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1466 Blackhawk Lake Dr { GAS WORK ORDER 1082 Payne Ave. STANDARD 410 W. Lake St. St. Paul, MN 55101 9 Minneapolis, MN 55408 6511772-2449 b H EATING 612,824-2656 & AIR CONDITIONING A Blue Dad. Service Co. EQUIPMENT INFORMATION LAST FIRST' a TYPE ADDRESS CITY ZIP MODEL r,C~`r?o 14 c ` r HM PH WK PH SERIAL U 3 TECH DATE INPUT ORSAT TEST RECORD C02 % METERED INPUT y Cfh CHIMNEY TYPE 02 { % LIMIT SETTING FLUE SIZE ~P In. CO ,k % PILOT OUTAGE r4 SeC CONNECTOR SIZE in. NET STACK TEMP Q TOTAL CHIMNEY INPUT f 00 a btuh i / 75? c e Request Dale Fire No. Rough-in Inspection R red? Ready Now Will Notify Inspector L7 Yes 0 No When Ready? I J~] licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) 7 City Section No. Township Name or No. Range No. County Ocou(PRINT) Phone No. Power Suppl! Address C ~ actor (Company Name) Contra License No. Electrical 74~ ~`Mailing Ad&esfi (Contractor or Owner Making Installation) Authoriz Ignature (Contractor/er Making Installation) Phone Number i' MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MMway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 842.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 rI ► See instructions for completing this form on back of yellow copy. F 2 6 7 1 9 X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps - 0 to 100 Amps S - o Amps Transformers Above 200 Amps Abgv" Signs Inspectors Use Only: TOTAL' Irrigation Ob Special Inspection Alarm/Communication f Other Fee I, the Electrical Inspector, hereby Rough-In Date certify that the above inspection has Final a r been made. o - OFFICE USE ONLY This request void 18 months from i/~ - r /~v /1 k/ I f/ y x. Y-P 7 5 4 F Request Date Fire No. Rough-in Inspection Required? ❑ Re Now ill ' o ns /v Yes ❑ No wl 1 0 licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or. P a No.) o City _ X, Section No. Township Name or No. Range No. County ccupant,(PRINT) Phone No. )c xe) Power Sup i Address Electrical Contractor (Com a Narn t) Co tractor's License No. Mailing Addtess (Contractor or Owner //Making Installation) Authorized nature (Contraclo%10v7ner ij Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mkiway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.8800 ENCLOSED, 4% !"/;`i 4 _ REQUEST FOR ELECTRICAL INSPECTION AOM EB-00001-07 f ► See instructions for completing this form on back of yellow copy. 9,9 , 26-668 X" Below Work Covered by This Request 51 ew Add Rep. TypeofBuilding AppllancesWired Equipment Wired lHome Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircudslFeeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL rye Irrigation Booms Special Inspection Alarm/Communication Other Fee r I, the Electrical Inspector, hereby Rough-in f f to certify that the above inspection has Final o been made. • y d OFFICE USE ONLY This request void 18 months from CITY OF EAGAN N~ 16 5 8 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C.- To be used for SF DWG/GAR Est. Value $118,000 Date JUNE 7 -,19-0 Site Address 1466 BLACKHAWK LAKE DR Lot 8 Block - 1 Sec/Sub. BLACKHAWK RIDGE OFFICE USE ONLY Parcel No. occupancy R-3 .1=1 FEES Zoning PD RR1 W Name WAGNER HOMES (Actual) Const VVN Bldg. Permit 702.00 o Address 14600 TENTH AVE S (Allowable) v=N surcharge 59.00 City BURNSVILLE Phone 431-7557 # of Stories Length 52' Plan Review 351.00 ZF Name SAME Depth 36' SAC, City 100.00 0< Address S.F. Total SAC, MCWCC 57.5. 