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1546 Blackhawk Lake Dr CITY OF EAGAN NQ 18506 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C /09-77 To be used for SF DWG/GAR Est. Value $207,000 Date NOV 5 19 9-Q.__ Site Address . 1 546 RT.AcKRAwK I.AKF. DR Lot 24 Block 2 Sec/Sub. BLACKHAWK RIDGE OFFICE USE ONLY Parcel No. 2ND Occupancy R-3 M-1 FEES Zoning PD-2--l W Name NORTHERN CLASSIC HOMES (actual) Const -Y--N Bldg. Permit 1m014- 0 c Address 3152 BUTTERNUT CIR (Allowable) V-N surcharge 103.50 City PRIOR LAKE Phone 440-7150 # of Stories Length 74' Plan Review 659. 0 zF Name- SAME Depth -54.1 SAC, City 100.00 Address S.F. Total ~F SAC, MCWCC 600-n0 City Phone S.F. Footprints r Site Sewage Water Conn 695- n0 On W W Name On Site Well .,r W) - t7 w Water Meter 0 E Address MWCC system X s anti City 1 one City Water _ Acct. Deposit 30.00 PRV Required S/W Permit -30- 40 1 hereby acknowlege that I haver thi ppl" ion and state that the Booster Pump S/W Surcharge - 50 information is correct and agree p all applicable State of Minnesota Statutes and C' E an a Treatment PI 752- n0 , U19 Signature of. ermitee APPROVALS Road Unit 3 5 5 - ~0 ( "Of A Building Permit is issued to: NORTHERN CLASSIC HOMES Planner Park Ded. on the express condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. T Copies Building Official ryu urk'I nod od Variance TOTAL 3,859. 0 CITY OF CAGAN 18506 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - BUILDING P~RMiT PHONE: 454-8100 Receipt # ~ ~ To be used for \Aebwl R Est. Value $20710W Date WV 5 , 19 9 Site Ad ress 1 S46 $L,ACXMWK LAU DR OFFICE USE ONLY Lot Block Sec/Sub. BLAC"AWK II Parcel No. Occupancy R-3 M-1 FEES Zoning Name NORTHERN CL"N$C HOWS (Actual) Const V -N Bldg. Permit 1,014.00 U Address 3152 Btil' TERI W CIiR (Allowable) V _X Surcharge City Pith ~ Phone X7150 # of Stories ~ Length - " Plan Review 659.00 j , p Name SAM Depth 544 SAC, City 100.00, 00141 Address S.F. Total SAC, City Phone S.F. Footprints MCWCC 00,00 Water Conn 625.0On Site Sewage Fw Name On Site Well Water Meter Y3 Address MWCC System 3*00 a W City Phone city water X Acct. Deposit + PRV Required X S/W Permit 30. 00 I hereby acknowiege that I have read this. application and state that the Booster Pump S/W Surcharge information is correct and agree t corPPIyy with all applicable State of Minnesota Statutes and City of Ea n Ot tt7iances. Treatment PI 252.00 Signature of Permitee APPROVALS Road Unit 335.0 A Building Permit is issued to: MORMRN CL"SIC HOM Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. - Copies } + Variance TOTAL Building Official 5 1 Permit No. Permit Holder Date Telephone # WATER .s SEWER PLUMBING /c~ 9D H.V.A.C. gO ELECTRIC Inspection Date Insp., Comments 1l Footings l I Foundation Framing Roofing Rough Plbg. 2PJl © ~Lh Rough Htg. 1 Isul. 1? Fireplace L(~ - , -e Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final a1~ C Deck Fig. l!S Deik Final Well Pc Disp. Address: 1546 BLACKHAWK LAKE DRIVILot 24 Blk 2 Sec/Sub BLAr [ HAWK RIDE 2ND These items were/were not complete at the time of the final inspection. D t -or: e: 3/28/91 Yes No _-Ins P P_ r- t Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch f✓ Basement finish r 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 exists. PECVWDF EER White - City copy Yellow - Resident copy Pink.- Contractor copy rr •a i' z of rrli nanr rt of d riuu 4 This Certificate issued ptrrsmnt to tke requMr Mena of &4c6pr 306 of the Unifon Code certiffing d w time of isxwwe this structure was in compliance with the vb ordinances of the City regulating buildirllg eon a ion ot°use. For the fokwing.- ~`~y F, Use (lassificloon - ~4' - Bldg. Permit No. - OMponcy Type R3I_ Zoning Dntnd Type C-. Owner of Budding ~Y Aft. ~j,~1525 r 8uildin Address 1%6 L-litylAus B21 XAM,* ' l - Dat€: if Bm7 'ng POST IN A C,ONSRICtDOUS PEACE . F E s PLUMBING PERMIT 'For Office Use Only CITY OF EAGAN PERMIT #~5-;/2 CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# 4 2-2 Z Z PRICE PHONE 4548100 DATE: ' Site Addre s BLDG. TYPEooo* WORK QESC TION Res. New ~t Lot k ec/Sub 7yL Mult. Add-on Name - ' Comm. Repair F' Other Address c City Phone 4 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ 9 Name ~fKitchen Bath Tubs - $3.00 c Address Lavatory - $3.00 ' ac a -P, VY0_o_ - Shower - $3.00 City Phone Sink - $3.00 Udnal/Bidet - $3.00 FEES Laundry Tray - $3.00 - Q :?-94 COMMAND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50 APT. SLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND.IFEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50,SIC PER EACH $1,000 OF P RMIT FEE) Well - $10.00 Private Disp. - $10.00 _ 4 Rough Openings - $1.50 -c.-~A SIGNATU OF PM EE PERMIT FEE: ✓ STATES SIC: ---~~3-- FOR: CITY OF EAGAN GRAND TOTAL: SM. _ ~~nr-~~F`3"~'3~i4~''~' a .'~,r~ -~:~'aru~rr?avsa7.."~;^iFi; r~v?»'~,*rn:,~.,yw~•'-at9k;"' - ,:fi;; ,~..,,~y4 MECHANICAL PERMIT For City Use Only CITY OF EAGAN PERMIT # 7 3830 PILOT KNOB ROAD, EAGANt MN 551122 RECEIPT # S ~1 r DATE 1,_~ ci PHONE 454-8100 DATE; Site Address ( { BLDG. TYPE WORK DESCRIPTION Lot. Block SeclSu Res. New Const. Mult. Add-on Comm. Repair Name Other Address" t k1- L t' c- Crty - _ FEES - RES. HVAC 0-100 M BTU - $24.00 Name ADDITIONAL 50 M BTU - 6.00 c Addre(RES. HVAC INCLUDES A/C ON NEW 33 CONSTRUCTION) ,j O Citys -4~- PhoneL TOWNHOUSE & CONDOS - RES. RATE APPLIES MIMMUM RESIDENTIAL FEE - ALL ADD-ON & TYPE OF WORK' REMODELS (INCLUDES GAS PIPING) 12.00 Air M BTU $ GAS OUTLETS (MINIMUM - 1 PER PERMIT- Forced - ` NEW CONST.) 1.50Ek Boiler M BTU $ COMM/IND FEE -1% OF CONTRACT FEE.; AP-T, BLDGS.:'COMM: RATE APPLIES Unit Heater M BTU $ MINIMUM EOMME,~~~.FEE- 20.00 C BTU ~StA*E'SURCHARGE PER-PERMIT - - - .50 Vent (ADD $.50 S/C PER..EACH $1000.00 OF PERMIT FEE) Gas Piping Outlets # $ bther $ CommAnd. Contract Price x 10/40 $ A ~ PERMMEE PERMIT FEE- `a S/C: FOR: CITY OF EAGAN TOTAL: .s _ ..,4. 'T'.y'rsEFF; •a r-+~.,.s,~-~~,. .re.. F^~ .+'_"nk M-W~ 1~• CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD f EAGAN, MINNESOTA 55122 DATE 19 ~..e aecerveD FROWN t`~''~,.3 ti l(,.,3 AMOUNT $ 9 ~r & DOLLARS tioo . • 0 CASH CHECK FOR r . 1 FUND OBJECT AMOUNT 3 _ Thank You Yfl~fdW--P0.411`~C~ PL>11 P15RXTT DATE : 4/22/91 RECEIPT: 100870 SITE ADDRESS 1546 BLACKHAWK LAKE DRIVE Unit # Permit # 14321 L 24 B 2 Sect./Sub. BLACKHAWK RIDGE 2ND BLAYLOCK PLUMBING C0.-869-7531 INSPECTION INSPECTOR DATE COMMENTS INSPECTION INSPECTOR DATE COMMENTS i ECTIN RECD OF EA AN PER "TYPt: 0011 , 0 t Nt 3830 € clot Knob Road Permit Number: Eagan, Minnesota 55123 f _ 'Date Issued: (612) 6Bi-4675 SITE ADDRESS: L OT z 24 H L f) C K 2 APPLICANT: HI At #_FfAWKR 106E .'>140 (612) 688.-Al 00 PER 7MSI► S'{' E TYPE QP WORK: x' t. AL TE6t iN ATT k r S "D y tfr~ Date Tdophoow# s w PLUMB NG HVAC ELECTRIC ELECTRIC CDMFM#ft I Foadnp I I II Fourdalon FmT*v O Firmoooe Finsfift o"At rod comet. mew w% Rnal Fuck FOW €+x. tip. DATE: NOV 6, 1990 j RE: 1546 BLACKHAWK LAKE DR (NORTHERN CLASSIC HOMES) i X Your.Sewer & Water Permit for the above property has been completed. It will be held at the lic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. SEWER &WATER PERNOT OFFICE USE ONLY CITYtf t3 AGAN t Mu TERT0 q ~ ?i d, 1 3 3 PERMIT DATE 3830 Pilot Knob Rd. T, Eagan, MN 56V2-1897 CHP # 16 6) y PERMIT # ] :1704 METER?SIZE Off ~B:P. RECEIPT # C 1041 ISSUE DATE B.P. RECEIPT DATE 11 05 0 DATE `NOV 5. 1991) PRV - BOOSTER PUMP SITE ADDRESS 1.546 BLACIO1AWY_ LADE DR PERMIT REQUESTED LOT 24 BLOCK 2 SEC/SUB BLACX I.AWK RIDGE 2ND SEWER WATER -TAPS APPLICANT: I; ADDRESS: - COMM/IND X RESIDENTIAL CITY, STATE ZIP X NEW EXi5T1NG PHONE: Lawn Sprinkler eters are to be Installed PLUMBER: Ahead' of Do ti Meters on Water Line. ADDRESS: 8968 IiASMINE LN 3 Cre t IL J given for Deduct Meters.. , CITY, STATE COTTAGE GBf3VE. MN ZiP 016 , ` PHONE: 4f5-° l I GREE TO COMPLY WITH CITY OF OWNER: NORTHERN CLASSIC H01eS EAGAN ORDINANCES ADDRESS: 3~~2 BUTTERNUT CIR CITY, STATE P QR LAKE, N - ZIP - 5372 PHONE: 440-7150 SIGNATURE WHEN METER ISSUED r-f PLEASE ALLOW TWO w G DAYS FOR/PR/66 ESWNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, COI kZ ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CIMCW ALAN METER # PERMIT DATE e 1!:')f) a 9; 3830 Pilot Knob Rd. Eagan, MN 5,qV2-1897 CHIP # PERMIT # t 1704 4 . METER SIZE B.P. RECEIPT # C I c .7 • DATE 10 M.~ ISSUE DATE B.P. RECEIPT DATE - PRV _ BOOSTER PUMP SITE ADDRESS 1546 BI.ACTYfVJ K LADR PERMIT REQUESTED LOT ~ BLOCK ' SEC/SUB BLAt;fC -3.V41 2ND SEWER WATER TAPS APPLICANT: COMM/IND Y RESIDENTIAL ADDRESS: CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 1969 = ASN NN'F LN % Credit WILL NOT be given for Deduct Meters. CITY, STATE Ci''TTAGE C;l,{:i C , 11N ZIP 5.` 016 PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: a GIRVI.ERN CLASS [C iIOME5 EAGAN ORDINANCES ADDRESS: 3 15 2 BUT'1ERNU I` C L CITY, STATE PRIOR LAt ZIP 56:372 PHONE: 440-7 ,,o SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. n Request Date Piro No. Rough-in Inspection Required? El Ready Now X Will Notify Inspector 11/2/90 ❑ Yes 4No When Ready? I JI licensed contractor []owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 1546 Blackhawk Lake Dr. Ea on Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Northern Classic Homes Power Supplier Address Dakota Power Co. 4300 220th St. Farmington Electrical Contractor (Company Name) Contractor's License No. Sky Electric Inc. 042173 1 Mailing Address (Contractor or Owner Making Installation) 11210 Washburn Ave. So. Bloom. 55431 Auth Sign ure (Co ctorf ner Ma - Install n) Phone Number 888-1736= MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 I _ ► See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired Equipment Wired X Home Range X Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 1 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abo Amps Signs Inspector's Use Only: ~l1 TOTAL Irrigation Booms / 15.50 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 certify that the above inspection has Final Dat/I 7 ~ been made. / OFFICE USE ONLY This request void 18 months from 144p$0f Request Date Fire No. Rough-in Inspection Required? D Ready Now ❑ Will Notify Inspector Dec. 17, 1990 CXYes ❑ No X When Ready? 14licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box Or Route No.) City 1546 Blackhawk Dr. Eagan Section No. Township Name or No. Range No. County ' Dakota Occupant (PRINT) Phone No. Northern Classic Homes 440-7150 Power Supplier Address Dakota Power 4300 220th St. Farmington Electrical Contractor (Company Name) Contractor's License No. Bky Electric, Inc. 042173 1 Mailing Address (Contractor or Owner Making Installation) 11210 Washburn Ave. So. Bloomington, MN. 55431 Authorized Signature (Contractor/Owner Making Installaton) Phone Number 888-1736 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION e///e-00001-07 . ► See instructions for completing this form on back of yellow copy. t '1 ~,r Cl X' Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) ___~Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A }AQ. Amps Signs Inspector's Use Only: TO L Irrigation Booms 20.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby Rough-in Date 7. certify that the above inspection has Final Date I~ been made... a OFFICE USE ONLY This request void 18 months from PERMIT C' CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Buz oINGf Eagan, Minnesota 55123 Permit Number: 0 2 0 8 0 4 (612) 681-4675 Date Issued: 05/14/93 SITE ADDRESS: 1546 BLACKHAWK LAKE DR LOT: 24 BLOCK: 2 BLACKHAWK RIDGE 2ND P.I.N.: 10-14401-240-02 DESCRIPTION: BSMT PARTITION WALL Building Permit Type SE (MISC.) Building Work Type ALTERATION i i REMARKS: FEE SUMMARY: VALUATION $1,100 Base Fee $27.00 Surcharge .55 Total Fee $27.55 CONTRACTOR: - Applicant - ST. LIC. OWNER: ALLEN CONST 16888100 0001062 HOEFFELL DAVE 4649 1/2 PENKWE WAY 1546 BLACKHAWK LAKE DR EAGAN MN 55122 EAGAN MN (612) 688-8100 (612)456-9234 I hereby acknowledge that I have read this application and state that the information is c r ct and agree to comply with all applicable State of Mn. Statutes and Ci y o Eagan Ordinances. L AP ICA /P ITEE SIGNATURE ISSUED SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 0 8 0 4 Eagan, Minnesota 55123 Date Issued: 05/14/93 (612) 681-4675 SITE ADDRESS: LOT: 24 BLOCK: 2 APPLICANT: 1546 BLACKHAWK LAKE DR ALLEN CONST BLACKHAWK RIDGE 2ND (612) 688-8100 PERMIT SUBTYPE: TYPE OF WORK: r ALTERATION DESCRIPTION BSMT PARTITION WALL INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING REACTIVATE RIrEC E V E D N_ PERMIT P ' 1993 BUILDING PERMIT APPLICATION APR Z 8 1993 681-4675 ~q SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I 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 Valuation of work Site Address: STREET SUITE -Tenant Name: (commercial only) M LOT = BLOCK SUBD. ' I.D. Description of work: The applicant is: Owner Contractor ❑ Other (Describe) Name L\4 - Phone Property LAST FIRST Owner Address STREET ! STE # city State ,j&,dZ Zip 5s--F Company Phone ~Z5i = F/0( Contractor Address License # /4GZ Exp. City State Zip fze- Company Phone Architect/ Engineer 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 ap c tion and state that the information is correct and agree to comply with all applicab tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY , BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. 44 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New 7 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) Ist F1. sq. ft. City Water . UBC Occupancy R-3 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS WALA.- IN BSMT. ❑ Site ❑ Footing ,R Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee 21 . v~ Valuation: Surcharge .SS Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units CITY OF EAGAN CASHIER: JS TERMINAL NO: 767 DATE: 04/24/00 TIME: 11:30:47 ID: NAME: KNIGHT & SONS INC 3210 9001 1546 BLCKHWK LK 251.25 2155 9001 1546 BLCKHWK LK 7.50 I Total Receipt Amount: 258.75 CR127182 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN t2- 1~ Yr j 3830 PILOT KNOB RD - 55122 a f U ::~t 0 651-681-4675 y-at-i-6 U New Condructlon Reauirerr►ents Remodel/Repair RMArements 3 registered site surveys showing s% ft. of lot, s% fl. of house 2 copies of plan and gE roofed areas (20% maximum lot coverage aiiowed) 1 set of energy caicuiations for heated odaitions 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations 3 copies of tree preservation plan it lot platted after 7/1/93 DATE: CONSTRUCTION COST: ~2 (3_°O DESCRIPTION OF WORK: `V~L&2 -PE l= ~7 F oo 1~, STREET ADDRESS: k S UZ LOT: BLOCK: SUBD./P.I.D. C C NameQ 14 V E oC ~ e, Phone t - ~F S (o `'f23 PROPERTY m fast First OWNER Street Address: E q - 4 k ~ LV- n City A-so ArK-) State: Zip: 57ga Company. L ' Phone LID- $88- 8O S I (area code) CONTRACTOR A ~ o -v 19 5. >J Street Address: a o o o - L;4; a k1 ✓E License # Face. City State: 1 kA i.~ Zip: S © ~ ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration City State: Zip: Sewedwater licensed plumber (if installing sewer/waterPhone ( I hereby acknowledge that I have read this application, state that the Information agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 6 OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. AN - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-pfex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex P1bg Y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length s4• ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge -1 Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other ' Copies Total:. ~S SAC Units % SAC 11~ L BL CITY USE ONLY RECEIPT l 1 I Q ~7_1Z_,~. SUBD.~~~ ~[J RECEIPT DATE: PERMIT # 1999 PLUMBING PERMIT (RESIDENTIAL) CITY OF iEAeAN 3830 PILOT-KNOB RD EAGAN, MN 551$8 (651) 681-4695 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x_ - $ Floor drain 1111.00 x Gas i in outlet * minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x - $ Laundry tray 3,00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ 66 Private Disposal System , new/refurbished * requires MPC iic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x - $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surcharge .50 $ .50 Total $ Rcndriuer. Cal! 11fo inspecticn5 of alter?tinns; i.e. water heaters, water softeners, etc. - - - - - - - - - - Ihereby acknowledge that 176 ave read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this ~permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME:: ~OxtlkArv ,a~ a~ TELEPHONE ~,j.Z_ (AREA CODE) INSTALLER NAME: TELEPHONE 66- ~43 -S2 736 (AREA CODE) STREET ADDRESS: CITY: STATE: Lezl~ ZIP: SIGNAT RE OF PERM! EE T 0(p 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL ✓2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL ✓3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS ✓1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: a't' Y Valuation: 7 Date: /_cr-o Site Address 1544 &AC,eb4WA Cf}~~-bko, a0 7OFFICE USE ONLY , ov~~ Lot ~ Block oZ FEES Occupancy R-3 Zoning PD 9 Parcel/Sub ~LAC,~fit w4 I~j 6,6- d'o Actual Const y-'t4 Bldg. Permit ja/ ,00 Allowable Surcharge JO S Owner # of stories Plan Review 659'00 Length ' SAC, City /Do, Address 3152 ~v % FRnrvl Or. Depth SAC, MWCC 4100 S.F. Total Water Conn ,t~Q City/Zip Code Ta)jo/Z MA/ SS 3'72- Footprint S.F. Water Meter 0,00 Acct. Deposit 30,oo Phone , c~ On site sewage_ S/W Permit 0,0 0 On site well _ S/W Surcharge Contractor SAME A-S hoko y£ MWCC System Treatment P1. 26200 City water Road Unit a Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. G4Aaui3 (J H .C lpc L)~s16 I/ Bldg. Off. Z 1(t, A / Variance Address City/Zip Code Phone #3L-2~C7 i ~A'RAG~ 32kzz^ •~~4 r?32X ~,5'= 1d~~v LI Z-y3L = ~x~ : Wi 1,J14-JO 2X2 - Cyr _ 1J~•~~JT _ 6~) • JJ-r Is X16 rl 55 X 11= ZLIS9 O G~' 1 JJ ~ 1J3•5J+- IS7 F'LOO'R z Y, = ~ ti3 I ~`~3 ~C 51= 90~~.3 2. A) C> ~L-©p12 t3 S vvl T l ~S 5•- P-1 'A 13 0 X-?.O = IZ,o 266/9w r SURVEYOR'S CERTIFICATE NORTHERN CLASSIC HOMES DENOTES PROPOSED SURFACE DRAINAGE 44 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET 01 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - Y3G,7 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - g2`/•cv FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK= 837.) FEET WE HEREBY CERTIFY TO NORTHERN CLASSIC HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 24, BLOCK 2, BLACKHAWK RIDGE 2ND ADDITION, ACCORDING TO THE RECORDED PLAT THEREOF,DAKOTA COUNTY, MINNESOTA. IT DOES NOT PURPORT TO SHOW IMPROVEMFNTS OR FN(-POACHMF..NTS, EXCFPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 26TH DAY OF OCTOBER '1990 PROPOSED GRADES SHOWN WERE SIGNE J MES R. HILL, INC. TAKEN FROM THE DEVELOPMENT PLAN FOR BLACKHAWK RIDGE 2ND ADDITION PREPARED BY B : PIONEER ENGINEERING. JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 a: -0 M (n_ o James R. Hill, inc. i M O ~ O < 0 D . 0 r M 0 cp ` M0) 7 ~ I N M z- 0~ -0 Ocp m z ERS / ENGINEERS / SURVEYORS n o W z r) > z a) Iv M O { AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029. m 'SURVEYOR'S CERTIFICATE NORTHERN CLASSIC HOMES 834.9 WK_ L ACK 833'9 834.8 O 834.1 7 ~i ) 1 833.8 R~281' 1 0,32 835.7, D ~ 834.6x 93.09 1 1 ft O 5 .T DRAINAGE & UTILITY EASEMENT PER PLAT I h O 5 W W 4- BENCH MARK ~J r TOP OF PIPE \ \ ELEV.= 835.60 N h 835.8 ~0'-? 0 ~ S 42.98 \ o 41 oSSMFSr4gy ;9 A SF cf) `D D ~1~~ 835.4 ~\9 Hact, Fq K = I / - ~B34.T I 2 f DR1VpOSEO W p~ ,1 O` BENCH MARK z AY ~0 O O TOP OF PIPE \ ~ O ~w M ELEV. ° 834.29 N v~ M ` 0 ! .p x w (V Lr' x829.4 I 828.7 (936 41 5. 0 M 25.67 11 6 Z w 18.0 tibi N - 825.0 x F 29.21 _ O 36.0 ' -1 _ I B2T.2 x - 31_04 1827.2 x828.9 1 LA LOT 24 'D 0 ' cr N m I 5 ~ FgS~,~gG 809.8 x hT Q N ~~Dy,rd~ ~ ~ \ pFR r%/rY l • ` 1 660 i 1 INCH= 30 FEET op, \ 5 n ` x834.8 cn C) p r- r 0o~o <I > James% R. Hill inc. p C_ O < 1 OLO D N I- M mQ) T in r\) D p m o W N A ° m z PLANNERS / ENGINEERS / SURVEYORS -n ;o z C) cf) CD a) N O m p 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 Ln EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION i SITE ADDRESS ' CONTRACTOR c e-VsI~c / W-~ DATE if qy PHONE Determine working square footage of each. 1. Total exposed wall area F;lz esq. ft'. x C ` 2. Total roof/ceiling area ► ► Z.- _ sq. ft."x . 02 Total exposed wall area above floor Z 9 C., P a. Total wall window area ' b. Total door area c. Total sliding glass door area L Total fireplace wall area............ e. Total wall framing.area (average 10%)...:........ =G f. Total net wall area above floor g. Total rim joist area Total exposed foundation area h. Total foundation window area...... i. Toal net foundation area above grade Determine "U" value of each wall segment. a. X Hull b. X „u„ C. *2' 7.0 X Ifull lluflV d. X e. )lull - ' f X „u„ 3. t.. (.:.Total t . If item #3 is the same as, or less than item #l, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area Total gross roof/ceiling area = j . Total skylight area 1° k. Total roof/ceiling framing area ............1t 1. Total net insulated roof/ceiling area....... ° Determine "U" value for each roof/ceiling segment. j. X U k. X 11U11 1.? X iiUti a,,S" 4 ..:'.........Total If total of #4 is the same as, or less than #2, you'have met the intent.of SBC G006(c)T. To utilized the total envelope system method, the values.establIshed by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. + 2, r 3. + 4. _ MATERIALS Therm. Resistance "Rif! Exterior Air i Siding Xat erial _L1 J _ Sheathing &V Insulation Sheetrock Interior Air (c, F Studs" Rim ~II Conc. Blks. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF E.AGM 3830 PILOT KNOB RD - 55122 d 651-681-4675 Q-LA- b (2 ' 5, 9 > 3 registered site surveys stowing sq. ft. of lot, sq. ft. of house 2 copies of plan and al roofed areas (20% ma rum lot coverage aged) 1 seta( energy calcuictions for heated additions > 2 copies of plans (show beam a window sizes; poured Ind. design: etc.) 1 site survey for extedor additions & clocks > 1 set of energy calculations > 3 copies o771,77 tkm plan it bt pkdted after 7/1/43 BFc-7 DA'Z'E: CONSTRUCTION COST. DESCRIPTION OF WORK: l ~f J~,/ 2,#JW, , STREET ADDRESS: LOT: L BLOCK: SUBD./P.I.D. Name: ~1%rL Phone PROPERTY Last QQ ftd OWNER 4014-14 Street Address: 4 City _ ! ,J State: A?e/ _ zip. .~,~r~ff Z Company: 'q Aer r/~ ~95~-/-Rhone fy 7c~ 5,~~ ~ (area code) CONTRACTOR Street Address: License # Exp. City ZZ( alb 6, 7,66~j State• &~2 Zip: J' ARCHITECT/ ENGINEER Company: 1 / Name: Telephone area code ( ) Stre4t Address: Registration City state: Zip: Sewet L water licensed plumber (resulted for new construction ontv): Penalty applies when address change and lot change Is requested once permit is Issued. I hereby acknowledge that t have read this application, state that the Infor , and to Agmply all, appEcabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica OFFICE USE ONLY i~ Certificates of Survey Received Yes No SEP 2; r Tree Preservation Plan Received Yes No Not Requlr _ r OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplaces 0 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 .5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 PorctUAddn. (4-sea. ❑ 03 1 of plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened). ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments lb 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 .8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE IX 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code 0 4 UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs _ # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building, Engineering Variance Permit Fee Valuation: $ 2~,,Q 02 Surcharge Plan Review License MC/ES SAC S~ 770 City SAC Water Conn. K 6 -7,2 ar CWater Meter / X ! ? 0?`71 f ` Acct. Deposit r x., p S/W Permit BOG 3 S/W Surcharge x Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6U8 to ~s CITY OF EWAN 3830 PILOT KNOB RD - 55123 651.681-4675 rr}g~chon Re emeMs D 3 registered site surveys showing sq. ft. of tot, sq. ft. of house 2 copies of plan and it rooted areas (21146 maximum tot gaXtig : atiowed) 1 Set of energy calculations for heated additions 2 copies of plans (show boom & window -sizet,poured frod. design: eft.) 1 sae survey for eichWor additions: & decks Y, 1 set of energy calculations Y 3 copies of free preservation per ti W ptotied after 7/1/93 Q DATE: 2 CONSTRUCTION COST: Imo.`~`~ DESCRIPTION OF WORK: STREET ADDRESS: f..Ci~Z*~,~C lL . LOT: BLOCK: SUBD./P.I.D. , Name:. Phone #:G ~3 PROPERTY Last First OWNER Street Address: 7 A 9,1A 44r ~K city AG State•,46~ Zip: s./2 Z Company:2t`~_~'a~-T.~~E•t. oe.~Jhne L- ~.t L'rlr~ (area code) CONTRACTOR f Street Address: lSy~ ~1A4 L/C Pot • License Exp. City ►'t / rs yr « E- state: ZIP: 5 3 "7 ARCHITECT/ ENGINEER Company: Name: i Telephone area code( j I • Street Address: Registration: f City State: Zip: I Sewer 5 water licensed plumber (reauked new construction onlvl: Penalty applies when address change and lot change Is requested once permit Is t hereby acknowledge that I have read this application, state that ft Information Is , and to comply with all +applicabi State of Minnesota Statutes and City of Fagan Ordinances. Signature of Applicant. OFFICE USE ONE Y Certificates of Survey Received Yes No AUG 3 d 1999 2 4 Tree Preservation Plan Received Yes No yNot-Regtrtred-- r pu~ k I , OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 fireplace 21 Porch (3-sea;) ❑ 02 SF 'Dwelling ❑ '07 - 5-plex ❑ 12 12-pleat ❑ 17 Garaoe❑ 22 ~ PordVAddn. 4 . ❑ 03 1 of plex ❑ 08 6-plex E3 13 16-plex ❑ 18 Deck 23 Parch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr 0 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove C7 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS - Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review ` License ' MC/ES SAC _ City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT PHONE: (612) 454-8100 RECEIPT #~40 Z 70 _ {r'1' DATE : A PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON i SHOWER 3.00 REPAIR WATER CLOSET .3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS : HOT TUB/SPA 3.00 _ WATER HEATER 3.00 LOT: BLOCK c- SUBD. FLOOR DRAIN 3.00 J GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS:'- ) OTHER WATER SOFTENER 5.00 ZIP: PRIVATE DISP. 15.00 CITY. Az, U.G. SPRINKLER 3:00 _ PHONE - - SUBTOTAL $ i ST. SURCHARGE .50 SIGNATURE F PERMITTEE TOTAL: $ SO t?MItAI':N7fSRIAI 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: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN RESIDENTIAL BUILDING Permit Application (o0 I City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Reod 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system - On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / / Construction Cost s 19 Site Address ks~to Unit/Ste # Description of Work _jkD`[3,C.,Q Cj U JI'S~Arkj,~ ~i &CK Multi-Family Bldg - Y _ N Fireplace(s) - 0 - 1 - 2 Property Owner Telephone #((05L) 45ZQ " `90 3 ti Contractor PELLA WINDOWS & DOORS 15300-25TH AVE. N. STE. #100 Address PLYMOUTH, MN 55447 City State 763-745-1400 lephone # ( ) LICENSE #20165884 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ) Sewer/Water Contractor Telephone # f I hereby apply for a Residential Building Permit and ackn*ledge that the-info tion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ]~C( CA_ J O~ Applicant's Printed Name pplicant's Signature • 4 OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) E 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final - Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Wd9E~l •g •u~~ au~ll panaaaa Pella Windows & Doors - Twin Cities, Inc. 15300 25TH AVE. l N. STE. #100 PLYMOUTH, MN 5,5447 763/745-1400 WATS 1-800-462-5359 jj FAX 763/745-1401 June 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Dear Jan: Elder Jones Corporation is authorized to pull building permits for Pella Windows & Doors - Twin Cities, Inc. Please allow their representative to provide that service for us in Eagan. This authorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, I can be contacted at 763-745-1432. Your inunediate attention to this matter is appreciated. 7~ cerely, W.45 ANN Bryan May. Replacement Sales Manager yp ~,qpp~ cc: Kara -Elder Jones Denna Krafly - Replacement Sales Process Coordinator Windows, Doors, & skylights 7nnft CATTT'1 ATTl1T_:f1A.7 bli,T C171 7TO VVj /T'CT Tu.T Tn/on/On RESIDENTIAL BUILDING (00 Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd _Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist ~Detail Options selection sheet (bldgs with 3 or less units Date / 129 / 10- J Construction Cost Ago- oo Site Address /5y/ 61 ~QG A4 dJ/< <4jte Unit/Ste # Description of Work Rg Lva Multi-Family Bldg - Y N Fireplace(s) - 0 C"\' 1 - 2 Property Owner /Q rSor-P Telephone # (6fl) F/- ~ya3 Contractor JbU/G /~i Address 3e ->7 ,gp/.Q Xgoc_~ City ~ h A State Jy! 1-7 Zip Telephone #01W COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constr buildjri iii,` d c 1 with a similar plan? - Y _ N If so, 25% plan review fee applies." i l Licensed Plumber ' r Telephone ) ) Mechanical Contractor Irl"', Telephone Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and I proval of plans. 614h- A ~~,UA k4,V14 e<5 pplican ri ed 4_~~ame Appli ant's Si ur OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37' Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) - Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water Final Pool Ft s Air/Gas Tests. Final Framing - Siding _ Stucco _ Stone Fireplace - R.I. -Air Test -Final - Windows (new/replacement) Insulation - Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total i r - - - - - - - - - - - - - - - - i For Office Use I g~73 ~ I Permit City of Eap I I Permit Fee: ~ 02 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I ~1 Staff: I Fax: (651) 675-5694 I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~r0 Q Site Address: ~~J ~'CO 1 K• ~.44* fL\ yIt Tenant: filth S1AS19Nr'tl Setite: RESIDENT/ OWNER Name: l^iz Phone: Address / City / Zip: Applicant is: Owner Contractor k4ocA7'1& JJS 13,trfR - A~~1 TYPE OF WORK Description of work: &A-eyoi-ea 1416* - lyiNtif of wA:.~ Zr✓'Xi o l~//~r/.,.r ©ATrd r ~ as Construction Cost: Molfi-Family Building: (Yes / No CONTRACTOR Name: 4:~)1W 00(0-E ply LN L. License 2~ Z Address: 41 "L 6 ^ A-z w Ave, NQ ILQv6 City: (1-6 0{y 1 N S V A%. 13 State: M N zip: .5 ra 47-Z Phonex: o • S33 -6 -55 Z Contact Person: e k" ` A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. 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. 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 plan Applicant's Printed Name A Iicanfs Sign re C __V Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) - Storm Damage X Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex Lower Level _ Pool Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement Siding _ Demolish Building _ Addition _ Move Building Reroof Demolish Interior Alteration _ Fire Repair Windows - Demolish Foundation _ Replace _ Repair Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation *a7 Occupancy 7/?G_1 MCES System - Plan Review l/ Code Edition ap ? SAC Units (25%_ 100% Zoning City Water Census Code kJ4 Stories Booster Pump # of Units Square Feet - PRV # of Buildings Length Fire Sprinklers Type of Construction Width ` REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O: Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: bag 4&P-4 Ali rxr - 4A-5 4~ Roof: -Ice & Water ^Final Pool; -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: Rough est -Final Windows Insulation Retaining Wall Meter Size: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee /O 3 Surcharge t Plan Review G MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant j Copies # TOTAL For Office Use City of EaRd~ i Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 staff: 2009 MECHANICAL PERMIT APPLICATION 6- Date Site Address: /5z-47- '~>146~ ~~-2atr Tenant: Suite RESIDENT / OWNER Name: Phone: Address l City / Zip: ':Seti-7A"W ` _ License CONTRACTOR Name: _ Kline Corp. Address DBA: Practical Systems 43428 Shady Oak Road City: Hopkins, MN 55343 _ State: Zip: Phone: 952-933-1868 TYPE OF WORK New Replacement Additional Alteration Demolition NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under/ Above ground Tank (-Install/_ Remove) I p When installing/removing tank(s), call for inspection by Fire ~ _ Other ej ~T C-6 - 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) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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 ca of work which requires a review and approval of plans. Applicants Printed Name Appli 's Si~c► re J -(OROI`FICE LISE Reviewed By: ' Date: Required inspections. Under Ground Rough In -Air Test Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection For Office Use I I Permit I City of Eajan I'~ grg~ 3830 Pilot Knob Road j Permit Fee: Eagan MN 55122 j Date Received: a-e Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: _ 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: L ~ Site Address: Tenant:- Ha e Suite RESIDENT / OWNER Name: { 1 Phone: Address /city/zip: P), t ye- CONTRACTOR Name: ~ e\le\v License Address: Cl;L )~1,~. 5}`~ SJ ~ ~ a / City: "tc-56 l4, State: A W Zip: Phone: Contact Person: /-kick, TYPE OF WORK -New X 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 C-_ RPZ / _ PVB) C_ Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ~ r 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 ' not to start witho permit; that the work will be in acc N,rdance with the approved plan in the case of work which requires a review and approv p ns. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date Required Inspections: Under Ground Rough-In Air Test -__Gas Test ____Final :1 ''''MMUM you "BATT. 900i 3992 _ F; Pit 11 .-i. '1 4762 W101 90, inNXI 2-210 SON 26G4 ,.3... .f . .D ,F i s M'... 2.01 WWI son 0 141 1) CK), 7 1, C, i 2,! V CITY W is TOPKINAL NOn 77'.".31 10 .v k,.:.,. { " . :F.. ( is tl"~. 9413 900i 732 4 AN AT! N 15 3 2 Toul Receipt Amounts 162M." PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA095126 Date Issued: 07/27/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1546 Blackhawk Lake Dr Lot: 24 Block: 2 Addition: Blackhawk Ridae 2nd PID: 10- 14401-240-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Pella Windows & Doors Turnkey Sales Susan J Hoeffel Tste 1 300 25th Ave N =100 1546 Blacldiawk Lake Dr Plymouth MN 55447 Eagan MN 55122 (763) 74-1400 I hereby aeknowledae 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114231 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 1546 Blackhawk Lake Dr Lot:24 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-240 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 . Joan Ciesler 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 - Susan J Hoeffel Tste 1546 Blackhawk Lake Dr Eagan MN 55122 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118206 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 1546 Blackhawk Lake Dr Lot:24 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-240 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Susan J Hoeffel Tste 1546 Blackhawk Lake Dr Eagan MN 55122 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158083 Date Issued:09/24/2019 Permit Category:ePermit Site Address: 1546 Blackhawk Lake Dr Lot:24 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-240 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Kale M Wallner 1546 Blackhawk Lake Dr Eagan MN 55122 (612) 282-5908 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160408 Date Issued:03/09/2020 Permit Category:ePermit Site Address: 1546 Blackhawk Lake Dr Lot:24 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-240 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 Occupancy: Construction Type: 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 Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Kale M Wallner 1546 Blackhawk Lake Dr Eagan MN 55122 (612) 282-5908 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173640 Date Issued:11/22/2021 Permit Category:ePermit Site Address: 1546 Blackhawk Lake Dr Lot:24 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kale Martin Wallner 1546 Blackhawk Lake Dr Eagan MN 55122 (612) 282-5908 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178773 Date Issued:09/01/2022 Permit Category:ePermit Site Address: 1546 Blackhawk Lake Dr Lot:24 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-240 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Kale Martin Wallner 1546 Blackhawk Lake Dr Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature