Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1555 Blackhawk Lake Dr
PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA083820 Eagan, MN 55122 . Date Issued: 06/25/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1555 Blackhawk Lake Dr Lot: 7 Block: 1 Addition: Blackhawk Ridge 2nd PID 10-14401-070-01 Use Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Permit expired without required inspections. 1-16-09 CE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Apple Lake Heating & Air Conditioning James S Pankow 207 150th Street West 1555 Blackhawk Lake Dr Apple Valley MN 55124 Eagan MN 55122 (952) 431-4328 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 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA088125 Eagan, MN 55122 . Date Issued: 02/04/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1555 Blackhawk Lake Dr Lot: 7 Block: 1 Addition: Blackhawk Ridge 2nd PID 10-14401-070-01 Use Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Permit closed without required inspection(s). Letter sent to applicant on 7/29/09. (pf) Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Apple Lake Heating & Air Conditioning James S Pankow 207 150th Street West 1555 Blackhawk Lake Dr Apple Valley MN 55124 Eagan MN 55122 (952) 431-4328 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 .c.. k... , . y _ ~Jt ~ t,...:. ~ : is a.. - i ~ Co*o! No. F. INSPECTION RECORD 0 54 9. 0M OF EAUN Pitt Knob Road 1 A" TYPE* Pem* Member: # 9 cv~i~-~/ taste: ;I 94"n, Minnesota 55123 701 A►DDRM: LOTS I ~ A tC : APPLlD : ► OLACK90" LAI t SA # AMA ltMi f t 1i0*96 Mat#blbt~M~AMi MR~-1~~ ~Mt# (1~~'~t} M~N~tt868~ PE 1~" 7YPE: 7YPE P RK: M rw ~tlMr t'~1l1 MrYMMA~ . ~ 5 P *V a oKju ve© ow Kea JC ~gL IeUL-1 Dare U*IdrJOU3 mqwfQ Am xped" *w tea' d'l 5( zz 6 twru *we &SAXM 1 eAl" s~~ (Urtif iratt of (Orruvaury Citp of Cagan 3091parbund of suit M it"ertian 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 carious ordinances of the City regulating building construction or use. For the follo)qng• Use ckvm ww SF DWG BMS. Fewdt No. 645 occupancy Type R3/M 1 zoning v.,, R I Type Cow VN own" of aw"M r API~RF CUSUM BMS , P.D. BOX Mo - R' VH IT E "m 1555 a-AMM LAKE DRIW L ,vWL7. B I. M AMAWK RIDGE 2ND ! - Dag 1°~°? 3L Buming Officw POST IN A CONSPICUOUS PLACE I: Address: 1555 BLAGgAWK LAKE DRIVE Lot 7 Blk 1 Sec/Sub BLAr'tGL4K RIDGE 2ND These items were/were not complete at the time of the final inspection. l`'fl?31Afr Yes No TnqpprtnrFinal grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch 4/ Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. 4 11 mmfvwm White - City copy Yellow - Resident copy Pink.- Contractor copy VU2t Request Date, _ Fire No. ugh-in Inspection NOTICE: You Must Call Electrical Inspector e ' ed? If A Rough-In Inspection s 0 No Is Required. I Ic sed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No. City 165,5 b6A 4(.wk a~L Dr_ i o Section No. Township Name or No. Range No. Coun Occupant (PRINT) y, Phone No. ma Power Supplier Address Electrical Contractor (Company Na e) Contractor's License No. Mailin ddress (Contractor or Owner ng Installation) Authorized Signature (Contractor/Owner -rAaking Installation) Phone Number MINNE TE BOARD OF ELECTRIC Y THIS INSPECTION REQUEST WILL NOT Griggs-Mi Bldg. - Room S-173 t . 4tiv A 3.tX BE ACCEPTED BY THE STATE BOARD 1821 University Ave„ St. Paul, MN 55104 W UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION _ EB-00001-08 ► Se 'n uctions for completing this form on back of yellow copy. M 12116 Below Work Covaedby This Request V New Add Rep. Type8f8 llding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management CommAndustrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: ~ Compute Inspection Fee Below: W I re # 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 rR:!:~ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON t 1, the Electrical Inspector, hereby Rough-in r t certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from Requ st Dap - Fire No. Rough-in Inspection Required? Ready Now fl Will Notity Inspector + j Yes No When Ready? I' licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Section No. Township Name or No. - Range No. County I Occupant(PRINT) Phone No. 'ri ~Y1 ~j ra~ 4 50 - o~OCoCo Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. j, m q (~_5 (cc+f C, J-o C L1,30 ~J Mailing Address (Contractor or Owner Making InstPa-f on) 7 ~ d - ~ f tT .)0 r__ V Q t Authorized Signature (Contra wner Making Insta ion) Phone Number 33--7000 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 t ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION eta , , ea-00001.08 (c ► See instructions for completing this form on back of yellow copy. 8` 6.4 X°Below Work Covered by This Request / ew Add Rep, -Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating i 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 Irrigation Booms L(/ ~G Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from J 26474,7 Request Date Fire No. Rough-in Inspection Required? ❑ Ready Now ll Notify Inspector z G Yes o When Ready? 1 L~'eensed contractor ❑ owner hereby request inspection of above electrical work at: Job Addr ss (Street, Box or Route No.) City hick Section No. Township Name or No. Occ pant(PRI - Phone No. '61'e' - 3 Power Supplier 11dress lectrical Contractor (Company Name) Contractor's License No. . Ca X60 L LEC--c-2~ cA-r: 4C Mailing Address (Contractor or Owner Making Installation) Auth rized Signature (C tractor/Ow Making Installation) Phone Nu ber n~ 6,'3-~ ~?a MINNESOTA STATE BOARD OF E CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION tl EB-00001-OS `See instructions for completing this form on back of yellow copy. X " Below Work Covered by This Request 42647 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 Fge # 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: OTAL pS~ Irrigation Booms Special Inspection Q Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date `/J~ been made. tl_ ~ OFFICE USE ONLY This request void 18 months from J K 0 0 9~ 1192- 1 Request Date ire No. I Rough-in Inspection N / Required? ❑ Ready Now ~6(ilI Notify Inspector ✓ When Ready? 1 licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Section No. Township Name or No. Range No. County Qccupant(PRINT) Phone No. Q Power Supplier Address -e~2/~2~ rcia ectrical Contractor (Company Name) Contractor's License No. Mania Address (Contractor or Owner Making Installation) Authorized ignature (Contra for/Owner Making Installat n) Phone tuber Y7 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave„ St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION [ jo- See instructions for completing this form on back of yellow copy. -4 K00957 X"`Below Work Covered by This Request 7U New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other -(Specify) Comm./industria4.n7,~actorb Furnace Farm Air Conditioner Other (specify) Remarks; compute Inspection Fee Below: # Other Fee # Service Entrance Size Fe # Circuits/Feeders F e Pt_ Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 10 Amps Signs Inspector's Use Only: TOT L~ Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED SCONNECTED IF NOT Other Fee 0 f ~ COMPLETED WITHIN 18 JAMHS. D f I, the Electrical Inspector, hereby Rough-in to certify that the above inspection has Final oat been made. f OFFICE USE ONLY This request void 18 months from ~ r ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031635 (612) 681-4675 Date Issued: 03/24/98 SITE ADDRESS: 1555 BLACKHAWK LAKE OR LOT: 7 BLOCK: 1 BLACKHAWK RIDGE 2ND P . I . N 10--14401--070--01 DESCRIPTION: Building Permit Type DECK Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $50.00 COPIES _ .75 Surcharge $.50 Total Fee $56.25 Lic. Search Fee 5.00 Subtotal $55.50 CONTRACTOR: OWNER: Applicant - ST. LIC. DAKOTA DECKWORKS 13863074 2011856 BRAGG TIM 14663 CHICAGO AVE S 5 1555 BLACKHAWK LAKE DR BURNSVILLE MN 55306 EAGAN MN (612) 386-3074 (612)452--2066 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 a City o Eagan Ordinances. i LICANT/PERMITEE SIGNATURE ISSUED B IGN URE r 1998 BUILDINGS PERMIT A"LICATIO ~l CITY OF MGM I t~ci, to. 3830 PMW ffi1011 IUD ! Wl.= "146Ta # 3 road sits surveys ! 2 copies of Plan 2 owls of Plan Owlude tin & wkWow ebmw V w W ft w. design; W-) ♦ 2 sgssuxveys (wieft *idit ores 4dwdao); ! 3 coples ##as Peesewatim plant lot WADd after 711A3 + 1 MOW: -yes . No 9' DATE. CONS*MUC ON C gym - a~ r. i WNAIlIIII -i.ll' illYll i DESCRIF ON OF WORK: ~~v& ' ~ ~ STREET ADDRESS: .S LOT' BLOCK: ,...._.~..l,!__._ SUBDJP.I.D. Name: % Phone PROPERTY Firsr OWNER Sava Address: / e City metre:.-A7 Coat i p~.~- (.r1oN kS Phone 26, CTOR tY ~c11 Street Address: re~~, r','d"~ qT ~~r J'®.s,• City J J ^ss.1~r%f stage: Zip: .3.3'.,►U ARCHITECT) ENGWEER Company: Phme Street Address: - State. . " 8 Wait itrtaed pkmtw (rw w construftri orth►): Pe aft SP*e : wim aftl" - l; admowl®dge that t have raid this app and sbft Mat ft muftn is W4 *WW tQ OOOVIY w#h al a Sbft of MWma#a Status and City of Eagan Or&won. 'oe Sow hoo of ftmt: OFFICE USE ONLY +Cwtftates of Survey Received Yes No Ttt Pfes+en ftw Plan Raceived Yea No , , Not Rogtr ! OFFICE USE-.ONLY W&DING PERMIT TYPE 111 01 Faundatitn ©t Duplex O 11 Apt.ltirtg L'. 16 Basement Finish 0 02, SF Dwelling 0 07 4-plex 0 12 Multi- R ►aldRem. ~ 11'17 Sim Pool 03 SF Addition a tag 8-plex D 13 garage/A ry .10- 20 Public Facility 13 04 SF Porch © 49 12-plea Cl 14 Fireplace CI, 2'1 i ion 0 0 SF Misc. 0 10 -plex JZ115 Dew WORK TYPE ,e31 NOW D 33 Alterations CI 36 Move 13; 32 Addition 0 34 Repair 0 37 Demolition IENERAL INFORMATION Const. (Actual) Basement sq. ft. MCA System W!(wade) Main level sq, R. Ctiy Water, t Occupancy sq. ft, Firo . Zoning __..._.r_ sq. ft. PRV F of Stories sq. ft. Boosw Pump ......_..r. sq. ft. Census Code. Footprint sq.. ft. SAC Code- bus Bldg Census Unit APPROVALS Inning Building Engineering Variance 4 ' Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water meter Acct. Deposit SNV Permit SM Surcharge i Treatment Pl. Park Deli. Traits Ded. Other copies C * * 2422 Enterprise Drive * Mendota Heights, MN 55120 * PIONEER (612) 681-1914•Fax 681-9488 LAND SURVEYORS • CIVIL ENGINEERS i LAND PLANNERS • LANDSCAPE ARCHITECTS * engineering 625 Highway 10 Northeast * Blaine, MN 55434 * (612) 783-1880•Fax 783-1883 Certificate of Survey for: LaP ierre Custom Homes, Inc. House Address: Blackhawk Lake Drive Eagan MN N 89'48'54" W r 22.89 8 i 3.o t Pj1 '!5 } t \ ry A36.2 \ a CD U` to 835.05 / - S36'519EL /6 A3S~ \ •CQ I 32.50 ° - - - I / (p Q; _ 21.50 21.94 \ \ a ~S PROPOSED HOUSE g m 12 COURSE BASEMENT \ ~C! \ ~0 63s.r CLpU 29.67 rO~/ 14.00 - - 6.33 x pj3S~`l V p x A3C" (o / GARAGE 83Y / N ° J N I 19.79 12.00 ° N \ 5 / N 2o.00 ti3 \ 46.61 835, 833.0 c ° ` 0 20 q ry M DRIVEWAY \ r, 833.7 N 13..4 $333 - - - - _ Sev~ico A?~7,3 a33.S L-153.57 83'1, 3 - 38'38'28., R = 227.71 kyq ~ k1 LAKE X 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION x'900.1 Denotes Proposed Elevation - _ ~ Denotes Drainage & Utility Easement I-owest Floor Elevotion:830.65 Denotes Drainage Flow Direction Top of Block Elevation: 837.36 (A ~3n r-~ --o- Denotes Monument Garage Slab Elevation: 837.03 --9 Denotes Offset Hub Bearings shown are assumed LOT 7 BLOCK 1 BLACKHAWK RIDGE DAKOTA COUNTY, MINNESOTA 2ND ADDITION I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the Taws of the State of Minnesota, Dated this day of A.D. 19 ~Z / d inch 3O feet Sca Ie : -ms s RCIRER"i . §IKIC'V-t L.S. REG. NO. 14891 ~n3nl n')1W) ()t PERMIT I Control No. 0549 CITY 00 EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit Number: 000695 I~ Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 06/01/92 SITE ADDRESS: 1555 BLACKHAWK LAKE DR LOT: 7- BLOCK: 1 BLACKHAWK RIDGE 2ND DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning R-1 Building Length 68 Building Width 57 REMARKS: RECEIPT C1r5° PRV S&W PLBR. MATTHEW-DANIEL5 FEE SUMMARY: VALUATION $135,008 Base Fee $762.00 MISC FEES X1,610.50 Plan Review $495.30 Total Fee $3,635.30 Surcharge $67.50 SAC $700.08 SAC % 100 SAC Units 1 Subtotal $2,024.80 CONTRACTOR: - Applicant - ST. LI OWNER: LAPIERRE CUST HOMES 14549383 000264 LAPIERRE CUSTOM HOMES INC P 0 BOX 1049 P 0 BOX 1049 BURNSVILLE MN 55337 BURNSVILLE MN 55337 (612) 454-9383 (612)454-9383 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. _J APPLICA /PERMITEE SIGNATURE t ISSUED BY GNATURE INSPECTION RECORD I Control No. s CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 0 0 6 9 5 Eagan, Minnesota 55123 Date Issued: 06/01/92 (612) 681-4675 SITE ADDRESS: LOT: 7 BLOCK: 1 APPLICANT: 1555 BLACKHAWK LAKE DR LAPIERRE CUST HOMES BLACKHAWK RIDGE 2ND (612) 454-9383 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE I I REMARKS: RECEIPT # PRV S&W PLBR. MATTHEW-D-ANIELS ~I PERMIT i CITY OF EAGAN V, --3 1992 BUILDING PERMIT APPLICATION f 7~ S . 3 681-4675 MAY 2 7 REm, 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 request is made or lot chap a is re guested once permit is issued. Date Valuation of work Site Address: l5 S~--~~ A0,1",~ STREET STE 0 Te nt. Name: (commercial only) LOT BLOCK SUN. ~ p.I.O. M ~9e Description of work: The applicant is: Owner ❑ Contractor ❑ Other Mescrfbe) Name Phone L~el 1'3 3 Property LAST FIRST Owner Address ~t!57, 0,a 'l V Z STREET STE # City State Zip Company /tiZ'-y- Phone Contractor Address License # Exp. City State Zip Company cam`-" Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber. Processing time for sewer & water permits is two days once area has been approved I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all-applicable State of Minnesota Statutes and City of Eagan Ordinances. ~j Signature of Applicant: '162 .z OFFICE USE ONLY . BUILDING PERMIT TYPE i ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Comm/Ind New 99 02 SF Dwg. Q 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Comm/Ind Add ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add. ❑ 15 Comm/Ind Rem D 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Res. Porch ❑ 16 Public Fac. ❑ 17 Agricultural WORK TYPE Jhr 31 New ❑ 33 Alterations ❑ 35 Move ❑ 32 Addition ❑ 34 Tenant Finish ❑ 36 Demolish GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System (Allowable) v -r-1 1st Fl. sq. ft. City Water ya UBC Occupancy R-3 M-t 2nd F1. sq. ft. PRV Required Y Zoning ~p R-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 6_ On-site well Census Code of Depth 57 On-site sewage SAC Code a~ APPROVALS Planning Building~s3 ?g 9z Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing 0 Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee '7CG2Valuation: $ Surcharge 69,50 GaaA~ s 22xaz: buy Plan Review y 95 , 30 2 _ (ZLI) License - MWCC SAC oo, 8 o X t 1 Or'a s o ~a ~ r City SACS f Water Conn. a OP00 Water Meter Acct. Deposit S/14 Permit b -A5q ~ Iclaq S 1W Surcharge 1-510 Treatment P1. -aoo, 00 33 Road Unit Park Ded.,, Trails Ded. Copies 16oa K 5.3:. ~41300 Other ~ViE~D is L04Fi msH i Total ` SAC x 0 z a= ~r SAC Units 3~1 K 2-q r- gI 5 ~3~ 2 f3 2422 Enterprise Drive ~C Mendota Heights, MN 55120 * PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914•Fax 681-9488 * engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 * * * * (612) 783-1880•Fox 783-1883 C. Certificate of Survey for: LaP ierre Custom Homes, In House Address: 81ackhawk Lake Drive, Eagan, MN N 89'48'54" W 8 0 22.89 S ± `!3 f ay3. J, Q) C~ /JCV / 836.2 a~~ X \ J C9 / \ CP. / 103 8 35. a5 - S 85'36'51" E g S \ 32.50 0 ` - \ 030s i / 21.50 21.94 \ 8 PROPOSED HOUSE \ 3rd n I m 12 COURSE BASEMENT "ter ` / n ro ro~O / 835 ( 29.67 N \ Gqqr X001 14.00 - 6.33 k Q73S~y \ N `O GARAGE 836.7 \ / N O S3y6o ~ \ 19.79 12.00 0 N - - N 20.00 + 83S y 3 \ ._L_ -4s.s1 \ - \ \ 833.5 20@ DRIVEWAY \ N 833,1 Tel ~ N Sevvi~e 7~ $ ~ \ \ a33.s g3'1' 3 ~-=153.57 C~ a d rte; h ° 38738'28" _ R - 227.71 - r k LAKE 'tA X 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION 0I000 Denotes Proposed Elevation Lowest Floor Elevation: 830.65 Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 837.36(A9ar.) -o- Denotes Monument Garage Slab Elevation: 837.03 --9 Denotes Offset Hub Bearings shown are assumed LOT 7 BLOCK 1 BLACKHAWK RIDGE DAKOTA COUNTY, MINNESOTA 2ND ADDITION 1 hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this-?- day of ,`f ^e A.D. 19 cale: 1 Inch 30 = feet ROBERT : ~IKI ~1 J S. REG. NO. 14891 - FOR 92100.01 i'tKret I # CITY OF EAGAN REACTIVAT _ 1995 BUILDING PERMIT APPLICATION 681-4675 hNGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I 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 requested once permit is issued. Date Valuation of work ~t Site Address STRE T SUITE N Tenant game: (commercial only) LOT BLOCK SUBD. P.I.D. # u, 2~k -Descri tion of work' 'tr The applicant is: ❑ Owner Contractor ❑ Other (Descit) f Nam fie Property LAST FIRST ' wner Address` STREET STE City LacState l~11 Zip r Com an - Vl 1, , hone I IL Contractor Address License CJ (Y Exp. ci city `fit1-F f C; State 1 Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge-that I have read this application and state that the information is r'. ect and agree to plAy,with all applicable State of Minnesota Statutes and City of L.n Ordinances. Signature of Applicant. ' ~ OFFICE USE OILY 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 Cora./Ind. ❑ 04 SF Porch ❑ 09 12-Plex 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ .31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish 32 Addition ❑ 34 Repair ❑ 36 Move GENIER ^T51L !N'r-040&%1 TIT-~ Lif~tr i1i Vit 'Vai~s"~iiwl ~ Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments. . Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile Fireplace Permit Fee Q vetuncia,: $ Surcharge Plan Review E License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies. Other Total: - SAC % SAC Units ::S: ..,av.}}: :...f,::y h.;;.;,w},~ {rr>A:: Y,v':: /.:t• -".-W -5$i .~:•.:v . h:.tT• fir.. ~ m:. r..r ..L..........: v:: n : w: v +L}rivrT. :r••:}•:•>}~•:;•i: ✓ ; }i}>i::: ~ . :::..........r:::::::.v.v nv.v:::::: nv: n•::w: •:::v::: v.vn+..........: v:::.v v n. r .xr .,...w ..v. r..v .,v. r:.. ..J.{;{}•v:r.{y,.vv}%' T • er.; r... v.?:4i.; `:.;y' n........,. n.. ;,a , ..:.v.....n:......v.+........ x+.r x; ..n• r.+}'{ r:.....,n0 F. .:n },n;:+ e........ v......................:. n....:... u....n~.' .{.r,.,,....{.v... Ai" r ::Si{•r}{::{>{'{: 'i ..:.5: : v v: v::::.v::: • \huvv:.•: w:, . v: h.:v,.. • • v. S+ Yi 4:{;y:;;.{;}r }SS:{•}:• r... rr. r. r.:.......... m; .r........::. v.S,::;... ;.n...,...•: }:r.}$$}:}r<:.}:•}:.;^:{4.:., { . v......... rink:'^::i;' •,::vv. ¢ .,i....:•.v:: :$.>}~'i i::Yi'": iinQr'.': '{5$,yy.. {{{S{+":4i{ AS.:•i:: is i::.,' ,:n n:: }h\.......,.. i:: i :.y:.✓.T ....,::.y {$v:• .l.,v. r:v vrr.. r. r: i.... . ...v............:: r:.:.::{.::} ✓..v.:v: u:::::.,. r:~::r c.'..n,::.•rxwuv.:•.:V.•bn,uw.ti•L;+.dti4',+c, +a 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681467S PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE 8-27-93 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ 53.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL $15.50 SITE ADDRESS: 1555 Blackhawck Lake Drive OWNER NAME: Tim Bragg TELEPHONE 452-2066 INSTALLER: Kleve Heating & Air Conditioning, Inc. ADDRESS: 13075 Pioneer Trail CITY: Eden Prairie STATE: MN ZIP CODE: 55347 TELEPHONE 941-4211 A"O )L 111''l9 3 IVd i G, SIGNATURE OF PE E i ::,;.y:...:.ssx.:r..,:.::.yr:•: anS'r:;i;:;:r':::;:v.:;r:;::`::i:`i:f'•::.•.::s' ty. :~.;?:;:to:.k{{;{;;•::,}:ys:; ;,+:•:.:{c.tK•:•. ,..,;....:.5 .y:. t. ..;.Ryy;; ::•£4'. ?.+ztsgrs !p l~. s• ~L, ...trn•.. h4•.y1{.:•yk.: `hy: : .h`... .M ^ ti:-{a<~,n,`f'+,a'S".y. •:.,c:.::.::::: , •>:•::•::•s;•..s••.::::>;::;r{.s:.:;<?{ . ,..{y{. :.,,...,:a.::: y.,. :+:t•~ ~•s :t::n ti {{~~yg~.~~,~ t.:`{~r.';G:;':R:ir.:;:::::i:.::.::.::~is;::i'a;%:;:::, ~::::::✓::.:a:>::,••sa: a.....: , , 's ?i:: • :•':$::.t.:::::::.~ ay:;;;.a:.:{..a::a'.:.{'C•s: .;:,rs: .y.c::.:~'r.,::.a. .,.,!r.+ .g; ;;r .*.2,•'? ;`:.~7+,: `~'~r,yY. tti4 . ~>.•~~t.'•y',.:~:>.c:.:>::::;::::~::;::s:st:::i:::..,..:.,.::`:z:iss:>;:+.•iua~Cs:;ci•:s~•'.3'•:.:i?:.?53:x'~f• v~•+,~a.~.~:'~a. .'•:•~.u, r, 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTIFAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DViSUING UNIT. DATE- CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORD DESCRIPTION: FEES 1% OF gpgj~ FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PRWT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR r ~ CITY OF EAGAN L 7 B / h MECHANICAL PERMIT RECEIPT # /0 laO SUED. (612) 681-4675 DATE U' 1 a--- RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCTION ONLY) INSTALLS •;6V- + ` HVAC: 0-100 M BTU 24.00 PHONE Z -5 ADDITIONAL 50 M BTU 6.00 ADDRESS:`.} /e`~l arbf).~-j(; GAS OUTLETS - MINIMUM 1 @ $3 EA. CITY: ZI SURCHARGE: $ .50 SIGNA TOTAL: $ 3 . 7 -77w COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIA14INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CrTY: 11 ZIP: PHONE CITY SIGNATURE: SIGNATURE: WA CITY OF EAGAN a FOR CITY USE ONLY 3830 PILOT KNOB ROAD F.AGAN, 1 55122 PERMIT ~ PHONE: (612) 454-8100 RECEIPT /U ~I.'(J'MBxNG .;PERMIT DATE : ' RESIDE~J2IAI PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS` & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES' EA. TOTAL NEW CONST X t ADD-ON MINIMUM `15.00 ADD ON SHOWER 3.00 3-00 REPAIR WATER CLOSET 3.00 Ov BATH • TUB 3.00 O LAVATORY 3.00 OWNER NAME: V,-f, c KITCHEN SINK 3.00 3> 0 0 I LAUNDRY TRAY 3.00 a SITE ADDRESS: 5SS kdc HOT TUB/SPA 3.00 I WATER HEATER 3.00 map LOT:- BLOCK SUBD,r FLOOR DRAIN 3.00 3,.70 Matthew Daniels j GAS PIPING OUT. 3 o O ; INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 15185 Carousel Way OTHER ADDRESS: _ WATER SOFTENER 5.00 CITY: Rosemount ZIP: 55068 PRIVATE DISP. 15,00 , U.G. SPRINKLER 3.00 ' Pt 423-3730 SUBTOTAL ~ O ST. SURCHARGE .50 SIG URE OF PERMITTEE TOTAL: $ I ` V GOltMERCIAINDUSTRIAPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE, $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN k, ' I Volume No. er ca e of I OWNER'S DUPLICATE CERTIFICATE Certificate No. 8 3 8 5 0 Document No. 215905 District Court No. Transfer from No. 8 0 5 9 7 Originally registered the 18th day of April 19 59 Volume Forty page 59 State of Minnesota,) ss County of Dakota. J -YXtti ~-t tf0 ce;141, Mod Meritor Development Corporation 605 West Travelers Trail of the City of Burnsville County of Dakota and Stare of Minnesota is now the owner of an estate, to wit: fee simple of and in the follocing described land situated in the County of Dahota and State of Minnesota, to Wit: Lot Seven (7), 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. Stich right of appeal or right to appear and contest the application as is allowed by law; 6. The rights of any person in possession under deed or contract for deed from the owner of the certificate of title; 7. Any outstanding mechanics lien rights which may exist under sections 514.01 to 514.17. That the said Meritor Development Corporation is a corporation organized and existing under XXXdlt %XXXc~#6XXXXXXXXXXPXFX YriSXrXYARXX the laws of the State of Pennsylvania. xxx6 MXXXXXXXXXcX X&XXXXXXXXXXXXXXKXd(blKMI. Wi6tcJJ 111le renl I have hereunto subscribed my name and axed the seat of my office, this 17th day of May 19 89 JAMES N. DOLAN Registrar of Titles In and for the County of Dahota and State of Minnesota. (Sea!) 31ETIVIO IIAL 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 Covenants and o[he land;) Ma 17 198 3:0 4 '89 - T he Public James N. Dolan 239209 Pressure R ducin Valve gree ent and lan s) Between City of Eagan and Fe . 2 19 1 10:46 12 7 '9 - Meritor Development Corporati n James N. Dolan 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date C>2 Site Street Address Unit # Property Ownel,-,A- (~l -Lam. Telephone # Lei) U,~ 1 V ContractoTelephone # r--~)j Address po~ ~ city. _ State- Zip The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment !Water Turnaround (add $125.00 if a 5/8" meter is required) Other; / Water Softener Water Heater $ 15.00 _ new )C replacement Lawn Irrigation _RPZ _PVB new epair -rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and appr ved. Applicant's Printed Name pplicant's Signs ure 1 " ~l inns u ~1 PERMIT APPLICATION 2005 RESIDENTIAL BUILDING City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeURepair Requirements 0.9e Use Orrly 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Nit of Survey Recd _ Y _ 114 (200% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pies Plan Recd `Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site.Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet ((buildings with 3 or less units) / 7 Construction Cost Date ld Site Address (S S kz C a IN V L . Unit/Ste # Description of Work Multi-Family Bldg -Y K N Fireplace(s) 0- 1 _ 2 7 ~ Property Owner q~-t f"Q y't k_(7Lc-' Telephone # (6 5t ) Contractor AfY) e C, Ca41 Address G Li c`c r` Ol,~ Rq City . r ~q 5y r State Zip 75 33 _;7 Telephone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name t nt's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final - Framing _ Siding Stucco _ Stone - Brick Fireplace _ R.I. -Air Test - Final _ Windows - Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN Cf 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. _ Date / 7 / 0^ James Pankow Site Street Address 1555 Blackhawk Lake Drive Unit # Eagan, MN 55122 Property Owner 6514569790 elephone # ( ) Contractor / i'h/dh1 l / Telephone # (&17-) ~T 4140,? 3 L! Address 2g0S_ &ACity WQ StatQ ,i1 le/ Zip _47wg The Applicant is: Owner Contractor Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener- and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next. section and check the appliance(s) you are installing. -Septic System Abandonment Water Turnaround (add $136.00 if a 5/8" meter is required) Other; Water Softener Water Heater $ 15.00 new _X_ replacement Lawn irrigation _RPZ _PVB new ,repair ^rebuild $ 30.00 State Surcharge $ .50. Total $50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with,ttre ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a peVnl~ work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is req d o be reviewed d approved. Applicant's Printed Name icant's Signature INSPECTION CORD CITY, 'OF EAGAN PERMIT TYPE 1~ 1) (1-t y"O 3830 Pilot Knob Road Permit Number: 0316" fvsgan, Hnnesota 55122-1897 Date Issued: t (612) 6814675 P 1 < 0, , 10-14401, SITE ADDRESS. APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: F W. F f!11Pt€ U1;NA4 i t Pan" No. P"*t I okw Le t a EL.ECTRtG PLL#AOM NVAG Dift WWI Cammef to FC~}'fINGS FOUND i. F~ . l . Z4e E ROOFff4es k Rouw r PLBG AIR TEST ' f' HEXTM e GAS SVC ► TEST P LNSUL GYPBpARD FIREPLACE REP'i'1=~6T E FINAL PL.BG k FINAL HTG ORSAT TEST BLDG FINAL. SSMT R.I. BSMT FINAL DECK FrG DECK FINAL PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096677 Date Issued: 10/26/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1555 Blackhawk Lake Dr Lot: 7 Block: 1 Addition: Blackhawk Ridae 2nd PID:10-14401-070-01 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 24.845.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Pride EnergS Solutions LLC James S Pankow 899 3rd St SW 1555 Blacldiawk Lake Dr Suite 4 Eagan NJN 55122 New Brighton MN 55112 763 767-4444 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature 41°) City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 Date: G// '102899 Use BLUE or BLACK Ink Permit # 1 I z117 7 Permit Fee: I G D Date Received: © O r 13 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION ©3 Site Address: /55-- Unit #: RESIDENT / OWNER Name: f 01 /PcOr 4 44/ Phone: (657- 7re - P7" Address / City / Zip: ('5j#4c--4"/Ae.tie--A- Applicant is: Owner it Contractor TYPE OF WORK i:61) i ie .`, Description of work: e -- r' %i "'" ` „-��' .r_ Construction Cost: � Z) Multi -Family Building: (Yes / No ) CONTRACTOR _ 'per'' Company :;<'d f Gce-,7 d _ Asa =' -✓ Contact: Ova ri e 44, ,A-. Address: P) D-ck- /' ( A9• /I City: �f "14Sdr��3� State: 44)(A. Zip: /03 j 7 Phone: License #: 29/03i3.5 Lead Certificate #: /1/4T - 33 2 Z S- I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: o' �6 a a+ier'i'��., -- -� ®e r- infor 4� � �14+k5�=j. � � ms. � ,^ i � 'y '4 '3M �`'. 4 4 > � Y re ,2'i �•i, P• trhe rn o y - �etl e a ®> ® a a ®-0 8 p o ms^ a.ai'f&=*,'.f ¢ ..nr,4�:�. vr✓.�'r ¢�$a,5o�i�T52r ��, a.. ,�[+ir"S. �hU��.exo.�.®�_ ® zY ,..,2.rM0 .. t„rr?® .«_ _ �'..�#�ti'E'�".Ra # ,:;.'�'= � •�'`f.%.t,�, ., n�.dR�.lx fM'�+:i'°:.Ut..^q' �#�"kg.Yh.�1„+.d 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.ciopherstateonecall.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 accordan ,wit the approved plan in the case of work which requires a review and approval of plans. 'eM/ Applicant's mted tetName x Applicant's Signature Page 1 of 3