1455 Blackhawk Lake Drdl°'EAGAN Perrriit Ata; 91123
?30b FUot Knob Road Meter No: co-j
?O. Sox 71199 Reader ldo:
Eagan, MN 55121
Date: 7-29-88
Size: d C9
Date: - -
Owner. John on-Rei 7 nnd
Site dress: 1433
. IaCkhswk Lske Ih' L14 BZ Blar'kliv i?i,i
-_
Plu be La e , ide
luffibin,g
Conn. Chg: 550.00pd Zoning:
Aoct. Dep: 1-0o pd No. of Uni1s:
Permit Fee: 1 . OO pd
Surcharge: - • 50 d I agree io comply with the Clty of Eagan
Tr. Plant 20 •0JP d
Ordinances.
Meter. 67 . dng id
Misc.: °RV E?(jUI kiD g
r
WATER SERVICE PERMIT
7n;s request void ???/? y ?(' %r/ ?-
?
18 months irom ff
E 4 5 2 0 3 ? id ? ,?) A? ??:. r
Re st Date f
o,-- Fire No. Rough-in Inspectio
Requf .
I Notifv Insper
?'hReady Now ?
V Q
es No r
[o When Ready
104-ensed Electricsl Contractor I herehy request inspection ot above
? Owner electricel work insialled at:
Street Add ess, Bax or R e o.
?/ ? w.! % City ?
!
ecUOn o.
?- f Towns ip a e or o. Ran e N. Cour,ty
Occ t (PRIN ? Q A) 0 Phone No. _
?
Pow plier Address
Electrical Contractor 1 ompany Namel
KENDRICK ELECTRIC Cnniract r's Liconse No.
AAailinB?rJ?f?4/,?q?y?Gt44qrA?A?lc q?{riy?tlationl
1?5 U 1'k:l?1 N L? l?xlv t?
Aut t r! I lationl Phone Number
MINNESOTA STATE BQARD OF ELECTRICITY THIS IiVSPECTION REQUEST WILL NOT
Griggs-MidwaV Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOAHD
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE i5
or.....e rrsi!2i aaj.ruxnn ENCLOSED.
'' s-Ir REQUEST FOR ELECTRICAL INSPECTION . EB-ooooi-os
itSEe ins!luctions }or campleting tbis form on back of yellow copy. -51-
E 4 5 2 U 3 "X" Below Work Coveied by Ihis Request
New ?&d Rep. Type ot Building ApplinnCea Wired Equipment Wired
ii Home Range Temporary 5ervice
Duplex Water Heater iyhtin,y Fixtures
Apt. Building D yer Electric Heahn
Commercial Bldg. umace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm oiner peci v oiner (sne-iv)
t er Specify ther Othcr
Compute lnspection Fee Be/ow
# fee Service Entrance Size a Fea Feeders/Suhfeeders M Fee Circuits
0 to200qm s 0 to30qm s Oto 30Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100_Amps
Transtormers Irrigation Booms Partial- Ot
Signs Special Inspection i$3i
Al
p T
Remarks
Rough-in Dat,e , the Electrical
InsPector. heraby
?certify that the above
Final Date ction has Ceen
rhin reeueat void 19 montM from
F
Request Date ire No. Ftough-in Inspection ?
Required?
O Ready NowXwll Notify Inspector
Wh
R
d
?
? Yes N. en
ea
y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SVeet, Box or Route No.)
1 k r City
Sedion No. Toumship Name or No. Range No. County
Z) /kCi Tr4
OccupaM (PRINT) Phone No.
Power Supplier Address
Electricel Canhador (Company Name)
r
e'
Lv Contractor?. Lioense No.
?
L'
l •
Mailing Address (Conlracta or Owner Making Installation)
/^)
?J
?
+
VV- V
!
I -
Authorized S re (Contr or r Mekin
- talla' Phone Number
-I?o4
. ? ,
MINNESOTA STATE BOARD OF ELECTRICrTY THIS INSPECTION REQUEST WILL NOT
tiriggs-M(dway Bfdg. - Room S173 BE AGCEPTED BYTHE ST.4TE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 ENCLOSED.
F `04t89
REQUEST FOR ElECTRICAL INSPECTION
? See instructions for completing this form on badc of yellow copy.
`X" Below Work Covered by This Request
04M ea.aooo, a7
?--
ew Add Rep. Typeofeuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Furnace 5
ojpp?
Farm Air Conditioner
Other (specify) CoMractor"s Remarks: L?t?Y• C s.?? p l?/ V Y
Compute Inspection Fee Below: M r T1T C--,,J t r4 I Q Ae, ,
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 Amps Above 100 Amps
Signs Inspectak Use Onty: TOTAL
Irrigation Booms s.--
Special Inspection d 1
?
Alarm/Communication . a..,
Other Fee -- ?
I, the Electrical Inspector, hereby ROUgh-in Date
certify that the above inspection has
been made. F;nei
OFFICE USE ONLY
This requesl void 18 months from
CITY OF EAGAN N°_ 15 3 5 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt#
To be used for 3F DWG/GAR Est. Value $152,000 Date JULY 18 1988
Site Address 1455 BLACKHAWK LAKE DR
Lot 14 Block 2 Sec/Sub. BLACKHAWK RIDGE
Parcel No.
. Name JOHNSON-REILAND CONST
z Address 1526 E 122ND ST
? City BliRNSVILLE phone 894-9300 ¢ Name SAME
.O
? Q Address
P City Phone
U?
W W W Name _
F
? z., Address
Q W City-
I hereby acknowledge that 1 have read this application and state that the
information is correct and agree to comply with aIl applicabie State of
Minnesota Statutes and City f Eagan Ordinances.
n ?
Signature of Permittee
A Building Permit is issued to: _ JOHNSON REILAND CONST
on the express condition that al I work shal I be done in accordance with all
applicable State of Minnesot4,$tatutes and City of,Eagan Ordinances.
Building Official s
OFFICE USE ONLY
On Site Sewage Occupancy R3 /M1
MWCC System x Zoning PD
On Site Well (Actual) Const Vn
City Water x (Allowable) Vn
PRV Required x # of Stories
Booster Pump Length 64
Depth 3$
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit $ 744.00
Planner Surcharge 76.00
Councii Plan Review 372D0
Bldg. Off. SAC, City 100.010
Variance _ SAC, MWCC 550.010
Water Conn. 550.010
Water Meter 67.010
Road Unit 325.OC
Treatment Pt 204.OC
itaa#w (COpy)---,SC
TOTAL $2,988.5C
?!' ':1! Fa '=y K . ; :
} A* •:e ? .} ,.,,< '
... . ? ,?? , i-
/b ?
Mti171Y 1
? .?...._,-?•r t
? CASH.
.
FUND OBJECT
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01-3210?Idg yFye 'rmli?'?
?
' or
1 /
,
-3422
0 Plan Check
1'"r^
01-3445 Surch.lAdm.
01-3446 SACIAdm.
uy
?
01-2)55 Surcharge /
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter ?7 tc
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
26
3855 Park Ded.
D-74?
E
?
?
TOTAL
CITY OF tAGAN
3830 Pflot Knob Road
P.O. Box 21199 .
Eagan, MN 55121
Permit No: 9R23
Meter No: _
Reader No:
Date: 7M29-88
Size:
Date:
Owner. 3e?nne?v? '?,.?z A
Site Address: 145' .;, RUCkhawk Li'
Plumber. _ 41r'? S:WC PIt2Mb1IIl
Conn. Chg: 550• NIDc.T
Acck Dep: 15.?Dd
Permit Fee: 10•00od
Surcharge: •50=0
Tr. Plant 204 .Cdtt4
Meter. A3 i?e?,,,z
.
?
?
Misc.:__ PR1T x7rtP°n'y"
Zoning: v?
No. oi Units:
I agfee to comply with the City of Eagan
Ordinances.
ey
WATER SERVICE PERMIT
?
CITY OF?f-AGAN Permit No: 10966
38`30lilot Knob Road B/P No: - SS766
P.O!?ox 21 199
Eagan, MN 55121
Date: 7-29-5$
Date:
Owner. Johtton-Rei7.antd
Site Addresov, 1455, BIselrbark I.Rke Driva L14 E2 SlAc3bAwk
Plumber. ?ke` 3 L41e PittatbiIIg R3.dite •. -
MWCC: $50.00nd Zoning• ?t .
City Chg: I00•00ad No. of Units: ?
Acct
Dep: 15.00pd
. I agree to comply with the CHy ot Eagan
Permit Fee: 1L1.00 ?
$
` Ordinances.
Surcharge: . ?
Misc.: ° BY
SEVNER SERVICE PERMIT
,
?~ S
CITY OF EAGAN
?,? 5830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5514"f
.+ ? PHON E: 454•8100
[I?`I?N(3 ?W_14t Receipt ?
'io be used for 4? ' Est. Value = ' S Date ;U L"f 1 ,19
Site Addrep -
Lot BloCk ° SeC/Sub. ^ ?""?'X?'??'£` ?'j`'?;?
Parcet No.
.'cN:,T
m Name
z Address
Ciry Phone ?'aw-t;?t?U
a
,o Name
? 1
Address
? City Phone
?Q
W W
Name
Address
`W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan ordinances.
Signature of Permittee
,1.,?.li !".?1" Si°
A Building Permit is issued to: 1.' 1
on the express condition that ail work shell be done in accordance with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiai
QFFICE VSE ONLY '
On Site 5ewage Occupancy '
MWCC System x Zoning '
On Site Well (Actual) Const
City Water x (Allowable)
PRV Required x # of 3to?ies
Booster Pump Length "
Depth
S.F. Totai
Footprint S.F.
APPROVAL$ FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, CMyt
Variance SAC, MVYCC
Water Conn.
Water Meter
Road Unit
Treatment P1
408iiit I C, _) V ! T,
TOTAL '
PenMt No. PormFt MoleNr "Dat? Tdsphone i
Plwnbing'
H.v ac:
Etectric
Softener
Irnp.eam oeft ln*p. Commsnts
Footings 1
Foatings U
Foundation • OjkI*
Framing - Jt%ft
Roafing ?
Rougn Plbg.
Rough Htg.
Isul.
Firepiace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
De.ck Ftg.
Deck Finel
Well
Pc Disp.
PERMIT#
f • PLUMBING PERMIT • fl£GEIPT. 4TO 9,
CITY, 001/IGAN . ?
. ' 3830 PILOT KNOB RO#O, EAGAN, MN 55122 DATE ??? •,?
..?..?.?. , ?. _ ?
CONTRACT PRICE. .
Site Addr??s
???
lot fllock S
ec/Sub -
?
; . . ?
y
- ?t"?
W??i?'?/C A
?
? Name ?z s, ri L .C 41 -e I N'.
Address ,/o? S?? .r /? r'?? ? ?,C
c City Phone Name
? Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE &. CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MiNIMUAA - COMM/INQ FEE - $20.00
STA7E SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONO $1,A00.00)„
dF PERMITTEE
• : FOR: CITY OF EAGAN
•atioo
; BLDG. TYWORK DFSGRIRTt4N -
' Res. New. ?sy`Ivlult. Add-on ?.:_...
"Comm. Repair
'.Othef , . RES. PLBG. ONLY - COMpLETE THB ROL.4.o'YY1"-- i
N?J. FIXTURES
k', Water Ctoset - $3.00 ? !• - "
Bath Tubs - $3.00
- ?Lavatory - $3.00
?. ?-Shower - $3.00 J
? Kitchen Sink - $3.00 -? "
Urinal/Bidet - $3.00 '
;
" T-Laundry Tray - $3.00
` -?Floor Drains - $1.50
-7'-Water Heater - $1:50 • ?
Whirlpool - $3.00 -7-Gas Piping Dutlets - $1.50 'S
-
, (MINIMUM - 1 PER PEliMIT)
Softener - $5.00
Well - $10.00
- ,% Private Disp. - $10.00
' `?-Rough Openings - $1.50
FEE:
STATESM
.?
J
GRAN4 TOTAL:
•. , .._ .,?. ' ..
r.c?
1
CONTRACT PFII(
Site Addrgss Z
Lot L/?
PERMII' # IG; -2
MECHANICAL PERMIT RECEIPT # R/O `1a -2 '
CITY OF EAGAN Q
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ( J+ ?"'
PHONE: 454-8100
K Lf' t:c- f.x'. TYP
BLDG WORK DESCRtPTION
Sub . _
'
Res. New
M ult Add-on
Comm. Repair .
(on-?Qaa Other
? IName '-k.t'tt(+:..?liQct
? Addre .;?::. ?'?fi ? !;`•? ,:
c City VQ- n • Phone
Name f? i?15hf1 - i? -? l!1 ne'l,
3 Addr • ,a? ? •
" p City
?? n?V?• Phone
TYPE OF WORK
Forced Air M BTU ?
Boiter M BTU
' Unit Heater M BTU
Air Cond. ?- M BTU ??C •
Vent CFM
Gas Piping Outleb # ,
Other
FEE:
S/C:
TOTAL:
- ff?_' H
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU 6.00.
(RES. HVAC INCLUDES A/C ON NEW
CONSTRLCTION)
GAS OUTLETS (MINIMUM - 1 PER PEWi') - 1.50 EA.
COMAA/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - AlL ADQ-ON &
REMODEIS - i2W
MINIMUM COMMERCIAL FEE = 20.00
STATE SURCHARGE PER PERMIT. .50
(ADD $.50 S/C IF PERMIT PRICE.GOES
BEYOND $1,000)
? _ .
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
;.
. . . . . ..._ . .. . , _ . ... .. ..,_.. , .? . _... S_ iv
. ........_ __•..ae?r.:u.:y_
CITY OF EAGAN . ? c- '; 7
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # :%`' r ;-- ?• .
To be used for SF DWC/CAk Est. Value $152+000 Date JULY 18 ,19A!?
SiteAddress 1455 BLACMAWK I.10.KE DR
Lot 14 Block 2 Sec/Sub. ????M??K Rlr?''GE
Parcel No.
oc Name JOHNSON REILAHll CANST
3 Address Z526 F 227Nll 57
0 City eURWSVII.I.E
894•-93Cx3
o Name
? ? Address
? City Phone
?- a
W W Name
w
? g Address
Q W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all appiicable 5tate of
Minnesota Statutes and City of Eagan Ordinances.
qignature of Permittee
A Building Permit is issued to: JOHNSQN RF rLAND GONST
on the eacpress condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official.
OFFICE USE QNLY
?3/M1
On Site Sewage Occupancy ?
MWCC System x Zoning PD
On Site Well (Actual) Const Vn
ciry water x (Allowable) Yo
PRV Required _ c # of Stories
Booster Pump Length 64
Depth 39
S.F. Totai
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit $ 7"' oc
Planner Surcharge 76•OC
Council Plan Review 37200
Bldg. Off. SAC, City 100'0c
Variance SAC, MWCC 550•OC
WaterConn. 550!0(
Water Meter 67+0(
Road Unit 325•«'
Treatment P1 204•OC
xwm (c0}iy1---.-gC
TOTAL $2y988'5(
'w .
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
• EAGAN, MI,PdIQESO 55122
•
& DOLLARS
100
? CASH ? CHECK
I
FOR
? ???--
FUND OBJECT AMOUNT
G ;
c
Thank You ?
BY
„? ?„? 86082 Whit?Payers CoPY
, V Vellow-Pasting Copy
Pink--File Copy
9. - i
1- 1 kft (Itxtiftiratt of Orrupttury
titp of eagan
Mppl'UttPttf 11f llt[lbiltg JtlH.pPttiDlt
This Certiftate issued pursuant to the requiremenls of Section 306 of tke Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building constniction or use. For the following.•
use clessificaeon RP x GtR eldg. R.mit xo. 15157
OocupencY TyPe W? Zomng llisvia pp 7YPo Caast VN
ownerorBuikung JOEIIVM ?2EIIAl`ID OONST. md... 1526 E. 122bID ST, B'VlI.I$
H,,,,ding ,,,Jdrm 1455 N,A091AWft LAXE DRTt14.,;,L14, B2, Hd"iAGK RTDM
P'EM1ARY 6. 1989
POST IN A CONSPICUOUS PLACE
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
# ciTr oF RAcaN
3830 PILOT KNOB RD - 55122
J 651•881-4675
D 3 nplsNrod sto wnreys "wirp sq. A. of bf, sq. R. ot housa 2 copios oi plan
a1d MR roohd aroai CW% maatimum tof Covsraoe dlowa? 1 sat of orwtgy OdCUIaMOns f01 Mdled addHlont
D Z OOplos of plans (ahOw baCm & window sizas; Pourod trnd. destpn; otCJ i stto wrvay for oxtedor addlMOnt &. dack;.
9 1 sat o(amryy cdculaNoru
D3 copNs d iroe pwsenrallon pkm H bt platted afier 7/1/93
DATE: , C) -?J ' l, Q CONSTRUCTION COST: _9.90
DESCRIPTION OF WORK: 1-t'v. C' - O F f??. ( zo
aM ET auuREss: i'A c.?c-x br L3 V_ Lck.
?
LoT: ? BLOCK: SUBD./P.I.D. #: E?d4-?
Name?bv ? d-> Q_- M(1 I ? Phone #: ? n `? ? - ? ?J c? • 01450
PROPERTY tCst flrst
OWNER ,/?
Sheet Addreas: (?1 `;I'? ? C?C_?, Lc, 1's f?. 12•
City E G o cA.f1 State: fy1N Zip:
Compcny; f?oc 9\ ?-, u rt-rc-l Phone #: Le I a 1 1-1
(area code)
CONTRACTOR
street Addreu-:?)-) ? o? v n t c?..,? A O . ?I . uc.nse ? a?Exp.
cnv srote: (Y? ?1 zip: If)-`-? I I c?
ARCHtTECT/
ENGINEER Companry: Name:
TelAphone C ( )
Sheef Address: Regiafrofion #:
CNy Stcrte:
Zip:
SeweNwater licensed piumber (if instalHna sewedwater): Phone #: L
I hereby acknowiedfle M=f I have road this aPPNoaFion, dade that Mw hfortnahon b coRect, and aVee io comply wUhh a1 appicable Stato
of MinnesoM Sraiufes and Cify of Eapan Ordinances.
Sipnature of Applicont
OFFICE USE ONLY
Certiflcates of Survey Received
Yes No
Tree Preservation Plan Recelved Yes No
DEC 13 ZOOd
Not Requir L
,
OFFICE USE ONLY
BUILDfNG PERMIT SUBTYPES
O 01 Foundation O 07 05-plex
0 02 SF Dweliing p OS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex 0 10 08-plex
13 05 03-plex O 11 10-plex
O 06 04-plex ? 12 12-plex
WORK TYPE
O 31 New
0 32 Addition
0 33 Alteration
O 34 Repair
0 13 16-plex p
0 17 Garage p
O 18 Deck p
? 19 Lower Level 0
Pibg Y or _ N ?
O 20 Pool p
E3 31 Ext Alt - Multi
0 33 Ext. Alt - SF
O 36 Mufti
21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bldg.
E3 36 Move Bldg. O 43 Reroof
O 37 Demolish (Bldg)` p 44 Siding
O 38 Demolish (Inte(or} O 45 Fire Repair s
O 42 Demolish (Foundation) 0 46 WindowslDoors
* Give PCA handout to applicant for demolition permit
G€yE'?3AL 0NF3RMAT110N
SAC Code
No. of Units
No. of Buildings
Const. (Actuai)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTI4NS
O Stucco/Stone
APPROVALS
Pfanning Buiiding
Permit Fee
Surcharge
Plan Review
License
MClES SAC
Giry SAC
Water Conn.
Water Meter
Acct. Deposit
S/V11 Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai: ? / Z7 (c .25
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Valuation: $
SAC Units
96 SAC
Qs.?t
4/ y-
k 3-z
12 Q SY??r r 3 ? J?,?') l l, Z y?
N?ar? T loo r
L al,
Scre?sh h?pry(
?Na' i3,G? +ya
? d. 3 ?r 2 4
H - t o, sc 9, z
Sec#«ar f/oor
/ yk l-/y ?
I1.9 9,r
( K.sgk
r ?yyy . ,a. i` ' :1
?
?
`zn 5; 38
/O t 3, 8z ?- y9 = S3110 9,
? ----.,,.
z
I_. . , . .
..?
,r, •`?.: ,' 1988 BDILDING PBRHIT APPLICATION - CITY dF RAGAN
?
SINGLE FAMILY DWELLINd3 /s5s
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATE5 OF 3URVEY, 1 SET OF ENERGY CALCULATIO1dS
NOTE: ADDRESBES FOR CORNER LflTS - CONTRgCTORlHOMEOiNSR Mt1ST DFSIGNATE WHICH ADDRESS
IS DESIRED. NO CHANa83 WILL HE iI.LOYED dNCE BUILDIMG PLAMT IS IS3UED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE tJNITS # 4F T310IT3
.?_ .r..?_. ?.......
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUR98Y - CSECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLODE 2 SETS OF ARCHITECTUQAL & STBUCTURAL PLAIIFFS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: SlNGLi fAMILY Valuatian:`? t 7r w°°'" ' Date: 1-8 - 89
Site Address 3??4LwkL 44. Qr
Lot 14 Bloczk Z-
0
Parcel/Sub $lAt.?l?hvJt? "?. ?DfoC
Owner ME?Z'raR A40
?T?AiG
City/Zip Code ?LQpM?Ni Ta•? , M? /S-'2?oap' QFF]
Address
On site aewage
MWCC system ?
On site well
City water ?
PRV requirad .,?
Hooater Pump
I gPPR?
Phone
Contractor -Sptja-?,j - Qt'tt.A,,.?Io CawnT.
Address /S Zt E. I22. t!.° 5.
City/Zip Code tl JA+VS?/LL4E , MA-0-
.
Phone 91 ?f -93t?o
---- _ °
Arch. /Engr .
Address _ _ 5hmg
City/Zip Code
Phone # $9`f •43ao
Occupanay -3 !2-/
Zoning
Aetual Const
Allowable =J??
# of stories
Length
Depth
S.F. Tot.al
Footprint S.F.
FEES
Engr/Aasesa Permit 2V4e
Planner 3ureharge
Cauneil Plan Review
Bldg. Of'f. ?7k23AC, City o
Variance SAC, MWCC 5s-0
Water Conn SS-o
Water Meter
Road Unit 3 1--?W
Treatment Pl
Parks
Copiea
ToTAL ? x.sa
*-jK
* PIC]NEER
? enr?* eering,..
* .?t *
? 2422 Enterprise Drive
Meridota Ileiglits, MN 55120
? {6121 681-1914
Certif icate ai Survey fot: v014AIJ Q! V?9f1L,4A10
p.R. V. RE
QUdRED
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? l?enoles Orarno?,e Flaw Top ot Bfock Elevafi on =
a Denof es monum enf ? C'oral? Slab k"Ievafrorl = .63
e eari15 shown are assunl ed
L DT 14 , BLDM 2 SLQCI?laAV1?k PIC)G'E
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} hrtrnbV Cettily that this survey, plan or repori was pr red by hi o ur .r my direct snnervis on and Ihaf F arn duly Registe+ed land Suivr!ynr
utider the I? nf tlle Staie ol AAEnnesota. Dated thisay of A d 1g?
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1. Total exposca wall aze* ...... 33a8 sq. ft. x ?l ' -..?3(orv.o?
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APFLI%f.%OATION FOR PERMIT : - A
IF EXISTING STRLiCT(,iRE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE:
?I
oty oF engan
- (PLEASE PRINT
1) PROPIIZTY ADDRFSS :
I,F7GAL DE.SCRIPTION;
PRESENT ZONING/PROPOSID LSE:
? CONIlyF.RCIAL/RETAIL/OFFICE
? INDL'STRIAL
? INSTI'ILTIONAL/GOVERNMENT
SEWER AND/OR WATER CONNECTIQN
?_.._..__..........____..__..__..._ ......_...._.
* ?
.*4 NO'M: PA]24EI+TP OF FEE AT TIME OF .
_
* APPI.ICA7'IONI DOES D10R' C'0[3- *
* STINlE APPROVAI. OF PFItNIIT.
* *
* TNSPF]CTION 0P S'FWE[t APD/10t GU,7ER *.
* itasrALLAMoKS wIM Nom aE scmULED *
* i!Nl'IL PFIZNIIT RAS BEHd APPRCIVID. *
+e *,?**,es.*+r*r,?*,e*rr*f r*t*+*:+r*?tr:***+**
I -- a
Nbnt Year
NGLE FAMILY
? R-2 DLPLEX ('itao Cnits )
E:l R-3 TOWW0[JSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINILM ( L?nits)
2) . . NAME: ? a •?-c. ?"? ?1? ?'??,?-? ?'% ? ? _ ` ?? - --?-?c
ADDUF-Ss: 1-2
CITY, STATE, ZIP: ;5?,??
PHONE: D o
NANE:
ADDRESS:
CITY, STATE, ZIP:
MASTII2 LICENSE #
se
Active
Expired
Not recorded
Sta f Init al
PHONE: ! ` ?•
4) ?i'? ?,?.a •.a???
tvANE:
ADDRESS :
?
CITY, STATE, ZIP:
PHONE:
5) s • n? .» • ?I ???
(:17?LION TO CITY S ATAI?CTION TO CITY WATER n OTHER
6) Z7)1 .-,rn?? ? ??7 a 7-? ??
****************************************************************************************************
*
* TfE GOLD COPY OF THE PERN7IT WILL BE SEbTr DIRDCTLY TO PUffi,IC WORKS ZO FACILITATE ME.'i'ER PICK-L1P. ,?i
* PLEASE ALIAW ZW0 WORKING DAYS FOR PROCFSSING. SOMDONE FROM TM CITY WILL OONPALT YOU IF MtE *
?
* ARE ANY PROBLEMS. ?
?**************************************************************************************************t
'FOR CITY USE ONLY
PERMIT # ISSLiED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLLiDE S[.'RCHARGE)
$-7 CrU $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMEIVT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PLiBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK LaITHIN PUBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
_0
4
-? RESIDENTIAL
BUILDING PERMIT APPLICATI4N
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-689-4675
New Conatnictlon Reauinrmnts
• 3 registered site surveys showing sq. R of lot, sq. ft, of house; and all roofed areas
(209b maximum lot coverage aNowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set o( Energy Calculations
• 3 copies of Tree Preservatan Plan it lot platted after 711193
• Rim Joist Deta7 Options seleaion sheet (Wdgs witlh 3 or less unifs) '
DATE 7 ? .?'rZ
? Water Softener
_ Water Heater
No. of Baths
SITE ADDRESS tkIC ??auJ`C t.Q kQ D,'vP MULTI-FAMILY BLDG _ Y )(N
TYPE OF WORK .,.&k0c?e A rt>,,cu.c-h0 FIREPLACE(S) _ 0,( 1_ 2
APPLICANT ER I C 100SS
STREET ADDRESS / SFf? ?I4C L.a?k.. LwkY 1? CITY _STATE?ZIP ?! ZZ
TELEPHONE # 6W^q5q-2-o(o%- CELL PHONE # L5'J -ZS1_- 11M:_ FAX #
PROPERTY OWNER 15e-1C r 1'fI'S'S TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATF.GORY 1 MINNESOTA RUL.ES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Catculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Controctor:
Air Conditioning
_ Heat Recovery System
Fee: $90.00
LFILPhone # 1 6 ?002 ?
------------------------------------------------------------------------------------------ -...... -........
?-------- ----
I hereby acknowledge that I have read this application, state that the information is 8d??- ?ag?L' o comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi s.
?
Signature of Appllcant
OFFICE USE ONLY
?
,lc.;q ?S
RemodeUReaair Reauiremanta
• 2 copfes of plan
. 1 set of Energy CalcLdadons for heated additions
• 1 site survey for exterior additions & decks
• Indicate if hane served by septic system for additions
VALUATION gem--? LP DOZ)
Phone #
_ Lawn Sprinkler
? No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
1 (:? (2)-Q `.? cj-? S ?_' ? \j -f ?? +() Updated 4/02
OFFICE USE ONLY r- "
.,. ;
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck 0 23 Porch (screened) D 36 Multi
? 05 03-ptex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
0 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
* 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement ''Demolltion (Entirs Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bidg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final ? <Air/Gas Tests
Pool X Ftgs _ ?inal
_ Framing _ ,
Siding Stucco Stone
T Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retauung Wall
Appraved By 1 Z , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
..? r
* PIQNEE
enginee
* ,1? * *
2412 Entcrrrise Orive
Mendota I Iciqlits, MN 55120
(612) 681-1914
Certi/icate ot Survey for:_ vOHAIJ iO A/ ' fS EL A AID
P.R.v: REQUs
RED
• `?? ,?' ? 6? 3g•E ` ,?5,0
1f . ; ?L., ??r ?.61 G.00
/
`L.
o ?.
NU41E1
I-AP. ,p??ve,
o-?
2
.?
858.8
?
?
7-?8--2
L 1•. ,r• p , TE,-,?-5 ?r
• L121IG D` '
.:? ?
,900.o Dena/es exislinfleva/ion
? 900.o Denoles propci?d ElevatioR
--_=_ Uenofes Ura117q eI(Ufi/i f? Easrment
Uenotes DrqiRa e Flvw Arrows
o Otnolrs monum tnf ,
B enritils shown vrQ assu rn ed
?
P1?QPOSED NOUSE1EL£VA710NS
lowesf Floor E/evalion •
Top ot 8loc% Elevation :
.?'iarple Slab E'/evafion _ .63
L4T 14 , eLock 2, 81ACkHAWK Rrog;F
DAKOTA CouNTY, M/NNESpjq $URIfL'T 7D EASfMENTS OFQEt04D
( herM. >Y CerHfy fhnf tllit sunrey. plen or report was pr Iix1 by m o u r my direct supervls nn and 1ha1 1 nrn dufy ilegisteieti Laix1 Sutvnynr
oll(Mr tl» laws nf tlle Slatn o( Minnesots. Oated thi? aY oI
A.O. 19
Scale : 1=` 40 t Pel Z fit70E11 t A. SIKtrf. L.S. r+ .t;. Nn. 1•tq?i
?a6? ---
? ? . . . . _ .. :_ . . _._.
,
J
` P4OL PERMiT - APPLICATION SUBMITTAL REQUIREMEAITS
?
.? GENERAL INFORMAT(ON
u
?
o z-¢ ¢
Q" 0 D Applicant - name, address, phone & fax numbers, signa.ture ? ? ? Pmperty owner name
?? ? Legal description and address of properiy
?Y0 ? ? North an?ow, sca.te (1" = 30' or 40') and date
? ? Location and name of all streets adjacent to property
?? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed
structures
?? ? Directional drainage arrows (existiag and proposed)
ELEVATIONS
Existina
(-?/ ? ? House corners
Gd ? ? Property corners
C? 0? On property lines at point of ineasured dimension to pool (see beiow)
L? ?? If applicable, ground eleva.tion at each end of retaining walls and at wall's greatest height
Prooosed
? O D Finished pool deck corners
?? ? Top of retaining walls (if aay) and at each di.fferent elevation (if it changes)
L? ?? Pool bottom (or max. depth)
DIMENSIONS
Exi in
0/' O ? Alt property/lot lines
Proaosed
t!d ? ? Pool
t? ? 0 Poai plus integrated deck/patio
U'/ ? 0 Shortest distance from outside ed.ge of pool deck to tot lines and house
Reviewed:
,
Date
G:lfECEUJR 2002/Pool Petmit Chceklist
.
;? ??•
;
? - - - FY +3'?++? Fea?L,?[ ? ?
] W ? 4
? .-r44?? ??r4?`..Y'+O? +?/
?;1? k? ???,?? k ?. ?. k ?. ? ``?
Lo+ ??f? 8 ?o c.? ??, ? ? ?3tacF-.?w ? R?P??., ?? ?Q""? ?.
??
???5 /?1,y.• ?/ ?.,G?c. ??C_ 1 ,s ?ro ?iit@ ?'?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114179
Date Issued:09/11/2013
Permit Category:ePermit
Site Address: 1455 Blackhawk Lake Dr
Lot:14 Block: 2 Addition: Blackhawk Ridge
PID:10-14400-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Viktar Skirukha
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 -
Scott Pawelko
1455 Blackhawk Lake Dr
Eagan MN 55122--125
Smart Builders Inc
7001 Garland Ln N
Maple Grove MN 55311
(763) 691-5021
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174751
Date Issued:02/17/2022
Permit Category:ePermit
Site Address: 1455 Blackhawk Lake Dr
Lot:14 Block: 2 Addition: Blackhawk Ridge
PID:10-14400-02-140
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
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 -
Mark & Natalie Jackels
1455 Blackhawk Lake Dr
Eagan MN 55122
(651) 503-6785
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature