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1584 Blackhawk Lake Dr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087213 Eagan, MN 55122 . Date Issued: 10/30/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1584 Blackhawk Lake Dr Lot: 16 Block: 1 Addition: Blackhawk Glen 3rd PID 10-14352-160-01 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Capstone Bros. Contracting Michael J Flanagan 216 North River Ridge Cirle 1584 Blackhawk Lake Dr Burnsville MN 55337 Eagan MN 55122 (952) 882-8888 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 CITY OF EAGAN, w- 3830 Pilot knob Road, P.O. Box 21-199, Eagan, MN 55121 7 PHONE; 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 179 Date_ AN 29 1 gn, Site.Address 13" JUACUAWK 11-A Da Lot 16 Block 3 Sec/Su OFFICE USE ONLY Parcel NO. Occupancy 111- FEES Zoningx W Name (Actual) Const Bldg. Permit j Address 4151 DR 11in 300 (Allowable) ~ Surcharge A20 City LAGAN Phone 45"737 # of Stories Plan Review Length Name 24"t Depth R SAC, City --UW& 04 Address S.F. Total= SAC, Mcwcc 630 + City Phone S.F. Footprints ti On Site Sewage - Water Conn 60, il: Name F W On Site Well Water Meter► 93 is Address MWCC System JX dw City Phone City Water_ Acct. Deposit 30, PRV Required X S/W Permit 30a I hereby acknowlege that I have read this application and state that the Booster Pump - S/WSurcharge! information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment Pt 226- ' ,fa.x ! Signature of Permitee " r APPROVALS a° •--a Road Unit 370* _MISTM DESK, It Planner Park Ded. A Building Permit is issued to: 1t 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 to _ I Permit No. Permit Holder Date Telephone # WATER sEW~ 075 -oyt .c.e... S y an j PLUMBING i H.V.A.C. ELECTRIC A -111191 Inspection Date Ins . Comments Footings 1 s~! yl ~ Foundation .--1.3 f j D S Framing Roofing I Rough Plbg. ,4 Rough Htg. //(q. QS Isul. Fireplace . xv, Final Htg. Orstat Test Final Ptbg. -2 9 ^9r Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. Ae ttp of+:~ M Gernfswr ttsuediar www to the regu remenu of Section 3tl6af the iT prr B itdu;g Gode ce that at dw brae o tissuaace afssoucture was in Ilk mrizar y~. one of &tO C&y, reguTaft #u"Wc mmruc&on or use For wing: V - - f~9CRfOR Sp ~JIIVJl~77i1.\ 'Y 51 m POST iNf N3PICUMS PLACE r 1 384 8 MWK LAIM Di (DARLSTUM 0161 HIMSi ) Your Sewer Water Permit for t4.eraboyeproperty has been completed. it will t3p~ held at, the rn Public Worts Garage (3501 C©achrhat?_ [Woad) until the meter is pick4od'_up. BE G4fRE t O LL P0ef.:1+G:*MkS (4t4m5220) FOR YOUR PERMANENT WATER'MRN ON. tir Sewer & Water Permit for the-above property cannot be completed iof the iol4cWY)q o Xasons: a Your Sewer & Water Perrhit for the above property has been completed, but the meter canno1..:t be issued or occupancy. allowed until further notice. .f COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size'MuM lb,~' confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance i W4l1N NG: BEFORE 6iGGfNG, MtL LOCAf UTILITIES - TELEPRONE, ELIECTfl1C, GA$, ETt. REQUIRED BY LAIN. CONTACT COMMUNITY DEVELOPM€NT`DEVARTMOsIT FOR WATER TURN POLICY. Secretary, Building inspections Dept. 16 010 REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 191 ► See instructions for coy,pleting this form on back of yellow copy. X" Below Work Covered by This Request to 64252 / ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial ace 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 Bove 100 Amps Signs Inspector's Use Only: OT L SQ Irrigation Booms Special Inspection c/✓ A arm/Communication THIS INSTALLATION MAY BE DE CQNNECTIDgF NOT Other Fee COMPLETED WITHIN 18 S. I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final r Dat been made. OFFICE USE ONLY 3 This request void 18 months from CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 i. / 19 DATE WCUVC0 •1 , ` i'' 1 , - " " FROM 71 cl)-n AMOUNT $ & DOLLARS 100 ❑ CASH CC 2F ECK FUND OBJECT AMOUNT Thank You r BY C 13121 White-Pa"mCOPY r~Y1 Yellow-?osHn9 COPY ~UWNN/I Pink--File Copy SEM &VATIER PEfo f OFF" USE ONi.Y Knob Ad. METER PERAiNf DATE 04/291,91 Eagan, MNS6122-1897 CHIP # 4 Q . 2 - PERMITS 1125 METER SIZE 8" S-e 5 4 B.P. ftecaPT.# C 13121 DATE' E 2, 1991 ISSUE DATE _ •2~ - B.P. REmipr DAT PRV - 800STER P AP i 1 E AIX?I ES3 1584 ZLACKHAWK LAKE DR PEFOW iPEt" UESTI P 1LO9T 1-, 6 _j3LoCK 1 SECISUB BLACKIIAWK GLEN 3RD 'X SEWER X WATER TAPS.r APPLICANT: ADt . COMMIIND ._]L._ R ICENTIAL CRY; TAU ZIP A NEW EXISTING PLUMBER KM P ING Lawn Sprinkler Meters are to be Installed , 4M Ahead of Domestic Meters 'ern Water Line.. A060ESE: 1970 CHRISTENSON Credit WILL NOT be given for Deduct McWm < CRY; STATE W ST PAUL 101 ZIP 55118 pHOW: 455-31966 a 1 AGREE TO COMPLY Wt ' N OF R; DAHLSTROM DESIGNER HOMES EA u 4151 KNOB DR STE 1flO . HESS: 53_ ' € CITY, S'L'ATE EAGAN HN zip 454-8737 SIGNATURE WHEN TLR ISSEiEI ? . IDAYIg SSMM CALL 4"-5= FOR ANSPC 1ON& FOR STOF - sow PERM", CONTACT.E!! emEfto oEP'1': f ~ SEINER & WATER PERMIT OFFICE USE ONLY CITEOFY~AGAN METER# PERMIT DATE 1;4/291 91. 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # 1 t(1 50 METER SIZE B.P. RECEIPT # 1 2 DATE ' ISSUE DATE B.P. RECEIPT DATEO24 ""J '1 PRV -BOOSTER PUMP SITE ADDRESS = s PERMIT REQUESTED LOT BLOCK l SEC/SUB ' =SEWER ~ WATER -TAPS APPLICANT- ADDRESS: - COMMJIND RESIDENTIAL CITY, STATE ZIP= NEW _ EXISTING PHONE: 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: ` ~.4 • CITY, STATE` r ' ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Address: 1584 BLA_rXHAWK LAKE DRIVE Lot 16 Blk 1 Sec/SubBIAGMAWK GLEN 3RD These items were/were not complete at the time of the final inspection. to Yes No Tnspertore Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Y' Trail/curb damage Porch 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. RECYCLED PAPER White - City copy Yellow - Resident copy Pink - Contractor copy / ~ $/9J9I 575 ~ H „ n o Request Da Fire No. Rough-in Inspection / 1 ! Required ❑ Ready Now fp4lF1Qbify Inspector No When Readye C O A 1, :1 CA" Ox 44~ l lensed contractor D owner hereby request inspection of above elec ' ai work at: f Job Address (eet ox Ro a No.) City a Section No. wnship Name or No. Range No. County occOA t S Phone ~7,J r Power S lier Address .44 • Electrical C t for (Company Name) Contractors License No. Mailing Address (Contractor or Ow king Installation) Authorize Signature (Contractor/Owner Making Installation) hone tuber MINNESOTA STA BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. CITY OF EAGAN N0_ 1$ 9 7 