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1554 Blackhawk Lake Dr
CITY OF EAGAN ~4173 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWICAKI, Est. Value 1 t? Date DEC. t 9 Site Address 1554 BLAC1KJ1A Lx1F:r: DR AC:t.i3AwitKI OFFICE USE ONLY Lot. 25 Block 2 Sec/Sub.Bt. A Parcel No. Occupancy R`3 N-1 FEES Zoning J?D -1 F W Name I. IURTY CONSTRUCTION, 114C (Actual) Const V-N Bldg. Permit 634.00- Address 458 WR1.INCs"TON R (Allowable) lt~t O73S-0458 Surcharge 55.oo City ST PAUL Phone # of Stories WN) Length Plar,p6iew 442.00 ~p Name SAME Depth SAC, City 100.0 La Address S.F.Total J.~ SAC, MCWCC City Phone S.F. Footprints 580.00 On Site Sewage Water Conn rwUw 'Nam e On Site Well Water Meter %,00 05 Address MWCCSystem Acct. Deposit 30.00 aw City Phone' City Water X PRV Required X SIW Permit 0.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply withf-all applicable State of« Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 340.00 d Planner Park Ded. A Building Permit is issued to: LIRE CO €S 1', INC 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 Variance TOTAL 3,375.00 s h Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC N t Inspection Date Insp. Comments Footings I Foundation -Y- p Al/,7-1,13-4- °/l t "i41 Framing Rooting Rough Plbg. Rough Htg. J 2 e'I 1 Isul. Z/ - Fireplace Final Htg. r Final Plbg. ^~'yz Const. Meter Pibg. Inspector -Notify Plumber Engr.lPlan Bldg. Final Deck Ftg, Deck Final Well Pr. Disp. y WNW (Ur#tf tratae of Orrupaury Citp of Cagan iorpartmrnt of -fintibim jWntinn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use Classification S' IWICAR Bldg. Permit No. 17W Occupancy Type R3/M 1 Zoning District Pd/R1 Type Const. Owner of Building LUMY MOTpT[7E~ Aw ess4~L NM RD, ST. PXL Building ress 1 LAKE M vu~Lhh,L25, B2, MA RMM 2 APRIL 25, 1990 Date: Buildi Offs POST IN A CONSPICUOUS PLACE i j i f ~y, PLUMBING PERMIT For Office Use QryJy CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # O`-a Co PRICE PHONE 454.8100 DATE: Site Addressy J/l~' 7Flu 1 BLDG. TYP WORK DESC TION Lot 5 _ Res. New lock Sec/Su Mult. Add-on Name 1'C 1tIlU'tiU l < ~i f fG t Comm. Repair !`fC~7L oK 7~/ Other ~ Address City Phone ~.S y RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name i f 77 t>~J 4- Water Closet - $ Bath Tubs - $3.00 .00 c Address Lavatory - $3.00 O~' City ~ '~A"f Phone 4~0y Shower-$3.00 {p«&7) _ Kitchen Sink - $3.00 « 6 •'17 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 .c TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 1. MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE U. G. Sprinkler System - $12.00 PERMIT FEE: y FOR: CITY OF EAGAN STATES SlC: y GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD EAGAN MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Mult. Add-on Name Comm. Repair Address Other c City Phone FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address _ ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other $ FEE: SIGNATURE OF PERMITTEE S/C: TOTAL: FOR: CITY OF EAGAN .fIEWGRI*- WATER PERMIT orry ~ EAGIAW 'OI=fICE USt~ OAILY 3930'lailot Knob Rd. METER#-13 5 / 3 d 4j Parr oarE,tp~ . l 3 ' ' 8 a PERMIT # 11233 EOW, MN 55122-1897 CHP # 0 ~,,IwfETER SIZE _ 9"A B.P. RECEIPT # 4 371 d 'ISSUE DATE 3 - Z By. RECEIPT DATE 12/6/89 I)ATE S9 PRV -BOOSTER PUMP E r , SI TTErADDRESS ac" PERMIT REQUESTED 1~' LOT 8Lt)CFC -2:--SEC/SUB SEWER WATER TAPS APPLICANT: AOpRESS: J.30 COMWIND RESIM ENTIAL. CITY, STATE ST ZiP 1 - NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: CAL-BERG Pi.HG Ahead of Domes-tic Meters'on Walter t**. y ADDRESS: 6400 131ST ST CT Credit WILL NOTbe°givenJor- Meteors. ' CITY, STATE 'A•V• Zip 55124 PHONE: 432--4079 i AGREE TO COMPLY WITH CITY OF OWNER: EA4AN H ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER Pt»EASE ALLOW TWO WORKINe' DAYS FOR PROCESSING. CALL 454-5220 FOR WSRECT1Oi> . FOR NORM 73830 eWER & WATER PERMIT OFFICE USE ONLY ITY OF EAGAN METER # PERMIT DATE 2 Pilot Knob Rd. agan, MN 55122-1897 CHIP # PERMIT # METER SIZE B.P. RECEIPT # DATE ISSUE DATE B.P. RECEIPT DATE PRV -BOOSTER PUMP I SITE JkDDRESS PERMIT REQUESTED LOT ~ BLOCK SEC/SUB ` - SEWER WATER TAPS APP(ICANT: ADDRESS: r - COMM/IND_~ RESIDENTIAL CITY, STATE ZIP _ NEW - EXISTING PHONE: VW Lawn Sprinkler Meters are to be Installed PLUMBER:' Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP - PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED i PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. FEBRUARY 22, 1990 DATE: RE: 1554 BLACKHAWK LAKE DR., L25, B2, SLACKHAWK RIDGE 2ND R 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: d. 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 (Plumbir„gAnspEctors - 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. FEBRUARY 22, 1990 DATE: 1554 BLACKHANK LAKE DRIVE, L25, B2, BLACKHAWK RIDGE 2ND RE: 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: t x 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. Request Date Fire No. Rough-in Inspection red? C3 Ready Now ill Notify Inspector ` - Yes ❑ No hen Ready? I'Nlicensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box r Route No) ~ City Section No. rnship Name or No. Range No. Co ty ,4~ra t OccuOant(PRINT) Pone No. P er Supplier Ad ess Electrical Contractor (Company Name) Contractor's License No. Standard Electric Co. 40837 Mailing Address (Contra r or Owner Making Installation) 267 M ewood Dr. a 1 od MN 55109 Authorized a (Contracto 10 r Mak' g In ) phone Number 484-8044 ES A sTATE BOARD OF E C ICnY 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. /11 j 7 REQUEST FOR ELECTRICAL INSPECTION EB-00ool-07 0. See instructiorys for completing this form on baM of yellow copy. F .7 2 6 0 5 `X" Below Work Covered by This Request New Add Rep. TypeofBuilding Appliances Wired Equipment Wired 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 0 Amps Transformers Above 200 Amps Abov 0 Amps Cd Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication Jr Other Fee , p I, the Electrical Inspector, hereby Rough-in , Date certify that the above inspection has Final Date [7. if been made. ~d OFFICE USE ONLY This request void 18 months from I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Now Construction Requirements RemodeUReyair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations Indicate if frame served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE _ VALUATION 4 LA U `-Y SITE ADDRESS MULTI-FAMILY BLDG _Y ~N TYPE OF WORK FIREPLACE(S) _ 1 - 2 APPLICANT Catastrophe Restoration Services Inc. STREET ADDRESS 2489 Rice St Suite 70 CITY Roseville STATE MNZIP 55113 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-0219 PROPERTY OWNER \ ` VQ~-tMX TELEPHONE # Wi!:- LAS -C1~j COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ Plumbing system includes: Water Softener T Lawn Sprinkler Fee: $90.00 Water Heater y No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 0 Signature of Appli OFFICE USE ONLY -1LL I Certificates of Survey Received - Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ❑ 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 (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous ❑ 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 only) - 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) i Plumbing _ Foundation HVAC Drain Tile Other T 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 Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies - Other Total ` MERMIT 4 RECEIPT DATE: CITYOff'rAe 3W PIIJOT II;1ftCHS y IIJIL~. ~ iSISIl~ T*ese complain for shVe fafn4y dme , townhomes and condos when parry is are requited for tom; baackflow prevent,er for irrigation system SITE Aj t, ~ OWNER NAME:: TELEPHONE* (mxA COCO-) MISTALLER NAME: TELEPHONE * --1 $Ti lEE" ADDRESS: GAVIC & SONS PLUMBING ;F CITY: flOQNt , MPi ! STATE: ZIP; SiP'' 5'If°$`"I w, rewfroftubished (requires; two sets of plans and MPC ken* irtofxdes $40.00 tourdy fleas Note: AddMo+ i consume foo: may apply MoiiiiiC TIQAIlAt.TERAT ON TO f;,t TING, DWELLING UNIT, INN UIMG: _ Adding to bw 4veos or room additions, exckWkg water st►tfenen and,wa3r3er heaters. _ Abandortme* of a ntic sys%m: Walert wnaMwxt= #xia j titoIlif' wit 5B metor if needed $118) Other: "RPZ: new insWaiWV tr+eb ukN ~ ~!a}Q> i iallfln "kroftn sy$tm 4. Fepl"rtn#/I#Iil': tarstt+ter erter`~ C+ $ 1 7-7 Nu v Stete &=harge i a bveby *dvKm%d" that i hv4s rewt dale-atppikakm, state that the irafvrrnaWn is correct, wW "to ywWw sail a idq{a1 . is the aappikent's responau Ity to notify thq property owner thet tt►c City of Egan assumes no Ila n►ry a ped' av ~arrrza'ds t r iotW and main ance a0\dt s to #~e fadlitfes cvrastrt used under ttus peamit witt'ura City 34GNATU E Of: PWWff"tEE PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031398 (612) 681-4675 Date Issued: 02/04/98 SITE ADDRESS: 1554 BLACKHAWK LAKE DR LOT: 25 BLOCK: 2 BLACKHAWK RIDGE 2ND P.I.N.: 10--14401-250-02 DESCRIPTION: GAS INSERT ONLY Building Permit Type FIREPLACE Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge .50 Total Fee $50.50 CONTRACTOR: - Applicant - ST- L I C OWNER: FIRESIDE CORNER:INC 16332561 2009091 WINSPEAR RANDELL 1700 N FAIRVIEW AVE 1554 BLACKHAWK LAKE DR 'ROSEVILLE MN 55113-0847 EAGAN MN (612) 633-2561 (612)454-0331 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. v APPLICANT/PERMITEE SIGNATURE ISSUED BY S NATURE ` ~c • sz~ ~t 3 V CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1"S FIREPLACE PERMIT APPLICATION 681-4675 DATE5 PERMIT FEE: $50.50 DESCRIPTION OF WORK: Construct new fireplace Alterations to existing Install gas insert only Install gas line only Other JOB ADDRESS: v,- Lv, LOT: BLOCK: ~ SUBDIVISION/P.I.D. APPLICANT (circle one only): OWNER CONTRACTOR 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. S Cie Name 11►J >7 V l Phone PROPERTY Last First OWNER Signature: ` Street Address:/ S4- V(~ t(,- L OYe, ~l City C Q State: zip: l.s..-C~ 8~3 2.t5 Company ` 2l7rs' Phone 6 FIREPLACE INSTALLER afore: dress:26,0 -ulv 6fy icense pa LQ ~iI (t~l11/~~ State: Zip: - Fide, 30 mpany: Phone GAS LINE INSTALLER Signature: Street Address: N OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 14 Fireplace WO TYPE ❑ 31 New ❑ 33 Alterations ❑ 32 Addition ❑ 34 Repair GENERAL FORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must beinspected before concealing. ' lot CITY . OF~EAGAN PERMIT • _ / 3830 Pilot Knob Road HERMIT TYPE: ( BUILDING Eagan, Minnesota 55123 Permit Number: 021211 (612) 681-4675 Date Issued: 06/14/93 SITE ADDRESS: 1554 BLACKHAWK LAKE DR LOT: 25 BLOCK: 2 BLACKHAWK RIDGE 2ND P.I.N.: 10-14401-250-02 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY Base Fee $25.00 COPIES $.50 Surcharge .50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: - Applicant - OWNER: LIBERTY CONST INC 17380458 MILLER JOSEPH 458 BURLINGTON RD 1554 BLACKHAWK LAKE DR ST PAUL MN 55119 EAGAN MN (612) 738-0458 J 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. APPLICANT/PERMITEE Srr JATURE ISSUED SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021211 Eagan, Minnesota 55123 Date Issued: 06/14/93 (612) 681-4675 SITE ADDRESS: LOT: 25 BLOCK: 2 APPLICANT: 1554 BLACKHAWK LAKE DR LIBERTY CONST INC BLACKHAWK RIDGE 2ND (612) 738-0458 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FINAL I~ REACTIVATE C) CITY OF EAGAN PERMIT 4 ` 1993 BUILDING PERMIT APPLICATION 681-4675 P111 SINGLE & 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, 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 Z) 0 Valuation of work O Site Address: STREET SUITE # Tenant Name: (commercial only) LOT S BLOCK - SUBD. j%/5C )Dy i9 )3 /ode P.I.D. #t 9A Description of work: J~ c The applicant is: ❑ Owner ,4 Contractor ❑ Other (Describe) Name = M !✓1~2 Tr~~ ~t Phone 2~," _ Property LAST FIRST Owner Addr 1-t r a O~ STREET T- STE # City _ - Stat l Zip Company Phone Contractor Address S ft~ i3Y~ Cl License # City _17-- State )v) 11~ Zip Architect/ Company Phone. 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 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 Appl icant 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. ❑ 05 SF Misc. ❑ 10 Multi. Add11. 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 Systen{ (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 ES Footing ❑ Framing ❑ Insulation , ❑ Wallboard ED Final ❑ Draintile ❑ Fireplace i Permit Fee vatuecim: S Surcharge 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 ~T Other Total. SAC % SAC Units 1r V Q6 u n J-6- ~~f~ j l r - CITY OF EAGAN ND 17360 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # - is V71 To be used for SF DWG/GAR Est. Value $170,000 Date DEC 6 19$4_ Site Address 1554 BLACKHAWK LAKE DR 25 Block 2 Sec/Sub.BLACKHAWK RIDGE OFFICE USE ONLY Lot Parcel No. ZND- Occupancy R-3 MM1 FEES Zoning PD RR1 W Name - LIBERTY CONSTRUCTION, INC (Actual) Const VVN Bldg. Permit 884.00 3 Address 458 BURLINGTON RD (Allowable) V N Surcharge 85.00 p City ST PAUL Phone 738-0458 # of Stories Length 78' Plan Review 442.00 Zo Name SAME Depth 58'' SAC, city 100.00 0s Address S.F. Total SAC, Mcwcc 575.00 City Phone S.F. Footprints F On Site Sewage Water Conn 580.00 F W Name On Site Well Water Meter 90.00 uz, Address MWCC System XX_ aZ City Phone City Acct. Deposit 30.00 w Cit Water_ PRV Required XX SM Permit 20.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.0 0 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord' ances. Treatment PI 228.00 Signature of Permitee < l~ APPROVALS Road Unit 340.00 A Building Permit is issued to: LIBERTY CONST, INC 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 _ 19U0 Qlf Variance TOTAL 375.00 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 15 ~ 0 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 CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. 3 q To Be Used For: Valuation: ~ 900011' Date: /--3 d - Site Address hll ~r~- '~~X OFFICE USE ONLY Lot Block ~;i Occupancy 9'3 M-1 FEES Zoning F'r.) R-1 Parcel/Sub G~- f Actual Const N Bldg. Permit584.00 Allowable V--N Surcharge g5,CY-" Owner ,t . c rte. ©r> ~g a r~ # of stories Plan Review 2.0 r7 6 en- ar' l a 7P15 Q h Length SAC, City 100.00 Address Depth $g SAC, MWCC ,5 S,ov S.F. Total Water Conn 590,00 City/Zip Code Footprint S.F. Water Meter D'n ~j Acct. Deposit OP o Phone On site sewage S/W Permit j On site well S/W Surcharge lobe?. Contractor i ~CY~► ~cs~r /h MWCC System 1/ Treatment Pl. oo City water ✓ Road Unit 3 yp,a0 Address S-'rf PRV required Park Ded. Booster Pump Copies City/Zip Code ~~1 19 SUBTOTAL APPROVALS Penalty Phone 23 8? - © Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # I Zvx,Lf. Ll%o k5o_ Irloo 18)< cam = 1 fz> x 10 1°IIZ ~c y- Z~9 8 ST FL- lye. 4r1U 12..E 1(Q = 1 cl I~~t-z -S A ; ENERGY CONSERVATION EVALUATION Site Address L ,-T ~ S . L: CLc>c../C 2 . ~ LAe--r-• t 4 a 7>j,-co ~J►39_ Owner Contractor Calculations done by ARUJ_ DE511--l15JM.Wda~wc,~ur~Phone 7115 PSS•at7Uate 1®-24-&n Type of building Area Assembly, (Show calculations on worksheets (S Ft) U-Value U x A o Total Ceiling rea, Less ry ig t Insulated Area: Area See Fig. 1) 1 Zt~ O %oi 77 ~4J> Framing Area: (10% of Total Ceiling Area See Fig. 2) Z1 Z .01-5 c Skylights: (From Page 7) ****'t* g' Other: (Describe) c"j 1 Totals Z13Z. l~ 1_'1$ 2 Avera a U-Value (UxA)/(A) from Line 1 f.0 Z. *t**'E* 3 Required U-Value (For one and two family dwellings only) k* .026 ***k* o Total Wall Area, Less Window an Insulated Area: Door Area, See Fig. 3) -7 < 1)9(oZZ Framing Area (10'/. of Total Wall Area, See Fig. 4) 'L 0 Windows: (From Page 7) 44 * ( Z Doors (From Page 7)k** Rim Joist Area: (See Fig.. 5) Z O Fireplace Wall: Z •O 4 Z ai Foundation Wall:(Above Grade Less Window Area See Fig. 6) Z 07 7- X W Foundation Windows: (From Page 7) q d £ ~'**'t E Other: (Describe) Other: (Describe) 4 Totals 3 \ -r 4,05 Average U-Value, (UxA)/(A) from Line 4k** A 6 Required U-Value For one and two family dwellings only) ***k*** 11 If line 2 is less than line 3, and line 5 is less than line 6, proposed assemblies meet code requirements: If line 2 is greater than line 3, or line 5 greater than line 6, complete the following_to determine alternate U-Value for total exterior envelope. 0 7 UxA (Line 1) + UxA (Line 4), + _ ***k* 8 Area (Line 1) x U-Value (Line 3) x *k*** 0 d W g Area (Line 4) x 1.1-Value (Line 6) x = c "Bud et", Line 8 + Line 9 ` I If Line 7 is greater than Line 10, alter assemblies as required so Line 7 does not exceed Line 10 , I If Line 7 is less than Line 10, proposed assemblies meet code requirements. 1 Fiture 1 Ceiling/Roof Insulated Area: Z l3 2 Sq. Ft. (with attic area) R-Value Interior Air Film .61 Insulation i; 0 , O O Continuous Vapor Barrier 0.00 - Interior Finish Interior Air Film .61 Total Assembly R-Value IG 1.) Assembly U-Value (1/R) O tl Enter on Page 1 Figure 2 Ceiling/Roof Framing Area: Sq. Ft. _ (with attic area) R-Value Interior Air Film .61 Insulation 3 , p o Wood Member -j S Continuous Vapor Barrier 0.00 , Interior Finish ~S Interior Air Film .61 Total Assembly R-Value 3q,ZE~ Assembly U-Value (1/R) ,O Z'S Enter on Page 1 For additional roof assemblies, see pages 3 and 8. 2 jure lA Ceiling/Roof Insulated Area: Sq. Ft. (without attic area) R-Value Vented Air Space Interior Air Film .61 Insulation Continuous Vapor Barrier 0.00 V Interior Finish Interior Air Film .61 Total Assembly R-Value Assembly U-Value (1/R) Enter on Page 1 Figure 2A Ceiling/Roof Framing Area: O Sq. Ft. (without attic area) R-Value Exterior Air Film .17 Roofing Roof Sheathing w Wood Member Continuous Vapor Barrier 0.00 Interior Finish Interior Air Film .61 Total Assembly R-Value . Assembly U-Value (1/R) Enter on Page 1 For additional roof assemblies, see pages 2 and 8. 3 I Figure.3 Exposed Wall Insulated Area: ~3 S 2j Sq. Ft. R-Value Interior Air Film ,68 Interior Finish Continuous Vapor Barrier 0.00 1JItI Insulation _ o O Sheathing loZ I 4 Exterior Finish Exterior Air Film .17 FTotal Assembly R-Value ZL-~ 3 Assembly U-Value (1/R) o4-(,. Enter on Page 1 Figure 4 Exposed Wall Framing Area: 3 S Sq. Ft. R-Value Interior Air Film ,68 Interior Finish +5 Continuous Vapor Barrier 0.00 Wood Member 2~ U Z , Cj 'I ~1\~ Sheathing t L2 1 Exterior Finish , fy 1 \ Exterior Air Film .17 Total Assembly R-Value I0.2) Assembly U-Value (1/R) t o ' Enger on Page-1 For additional wall assemblies, see page 8. 4 Figure 5 Exposed Wall Rim Joist Area: 1-6,1- Sq. Ft. R-Value Interior Air Film .68 Vapor Barrier 0.00 Insulation '11,00 Wood Member 1. 11 Sheathing L Exterior Finish Exterior Air Film .17 Total Assembly R-Value Assembly U-Value (1JR) Enter on Page 1 Notes: 1) Floors over unheated spaces. For floors of heated or mechanically cooled spaces over unheated spaces, the overall U-Value for the floor shall not exceed 0.05. For floors over outdoor air, such as overhangs, the overall U-Value for the floor shall meet the same requirement as for roofs, U-Value of 0.04.- 2) Slab-on-grade floors. For slab-on-grade, the insulation around the perimeter of the exposed floor shall have a minimum R-value of 6.4. The insulation must.extend downward from the top of the slab a minimum of 316" or downward, to the bottom of the slab then horizontally beneath the slab for an equivalent distance. 3) Vapor barriers. The maximum perm rating for the vapor barrier is 0.1. A minimum of 4 mil polyetheline, or equal, is required to achieve this. The vapor barrier must be continuous with all joints overlapped and made over framing members or blocking. 4) For notes on foundation wall see page 6. 5) For additional assemblies not illustrated use worksheet on page 8. 5 Figure 6 Exposed Foundation Wall Area Concrete Block or Poured Wood Foundation Insulated Concrete Foundation Area: Z Sq. Ft. Area: Sq. Ft. R-Value Interior Air Film .6$ i~ Continuous Vapor Barrier 0.00 n Foundation Wall Z O o Insulation , 11.-n O L -A 4- u -Exterior Air Film .17 I - Total Assembly R-Value I%. bl Assembly U-Value (1/R) C07- Enter on Page 1 Notes: 1) Only the above grade area of the foundation wall is to be included in the energy calculations. ~ O VC 2) The Energy Code requires that, if the floor above the basement or crawl space is not insulated, the founds- 00 tion wall must be insulated. Either the foundation 0 0 must have a minimum R-10 insulation applied from the C~~ top of the foundation to the frost line or a minimum .2 R-5 insulation applied over the entire foundation wall. The R-Value specified is for the insulation 0 O v material only, O G 3) If ridgid foam insulation, is to be applied to the j~~oO p OO~~p ~C exterior of the foundation wall, the above grade le p O GY.T portion must be protected from the sun, the weather 0O D O O t and physical abuse. ~ D OvOpropOpO06 d 4) If ridgid foam insulation is to be applied to the J~o~o DO D~ interior, it must be protected by minimum 1/2" gyp. n Op C ~'r board or equal (as specified in section 1712 of the, Uniform Building Code). S) Foundation wail insulation for wood foundations must be installed as specified by the National Forest Products Association's Design Manual. Wood Foundation Framed Area: Sq. Ft. R-Value Interior Air Film .68 + Continuous Vapor Barrier 0.00 Foundation Wall (Plywood) Wood Member Exterior Air Film .17 ~I Total Assembly R-Value V Assembly U-Value (1%R) _ Enter on Page 1 SKYLIGHT, WINDOW AND DOOR ASSEMBLIES - a ue light Manufacture Manufacture No. No. Used Total Sish Area (A) R-Value U=1/R U x A als Enter Page 1 - a ue idows Manufacture Manufacture No. No. Used Total Sash Area (A) R-Value U=1/R U x A p Z 3o 1 3. L, to o,o 7- A l to s Enter Pa e 1 un ation - a ue ill Window Manufacture Manufacture No. No. Used Total Sash Area (A) R-Value U=1/R U x A .4 - i L -2, t 0 5.13 4 mz- tA- eta s tnter a e -Value -Value R-Value Storm Door Door U-Value Mrs Manufacture Size No. Used Total Door Area (A) Door (if Used) Assembly U=1/R UxA ° i g.~; ,!2 2.52 +i 4 2.=Z.& VO-- COS 47- p 3ta s =nter a e X XXXXXXXX 15 Z "4-" 7 l ss rea grtl Kssembiy Area (WO ateria escrr Thickness - a ue teri (Describe) rc nessi - a ue Interior it Film - a ue (See Page Interior it Film R-Vaiue (See Pace & 5) erior it , m - a ue (See Page & arior it Film - a ue (Sea Page 4 Total ssam Thermal Resistance ota ssemb erne Resistance Assembly - a ue (IMI er on Pace ss - a ue Enter an Page I ssem Area ss (5oft) aterial (Describe) r ess - a ue a a (Describe) is ness - a ue nterior Air Film - a ue ee a e Interior it Firm-r- a ue (See Page T& 5) erior it , m - a ue (bee Page erior it Film R-Vatto (bee Face ota ssam erma Resistance ota ssem Thermal Resistance semo - a ue Enter on Page 1 ssemb - a ue Enter on Pao; ss rM ss&nbiy Area q atena escrr Thickness - a ue ateria es a Thickness - a ue Interior Air Film - a ue (See age nterfor it Film R-Vai-%7T-' 4 At 5) e a a Exterior it Pi lm - a ue (See Pace Exterior it , m - a ue (See a e ota ssemo errna esistance ota ssem erma Resistance embiv - a ue on a seem v - a a Enter on a e ss Area t) Ks3embly Area q t aterra (Describe) Thickness - a ue Material escrr e r rc ess - a ue Interior Air Film -Va ue ee a e Intesfar Air Film -Value (See aae Exterior it i m - a ue (bee age Exterior Air Film - a ue (bee page Total ssemo Thermal Resistance Total Assembly erma Resistance ssemb - a ue (IM-Enter on aoe ssema "-Value 3 tinter on a e 8 WASHINGTON COUNTY PLANNING DEPARTMENT FURNACE DESIGN OWNER DATE: JOB ADDRESS HEATING CONTRACTOR PHONE: BUILDING CONTRACTOR PHONE: **The basic information below must be ascertained from the calculations and plans approved by the Building Department for the structure to be built. **I . Sq. fed of exposed wall area above grade , x "U" x 8.7 degree design temperature. **2. Sq. feet of ceiling area x "U" x 8.7 3. Sq. feet of basement floor area x 3. 4. Sq. feet of wall area below grade x 6. 5. Lin. R. of infiltration for windows x (.5) x (1.08) x 87 degrees. 6. Lin. Ft. of infiltration for doors x (1.25) x (1.08) x 87 degrees. 7. Lin. ft. of infiltration for sliding doors x (.75) x (1.08) x 87 degrees. 8. Allowance for kitchen and bath fans kitchen fans @600 BTU ea. e= bath fans @200 BTU ea. 9. Allowance for fireplaces 24" to 32" 01,000 BTU ea. 34" to 42" 141,300 BTU ea. 42" & larger 01,500 BTU ea. 10. Total BTU loss for all above items 11. Add for combustion air (SBC 7722)--(.001) x net loss above, x (12.5) x (.075) x 87 degrees. 12. Add Total cline 10 and 11) 13. Maximum increase allowable by SSC 6007-Line 12 x 115y.. Out-put size of furnace shall fall between Line 12 and Line 13. (This is the size furnace you should use in this structure, the code does allow you to use the next size avail- able) providing that appropriate equipment is not readily available. The undersigned, as applicant for a heating permit, hereby affirms the above information has been prepared by and or for himself, or under his direction; hereby acknowledges the information to be correct and accurate; and hereby presents this information with required plans in support of the Heating Permit Application. Prooosed furnace size: Proposed furnace model no.: Proposed furnace make: Date: S ignature: 2422 Enterprise Drive * PIONEE14 Mendota Heights, MN 55120 engineering- II (612) 681-1914 Certificate of Survey for: FY CO/V J / ~E 0101111F- NORTH 74 z9 skk`= 087 ~i % ~ 12.0 5.0 o t, ~ ~ GAa r N 3Q., 0 r m ~ _ ~ROpoSEr~ i I°° a 1-~ovy~ ~ 1) NO G 0. i ~ l~ Q.W 0' "j- -,OP-7, G°• I R. V. E " G~~ \ r f 900.0 Denotes evAn! E/eval'ion Sid E ELEVATION petioles prop ed /evafion toweWf oor eva -ion_azs.2/ Uenofes Oraingje e UtiliY Easement --fop Of Block Elevation 36.25 - Denotes Orainccle flow Arrows C,a Slab Uovation 835.93 Denof es monumeof o Deno es Ott set flub Bearin4s shown are assumed gublei d to Easements o1 ' Retard LOT25)BLOCklZ BLACWNAWAI RIDGE 2AIDMD" DAkoTA COUNTY I hereby certify that this is a true and correct representation of a survey of the boundaries of the ahove de crihed Iand/ and of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. At surveyed by me this day of~YpiL-A.D. 19 , SC a~Lo //nchl. 4110eel Rr)HFR"T B. SIKICtt -S. RE O, 148 EIVED FZB 12 1931 'ECF SEVERSON, WILCOX & SHELDON, P.A. t,Z'11 A PROFESSIONAL ASSOCIATION ATTORNEYS AT LAW LARRYS. SEVERSON* KENNETH R. HALL JAMES F. SHELDON ***SCOTT D. JOHNSTON J. PATRICK WILCOX* 600 MIDWAY NATIONAL BANK BUILDING JOSEPH P. EARLEY MICHAEL G. DOUGHERTY 7300 WEST 147TH STREET MICHAEL E. MOLENDA** APPLE VALLEY, MINNESOTA 55124 LOREN M. SOLFEST (612) 432-3136 CHRISTINE M. SCOTILLO ANNETTE M. MARGARIT TELEFAX NUMBER 432-3780 DANIEL M. SHERIDAN 'ALSO LICENSED IN IOWA O COUNSEL: ''ALSO LICENSED IN WISCONSIN JOHN E. . VCTKELICH -ALSO LICENSED IN NEBRASKA February 12, 1991 Mr. Gene VanOverbeke Eagan City Clerk 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 RE: Blackhawk Ridge 2nd Addition Pressure Reducing Valve Agreement - Joseph and Sandra Miller Our File No.: 206-6491 Dear Gene: In connection with the above matter, I enclose certified copy of Pressure Reducing Valve Agreement - Document No. 238301, together with photocopy of Owners Duplicate Certificate of Title No. 86801 showing the Pressure Reducing Valve Agreement memorialized thereon. If you should have a question, please feel free to contact me. Thank you for-y ur consideration and cooperation in this matter. Voy tru _ yours, ZS WILCOX & SHELDON, P.A. . Duffy Legal Assistant RSD/djk Enclosures SEVERSON, WILCOX & SHELDON, P.A. A PROFESSIONAL ASSOCIATION ATTORNEYS AT LAW LARRYS.SEVERSON* KENNETH R. HALL JAMES F. SHELDON ***SCOTT D. JOHNSTON J. PATRICK WILCOX* 600 MIDWAY NATIONAL BANK BUILDING JOSEPH P. EARLEY MICHAEL G. DOUGHERTY 7300 WEST 147TH STREET LOREN M. SOLFEST MICHAEL E. MOLENDA** APPLE VALLEY, MINNESOTA 55124 CHRISTINE M. SCOTILLO (612) 432-3136 ANNETTE M. MARGARIT DANIEL M. SHERIDAN TELEFAX NUMBER 432-3780 `ALSO LICENSED IN IOWA *`ALSO LICENSED IN WISCONSIN OF COUNSEL: *..ALSO LICENSED IN NEBRASKA JOHN E. VUKELICH February 12, 1991 CERTIFIED MAIL - RRR - P 548 993 369 r Mr. and Mr Joseph A. Miller 1554 Blackhawk Lake Drive Eagan,,'MN 55122 RE: City of Eagan/Meritor Development Blackhawk Ridge 2nd Addition Pressure Reducing Valve Agreement Our File No. 206-6491 I Dear Mr. and Mrs. Miller: In connection with the above matter, I enclose original Owners Duplicate Certificate of Title No. 86801 showing the Pressure Reducing Valve Agreement memorialized thereon as Document No. 238301, together with a fully executed Pressure Reducing Valve Agreement for your files. I want to thank you for your understanding and cooperation in this matter. If you should have a question, please feel free to contact me. Very truly yours, SEVERSON, WILCOX & SHELDON, P.A. Roxann S. Duffy Legal Assistant RSD/djk Enclosure cc:,,~. J. VanOverbeke, City of Eagan i BLACKHAWR RIDGE 2ND ADDITION PRESSURE REDUCING VALVE AGREEMENT This Agreement, made and entered into the %.S.- day ml of ahvcar~ , ]~01 by and between the CITY OF EAGAN, a municipality of the State of Minnesota, (hereinafter called the City), and the owner identified herein. The term "Owner" as used herein refers to: JOSEPH A. MILLER and SANDRA L. MILLER whose address is 1554 Blackhawk Lake Drive, Eagan, Minnesota 55122. WHEREAS, a plat known as BLACKHAWK RIDGE 2ND ADDITION, located within the City, has been filed with the County Recorder; and WHEREAS, the Owner agrees to notify any proposed potential buyers of Lot 25, Block 2, Blackhawk Ridge 2nd Addition that said lot is in a high water pressure zone and a pressure reducing valve shall be installed in the home as the elevation is below 875 feet. All costs shall be the responsibility of the Owner and shall be installed to prevent damage due to high water pressure. NOW, THEREFORE, the City and owner agree as follows: 1. Recordina. This agreement shall be recorded with the Dakota County Recorder so as to provide notice to any future owners of Lot 25, Block 21 Blackhawk Ridge 2nd Addition. The Owner shall provide and execute any and all documents necessary to implement the recording of this agreement. 2. Notice. The recording of this document shall constitute notice to any future owners of Lot 25, Block 2, Blackhawk Ridge 2nd Addition that the lot is in a high water pressure zone and that a pressure reducing valve shall be installed in the home as the elevation is below 875 feet. All costs shall be the responsibility of the Owner and shall be installed to prevent damage due to high water pressure. 3. Validity. If any portion, section, subsection, sentence, clause, paragraph or phrase of this agreement is for any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this Contract. 4. Binding Agreement. The parties mutually recognize and agree that all terms and conditions of this recordable agreement shall run with the land herein described and shall be binding upon the heirs, successors, administrators and assigns of the owners referenced in this Contract. IN WITNESS WHEREOF, we have hereunto set our hands. CITY OF EAGAN OWNER: (Date: - -Q\ ) r ~ 4B Thomas A. gan J SEP A. MILLER Its: Mayor Attes • E. J. VanOverbeke SANDRA L. MILLER Its: Clerk STATE OF MINNESOTA ) ss. COUNTY OF DAKOTA ) On this/L/( day of 1990., before me a Notary Public within and for said ounty, pers ally appeared THOMAS A. EGAN and E. J. VanOVERBEKE 7 me person ly known, who being each by me duly sworn, each did s y that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed on behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. (/~h,^.iJl.*9R^C`'.^•~~!!dffJlt.^°, ^SllOhPy • ~ 1, ~e7,, i e1an d2f n ' ; ~rr D,1!'~TA Cl.I~~J'1 Y w i, n En) r,S s, 1~--s otar Public i STATE OF MINNESOTA ) ss. COUNTY OF ) The foregoing instrument was acknowledged before me this day of c.hv,;r , _19-9; by JOSEPH A. MILLER and SANDRA L. MILLER, husband and wife. Pq I d 7)q0' Notary Public THIS INSTRUMENT WAS DRAFTED BY: I MARK D. STENBECCK ~~1 NOTARY PUBLIC-MINNESOTA HENNEPIN COUNTY SEVERSON, WILCOX & SHELDON, P.A. My Ccomss*n Exrres DEC 12 19,96 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD/RSD/ 201, - 6-1191 a `A-38301 0 OFFICE OF THE REGISTRAR OF TITLES - DAKOTA COUNTY, MN. CERTIFIED THAT THE WITHIN INSTRUMENT WAS FILED IN THIS OFFICE ON AND AT ju 211 00 P11 '91 238301, DOC. NO. CERTIFICATE NO. VOLUME PAGE JAMES N. DOLAN REGISTRAR OF TI BY. DEPUTY FEE CASH CHECK CHARGE CHARGE WHOM REFUND C State of Minnesota, County of Dakota QDC certified to be a true and correct copy I 'C of the original on file and of record in any office this day of<~2t~ 1991 JAMES N. DOLAN R ° °tr a of Titles Dq?uty Q~ Uc~Ic~z~~ m~ s5 VOLUMLOne hundred ninety ni e rAGE _._151 I .3 = -x% 0 86801 Joseph A. Miller etal Ef OWN JAMES N. DOLAN Reyistrar of Titles COUNTY OF DAKOTA STATE OF MINNESOTA Volume No.____ f ic e of Tit e Certi of I OWNER'S DUPLICATE CERTIFICATE Certificate No. 8 6 8 0 1 Document No. 228563 District Court No. Transfer from No. 8 5 7 5 5 Original( registered the 18th day of Apri l 19 59 Volume Forty page ~9 State of Minnesota, ss County of Dakota. llcr,4 Joseph A. Miller and Sandra L. Millen 1554 Blackhawk Lake Drive of the City of Eagan County of Dakota and State of Minnesota are now the owners of an estate, to wit: fee simple as joint tenants of and in the following described land situated in the County of Dakota and State of Minnesota, to wit: Lot Twenty-five (25), Block Two (2) 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 Joseph A. Miller is of the age of 50 years, is married to Sandra L. Miller and is under no disability. That the said Sandra L. Miller is of the age of 46 years, is married to Joseph A. Miller and is under no disability. a o 0 ft 11f, 1'e31 X11c.,,ecl 1 hat,-e hereunto subscribed my name and affixed the seal of my office, this 2nd day of May 19 90 JAMES N. DOLAN Registrar of Titles In and for the County of Dakota and State of Minnesota. (Seal) MEMORIAL .,~i NN of Estates, Easements or Charges on the Land described in the Certifiedie of Tittle hereto attached. DOCUIdENT KIND OF DATE OF REGISTRATION DATE OF INSTRUMENT NUMBER INSTRUMENT MONTH DAY YEAR HOUR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR DR SIGNATURE DR REGISTRAR A. M. P.M. 215904 ,Declaration f Protective Coven nts (and other la ids) The Public 11 May 17 198 3 4 27 '89 - James N. Dolan 203946 Conservation June 22 198 3:2 5 2 '88 - City of Eagan Easement (25' conserv tion ease +nt-- ee Doc., and o he lands) James N. Dolan 228564 Mortgage May 2 1990 3:39 4 26 190 180,00(.01) Norwest Mortgage, Inc. James N. Dolan 238301 %Pressure Re dicing Val e Agree. By and Between City of Eagan an Jan 24 199 4:09 1 15 191 - oseph A. Miller & Sandra L. Miller James N. Dolan I MEMORIAL CONTINUED DOCUMENT KIND OF DATE OF REGISTRATION DATE OF INSTRUMENT NUMBER INSTRUMENT MONTH oav YEAR HOUR MONTH DAY TEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR A.M. P,M, r I r ~ I INSPECTION RECORD'. l3830 Not Knob Road,,, Permit Number: Eagan, 5M28 ' Date Issued: 0 f 14J ~r 3 (812) 681-4675 ,y 'MADDRESS. L 0T C(t tt yy "3 APPLICANT. ` I F~K4 BLACK_WAWX LAKE O t- IOU FY --CQM a T -ANC SUSTWE: TYPE OF WORK: f:* NEW *arm f1fJX h1# FINAL i { t .71 x.' w <a mok, Now ~t a F f ~t s r iWA C 4 't PAW EMxj Ond Tom fkW PV* P#4 kwpocW - NW#yl Mwvb r COWL MOW Ey1 JPlon . Oft FmW i DwkFV- Do&RW W Pr. 00. INSPECTION RECORD i~ tt i tYt 1~ ~1 MY OF EAGAN fiRMIT TYPE: $830 Pilot Knob Road 01,41390 Permit Number:,, ! aft eiagan; f nnesota 55122-1897 Date Issued: (6-l 2)'681-4675 SITI ADDRE : r° . I r k APPLICANT: Yig HAWK Ca lAi*Vf4At4 LW tt t=tl # ti1Dv (101'NfP INC i f IYPE: TYPE OF WORK: A . `1°RATIO" ~ tr; I ii "r I t S INSERT ONLY ~~?1t9HS~~~P# F'1rP~t y Perm# NO. Fern* Holder Date Tekphoft ~ 3 ELECTRi PLUMBM tVAC - kDds bra: Comments FOOTINGS FC UNr FRAMM PLtp~tNG Ptma AARTWr r FOUG" GAS sic TEST {I Ii SUS f GYP BOARD f~ 9 FIREPLACE k FIRiR ~ ACE ~ i FINAL PLSG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGPiN t;FiSHTO',,': JS 'T'ERMINAL NM: 699 ID': 3c..:..i? ..jClCl:l. :l. s°,,.,AL EIXKFMK LX 50.00 M55 900i 054. DI CKI-INK I I< 0.50 Total Receipt Amount,, 50.50 USER ID: JAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE F - 19 ` RECEIVED FROM t T4f_- .l AMOUNT V Fs -3 =r / J & DOLLARS too O CASH CHECK FORT FUND OBJECT AMOUNT Thank You 11 BY 4 9 91 mitA--Payers. COPY YeNDw-Posting Copy Pink-Re Copy PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA075424 Eagan, MN 55122 . Date Issued: 10/11/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1554 Blackhawk Lake Dr Lot: 25 Block: 2 Addition: Blackhawk Ridge 2nd PID 10-14401-250-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Micki Soule 308 SW 12th St Forest Lake, MN 55025 651-982-2626 misoule69@hotmail.com Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $30.00 0801.4088 Total: 530.50 Contractor: -Applicant - Owner: Aspen Air Randell Winspear 308 SW 15th Street, Suite 25 1554 Blackhawk Lake Dr Forest Lake MN 55025 Eagan MN 55122 (651) 982-2626 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature '4 Use BLUE or BLACK ink 'air c r i City of Eajan Permit Fee: a&-) 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 6755675 I I Fax: (651) 675-5694 I stafF 1 I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3a 20 10 Site Address: ISE- Lh(< 1~ Tenant: Suite RESIDENT / OWNER Name:~ ~132- -Phone, Address / City / Zip: is--S-4 Applicant is: Owner contractor TYPE OF WORK Description of worx; Construction Cost: ((9 - U y " Multi-Family Building: (Yes / No CONTRACTOR Name: c-<,1~ License* 2-U ~ I I I D Address: 64 T~ City; <aT ?b A_ State: Zip: S:~` I (~-f Phone: (d1(~ Z SJ ""Z~`'~'r Contact, Email: .J0k tri vp S►b s , COMPLETE THIS AREA ONLY IF CONSTRUCTING A N9A BUILDING In the last 12 months, has the Ctty 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:~ubmlt`sHe~ cgns d to be-putillc.hilkw nation . Poitfons:.of the Information maybe classif/ed'as non public ff you priovlde specifc~ reasons that would permit the C/ty to: cvnc/tide that the air.6'trade: secrets:. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that i understand this is not a permit, but only an application for a permit, and work is not to start without a permit: that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X J 0,f- L.-.._ 1 lr~ } x Applicant's Printed Name Ap cant's 51gna re Page 1 of 2 £0/Z0 39 d dsol 6ZTbb£9T59 05:£T 0TOZ/0£/60 PERMIT City of Eagan Permit Type:Building Permit Number:EA112948 Date Issued:08/27/2013 Permit Category:ePermit Site Address: 1554 Blackhawk Lake Dr Lot:25 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-250 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Luanne Yang Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Randell Winspear 1554 Blackhawk Lake Dr Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129898 Date Issued:03/23/2015 Permit Category:ePermit Site Address: 1554 Blackhawk Lake Dr Lot:25 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-250 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 . 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 - Davide R Ruocco 1554 Blackhawk Lake Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139815 Date Issued:11/10/2016 Permit Category:ePermit Site Address: 1554 Blackhawk Lake Dr Lot:25 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-250 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Davide R Ruocco 1554 Blackhawk Lake Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature EAGAN'N��oD 3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 (651) 675-5675 l TDD: (651) 454-8535 FAX: (651) 675-5694 buildinoinspectionsc citvofeagan.com For Office Use I .' Permit #: 7O D-1-1� Permit Fee: 77/� 7/ (:24; Date Received: Staff: L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/16/2020 Site Address: 1554 Blackhawk Lake Dr. Unit #: Resident/ Owner Name: Dave Ruocco Phone: 262-565-3334 1554 BlackhawkLake Dr. Address / City / Zip: Applicant is: Owner X Contractor Type of Work Description of work: Re -deck & Re -rail ()------- Construction Cost: 19, 571.40 Multi -Family Building: (Yes / No X ) Contractor Company: Outdoor Spaces Design and Build Co. Contact: Jon Hassenfritz Address: 19205 Harappa Ave city: Lakeville State: MN Zip: 55044 Phone: 952-457-0597 Email: jhass415@gmail.com License #: BC689582 Lead Certificate #: NAT-F168253-1 If the project is exempt Built in 1990 from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the Information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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 accordance with the approved plan in the case of work which requires a review and approval of plans. DigitalDigitallygsag by Jon Hassenfritz xJon Hassenfritz Jon Hassenfritz Date:2020.pg,g14:59:59-05'00� x Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 56 / &/f l 4 LAg& Dg. SUBS Foundation Y Single Family ' Multi 01 of _ Plex Pool WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review V (25%_ 100% ) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level _ Interior Improvement Move Building Fire Repair _ Repair REQUIRED INSPECTIONS Footings (New Building) _ Footings (Deck) Footings (Addition) Occupancy Code Edition Zoning Stories Square Feet Length Width Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Porch (3-Season) Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Y Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile _Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL nj/IL �I�GY15= 7,/Va Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA163929 Date Issued:09/16/2020 Permit Category:ePermit Site Address: 1554 Blackhawk Lake Dr Lot:25 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-250 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 - Davide R Ruocco 1554 Blackhawk Lake Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173709 Date Issued:11/29/2021 Permit Category:ePermit Site Address: 1554 Blackhawk Lake Dr Lot:25 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-250 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: 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 - Davide R Ruocco 1554 Blackhawk Lake Dr Eagan MN 55122--125 Condor Fireplace & Stone 8282 Arthur St NE Spring Lake Park MN 55432 (763) 786-2341 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177903 Date Issued:07/25/2022 Permit Category:ePermit Site Address: 1554 Blackhawk Lake Dr Lot:25 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-250 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Davide R Ruocco 1554 Blackhawk Lake Dr Eagan MN 55122--125 (651) 402-2815 Sandstrom Windows Llc 888 Burke Avenue Roseville MN 55113 (651) 330-8911 Applicant/Permitee: Signature Issued By: Signature