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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 $2,988.5C ?!' ':1! Fa '=y K . ; : } A* •:e ? .} ,.,,< ' ... . ? ,?? , i- /b ? Mti171Y 1 ? .?...._,-?•r t ? CASH. . FUND OBJECT . . ;`•r '? a ?i;..'.a :- <;: .. . ... .....- , ...,t p"t Y • a :`*- . ? ? You: 4 t W i y ? ? M ff ! 4 ?.,• "?y i ?^? s ? I ;?q?py!w'??PY r . ?. ? ? , .. ? ? . ' ? . . . ?i . r_... .... . .Z ? Y i . ,, ? ` r ? w ' • ? :.? , ?: . ' ?? ` ? ? } . . . ? . , +. , .. , . . . . - ? . . ., . . :_ ,, . .. .. .. . . - . . ? ? - • . . ? . _ . - ?' . .. - ' .. , .. - - .-;-- . .?. . . .? ? ? . ,? .` , - . i:. ? ... . , .. . " + ? . . . . . . . ? ,. , - . • . , , y ?5? . , .. . . : . ? ?,? _ - ?;e .. . . a'.. , BL . PE 01-3210?Idg yFye 'rmli?'? ? ' or 1 / , -3422 0 Plan Check 1'"r^ 01-3445 Surch.lAdm. 01-3446 SACIAdm. uy ? 01-2)55 Surcharge / 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter ?7 tc 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 26 3855 Park Ded. D-74? E ? ? TOTAL CITY OF tAGAN 3830 Pflot Knob Road P.O. Box 21199 . Eagan, MN 55121 Permit No: 9R23 Meter No: _ Reader No: Date: 7M29-88 Size: Date: Owner. 3e?nne?v? '?,.?z A Site Address: 145' .;, RUCkhawk Li' Plumber. _ 41r'? S:WC PIt2Mb1IIl Conn. Chg: 550• NIDc.T Acck Dep: 15.?Dd Permit Fee: 10•00od Surcharge: •50=0 Tr. Plant 204 .Cdtt4 Meter. A3 i?e?,,,z . ? ? Misc.:__ PR1T x7rtP°n'y" Zoning: v? No. oi Units: I agfee to comply with the City of Eagan Ordinances. ey WATER SERVICE PERMIT ? CITY OF?f-AGAN Permit No: 10966 38`30lilot Knob Road B/P No: - SS766 P.O!?ox 21 199 Eagan, MN 55121 Date: 7-29-5$ 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 # $9`f •43ao Occupanay -3 !2-/ Zoning Aetual Const Allowable =J?? # of stories Length Depth S.F. Tot.al Footprint S.F. FEES Engr/Aasesa Permit 2V4e Planner 3ureharge Cauneil Plan Review Bldg. Of'f. ?7k23AC, City o Variance SAC, MWCC 5s-0 Water Conn SS-o Water Meter Road Unit 3 1--?W Treatment Pl Parks Copiea ToTAL ? x.sa *-jK * PIC]NEER ? enr?* eering,.. * .?t * ? 2422 Enterprise Drive Meridota Ileiglits, MN 55120 ? {6121 681-1914 Certif icate ai Survey fot: v014AIJ Q! V?9f1L,4A10 p.R. V. RE QUdRED ? . ? M. ?1•b??,00 3$,'14, t •?b \ NT• ` ,a '?/ r S s ? - 1 _ tC? ? s c y M1? ) LI\ ? OJ < 858. ? o ,D ? ? ` ?F ???fi--._, ?o ? ?A4. .-? . ,- T; ;. T• ?°Tr-,,T? V 1..?.??.: ? ? = 900.0 DenplPS exis/in Elevalion f QoPOSEO E-?/OVSE. L£Ef/A710NS •sov.o Der?o;les prv?c??d EfevafioR ==-Uenofes Urarn4jejUfi(iIrrews Easement IQ+Nest Floor fleucrf;o? _ ? 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 Dn+?DTq couNr ?n1?vH?arQ a Y? $i/BJECj' TD EqSEME1JTS OFQFCOr?b } 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? Seal? k"Ch = 40t??/ a/ - RCSF3Ftt1 R. SIKlC1i t..s. rt :ca1401 11 . 990G<p ? . _ ? .... _ ... . - ?_ . ._ .. .. ._. ._. ' • . : . ? ? ? ? Mx4'-"- . ?rnr•.r,y.uiz Lt;vi.wrr•. Avi:mm ',vM CUMriJTATYO11 OWN»:n sIa'L nDnRcsa - ? ? ./?5 S ' COATI2hC'IY)R , '^-? bATI? ? ;? ?u rJIOtZL•' '. , Aat•ertai.ne wo.rki.ng square faol•uqo of cach. .. 1. Total exposca wall aze* ...... 33a8 sq. ft. x ?l ' -..?3(orv.o? 24 TbL"31 roof/cei.ling 'ilrCil' .....• ,fs'(;• rt: • }?,.g? . ? • ? . , ? . . A. T4i:al wall windoa area ....... ...... ..........._ '?q l ?. . D. Tut.al duor area ........... :......... ......... -1 ,-,* ... C. Tot:al Ulidinc1 glas,:? cloor Are? ........ ...........oT . ll. TOt:iAl fireplace 47i11l area..•.......?.?????????.?~ B. TvCal wall xrauning area (average lt)?) ........... ?fv? I'. 7'ota.l I:3.m joist ?xe?t ............................ -?..? G: N'1'oi:al Ve t waxl area above floor . - - • • - • • • • • • • • • • • 96358 • • • , • 'lbial expr. sed fouixdation area ... 12: '1'Otc7l fOL'Cldat:i.011 wi,ndoh• azea.................... -' x: `1'oLttl nc` taundation area ?Lbova grade...........? . DeLeYaiine '"U" valur qt enclt tin11 ueTap-iik. ' ao x hu,, r ? S Z" ?, ? •? . ' / ? ? ? `?•. 3 • ` b. X ._... ?._......,_,,..; ._._ - - • . • c. x NUN 2-3 -q ? . •? . , a ? "''' . • x uU ft • r?---? ? --?' ' ""'___.._..,..._....- _..? , -.....?........-........ e. ?o X liUM• :o9'L !o ..,...,._...?. - - - f. q- XlsuN j?{, ? • , __ • ,; MuM . ....? _... • }? •-? ' x n V a ?.._... ? ...-• - . ......_.._..... ? • ?..?fo3 a '•u« -, nR `? .? (p . 2? ?' • . . .........._.?... ? ... .. .. .. . . . . . . . .. .. ... . .... .. . . . ..?m?:?? , ? ???ty 3??' . IC ftctin 113 itt I.he saniis an, ox lcss tlt:otl 3.L•rin f 1; you fiavE? meL• thc: jnt.ent oC ? r Y? .. ' . . ? . . . F . . . . .... . I . ' hv'.Jt j 1..4:0 11J.1 Nli • • ? •r+ J, ? ? ? 1 .,.... ?• a ??•• ...r? , , • ?,,,.??'? ?r j,?t? ? ? ?, - -.y c??;,,)•'? ? ? ? ? . :?rj;G• .?; } j• •1 ? • •. ??'' ,1. • ? f.`?,`?. .:._.?..,...... L...,._..»..,.?? ,,...•?' ?. ? 0 • l //,? .• ,? ' . ? , Vc;??Ccd llenC xlOW up !"IG. p5 ? ;n!: ? t;•?' ;?..?i!:!1!'._1':?!f; .? • . ? lir.o t f1ow up . . w . (U.90 'Ior tLem ?t?V,rlur .... ..?.?., _. _. . _..___ 7.. 7t?1•t?c??.r?' ttix i:iim (1.G1 ---?....._.._.. 2 . 4. . lj,a t-I 1 78 ? r . ' ? • ? • k'N11•I11101IMo L•ox :[tem K) ? ..-.........._,.._..., ..... , • A{r, fil.m, ..T.......__ .._.._.- - • 0.61 Z'• ?. (: 1lOOCi ? • t? ?? , ? ?. lticliey hu,u1 tthove frami113- 3Co. t1t? 5. nir r• .ia.u„ ? ' . . l. ,Int:r.rtnr <<tr 'film , / ? ? . , ? ?, . . ........._...' ,?. ?,?" • , '=,.,.? . ?v. elt ted ..k:?c;. ?IG' , • . ...._ _. .. . .. ? . . . .._ .? . ... `=?' 0 r ra f r? ?; ?J, ,'t ? • _; ? . ? • ? ? ?? Ir,t /, 1 ?.1.f. ?j ? , . '• ? . •? ? '? . ? ????r?.: ^ ?y.?. , , ?..???, t.??:t j•..C:S.? ? ?; ??i.:.. : ?;?,yr_..:- ';' !, ^ ?? •? ?•? ? u ? h • /? ?y??? ?. J ?\ ?,?,r_ . _ •,•.. V"ri"_I*r?+/ ? ? r_?.??Y?i??1 t M , . , ? ?? ' • ? No;?•-r[;t?Tr•aa ' .. , . . .. ? . . l,:l' ? :'? ?• "llou V`i d . U::(1 11;I,.I?.tir???n?. t:lu:t;l::? ?i matc: ;;?+at•?? (.:-. 1100eteel Car eli•k;nil:t niul • 3 .l ...,...._.. ? ._.....:._ - 4. T;xl•crior A11in (nFil.l)O.Gi ' 'fat:al . ' .. • . ' .?..+ .?.-...? .? • ?^ ..,......? . ?. ?. - . . 5. Vtit_r:?Icle ai.n f:3.l:n?r' _ ?i; ?,•j '1'0 l:a l? , • Nc?t:!,.: a A 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