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1547 Blackhawk Lake Dr DATE: FEB 25, 1992 RE: 1547 BLACKHAWK LAKE DR (MCALLISTER CONST CO) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: 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. CASH RECEIPT CITY OF EAG4kt~ 3830 PILOT KNOB ROAD ! t. EAGAN, MINNESOTA 55122 DATE aeceweo td fgOM t AMOUNT $ ) (39 , & DOLLARS 100 CASH O CHECK foa 1 4J ~ ~ i ~ " ~ ~ 1p~t; ` ``rr a J F FUND OBJECT AMOUNT Th.a.0kYOU ~y.BY . `4 if 9 . , _ While--PayeM Copy VV Yeilo%--Posting Copy. . ilink4file CONY CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 2 013 9 BUILDING PERMIT „ PHONE: 681-4675 Receipt # 0-0 Ph/q-5/ To be used for SF DWG/GAR Est. Value $163, 000 Date PER 71 '1992 Site Address 1547 BLACKHAWK LAKE DR Lot 6 Block 1 Sec/Sub. BLACKHAWK RIDGE OFFICE USE ONLY FEES Parcel No. 2ND Occupancy R-3 M`1 Zoning PD R-1 Bldg. Perrnit 860.00 Name MCALLISTER CONST CO (Actual) Const VN Surcharge 81.50 w 1960 CHARLTON ST (Allowable) K-N Q z Address Plan Review 559.0 o City W ST PAUL MN Zip 55118 # of Stories 60 License 5.00 Length Phone 451-8070 Depth 4' SAC, City 100.00 Cr Name SAME S.F. Total - SAC, MCWCC 700.00 S.F. Footprints K- Address On Site Sewage Water Conn 675.00 City Zip On Site Well Water Meter 95.00 Phone MWCC System X Acct. Deposit 30.00 City Water License # 0003485 PRV Required X S/W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge -5 n information is correct and agree to co ply with all applicablp State of Minnesota Statutes and, ' of agar r i ~Jces. i' Treatment PI inn _ nn Signature of Perm iteeV 2 APPROVALS Road Unit -3An _ nn A Building Permit is issued to: ALLISTER CONST CO Planner - - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official - 0 f\ DAI~ J Variance TOTAL 3, 816.50 CITY OF EAGAN ^ . r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i PHONE: 681-4675 BUILDING-PERMIT' Receipt # To be used for 8T4 DWG/GAR Est. Value $163.000 Date FEB 21. 1992 Site Ad ress 15G7 ?LAC IAWY LAKE L BLACKRAW RIDGE OFFICE USE ONLY Lot Block Sec/Sub. VILY F--3 M-1 FEES Parcel No. Occupancy 860.00 Zoning P 'fi't-1 Bldg. Permit 4CALLISTER CONST CO V-t. 81.50 Name (Actual) Const Surcharge cc Address 1960 CHARLTON ST (Allowable) ~ plan Review 559.00 Cfty ST PAUL M: Zip L of Lof Stories License 5.00 O hone 451-8*70 ength a :Ph' Depth - sac, city Nagle 1 S.F. Total SAC, MCWCC ` S.F. Footprints 00 Address Water Conn On Site Sewage - (',It)/ Zip On Site Well Water Meter 95.00 Phone MWCC System 34#00 O City Water Acct. Deposit License # 0003485 3U. -77 PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50 information is correct and agree to comply with all applicable State of 30040 Minnesota Statutes andti)y of,f_agan:Ordinances,~ Treatment PI • Signature of Permiteer APPROVALS Road Unit 380.00 ALLITER COMoT CO Planner A Building Permit is issued to: F~ 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 3, i31b. 54 Building Official Variance TOTAL Permit No. Permit Holder Date Telephone # ` f Cdr -P- S/W PI,LIMBING vt S SL - 02 HVAC El ECTRI i; !d l~ $ ov ELECTRIC Inspection Date Insp. Comments Footings I Foundation ~j Framing z ~~L Jr Roofing Rough Plbg. l~ _~i vs!/¢L Rough Htg. - Isul. .S .S~ ~7C S Fireplace 2 Final Htg. Orsat Test Final Plbg. Ir Plbg.Inspector - NotifyPlumber Const. Meter i Engr./Plan Bldg. Final Deck Ftg. Deck Final Well I Pr. Disp. Az/ (9rdi#iratt of Mrruvanry Citp of Cagan MrFww x of siltahtJ impt.Cum This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code cernf)ing that at the time of issuance this structure was in compliance with the carious ordinances of the City regulating building construction or use. For the following.. - use CISISirkalion SF DWG / GAR Bldg. hank No. 20139, OW++Ir LYa R-3 M-1 zoning niu;a R-1 'ryP, c. Vn Ownerofe MCALLISTER CONST 20 1960 CHARLTON.ST., W ST PAUL Btg Ad" 1547 BLACKHAWK LAKEL&Y L5, B1, BLACKHAWK RIDGE 2ND MAY 22, 1992 officill POST IN A CONSPICUOUS PLACE r Address: 1547 BLAGKHAW'K LAKEim 6 Blk 1 Sec/Sub BLA%I"KHAWK RIDGE 2ND i These items were/were not complete at the time of the final inspection. Date: Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Y' Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish ` / 2- Deck t/ f 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. FEMEDPAPEN White - City copy Yellow - Resident copy Pink.- Contractor copy -Irv, "I SEWER $ (WATER PERMIT OFFICE USE ONLY' CITY OF EAGAN t32/25f92 METER # P1=KNIT DATE i 568 f 3830 Pilot ICltOb Rd. ` , fl 0 Eagan, MN 55122-1897 CHID # S1' Z PERMIT # j d METER SIZE B.P. RECEIPT # - DATE 1 1992 ISSUE DATE. 13,P. RECEIPT DATE 02/24/92 i PRV BOOSTER PUMP SITE ADDRESS .1547 Aj A0gMW ; M DR ~ PERMIT REQUESTED LOT ~ BLOCK -1-SEC/SUB BLACKRAW MIDGE 2ND' SEWER X , WATER TAPS APPLICANT: ADDRESS: COMMIIND X- RESIDENTI} CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: ~ PLHG Ahead of Domestic Meters on Water Line. ADDRESS: ' 720 PONTI';AC .PL Credit WILL NOT be given for Deduct Meters. CITY; STATE MEND A HTS MN zip-,55120 PHONE: 454-9299 AGREE TO O LY WITH CITY OF OWNER: IICALLISTER CONST CO EAGAN ORDINANCES ADDRESS: 1960 CHARLTON ST r, CITY, STATE W ST PAIIL HN1 Z1P t 55118 PHO E: 451,-8070 SIGNATURE WHE METER ISSUED PLEIKLLOW~TWO GRA A S FO P OCESSING. CALL 454-8220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. rr - , . , t~~ ,--.+aP3.,..,..;.._. r.~.y-r...1R91FRy...~.... ~MA~„nv~ . .-r.++ .as _ -fir. t. _r ~[•P?~S 't 3.. _ ,rF:.. v.'.Y.'.,7j SEWER & WATER PERMIT OFFICE USE ONLY CITt OF EAGAN METER #r PERMIT DATE 02/25/92 3830 Pilot Knob Rd. 12568 Eagan, MN 55122-1897 CHIP # PERMIT # ^ / METER SIZE B.P. RECEIPT # (J ISSUE DATE B.P. RECEIPT DATE 02/24/92 DATES 1992 PRV ` BOOSTER PUMP SITE ADDRESS 1547 BLACKHAWK LAKE DR PERMIT REQUESTED LOT 6 BLOCK 1 SEC/SUB BLACKHAWK RIDGE 2ND X SEWER JL WATER -TAPS APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: JANECKY PLBG Ahead of Domestic Meters on Water Line. ADDRESS: 720 PONTIAC PL Credit WILL NOT be given for Deduct Meters. CITY, STATE IMENI)OTA ETS MN ZIP 55120 ? r _ PHONE: 454--9297 . I AGREE TO O PLY WITH CITY OF OWNER: HCALLISTEP CONST CO EAGAN ORDIN NOES ADDRESS: 1960 CHARLTON, ST CITY, STATE W ST PALL HN ZIP 55118 PHONE: 451-8070 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 72/ Request Date Fire No. Rough-in Inspectio 3 may) Required? ❑ Ready Now ~}-vffili Notity Inspector 9 yx J ~s ❑ No When Ready? 10'f tensed contractor El owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City V%_ T~Alrk',440W k- I E 4G Section No. Township Name or No. Range No. County Occupant(PRIN ) Phone No. c c c 5'1 - pCOV Power SlIpplier Address Elect /In``tractor (Company Name) Contractor's License No. 44_ 0 !S Mailing Address (Contrac or Owner Making Installation Authorize Signature (Contractor/ ner Making Installation) Phone Number APO ®JJ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway 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. REQUEST FOR ELECTRICAL INSPECTION EB-00001- a 23372 ► See instructions for completing this form on back of yellow copy. J- X' Below Work Covered by This Request r New Add Rep. Type of Building Appliances Wired Equipment Wired j 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 Above 100 Amps Signs Inspector's Use Only: TOTAL !SO Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O RED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 181 ONTHS. I, the Electrical Inspector, hereby Rough-in f., Date certify that the above inspection has Final oat been made. r~ OFFICE USE ONLY This request void 18 months from PERMIT I Ce 'CITY OF EAGAN 'PERMIT TYPE: /BUILDING 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 021815 (612) 681-4675 Date Issued: 08/24/93 SITE ADDRESS: 1547 BLACKHAWK LAKE DR LOT: 6 BLOCK: 1 BLACKHAWK RIDGE 2ND P.I.N.: 10-14401-060-01 DESCRIPTION: (FIREPLACE INCLUDED) Building Permit Type BASEMENT FINISH Building Work Type NEW REMARKS: FEE SUMMARY Base Fee $35.00 Surcharge .50 Total Fee $35.50 - CONTRACTOR: OWNER: Applicant MANSCO PERRY 1547 BLACKHAWK LAKE DR EAGAN MN 55122 (612)686-7616 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L i 4 APPLICANT/PERMITEE SIGNATURE ISSUED B. SI$NATURE! INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021815 Eagan, Minnesota 55123 Date Issued: 08/24/93 (612) 681-4675 SITE ADDRESS: LOT: 6 BLOCK: 1 APPLICANT: 1547 BLACKHAWK LAKE DR MANSCO PERRY BLACKHAWK RIDGE 2ND (612) 686-7616 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH NEW DESCRIPTION (FIREPLACE INCLUDED) INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FRAMING FINAL FIREPLACE L REACTIVATE CITY OF EAGAN PERMIT 1993 BUILDING PERMIT APPLICATION a 681-4675 15 ,2[ SINGLE 5 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I 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 i.s requested once permit is issued. Date 8 z 3 / 1 Valuation of work Site Address: (cH4w1 STREET SUITE 0 Tenant Name: (commercial only) LOT BLACK SUBD : P . I . D . N Description of work: SnA L,YiisO-r 00 ar 4 r` *01 'Oer The applicant is: ® Owner ❑ Contractor ❑ Other Mescribe). Name Y /1'I,gtiSco Phone 6 86 - 76t 6 Property LAST FIRST Owner Address T3L,19-c,ef441-c If -L. ',efv STREET STE N City ~tG~fiN State A ~ Zip S'S/'Z Z Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer A water permits is two days once area has been approved'. 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. Signature of Applicant: OFFICE USE ONLY F BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging to 16 1"eQ1 „01 sh ❑ 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-Piex ® 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi: Add1l. ❑ 15 Deck ❑ 20 Public facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd F1. 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 ❑ Site O Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Oraintile ❑ Fireplace Permit Fee Valuation: $ 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 Bed. Trails Ded. Copies Other Total: SAC % SAC Units 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 a New Construction Requirements Remodel/Repair Requirements > 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions > 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 if lot platted after 7/1/93 DATE: '5 -2© -qi CONSTRUCTION COST. DESCRIPTION OF WORK: `Rerri0d e a 10.c-t STREETADDRESS: LOT: BLOCK: SUBD./P.LD. 1A ot 1 J.-- ar'(L 0 G S~- -7(.v1C.p Name: 1~`L12 0.n.t 5 C.O Phone PROPERTY last First OWNER Street Address: j S5q 7 C-CJ'~ e Q IZ City c,G State: V-y1-A Zip: ~~1 Z I Company: Sua - Lou-, Phone Cp i 2 QG~- ZZ7Cp ( CONTRACTOR area code} Street Address: C.o 9 S i y S ; License # 20i ` ZZ85- Exp. Z-Z I -ZCXDO City G-P 12 1 e State: Ya°) Zip: 12 y ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration ' City State: Zip: Sewer & water licensed plumber (required for new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant(_+ I Q Q Q- OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required 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-plex ❑ 17 Garage ❑ 22 Parch/Addn. (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 ❑ 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 ❑ 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 I 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 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: $ 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 Z~ 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 1<;'k DATE : ij-p........- 1 . PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 a OF 1 PER PERMIT OWNER NAME: 1✓~ SUBTOTAL: ADDRESS: 16-4-1 alt, $ STATE SURCHARGE: .50 LOT: BLOCK SUBD.TOTAL: $,rL INSTALLER: ADD WG"-X ADDRESS:-~~~~! v~- SIGNATURE 0 PE il4ITTEE CITY: ZIP: PHONE 03?RIANASTF PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT 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. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION X0 1.54 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 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. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made or lot change is re guested one ermit is issued. Date Valuation of work 1 Site Location: STREET STE # Tenant Name: LOT _ BLOCK SUBD. P.I.D. # Descri tion of work: The applicant is: wner ontractor 0 Other (Describe) Name W ~fi LL-1,5 F_7& M C - 14 ),0' r4 T• Phone 4~ ,j Property LAST i FIRST Owner Address STREET STE # City State Ziuv Zip e Company Phone tom"" d Contractor Address 2140 License # 00 v City ~ State Zip 2/v Company Phone Architect/ Engineer Name Registration # 4ac9 3 'q'6 Address -6 ~D City W State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days ce area as been approve 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ "16 Agricultural $ 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE j 90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish I❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION ` Occupancy ~-2, M_- Basement sq. ft. MWCC System Zoning PD R--4 1st Fl. sq. ft. City Water ~r Const. (Actual) u-N 2nd Fl. sq. ft. PRV Required_ (Allowable) v_ N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code /r DePthe On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Insulation ❑ Site ❑ Footing ❑ Framing E3 Wallboard ❑ Final ❑ Draintile ❑ Fireplace WJCC SAC Faaa: Valuation. S Permit Fee 80-00 GA SAC % Surcharge 1,Sa 32X *;2 at = 9Ze Plan Review 559, a s 2 X I I 2Z~ % License s o0 5 K 3c City SAC o SAC Units Water Conn. C~'1S , Qo ~ry tt t~r~ Water Meter gS, o Q . . Road Unit 3c6©. ga 2$ Kg -.8/2 Treatment Pl. 3 oo, o o A, Rand-YR4► : 30, ao 5 Y6 - Park Ded. w s( 30 0 0 2-L 19, i ---1 Copies Apo, 00 Other'►11 IV(oX 1Lf - 11 01V4 , Slws~L , 5`p Total : 391to.gC) 2'47 - ► 4 7u , 2? _ ~'2 !25fXy 12,~yX S3 = 6!>-EL /b2 7 1? ors 163,0& * * * 2422 Enterprise Drive PIONEER LAND SURVEYORS -CIVIL ENGINEERS J Mendota Heights, MN 55120 * eing * eering v• LAND PLANNERS• LANDSCAPE ARCHITECTS (612) 681-1914 Certificate of Survey for: McAllister Construction, Inc. N 83•2f 56" E 111.62 1 5\ 1 \ v \ (3% 839.9 C%) O P. LO \ 49 61 W \ i ~5 ~OpGSEG N~S~ tp 61 \ N MEN a~ \ O= 2q 4 P WISE \ GPRPGrc 2a 33 a N ~G 6~ ,5i\ 5 6o \ i \ \ ~ Y J \ 60 G~~JEWP 838.4 , - 23~ ~ i / / -,2.04 .1 2. S0 0 i l l 0 55.00 `N 292 25 _ - 834.4 1.00 & R D, 03'2 R ' 2271 J/ R ~ _ Q all 1?1 • 900.0 Denotes LExisting Elevation PROPOSED HOUSE ELEVATION -Q900.0 Denotes Proposed Elevation Lowest Floor Elevation: 932.95 - - - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 941.06 --o- Denotes Monument Garage Slab Elevation: 940.73 --B- Denotes Offset Hub Bearings shown are assumed LOT 6 BLOCK 1 BLAC-KHAWK RIDGE 2ND ADD DAKOTA COUNTY, MINNESOTA hereby certify that this survey, plan or report was preored by m"r nder my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this r /day of 7 A.D. 19-~ 1 Scale: 1 inch=30feet R BERT 8. SIKICH L.S. RE NO. 14891 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: i~ SITE ADDRESS: CONTRACTOR: ~L DATE: 1 ~L PHONE: G~ Determine working square footage of each: 1. Total exposed wall area sq. ft. x .11 2. Total roof/ceiling area ` sq. ft. x .026 Total exposed wall area above floor a. Total wall window area b. Total door area - c. Total sliding glass area d. Total fireplace wall area r-- e. Total wall framing area (average 10%) f. Total net wall area above floor g. Total rim joist area ~7 r Total exposed foundation area = h. Total foundation window area i. Total net foundation area above grade Determine 'U' value of each wall segment: r w _ d. x 'U' _ f. x ,U, tUi ► 77 g. e -x 'u, h. x ' U' 3. Total LIS If item #3 is the same as or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area j. Total skylight area k. Total roof/ceiling framing area (average 10%) 2 1. Total net insulated roof/ceiling area L OVER it „R Determine 'U' value for each roof/ceiling segment: J• x 'U' _ ful k. x 4 . Total = - ' If total of X14 is the same as or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize 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. 1 . ! _ n' 2q' 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from`the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation. will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. GUIDELINE TO (R) FACTORS FROM ASIIRAC MANUAL t OF TYPICALLY USED PRODUCTS (R) (R) Interior Air Film (Val Is) 068 Gypsum or plaster board 3/8" 0.32 Exterior Air Film (1laIIs) 0.17 Gypsum or plaster board 1/2" 0.45 Interior Air Film (Vented Ceiling) 0.61 Gypsum or plaster board 5/8" 0.56 Exterior Air Film (Vented Ceiling) 0.61 Plywood 3/8" 0.47 Interior Air Filn (11cn Vented) 0.61 Plywood 1/2" 0.62 Exterior Air Film (lion Vented) 0.17 Plywood 3/4" 0.93 Sheathing, reg. density 1/2" 1,32 Aluminum Siding 0.61 Sheathing, req. density 25/32" 2.06 Aluminum with Backer 1.82 Nail-base sheathing 1/2" 1.14 Aluminum with Backer 6 Foiled 2.96 _ 1/2 x 8 Lap Sidinn (hood) 0.81 Built-up Roofs 0.33 7/16 x 12 1lardboard Siding 0.67 Asbestos-cement shinglts 0.21 Asbestos Sidinns 1/4 Lapped 0.21 Asphalt roll roofing 0.15 Stucco (or(,,,n and Finish Coat) A ahl sp t Shingles 0.44 3/4" t good Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00 1/2" Plywood ;ht•a[hin - g 0.62 Insulation: 3 I/2" Fiberglass 1F.00 1/2 Particle tlo,.rd 0.66 Insulation: 6" Fiberglass 19.00 WOODS: BLOWING WOOLS Fir, pine L similar soft floods 1 1/2" 1.89 Approx. 3' 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 3 1/2" 4.35 Approx. 6 1/4" 19.00 5 1/2" 6.87 Approx. 7 1/4" 24.00 Approx. 14" 30.00 Approx. 18" 40.00 All other insulation materials must be Filled verified (R Factor) (R) Vermiculite 8" Concrete Block (S Z G Req.) 1.11 1.93 12" Concrete Block (S E G Reg.) 1.28 3.15 8" Light sleight 2.18 5.03 12" Light s:eight 2.48 5.82 NOTE: (U) x Area Square Feet All Windows (w/Sterns I" to 4" Space) .56 Removal Double Glazing ( RDG ) - •55 Thermo or welded 3/16" air space .69 1/4" air space _ ce .65 1/2" air space .58 (Other windows specifically tested-can use better ratings) 1 3/4 Solid core door .46 w/storm, wood .31 - w/storm, metal .26 Pease SteelDoor Insl/1:/GL 7.45R .13 Slidinq Glass Door, Wood .65 Metal .715 „ r MINIMUi1 "U" VALUE AND R-FACTOR AT ROOF, (BALL, RIM Ai`D CONCRETE BLOCK Provide insulation baffles in every" RoDF ~LI7 rafter space. t N[ (p~ _ ~ Q lc1TE~~o~ Atz vAL Fj~r1 4~I ~ 3Q t1~5ULA tloN ~ - c, ~ EX ~EIZIo(~ Ate FIt_M ~ ~ ~ 10 e :3 irUrc = I f!z _oZ~-' -DTT L_ ([Z)_ tk 'WALL (R~ MALL 47 rr OO tr-SV~ATto~ Siz'' 0 77~--Z~t HUI 17 ToTiu • ~ • . 3 IZ 1ciT~t'-tor, Air FILM • 1 13 S 1/2 ~ t~ i~r 2 nI Iz I V'j ~oIST I , ` ZSI~Z 15 105 • r Iv~F;~stolrG ss~ • © Z~~TE tRID - AIR I=ILC1 • - .Q° 11 U11 - J V, TUTA:. (tZ,t7 . 13 tN ~Et7t~~ Attc FILt1 VA t_ u` •D C ~~►-I~ . t~ a 6) o E';T -rtaz AIR FILM t it U11 Floors aver unheated spaces must have mininu,-a R-factor of R-20 (tuck'-under garages). Floors over outdoor air (overhangs) must have a minimum R-factor of R-33. - >'7~ Volume No. Cert*lf ae T*Itle OWNER'S DUPLICATE CERTIFICATE Certificate No. 8 3 8 4 9 Document No. 21549015 District Court No. 7 ransfer from No. 8 0 5 9 7 Originally regrstere t 7e 18th day of 19 plume Forty page 59 April 59 State of Minnesota,( SS CoUI1ty of Dakota. J .~~c~ is rfd ce~rC /1cre Meritor Development Corporation 605 West Travelers Trail of the City of Burnsville County of Dakota and State of Minnesota is now the owner of an estate, to wit: fee simple of and in the following described land situated in the County of Dakota and State of Minnesota, to wit: Lot Six (6), Block One (1), in BLACKHAWK RIDGE 2ND ADDITION, according to the recorded plat thereof. 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 ~~11eritor Development Corporation is a corporation organized and existing unpder XXX`R'~(RX(S'XXXXXX XX~(7~Xk. X''JCR' XtXXX the laws of the State of Pennsylvania. XXX'Xr('XXXXXXXXXX~RRRSXXXXXXXXXXXX%RXk'01. ~(~zeJJ '~l~e;lenI 1 have hereunto subscribed my name and axed the seal of my office, 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) ME3101HAL of Estates, Easements or Charges on the Land described in the Certificate of Title hereto attached. DOCUMENT KIND OF DATE OF REGISTRATION DATE OF INSTRUMENT NUMBER INSTRUMENT MONTH DAY YEAR HOUR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR A.M. P.M, 215904 Declaration f Pro ec ive ovenants ( nd other land- Ma) 17 198 3:00 4 27 189 - The Public James N. Dolan 239209 Pressure R ucin Valve Agreement and the lan s) Between City of Eagan and Fe). 2 19 1 10:6 12 2 '9 - Meritor Development Corporati n James N. Dolan MaCMAN~CAL (MSME1 TIAL) tIty'OMkSW X301 PIW. Knox Rindil 9" 0112r Telephone 6514MSM VAX 60-' 75 Fsl~w sip firs Sbgle Family Dwcilis T ones ad Cons wim Cmiit m roquaW for cmcls wit f low . 3. K a wylue Hate & Af 12481 Rhode Wand Ave. So. j Ad av MIS §§~7~3-1 "t22 zip ZOO, 3 . - ' tt~ i~ _ vz FB:2 6 2003 tow' v . _ ~ 113t: 9 doato ` i.'lL`Zt -84 14 llck a0 w '~at i AM J3Om k ` uw and with &e k4 •v~~ > ~ ~n iX ~3EI'1~#~ ~ f3 1T~ ~'i 9ttlr"t ~ ~E;, l~!@t t~G `~c ~ ~ WO& Namt . MECHANICAL (CE}MMR+ " A } C~ ~cgt 3 8 tni Te ► at » T Sb'N FAQ 651475-5674 Sze r,~ubpl~e - bui tltul ll+huil iegs PION oft ~ required fbr unit Date I~ / Uaat , T" "t lit (if "Pik") tts.°it`enaat Ifi me prop"Iy owner Tde phanei # { - ) C~t+sr Stlee4 A d& +Ctty' SAce AP T ( } Tbo AppReam Is Owner, I r work Ty" Now Onstrucow UrtdOrground Tank -install ~ Ramoys Intedgr Improvomont Catf.far inspection dung of of tank Pro4sad Piping ` Nta of Wtxk. Peru* fee s n.* AadM ` Fee (incwdees State swelmv) cantract Value S x .01% ~ $ permit Fee • if mmit f is $I w last, add 1.150 $ State Su=Wwge If per-4t fee is over St MW $.S4 per S1." Peru* Fft $ Tata,1 Fee I_ hereby apply for x niai iW Mechanical Pertsait and' tic swlrtlge that the inf natisu i.9 comp and a=nte; toast tom- WM be in conf nce with the ordi csa and codes of itm City of Eagan and with the Mochanical Codes; that I tuuIer UM: dtis is not a Wit, but Only an application for * pm* and work is not to start without a permit; that the work will be in acvordt we with the approved plan in the case of work which regwm a. review and: approval, of p 4w. Applicsofs Printed Nam Applica fa'Si s, F INSPECTION RECORD MY F EAGAN PC PERMIT TY 3830 Pilot Knob Read 81 Permit Number: ~ xY apart', tull sc►t 55123 Date Issued: 4 ~ /;!4 (612} "1-4875 SITE ADDRESS., APPLICANT: , 1AWK 1, AKE 00 1641 1 1 Al 14 A idCi PFR Y 8r1.Ai'K14tal11 it106C AHD 1fi1:'j rf06--It316 SIT SUBTYPE: TYPE of WORK: Nrt, } If1 F►1+TW#i FINA1 f Wow- 3 City of kap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Pemiit #: I 03<17 Permit Fee: (Q 0. Date Received: Staff: 5/7113 INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer &Water Date: 7 /: Tenant: Site Address: /(9-7 7 7f 4 J Name: .� [ ./o/hty Address / City / Zip: Suite #: Phone: 1(16`^ 7/c' 3 579 Name: &h/? Z/i- C_--- License #: /a/c-67,k.,��'0/,;`.,.7 Address: � City:/� ,� State: Al/7 Zip: $ 2 5Y Phone: (> 7/ ? 22/ Contact: Email: SPLUUMBING (Within the building envelope) 1></Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: 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 I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.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 utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in ac ordance with the approved plan in the case of work which requires a reviewnd approval of plans. x Applicant's Printed Name ,c(2,f) i Applicant's Signre PERMIT City of Eagan Permit Type:Building Permit Number:EA117692 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 1547 Blackhawk Lake Dr Lot:6 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . John Miller 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 - Mansco Perry Iii 1547 Blackhawk Lake Dr Eagan MN 55122 James Barton Design Build Inc. 5920 - 148th St W #100 Apple Valley MN 55124 (952) 431-1670 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA120425 Date Issued:02/10/2014 Permit Category:ePermit Site Address: 1547 Blackhawk Lake Dr Lot:6 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-060 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 or installing Bay or Bow windows, 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 $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 - Mansco Perry Iii 1547 Blackhawk Lake Dr Eagan MN 55122 James Barton Design Build Inc. 5920 - 148th St W #100 Apple Valley MN 55124 (952) 431-1670 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA123931 Date Issued:06/18/2014 Permit Category:ePermit Site Address: 1547 Blackhawk Lake Dr Lot:6 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-060 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Mansco Perry Iii 1547 Blackhawk Lake Dr Eagan MN 55122 (651) 686-7616 Rick's Roofing & Siding Inc 13736 Johnson Street NE Ham Lake MN 55304 (356) 763-2698 X022 Applicant/Permitee: Signature Issued By: Signature ����ij Use BLUE or BLACK ink , � �-�'-------- - C"G� ���.. � For Office Use i • j Permit#: l � I City of ����� ('� � � Permit Fee:��. �—! � 3830 Pilot Knob Road j G�f I Eagan MN 55122 i Date Received � Phone:(651)675-5675 � Fax:(651)675-5694 �� JUN 1 �► 1015 � St---------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ��� ���'l�T-r ►VIVV�" ��'��`�. ��11�J Unit#: Name: �I:�IJ�t� � �V��rl��� ��T��T Phone: �JI' �Q{:�-7��IY Re�ic�er�#1 f �`�"1 ��(( �'1(�1/�9�,, (}�y��� Address/City/Zip: C�� ����,` — � �Applicant is: Owner �' Contractor � Description of work: �V �����f'f'� \�)��� �"�°M0�"'�� — TYP�of�Vc�r�c , � Construction Cost:_�O,• 81�� Multi-Family Building: (Yes_/No� Company: ��C����� lsl�����`�J����T�)� �f�� Contact: � � � � '� �#?11�1'+'�G'��!` Address: I ; � � ,; � (r�--3'��-° � City:'f 1�7��.l ���t 1„i 1r� '�� State:�Zip:����_ Phone:��'�� Email: �'� �l% � � � �nG � ��' �` �G��' I��'. License#: � Lead Certificate#: 1 v� �� lY � `�� If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: �htC?T�.Pt�ns a�f,supp�rt�i�g d+���r��f�#�tat yt�u sv�mit a�cr�t��'������pt���inf�i�rta� Azt�o�.�t'' , th���fc�m��o�rr�ay;#�e c��ss�fi+�d�s�r�'-�+�trc�f�ou pro��spe+�lt"►c r�a�t���lia��rtz�td�e+��'���'�`t.t� ' ' �c�r�e��tle#hat fh� are trard�s�c�'ets. 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.ao�herstateonecall.orp 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 accoreiance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x X ApplicanYs Printed Name ApplicanYs Signature Page 7 of 3 r �/ �I�I�(J �� ��� .�C �/ ��"( � ,,�r�U�—� DO NOT WRITE BELOW THIS LINE / ` �c� � SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior �p Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall "Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ����-'— Occupancy L — 1 MCES System Plan Review Code Edition i.,�1n Z��S� SAC Units (25%_100%_) Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation ___�I_ HVAC_Gas Service Test Gas Line Air Test Roof: _Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final )l Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick �o Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By:�a M 1►�� k��t�' , Building Inspector RESIDENTIAL FEES �`x Base Fee �D � Surcharge 2� D� 5� r� Plan Review MCES SAC c�ty sac /�:n: ,�-a.�� ,�e c�Z�� Utility Connection Charge ', S8W Permit 8�Surcharge I�I Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131956 Date Issued:07/16/2015 Permit Category:ePermit Site Address: 1547 Blackhawk Lake Dr Lot:6 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-060 Use: Description: Sub Type:Residential Work Type:Alteration Description: 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Mansco Perry Iii 1547 Blackhawk Lake Dr Eagan MN 55122 Spring Plumbing Llc 11473 Kenyon Ct Blaine MN 55449 (763) 614-7963 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149714 Date Issued:06/06/2018 Permit Category:ePermit Site Address: 1547 Blackhawk Lake Dr Lot:6 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mansco Perry Iii 1547 Blackhawk Lake Dr Eagan MN 55122 (651) 686-7616 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature