1490 Blackhawk Lake DrDate:
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: [ 4q.1 -3q Permit Fee: 676
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
16 /1 1 13V �3/ckj� / lo.4 0 -
Site Address: a!N
Unit #:
J
RESIDENT /
OWNER
Name: Q(1 f ,O 066 I%l Phone: 651- 687-67p-5-9
Address /City /Zip: P190 eta k_ Lnl 5 -5 -1F --P
U
Applicant is: IF Owner N' Contractor
TYPE OF WORK
Description of work: f )c -c + _ e 0 5a( -i(7 5
Construction Cost: /0 Multi -Family Building: (Yes / No x )
CONTRACTOR
Company: &xxrn Lc. Co . Contact: P+puc.. fc--1 /?9t ti
Address: )61-t/ 0c4.4.441 -P__ I4v _ City: j WS/` $1-, 100.4.,,i
State: /4/1 Zip: 55 I I f3 Phone: 6 s-/- 4/.S = 17-9LJ
License #: Lead Certificate #:
Does this project require Lead Remediation? 0 Yes 0 No (see Page 3 for additional information)
If no, please explain:
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade 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.gopherstateonecall.org
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.
x /7Z!` e � i✓n
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA089738
06/17/2009
ePermit
Site Address: 1490 Blackhawk Lake Dr
Lot: 3 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-030-02
Use:
Description:
Sub Type: e-Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
If there is no ice protection inspection prior to final, the contractor must meet the
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
nspector w/ a ladder and flat bar.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total:
$90.00
Contractor:
Capstone Bros Contracting Inc
216 North River Ridge Cirle
Burnsville MN 55337
(952) 882-8888
- Applicant -
Owner:
Patricia A Dobbins
1490 Blackhawk Lake Dr
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
CITY' OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
7
7
Permit No.
Permit Holder
Date
Telephone #
SAN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
9
`i f 8,*J
//AMB.75
C.0
��'7X
p
t/ -- 5.),0 i
�/�
jYt7r
GI a,c., ..
j%/9.1
d 7 O'
Inspection Date
nsp.
Comments
Footings I
%/43
,,,,,4-)
Foundation
y/203
/,
,w gri' C4O -6-- °UO co rig-,ice e
VZQ -
# . c.4.4,7_,2
c#44
Framing
s -2D 9
3
ps
Roofing
Rough Plbg.
/ /, � '?
{fa�1
Rough Htg.
1.--;20-p
%> L
Isul.
5/4243
Fireplace
s/�,/1,3
.PO
viii
F�`�
Final Htg.
Orsat Test
Final Plbg.
gii.Plbg.
Inspector - Notify Plumber
Const. Meter
Engr./Plan
COQ--p/ekiri 1716 73 S
Bldg. Final
/ _J3
.7.,./4
>
426'
aJ v(°'k(er¢;) ^c;04- 7 /-5-3 f Q,
Deck Ftg.
,
Deck Final
Well
Pr. Disp.
7-51
-
A,� I/ ,i i
7
7
P
Wertificate of Z'ccupanct)
witij o east's
Zepartment of ZuiThhg 3n6pectiou
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification:
SF 1G
R3/M1
206
/� Bldg. Permit No. 50
PD/R1 VN
Occupancy Type Zoning District Type Const.
Address
4376 HICKORY HILLS, PRIOR- LAKE
14%ti4.A4IMAWK LAKE DRIVE L3 B2, WC:MAWit RID 2M
Bui mg Address `„ Locali
Owner of Building' "
Building
cial
Date: Ci
POST IN A CONSPICUOUS PLACE
ress 1490 BLAGOIAWK LAKE DRIVE
Lot • 3 Blk 2 Sub BLArCK HAWK RIDGE 2ND
Zip 5512 2
THESE MS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Dat• /5 / 9 9 �
Yes
No
Inspector: S
t
Final ade " from siding)
,/�
Permanent steps (garage)
r./
Permanent steps (main entry)
✓
Permanent driveway .4
Permanent gas
✓
Sod/Seeded grass
i/
Trail/curb damage
Porch
,/
Basement finish
L.// +
,'
Deck
(0
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 exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
L 34234 �/i2,�9 - 4744.5-
/3/(eix
Request Date
r�
S--1 B -{. ��
Fire No.
Rough -in Inspection
Required?
s r No
❑ Ready Now,! Notify Inspector
When Ready?
I nsed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.)
t qq4 -1j t a C• \R h i C.v _ Dr-
Ci
_tr)
Section No.
Township Name or No.
Range No.
Count
Occupant (PRINT
Phone No.
(+4--) —s__:,..7
Power S ie
C IST t C--
Address`,,,..
CICO t A t x('1"'3 n
Electrical Contractor (Company Na et
Qs L+11 C_ Cep WC
C actor's License No.
x-0(1 .
Maung A ress (Contractor or Owner Making Installation)
t.2 5
Authorized Si ure (Contractor,Owner M )ng Installation)
u
Phone N
/4.0 --3SSS
MINNESOTA SAT BOARD OF ELECTRICITY
Griggs-Midw dg. - Room S-173
1821 Universit Ave.. St. Paul, MN 55104
Phone (612) 642-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
(:)04i3 REQUEST FOR ELECTRICAL INSPECTION
► See instru tions for completing this form on back of yellow copy.
3 42 3 4 5//7 Below Work Covered by This Request
Cf�
E181-08
Nevi
Add
Rep.
Type of Building
Appliances Wired
Equipment Wired
Home
Range
Temporary Service
I1'yv/�j
Duplex
Water Heater
Electric Heating
Apt. Building
Dryer
Other (Specify)
Comm./Industrial
Furnace
Farm
Air Conditioner
Other (specify)
Cont actor's Remarks:
Compute Inspection Fee Below:
#
Other -I
Fee
#
Service Entrance Size
Fee
#
Circuits/Feeders
Fee
Swimming Poo!1
�0
to 200 Amps
18'
0 to 100 Amps
�00
Transformers
Above 200 Amps
Abo e 100 Amps
Signs
Inspector's Use Only: `�
7 2. O�
THIS INSTALLATION MAY BE OR . D DISCONNECTED
COMPLETED WITHIN 18 MO
TOTAL SQ
'18
Irrigation Booms
Special Inspection
IF NOT
Alarm/Communication
Other Fee
,
I, the Electrical Inspector, herebyRough-in
certify that the above inspection has
been made.
♦
Dates,/4f.r7„ 7
2
Final
Date
► Y
OFFICE USE ONLY
This request void 18 months from
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
DESCRIPTION:
REMARKS:
FEE SUMMARY:
CONTRACTOR:
L
OWNER:
APPLICANT/PERMITEE SIGNATURE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
REACTIVATE
iIERMIT #
RECEIVED
1? 9 8 1993
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION �
681-4675
SINGLE & MULTI -FAMILY
COMMERCIAL
2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / / /3 Valuation of work / j e cI a, CO .- ,?v eld er
Site Address:
Tenant Name:
JL -go Ji. I/ A ...' 2. P,x,
STREET
(commercial only)
SUITE S
LOT --3.
BLOCK
SUBD. �f / .vi
Shi'Aif�Al Ai/ryc3 e 2
P.I.D. # •
Description of work: jt'f GJ )e.g7
The applicant
i s : ■ Owner ®--Cintractor • Other (Describe)
Property
Owner
Name Ive,1I -ST'U`B- Phone
LAST FIRST
Address
STREET STE #
City State Zip
Contractor
Company /?,1't/ //ft'.- . Phone 4/S/7- .3-0 r7
_
Address /3 76 ii --y A/,',/Js License # c'O/y O? Exp.3/3'/9V
City /-ic) r Aske State yip Zip "S',..\-3 77,
Architect/
Engineer
Company 0if//tet q'e c,�q yv Phone `/'/ 7 r 6-0 4/ 6
Name ,'i5 0%' eft-(. Registration #
Address
City PIP /c' 3 /#A. State ,v . Zip 6--7;s77-_
Sewer & water licensed plumber
sewer & water permits is two
,74t// ?f,- /°/& Z.`i, fp. . Processing time for
days once area has been approved'.
I hereby acknowledge
correct and agree
Eagan Ordinances.
e4,m ature of
that I have read this application and state that the information is
to comply with all applicable State of Minnesota Statutes and City of
Applicant: ,„:,/,..-4 -- •
BUILDING PERMIT TYPE
01 Foundation
0, 02 SF Dwg.
❑ 03 SF Addition
❑ 04 SF Porch
❑ 05 SF Misc.
WORK TYPE
Z31 New
❑ 32 Addition
OFFICE USE ONLY
❑ 06 Duplex
❑ 07 4-Pl ex
❑ 08 8-Plex
❑ 09 12-Plex
❑ 10 Multi. Add'1.
❑ 33 Alterations
❑ 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length 6,4f,
Depth sv
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
❑ Site
❑ Wallboard
❑ 11 Apt./Lodging
❑ 12 Multi. Misc.
❑ 13 Garage/Accessory
❑ 14 Fireplace
❑ 15 Deck
❑ 35 Tenant Finish
❑ 36 Move
Basement sq. ft.
1st F1. sq. ft.
2nd Fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
❑ Footing
❑ Final
❑ Framing
❑ Draintile
11.
❑16Bas
❑ 17 Swim Pool
❑ 18 Comm./Ind.
❑ 19 Comm./Ind. Misc.
❑ 20 Public Facility
❑ 21 Miscellaneous
❑ 37 Demolish
MWCC System YES
City Water y
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
II U rte
Assessments
Yas
❑ Insulation
❑ Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units
Valuation:
$ Int 000 -
GARAGE_ 3zn Z2 7°11
zx2.1 = 412
ESMtr .rp-4 x / 4,
-p---- 2 4 A26, 624
R360
1s -r Loo!2
3° Kai z 720
29x26_62,1
11936
l)( c:2 10
Zxc1- /'
2 nfb Fr�ol� ;
13-11X5`17 '7 �1 Q$
24,c 2/2.- 909
1N XI fel
-0 Li
$,q
ROBE
ENGINEERING
COMPANY, INC.
1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PN 432-3000
CONSULTING ENGINEERS
PLANNERS and LAND SURVEYORS
8,41. /1/ gem5S
#56Z9.0/
8K. 19!
F.
CERTIFICATE OF SURVEY
Legal Description: LOT 3 BLoe& 4 B/-9C&/�46t/.�/OGE 2ivn A1�.t�/Trr'
AP1.i Al UAA •
SCALE : 1' = 30'
30.00
(8�:5
(.%2,4 )
86Z.77
860, o8
863./0
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
= FINISHED GARAGE FLOOR ELEVATION
= BASEMENT FLOOR ELEVATION
= TOP OF FOUNDATION ELEVATION
.SENc yM4CK : ,4 // . - Bt4(( 4fv/<- L4k6 oR/vg
"Mel' /40x LAS C//ZCLE.
Tao ELEV, = 847. 06
30 FT. FRONT f3U1LDINC
SETC.QCK LINE
Nue 4 862.05
(8-61.-n ® 26.no
/ t —1-
t
Tf �1 1
A/ 87°03'28"66-
150.00
(13-7-, 9'
(067.9)
1
•
°
445.96
/5/ 6¢
/vg7'D '/("W
L
/ /
y
ORAbv e 4N0
V 77L/ T Y E4S9MENT
I hereby certify that this is a true and correct representation of a tract c
land as shown and described hereon. As prepared by me this 6 T day c
ATR/ , 19 93
Minn. Reg. No. /6o/5
1
I
VD
VD 0
le 0 °o
v
0y��p0r0
Di D 0
LOT SURVEY CUCZLIST FOR RZSIDZ TIAL
*UILDI$O PZ*XIT APPLICATION
narniX.47,2211 --ZdT Zz./.(415
Pocvx!NT fTANAs
Date of Surveys
• Registered Land Surveyor signature and company
• Sui'lding Permit Applicant
• Legal description
• Address
• North arrow and bar scale
• Nouse type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows vitt slope/gradient t.
• Proposed/existing sewer and water services
• Street name
• Driveway
jtTOATIONs
2xisti!q
•
u o •
fro D 0 •
•
IrD D •
LI
D15'D
•
•
0'D D •
8`0 D •
Sewer service
Lot corners
Top of curb at the driveway
Elevations of any existing adjacent homes
yr000sed
Garage floor
First floor
Lowest exposed elevation (walkout/window)
Property corners
Front and rear of home at the foundation
'W. -DING AREAS 1if ammlieablel
Easement line
NW'L
HWL
Pond designation
Emergency Overflow Elevation
D1X!NsZQNs
Lot lines
Right-of-way and street width (to back of curb)
Proposed Dome dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
existing hoz
Retaining �equ *manta, if any
Reviewed:
Name
"P'/?__3
ENERGY CODE DESIGN DY ACCEPTABLE PRACTICE
To Determine Compliance with the Minnesota Energy Code
(Section 602 of the State Amended 1983 Model Energy Code)
This form is only applicable to detached one -and two --family dwellings. The requirements herein
are based on Table No. 6-11 in lieu of the criteria specified in Sections 602.2.1, .2 and .3.
Building Address ja ! -3 B /GOr- Z B 94/0// _.
Contractor or Owner 441-.0!' J0 gom e S �" .' /F
ea,
Building Element "R" Values Area (sq ft) % of E`xt. Walls
. Ceilings besign4C) Req'd 38
Walls (exterior) DesignW, Req'd 20 W02_
Floors (over unheated (w/o fdn)
spaces) Design 21,c� Req+d 20
*Windows (in bldgs w/o �a Design OA Req'd 12
sliding glass door)
*Windows
lid ows (in bldgs with a 19004 Design a.5 Req'd 10
ng glass door) (glass)
Foundation Walls Design J/A Req'd 5 (when insulating full depth of
foundation wall)
Design ((.2 i eq'd 10. (when insulating only to frost
depth and footings extend below)
Slab -cin -grade floors, Design tl//\ Req'd (See Figure No. 3)
**Doors (1-3/4" metal faced) Design -1.4'5 Req'cl 3
* All windows shall be double glazed or have storm windows
** Conventional doors other than metal require a storm door
(glass)
CERTIPICATICN
I hereby certify that I have completed the aboveinformation and that it complies with the
(Minnesota State : er
Signature
BSD 3-89
CC/SN(/6593
Date . Fig 93
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
)( NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 5 /1,3 /4 3
014.1111.1111,..11.•1111.011411.11.4•100•111.1.61.10.4.11041..........41.111,11.1041.11.1....111•1••
FEES
HVAC: 0-100 M BTU $ 24:0000
ADDITIONAL, 50 M BTU 6
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING coNsmucrioN)• c.70
$ 15.00
STATE SURCHARGE .50
TOTAL QO
SITE ADDRESS: 14 10 1.."AA.) L 11.. Or,
OWNER NAME: ti Veit) 1-1-0 v". 4 S
INSTALLER: Oa t I ‘_i
ADDRESS: t tA.) 1 244-' 4 -
CITY: 5 A. JA5P
TELEPHONE #: Q 43c 1
TELEPHONE #: 447-. 52 c<1
STATE: AA 0 ZIP CODE: 5S- 318
ATURF,OF PERM1' thE
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI -FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
.101004111.111001.1•11.....0111041111.101111•1•11111400.11104%.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF rawfw FEE.
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER.
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERM1FIEE CITY INSPECTOR
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACII TOTAL
/ SHOWER 3.00 3. °°
_2i_ WATER CLOSET 3.00 C. • vo
BATH TUB 3.00 3.
LAVATORY 3.00 G i cso
/ KITCHEN SINK 3.00 3.00
/ LAUNDRY TRAY 3.00
/ HOT TUB/SPA 3.00 3. °O
WATER HEATER 3.00 3. 470
FLOOR DRAIN 3.00 1."''
—%— GAS PIPING OUTLET • minimum - 1 3.00 3. es
3 ROUGH OPENINGS 1.50 4.50
' WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cty. lic. 15.00
U.G. SPRINKLER • home under const. 3.00
ALTERATIONS • to existing 15.00
WATER TURN AROUND 15.00
(6, so
STATE SURCHARGE .50
TOTAL:
SI 1'h ADDRESS: ` L i 0 N4IN f L A c. Vc. H Aw 1c LA. k- &r
OWNER NAME: 5+e -v e_ 4,J F i2D0,(Cke /-4 opt e 5
INSTALLER: S ictze.r' P t """` b i'/Qt)
ADDRESS: 5'4 Cj / 140 tk S �'
CITY: PCL)( LI &. STATE: je4r ZIP CODE: 5-S73 9°1
PHONE #: (61a_ ) L{ �i — '®
SIGNA E OF PER Tl'1'hE
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF
MINIMUM FEE: $ 25.00
PERMIT
CONTRACT PRICE X 1% $
STATE SURCHARGE
TOTAL
FEE.
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE #:
FOR:
CITY OF EAGAN APPLICANT
Certificate of T
OWNER'S DUPLICATE CERTIFICATE
Certificate No. 83853
Transfer from No. 8 0 5 9 8
17olume Forty
Document No. 215905
Originally registered the 18th
page 59
District Court No.
day of April
State of Minnesota, ss
County of Dakota. .Y/6 6J. la cert' j, //rte Meritor Development Corporation
605 West Travelers Trail
ofthe City of Burnsville
County of Dakota and State of Minnesota
is now the owner of an estate, to wit: fee simple
following described land situated in the County of Dakota
Lot Three (3), Block Two (2),
in BLACKHAWK RIDGE 2ND ADDITION,
according to the recorded plat thereof.
of and in the
and State of Minnesota, to wit:
Subject to the encumbrances, liens and interest noted by the memorial underwritten or endorsed hereon; and subject to the following rights
or encumbrances subsisting, as provided in Laws 1905, Chapter 305, Section 24, namely:
1. Liens, claims. or rights arising under the laws or the Constitution of the United States, which the statutes of this state cannot require
to appear- of record;
2. Any real property tax or special assessment for which a sale of the land has not been had at the date of the certificate of title;
3. Any lease for a period of not exceeding three years, when there is actual occupation of the premises under the lease;
4. All rights in public highways upon the land;
5. Such right of appeal or right to appear and contest the application as is allowed by law;
6. The rights of any person in possession under deed or contract for deed from the owner of the certificate of title;
7. Any outstanding mechanics lien rights which may exist under sections 514.01 to 514.17.
That the said Meritor Development Corporation is a corporation organized and existing under XXXc?1JX 1yP4d(6XXXXXXXXXX X1X,X
x361GXXr NXXX the laws of the State of Pennsylvania. XXx}¢jXXXXXXXXYcXrKdll(XXXXXXXXXXXXX)Exumn 1.
Y/c( ejj ne)reo7 1 have hereunto subscribed my name and axed the seal of my once,
this 17th day of May 19 89
JAMES N. DOLAN
Registrar of Titles
In and for the County of Dakota and State of Minnesota.
(Seal)
MEMOIUAL
of Estates, Easements or Charges on the Land described in the Certificate of Title hereto attached.
DOCUMENT
NUMRER
KIND Of
INSTRUMENT
DATE OF REGISTRATION
DATE OF INSTRUMENT
AMOUNT
RUNNING IN FAVOR OF
SIGNATURE OF REGISTRAR
MONTH
DAY
YEAR
HOUR
MONTH
DAY
YEAR
A.M.
P.M.
215904
Declaration
f Protective
Covencnts
and other
lands)
May
17
1989
3:00
4
27
'89
-
The Public
James N. Dolan
124147
'ight of Way
Plat No.
9-51
(Parcel
418)
Minnesota Department of Trarsporation
Aug.
27
1982
1
-
-
-
-
(Access
control
n above
&
Dther
lards)
James J. Foutchis
126524
W.D.
Jan.
24
1983
3
1
14
'83
$2,00J,
00.00 (Subject to Access contro.
on above & other lands)
James N. Dolan
239209
Pressure Reducing
Valve
Agree
nt
(and other
Lancs)
Between City of Eagan and
Feb.
26
191
10:
6
12
2'
'9C
-
Meritor Development Corporation
James N. Dolan
C -=='
City of E$li
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: (0-1 (o(
Permit #: 16
Permit Fee: ✓o CH -
Date
Received:
Staff:
2009 MECHANICAL PERMIT APPLICATION
Site Address: ( ?)V1 C - KQ L-
J
Tenant: Suite #:
RESIDENT / OWNER
Phone A`lV--52-1 54
Address / City / Zip: 4C0 `J1�1C1� `� � '-tk L ' p
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
Dan Wohlers Southside Htg. & A/C License MALI— O5'A q 8
6950 W. 146th St., #106
Apple Valley, MN 55124
State: Zip:
(952) 431-7099
New
Replacement
0
.. ,......,4 Person: CY1.1.i kA.
Additional Alteration Demolition
RESIDENTIAL
Fumace
i7�ilr Conditioner
_ Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
_ Install Piping _-. Processed
Exterior HVAC Unit
Gas
Under / Above ground Tank ( Install / _ Remove)
•* When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
53. So TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR
$50.50 Minimum (includes State Surcharge)
- If Permit Egg is Tess than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
Contract Value $
_$
_$
x 1%
Permit Fee
State Surcharge
TOTAL FEE
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 plant.
x L,.hi-errs
Applicant's Printed Name
Applicant's Signature
Date:
CityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Permit #:
Permit Fee:
Date Received:
Staff:
2009 RESIDENTIAL PLUMBING PERMIT
q APPLICATION
5 -2u -col . Site Address: 1(4( 0 gic�G .�.GL LUQ Imo. LAE_
KX_
Tenant: PetA D(b k i `h
Suite #:
RESIDENT / OWNER
)Z— 321- 5LI to.
Name: Pari" Ar,b f o. N Phone:'Q o"
Address / City / Zip: IL -10i 0 g i(•t C.Ic Lc
tic(_. �ib'v"Vic, i ISS /Z2_
CONTRACTOR
Name: Sk,i'nKir"out S P\ (A t n:14 t I ft C . License #: 058(.0E5
Address: ) )L Ea S+ 5-44A ,S.Ii-ed SiA,l -i i 6/
(
City: C S k e State: NI Ni Zip: 55-31g
Phone: f j2 -3121-61 2 i Contact Person: iCIL
TYPE OF WORK
New /Replacement Repair Rebuild Modify Space Work in R.O.W.
—
Description of work:
PERMIT TYPE
RESIDENTIAL
( Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( 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
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
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 nof,planns.
tt�,lCk c
n tat `) Y�'E'w"r �✓
x LSzI t I'i CCM { S
x la
Applicant's Printed Name Applicant's Signature
FOR OF
4111
City of kali
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: t i l 55
Permit Fee: 374 7,
Date Received: ( 3
Staff:
� J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
l� f
1- 3- Z013 Site Address: 14\0\0 'S\ v.440_ ry y Unit #:
Resident/
Owner 1 Address / City / Zip:
$ Applicant is: Owner
Phone:
Contractor
Contractor
Description of work: auwAsk.1 %1G - z i . i /C ire µ /!ter%
Construction Cost:
Multi -Family Building: (Yes / No
Company: ... ore lL6 m ,-Zeg,b, •-la't\6 Contact: ,p\nv WA...-
Address:
:`\yAddress: 5920 Pig14 .Sg& 4) .-i r'/e,4/0O City: Affif adky
State: MK) Zip: 55)Z'f
Phone: q- "43/"' /67D
License #: EC/ ZS Lead Certificate #: 1.7/ — ZO(s 1 0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
'per,\$e C.QC,r 1,4-1S
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:
Mechanical Contractor: Phone:
Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. can 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.gopherstateonecall.org
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 Building Code must be completed within 180
days of permit issuance.
J111:A\er.
Applicants Printed Name
0 )( I"L )k '(t
DO NOT WRITE BELOW THIS LINE
L i013g
SUB TYPES
Foundation Fireplace
,. Single Family Garage
Multi _ Deck
01 of _ Plex — Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ✓ )
Census Code
#of Units
# of Buildings
Type of Construction
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
ove
L/3
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
/414 Framing
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Air Test –r—
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
_ Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
;0407
PD
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
At Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
5290 h- / Yv)/ a ,70'-'Y# _ 1>oSp
/3y
Page 2 of 3
01/04/13 01/02/13
John
952-431-1670
Open permits
Zoned
PD
Lead
NAT -20671-0
Built in 93
Scope ?
LL
1490 Blackhawk Lake Dr
Lower level finish
James Barton Design
Frame in new storage space
Create a family room
Replace center bearing wall with a new beam
What is a "2 ply 1000Isb300-118"
Provide dimensions
15'-6" span, with 600#/ LF
4650# on each end
Provide framing detail above
Kitchen wall does not stack directly above
Roof Toad?
NO, wall does not go all the way to the ceiling
Verify existing footing is adequate for new point Toad
19"X19" or 16"X21"
Close in mech room
Provide comb air calc
Relocate shut off valves
New energy wall at foundation ?
What is existing insulation
What is new insulation
Main level floor plan?
New kitchen cabinets
Larger island
Longer cab on Lvrm wall
New stove ?
Kitchen hood?
Open any exterior walls ?
Soffits?
Left a message for John 1/4/13 @ 12:10 PM
��108738
11/90 ,CLk AY DA
PFR,wir t /O $7$r
Client
Project Name:
Job#: Quantity 1
drop beam Rosboro X -Beam 5.5" X 11.875"
Description:
Shipping
R F r
�1VCD
APR 0 9 2013
2/28/2013 11:33 AM
Page 1 of 2
Designer
1 SPF
tI
2 SPF
16'8"
16'8"
X
5 1/2"
11 718"
r
User Inputs
Design Method: ASD Load Sharing: No Spans
Type: Girder importance: Normal Span 1: 16-8-0
Application: Floor Temperature: Temp <= 100'F 'Bearings
Piles: 1 Decking: Not Checked Brg 1: 5.5" SPF
Material lype: Glulam Defl. LL Span: L / 380 Brg 2: 5.5" SPF
Material Name: Rosboro X -Beam Defl. LL Cant: 11180
Depth: 11,875 Deft. TL Span: L / 240
Width: 5,5 Defl. TL Cant; L/ 100
Analysis Details
Material Properties
Name E Fb Fb_lop Fcp Fv Density Layup Label
Rosboro X -Beam 1.8E6 2400 1850 650 205 35 24F -V4 OF/
nF
Resistance Factors
Moment Factor Shear Factor Comp Perp Factor Cr -Bending Cr -Shear Load Sharing CI Ct (E)
0.986010139599686 1 1 1 1 No 1 1
EI (Including Ct (E))
Bare El
1,381512E+009
Composite El
1.381512E+009
Ct (E) (temp. factor for E)
1
Load Combinations Checked for Strength (Factors include importance factor)
Comb. No. Description Pattern Count Cd -Duration D L
1 0 1 0.9 1 0
2 D+L 1 1 1 1
0
0
W C
O 0
O a
Load Combinations Checked for Deflection (Total Loads: Dead + Live Loads)
Comb. No. Description Pattern Count Cd -Duration 0 L
1 D 1 0.9 1 0
2 D+L 1 1 1 1
S
0
0
W C
O 0
O 0
Load Combinations Checked for Deflection (Live Loads)
Comb, No. Description Pattern Count Cd -Duration
1 L 1 1
0
L S W C
1 0 0 0
Powered by 1„7IStruct`" 12.4,156
A1CriAlEP
(1
a
10 738
Client
Protect Name:
Job#: Quantity 1
drop beam Rosboro X -Beam 5.5" X 11.875"
Description:
Shipping
2/2812013 11:33 AM
Page 2 of 2
Designer:
Bearing Calculation (MR: Max Reaction)
Brg. No. Input Length Req'ed Length Reaction MR Load Comb. MR Load Case MR Dead MR Live Uplift
1 5.5 2.25 5099 D+L L 1274 3825 0
2 5.5 2.25 5099 0+1 L 1274 3825 0
Maximum Moment at Each Segment (zero moment to zero moment) for the Worst Load Case
Combination Load Case Segment Len. Moment Top/Bottom Left End -X Cd Cv CL Resist. Mr Mrorig Ratio
Factor
0+1 L 15-11-4 20316 Bottom 8-4-0 1 1 0.986 0.986 25491 25853 0.797
Maximum Shear at Each Member
Mem No. Span No. Brg No. Max Combination Load Case Cd Res... Max Shear Vr Ratio
Fac...
1 Spn 1 2 Yes 0+1 L 1 1 4466 11539 0.387
Maximum Deflection on Span and Cantilever for Total Load (Dead + Live)
Def. Span Desc. Combination Load Case Max Deflection Span ID Span -X Span Analog Length L / Allowable L/Actual Ratio
Critical Span D+L L 0.6724 Spn 1 7-11-11 15-11-4 240 284.4 0.84
Maximum Deflection on Span and Cantilever for Live Load Only
Def. Span Desc. Combination Load Case Max Deflection Span ID Span -X Span Analog Length L. /Allowable L/Actual Ratio
Critical Span 0+1 . L 0.6724 Spn 1 7-11-11 15-11-4 240 284.4 0.84
Powered by Q iStructr" 12:4.156
AiDsl _CtIJ€ r%SR3.S
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA107835
Date Issued: 10/30/2012
Permit Category: ePermit
Site Address: 1490 Blackhawk Lake Dr
Lot: 3 Block: 2 Addition. Blackhawk Ridge 2nd
PID: 10-14401-02-030
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Patricia A Dobbins
1490 Blackhawk Lake Dr
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
city otEtan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLU
or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
7 pc
002
L _1
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: `�! '`[}
Site Address:
Tenant: Suite #:
PLUMBING (Within the building envelope)
Sump Pump Repair
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 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of
can be found by visiting www.citvofeaqan.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 utili
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 th
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is no
permit; th Lthe work will be in accordance with the approved plan in the case of work which requires a review and ap
a
ontractors
y damage. Call
ordinances and
to start without a
oval of plans.
Applicant's Pri9t tI Names Applicant' Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA123078
Date Issued: 05/28/2014
Permit Category: ePermit
Site Address: 1490 Blackhawk Lake Dr
Lot: 3 Block: 2 Addition. Blackhawk Ridge 2nd
PID: 10-14401-02-030
Use:
Description:
Sub Type: Reroof
Work Type: Replace
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes.
Amanda Peters
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
JNS Builders LLC
2325 Endicott Street
St. Paul MN 55114
(651) 646-0221
- Applicant -
Owner:
Patricia A Dobbins
1490 Blackhawk Lake Dr
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA124482
Date Issued: 07/02/2014
Permit Category: ePermit
Site Address: 1490 Blackhawk Lake Dr
Lot: 3 Block: 2 Addition. Blackhawk Ridge 2nd
PID: 10-14401-02-030
Use:
Description:
Sub Type: Siding
Work Type: Replace
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
.Ins Builders Llc
2325 Endicott Street
St. Paul MN 55114
(651) 646-0221
- Applicant -
Owner:
Patricia A Dobbins
1490 Blackhawk Lake Dr
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA130439
Date Issued: 04/24/2015
Permit Category: ePermit
Site Address: 1490 Blackhawk Lake Dr
Lot: 3 Block: 2 Addition: Blackhawk Ridge 2nd
PID: 10-14401-02-030
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Jamie Rippel
12850 Chestnut Blvd
Shakopee, MN 55379
Fee Summary:
PL - Permit Fee (WS &/or WH) $55.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
- Applicant -
Owner:
Patricia A Dobbins
1490 Blackhawk Lake Dr
Eagan MN 55122
(651) 687-0254
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Building
Permit Number: EA146042
Date Issued: 10/05/2017
Permit Category: ePermit
Site Address: 1490 Blackhawk Lake Dr
Lot: 3 Block: 2 Addition: Blackhawk Ridge 2nd
PID: 10-14401-02-030
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 - Residential Additions, Alterations
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
- Applicant -
Owner:
Patricia A Dobbins
1490 Blackhawk Lake Dr
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature