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1431 Blackhawk Lake DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1431 Blackhawk Lake Dr Lot: 1 Block: 2 Addition: Stoney Point 2nd PID:10- 72601 - 010 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Bradach Construction, Randy 18267 Italy Ave Lakeville MN 55044 (952) 892 -6015 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $90.00 Owner: Ayub Manjlai 1431 Blackhawk Lake Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA087814 12/18/2008 ePermit .?R..... .._?.. . ._; . ._.. ...._ .,, .. ..,.,.. ..?.--m_-•rsa.,?r. : .....?.?-Fr++--. --+c : . r _,. . , . _ _. . ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ??CAR Est. Value $87,000 Date AUC 24 , 19-0- Site Address i??? BLA4KRAWK JAKF vR Lot I 8lo(?.k 3 Sec/Sub. STO1tiEY P=T 2t Parcel No. 9X Name RAINBOW HO?XS 4F EAGAN, IC,,C 3 Address 2357 76TH ST E ? City IIv'VER GROYE HTI%hone 450-62.92 =o Name SAME gQ Address ? City Phone ? WW Name ? ; Address <W City Phone I hereby acknowlege 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 Permitee W A euilding Permit is issued to: RAj??? ?IC?? ?? EAGAI"I on the express condition that all work shall be done in acCOrdanCe with all applicable State of Minnesota Statutes and City ol Eagan Ordinances. Building Oflicial OFFICE USE ONLY Occupancy R-3 124`1 FEES R'Z Zoning V-K (Actual) Const Bldg. Permit _ V-N (Allowable) Surcharge _ # of Stories Length Plan Review _ ? Depth SAC, City _ S.F. Total - SAC, MCWCC _ S.F. Footprints _ On Site Sewage _ Water Conn _ On Sfte Well - xx Water Meter MWCC System xx Acct. Deposit _ City Water PRV Required xx SM/ Permit _ Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Planner - Park Ded. Council BIdg.Oft. _ Copies Variance - TOTAL 582.00 43.50 291.00 200.0(J 5T5.013 580.00 90s00 30.00 20.00 1.00 228.00 344.00 1•00 2,8&1.50 ? Permit No. Permit Holde? Date Telephone # lNATER ?i_ SEWER PLUMBING H.V.A.C. f ELECTRIC ` ?'??/',?.? i ?' c ,??:i ii .?? i': ?i : t. ?/ '/;/j,7 ?i?=, ••_ Inspeetion Date Insp. Comments Footings I ? Z S ?s Foundation Framing Rooting Rough Plbg. _5V Rough Htg. ISUL ?. /V . ? Fireplace Final Htg. Final Plbg. r Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final c Deck Ftg. Oeck Final We11 Pr. Disp. 'g??;f*?f'r'?? PLUMBING PERMIT For Office Use t7nly CITY OF EAGAN PERMIT# CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # ?._ PRICE PHONE 454-8100 DATE: 9?'Zf Sfte Lot BLDG. TYPE Res. Muit. Comm. Other WORK DESCRIPTY New Add-on Repair `m ? ? c c3 O Pho FEES COMM./IND. FEE -196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) SIGNATURE OF FOR: CITY OF EAGAN RES. PIBG. ONLY - COMPLETE THE FOLLOWIPIG: NO FIXTURES ' TOTAL Waber Closet - $3.00 $ Ba1h Tubs - $3.00 -----? Lavatory - $3.00 Shower - $3.00 ktchen Sink - $3.00 a UrinaVBidet - $3.00 Laundry Tray - $3.00 ? Floor Drains - $1.50 ? Water Heater - $1.50 Whiripod - $5.00 Gas Piping Outleffi - $1.50 (MINIMUM -1 PER PERM1Tj Softener - $5.00 Well - $10.00 Private Disp. - $tO.OQ Rough Openings - $1.50 L S4_2 PERNNT FEE: .2 44 aQ STA7ES S/C: GRAND TOTAL: ?.532_ PERMIT # ' MECFIANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 For Office Us O? y: Site Address 1 G u? Lot Block qdc m Name co Addr?s c Ciry ? ? ???'? ?? ?? Phone ? Name -tIX '` `?-? 3 Addre,? 0 C;ty ,?Nkl" (-ir ove'r &_ BLDG. TYPFi WORK DESCF31PTtON /Sub Res. r? New ?? ?.. Mult Add-on r- Comm. Repair d? ... r',.,r,? Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 5U BT ,.,fi.00 (RES. HVAC INl' %C16MI CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 FA . COMMJIND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE ARPUES TOWNHOUSE & CONDOS - RES. RATE APPLIE3 MINIMUM, RESIDENTIAL FEE - AkL ADD-ON & REMODELS - 12.00 MINIMUWI COMMERCIAL FEE ` - 20.00 STATE SURCHARGE PER PERMIT - .50 C-D (?ADDO $S C?I; PERMIT PRICE ?y5., TURE OF PERMITT TYPE aF WORK 'FcxeedAtr ?10 0?0M BTU Boiler M BTU Unit Heater M BTU Ai[ Cond. M BTU Vent CFM Gas Piping Outlets # a Other ? 7' -:0 I FOR: CITY OF EAGAN : FEE: S/C: TOTAL• y:. . . INSP'E???ON RECORD CITY aF EAGAN PEaMR TYPE: '?ux c n r?c? 3830 Pilot Knab RoBd Permit Number: Eagan, Minnesota 55123 ? Date Issued: (612) 681-4675 . SITE ADDRESS: b? ol.. APPLICANT: 14:3 1 fti.Ar:KliAWk EHKt E)f? h?fliWt:tii pf'•??10FiA7lOM r PERMIT SUBTYPE: TYPE OF WORK: kF:PAIR a (?f'?'i:17tF''tIf)PI (Iil1U?IN6) 7?ja Fi t:)l.te?ihi IW 1~Lfiti V H t(i t 1 NAd ,- ; ;;` i RaWa 169. PW"WeMor 6de 1llephao * S/W PLUMOM . ? ? . _ ? kwoodbe Dam hmp. ounmenm - FoLindadon -j,,a&mawa- aAic ? . PAugh QIb9- Rau9h Hg• Fhpbw FYw Mp. d" Twt w'kd Pto Plhe. kwoo" - n+oft Plumber Conet. MeW EnyrJPlan Bft ? O+odt Pog. oem* rrod wmi Pc oisp. --;°-?•?•Kqe,..-..._-,?:?.ef,..._ ,"s 'a. . - - ? .-. ,,,? ,-y., --" • - CASH RECEIPT - - , ?ITY OF ?GAN 3830 PIIAT MGN66 ROAD ` ? EAGAN, MI"1'+IESOTA €5122 ? L..^ . AWU?ff ?& DOU-AM ,00 u. O CA8Fi CHECK ?- ?/- . , YYt?' . 'T.? - • . , . ?Y . . y 4 ? r. Y ! jl? ? Y Y:`',Tt ? . - .?..?, ? rT A . y y,'. .: • . . .??. "S ??" . [ `e??''7'°"' ?•?•.. .?"?t''?p ?b.? e.? t a • ?} r3 '???? SEWER & WATER PERMIT CITY'OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 .- f q DATE ??? 1 ? ??? ? : A SITE ADDRESS LOT ???y BLOCK -1' SEC/SUB Si'4Pv ;r 01.? ?- `:' ? ??y ,APPUCAN`;..a:,?, ADDRESS: ?,, -? L-1 7 CITY, STATE-r" 2 r ttivr- .'f S . Miv• ZIP? ? o '7 6, PHONE: t? ?'? ?... ? , . PLUMBER: 's ADDRESS: vl, i/ ?-V CITY, STATE ZIP ? . ?, PHONE: ? 5 OWNER: r -? <? ? i " 'l4?s" ADDRESS: ' CITY, STATE ZIP PHONE: OFFICE USE ONLY METER # PERMIT DATE 8/28/89 CHIP # PERMIT # 10824 METER SIZE B.P. RECEIPT #,C 3563 ISSUE DATE B.P. RECEIPT DATE8 2??? xx PRV - BOOSTER PUMP PERMIT REQUESTED SEWER WATER - TAPS -.COMM/IND NEW - RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water, Line. Credit WILL NOT be given for Deduct Meters. t_. ._.. _ i 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN N0- 16 9 7 8 ? . 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 ? PHONE: 454-8100 ? ? ? ? BUILDING PERMIT Receipt # ? `?` ? To be used for ??IGAR Est. Value $87, 000 Date AUG 2 4 , 19$9_ Site Address 1431 BLACKHAWK LAKE DR 1 3 ST?NEY POINT 2N Lot Block SecJSub. OFFICE USE ONLY Parcel No. occ„pa„cy R-3 M=1 FEFS R 1 Zoning = W Name ?INBOW HOMES OF EAGAN, INC (nctual) const V-N Bldg. Permit 582.00 o Address 2367 78TH ST E (Allowabie) V=N 43.50 surcnarye City INVER GROVE HTSphone 450-6292 u of Stories 291 0? 44' Plan Review . Lengih F Name SA? Depth 4'$ ? City SAC 100.00 = v? Address S.F. Total - , 575 00 SAC. MCWCC . ? City Phone S.F. Footprints - Water Conn 580 . 00 On Site Sewage ?? Name On Site Well - water Meter 90.00 ?= 2 Address MWCC System ? Deposit Acct 30.00 ¢ a W City Phone C??y wa?er ? . ? S/W P i 20.00 PRV Required erm t I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin S. Treatment PI 228 • 00 2 1 l / Signature of Permitee e1Z/ APPROVALS Aoad Unit 340 . 00 RAINBOW HOMES OF EA ,AN A Building Permit is issued to: Plenner - Park Ded. on the express condition that all work shall be done in accordance with all Council -- 1 00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Olf. _ Copies . p ?ry, Building Of(icial Irl Variance - TOTAL 2• 881 • 50 DATE: 8/2$/84 gE: 1431 BI.ACKHANK LAKB DRIVS, L1. 83,STONEY POINT 2nd xx '4 _hYour Sewer & Water Permit for the above property has been completed. It will be held at the ? Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO C*LL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. r - Yalr Sewer & Water Permit for the above property' canno# be completed for the following regsons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 4548100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE 8/28/84 Kf. 1431 BLAGKHAWK i.AKE DRIVE, L1, B3, STONEY P01NT 2nd .? xX Your Sewer & Water Permit for the above property has been completed. It will be held at the ? Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following rep,sons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUfdITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POIICY. Secretary, Building Inspections Dept. . . .? ,- 99WE'ftl WATER PERNNT CIT1Fvpi?i 3830 Pft Knob Rd. Eatgan, MN 551 22-1897 oare &/2 2 OFFICE IJ$E OM.Y METER * A/D 0 7r7 S"3 perlmrr oArE d/2a/aq. . cHP # PEFiMrr ? 10824 ME7ER S12E,?S B.P. FtEceFr # C3 563 ' I8BWE DATE 66" 5' 89 B.P. RECEIPT DATESf 24/89 Z-z PRV _ BOQSTER PIAIAP ,SITE ADOfAESS LU I, cL.a( aCFI h4 w 1S L.K LJ?' . LOT _,..._BLOCK _3_SEC/SUB A APPUC NT: ADORESS: ? CITY, STA r v /V ZIP S5'074 PHONE: / r PLUMBER: - kDRESS: oood *ICiTY, 3TATE 21P ° PHONE: j.2.- 6 8 S 8 , (NNNER: ADDRESS-7 CITY, STATE ZIP " PFIONE: PEiMAiT FIEQUVi$M ??SEWER _ WA7'EA . Tl?'`? - CQ 1ND ? RESIDENTIW? NEW E'XiS11NQ ? , Larom Sprinkler Meters are to be ImeNed, Ahoad of Oamestic AAeters. on Weter Lirm. Cridit WILL NOT be given fo? Dedtct Meiers. . 1 AGr,F1EE T0 tOMP'l.Y;y11rTK-CITY OF EA"N oRoKaNOEs 9130IVATtlRE Wf1EM MEi'@% _, . PLEASE ALLO11 TWO MIORKN'3 DAYS FOR CAl.1. 45iM 1JOA WSPECil01NS. POR 9TOM?BEWER PERMITS, . _aCr ENt?INEERMO 0EP'?. •..? •. e (Jltrttftrab of (Orru?aury Citp of (eagan aFpmtltPt[Y Af l11ilbtlv jitgpPtftritl This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was ix compliance with the various ordinances of the City regulating building construction or use. For the following.• vsc cwsstfjcadoo SF DF1G/GAR occapancy Type R3/141 Zoning UisaicY owna ar Maing R? .S OF EACaAN B„?? A?? 1431 ?P?3GtA1aK LAtT DRIV ?' ...''J ? ?- a?a?? o?raar '?- Biag. n,.;, No. 16978 Rl TYpe Const. VN _ Add,,. 2367 78'III ST E. INVFLRMtOVE Hi5 ELomstyLl, B3, STMY Pt!lINT ZDID _ na, OCOOEER 24, 1989 POST IN A CONSPICUOUS PLACE / g F 54933 ? w Reguest Date 9-18 -$ 9 Fire No.; ?% Fough-in InspecYion R? ??? Ready Now ?fVill Nodiy Inspector ? R d ? / 'VVh Yes p No en ea y I licensed contracfor ? owner hereby request inspec#ion of above electrical work at: Job Address (Slreet, Box ar Roufe No.) Ciry 1431 Blackhawk. Lake Drive Eagan Sedion tdo. 7awnship Name w No. Range No. County Dakota Oceuparn (PRINl) Phone No. Rainbow Homes 450-6292 Pawer Suppfier Address Dakota Electric Farmingtan, MN 55024 Electricat CarNrector (Comparry Name) Corrtraetor's License No. Midland Electric Inc. 041610 Mailing Address (CanlracWr a' Owner MakirV Enstallation) 14055 Grand Ave So, Suite E, Burnseille, MN 55337 Au[I'oori (CwitractaNOwrter Making Enst n) Pke9"6 6 8 8 MIAtNE50TA STATE $O/LRD OF ELECTRtCtTY ?- THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bklg. - Rooan 5173 BE ACCEPTEQ BY THE STATE BORRD 1821 University Ave., SL Paui, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 842-080D ENCLOSED. REQUEST FOR ELECTRICAL lNSPECTION • ea-oooo1-07 10- See instructions fa4 mpletinglthis form on back ot yellow copy. ? ?-f'1w,?12 F J '? y 3 3 "X" Below Work Covered by This Request 40??57a e Add Rep. TypeofBuilding AppliancesWired EqufpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Spec'rfy) Comm./lndustrial Furnace Farm 1 c Air Conditioner Other (specify) ontractorb Remarks: Compute lnspection Fee 8elow: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above Amps SignS Inspector§ Use Onty: i TOTAL Irrigation Booms Special Inspection AlarmlCommunication Other Fee - , 7) ,r I, the Electrical Inspector, hereby Rough-in • ??? ; D 'd,?-`j ? certify that the above inspection has been made. Final ?•T OfFICE USE ONLY This request wid 18 months irom ??y of Eap 3830 Pilot Knvb Read Eegan MN 55122 Phone: (651) 675-5875 Fax:(651)675-5694 I , i - - a - - - - - - - - - ? Pennk #: a ? ? Pertnit Fee: `?? • ? ? I ? DaTe ReC6IYe(i: ? Staff: 2008MECHANICAL PERMIT APPLICATION Da#s: Site Add ress: 1!?E? )OC Y, Tkt? ?? L6U Of• . ?e6 suite #: Tenant: A-0 t,a bll`1Ct, vt, RESIDENT l OWNEA Name: iJi b Jti`ja)? i Phone: i - lE, ? Address / Gity / Zip: a, Or. ' _?-- CDNTRACTOR - Name: v'Ti .%Y iLYA 1'??? G 4??CL Y1 ?['!X, I LI,C License #: ??b 2 Address: 0 c;cy: I 1?wy- C'..? r?? 4? es?te: ?ti?..iU aiP: 5c? t?`-7 ? , Phane: V-)tn3Z?L Contact Person: lVey-erclert- TYPE QF WORIt New Replacement Additional AI#eration Demolition Description of work: IVOTE: Batlr rool` nountef end gmund mounWd msdmlcaf etXrrfpt»ent is roQL?!red tv be scrmkid by Clfy+ Coft Pfease cwrtact the 1M1feeftnlcal tnspector or one af #he Plannm fpr infbmuftn on sionowIng rrwthods. RESIDENT/AL COMMERC?A[? PERMIT TYPE New Construction _ Interior Improvemeni ?Fumape Air Conditisaner _ Install Piping _ Processed Alr Exchanger Cas Exterior HVAC Unit " HVAC units must be screened -??t PumR Under ! Above ground Tank (Install /_ Remove} E1f'her •« When 'snstalgrtglremoving lardc(s), call far inspeciian by Fire - Marshal and Plumbina I r RESIDENTlAL FEFS: $50.50 Inim m Add-on oF alteralion to an existing unit (includes $50 Srate Sur+cMarge) $90.50 Fire repair (repiace bumed out appliances, aucbwork, etc.) (inctudes $.50 State Surcharge) $ TOTAL FEE COMMERGIAL FEES: $70.50 lJnderground tank instaAationlrernaval OFC CoMract Vatue $ x 196 $50.50 inlmum (includes State Surcharge) Permit Fee - If Perm?t fge 3s lesn tMan $1,000, surcharge is $.50. - If Pertnrt Fee is >$1,a00, surcharge irtcreases by $.50 for each =$ State SurCh31'ge $1,000 Permh Fee (i.e. a$1,001-$2,Q00 Permit Fee requires a$1.00 surcharge). $ 7'07AL PEE I Tsareby adcnovwedge that this Momsauon is compiete anc1 accuMe; mat me wors +aoi ae rn coroammce wm ure oranances ana croaes oT ala ?,uy a tagan; u,ai I unde tht Is noi a pertnit but only an apglication lor a perrnit and wiork is rwd to siart w(ltwut a permit;13lot the wortc vAll be in accardance wiEh the approved plan ir 0sqqvm* wtich requires a review and appraval of pars. X Applicant's Slgnatune FCIR OFFIdL USE RBVtaWet'l By: Daft: iisqulred inspeeUons: :,,,,rUruier ?''arour?d _ Rnugh M Air tss3 -Cas SBrwiCe Test -_jn-itoor Heat ? :.? Ci-rir aF EaGAN 3830 Piiot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P . I . N . : 10-72601-010--03 DESGRIPTION: PERMIT cXIW? PERMIT TYPE: BUz LDING Permit Number: 024094 Date Issued: 07/12f g q 1431 BLACKHAWIf LAKE DFt Lt}T: 1 E3L.ilCK: 3 STONEY PqIPIT 2NCl (RooFzNG) lda,.rsq;-Permit Type ldI n? Uprk T y p e SF (MISG,) FtEPAIR ? r Uaz- ??,-?A ._.. _ _ ?,?d i ... .- . _ . :... ?? .,,,...., .. REMARKS: FEE SUMMARY: VALUATTON $4,000 Base Fee $63.00 Surcharge $2.00 Tutal Fee $65.00 ISSUED B 51G URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 Q 0 9 4 Eagan, Minnesota 55123 Date Issued: 0 7/ 12 i 9 4 (612) 681-4675 SITE ADDRESS: L oT: 1 B L 0 C K: 3 APPLICANT: 1431 BLACKHAWK LAKE QR MTDWEST RES70RATIpN GONST 570NEY POIN1" 2ND (612) 784-2772 PERMIT SUBTYPE: sF (Mxsc.) TYPE OF WORK: REPAIR DESCRIPTION (R00FING) INSPECTION .• . .. FFtAMING ROUGM IN PLB6 ROUGH IN HTG FINAL ? ? ? I s ' . ? ?? ?F EAGAN 1994 BU1i.QiNG PERAAiT APPUCA'#'1O14 s81-4675 5INGLE & MULTI-FAMIlY 2 sets of p1 ans' 3!"egi SteCed Site surVey.5 a 1 copy vf.'.ene11"qy calcs. C"ERCIAL 2 sets of architecturai & struetura7 plaers, 1set Of: specifications, 1 ccrpy c?f energy talcs. - Penal ty appi ies : 1) rvhen permi t i s typed, but riot p1 cked up by 1ast worki ng d ?y: ofmopth in which reque5t is made, 2) address is changed or 3) lot claange is reqwe*ted on-ee:permit is issued. Date ?. I..zz. f? VaZuation of work Site Address• ZAYZ STREET SUtTE # Tenant Name: (commercial s?nly) I.OT ? BLOCr, SUBD . ? P , 1. D. 0 Descri tian of wt?rk: dcs The appi i cant i s: ? Owner Contractar 0 Other cnescrraox Name Property LAST fFIsT Uwner ? Address SiREET STE ? City State zip- ?i?at?? Phot?e Contractor o , ?addres? Liceose # t/ Up.,: City State Zio Campany Phone Archi#ect/ Engtneer Name Rreqistratton # Address ' City State flp`, Sewer & water t i censed pi umber . Processing t1me for sewer & water permits is twa days once area his becn approve , I hereby ackrtowleclge that I have read this app1 zcation arrd stat+e that the informition is correct and agree to commply with ail a pplicab7e State of Mtnneso City of Eagan Ardirtances. ? 5ignature of Applicant: OFFICE USE ONLY BlJlLD1NG PERMIT TYPE ? 01 Foundation 0 02 SF Dwg. 0 03 SF Addition E] 04 SF Porch 0 45 5F Misc. 1Nt3RK TYPE ? 06 Duplex ? 07 4-Pi ex 13 48 8-Pl ex E3 09 12-Plex ? 14 Multi. Add'1. t 1 . '?s. ??' .? ? w ? 11 Apt./i.odgirrg '% Q-"lb 8asement Finish ? 12 Multi. Misc. CI 17 Swim Paol E3 13 Garage/Accessory ? 18 Cnmma./Ind. ? 14 Fireplace 0 19 Comn. Jind. Misc. ? 15 Qeck 0 20 Public Facility [3 21 Mi sce31 aneous ? 31 hfew O 33 Alterations O 35 Tenant Finish D 32 Addition . . ? 34 Repair O 36 Move GENERAL tNFORMATiON' . . . . ` Const. (Actual) (Al7awable) lIBC Occupancy Zoning # of Stories Length Depth APPROVALS Alanning Engineeririg . . ..... .., REQl31RED INSPECTIONS * El 5ite E] Wal l board Basemertt sq. ft. lst Fl. sq, ft.. Znd F1, sq, ft. Sq. Ft. total Foutprint Sq. ft. ? Ort-site we1'I t1n-5ite Sewage ?, - Building Yariance ? Footing. ? Final Ca Framing ? Drainti'Ee ? CI 37 Demol ish NWCC $JIStgIFI City Water ? PRY Requiwed Booster Pu?p Fire Sprinkler ;-.. Cettsus Code ' SAC Cocle Census Bldg Census Unit , Usessrnents X - C] Tnsulatian 17 Firepiace Rermi t Fee Surcharge Pl-a?rr'-zfteview Li cense MWGG SAC City SAC Water Cann. Water I4eter Rcct. Deposit S/W Fermit S/W 5urcharge Treatment Pi. Ro ad Un i t Park Ded. Trails Ded. Cflpies Other Tota3• SAC 9b SAC Units I - Z A . 3INGLE FANiILY DidELL2NGS 2 SET3 OF PLANS 3 HEGISTERED SITE SITR4EY5 ! SET OF ENERG7 CALCS. _ 1989 BQILDIAG PE&+IIT APPLI CITY OF EkOiH ? l+ULTIPLE UiIELLINGS 2 SBTS OF PLlUIS BEGISTSRED SITE SLIRYEI3 - (CgECg WITH $LD(; QIY. ) 1 SEr OF ElMEiGI CiLCS. COI?3ERGIAI. 2 SE?5 [1F IECHIrEGTUEtAL i STROCTVR/L PLaNS 1 SET OF SPECIFICiTIONS ! SET OF FNERGI CLLCS. IIt1'LTIPIE DTiiELLINGS 1=1L UNITS FOS SI.S QNTTS # OF MiITS I IIflTEt ADDRESSES !"08 CORIQER L0T3 -- CMASCTOA/80NE0WNER !lUSS DE.SIGNA'i'E iiHIGE ADDRE35 IS DFSIRED. AO CHANGFS WILL BE 1LLOWED ONCE SUII.DING PERMIT IS SSSUED.. SEWER & WATEB PEAMTP FSES 1HD iCCWNT D£P06I'T FSF.S iiIt.L BE IACLUaED tTITB TEE BTJILDINC} PERMIT FEE. PROCF.SSING TIME F4R SEMIER 1HD if1TER PElMM IS TWO DIYS ONCE 1PERMIT H11S BEEti i'OMPLETED TNDYCkTING A I.ICENSED PLE1MBER. PENALTY APPLIFS WHENa PERMIT IS NOT PAID FOR IN SAMF. MONTH IT IS REQOESTED. LOT CHANGE IS AEQUESTED 0NCE PERMIT IS ISSUED. F?vfi 2? fi96? 1e To Be Used Fors J?? Valuation: ") Date: Site AddrEas??? QFFICE OS1 I.ot -L Blvck 3 flccupaney Zoning para€llSut ???+? 2 . Aetual Const V- N? -? Allawable O til - N wmer ?? ! c ,.'F f of atoriss Length Address Depth S.F. Tota3 CitylZip Cflde Footprint S.F. Fhvne i Goratraotor P611h)aw'?-?c?s Address230 ??'? ? L? • City/Zip CoideZ? '? e v' xw , Phone -21S0- 6 25?2- 5670 76 lrch./Engr. -2?vc . lddress ?- City/Zip Code Phone # ?? 3 -qt? ?70 ? On site seWage Un site Well MTCC 8yatem t01' Citp xater ? FRV required Booster Puffip 1PP? Plaruaer ?, • Caunc3l Bldg. Of f . tz?--B/i 3 Yarianee I-T. Bldg. Permit Sureharge ? , a:? Plan Review , o;.- SAC, City SAC, MiriCC ", c?.a -59 Water Gonn o.o u Nater 1"jeter o 0'3 Aeet. Deposit zp,?>p S/W Permit 2o, o- SlW Sureharge ( Treatment P1. ; =' Road Unit Park Ded. Cvpies , o D SIIBTOTAL Fenaltq 30TA1. ^ F0 7' ? ?? ? j V.,,?-\ L_ U ? q x -Z-'? ./(-l 04)1 6 t->6") `' , Li ? ?Lf ° L) L.:? _ - i . . . , _... w... . ", ..,----?" I ZSWX 50 .? U - i? ?;?,;'. • ??Iti r '?s ,? I • ? ?? _ .? ;? ? ?Ll 0 -r ? ? TR! -LAN D C O. SURVEYING : SERVICES 1260 YANKEE DaQDLE ROAD EAGAN, MINIMES4TA 55126 LECA L N SIT E PL AN F0R: RAIN6OW HOMES - .. DESCRiPT10N: LoT i ,aLocK 3, STQNEY PpINT 2ND ADD. ACCQRDING TpK?,NTA REC4RDED PLAT _ COUMTY, MINNES4TA THERE4F D SCALE: i"=30` ?, E.??. o DENOTES IRON MOh1UMENT. o DENOTES W4QD HUB SET DENOTES EELEV?ATIQNP4? OEN07ES PROP4SED SPOT ELEYATION ?- DENOTES DRAINAGE DIRECTIOM I hireby certtty that thfs survey, Rlan or report was prepa°ed by me or under my direct supervision and that I am a duly ReQistored Land Surveyor under the Laws of the State of IrAAinnesottr. LOT 2 da _4 bK*? ? ? L.OT I .Q q 1?," Y Y• ? 0? 9-i .6 ? `a p *b.0 . .4 C ? ? 4. 79 ? ? ?- ts v P.R.V. REOUL ED PROPOSEE? 5PL.1T EN"'r' NO VifALKP iNvMr ELEVanont aT sF-RvIcE ExrEvsion=- PROPOSED GARAGE FLAOR ELEVAT10N PiR4POSED FIRST fL4flR ELEVATION = pqpppSEp 9qSEMENT FLOOR EE,F-VAT1 GN N; YERIFY pLL FLAOR HElGHTS WtTH =- FrMAL HOUSE PLANS --- Rtq. No.1?23? 8radfey J. S , W. Date --. . . .. . .. . _ _J . ? ??/Afts°??, ?` /• ? ? ?? ? ? , ? , , - . ,;? ?,?'-,?+;?»? , ,x,;, . . .. • • . '??1?. ?I?• ?". 1 y'? • , ?? Il f ? ??',' ?{ , . ?. ; , • ?, ' ? . . J ; ' ?? . y : . a.l 1?d i, -;• l .,y? ? '?: S •h. . . • . . . ? ? .?* ?? ? 1. ?r +.ia?rr%' t I ' ? c?rc }?eAmv to???s N s .. . K '?' .ON Dcrto.9' --4--A-7_w O.. l L......c.?m J?-? _.? .. . . _ cr .?..N.... ... ..?,. ? .. , . . . ? ?a6fo A ddr?S?' , ., I'?OTAL EXPOSED 11rAL1. AREA, Y - ... , ?:1`?E ?f ?...,. Zi7OTA?r o?XP??•O.,-RO?i F??E.I?.IN? ._ ? ?...?? .?...t?. of, WAL:. dlRiLA CALCUTATIttNS: . wIaDow aRen ?... _ ._4q. ¢9. x,,,.? . ?2i?dLf.. ?.... GL Ax Ei? TdTAi. DGOR AREA _..su.tu.,,?•.._.. _?...._ ._.... .. _ _ . " TdTAL GLASS COCR AREA x,t u„ AL. ?ry ? .?.,..?..._ GLA ZED ? 70TAC. FIREPu?CE waLL ARE" . __?' ?_.?..._....r?.f?.z'?.?'"!?' . 431, ?'.-- °"0TAE.. IAIALL FRAM!NG AREA ??ie? iwslii.A7ElD WAL.t? ?RE.--, TOTllt. Aprl JQI$T,AW . . . ? ?- . ; .. , . , TOTAL FOtJN0Mi0M AREA (CXPt35W) ..._.,_....?.? ?..,?..,_...Sq, ft. x'U?` TATAL FOUMIQATlOIII.,,wiNDOW LtREA -..sa.tr.x'v" z.._ ,. ? °c' " li 4. 0 4) . 'f lto•N 3 M'ft SMm* QYyci iu:i i ?1}?.1i7 .•?! ", ?0 1 z McaR r.isooO a and c. ROoF/CEtLINa CALCULATIONS'• Tr 7AL SKYLfQNT AREA ' . TOTAL R00FIfoElLtNO FRAM1N14- AR?.A ..._.,.__.?_?._ .,....,_...._-._,,.aQ.t?.R'u`,??'?"?.?-::. NET IVSULATED ROOF CElUNO AREA .. _ ..__..?? s.__.?.....,...?.ti,ai Ul,?.': : :.. , • ? . . 4) 1 •'),T tl; . . ::?..., . ,.. ? ...'..5?'' i . V, fl ftm ? 1? NM i0mf gou kys OwF fhr lr,tont aR' z #AcaR 1-16006 a ane o. ALfiERNATE SWLDWS 'ENYELOP£ ??45MIN " TO Ytft+s MNlOIAfMVNt9B sr tern ?jti?ttRc rt} t;;,: miri; p4'lt-rr)j fand 2 rti. - ' be frootK - ft" Nli M61fJ1 of i 4 e r; -?! 4 d , • • ? ' ? • ?e ?,? . _, ....,..?....,. ..? ? ? ?..._..._.,....... ._,.... ' _ . . . ?. . .. .. • ? . .. . . ;,? ___.....?.,..,.... ..o....?;???....r.............. ..... - . .. f tNr'MW 6MiMY lAW ttw b+aflt!ltyj? r r?; 'R dP s c?` ???r,? ?,+ ??xt??tfw tt?e ?' ; ?Yy: .-?t ' , r ' . ?'n???,y C?+??tN?ut A?x. ` ? ? , . ; ? r h ? ??'.?awA?'w ?..+? ',,.'•??'???? L .,?, ? _ . - 4 9 . ,.f? '+1 ??' 4 • ?., ? , w+., '? ?, } ?. +tt?.? ii i t? r +" K t . . ? • Z , . ? , . . s ? • • • • ?.. . .. . ..??'?. .?" ,A? . , . . .,? - ; • `?', .k ??:?. j •, ? a ' ? Y; .? i o ? Aft . ? .. . ?. . fLow °• t VEN7ED ? VENTED,. ? ,. ?? •:,. :? ? .?- ?r • ', . . ., . _ . , . ?. . • ,. . ' , _ . . . . '.. CEt6M SECTION (INSULATEG), (0 kw1 r o1r ? ?• ?"?t' . ? ?S H ? _ ... . ,_ daq ssFKlor a!r t11m (sffIt) ' . 9 OTA6 . ? ..??A? .. . CEtUAt6 fRAMIN6 S EGTIQN . ? L M ttrig! O/' •+?? • ,.?....?.T-?.? ? tt (4 interlor o!r tlim o/ •o!t rood ? .YOTAL ? a ,J,i ??ILJNG sEcTiflN t lKSUtAtEOI _ ig ?.?..?..__..... _.,. (,r, . . . 't'OT/tL , u • 4SR? ?.?._.__ ?.. CEtuNG FRAM{m6 SfCTiON . [ t.??r1a ts - 4$ tnhrla air ttdm ;_,.,..._..?_... `a?; . i5 _,,..?.,_c..pt saii, Woos _ _,...... ? _T07A1. R ... . ,ll a 1 /R -_ . . EXPCSED " CEILtN6 SEC'T10N -?:: t.t rarKiK slr frlm _....?.._ ---:?2 tt ._?. .?.,......._. ? ., a„ .uilm .?.._.. - . ???.....??.?? • TOTAL R ...?...e,..?.... ..?.._ . : ' ,1i a lM . ! .' . . ? ,?. .? 7 ?' ?,?,""?'"S . ? '• . , ; . - f * r ?,- ?, : ,? , +..? ?,1 ? . . . ..._.. _... _....... ?,?, ?jA ° -.... .+-: -???? •if ¦? . . • • ? .'?? . f,'-., : . • ??{ fIE¦ ` . ' ?.. . ,Y?~? ` ,l;- ?7?:??¦.?.? . - ? • ^ ' ? • ' ? ?? KCTIN ? .?.,. 'k .,.??,.?........_....?...,?,...?..,_._,,.?,,.s:? ----?-?--{? ' 1j'.iI..it! 12?_._.'.229 ?._.,... ?? .?....?_..{ S _'S?+O?«i?. --- .i?.. ? _,......_._.... _? : ---•---'---? R ?+?1ria e?+ t,,.r, ?, ' , • T 07AL V a I /'4 W?LL UCT1pN (1NSULATEO) . 1, { ? fart~ a:& IIlT _. ._. -. ---^--¦{ ! ?? f.OL ,.,?...?(4 ??e?c Dwa _..,.__. ..__..-- -•.-'V . f (1TAL . ? ? Y ? . R!M Jt11?T ?CTqN '' • ?--.•{? ' t ?' or bn ? A? ?? ' ? • ? ?.?..???.?J f ? r ' ,? .?.... ?• ?3?; .• ?tt _ '''?'?C OC ,,".-""'{' _?CS??a.14 Y?_?a,! .r...{i War:Ar_st? titw? .,..., ?.....t:.:.? Y FOfktD+?TJON lECTIft V ? . . t ? ? ? • t?• . • ?? • . . ? - ' . ?? ? • ? ? ' . .. • .. . %?. • . • Y ?. 1/1R.?..? ..' 4? • • . , . . --^? ? ' •?.7.?:...?.:?.., ...?....?? .,..,,,? ? . . . ?_ ? • ?? " ...?........s.,..-«-?? ?,. , , ._..e. ?. ?...,._. -?---t ? a?tK?r? ',?.;1?.... SEVER90N, WILCOX & SHELDON, P.A. September 11, 1989 A PROFESSIONAL ASSOCIATION ATfaRNEYS AT LAW LARRYS.SEVERSON• JAMES F. 3HELDON J. PATRICK WILCOX• TERENCE P. DURKIN MICHAEL G. DOUGHERTY MICHAEL E. MOLENDA" •ALSO LICENSED IN IOWA ••ALSO LICEN3ED IN WISCONSIN ... ALSO LICENSED IN NEBRASKA Mr. Gene VanOverbeke Eagan City Clerk 3834 Pilot Knob Road P.O. Box 21199 Eagan, NIld 55121 7300 WEST 1477'H STREET P.O. BOX 24329 APPLE VALLEY, MINNE50TA 55129 TELEFAX NL7MBER 432-3780 (612) 432-3136 RE: Stoney Point 2nd Addition Pressure Reducing Valve Agreement Our File No.: 206-6035 (OQE) Dear Gene: In connection with the above matter, I enclose original recorded Pressure Reducing Valve Agreement - Document Number 901734 for the official City records. If you should have a question, please feel free to contact me. Thank you for your consideration and cooperation in this matter. Ve uly yours, SEVERS? , WILCOX & f ?- Roxann Duffy Legal Assistant i RSD/djk Enclosure SHELDON, P.A. PAUL J. STIER KENNETH R.'HALL "`SCOTT D. JOHNSTON JOSEPH P. EARLEY MARY L. GOLIKE IAREN M. SOLFE3T OF COUNSEL: JOHN E. WIELICH ¦ , the elevation of 875 feet. All costs shall be the responsibility of the Buyer and shall be installed to prevent damage due to high water pressure. 3. validitv. If any portion, section, subsection, sentence, clause, paragraph or phrase of this agreement is for any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this Contract. 4. Binding Aqreement. The parties mutually recognfze and agree that all terms and conditions of this recordable agreement shall run with the lancl herein described and shall be binding upon the heirs, successors, administrators and assigns of the owners and developers referenced in this Contract. IN WITNESS WHEREOF, we have hereunto set our hands. CITY OF EAGAN (Date : By: Its Ma Attest: Its C rk OWNER AND DEVELOPER MERITOR DEVELOPMENT CORP. By: It s • Dr Nlv?-?? STATE OF MINNESOTA) ) ss. COUNTY OF QA?) On this L'VN day of 0j,4JH0 ? 1988, before me a Notary Public within and f or said County, personally appeared VICTOR L. ELLISON and E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed in behalf of said municipality by authority of its City Council anc3 said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. . •.? IURIIYN L WIICNERPFENAIG ' L ?ty NOTARY PUBLIC - W1INNESOTA DAKOTA COUNTY otar ;/Publ ic Mly Commission fxp feb S. 199({ " ` ppppppp -2- Y .. STATE QF MINNESOTAa eouNTY oF ?? °AC4_ ? On tha'ts .1?' day of ?6-ufnn6PL_, 1988, before me a Notary Fublic thin?a,,r? d for said County, personaliy appeared ?y?i `7?Mdyo -anc?- to me perso a],SF known, who being ?? by me duly sworn, -€ae?i did say that ? g.aara.rst i': =.'„i th? mild - af the Corporation name in the fo going instrument. -crrrd-tii _..e ____ a"k EEimad t@sai'?oiirQtrum r and that said instrument was signed a~a eea' °4 fn behalf of said carporatfan by authority of its Board of Directors ana said -&"a acknowledged sai instrum t to be the free act and deecl o€ the corporation. 1?c \_? ) - Notar Pub3ic THIS INSTR[]MENT WAS DRAFTED BY: McMENOMX & SEVERSON. P.A. 7300 west 147th Street P.O. Box 24329 Apgle Valley, MN 55124 (512) 932-3136 MGD _3- ? ?.?.•,nnFnnwn s FpY EUP'.SOr. `. , -.., .? OT,,RY Pl1311L-F,};.?t?ESOTA ? HEh°•l=PiN CCU%NTY ? My Commissin Exaiie5 r9?1 26 19 x in+wvvwvvx ?t 7 ? City of EIFtii I Permit #: I .,. ? ? I Permit Fee: V I I -? I I Date Received: ? I I I Staff: ? I I 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT APPLICATIQN Date. Site Address: A ` o Tenant: Suite #: RESIDEPIT / OWNER Name: 3_\ Phone:C?( (??? 6r?- ?yl?y Address / Ci / Zip: L ?? \ Z?\,?- Applicant is: Owner ? Contractor TYPE OF WORK Description of work: fa c) ?- Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: ! -\ c `i,icense #: Rt, t4Q __ Address: _"[q'n k1y Q C?. ?_ > tk*- k t L-4 City: State: Zip: = ! c-::? ? Phone: ? r` b?Contact Person: ?C-,\ AY'1'(ZC CQMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Su6mitted Submitted (4 Submission type) • Energy Envelope Calculatiols 5ubmitted In the last 12 months, has the City of Eagan issued a permit For a similar plan based on a master plan? _ti`es _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans e?d.supPt?t?f?ngr: tlocttmer?t? that yoti ?bmit are r?nsjtldt'`e?f tv be public irrfor?rraficrn Portrons'of the infarmatuo trtey b d4?sinw: as-Oop Fublic ?f yvu prow,tl?:;3pecf?'c reasqns t?at itioulcl per???t tiie?Cr?,? ?o ;: .. . _ : ; : . F. concJude. that thle . are #rade sect?fs , I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances artd 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 wor4c'will be in accordsnce with the approved plan in the case of work which requires a review and aWroval of plans. X \ ApplicanYs Printed Name . Ap ' ant s Signature Page 1 of 3 Ft??-, _?? V PERMIT City of Eagan Permit Type:Building Permit Number:EA116700 Date Issued:10/10/2013 Permit Category:ePermit Site Address: 1431 Blackhawk Lake Dr Lot:1 Block: 2 Addition: Stoney Point 2nd PID:10-72601-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Randy Bradach 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 - Ayub Manjlai 1431 Blackhawk Lake Dr Eagan MN 55122 Bradach Roofing, Siding & Seamless Gutters Inc 18267 Italy Ave Lakeville MN 55044 (952) 892-6015 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143751 Date Issued:06/26/2017 Permit Category:ePermit Site Address: 1431 Blackhawk Lake Dr Lot:1 Block: 2 Addition: Stoney Point 2nd PID:10-72601-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - 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: 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 - Ayub Manjlai 1431 Blackhawk Lake Dr Eagan MN 55122 Signature Home Services 15631 Darling Path Rosemount MN 55068 (651) 731-1147 Applicant/Permitee: Signature Issued By: Signature