1483 Blackhawk Lake Dr?,? a" . ,?c'....,,. ,?.,T,??:, . ; ?!rce?.+nr?- . : ?+rMxr fr;t'i,'r.?"'?8p,'?' „?}., , "`'??" ? ?.`?.:?,[;w?,,,.w ? "':'+?g- .r : _^.+as?. -a
ti;. ? ?
? :s_v .-- _ k? ?
} _. ? r? u;' ?.q
. . - ? , { . . . .. ? 4 ; ? j ^yr+??.-e.ti,.,.ae:
t F':. i
. ? .. ?? .. .. . . . .. ? ? ? ? S
? "w«'", , ? ' . . . _ . ' - , _ ' _' . . r . Y ;'g?i?aw4 ??34
rn
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t
k
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?
c,
t
e
1; ..__ 13
F
?.
?
d. . , .
?. :
?.`: . .
` 1M"0OM OM9 kttp. tMtffliilue"
?
?
,, . ?.,*x* ft9.
? f'?9• G, -'?'_
?M?oe /?,fl/,?,'i? ,r'R+" - !G'?
t?sati tase
Fit* pt)g. Pft.,,,spe«or -No+r Pkxykbw
cormL n+ew
?.R* bS
DO& Rq.
Dedt Fuaal
wo
Pr. t?tsp.
i
Address : 1483 BLAr'I<HW LAM DRIVE Lot I Blk 1 Sec/Sub ?,?qiW RIDGE 2ND
These items were/were not complete at the time of the fin 1 inspecCion.
t: 8 14 92 Yes No
Final grade (6" from siding) &,,w /g Cr?? e.s
Permanent steps - garage `
Permanent steps - main entry
Permanent driveway 'f
Permanent gas
Sod/seeded grass
Trail/curb damage
Po rch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exisCs. ?
pECYCLED9IDEM
White - City copy Yellow - ResidenC copy Pink - Contractor copy
PERMIT
CITY OF E-AGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
Control No. 0 12- 8 9
PERMITTYPE: BuILQZHG
Permit Number: 000329
Date Issued: 84 / 2 T/ 9 2
1483 BI.ACKHAWK LAKE DR
LOT: 1 BLOCK: 1
BLACKHAWK RIDGE 2NO
DESCRIPTION:
S F DWG
NEW
R-3 M-1
V-N
PO R-1
66
5o
4
REMARKS:
PRV
i S& W GON7RACTOR - LAKESIDE PLBG
FEE SUMMARY:
vaLuATZaN
Base Fee
Plan Review
5urcharge
SAG
5AC %
SAC Units
I.ic. Search Fee
:-Subtotal
$762.58
$456.63
$59.8@
$700.00
160
1
E5.08
;1,923.13
;ils,eee
MISCELLANEOUS $1,610.50
GOPIES $1.8@
Total Fee $3,534.63
?=? Zw 9?c ?A &VI A &JA M-d
APPLICANT/PERMITEE SIGNAT RE ISSUED 3Y: IGNAT' RE
INSPECTION RECORD Control No. 0289
CITYOF EAGAN PERMITTYPE: suILnxNe .
3830 Pilot Knob Road Permit Number: 000329
Eagan, Minnesota 55123 Date Issued: 04 /27 f 92
(612) 681-4675
SITEADDRESS: LOT: i BLaeK: 1 APPLICANT:
1483 BLACKHAWK LAKE OR SGHWEIGH HOMES, QAN
BIACKHAWK RIQGE 2ND (612) 435-3487
PERMIT SUBTYPE: TYPE OF WORK:
SF QW6 NEW
INSPECTION .A . .A
FOOTING FRAMING
INSULA7ION FINAL
FIREPLACE
REMARK5: PRV
, 5& W GONTRAC70R - LAKESIDE P1.BG
?. ?
L
?
F . ,,.
PERMIT #
CITY OF EAGAN
1992 BUlLDING PERMIT APPLICATIaN
681-4675 APR o 2 REco
SINGLE & MtJLTI-FAMILY 2 sets of pians, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural E? structural plans, 1 set of
specifications, 1 copy of energy calcs. .
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
aaffz?
Date Yaluation of work //Oe00dA_
Site Address: 1493 ,61ctck1-)4?&,1? a kp ?es
STREET STE t
Tenant Name•
LOT BLOCK SUBD. P.I.D. #
AW AD D
Qescri tion of work: tS' W '
7he appl i cant i s; El Owner JM Contractor 0 Other (oescribe)
Name Phone
PrGpQrty LAST f IRST
Owner
pddress
STREET ' STE #
City State Zip
Company ?n/, #oM ?Qj Phone
C011tC8CtOt' Address 1017S l.icense U???Exp "
?
c;ty I
e state 19?17 zip Sa?q _
Campany Phone
Architect/
Engineer Name Registration #
Address
City State Zip
,.n
Sewer & water licensed plumber ,? 4 ??-€ ?.,. .. Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that Lhe information is
correct and agree to comPly with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Si
t
f A
l
L?? ?
gna
ure o
pp
icant:
? a vrriL:t ubt urvLY
BUILDING PERMIT TYPE
O Ol Foundation O 05 Apt. Bldg 13 09 Basement Finish
g 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace -? 11 Res. Add./Porch
? 04 Multi-fam. T.H. 0 08 Deck C] 12 Comn./Ind.
WORK TYPE
)e31 New
Cl 32 Addition
? 33 Alterations
? 34 Repair
O 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
? 37 Demolish
? 99 Undefined
1:1 t3 P b ic Fec.
014 Agricultural
C] 15 Miscellaneous
Const. (Actual) V-N Basement sq. ft. MWCC System Yts
(Allowable) !Sj - N lst F1. sq. ft. City Water ?YCS
UBC Occupancy 9_43 M?1 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total 8ooster Pump
# of Stories footprint Sq. ft. Fire Sprinkler
Length p On-site we1T Census Code ?
Depth ,$4 On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED fNSPECTiONS
? Site D Foo ting ? Framing O Insulation
? Wallboard E3 Final O Draintile ? Fireplace
Permit fee 707- 1 ?0 v.Lu.t;«n: s???
Surcharge siq 1 00 GARAGe?e;
Plan Rev i ew -?--..-
cens >
S?
0
0 .2 q )t 2'tr- 5218 .
C i ty SAC ,
100000 J'Zr x??. = Z??
Mater Conn. s 0 z, ? ? .
Water Meter .00
acct. Depas i t 30,09 fgismT, . !
S/W Permi t 130.00
.a--.---L
S/W 5urcharge ,? 2?, ? )y ?36?,
Treatment Pl. sop. 00
-
(a)
Road Unit 3 ,04.) 2 v 4 C
Park Ded. y 4
Tra i 1 s Ded. „?--?•
Capies ?.r? I SUC3 x RS22,?.?0
Other
Total: 7 l .4-1
3 .
?
_ 135h?tT - 1 ?? ?
? Z
?
SAC Units .
7 xz :
?q 3'8
.
&z'z
S#Wellor ?8 eertilixte
3URYEY FpR: Dan Schiti-eich
3ESCRIBED A3: iot 1, filock 1, BI,.ICKHAWh RID(;L' 2\`D Al11?ITtON, t'itv oi
<:g-an, 1'ak0ta Count?,, Aiirlnesota anLi reserving easelTients a ti 1•ecoi•cl,
eo. sa
21.00 26.33 p}o4•q 3bi
,? ?
24.33 g ? 30
,?• ? d
Aw 61P??? 2.00
OI'IY! ' O?? h? I
24 00
ia oo a°'
3.
lZCi. 11/6 ? ?•q` -^'1\? i . ?'-i
i oo g'i I N <
:Z ??. *A?
,e?*s t , g5o.3 8 g? 9?? ?
Z ? ?-- ____ ---- ---- --- ---- ---- --- $" 53 ,? ? o ?
5 ?. - .,_ - - _. - - .... ._._ - -- - - -- "" ` '_' .r -- 3Q. 06 - - - 30
8so 3 N87' 23' 28' E 159. 26 1A__1 S?s ? 85s. 8s. ?°
IT- a1?t Name
. = 95(c. b
---. --
L a T SQ. F00 TA GE = 13
y
B
EAGAN FN6 ??tCE?.??G D.FF-c
R E ?
P-HQ-PQ-$F-U_Ei.EVATK3tJ8
7ap ot FoUndatlons
Garage Ftoor • ??05 2
Besament Fbor • 8g7 5
Approx, Sewer Servlce Elev. . 8jA
Rropoaod Etevetbns n ?
Existing Etovatfons .
Qrninage Oirvctlons .
avnolae ollse! Statce n O
I fEDL UND
Plannr"ng Engineering Sunreying
334t Eitl d?oam+^Ota? wsa. Qt2?ioo'M on. u(ftnewu 86426
T?t?qhpy MIp?
?
SCALE, I {nch • 30 Feet
SENCHMARK.
'?itv= '<3'a3.+o-6
MIN. UTBACK REQ,l,jIREMEIVIS
Front • 3o Housa Slds • io
R¢ar -is Geragv S(de - 5
ttIERfBY CfRTIFY TNAT THIS 13A 1RUE ANQCQRRECI NEPtiESENTATION
Of TNE 80ttN0AR1E3 OF TNE ABOYE QESCRreED PROPERTY A8 SUii•
YEYED9Y MEOp UMDEq MY DIRECT SUPERVISIONANOOOES NOt VUApOf1T
r0 S110W iMPROVEMENT9 OR ENCROACHMENT9, EXCEP? AS SHOWN.
o.i. 3 r3o r9Z k6i=;2??_
J 09&b. !?D 0(3REN, UWD 3 VEYOR
MINNE907AUCtN9E NUMBER t4376
J08 NO.:
azR- izQ
800K: 1 PAGE:
AC DD FILE; DWO, CHK.
3"V, "-.- "
GWtif:R
CXTt:(tIOlt RNVL•'tAl'1: AVI:ItA(',(: "U" C!);411U7'ATIOII
stri: noDiu: ,:; ?c. AK HA+.JK ?ND AIi7tT1,Ut4 ?
coaTRncrort_?11 . C.ll W4,Gk J/Oines _
onTe clitoriL
Oetermine workiny ::quare fookaqe of each.
1. Total exposed wall arc:a ...... ,;-7/9sy. ft. x .Il =,?y/• j?
2. Total roo E.ccilinq arca .....,. /'K3G'P L' sy. ft. x •025
Total exposed wall arca above Eloor
a. Total wall window area ................................... ???•U
b. Total door area ........................................... S/a.fS
c. Total sliding qlass door'area .............................
d. Total -firePiace wal,i area ........................... .... O
c. Total wall Eraming area (averaqe lOt) .....................
t. Total net wall area above floor ........................... `/si, k
q Total rim joist area ...................................... 1y3.:3
Total exp osed foundation area =//y J
h. Total foundation window arca ..............................
i. Tota1 net foundatio;n area above grac?c ..................... Q
Geterminc "U" value of cach wall seqment,
_ J,?
0
d. C/ X .. U" G?
X ' U
r, . !? H. ? .. ??„•• ?T, 3
?) , . . .. . -?`.3
a . /.o?.,? , c I
b.
..1-
_ ?
X ., U..
X •U• - (' ;7
X ..U.. . ? ?
. ?i. >
G• ?
9 '?^
???
' ] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . Tot ] 1 = ?/?•?__._..
tf itcrn Nl i.^r, thc samc o5, r lc!;:; than it?m N1, you tkavu in??t ?:lie i.ltterlt
o[ SBC 6006(c)2. ? "-j?/?', f/') G o9? b/ a y?
.. -4) 5.6 C. l,acJG e)L
Total cxposed roof/cciliny arca a /y5z •tI
j. Tptal skylight area ................. ..................... ?
Y.. Total roof/ceiliny framiny area (avcra(ic tU'?.) . . . . . . . . . . . . .
1. Total net insulated roof/ccilinfj arc:a ..................... /O•Y _
Octermine "U" value for cach roof/ccilirtcJ scymenr.
X "V'• 67 _
k. X.. U..
1. /3/0 "y x ..U.. ,2'X? a
A ............................ . ......TotaZ
d
3.3
_ .3p
If toCal of #4 is the same a, or less than #2, you have met tttc intent oF
SBC 6006 (c) 1. pp,? t. t/ 3(I, ?? ? A y (3(o, c/?
/? ?
t? ?? 54 L 6- n
Alternate Building Envelope Design
To utilize thc total envelope system methad, tlic vaiiies establish•.d by thc
sum of items #3 and k4 shall not be greater than ttie sum o: items kl and 92.
+ 2. 3.?1?. ? + 4. ?Q. ?? _ ( °7 •./
t?
lL??-Z-'/ ? ?I • ?'? .? , ? ?.?? ?? f ? • L> 7?-1? 54e-
REACTIVATE
PERMI7 #
3
mr oF EAGAN
EN?? 1993 BUtLDING PERMIT APPLICATiON
J U N 18 1993 681-4675 ????
rv,?Oe
SINGLE & MULTI-FAMILY 2 se s of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2.sets of architectural & structural plans, 1 set of
specifications, 2 copy af energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made., Zj address is changed or 3) iot change is requested once permit
is issued. •
qate Val uat i on of work
Site Address: ???--
STREET SUITE *
Tenant Name: (commercial only)
IAT BLOCK SUBD .? ?
, ?a?
? ,? .^ W( P . I . D . # •
'
J ?
Descri tian of work: zh/S ?e c?r_.
The appl i cant i s:;M Owner D Contractor 0 Other ccescr;bei
Name Phane
PrOperty LAST FIRST 6J6 , 14r
Owner
??? ?
?Y
Address A???J?_ ,?z
STREEF " STH 0
City State Tip
Company Phone
COt1t1'aCtOC Address lieense # Exp.
City State Zip
Company Phone
Architect/
Etlgiil@@r Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved'.
I hereby acknowledge that I have read this a lication and state that the information is
correct and agree to com?,l- w all appl' e St te of Minnesota Statutes and City of
Eagan Ordinances. ? I
I
Signature of Applicant: '?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O OI Foundation
? 02 SF Dwg.
? 03 SF Addition
0 04 SF Porch
? 05 SF Misc.
0 Ofi Duplex
? 07 4-Plex
0 08 8-Plex
1:1 09 12-Plex
? 10 Multi. Addll.
W4RK TYPE
EL31 New CI 33 Alterations
a 32 Addition E] 34 Repair
GENERAL INFORMATION
Const. (Rctual)
(Allowable)
UBC Occupancy tz_?
Zoning
#? of Stori es
Length ?
Depth ? Z-
APPROVALS
? 11 Apt./t6dging
0 12 Multi. MisE.
O 13 Garage /Acces so ry
O 14 Fireplace
?115 Deck
? 35 tenant Finish
? 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Planning Building
Engineering Variance
REQUIRED INSPECTIClNS
O Site Footing
? Wallboard ? Final
D Framing
O tiraintile
0 Insulation
0 Firep) ace
Permit Fee Jv?
Surcharge
Plan Review
License
MWGC SAC
City SAC
Water Conn.
Water Meter
Acct. Depasit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
7rails Ded.
Copies
Other
Total:
sac %
SAC Units
Wtuatian: $
? --.
O 16 Basement Finish
O 17 Swim Paol
O 18 Comm./Ind'.
? 19 Comm.jlnd. Misc.
? 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code .3N
SAC Code
-?-_
_.----
0
Assessments ?
. ?
.?..?..e_
'??ve m..?. c
?.??. 5A(T?
3Ui}YEY FUfl: T)an Schwcicli
DESCp18ED A8: i.ot 1, Block 1, B1,:1CKt1fa4VK RIDGL' 2\'P r1DDITtO?'; (.ity ol'
<lg;in, I1ahc)CZl County, h(itlnesota iinLl resci-vlllg easenicnts of vecorcl.
Oo. ta
24.00
1
N15? 2?? ? • ? a°?%
_-
_- ?
? ? AN
?
a ,?.
?. ?
_ ? ?...._. ___._ ? ..._. ._... _..._ -- -
.._______.__..-___ ?
1150.3 N87' 23' 26' E 159.26
-1
l_ i'1 -r 'L ?
I -
L Q T SQ. F00 TA GE =
24.33 gw4.9 ?.i
??
?????
Q• y01'IM? ? o
t0. 00
,
?
14
° I
No3.4
;*t
y?+? ?
?.J
104
?
?---?.?--- 30
,> $54 ? 855• Q5b.o
Exibt Nomt
13
, B
BY ?-
LAGAN JCN
GiiffIERINGi DEPT
Ror" QU1RED
Y_H4P43f.0_ELEVA7fON
Top ol Foundallom , 8-(05,b
Gareqt Ffoot • ge5.2
8eagmaM Fbor ? $57.5
App?ox. SeWir S91vICA EIdY. ? N/^
Pioposad Ekvetbna
Ex{st?nq Et4velbn; .
Drslnage Dhocllona
Oanolos o(laet Sletcp • O
JA
IEDL Plenning Engeneerlnp Suimying
yorMnylpn. MMM66I0 1MI0
1201 EesI 11400'"^O1i I?? rOfWn? ktlaMIdiM
SCAa.Ej I Inch a 30 Feet
@EtICHMARK. -rtiH % 5,4/
MIK• $ETQE4C1S.REQUIAEMENTS
Front • 40 Nou3# 3kJa • io
R48r - Is Qarap4 8idq - s
INEpfBY CEHTIfY 111AT THIS 13 A TRUE ANOCOAPECI REPIiE3ENiATIQ"
Of TNE BOUNOARIES Of THE A80VE bESCRteEO PROPEqTY AS SUR•
VEYEO gY ME Oii UNDEFi MY DiRECT SUaEqV1310NAN400ES NaT VUROOAt
10 SNdW 1MPFiOVEMENT9 Oq EMCAOACHMENI9, ExCEP1 Ad BNOWH•
J pt3?flEN, UND 3 YIYOR
?+it?gsotA uc??O ",e90 1+;70
.lQB NO.: {
92?- 129
3UQK: ' PAC3Ei
?
?
:.
,? .
N;
?
i?
,
'04
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR T4WNHQMFS AND
CONDOS WHEN FERMITS ARE REQUIRED FOR EACH UNIT.
- ---------------- ---------------------
NEW C4NSTRUCTI4N
E?-ADD-4N A/C
ADD-ON FURNACE
DATE „-?/•??''?9?
FEES
HVAC: 0.I00 M BTU
ADDITIONAL 50 M BTi.1
$ 24.(0
6.04
GAS QUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExisTINC coNSTRUCriorr) $ 15.00
STATE SL3RCHA.RGE
TQTAL
.50
SI'I'E ADDRESS: / Y93 1449(9;r_.ol .
t}WNER NAME: Wo"'V' TEI.EPHONE #: de,-- o?72-_
INSTALLER: 41rw446 /AZv`*p?e-
A?DDRESS•
CITY:_ .??.?? STATE: ? ZIP CODE: _2212-z-
,
TF-LEPxoNE #: SI A E OF PERMITTEE
1993 MECHANiGAL PERMIT (lftESIDERITUL)
CITY OF EAGAN
3830 PII.4T KNOB RI3
EAGAN MN 55122
(612) 681-4675
1993 MEC,'IIANICAL PEl[tMIT (COAVMERCIAL)
CITY OF EAGAN.
3$34 PILOT KNUB RD
EAGAN MN 55122
(612) 6814675
PLEASE C4MPLETE FOR ALL COhiMERCIAL,/MUST'RTAL BtJILDIT+TGS. ALSO CC?MFLETE F4R APARTMENT BUILDINGS 4R OTHER MULTT-FAMII.Y BLIII.UINGS WJ[-iEN SEPARA'TE
PERMITS ARE N4T REQUIRED F()R EACH DWELI.ING UNIT. .--___._.?..?._.?.._.__....?._.w.....?....._.....?..
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
CONTRACT FRICE: $
WC1RK DESCRIPTION:
FEES
1% t?F?: :.>?3FEE $
PRQCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALI..ER: .
ADDR,ESS:
CiTY: STATE: ZIP CC}DE: h
'T'ELLFHQNE #:
SIGAtATURE OF FERMITTEE CITY INSPECTOit
?11 CITY OF EAGAN
` 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #16) O
DATE :
un??"m PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLII3GS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRE D FOR EACH UNIT.
--
------------------------
WORK DESCRIPTION -------------------------- ----- -------------------
COMPLETE THE FOLLOWING: ----
-
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON ? SHOWER 3.00 3.?
REPAIR WATER CLOSET 3.00 G--??
1 BATH Tt3B 3.00
A LAVATORY 3.00 ?.?
OWNER NAME: KITCHEN SINK 3.00 ;? •?
LAUNARY TRAY 3.00 3=??
SITE ADDRESS :/YJ?3 40 CAif/?? HOT TUB/SPA 3.00
WATER HEATER 3.00 3..?
LOT : BLOCK ? SUBD : FLOOR DRAIN 3.00
?
PIPING OUT.
GAS
INSTALLER: _16+xc?,,a?' ,c +?3 6- ? ,J
?
(MINIMiJM - 1)
3.00 ?
.3 `
ROUGH OPENINGS 1.50
'Y•8v
ADDRESS: ??y?? ?>?^???/??'c= ??
? OTHER
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #:
SUBTOTAL $
s??• ?
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
??
S ?'?
TOTAL: =
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
? •?'?? CITY OF EAGAI3 FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #-??-
W M-AN IDATE :
It........ ......A1r; PLEASE COMPLETE IIPPER PORT.ION ONLY FOR SINGLE FAMILY DWELLINGS &
......................................
.....................................
......................................
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------------
-------------------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS : / j.???-c?"''?-1}`?<-- x
?
LO'T : BLOCK ? SUBD . ?
?
INSTALLER: ???--?%'t--r ??L? _?u?•
,
ADDRESS : !z
CITY: ZIP :
PHONE # :
FEES
COAir!fER0INDi?STR;AL' PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS ,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPAR.ATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
Jllr. ADLRr.rJJ:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EAl;ti $Z ,0CiIJ OF t?''ERM11 Fr.r..
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ _77?6 e
STATE SURCHARGE: .50
fiUTAL :
s..;---.-
SIGNATURE OF PERMITTEE
$
(SIGNATURE)
CITY OF EAGAN
Volume
Certif i Ti
ca e o tle
AWNER'S DUPLICATE CERTtFICATE
Ccr(itcalc No. 8 3 8 4 4 Document No. 215905
7 rans(er• (rotn No. 80 5 97 .n District Court No.
1'olurne Forty Oriqrally registered the 18th day of April
page 59
State of nZinxzesota,l ss
County of Dalcota. Jy/1rd 6 !,`r? r,•ni,,/??, //rr,/ Meritor Development Corporation
605 l•Jest Travelers Trail
of 1he City
Counry of Da!cota
of Rurnsville
and Stote of flinnesota
15 now the owner of an cstnte, to cuit: fee slmple
(olloceinq described lnnd situated in the County of Dakota
lot One (i), Block One (1),
in BI.ACKHAIlK RIDGE 2ND ADDITION,
according to the recorded plat thereof.
19 59
of nnd in the
and Stare of Minnesota, to cvit:
Suhject ro the encumbrances, liens nnd inierest noted Gy the memorral underwritten or endorsed hereon; and subject to the (o((owrn righ(s
or encumbrances subsistrng, as provrded in Laws 1905, Chapter 305, Section 24, namely: q
l. Liens, clarrns, or rights ctrising under the (aws or the Constitution of the United States, which the stalutes of this stare cannot requrre
to appcar of record;
2. Any real property tax or special assessment for which a sale of the land has not been 12ad at the date of the certificnte oF titie;
3. .1[ny lease for a neriod of not exceeding three years, when there is actual occupneion of the premises under the lense;
4. All rrghts rn public hrghways upon the Innd;
5. Such riqht of appeal or right ro appear and contest the app(rcation as is alfowed by law;
6. 7'he riqhrs of any person in possession under deed or contract for deed from the owraer of the certrfecate of title;
7. Arty outstandinq mechanics lien rrghts which may exist under sections 514.01 to 514.17.
7?hnr the said Pleritor Development Corporation is a corporation organized and existing under XXXd?E($??Xcy?y(16?f}(XXXXXXXXX?E•?ilE?.
X,Ul(XYcUXX the laws of the State of Pennsylvania. XXXrhvXXXXXXXXXud{xKd(XXXXXXXXXXXXYciGxdfJ4m?l,
)i? ?111r;1en / have hereunto subscribed my nnme and afriYed the seal of my ofrice,
rhrs 17th day of P1ay 19 89
JAMES N. DOLAN
Reqrstrar of Titles
l11 ond for the Cocmty of Dahota and Stare of Minnesota. (Seaf)
MH:I1i0ItIAi. JnMts N
of F.xla/ex, F.trxcmen/a or ChargeR on the /.and do-xeribed in the Cerlillcale o! Ttlle herelo a(Iached.
DOCUMENT irv D
NL-MBER o oF
K AT E OF RE GISTRATIO N
DATE Of
INSTR
UMENT -
INSTRUMENT MON7H onv YE?R HO
A.M. UR
P.M. MONTH oar YEAN ???OUN T RUNNING IN FAVOR OF SICNATURE Of REGISTRAR
215904
239209 Declaration
Pressure Re f Pro
Ma
ucin
Fe ec
17
Va
. 2 ive
198
ve
191 ,oven
greem
1 10: nts
3:00
nt
6 nd o
4
and o
12 he
27
he
2 land
189
lan
19 }
-
)
-
The Public
Between City of Eagan and
Meritor Development Corporati
James N. Dolan
n James N. Dolan
? ?4 4?7 /
2404 RES1[?ENTtAL PLUINlBING PERMiT APRUCAfiION
CITY QF EAGAN
3830 PILOT KNC)8 ROAQ, EAGAN NIN 66122
651GT6-6675
Please complete for rnodifications to existing residential dwe{lings. 0
aaW
Site Street address 1,3 ?zfi-k
Prcr Owner `-? V G ?. n £.. ? ?? ? ? TeI a?ne # ?? ?
#?e+tY +? { )
contractor. ? a4-" c-.. TeIephone # ( }
Addtess Ci#y $#ate-?; zip
'fhe Appitcant is: Owner Contractor OEher
J0.kerativns tr? exlsting ttvve#ling 50,0} 9-Add fixtures to raoms, excluding water softener and water heater
?Septic System Abandonment
,_,_Water Turnaround (add $921.04 if a 518" meteris required) ,
I
I tereby appiy for a Residential Plumbing Permit and acknvwledge that the infonnaWrr is cornDleW
and acGUra#e; that the vvork wi41 be in cr?nfc?mnartce with the c??ic?n?s ar?d ?+?s dfi t1e ci€yor
F-agan and the plumbing codes; that tunderstand this is nat a perrnif, but +artly ain a ;' #owfor:.,8
permit, work is no# to start withc?ut a perfnit and work wili be in atcorttantae vAtfi' tho ,apprc?? ???in
-the event a plan is required tcr be reviewed and approved.
??. ?
A?PI«ant.s Printed Name Applieint,s 5ignature
,
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
740'ao
&atd- 6 A,7/
New Construction Reauirements RemodellRepair Reauirements
3 registered sRe surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
? ?
ha
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
? sll
1 set of Energy Calculations Addifion - indicate if on-site septic sysfem
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date p / a
Site Address /Y
IFS Construction Cost
11--2 k--e ?'°f' i ,/ e- Unit/Ste #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner -e- Telephone # ( (6?) } \0 W°
Contractor S ?.m v
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- 1Vlinnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) 5ubmitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
1-vl 1J
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Buil ' Permit and ackno edge that the information is complete and accurate;
that the work will be in conformanc mith d codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pe i, ut 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.
L. r)-,
Apphcant's Printed Name
?
?Applicant's Signature
OFFICE USE ONLY
Sub Types
0 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
0 32 Addition
T? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex 0 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex qf 19 Lower Le el ? 24 Storm Damage
? 12 12-plex Plbg `Y or _ N 0 25 Miscellaneous
Yaluation
Census Code
SAC U n its
# of Units
# of Bldgs ?
Type of Const ? ?.
i
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
Framing
? Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
_ Final/C.O.
S% Final/No C.O.
? Plumbing
? HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ 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
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
0 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof 0 46 WindowslDoors
•Demolltion (Entire Bldg) - Give PCA handout to applicant
Date:
City oEEagau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Useq /
Permit #: j 0 I l q5
Permit Fee: 104, c' -
Date Received: 4144 Ii 3
Staff:
C 1
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Tenant:
I site Address: JL j •64/444140-i,
Suite #:
RESIDENT OWNER
fr,
Name: , �j ,_IV_ s / Phone: / -
Address / City / Zip: / ` i 2 I / h41-,
iLL _'-j
CONTRACTOR
Name: 14.44/1, 4si License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
PLUMBING (Within the building envelope)
dump Pump Repair
SEWER & WATER (Outside the building envelope)
Repair
Other:
Other:
DESCRIP¥TION
\
Description of work: -Idt(4
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground uti ty damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
Applicant's Printed
Required Inspections: Under Ground Rough -In
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159035
Date Issued:11/18/2019
Permit Category:ePermit
Site Address: 1483 Blackhawk Lake Dr
Lot:1 Block: 1 Addition: Blackhawk Ridge 2nd
PID:10-14401-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Brandon S Soketa
1483 Blackhawk Lake Dr
Eagan MN 55122
(612) 704-0585
Perfection Heating & A/c
1770 Gervais Ave
Maplewood MN 55109
(651) 777-7620
Applicant/Permitee: Signature Issued By: Signature