00 City Phone S.F. Footprints Water Conn 580.00 On Site Sewage W w Name On Site Well Water Meter 90.00 F- z s- Address MWCC System U~ Acct. Deposit 30.00 aLu City Phone City Water PRV Required X _ SAV Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and a e comply with all applicable State of Minnesota Statutes and Ci of E an Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: WAGNER HOMES Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official { Ba. :l Variance TOTAL 3,076.00 I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 BUILD ING PERMIT Receipt # To be useddor g DIT ION Est. Value $4,000 Date AUG 19 19~_ Site Address 1466 IRA . HAWK LAKE D!t Lot _ A Block - I Sec/Sub. BL ACKHAWiK RIDGE OFFICE USE ONLY Parcel No. Occupancy -M" FEES Zoning - Name WAGNER HOMS_INC (Actual) Const Bldg. Permit W 63 _[1t] 9 Address 123Gt W rlC)IINTV BQAD 42 (Allowable) G City FUjRKSYtLI-~- Phone A4P-4700 # of Stories Surcharge 2 _on Length Plan Review zF Name SAME Depth SAC, city 0~ Address S.F. Total - City Phone S.F. Footprints SAC, MCWCC On Site Sewage Water Conn W W Name On Site Well Water Meter uz Address MWCC System <w City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: WAGNER HMS INC Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 65.00 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I %j !j Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final -1 5 p Z Deck Fig. Deck Final Well Pr. Disp. V # CITY OF EAGAN 3830 Pilot -Knob Road, P.O. Box 21-199, Eagan, MN 85121. ~Z e), e6 PHONE: 454=$140 BUILI3INGIPF-RMIT Receipt # i'o 6etsed for 3F WC/ Est. value ;118.1 Date m 3 19 _ Site Address 1466 SI.ACOM LAKE DIR .Lot -9-- Block 1 Sec/Sub. 11ACK" XI M OFFICE USE ONLY Parcel No. Occupancy 1-3 I FEES r s H - Zoning 1dAL1 (Actual)Const Bld Perm1F r.Y i AddreSS 4 T'Ir ~ Avg 9 (Allowable) ~tri hangs '7 city., 'phone 4"i1-7 99 # of Starves Length Plan Review to Name $ Depth 36' SAC, city .tug Address S.F. Total v~ SAC, MCwcc City Phone S.F. Footprints On Site Sewage Water Conn • m Name On Site Well Water Meter -'00 Add SS MWCC System Am. Deposit 30 100 w ME `City Phone City Water PRV Required S!W Permit hereby acknowlege that I have read this application and state that the Booster Pump SIW Surcharge inforrnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI --a-44-00 Signalure,of Permitee APPROVALS Road Unit A Building Permit is issued to: VAMIt Planner Park Ded• on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Oft. Copies - Building Official Variance - TOTAL Permit No. Permit Holder Date Telephone # 1VATER SEWR " PLUMBING n jai H.V.A.C. ELECTRIC o?lvla~ -2 U aG 89 a11,0010er". Inspection Date Insp. Comments Footings I Foundation Framing /,7 f 4wd Rooting Hough Plbg. - Rough Htg. Isul. T.¢ Fireplace Ile Final F tg. 11 Final Pbg. Const. Meter P . Inspector- Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final well Pr. Disp. d c1dF.- t~~ PERMITI PLUMBING PERMIT RECEIPT # (wG S<< CITY OF EAGAN i 3830 PILOT KNOB ROAD, EAGAN,.MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Ad ss BLDG. TYPE / WORK DESCRIPTION ec Su Res. New - V" Lot Blo t~ Mult. Add-on Name z C ` Comm. Repair Address Other c City Phone t! RES. PLBG. ONLY - COMPLETE THE FOLLOWIN& NO. FIXTURES TOTAL t Water Closet - $3.00 Name j -7-Bath Tubs - $3.00 Address 77 Lavatory -_$3.00 : p City t Phone I Shower - $3.00 =Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE -1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 1 t ' . MINIMUM - RESIDENTIAL FEE -$12.00 i Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 ` C. STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,4)00.00) Well - $10.00 Private Disp. - $10.00 11 ~7'4 Openings - $1.50 =Rough SIGNATURE OF PERMITTEE FEE: STATE S/C: _j FOR CITY OF EAGAN GRAND TOTAL;_ t _ . . PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE JulyA% neg CONTRACT PRICE: M675.00 PHONE: 454-8100 Site ACWess 1466 $ wk Lake Dr. BLDG. TYPE WORK DESCRIPTION Lot-----~}, Bloc eaJSub ,:_,!~,k..-~., •"1 r:Le-~, ~ .E.r Res. xx New _~C7t Mult Add-on m Nam Comm. Repair 0 Address Other c City _Eagan Phone 452-2775 FEES Name Hyner HOMM T RES. HVAC 0-100 M BTU _$24.00 W Address 146M i t~tR_ Aoa►_ S "-"ADDITIONAL 50 M BTU 8.00 p City Burnmv~ 11 a Phone - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERANT) - 1.50 EA. TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE Forced Air -100 M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 1200 Air Cond. 24 tOp M BTU MINIMUM COMMERCIAL FEE - '20.00 Vent 'GFM- : STATE SURCHARGE PER PERMIT .50 (ADD $:50 SIC IF PERMIT.PRJCE GOES . Gas Piping Outlets # $ Jiiuu BEYOND $1,000) Other 7 S/C: .50 SIGNATUR OF PERMITTEE J TOTAL 27.50 FOR: CITY OF EAGAN SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3830 Pilot Knob Rd. WATER PERMIT # 10496 SEWER PERMIT # P.O. Box 21199 Ea91f1; MN 55121 METER # B.P. RECEIPT.# S'. 3'iLA 'READER # B.P. RECEIPT DATE 6/7/89 METER SIZE ISSUE DATE KPRU -BOOSTER PUMP SITE ADDRESS 456 L' C~tlzf ux Lake ll,&Z +e PERMIT REQUESTED LOT _.LBLOCK SEC/SUB 6.c'AV4 APPLICANT: x SEWER X WATER -TAPS ADDRESS: _COMM/IND X RESIDENTIAL CITY, STATE 1 tE :.uV;.d le, ~`~Z• ZIP a'"~ X37 PHONEe x NEW - EXISTING PLUMBER: Sz:*>~^~ 1'.t.tGi 4,n~ - c ic✓~a':p/i ADDRESS: 1011 S1&2; l evwce 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP 5420 EAGAN.ORDINANCES: PHONE: 4 i,f;~^49 OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. fif 4 4 _~~a twit. ! Ay ~ y - FT a h- - 3 u i k ' A~_fl~Ql.teAR~ a- ti - +W O CASH a S.'F1 41 FUND c rECT - AR C1UwT Thank You llo!k SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 6 / 8 / 89 3830 Pilot Knob Rd. PERMITDA~~ P O. BOX 21 PmETERSIZIi R PERMIT # 476 SEWER PERMIT # R #v2 d a a B.P. RECEIPT # 49 Eagan, MIN 55121 R #,9~1 7 7 B.P. RECEIPT DATE /7189 S1 E DATE - r -ARV BOOSTER PUMP. 1466 B.&clzh wk Luke Gl,.i.ve SITE ADDRESS PERMIT REQUESTED ` LOT 8 BLOCK 9 SEC/SUB w e APPLICANT: U) eZ HOT" x SEWER X WATER _ TAPS 14,500 io Avenue Soot ADDRESS: _COMM/IND x RESIDENTIAL 55337 CITY, STATE v e, r n. ZIP PHONE: 431-7557 NEW - EXISTING' PLUMBER: Stutz Piuv. ,Gk-v. - Mcw t vA # 3329 'i our rj'sLn$ eAltuce I AGREE TO COMPLY WITH CITY OF ADDRESS: CITY, STATE auj-z .on, 14n. ZIP EAGAN ORDINANCES: - PHONE: " -"4 7 4"1 OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP_ PHONE: - PLEASE ALLOW TWO WORKING DAYS FOR PROC SSING. FOR STORM SEWER PERMITS, CONTACT.. ENGINEERING DEPT. j 1 I'J DATE: t,/R/I;4 RE 1466 BLACKRAWK LAKE DRIVE, L8, B1, BLACKHAWK RIDGE XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: YoVr Sewer & Water Permit for the above property has been completed, but the meter cannot be ihsued or occupancy allowed until further notice. COMCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. -C CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 6W89 89 RE: 1466 BLACK11AWK LAKE DRIVE, L8, 131, BLACOKHAWK RIDGE XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following rr' reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be i ued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. -REQUIRED BYLAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 60 RESIDENTIAL BUILDING v Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pms Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pros Not Reqd 1 set of Energy Calculations Addition - Indicate IF onske septic system - On-site Septic System 3 copies of Tree Preservation Plan 'rf lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 'A b Construction C4 Site Address Unit/Ste # Description of Work % Multi-Family Bldg - Y A N Fireplace(s) _ 0 _ 1 - Property Owner 2 i A Telephone # ( Vol ) u8b -d°I Ile Contractor RENEWAL BY ANDERSEN "C" WEST Address 1920 COUNTY ROAD "C" City State ROSEVILLE, MN 55113 651-264-4777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 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 approved plan in the case of work which requires a review and approval of plans. ~Xrj (,rA 7)-(_nsor3 Applicant's Printed Name pplicant's Signature OF'! tCE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 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 *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES 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 bldg) _ Final/C.O. Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone Fireplace _ R.I. _ Air Test -Final _ Windows (new/replacement) Insulation - Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total rna 104 Art KM&!!L nr el4tJlSi(jM INQU2 re.0 a► of& 3836 Pilot Knob Road M MN 55122 To Whom It Mgy Concern: Elder .Tones is authorizes p budding permits for Rmawal by Andarm Pie w Allow Ilder tunas to pmavide this service for us in ERM. date beyond 66101; un a ante>wal b iR enchoclzau ig valid far any to the City. Y And== eWwgY zgvol:e.t it in wrltlt I request this authO zanoa be accepted- expeditiously. AS to not dela the our building pctmite g,13, f„ , MOM call mo If tb= m y • in processing of . e:nntacftd at 763-S024706_ ~Y QumIone.. I[ can be Your immgdiefc attention to tills matter is Q m& Siace~iviy, . aud~i~. Rau tistauation Manager ROnewal by An&ntm Corporation C~a: Karn-FTrie~ :fhne~ - . 4 Mr auon EWU x+zoaq Received Time .dun. 1. 1:07P~d RESIDENTIAL zs 7. BUILDING PERMIT APPLICATION 15 CITY OF EAGAN 3830 PILOT KNOB RD. EAGAN MN 55122 651.681-4675 New Construction Reaulrements RemodeUFianalr Reaukaments • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and I roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found deem, ate.) 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate I home served by septic system for additions • 3 copies of Tree Preservatlon Plan r lot platted after 711193 • Rim JDW Detail Options selection sheet (bktgs with 3 or less units) 20 DATE / v~0 d C-A VALUATION 71.17 SITE ADDRESS J V & (p &4jjfl( LK 01Z. MULTI-FAMILY BLDG - Y OWN TYPE OF WORK, i F FIREPLACE(S) _ 0 _ 1 _ 2 r APPLICANT dr STREET ADDRESS -tr1i L CITYF h. STATE I4M-7JP S~ TELEPHONE # -.917 :.LG35: CELL PHONE # FAX # PROPERTY OWNER ff&jz &P-on i TELEPHONE #CoS~/ - r, ~S~l COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Ye_ Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater r No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System M Sewer/Water Contractor: Phone # U MAY 2 0 2002 I hereby acknowledge that I have read this application, state that the Informatio rrect, and agree to co ply with all applicable State of Minnesota Statutes and City of Eagan Ordina i3v f_ Signature of Applican OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY 0 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool ❑ 30 Accessary Bidg ❑ 02 SF Dwelling ❑ 08 O6-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-piex 0 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) 0 36 Multi ❑ 05 03-piex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-piex ❑ 12 12-piex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. iD 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement =Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg _ FinaVC.O. Footings (deck) _ Fin"o C.O. - Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing Siding _ Stucco _ Stone - Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY USE ONLY f1 PERMIT RECEIPT DATE: 1-1 q -f~ RESIDENTIAL MECHANICAL PERMIT APPLICATION cITYOF e S$SO PELOT KNOB fW KA6M ME 55122 651-661-4675 Please complete for: A single family dwellings ftownhomes and condos when permits are required for each unit Date: d I SITE ADDRESS: (a OWNER NAME: 6 TELEPHONE* ® L j (AREA CODE) INSTALLER NAME: duo TELEPHONE 1 ma;j' Qx: (AREA CODE) $S?41VA-Mig STREET ADDRESS: CITY: STATE: ZIP: Place a check mark next to the permit work type New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surcharge .50 Tota 1 $_~__o 16 Reminder: Call for inspections. JAN g *A_~ -Ma Sy RMI EE Updated 1101 SIG CITY USE ONLY PERMIT M RECEIPT DATE: APPROVED BY: , INSPECTOR C0hU&WCLkL M' CAL ffJtMT AMICATIOR cITY OF EAem 36$0 PILOT KNOB RD EAeuU, MN 55188 651-661-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: WORK TYPE: New construction Install U.G. Tanis Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: _ When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1 % = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 1991 BII "Tim CITY OF . RAG", SINGLE FAMILY t.T B arrxrra ; Z SETS OF PLANS Z SETS OF STS Or 1T S REGISTERED SITE SURVEYS WISTERID, RITE MVO.; q ~ TRAWMi r AM. 1.:SET OF ENERGY CA1413ATUMS (CHECK WITH BLDG 017T.):' 1 ET -DF S IF'IC TIONS SET 4P'- d,GY C' 1 EET OF ENER" # OF`RENTAL tWITS . OP FOR Sly t*M . BAY TOM= APPLIES VW: TYPING OF P IT IS It"MTED, BUT ` PIS U BY LAST OF NTH Its WHICH REQUnT S MA". LOT cm= IS REQUESTED ONCE x : . NOTE: ADDRESSES FOR COOM L(3TS - MT pBSItHA ICH' S DESIRED. . PROCESSING TIM Ff `SEDER & WATER PERMITS IS TWO DAYS A,:P l3AE i lk' i Tmk.. . PERMIT MUST EHOW A LICENSED PLMDER. Ta Be Used For; 3'rd Gam ma Valuation: $4,00 ?.00 t~ 8=73 -9 f T . Site Address 1466 &ackhawk .Lake Qom.. Lot 8 Block ~ 3tw O'Companey ` adg. Pmt Zoning . Be ` • Parcel Sub Q._acAh.=h Ri4e Actl Cc►nst P],ax►:3Wvie.v - A3lo hie " AC, City Owner Wy _Z~ Home- , .inc.. # of stories MCI MCC Lath Iwat-sir Address 1230 Wet Gvczt Road 42 Depth vat,_-r .l3c4m etet S,F, .Total City/Zip Code C3u vi tta, 55337 Footprint S F.. S/v ftr"t `rW Su►r+ 1c - none 898-4700 On site, sewage. Tv"tuout ; P1 fin site Drell Road Unit Contractor. 0W a f(or e'd NW System Park Ded. City grater. ~ Trail Ded Address 1230 W"t Gores Roca'. 42 PRv . , Copies Booster Pip City/Zip Code 9da_3t.vi Ue,' MN 553.37 B my phone 898-4700 Planner f Lot Coil 3AL Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # S truster ensad Contr. agrees that all k"4ba11 in Celfignature of ttractor} Ea Wit! all applicable State of Mixtne sota Statutes anti City of /5-1=33oo qboa * * ~t 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 *engineering.. (612) 681-1914 Certificate of Survey for: WA4NER HOMES r~ WORTH AA tote V ;D ~ ~ ~ -p ,a, ~ Ox ~ •n ZIP i ~ ub 9oo.o Denotes exishil Vat ion PRO-POSED NoU5E ELEVATIONS • 900.o Denotes prop d Elevation - -"Denotes Drama a Ufili f Easement Lowest Floor Elevation w i denotes Drains e Flow rrows Top of 8loc% Elevation = s7c, i, o Denotes monam ent Garafa slob Elevation = 869• is; 8 iorinss shown art assumed LOTS BLOCK i 81ACWHAWK RIDGE pgl(om CouNTY, mimvF-som SUBJECT TO EASEMENTS OFRECORD I hereby certify that this survey, plan or report was pr ared by me r under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this4bAf day of A.D. 19 . rz/5'Cale - I ~7ch - 40 + 'eel ZZ, 1 6" ROBERT B. SIKICH L.S. REG. NO. 14891 tj . r 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS • OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS !JAY ,g$g To Be Used For: S.i.r e farrti y Valuation: Date: Ma_a 31, 1989 (.inciude,j Lod Site Address 1466 Biackhma h Lake DItiv 0oo OFFICE USE ONLY Lot 8 Block 1 Occupancy R-3 M 'I FEES Zoning Pt-) Parcel/Sub 8.lackhaa)h Rifle Actual Const V- IJ Bldg. Permit 90Z00 Allowable y- M Surcharge sq,0a Owner Wagnea Home] # of stories Plan Review co Length S~- SAC, City Address 14600 10th Avenue -joath Depth 36' SAC, MWCC tas S.F. Total Water Conn 5 1000 City/Zip Code &A" v.,Ue 55337 Footprint S.F. Water Meter 0100 Acct. Deposit , Phone 431-7557 On site sewage S/W Permit O, On site well S/W Surcharge 1,00 Contractor .flame MWCC System v Treatment P1. 2211. City water Road Unit pp Address PRV required ✓ Park Ded. Booster Pump Copies City/Zip Code TOTAL APPROVALS Phone Planner S Council Arch. /Engr. Be Lh el-ey Leu)ij Bldg. Off. Variance Address 5004 3Auce Avenue City/Zip Code -Edina 55424 Phone # 927-0009 NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. VA LUA'C ION L ♦ t~ a~ 3 = $3 Iy )r/6 = Z2q 1 05~ ►401sy I S'T 'Ft- r J oSlo ton> 2~ln U • U U r ~~r jr.uJ-r 1 ~t !4. JV f a`l I W j) U'l 841. kS~ = y z 300 I 1 `l ► `6 y 2422 Enterprise brine # PIONEER Mendota Heights, Mho 55120 r1tg eer-ingi (612) 681-1914 Certificate of Survey for: r A6NEn HOMES NOOM AA6 T 1, y 1b o f r 71,3% G .p r ~ f 10 * 9oa.v Demotes exfWin flevaflon P-g0POSE0 NouSE E~EVAT1yvn7S 900.o DenofPs propaHd Elevation Denotes Dra!nv e 01di 7rrow-r Eas~emenf Loaves f Floor ~evatror~ s63. i~ Denotes Drainage Flow Top of Bloch Elevation s7a.)6 o Denof es monUm enf gara j.? 51x6 Eleveyfion = X9.83 8earinp shown are assumed P.R.V. REQUIRED LOT S 1 BLOCK 8LACM11HAWK RIDGE DAKo-rA COUNTY, MINNESOTA SUBJECT TO EASEMENTS DF RECOQb I hereby certify that this survey, plan or report was Prepared by me r under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this day of A .D. ig 5cale : j «C Y 40feiel l ZA. :1~ 3 R013ERT B, SIKICH L.S. AEG. NO, 14891 86a4t.02 BUILDING DEPAR'.B•iENT IMI;RI0R EIiV~:LOPE AVERAaE "Ur' COLiPU'TAT1011 M (To be oubmitted with building permit application) u110 or Two F'urully Uwelliu4 All OLhur $ B Owner /3v WA(rh►6rt Qre Addreav Cu it tractor ` Date 5 2J Phone `l3~ - SS LINEAL FEer pF ~ , Exposa) Y1ALI, 'A f t. above grade d 9; • 5)-- TOTAL EXPOSED WALL AREA Sq. FT. OVA4UE WALL CONSTRUCTIONS trUrl Value x Area vtj tuii WEEE$lull +lu +l .p~•3 i 3 x SQ. FT. D39.34f . 0),69 (U) (A) r~,~,++ nUt+ x SQ. FT. 99 1 =~(U) (A) ul tucl~tsd X SQ. FT. r+U a 1' _ ~ U) (A) uUu x SQ. FT. x (U) (A) SQ. FT.-.--~_.f U) (A) VilllUUWS f +'U+' Value x Aroa riulca ~ Type ~ - rr G 1 rtUrl 51~au~ nave ~s,i. IIUu x SR• pg. 1SY,~~ . `?l,ob (u)(A3 + +r IOU u x SQ. FT. 7 U rrU n x SQ. FT. 3 (A} x SQ. FT. -"~,`~,--(U) CA} lull;; t ++.U++ Value X Area Flaltu & Typo b ? s?t&l nUu f -,x sq. FT. x SQ FT. U) (A) u lrUu ' _(U) (A) x SQ. FT. TOTALS 2,`l91, 51• (U) (A) Tu,TA1 (U) (A) VALUES AVERAGE riUaSQ• *'T.._____ Gy (U) (A) ~rLl• q 9 ~ F.___,. Vl V1LLD BY TOT TALL AIMA AVLjJA(jL-, U+r .115 lave for M2 faudly dwellinge ItUUF/CEILING = , TuTAL AIJEA: LZL'o Datail roforence Pram ~oQl' IrUlr , C3 L2. i+lLticJ`d altuutu. rrUrr x sq. F'r., 070 = 23 s SQ. FT. (U) (A ) Duccriba oPoi1111go rr;irr (U)(A) III i•o o f . 1, SQ. FT.--~"`- (U) (A) SQ. FT. ( ) (A) VALUES DIVII) D BY 93.5q TDA "(U) (A) V-7 D N.Fr q. I-I~ G-~ 1EA D 70 AVEvAai.; if r 1 .025 f Voptilatod roofs. I 021 ~ ~ . ~ • Dotoru~lning ~~U~~ yaluae at Roof, Wall Aims and Conc. Block ROOF CLI IN0 !2 V U F 10 Interior Air r•ilm 0061 2•) 518" Oyp• Bd. .56 4. Insulation -14.oo 5.) Exterior Air Film .61 I Z 3 (STILL) 6 uuu m 1/Aa TOTAL (R)a y55 k . 1. . 8 WALL R VAI, U 9 60 Interior Air Film 0.68 7.) P QYp. Bd. •45 8. ) Insulation 17.00 9.) Z 10.) Hasonite Siding .67 11.) Exterior Air Film ~ 17 uUil 0 1/Aa , 01-2~ TOTAL (R)=Z3 cat ~J RIM R VALUp Interior Air FilM 0.68 130 Insulation 19.00 14.) 211 Fir' Rim Joist 1.88 P,1 7C 5 16.) M s onitee Siding z• •17 17:) Exterior Air Film 017 • O° 600 uUu „ 1/Aa ,40 TOTAL, (R).GT TT FOUNDATION • R VALU Z1 180 Interior Air Film 0.68 19.) i J• 2o.) Fjg~ A ) cw,cretc A I►~K 1 g 3 • ?0 22.) 230 Exterior Air Film _ s .17 d° ' ~~Uu a 1/Aa,V v'7G TOTAL (A): / ,13 3 00 ~,1v wn~c -t v o 91 ay9a, s~ ~ C.00 C- - 6r (16+M <<9+~~+ 32~1~~ = 99,16 r'VA ~ c 6 ~ t 1~! = 122 ~ yf' 1 ~6 { 97,6 8 3 a6 31- 31 6~1 (.JI~~oW-~ / 220, 51 55 2Ll x 11S ~z~ = ~.1~x 2 1q, xadx~ Cg ow} = ?.79 .2 IL s~o~ r (ri x 77) 6 x 6, o v + l°i~T1V 9~D`~ ~rx7`l~`~ ~1c1k ~2. ~l 36` r --r 3 ~o,v~ ~EF.1 5Er1 v1 E - 17.81 CRASS C5f1, PALL, L MOF - ,/V\ 27.51 x - f . ox ~Y /9 T r I t=OM66 Use.. I • ~ / i~~_rl I City of Evan i Permit 3830 Pilot Knob Road Permit Fee: I I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: L -----------------I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: / Site Address: Tenant: r. l fi Suite RESIDENT/OWNER Name: Phone: Address / City ! Zip: CONTRACTOR Name: License Address: COMMERS CONDITIONED WATER SERVICE V150 W 35W DRIVE City: z KAtNJE MN 5/49 State: Zip: Phone: Contact Person: L~- TYPE OF WORK _ZNew - Replacement _ Repair _ Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL I Water Heater t Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ 1 _ PVB) L- Main - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) t? C TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval plans. /of X ( 1, 1~ i t~ ! 1 E 1 C_ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground . -Rough-in Air Test Gas Test -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA119628 Date Issued:12/10/2013 Permit Category:ePermit Site Address: 1466 Blackhawk Lake Dr Lot:8 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Kent T Brost 1466 Blackhawk Lake Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature . Use BLUE or BLACK Ink r----------------� I For Office Use � I t/ I • � Permit#: ��7� I Clty of �a�� ; ��J �� ; 3830 Pilot Knob Road RE�E��D Permit Fee: � /. Eagan MN 55122 � 1 1 201� � Date Received: ��I I� � Phone: (651)675-5675 rJU � � Fax: (651)675-5694 I Staff: � I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 1 �� Date: Site Address: Unit#: ' Name.��o s�- Phone: Resident/ OWtlet' ` Address/City/Zip: /�C1� ��,� L-a� �j' Applicant is: Owner �CQntractor Type of Wor'k ; Description of work: � a �s��cd s ' Construction Cost:___�'—� — Multi-Family Building: (Yes /No� " Company: G c � �. - Contact �cse� C:Otltl'aCtOC Address:��c�}c ��3�� City: '/y � State:��Zip: �-`"'S-� Phone: �i Z�zz�3�mail: 1 � :�.� �c;:�sfi�sc.��rr.�� ir,, -�::� License#: ��..�-��'S Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /��.?��`9 ��i� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? � _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portians of the informafion may be classified as non-public if you provitle specific reasons that would permit the City to ' conclude that the are tratl secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil ' g Code must be completed within 180 days of permit issuance. X G i✓ ��r✓�0'1- X Applic nt's Printed Name ApplicanYs Signature Page 1 of 3 1��a�' �%��.�'-��d� �� /��: '� DO NOT WRITE BELOW THIS�LINE ��`�� SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) � Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation _ Replace _ Repair _ Egress Window � Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation � Occupancy �'�jG_�. MCES System "' Plan Review Code Edition � SAC Units -- (25°/a_ 100%� Zoning � City Water — Census Code � Stories "'� Booster Pump --� #of Units / Square Feet "—' PRV — #of Buildings ( Length — Fire Sprinklers -- Type of Construction �_ Width -�' REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation � HVAC _Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls .....,�- Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee �/ 8' Surcharge Plan Review ?G �' MCES SAC City SAC Utility Connection Charge S8�W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r-----------------'� I For Office Use � 1�t f � Permit#: � �� I Cl6y �l �� , Lj�j a� � Permit Fee. / 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 � Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name:—_ :`�,;�,�� Phone: Residentl � .,. Qyyti�r Address/City/Zip: /�L� ��.c��•�-k ��,��q.��- a��' �� , . 3,.°r Applicant is: Owner �� Contractor ,� ' Description of work: �i ✓r� Type of°1�11ork Construction Cost: ��d' Multi-Family Building: (Yes /No Company: /� � Contact: �Lo Address: /�O ��! 2��</`�' City: � ��— COfl�1'1G�OY" : State:�ip: ��/ZZ Phone: Email: ' License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: N07'E:Plans�nd:supportin�alocumt�nts#hat yc�u submit are c��nsfdered tQ be public infarmat%on. Rori'ion�of ' the infdrmatiort`m�y��classitied as�°r�dn�pu�bCi��you<,prc�v�de specrfic r"e�s�ns tha#«woulal p�rmit the Cf#y�o �onc�trde.#hat the 'are#ra'de�ecr.ef�. ' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wv✓w.popherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conforrnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Ezterior work authorized by a building permit issued in accordance with the Minnesota Stat ilding e must be completed within 180 days of per ' ' sua ce. � X � C/ ,�S,G�~ x . Applic nt's Printed Name plicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA148856 Date Issued:04/25/2018 Permit Category:ePermit Site Address: 1466 Blackhawk Lake Dr Lot:8 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kent T Brost 1466 Blackhawk Lake Dr Eagan MN 55122 (651) 407-1987 Bear Roofing Exteriors 2186 3rd St, Suite 107 White Bear Lake MN 55110 (651) 407-1987 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171182 Date Issued:08/04/2021 Permit Category:ePermit Site Address: 1466 Blackhawk Lake Dr Lot:8 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Kent T & Joanne F Brost 1466 Blackhawk Lake Dr Saint Paul MN 55122--125 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature