1522 Blackhawk Lake Dr:??
??°?a
. ?
?_
.? ,
,?; ..
: ?.
?
t &T `?
wemficate vf Cccuvancv
Wst4 nf Cfa??
200rtmeut ? ???? ???pation
This Certificate issued pursuant to the requirements of the Unifoim Building Code
certifying that at the time of issuance this structure was in compliance with the various --
ordinances of the Ciry regulating building construction or use. For the following:
Use Classification: Bldg. Permit No_ ?
+
Occq-cy Type R 3/ M I Zoning District PDARLl Type consr. VN
Owner of .E.SSICJI3At: `E'.IIG Address q3?12` t761Ii_ S'f, a ?I?A[?E4TLI1?.?
BuildingP'? U??
` s?g naa? AI? IyKTV? L???? L 11, , ??
?
`?' 12f t$f42
Date:
Building . POST IN A CONSPiCUOUS PLACE
? K
k
4Addreq s : 1522 gLAGqIAWK T,qM DRIVFLO t 11 Blk 2 Sec/Subg???W RIDGE 2Np ZIP: 2
These items were/were not complete at the time of the final inspection.
Date: 12/18/92 Yes No Tnsppctnrw 4
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass ?"
Trail/curb damage ??
Porch
Basement finish ?
Deck LX
Please verify with the builder the removal of roof test caps from the plwabing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. (Xl?
11EMlFD IYEh
White - City copy Yellow - Resident copy Pink.- Contractor copy
?, ? 13 4 4
I Request Date Fire No.
ti ?2 Rough-in Inspection
uired?
? Ready Now '?Will Notify Inspector
Wh
R
d
?
!?
-
4 -Yes C No en
ea
y
I?licensed contractor ] o
tric
l work at:
n
h
t i
ti
l
b
f
b
w
er
ere
y reque on o
ove
s
nspec
a a
e
ec
Jab Address (Street. Box or Route No ) City
Sectton No. Township Name or No. Range No. Cou
rio
Occupant INT)
c
p Phone No.
q I r l%
Power Supp6er
o"? Addres
I D ?'1
Electrica( Contractor (Company Name)
qw c*-6c
azs
Cz tylC- Contractor's Llcense No.
CA-QSit g2
_
Mailing Addr s(Contractor or Owner Making Installation
l 24to? ?ao?? v
Authorized Signature (Contractov0 king InstallaUOn)
D Phone Nu er
? \J?
V
,
MINNESOT?TATE BOARD OF fLECTRICITP THIS INSPECTION REQUEST WILL NOT
Griggs-Mid y Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
?1 522 ;E(?USESTrFORoEp ECTIRI?CA?L blNSPEICTION
?1 ? Q Q,d, ??X" Below Work Covered by This Request
?TME?
EB-00001-08 ?. ?.d
ew Acla Rep. TypeofBuiiding AppliancesWired EquipmentWired
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:
Compufe Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 = Amps
Signs Inspector's Use Only: TOTAL
c)
Irrigation Booms !5
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date .-rG` ,_
certify that the above inspection has
been made. oat '?? ?
OFFICE USE ONLY
This request void 18 months from
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDINQ
600238
04f14/92
SITE ADDRESS:
DESCRIPTION:
1522 BLACKHAWK
LOTx 11 BLOGK: 2
BLACKHAWK RIDGE 2ND
Builif`I€g Fermit Type
LAKE DR
SF DWG
NEW
it-3 M-1
V-N
PQ R-1
53
59
REMARKS:
PRv
S& W CONTRAGTOR - FORCIER PLBG
FEE SUMMARY: ttqLUATION $116,e00
Base Fee
Plan Review
Surcharge
sac
SAC %
SAC Units
Subtotal
$695.58
$452.08
$58.00
$700.00
18@
1
$1.985.5$
N-?R,? ~ Applxcanz - y1 • WNER:
CO
?15R?F'?IR ?I-dNAL Bl.QG CANCEP7S 18919969 000373 PRQFESSIONAL BLDG CONGEPTS
9392 176TH ST 9392 1761"H 5T
LAKEVILLE MN 55644 LaKEVILI.E MN 55044
(612) 891-9969 (612)891-9969
( I hereby acknowledge tMa-t I`have read thls:_ app3.ica-tian ano statv? that tho I
infarmat3on is Correct :and argrev, to csrtnply ?1,'?h aPPlicAbl.e Sta:te ?f Mn.
Sta"CUte6 a['t$ City o:"? Eagi9#1 C3!"'diCt.a!`1.Gf3s'.
APPL CAN /P RMITEE SfGN U ISSD? Y?jIGNAT RE?-
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: L 0 T:
1522 BLACKHAWK
BLACKHAWK RIDGE 2ND
PE?Ftaw,%UBTYPE:
11 BLOCK: 2
IAKE DR
MI5CELLANEOU5 ;1,610.50
LICENSE SEARCH 5.00
7ota1 Fee $3,521.08
APPLICANT:
pRQfESSIONAL BLDG
(612) 891-9969
TYPE OF WORK:
Control No. 0218
Control No. 01 2 18
BUII.DING
000238
04/14/92
CONCEPTS
NEw
INSPECTION . . .
FOOTING FRAMING
INSULATZON FINAL ,
FIREPLACE
' REMARKS: PRV
? S& W CONTRAGTOR - FpRGIER PLBG
F_
PERMIT ?
PERMI? #. 1
cInr oF EAGaN
1992 BUILDING PERMIT APPLICATION
681-4675
? ? s -? 1, 0.8,/
4PR 0'9 RECO
SINGLE & M!1l.TI-FAMILY 2 sets of p7ans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penaity, applies when typing of pern+it 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.
Date Val uati on of work
Site Address: L4l Z? 7o k. a. C. a IG v - a"a ?o .
,
STREET ? STE
Tenant Name:
LOT L? BLOCK IZ SUBD. &,.ZzD ?IWQJ
.0. ?
P
. Y
Descri tion of work: ??-O - S?"' w
The appl i cant i s: O Owner 45 Contractor 0 Other (Describe)
. Name Rhone
Property LAST FtRSr
Owner ??
pddress
STREET STE #
City State Zip
Company " s Phorte T-iL„9?
COntt'BCtOP Address License ?3_ 2 Exp.
0/
0Z
C i t
?
v
i
y
_GLIC.P
State
p
Company Phone
Architect/
Engineer Name yYt.Z_./ -Reyistration #
Address
t .
City FState 'Zip
Sewer & water licensed piumber i { . Processing time for
sewer & water permits is two days once area has been app ve .
I hereby acknawledge that I have read this application and state that the infarmation is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ,
Signature of Applicant:
Vrr?VG Vv7G VI?L.I
BUILDING PERMtT. TYPE
O 01 Foundation E3 05 Apt. Bldg O 09 Basement Finish
0 02 SF Owg. ? 06 Garage/Accessory ? 10 Swim Pool
E3 03 Two family 17 07 Fireplace O 11 Res. Add./Porch
? 04 Multi-fam. T.H. 0 08 Deck ? 12 Comm./Ind.
WORK TYPE
31 New
? 32 Addition
E3 33 Alterations
? 34 Repair
O 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
? 37 Demolish
O 99 Undefined
D eP611&ac.
E3 14 Agricultural
? 15 Miscellaneous
Const. (Actual) V-N Basement sq. ft. MWCC System Yfi.-s
(Allowable) V-pq lst F1. sq. ft. City Water ,YG..
UBC Occupancy -? M_I 2nd F1. sq. ft. PRV Required
Zoning PD R-1 Sq. Ft. total Booster Pump
f of Stories Footprint Sq. ft. Fire SprinkTer
Length ? On-site well Census Code roi
Depth ?_ On-site sewage SAC Code or
APPROVALS
Planning Building 2°(39?1Q?
Engineering Variance
REQUIRED INSPECTIONS
E3 Site E3 Footing ? Framing
? Wallboard E3 final ? Draintile
E3 Insulation
0 Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
C i ty SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharg e
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % i o 0
SAC Units =
volu.tion: s? 14fow
.?-----.
v'Lo KZZ,= 4y?
BZMT , G4 S X 16 04 g
aOIIaq? 35 .
x
ar1x5o = 11,50
j Y 22 = 2Z
153q x !y = z3,o?s
? S'S'
_????T ??`??
5??,0$
82 i7
Assessments
11 5j 0 30
A CONSUI.TINt3 ENt31f1E?EfiS `
hd 1?E PIANNEflS and L(1ND iUAVEYOAS
ENGINEERING .
COMPRNY, INC.
1000 EAST 146th STREET, BURNSVILLE , MINNESOTA 55337
?oo,oa" ?.
•?0?0 ?oo '' S ?300
.i Yi 41, z ? F
CERTIFICATE C.lF SUR1/EY
Legal Description; LoT ?
14"7
/
/
?
?
C.$&Z.0^) UENOTES EXISTINU ELEVATiON,
( 846.5 ) UENOTES PROPOSED ELEVATION
iNDICATES DIRECTION OF SURFACE DRAINAGE
84?0,83 = FINISHEU GARAGE FLOOR ELEVATION
839. 12 BASEMENT FLOOFi ELEVATION -? 847, Ib =TOP OF fOUNUAT'IUN CL.EVATION
SCALE : 1' = 30'
?
~g??°? $??'?'9r?/
-?•....`` '? ?,q?,,?'
?
. ? ?.
? \
\
? -?
1
N
or
J
zp __
CIJ .
tW? ??YI
w v
-*.1
S
• , ?
oI
`
?
?
L
?8K /6 6
PH 432-30Q0
ex
? N
r -?
`?n 41 ?
BQ.?=p\ ; //,Op
/3.67
L- `
? PRo,q?S.E,a `_
HovsE-
1¢ $o
10.Op _
n ?
_5 (491
1
1
,
t0 , ?
1 `..J
0
o
Zg„4 93)
? O
9
? ?? ?;
s
n 7
T F,C'oNT 6 ?/1?D1N6
G,C.' L/NE
4Rr
.> .r '? /? ^.!;•s?
25
SE o ?
.?:c
0 '..
WlN??
?
/ ?-`-?
?d'? 09?
_ ??'-663 ° 6
?=
'"'1
*k, tl .z ,, x v ?,yt ? •§ ., b
..J?
v?
•.,
.o
?
??.
, o0
vle'
?
% 5
?
DRA/AlACE ¢NO
U7/L/Ty E45E1Y/cN7'
? S 6 0 9?0? 9AN/TARY 9E14/E.2
6 3¢- E9SE??EN7' PE,C' ODG.
ND. 63969
(s4z. 5)
I hereby certify that this is a true and correct representation of,? tract oj
land as ahown and dsscribed 2iereon. As preparea by me this S day o;
ff P211? , 19 '72 . '
z5z-5'? - ? l4inn. Rey. 21o. /6085 _
r ,
EXTER?OR ENVCLOPE AVCRAGC..,"U"__.COMPl1T/1;(TON..
k • c?
oH? N E R;??) ?=--?l_ n n ?? r:_ ( c. 2
? p
S I T C. AD O R E S S: ?' F, 0^I E: ?0 I _
CON TRACTOR :Tm, a'C?"F ?.?:>1 C.h?.l???...- C??s ? ?-? ^.l ?:, (2QmP LF-\1PLAN #
Determine working square footage of each
1. Total exposed wall area..... . Z,19 0 k_ sq. -ft. x .11 = b?9' ?
2. Total roof/ceiling area..... I(v sq. ft. x .026
Total _expcsed wa11 area abave.floor=__I'? -7- 1
a. Total wall window area .... .. .. . .. . . . . . .. . . .. .. . . . . . .. . . .. . . . .. . .. Z3) - ?-
b, Total door area ...............
c. Total sliding glass door area ....................................
d. Total fireplace wall area ........................................ -
e. Total wall framing area (average 10%) ............................ S-l?1I
f. Total rim joist area ............................................. 1
g. net wall area above -Floor.......... . ... .. ....... .. ... I 4 l ?
h . ?l. a r e a a?+re f 10 o r . 1.N.4u 4 - '-,? N ^-i - r? . ??e. ;? , 115-
i . ?,tl a r e a adaeye f 10 o r . . .'.' . . . . . . . ?' . . . : !(-4 . . . . . . . . . . . . . . cf S"
j. frame wall area at Toi.ndation ...................................
Total exposed foundation ai°ea= 30'5-
k. Total foundation window area ......................
l. Total net fioundation area above grade ..............
Determine "u" value of each wall segment
(e.g. window, door, each separate wail section)
a. X „u„ _ (oq
b. X u??
C X „ u„ , Li 7
d. X iiuil .,.... '_
e. °1,?I X liult , c??Cr _ I N?
f. (?-P{ X liujj q?
9,
? ..?
1
X
l, U„
h ?, .
? X liuij q6
i. S7 x lluit ??-
j X liuii
k. x [lull _
X "U" ./?
Lt/-N
If item r-"3 is the sami
as, or less than item
nl, you have met the?
intent of SBC 6006 (c,
3. .................................Total = Z Z7, -
r • I
4. TOT: L EXPOSED RQOF/CE i L I riG CALCULAT I ONS :
Total exposed
roof/cei 1 ing area. .. ..,.. sq ft
?? it ? -
j) Total skyliaht area...... - sq ft x U _
k) 7ota1 roof/ceilinq framing 9,
area (Averaae in?;) , ... ( ZZ?? sq ft x "U" ? OZ = ?` If
1) Total net insulated Z.Z. O
roof/ceilinq area....... O ?q sq ft x "U"
? TOTAL j) thru 1)
If total of '-11; is the same as, or less than N2, you have met the intent of
2`SCPZ 1.16008 A ar_d 0.
ALTERPIATE BU I LDI I•IG EPlVELOPE DES I GN
To utilize the total envelope system method, the values established by the sum
of i tems ='3 znd #4 shal l not be greater than the sum of i tems #l and .92.
t. Z`IO+ z. 3Z:`??. = Z?3'?$?
3. + 4. Zs-, ol = z s ? ? ?I 1 '
? LINEAL FEET EXPOSED WALL
. ? > .
. B L 0 C K : N f Zy, S? J (v ?
KNEE: 14'?"?*? "
WALKOUT: tt4 ?.
? FULL 1:
w
• FULL 2:
.
CA ?-TT ;
FIREPLACE: /A-/c4-uoZ0 .
? RIM: l??
: r
?s
SQUARE FEET .
EXPOSED WALL AREA
. BLOCK: ( Col x .S
KN EE : "1 I x S=
WALKOUT : 32- x 8= Z SCp ' ? =1
. , . .,.
'. F U L L 1: ? (.o1 x 8= I Z-l) 0
, FULL 2: x 8 = :.
F
-
SC>
,
; FIREPLACE:
:
" R I M :
?_ •'3
TOTAL Z?cjO,:!?--
, SQUARE FEET EXPOSED CEILING 122.C,lo
WINDOWS : ? DOORS : 1
1
. PATIO DOORS :
Z-l ?. .
? BASEMENT UN ITS : . :•
? .i
.
.
SKYLIGHTS: ?
C.• t C?
• ? `'' ZO ?? - LP
?
CD??
. C.._ J ( ? ? . .
4
CONSTRUCTION
R-VAL,iJE
1. INTERIOR AIR FTf M n cA -
2. 5/8" GYP BD ?R
3.' INSULATION t.nn
4. EX E
TOTAL 45.80
U = .02
FRAME
? HEAT FWW
U UP
FIG. #5
1. INTERIOR AIR FILM
2. "
3, SULATION 33,.3 5
4, L" R AIR FILM 0-61
40.15
U = 0.024
coN sTRv c1 zoN
1EAT PLOW UP
FIG. #6
4
..
- " ?• ? •?' i
? r +
. ??• / '?c?,?
1
5
, , .,• ? %?
, • ? , ? , ti"
?? f ' ? ?? ?? ? 1 ? ?
.
l, INSTDE AIR FILM 0
2. ?
3.
4.
5. D? AIR FILM
- 0 17
ZbTAL
U =
FRAME
1. INSIDE AIR FILM • 0.61
2.
3.
4.
S.
OUTSTDF
U =
1. INSIDE AIR FILM 0. Ql_-
2.
3.
4.
5, uvrs R FILM 0.17
?? .
U
NOJ,J_vENTED NOTE : USE ADDTTIONAL SHELTS IF P'ORE SPACE IS
NEE,'DED FOR DETAILS AND CALCULATI0NS •
HEAT FL1JW
UP
FIG. #7
. ROOF-CEILING
FIAOR ARF.AS OVER UNHEATED SPACE
INSI.JIATID AREA - --- FFiAMING ARFA
IN'IERIOR AIR FIIM .61 .61
FINISH FLOOR .50 .50
SIJBFIAOR . fi2 .62
2 x 10 JOIST --- 11.87
F.G. BATTS 30.00 --
- 1" RIGID INStJIATION 7.00 7.00
5/8" GY$D (OR PLY4JD. SOFFIT) .58 .58
ExTERIOR AIR FILM .61 .61
TOTAL R= 39.92 21.79
U= .025 .046
• T.IGK CARAG;ES, CRA14L SPACES, CANTS.
1, , W&u-. s Ec,-?xis
,lJ??,.', l}se l? of opaque t?n t 1 or? f'??r
fv'atrie. c.cx,struc.? ??c.
*t-L
PIG. 1*1
?-??---- ?
--?
; /... ; _.?.__......... ?
G)
I .
.T=G. #a
____. ?__..__..._.._..._.
S? tt ? S?hLE4?
fdLND,4TT413
W??L
? ? , ? --___..._ ?
, ? ? --?-------W--___--0
0 ? ? , , , --.....b ?. ..... .._.. ._,.__ . . . ?3 ?`?
Q p ?t ?
?r„• ' e ? ??? -
?
R- VAI?TE
C?ONSTRUCTIOIJ?=- FRAMING - -
1. IN'I'ERIOR AIR FIIM 0.68
2. 2
3. S 1 2 SOFT WbOD 6.87
4,
5. S D G .6
6, EXTERIOR R FILM 0.17
0 AL .8
U= .09
Nf.T
1, IN'1'IItIOR AIR £ILM 0.68
2,. 1/ GYPBD .45
3,
4. 25/32 SHFAThTNG 2.06
5 , SIDXIJG .62
6, . OR A R LM 0.17-
U= .04
1. INTERSOR ATR FILM 0.68
2. 6 INSUL. 19.00
3. 2x1 JO
4. 25/32 S -, 2.06
5. SIDING .6
6, OR R FILM 0.17
U= .04
BIACK
l. INTERIOR AIR FILM 0.68
2, 1217BEM 1.28
3. 0 5.00
4. PROTECI'IVE BARRIER
5.
6.
TOTAL R= 7.13
U= .14
SLAB ON GRADE
? ?
? ?` J ?
, ?..
. ?
r2? ? 43
?
3 . ?
„
- -..^ i?• ?'" /I-
'r
} f ?(
?
F-4-0,.
?
,
-?
0 -
. : r
? i A ?
?
7
? /? • 1j
? -
w?
.?
D ?
, . \
r-
_p /
V ?
1
.
, -
S ?
?;;,?
?
J f?
\
i
?lll?
i1l I rl
?
I j t =?
NQ'I'E : INDICATE TYPE, „R" VALUE. DEP'IH AND
PLACEMENI' OF INSULATION.
PRnM8 wA cc.
, ?57qZ
1999 BUILDING ?IT APPLICATIt?N tRIESiDENT1ALl
ciTV oF B+?c
---? ? ? ? 3830 P1LCT KNCB
? 651-681-46
j¢n Conatru??nvkemenfs 9 .. `D-?"' ( 3
A 8 registered sBe surveys showing aq. ff. of lot, sq. ft. of house 2 caplss af pbn ?
and gg roofed ereaa (2539'a mdximum lot coverane agowrd) 1 aat cf energ3l ccieulaoions fior hee"d crddll4ons
? 2 copiea of plans (show beam A, window aizes; poured fnd. ?f?t?gnx?tc?,j 1 a#e s?rey tar exterlor addlflor?s 3? decks ?
> 7 set of energy calculaHona ??,E" ?? ??
? 8 capies of treq preservation plan ff lot plaNed cdter 711/93
oA?:?? ?
coNsrRUCnoN CoSr:
n 71?
DESCRIPTtON OF WORK: C" lC d 1>
STREEI' ADDRESS: lvl
lOT: BLOCK: .2=? SUBD./P.I.D. #:
PROPERTY
OWMER
Name• ? . r- a?- !'C ?tfr- Phone #:
Last Firat
Sheet Address: I-S_22 K14
.--
CitY S#ate: Zip:
Company: /T Z Pharre #: ?(CI-J 8"qS ' ? ? D
or -
(area code)
coareacTOR
Street Address: f- JFUcense# Exp.
City LS,? ?k1:Cvi li° State• M? Zip; 2ARCHITECT/
EN61NfER Gompcny: M+cme:
3eiop;oo-iia #: aeea code ( )
Stree'fi Address: Registrcttion #:
city state• xtQ:
Sewer & water ilcensed plumber (reauired for new cgns#ruction onhrl:
Pengiity ppplles when address chenge and lot change is requested ance pormit ia issued.
1 hoqeby acknowiedge tha# I hove rsad this applitaNan, state that.the infomnalion is correct, and agree fo comply w#h aN applcabt
StatA of Minnesote S#a#utes cnd Ctty of Eagan Ordinances. ,
Signature of ApplitaM:
OfFiCE USE ONLY
Certificates of Survey Received Yes
Tme Preservation Plan Received Yes
1-
No
No
Not Required
SEP 2 3 1999
OFFICE USE C}NLY
BUlLDlNG PERMIT TYPE
?
0 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-pisx ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. {4ssa.
0 03 1 of _ piex ? 08 6-piex 0 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-ptex , 0 09 7-plex ? 14 Apartments ? 19 Lawer Level ? 24 Storm Damage
0 05 3-plex 0 10 8-plex 0 15 Lodging 13 20 Paoi ? 25 Miscellaneous
WORK TYPE
0 31 New ? 35 Tenant Impr GI 39 Gas Line Oniy 0 43 Siding/SoffitslFascia
0 32 Addition L) 36 Move Bidg. O 40 Gas InsertC7 44 Windows/Doors
O 33 Atterafion 13 37 Demolish Bidg.* E3 41 Wood Stove 0 45 Fire Repair
U" 34 Repair Li 38 demoiish (interior) 0 42 Reroof
* Give PCA handout to appli+cant for d$molition permit
GEWERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Aliowable) Main level sq. ft. ? SAC Code
UBC Occupaney sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. ? City Water
Wid#h Footprint sq. ft. 6aoster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge -776
Plan Rev=ew
License
MC/ES SAC ;
City SAC
Wa#er Conn.
Water Meter
Acct. Deposit
S/W Permit
S/V1/ Surcharge
Treatment PI. t
Park Ded. ?
,
Trails Ded. ,
Other
Copies
Total: 2 ? ?-1 • ? `?f
SAC Units
°lo SAC
L? sL 0," CITY OF EAGAN CITY USE ONLY
n? PI.UMBING PERMIT
SUBD. (612) 681-4675 RECEIPT
DATE S / ? q
,
REBIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ---------------------------------------------------------
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO FIXTURES EA. TOTAL
NEW CONST A . REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00 .3
REPAIR ? )- WATER CIASET 3.00 fan
/ BaTx TuB 3.00 3
-? •3 LAVATORY 3.00
?
OWNER NAME :
7 / KITCHEN SINK 3.00 3
Z
lt
?? L LAUNDRY TRAY 3.00 ?
/
,
SITE ADDRESS:
- HOT TUB/SPA 3.00
? WATER HEATER 3.00 3
? FLOOR DRAIN 3.00 T
/'Gi 2?c? ??
INSTALLER:
-?? C
? GAS PIPING OUT.
(MINIMiTM - 1)
3.00
3
-
? OPENINGS
ROUGH I.50
?
ADDRESS: ?0 k aDO OTHER
°
?
' `
? WATER SOFTENER 5. 00
CITY: ???
•
-
ZIP: PRIVATE DISP. 15.00
ve/3? 3 L' J?%
R
G 3.00
PHONE TURNAROLTND
W. 15 . 00
_ `;o .5-0
SIGNATURE OF PERMITTEE
STATE SURCHARGE .50
TOTAL: $ `'?/. 00
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1X 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
3830 PILOT RNOB ROAD
EAGAN, IN 55122
PHONE: (612) 454-8100
,..........., . :...........:...:::...................
:>:?'ERMI;?
r.>.? :........:::::.:..:...?..:.:::.:.:...::..:.?:::..
FOR CITY USE ONLY
PERMIT # ?
RECEIPT #
DATE: S
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONAOS WHEN PERMITS ARE REQUIRED FOR EACH ITNIT.
------------------------ ----------=-----------
WORK DESCRIPTION FEES
NEW CONST X,
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS:
R
IAT:11 BLOCK 2 SUBD.
0
h T . c?
INSTALLER:
ADDRES S :
?
CITY:_, 1 ZIP:
PHONE
SUBTOTAL: $ 3 3' a ,o
? STATE SURCHARGE: .50
TOTAL: S 3 3's-0
SIGNATURE F PE ITTEE
???IER.CiAL?iNDtJSTRIA?.;: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI./INDUSTRIAL BUILDINGS,
?, .::::::...:::::.....:....::.:.:.::...:...:::..:::..::.::::::::.: :.
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPAR.ATE FERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK SUBD.
INSTALLER:
ADDRESS• '
CITY:
ZIP:
PHONE #:
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
DWELLINGS &
V0,000 iz,-Too-1 ADD-ON MINIMUM $15.00
J,,.?w1 ??s?? Guht,v?71a/a? rHVAC 0-100 M BTU 24.00 e74,otia
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3. 00
1 0 A ? OF 1 PER PERMIT
FOR:
CITY OF EAGAN
Volume No.
Cert*if'i*cate T*Itle
o OWIdER'S DUPLlCATE CERTIFICATE
Ccr•tilicarc No. 8 38 6 1 Documerit No. Drstrict Court No.
7?rcros/cr (rotn No. 9 0 5 9 8 • 215d905
Fo ??ally9regis(ece the 18th ?1uy of April
1'olume rty p????
Stzit.e of Minnesota,(ss
I eounty of Dakota. ?,7 Meritor Development Corporation
605 West Travelers Trail
of the City °f Burnsville
Counry of Dakota and Srate ot Minnesota
is now the ocuncr oI nn es(ale, to wit: fee slmple
followinq dcscribed lnnd srtuated in the Counry of Dahora
Lot Eleven (11), Bloc!c Two (2),
in Ri ACKHAIJK RIDGF ?_ND ADOITION,
according to the recorded plat thereof.
19 59
of and in the
and State of Minnesota, to wit:
Subject to the encumbrnnces, liens and interest noted by the memorial eenderwritten or endorsed hereori; aiid subject to the (ollowing rights
or encumbrances subsistinq, as providecf in I acc,?s 1905. Chopter 305, Section 24, namely:
l. Liens, claims, or riqhrs arrsinq under the laws or the Constitution of the United States, which the statutes of this state cannot require
to alipenr of record:
._'. Any real property rax or special assessment for which a sale of the land has nor been had at the date of the certificate of ti((e:
3. Any lease for n period of not exceeding three years, when there is actuaf occupation of the premises under the lease;
4. All rights rn publrc highways upon the land;
5. ,Such right o( appeal or right to appear and contest the application ns is allocved b,y law;
6. The rights of any person in possession under deed or contract for deed from the owner of the cerlificate of title;
7. Any ou(standinq mechanics lien rights which may exist under sections 514.01 to 514.17.
7-har the scrid Meritor Development Corporation is a corporation organized and existing u der XXXk'( 7if'XQ???XXXXXX XC? ?
X7FR??9??(XX the laws of the State cf Pennsylvania. XXgyXXXXXXXXXv(?(XXXXXXXXXXXXX?k7CX?f??•'
? ? /. . /
it ??f?2ed.1 r ?/?e),eo , / have hereuraeo subscribed my name and afl-ixed the senl of »7y oflice,
rIH:3iottini,
o/ F'a(aleR. Fa?remenlR or Charges on the /.and deRCribed in the Cerlii?tcatc ot Tille herc(o allached.
NiND Of DATE OF REGIST RATION Dn7E OF INSTRUMFNT
INSiRI1MENT MONiN DAY yEAp tiO P MONTH OAY YEAR AMOUNT RUNNINC IN FAVOR OF SIGNATURE Of RECISTRAR
M eclaration o Pro ect ve ovena ts ( nd ct er land
P1ay 17 1989 3:00 4 27 '89 - The Public James N. Dolan
63969 t
ility Line Sept 8 972 2 6 I 172 $1.00 Town of Ea9an
Easement erpe ual Eas ments for anita ry ewer urpo es and other lands) James N.Dolan
208395 Easement for Ingre s a d E ress
Oct. 12 988 10:3 4 4 188 $1.00 City of Eagan James N. Dolan
(and the la ds)
239209 Pressure R ducin Va lve gree ent and th lan s) Between City of Eagan and
Fe . 2 19 )1 10: 46 12 2 7 19 - Meritor Development Corporati n James N. Dolan
this 17th day of Piay 19 89
JAMES N. DOLAN
Registrar of Titles
(Seal)
In and for the Counly of Dahota ancl Stat-.e ta of u.Mi?nnesota.
+
D8?@ / HAGER, NISSA - -- - -
1522 BLAi;K.HAWK LAKE DRIVE
'$iti3 S'tlBet. AddC@SS EAGAN, MN 55122 Ul1it-#.'
(651) 406-9436
Rroperty Owner Tefephone #
r
Cantractor _($12)'827-40U Teiephone # ( )
Adr?re?? 2?J ?aA?FIE?!,J4?. ?}. Gity - Sta#e_,,,.
, zip
,^,
• N
The Appticant is: _ Owner Y-\ Contractor Other
Aiterations #o existing dweiting $. '50.00
Add fixtures to raoms, exciuding water saftener and water hbater.
^Septic System Abandonment
1Natsr Tumaround (add $121.00 if a 5f8" meter is required)
,
- ' Other:
Water Softener ? Water Heater $ 15.00
? replacement ? additional
? Lawn trrigation System _ new_ repair _,,rebuiid $ .30A0
,
n
. . t? -?1 l#? ?' -4:J
?.
?irv ?. .. . .G. .. !
..T..i'_.Yv..?v.'/? ?^{ )?. ?..,2.. .?{ 1 .?{. ?4 it " iV ;? ?!. )?. r`. F? L < 1 E . ? •..ry?.'l?'. ?i . .
C... TV Oe" i::.AgAr' .
?"'.hi..,. ?.? ?..?.. ,rr,., ..... ?:. ,( ... ....
': . ? ?..t....:.: ? v. .? . .
?4i ! , .. ? 739
..:? ?v .:...:.:.. . .: . .? . f.. . ; .1?i . . ?.?t. :i??,.!?. .
. .
:; •1 s ....? ;:.1!'':l+.p .i'TW.. MC,.09
T%
.. ,. ... ..., .
, ? _ ,: R? ...j..,...?.; r.:..:=..: ? .x. ? :•.:, f;, ? !°sr.,,?., i:;=: ;? . ?.; C, t;:
..: ... ...: ? . . ... #
•. .1r:::;:,
, : 900i
? •t r%:..,.,..1 r:? ??, , t_..r:, .
. .._?1:,.t:?.
, , P3705
;f..t••,-?z_, ?,. r.,..?.s . 9001 .152F ,r?„??
1 •. ?.. ?,?...?,r,,;.;i
r•_..:.:..,..: ` ! `•' 7 f.JE.}
Y t.!t%' ,I, i?i r i.: C..s ' r'?F'k -F" ,'il.,? 7.. ??„ t:..??•?••7?.
..,.. .?.. . f'.?I _ 7 ui.....7
rj'4 `, _i.7369 .
? Ec;{.: ?', .?.._t ? ? :.?I
_ . ... .;. l. ., ? f} ?
!r.??f :`{';?! ?; ;•.' ? 1d y4:?.`?.'?::?'. ?:'{:?`.;y ?':?i i? N''.';3:: ip:''x`':.:;y )? i? '? 7k: }?C7!r: ?+?' ? ? ?`,n %? ?if '?f. ..
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114799
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 1522 Blackhawk Lake Dr
Lot:11 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Luanne Yang
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 -
Nissa H Hager
1522 Blackhawk Lake Dr
Eagan MN 55122
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129638
Date Issued:03/03/2015
Permit Category:ePermit
Site Address: 1522 Blackhawk Lake Dr
Lot:11 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-110
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: Jon Hantge
325 3rd Ave. Nw
Hutchinson, MN 55350
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Nissa H Hager
1522 Blackhawk Lake Dr
Eagan MN 55122
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature