1446 Blackhawk Lake Dr
/ J,
E
9 9 0 61?///
?
Request Det ?
-? ? ? Fire No.. Rough-in Inspedion
Required7
? Ready Now ?`Will Notify Inspector
Wh
R
d
t
- ?.. ? D No en
ea
y
i 4licensed contractor ? owner hereby request inspection of above eiectrical work at:
Job Address (Street, Box or Route No.) City ?
l Ll
Section No. Township Name or No. Range No. County -\
I`C-r
OccupaM (PRINT)
!
. Phone No.
?
cre, - y,
Power Supplier _i
?f 1 y!
, ? TAddress
--
?\
i
}
'
?
7- ?/? n la V
1
Electrical Convactor (Company Name) actor§ License No.
Mailing Address (ConVactor or Owner Making Installation)
AWhorize?d Signature (CoratracloNOWner Making Instalih n)
?
_
? ` Fw Number
'
' _L >
G ?
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 8.173 BE ACCEPTED BYTHE STATE BOARD
1827 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6424800 ENCLOSED.
3.
E
REQUEST FOR ELECTRICAL INSPECTION
10- See instructions for completing this form on badc of yellow copy.
`X" Below Work Covered By This Request
• EB-00001-07 /
e Add Rep. Typeof6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Spec'rfy)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (specify) CoMractor+3 Remarks:
Compute Inspection Fee Belaw:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps r;! 0 to 100 s g-
Transformers Above 200 Amps 00 Amps
Signs Inspector§ use Onry: ? TAL
Irrigation Booms (7 7.0
Speciallnspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
if
h Rouyh-in Dace
y t
cert
at the above inspection has
been made. FirtW Da
OFFICE USE ONLY
Thls request wid 18 months irom
C. , • A.
(gtr#ifir??it of (Orrupaury
Citp of eagan
aPpl'u1tPttf Df lltflbim jwP1fiDl'T
This Certificate issued pursuant to !he requirements of Section 306 of the Uruform Building
Code certifying t/rut at the time of issuance this structure was in compliance with the various
ordinances of the City regulating buildixg constructeon or use. For the following:
U. Clasaatrauon? ?ICA-R mdg. Rrmit No. 16076
o-„aaocr TyW R/3-M/ 1 Zon* Datrid R 1 ,yve com VN
Owner of Building WAGUM BCMS A?? 15600 TENTfi AVE Sy $'VII,Z,E
suikfinsaaa? 14" _ffi.MIAWK LAKE I'1RIV; -&ty L7, B4, 3110l+IE.'Y POINT
ns,: MA%m 22, 1989
BuMg oefi POST IN A CONSPICUOUS PLACE
s, r.+".?p
? ?LUMBr??""T
- G14"Y GF -aAN
3630 PILOTXMlQB WOAa, WtGJ4N, NN U12?,
OMTRACT PiNCe:
Address HI.Df. "fiY? ? ;-?
? l,t?t ?Co .Sec?'Sub FC?s?. ? A??
I?utt ?.,?.... ` ,?
Name Camm
y Adt11`e5S •`.`? ?' ?j '' c.'.?. ;.t i t j,?F J? 4thE:Y '
c+City
Phane RES. RLBG. I?iLY -? t; 1? *
N .. FIX1'U?
IVame ,r; > Water Gloset - $3.00
Bath Tubs -$3.00
? Address ' i 1. .- ..
. ? .. - eftWTY-???.00 .:
. ; o City . '-- ' Phone ' Shower - $ 1 3.00
?
=,Kitehen Sink - $3.00
V$E$ i UrinaltBidet - $300 ..
CQhAMlIND FEE -1% QF CONTRAGT FEE I^r-Laundry Tray -$3,flQ
, RPT. BLDGS - CaMM RATEARPLIES ?T-Floor Drains -$1 ?{
.'; TOWNMQUSE &CC11+t0?t}-- RES. RATE APRUES j.J-Water Meater -$1
? MIN4MUM - REMENT114L FEE - $12.OQ Whirlpoal - $3.00
;MINIMUM - GOMMANL? FEE • $20.00 =Gas Piping 4utlets - +A '
r S'FATE SURCHAR6aE PEA PERMIT' - .50 (MINIMUM - y PER
; (ADD $:50 S/G IF PERM1AIT PRICE GCJES Softener • $5.00 `.' 6EYUNQ $1,000()) i Welf - $10.00 j Private Qisp. - $10.00
? ;a-Rough Openings w,$l.?Q?
SIGMATURE l7F PERMfTTEE
? FOR CiTY t7f EAC3i4fH
ciTV oF EaGanr 16076
'-'""` 3830 Pilot Knab Raad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
?
?
BUIlDlNG RERMIT Rzoeipt # ??-• ? ?
7a be used for ?F W41W Est. Value $77y000 Date 19?-
Site Address 14" KAC13LM LAKE DR -
Lot 7_ Block 4 Sac/Sub. S?X ???' OFFICE USE ONLY ;
Parcel Na. occupancr ?3 Iliml F EES
IkA
Zaning
w Name R iit7?S (ACtual) Canet ? Bldg. Permit ?a?
Z Address ?liiE S (1Wlowahle) V-N
Surcharge ?? .
?
o Gify -BL18NSVl1.t,E Phone 431.+7357 # of Srories
4?
Plan Review ??! a?
.?t?
LengtM
p Name F+ Dep#h ? City
SAC 100*00
?
?
? +4dCIC2S5 S.F. Total
- ,
MCWCC 5113.00
SAC
F
cIty Ph,pnB
S.F. Faotprinrts
- , _
Water Conn ??.Q?
g ? 5ft6 S?9e -
?
W W
(1??fY1B
an 5ite Wefl
Water Meter
roo
0 Address ` Mwcc syscem XX_
3?
?
0
aw Clty Phpl1e Cay Wa1er ? Acct. Oeposit ,
XX rmit
S1W P
PRV Required e
! herehy acknowlege that I heve read fhis applicatien and slate iha4 the Boaster Pump - SNV Surcharge 1 #0-0
inf4mlalion is correct and agree to comply wiih all applica6le Siate of
228
00
Minne&ota Statutes and ?iEagan Ordinances. Treatmeni PI _
M
5ignature of Permitee f ?? 1 APpRqYALS Road Unit ?+L00
±
A Building Permit is issued to:
W
Planner
-----
Pazk Red,
on ihe express candition that all work shall 6e done in accordanee with all Council ?
applicabte S1ate of Minnesota Stalutes and City of Eagan OrdinanCes. gld8, pry, _ CO?'?
Bulld'sng OffiC'tal varianr.e , T4TAL 2t961. 30
" Pemut No. Permit Flolder E1ate Telephone #
WATER
R
SEWER
PL.UMBN+IG
4
H.V.A.C.
ELECTRIC ! ?J`J ° -f
Inapection Qate Insp. Camments
Footings I
Found&tion Q?? @ (a4 Gr? 'r l/¢
framing
RaoEin9
Rough Rlbg.
Hough Htg. -
IsuL ?
Fireplac:e ?-- /C= _ " LI:J? ? ?• ?C2?.s..'
Final Htg.
Final P1bg.
Const. AAeier Plbg. Inspector- Notiiy Plumber
Engr.lPlan
Bldg. Flnal 3 - 2Z- W
Oeck Flg.
DeCk Final
Well
Pr. Disp.
CONTRACT PRICE:
Site Address 144
s,
PERMIT #
MECHANICAL PERMIT RECEIPT # !
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
• PHONE:454-8100 rJ'?
Lot ? ? Block Sec/Sub _
? Name r?"?!?ick?oci liW. & A.C.
?c Address 3650 Ketulebec: II:C,
c City 1?ayan Phone 452-
Name Wa neC Honra,s, Inc.
c Address 14600 IOth Ave S.
0 City du..''fl:iVl! lyd Phone 431-
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OutlBts #
Other
82, 000 M BTU
M BTU
M BTU
M BTU
CFM
i
BLDG. TYPE
Res. X-
Mult.
Comm.
Other
WORK DESCRIPIYON
New X
Add-on
Repair .
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
7557 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEktY111)
COMM/IND FEE - 1% OF CONTRACT FEE
24.0() APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOE$
BEYOND $1,000) . ,
- $24.00
- 6.00
- 1.50 EA.
- 12.00
- 20.00
- .50
FEE:
S/C: SIGNATUFW, QrF PERMITT?E,E 7
r
? ? r ? /.? ., „ ?'. ??,?t. r-- -- - - -• J
TOTAL
FOR: CITY OF EAGAN
SEWE13 & WATER PERMIT
CIW-OF EAGAN
3830. Pilot Knob Rd.
P.O. BOx 21199
Eagan, MN 55121
i?
OFFICE USE ONLY
PERMITDATE
1NATER PERMIT # 03?L? SEWER PERMIT #
METER # B.P. RECEIPT # 90693
READER # I B.P. RECEIPT'DATE 1/23/89
METER SIZE ?
ISSUE DATE ?xx PRV - BOOSTER PUMP
a ,
SITE ADDFiESS
LOT - ? ?BLOCK L ' SEC/SUB - `??`• ?'% , ,?. t? '
APPWCA'NT: - • ? " ?'at
ADQAESS:
- ?
CITY, STATE ? ?' - ' ?_ f•' ZIP
PHONE:
PHONE: I? PERMIT REQUESTED
PLUMBER: < < ` • ?'
ADDRESS: i; .; ,, 1 ' _ . f •?
CITY, STATEZIP
r
!'°SEWER -? WATER - TAPS
-COIMMlIND ?RESIDENTIAL
NE IW ' _ EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
OWNER: • • - ?... ?( , • „
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE: _
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM
ENGINEERING DEPT.
PERMITS, CONTACT
?, ?; °z?= - ? - -,• . -? ??: ?:
...,
CASH RECEIPT
;.
CiTY OF EAGAN
3$30 PIIOT KNOB ROAD
._,
EAGAN, MINNESOTA 55122
. ppj'E 19-7
pAN t`
AMOUNT
o+C CA ?
t?i?'`??4. ?.JC.r "?,? t?, l(,a?I. eZ i rt ?,_;?•:? !,? ?:". DOLLARS
100
CO GA$H 1,c?CHECK
'? //_?
? 8
L;:? (.l/
t
"z4i/ aa4i,
FU ECT ; AMOUMf
r., .
?
h
? ';. ?_ :: •
Z?
Wa
? . .. .. . ., ..
cti? ,.,? .E.:.' ? * ?•8wF
?...? s?...?s.:a??ul? r ..?..?? ' ?`?i'??i +?: ???
BLDG. PERMIT NQ.
'Y: i!; f t?_s?L' 1 ??`?1',f,l?-??.; rIC?'.- _ ?1??•
01-3210 Bidg. Permit
01-3422 Plan Check ?? D
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 Sac
20-3865 Water Conn. ? t
20-3868 Water Trmt. ? i'?
20-3716 Water Meter ?r -
20-2252
Acct. Oep. f ?
20-3713 Water Permit ? ?-
20-3743 Sewer Permit
79-3866
Sewer Conn. ,
28-3855 Park Ded.
TOTAL
CITY OF EAGAN 'NT',' 16076.
3830 Pilot Knob Road, P.O. Box 21-499, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt # / 0?.??? % _-
To be used for SF VWGIGAR Est. Value $71 i OOO Date-,? 60 r , 19AW-
Site Address 14" SI.ACKgAC1K 1AIE DR
Lot -7 Block _4 Sec/Sub. gTONSY PDiIfT
Paroel No:
W Name WAG= HOM
3• Address 14600 ?5M AiIL S
° cfty Bt1RHSVILi.S Phone 431..9557
t? rvame sAME
8? Address
15 City PhOne
t,W Name
/ddf@SS
a? City Phone
I hereby acknowlege that I have read this'application and state that the
iniortnation is correct and a ree to compty with all applicable State of
Minnesota Statutes ar?d ' f Eagan Ordi nces.
,
Signature of Permitee `-
A Building Permit is issued to: W $?
on the express condition that all work shaN be done in accordanco with all
applicable State oi Minnesota Statutes and Clry of Eagan OrdinAroes.
Building OlfiCial
OFFICE U SE ONLY
oc«,pa,?cy R? 3 ]&=! FEEs
zonirg Arl
(Adual) Const y? Bldg. PermN 336,00
(Allowable) SurCharge • ??? ?
# of Stories
4S'
Fla, Review 268.00
Lw?gih
Depth W' SAC. CklF 100-00
S.F. Total - $AC, MCWCC
S.F. FoWprinis -
On Site Sewage Waier Conn
On Site Well Wster Meftr i?l+ L
MWCC 5ystem xx_
c? water
? ?. ??
PRV Required xx S/W Permit _20.90_.
Booster Pump - S!W Surohargs 1.00
.
7resiment P1 224.00
APPROVALS Road Unit . 325,00
Planner - Petk Ded.
Council -
Bldg.Off: _ CoPieff
29761.50
Variance - TOTAI
DATE:
3/ie/a9
` RE- 1446 BLACKHAWK LAKE Ax., L7, B4, SZdNEY P(11N?
? 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
rtasons:
?r k
Your Sewer & Water Permit for the above properry 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.
WARIdING: BEFORE DIGGING, CALL LOCAL UTILITIES -- TELEPHONE, ELECTRIC, GAS, ETC.
- REGtUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPAHTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 3/16/89
1446 BLACKHAWK LAKE DR., L7, B4, STONEY POINT
XX Your Sewer & Water Permit for the above properry 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
rgasons: -
s a
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 - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILiT1ES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
r
Z
ISSUE DATE
SITEA DRESS ?a°j
LOT ? BLOCK __?_SEC/SUB ?-716 ff ` ?_-,CT
APPLICANT: a ' ` 41
ADDtiESS: IGtk u? 00
CITY, STATF. ZIP ``
PHONE:
r "
PLUMBER:
ADDRESS: ?'A v l
CITY, STATE 1? ?x ?;' L?? c-? ZIP
PHONE: ,; :, y L?/ 1 1I `I
OtNNER: - ?
ADDRESS:
CITY, STATE ZIP
PHONE:
xx PRV _ BOOfiTER PUMP . . I
- ' OFFICE USE ONLY
PERMIT DAT? 3I16/89
WATER PERMtT # SEWER PERI+AtT #
METER AIl 8 7 7 4 B.P. RECEtPi' #. 90693
WAVE'R#41-079, 8-f°f B.P. RECEIPt QATE _?$9
MEfER SI E 'D^• k'
PERMIT REOUESTED '
-L4EINER ZWATER - TAPS
- COMM/IND ! RESIDENTIAL
- NEW _ EXISTING ' .
I AGREE TO COM WITFj,CITY OF
EAGAM OF?IN
i
SIG TURE HEN VE3ER
;
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERIIAfTS, COM'ACT
ENGMIEERING DEPT.
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 SF DWG/GAR Est. Value $77,000 Date? .?
Site Address 1446 BLACKHAWK LAKE DR
Lot 7 Block _-4_ Sec/Sub. STONEY P07NT
Parcel No.
W Name WAGNER HOMES
o Address 14600 TENTH AVE S
Cfty BURNSVILLE Phone 431-7557
, o Name SAME
2
8QV Address
cc City Phone
?
WW Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and f Eagan Ordinan?ces.
Signature of Permitee
A Building Permit is issuPd rr,• WAGNER MES
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
N° 16076
>
19 89-
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Zoning R=1
(Actual) Const V-N Bldg. Permit 536 . 00
(Allowable) V=N Surcharge 38.50
# of Stories
45 '
Plan Review 268.00
Length
Depth 50' SAC, City 100.00
S.F. Total --- gAC, MCWCC 575.00
S.F. Footprints -
On Site Sewage _ Water Conn 550- nn
On 5ite Well - Water Meter 90.00
MWCC System xx ?
Ciry Water ?? Acct. Deposit n - n0
PRV Required XX S/W Permit 20.00
Booster Pump -- S/W Surcharge 1.00
Trealment PI 228.00
APPROVALS Road Unit 325.00
Pianner - park Ded.
Council -
BIdg.Off. _ Copies
761.50
2
Variance - TOTAL ,
?
2007 RESIDENTIAL MECHAlvICAL PExMIT ArrLicATTON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings 8c townhomes/condos when permits me required for each unit
j?
Date 11 / 13 / 2007
L?
SiteAddress 1446 Blackhawkrive vnit#
Property Owner John Mulligan Telepeone#( 651 ) 452-2605
Contractor Rumpca Services, Inc.
StreetAddress 1048 Hastings Ave. C;ty St Paul Park
state MN Zip 55071 Tetephone #(6 51 )4 5 9- 2 8 9 6
Bond#: 9319539 Expires• 09/04/2008
The Applicant is Owner X Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90•00
This fee applies when extensive mechanical repairs are made to a buiiding.
Add-on or alteration to existing dwelling unit $ 50.00
X furnace _Additional X Replacement New
air exchanger
X air conditioner
heat pump
other
State 5urcharge $ .50
$ 50.50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanicat Codes; that I understand this is not a
pernrit, but only an application for a permit, and work is not to start without a permit; that the work n??
approved plan in the case of work which requires a review and approval of plans.
Jason A Rumpca
Applicant's Printed Name
. r , .
• ' ' 1? ? ' ?
2007 RESIDENTIAI., BUILDING PERMTT APPLICATION , r??U?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reauirements RemodeVReoair Requirements Office Use OnH
3 registered site surveys showing sq. R of lot, sq. fi. of house; and all roafed areas 2 copies of plan showing footings, heams, jasts Cect of Survey Recd _Y _ N
(200k maximum lot coverage auowed) 1 set of Energy Calculations ior heffied addtions Sals Report _ Y._ N
1 Soils RepoR if proposed balding is to he placed an disturbed sorl 1 site survey for additions 8 decks Tree Pres Plan Recd Y._ N.
Z copies af plan showing beam B windaw sizes; poured tound design, etc. Addfion - indicate if on-site sepffc system Tree Pres Reqwred Y= N
1 set of Energy Calcula6ons On=sife SepGc System
3 copies of Tree Preserva6on Plan'rf lot platted after 711J93
Rim Jaist Detail Options selection sheet (buildngs with 3 or fess units) kLnnegasco mechanical ven8latian fortn ?• ?(?X?e? CJL?
Plans are considered public information unless you state they are trade secret and the reason.
Date J11 ! o ? Construction Cost 5880
SiteAddress I-/-/o ;94- 4r, K IaA 'JIK L,A Kf DRWIC Unit/Ste #
F?-6??N1N S?? Z2-?ZSS
Description of Work bECK
Multi-Family Bldg x Y _ N
Fireplace(s) _ 0 _ 1 _ 2
Property Owner UN-tJ r4 M t-i[-4--7 G A-&) ? Telephone #( C 5 f ) ?S Z - P? o G
Contractor
Address
State
Zip Tetephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitled Submitted
• Energy Envelope Calculations Suhmitted
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 inaster plan:
Licensed Plumber - Telephone # ( ) _
`'`, i?
Mechanical Contractor I ?? --' ?-' L - ?-? ` Telephcane #
Sewer/Water Contractor I I`? ? V Q j ZQQ7 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 MN
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 ap Qved plan in the case o ork which requires a review and
approval of plans.
?D rt-? 1-? , M?.t c_c.?G ??.1 ,
G
City_
Applicant's Printed Name Applx-cant s^S?ure
< < -.....?
..? ? ,
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation
0 02 5F Dwelling
? 03 01 of _ plex
? 04 02-plex
0 05 03-piex
? 06 04-plex
Work Tvpes
? 31 New
?. 32 Addition
? 0 33 Alteration
? 34 Replacement
Description: Water Damage Yes
Valuation 3 0 UD
Plan Review ? 100°/a or
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
? 13 16-plex
0 16 Fireplace
? 17 Garage
- 18
-I!f
Deck
? 19 Lower Level
? 20 Pool 0 30 Accessory Bidg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? 24 Storm Damage
0 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior 0 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demalish Building' ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire 81dg) - Give PCA handout to applicant
Occupancy
25%
Zoning
Stories
Sq. Ft.
Length
Width
Footings (new bldg)
? Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
Siding _ Stucco Lath _ Stone Lath _Brick
W indows
_ Retaining Wall .
Appraved By: _ IEI _, 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
? 07 05-plex
? 08 06-plex
? 09 07-piex
? 10 08-plex
[3 11 10-plex
? 12 12-plex
p Is- z ?L
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f
PlOl'VEER
* engi* eering
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2922 Enternrise Drive
Mendata Neights, MN 55120
t6121681-1914
Certificate of Survey for: __WA `G! `ER
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BLAC'uRAlNY 1IILL9 RUAD
• 900.o L3enoles exislin? Elevcrlivri
?Oa.O Uer1oteS prc1Pa? ta? EIPVUJrolt
- - ? - - ? Uenofes Urarn4je € ufrlr ?? Easemenf
? Uenofes Urqrna e Flow ??r-roWs
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PRUPUSED NUUS£ ELfUAT10N9
Lowesf Floor Vevab'on = _65 .3 _
Top ot 8lock Fleval?'on =
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ofes n?onunr el?f a?r14 ?? 5tab E/evafiop? =
o C_?en
g eorinIs shown or•a assu rr1 ed
LoT" 7 , 8Loek S701VEY POINT
QAKvTA CoONTY, /HINNESOTA 5uevECT 'ra EASEMFNrs oFREcoao
t h?rrhy t•erti}y that this sutv?y, pinn or repnrf wis pr med hy mn nr undei my diiccl supervision e}id that I nm dvly Rr.gisterrri Ln+xt StuvAyrn
i+nrtea tfic taws of the StAtrt ef MirniesotA. Ontecl this-lriny at H.D. 19?..
Scale: f Lach _ 40 c- -.-
RoaFaI e. <icF4 1.... A h_ Ne,. tnA?t
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I :??-?
? RESIDENTIAL BLTILDING
Permit Applieation
City 4f Eagaa
3830 Pilo# Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeURepair Reauirements Office Use Onlv
3 registered sfte surveys showirg sq. fL of lot, sq. fl, of house; and all roafed areas 2 copies of plan _ Cert of Survey Recd
(209'o maximum lot cpverage allowed) 1 set of Energy CalculaGom far heated additinns Tree Pres Plan Rec:d
2 copies of plan showing beam & window sizes; poured found design, etc. 1 siie survey for additions & decks Tree Pres Not Reqd
1 set of Energy Cafculations Addi'61?on - indicafe daro-Oe sepfic system _ On-site Septic System
3 copies af Tree Preservatlon Plan if lak plaqed afler 711193
Rim Joist Detail Options selection sheet (bldgs vuith 3 or less unit5
Date / ? / ?? Construction Cost Iq ? _ e
Site Address 44 6 ' riC 4* wvv k- i-- L-) cz- UniE/Ste #.
Descriptlon of Work 4e42- oW- t' JV S
sf-dr I" A-
Multi-Famly Bldg W-Y-_Z?N Fireplace(s) _ 0 _ 1 ? 2
P
t
O
?
?o 6
Y a h
T
t
#
wner
/
rvper
y
,
4¢, vne
e
ep
9'
Con#ractor ?'7l?•ti''•?1?'?? _ ? _
Address i
City
L-- ?I
State Zip Telephone #
? ?-7"
S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDlNG
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
EnePgy Cade Category Residential Ventilation Category 1 Worksheet • New Energy Code Workshee#
(4 submission rype) Submikted Submitted
. Ensrgy Envelope Calculadans Submitted
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
303 ?? Telephane # ( )
I hereby apply for a Residential Builaing Permit and acknowledge that the infarmatian is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City vf Eagan and the State of MN
5tatutes; I underst s is not a permit, but only an applicationjor permit, d work is not to start withaut a
permi?; thyat t work ilI be in accardance with the approve anXthe case o ork which requires a review and
Printed Name
Si
' UFFICE USE ONLY
Sub Types
? 01 Foundation 0 07 05-plex 0 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? 08 08-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage C] 22 ParchIAddn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-pEex ? 10 08-plex ? 18 Deck O 23 Porch (screenlgazebo) El 36 Multi Misc.
? 05 03-plex 0 11 i 0-plex ? 19 Lower Level ? 24 Starm Damage
? Ofi 04-plex ? 12 12-plex PEbg_Y or _ N 0 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Additian ? 36 Move 81dg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroo€ ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handaut to appiicant
Valuation Occupancy MCIES System
Census Code Zaning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire SprinkEered
Type of Const Width
REQUXRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Foatings (deck) FinallNo C.O.
_ Footings (addition) _
_ Pluznbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water Fina.i _ Pool _ Ftgs _ Air/Gas Tests _ Final .
_ Framing Siding Stucco Stone
_ Fireplace ` R.I. Air _
Test _ Final _ Windows (new/replacement)
_ Insulation _ Retainittg Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review -
MC/ES SAC
City SAC
Utility Connectian Charge
S&W Permit & Surcharge
Trea#ment Plan#
License Search Copies
Other
Total
f `
1989 BiJILDIAG PEffiKIT APPLIGATiQN - CITY OF EAGAN
el G
SINGLE FAM][LY DWELLINGS I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY? '! SET OF ENERGY CALCULATIONS
ROTEs ADDaESSE3 FOR GORNER LQTS - COIQTRAGTQA/HOMEOWNER M[TST D&SIGNATE W'HICH 9DDRESS
IS DESIREb. N(3 GHANGES KILL BE ALLdWSD ONCE SUIGDING PEAMIT I5 ISSEJED.
MNLTIPLE DWELLINGS RENTAI. UAITS FOR SALE ITNITS t OF UBITS ?
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CHECS WIT$ BLDG. DEPT., 1 SET OF EHIERGY
GkLCULATIONS
GUMMERCIAL
?,
INGLUDE 2 SETS OF ARGHITECTiJRAL & STRUCTURAL PLANS,
7 SET OF SPECIFTCATIONS AND 1 SET OF ENERGY CALCULATIONS '
- ? JAN 2 4 1M
To Be tTsed For : Sing,-?e f crnu-lc? Valuation:
Site Address 1446 8.Lcccfzhcuuh Lahp- Dfuve
Lot 7 Block 4
Pareel/Sub Stoney, % o-uz-t
Owner lf1ag.rr.ez Namej
Address 14600 lO.th 4venue Svu,th
City/Zip Code L3uruiAv.i,l.le 55337
Phone 431-7557
Contraetor Arune
Address
i
CitylZip Code ?
Fhone
Areh./Engr.
! ,Lanco
Address 3435 GUajh,ingfvn Oruve
CitytZip Code 6a-aan 55722
Fhane # 452-0724
Date: 9-20-89
USE aNLY
91, A00
Occupancy IR`3 M'(
Zoning F?-I
Actual Const ? Y-,N
Aliowable
# of stories
Length
Depth 5 D'
S.F. Total
Footprint S.F.
On site sewage
On sitE we].l
MWCC 5ystem ?
City water FRV required
Booster Pump
APFRDY'LIS
Planner
Council
Bldg. Off. ItIJ-1 Z¢
Varianee
Counnil ?
FEM
Bldg. Permit
Sttr'ch2tT'ge 3 L?
;
Plan Rev3ew _?,$.Oc?
SAC, City /ant a?
SAC, MWGC ,
Water Cann M
Water Meter IqQX?D
Aeet. Deposit 36,00
S/W Permit t>,
S/W Surcharge 11?
Treatment P1. 229.Cx?
RQad Unit 3Z!9100
Park Ded.
Copies
TOTAL
NOTE: 3ewer & Water Permit t'ees and aeeount deposit feea wf.ll be inc3uded in the building
peraait fee. ProQessing time for sarier and water psrmits is twa days once a licensed
plumber has spplied for a permit at City Aall.
V AUAATEDQ
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tsazy 681-1914
Certificate of Survey far: _ _?_!_? GNF *A? 140M ES
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Y goa.a L)ena(es exishn Elt?v(rlivn
? y'ao.o C7enoies pr-opdl?d Elevolrar)
? "-- -- Denofes Urarn4je j u}ilrlr Easemenf
? Uenvles Urqina¢eFIaW rvw s
N9
PRpPUSED 140vsECcE'vqr10'
lowesf Flpor Fleval'iort = A 5 ? '-"i-
op ot 8loclC E1evafion : $59.33
o[)erlof es mormnieitf (qdrQp 51617 Elevofian =9-7?.Q_
B PQrll 11s shnwrt ar•V assurned
L. a T `t , ??. 4Cu S*rowy POINT
DAkOTA CouNTY, MINNESO7"A $UBIECT ?t7 EAStMENTS OFRE[OQU
1 herrhy c prfify thnt fhis svrvey, ptan Or report waIs prr ?1er3 hy me vc undcr my dirBCt su¢?ervisian and that I am duly Fiegisterod Land Surveyoi
unrla? thA laws ni fhR StatP ol Minnesota. Uateti this ?Lrlay of A.D. 19-81- .
icCo?? ? I40 eel
-- -- RORFR7 B. SIKIr_H I... . R !;. NC). 1?691 --Y
2422 Enterprise drive
Mendota Heights, AAId 55120
30
. . k±AIOFZ ELiYELOPF3 AVERAQF??IOUu•.••u i•rrnnii??;???
F' 0064PUTATION
, (To ba submittad with building p$rmit app1ioation)
aneq or' T'wo Fe.mily Dwe1ling r
01Nt18I' .e-?.Q.C r?..?
A1.7, otYrer .8ite Addraes .
Contractor
Uate ,,,?? Pk?ane?
LINEAL FEEx Ok' •
ExPasEu Vi,nLL
_-- • f t• abo ve grade a 4- ?
'I'OT11L EXPOSED WALL A?2EA Sq. FT.
QPAqI1S WAL4
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reterenae
fraro
attactzed
sl?aetg
wiorDoWs I
Value x Areit
CattsTRUCTiotI s IIUII yalue x Araa
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ToTJILs ?I 7? C sQ.
TOmJ1L (U) (A) VN,UES AVERAIJE IsU . 11
DIVIDED BY TOT11L tiiALL AAEII ?17'7I 7ca
J1VY'RAQS IIUIi
•115 ar lese for 1&2 famiYy dtivellinga
nooF/ .
FT.??? $(0 ( u ) i A)
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51811 a
Yp. Bd o. 61
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Ineulation .56
Av
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50) Exterior Air Fi.lm . '
61
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IIV11 n ???n '-0024 i07'AJ6
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R vaLU
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7• ) xnterior Air irilm
11"a o, 6g
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I?igul?txon 045
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z,p?,
1l•) ug
ExCexior Air Film 67
, TaTAL (R)-a 23.ol
I? . Ii V11L U
12• )
13• ) Interior Air ri.lm
Ineulabian 0068
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I
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15•? Y?u1G''-!?iTV .
.
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17 Extierior Air Fi1m ? 17
1/AN •Q'Ia TOTJ?L
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OUlIAATIO! ? n VALU
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. ? , :
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127267
Date Issued:09/25/2014
Permit Category:ePermit
Site Address: 1446 Blackhawk Lake Dr
Lot:7 Block: 4 Addition: Stoney Point
PID:10-72600-04-070
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 .
Matt Dlouhy
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 -
John H Mulligan Iii
1446 Blackhawk Lake Dr
Eagan MN 55122
(612) 321-1017
Roofs R Us
1922 26th Ave
St. Paul MN 55122
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170463
Date Issued:07/06/2021
Permit Category:ePermit
Site Address: 1446 Blackhawk Lake Dr
Lot:7 Block: 4 Addition: Stoney Point
PID:10-72600-04-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John H Iii & Julie A Mulligan
1446 Blackhawk Lake Dr
Saint Paul MN 55122--125
(651) 260-3920
Air Mechanical
16411 Aberdeen St NE
Ham Lake MN 55304
(763) 434-7747
Applicant/Permitee: Signature Issued By: Signature