8 earints shown are as;u m ed LOT , 9LpcIV) , SWAT Y POINT DAWTA CouNTY, MJNNFSOTA Svamcr 7V EASEMENTS Of RFc()gD hereby testily that this is a true and correct representation of a survey of the boundwies of the above d.: cribeif lanr and of the location of ail buildings, thereon, and all visible encroachments, if any, irorn or on said land. As surveyed by me this day 0 A.D. 198 , Scale: 1 40,L-- 680 - 55 "013En 1 13. SI lcvi t..S. REG. N0. 14891 r-A^ • s 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN • SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, .j CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS J i To Be Used For: 4► P Valuations to o Date: - /4/ Ef Site Address /n/a C. l~ g OFFICE USE, ONLY 40 e 1~3_ 0&0 Lot Block3 On site sewage Occupancy ) MWCC system ✓ Zoni.ngR-1 Parcel/Sub 7 0 t7 ; yi+ On site well Actual Const V- N _ City water Allowable V-N Owner A Yq c O e .7 G PRV required # of stories Booster Pump Length Address Depth r,?5t S.F. Total City/Zip Code Footprint S.F. Phone / J) APPROVALS FE;S Contractor C.~ y/ /c c, e, C. Tyr ~d J Engr/Assess Permit o0 Planner Surcharge ,as Address b g7 0 Council Plan Review 2 o 1 ' Bldg. Off . fg3 SAC, City Oa City/Zip Code Acw /e )eU Variance SAC, MWCC ~Tso, 00 Water Conn 000 Phone Water Meter 0 0 Road Unit Arch. /Engr. Sc1 c d4 j C0 Treatment P1 204 Z Parks Address Copies TOTAL 12 City/Zip Code Phone # VALuA-V2 Z Z x Zo Sl~lo x~v- G/6 a lot ZG yC 30 = 7$d X 13: lactic H v wS _ i sT Fc~. Z4 Y 5 7 910 !e x rz.. = lg2~ !t~ K4a= ,R. z -11/zX3n X ~z 1137xyg_ /as`s-~7 * * PRY. R EQ L fl i E 11 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 engineering,. (612) 681-1914 /-PC Certificate of Survey for: eolle9G C! t~a~$4i '7 Wk Loke: Drive NORTH Ala jr a w E A G A N R. 38°•°0 REV I E W E 91.47 VATS x~y E~' 20.0 15•~ r9•f2~ - `'o N ` 30.0 r w 1 r G w c Q,Pese 0 _ dA ~f+ X19 ~evSe t_ _ _ I h~ W O w , $p o All op 0.Ob 2,b o f4.97~ - - - I N ° eo-- r ' I I I ~ I I ye° 59.32 At. 99041'49-E. r 9oo.o Denofes ai511*0 i flevahon r _ NOOSE ECEI/AT10NS _ .9o0.o Denoles propdtd Elevalion -floor E1avati0n - 850..;o - Denoles Dralna je € utdd Easer enl- r Dertoles DrAina~ie Flow Arra► lop t' Bk; Elevat~oh 80, 63 o DenoleS monclmenl i7ar0fz Slab 0evafion = 858 3. Begrin.ts shown are assumed LOT , BLOCK S701VEY POINT DAKOTA COUNTY, MINNESOTA $U9JECT 7D EASEMENTS OF gFCORD hereby certify that this is a true and correct representation of a survey of the boundaries of the above de cribed I id of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this day of AD. 19Qg_, Scale : IL11-chz 40 eel 881755 ROBERT B. SI ICH L.S. REG. NO. 14891 30 EXTER1OR'LNVELOPE AVERAGE "U" COMPUlA'fi01.= OWNER SI iE ADURESS / CI e-f L"- zlqf GONIRACTUR (~'-O ~4 anrE . PHuNt: Determine working square footage of each. 1. Total exposed, wall area ? sq. ft, x ■ 2' 7 1 .2. Total roof/ceiling area ......__/1 y U sq. ft. x 0 ?'60 ■ 9. Z-7 -Total exposed wall area above floor ■ a. Total wall window area 0,0 b. Total door area s.,.4_._. 14 c. Total sliding glass door area ti s,~ • d. Total fireplace wall area e. Total wall framing area (average 10x)...:........ f. Total net wall area above floor y V. Total rim joist area i~ ' Total-exposed foundation area ■ .'0 ' „ h. Total foundation window'area....... 1. Toal net foundation area above grade sr_o.Q ` Determine "U'value of each wall segment. ' 11 M Q ■ l 10 d X "U" ■ f. PUN 9 • X "U" / r r .r h X soup 3 .....................................Total .5 l.J If item 13 is the same as, or less than item 11, you have met the intent or SBC 6006(c)2. , Total-exposed roof/telling area e y Q y5 3. Total skylight area..'.MW U ^q - y0.0 k. Total roof/ceiling framing area (average 10X)... 1. Total net insulated roof/ceiling area..:........ ~~,L,o Determine "U" value for each roof/ceiling segment. k. OU" ' 4 ..................................Total ■ If total of 04 is the same is* or less than 021 you have met the intent of SBC ,6006 (c )1. Alternate Building Envelope Design To utilize the total envelope system method. the values established by the sum of items 03 and 04 shall not be greater than the sum of items #I And 02. 1. + 2. 3. + 4. WIN'Dow ARMA : Typo of WIN-DO Z 618'1INSUL 6035 TOR w im,0o 60 Vuirs N A V& B t f q rfj4rt P {'e 4" 1q'= V04 L t4 4i •tW I V A ft t As 4 ~s;t t 0 ADoJIt qyo dw4y of h53i4 4►tv "A 0tsi4N CAArtj VAL.46iL of 0 a Z•89 14CL14D1014 Alit !•IL.MS."•• ' pp1 A y 1. 4-foeTom>l~~~„~ FC7U N1)AT 1 ON wm po w AAA : TYPE o1' W f aDOw 71M W10400 w a/PJ1rs 144M 04" n5tf.0 0904t #9-= VAL"Cp rNLY ARIL Ai 061s1R.a Aa&VR► AMD MAY Ar ASS IlINLU A jjLttily04CSP, 40 VALut dR 9 ~~+G1- wDINq AR PILMS, L{Its 1/1%1. s I! EL FvarAc,4 t ~oc,tAyL S L101*; LASS (boit ARLA : TTYPL of Qook s _ 51.1D/NQ l~L455 DOCO[ZS 11^11 G •La-4 1LSVLo Fc*A"X!VAA-Kf., 1'Nt.YAlts y L-ear s0 Abaft APJO MNy 13S A3i-4NX0 A. WASIQ14C -4041. VAI.KC =fL*M."A •Ub9 AMC.LMati.a Aif r1~►~s N93 a IJ Kqi _ - Fa+T} 4 L = ? A o F DaoP. Atea A TYPE DooR : . 'j'"N Eaten a TciV D00q. UFJI-rS HAYL DLLN TLsrto AND Rou►io To HA.VS AN •R•, VAuuA► oP 74 13 I : Jr Co ~INA14 P ► 4-MS • Z F TACK L 4~ O JPEGIALS 1"ypL ARM L-1 !OAVlf.% SICINL~ 06 tT~Oisr A •b1 ._t MtFX10A. AIR.. PL M 9.0 ~Jff I USU LAT to N CR-4 2.06- Z J2 S N EA t o c, u -I LT-. LAP 1. Big swoop E K TF. R. I O R A19- 06-P1 I• - roY A L • q ✓AUL r. T0Tlj6 "rAc L 1 OUW p A7 ION WALL- AREA CAbOVL gPk.AoJL.*) R.. VA L LL E • _ jNrEXj0k AIR fit-rN ~ . $ ~ ~oNC.R r ►-s W..ot.K. C) C0606 VA r- #j:l*4 14APP4- (it- . 7 EjtT1:k10R. Ala FILM 12.e3 -r'oTAL. lJo4 1I^LLL~ Ifa- I / 1 z 3 ~d3~~ u4 roTAL "rAc4L o s•~ ~a►vri~ Dot S~I•L t~ FKAM INtj ~RL 0% • ~ ~~Iar~K+oR BUR ~4~1 .~S Z GVosam WA4.L.•om90 -~5 Soor r wooo Z.o b Pil b7 cRP 11.1+ VAw4 6AtKILL 09IL i o rt A I1R. F►1 L- M d. $3 o rA L.' -/Ax ut c. TO M L POOTA4 t ' NStLL.ATLo ARtA v&rWLIL" 5rLAoS VA L U. L S_..1 GYPau.M WALi40AtD 19.0 1 11541 L M T 10 N (It-1I7 I SNLA TN /H4 ~tfiLTR-t~1~ a1 n 1N(4 1P 5 09IL MIL A IA. Fq %..M, z2. o r A 1. Pjw,. VAt.LAS. TOT A 4 Moot G A. ..1 L1 I Wa *Ob L)Arc lV0iS7~ 1 ~~M~~~.~ ARE •R vA LU E .-----_____61 INTERIOR Alfa FILM .3?5 3~ 5ofrwooo ~oypsaM WALLAVANO 'VA-pap. 041tirls-lit I WtER Boa. A, FILM .5 !35 TOTAL. a jl v4we 1/ • 1 /_5, 735_ _ t CT A L. FoarA4 a - x>vSu1.A7Ga ~RlA ~yS.tWt,G►~ THOL XOISTS •R• - v~.a 1..-1YNr~a~oR ~~.e ISM 44- 0 INS W. L. A vom C R' ' 4yPS U M WALL. OCA&D VAPOR 0AltR1LI< I I N rE R 100, AIX fit M 45.3 IOTA L VALU.& 0,; , / s,'S to - o z 'NrJ%j, rfoorAae- T n APPLICATION FOR PERMIT *NXE: PAYMMU OF FEE AT TIME OF • * APPLICATION DOES NOT CON- ; t SrIZU M APPROVAL OF PERMIT. SEWER AND/OR WATER CONNECTION = INSPWnON W mm AND/M wATER i. * INSTALLATIONS WIIL NOT BE SCMULED *k tJNrIL PERMIT HAS BEEN APPROVED. CltV of czagan (PLEASE PRINT 1) PROPERTY ADDRESS: Ma C k Lid L , LEGAL DESCRIPTION:. L 3 a Lot B ock S visio or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/Year) PRESENT ZONING/PROPOSED USE: Q COH ERCIAL/RETAIL/OFFICE , -1 SINGLE FAMILY Q INDUSTRIAL E:JR-2 DUPLEX (Two Units) Q INSTIT(UTIONAL/GOVERNMENT Ej R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) R•U!2000- MCI NAME: C o e-p e- C i+u r, ADDRESS: CITY, STATE, ZIP: 1- PHONE: L12 For City Use 3) NAME: P1 rs License: Active ADDRESS: 1) lad R.- cd cz= Expired CITY, STATE, ZIP: ~ A d Li JAIiA Not recorded PHONE: 4 ( l MASTER LICENSE # Q' St Initial NAME: S ADDRESS: CITY, STATE, ZIP: PHONE: ETCONNECTION TO CITY SEWER CONNECTION CONNECTION TO CITY WATER OTHER e' 6) -3k, ~ , ' 11.-~~ ~ * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE MW PICK-LP- PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM TIM CITY WILL CONTACT YOU IF MM * ARE ANY PROBLEMS. 7G'k**!~C*** If'~fl~f*~l**'ktk*'k*~'*******************************************`~'~'***'k* A'*************'k7f** k*********'y .FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ ~G S7D SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ~J C' ACCOUNT DEPOSIT - SEWER $ Z' ACCOUNT DEPOSIT - WATER $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ~?c! C C` $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : V CITY USE ONLY 1A L 13L SUED.kATI' r: MG PLUMBIM IM MUM (RIMPNOW4 CITY O ` AEI. VS S~»c r+iar~ er Z~ P 38*:PLCY,T KMWAV /4~~~1 w~ldnl GRAK 5619r(612) 46" y~ Please complete fur. ► single family dwe*Vs homet, and condos whiin rri FIXTURES EACH Shower 3.00 Water Closet 3.00 x Bath Tub 3.00 x Lavahpry 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot TuWSpa $:00 x e . ; Water Heater 3.00 x Floor Drain 3.00 x Gas Piping OutW " madmum - 'i 3.00 * Rough Openings 1.50 X Water Softener 00 x w ' Privati8 CWPaaal : Dekoft Gty. Mere x.00 U.G. Sprinkler " hmm undsr mvL .00 _ r v Ono Water Turn Around 20.00 .w..... STAB St,1RCHAiE AllTOTAL. ti's i -fir( YY~~ _ ' Q' C Gl a► , : " ' SITE ADDRESS:-.~ OWNER NAAAE• INSTALLER NAME' STREET ADDRESS' j CITY: G STATE: PHONE ~ gl - g;kS OF F%MW.U CITY USE ONLY SUBD. QA~E:: F 19PLZINSIMPIRW (Mm I" CITY M440S Please come fog: n for unk. DirTE: CONTRACT PRICE: WORK TYPE: NEi C+C31 S' Rt T#ON - ADD N i R DESCRIPTION OF 11VORK- FEE: ! //./00yy '.rnfh*TQm r 1'ldes, d r A1Mt:: CONTRACT PRICE x 1% STATE SURCMARGE TOTAL SITE ADDRESS: TENANT NAME:'. # OV**-R NAME: + INSTALLER: ADDRESS: CITY: PHONE. SIGNATURE: . A CfM CIF EAGAN 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/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd -Y N (20%mmdmum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report Y _ N 1 Soils Report N 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-sfte septic system Tree Pres Required -Y _ N 1 set of Energy calculations On-site septic System Y N 3 copies of Tree Preservation Plan t lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Mnnegasco mechanical ventilation form Plans are considered ublic information unless you state the are trade secret and the reason. Date Construction Cost Site Address Unit/Ste # Description of Work Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # (v5/ Contractor Z_ /5 Address ~ 'IL(4 C c~ '/i ~ Z-.". 5 City State P-L-- Zip 5 %i ( Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 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 # ( J 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 NVIN 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 val of plans. / Applicant's Printed Name Applicant's Signature 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 ❑ 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 Occupancy MCES System Plan Review 100% or 25% Census Code 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 Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA098688 Date Issued: 04/20/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1414 Blackhawk Lake Dr Lot: 3 Block: 3 Addition: Stoney Point PID: 10-72600-03-030 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Willimn R Egan 1920 County Road C West 1414 Blacldiawk Lake Dr Roseville NIN 55113 Eagan NIN 55122 (61)264-4777 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 Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA127708 Date Issued:10/13/2014 Permit Category:ePermit Site Address: 1414 Blackhawk Lake Dr Lot:3 Block: 3 Addition: Stoney Point PID:10-72600-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Gary Kes 32018 Dahomey Avenue Northfield, MN 55057 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 - William R Egan 1414 Blackhawk Lake Dr Eagan MN 55122 (651) 263-0844 Benjamin Franklin Plumbing Northfield Inc. 32018 Dahomey Ave. Northfield MN 55057 (507) 645-4037 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132354 Date Issued:08/10/2015 Permit Category:ePermit Site Address: 1414 Blackhawk Lake Dr Lot:3 Block: 3 Addition: Stoney Point PID:10-72600-03-030 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 - William R Egan 1414 Blackhawk Lake Dr Eagan MN 55122 (651) 263-0844 Action Roofing & Siding Llc 1315 Southview Boulevard S St Paul MN 55075 (651) 457-2642 Applicant/Permitee: Signature Issued By: Signature