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ?a~ To be used for SF DWG /GAR Est. Value $179,000 Date APR 29 , 19 91 Site Address _ 1584 BLACKHAWK LAKE DR Lot 16 Block 1 Sec/SubBLACKHAWK GLEN 3R OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning R-1 W Name DAHL.STROM DESIGNER HOMES (Actual) Const -Y--N Bldg. Permit 916.00 3 Address 4151 KNOB DR STE 100 (Allowable) V-N o City EAGAN Surcharge 89.50 Phone 454-8737 # of Stories Length 81' Plan Review 595.00 c Name SAME Depth 66' SAC, City 100.00 Address S.F. Total City Phone SAC, Mcwcc 650.0 S.F. Footprints On Site Sewage Water Conn 660.00 ~m r. L' U On Site Well - Water Meter 95.00 u3 Address MWCC System X jrz Acct. Deposit 30.00 <W City Phone City Water X PRV Required X S/W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge .5 0 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276.00 Signature of PermiteeAPPROVALS Road Unit 370.00 A Building Permit is issued to: DAHLSTROM DESIGNER 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. Building Official Copies 1 1N14 Variance TOTAL 3,812.0 t}~~ 1991 BUI N E IT APP CATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: 99960LIZ224 Valuation: , Date: 'qf Site Address /Sfy (r'1,jC fldL0,l Lk D~ OFFICE USE ONLY 17 9t 040 00, Lot l6 Block ~ FEES Occupancy R-3 M'1 Bldg. Permit '//4,00 Zoning Surcharge q,50 Parcel/Sub 1.a ctual Const Vim- Plan Review 59S',00 Allowable ~ SAC, City /Da,Oy Owner P&YZ ejo # of stories SAC, MWCC 0 Length 81' Water Conn. 6 Address ylS! k~c~~? Dr~l. rSUiT6 10o Depth (obi Water Meter 9's"60 S.F. Total Acct. Deposit 0 ,00 City/Zip Code A4G.,y / ~ 5 06 Footprint S . F. S/w Permit ---0, c)a S/W Surcharge 623 Phone V5'!;;"- F-73 7 On site sewage- Treatment P1. D 45 On site well Road Unit 0,0v Contractor 0,411457,ft," DAY/di OI-o 11-0^C MWCC System V'' Park Ded. City water V/ Trail Ded. Address PRV V Copies Booster Pump City/Zip Code ~~,g,✓ ~~y.SD6B SUBTOTAL APPROVALS Penalty Phone 8-7 37 Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. 1 22J/ .5 Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. N GA k3s. YKo I I Oto) X 1 S = K) 1 ~ (o X ► 5- NN- I I Cl L1 a I k 64 = z.~2y 47 APR-19-191 FRI 11:36 ID:JAMES R HILL INC TEL N0:612 890--6244 #324 P01 SURVEYOR'S CERTIFICATE DAHLSTROM DESIGNER HOMES LASKHAWK LAKE W ` 0 O M M p N61•39'14"E N2'119~3 6 M 1334.."; 9T. 10 PROPOSED L a r DRIVEWAY 21.0 7 11.0 ~ f BJf.• N/GARAGE w 0 28.0 / Q in ft 79 r- 14.3 17 a' ~ es/ [836.1) I h to 0 n PROPOSED 'I CO V, HOUSE - 18.39 26.0 C 8290 Y d Ily f M LOT {6 1 I3 ~CRAINAOE 8 UTILITY EASEMENT PER PLAT 806.0` 0 a 864 - 0 91.00 S6V42 3T W- NOTE: DMOIN0 DIMQgIONS SHOWN AR6 IOR 0 VonxAL LOCATION OF sTIKICTtM[ DENOTES PROPOSED SURFACE DRAINAGE AR HITIMMAL MAW FOR RUIL.DING d FOUNDATION DIMENSIONS. O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 836.'-1 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8 t 4.3 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 83 J. S FEET WE HEREBY CERTIFY TO DAHLSTROM DESIGNER HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 16, Block 19 BLACKHAWK GLEN 3RD ADDITION, according to the recorded plot ttwroof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS ITTH DAY OF APRIL .1991. No.rE, No !1'CCft, $%A #pANTOMON SIGN D: J ME R. HILL, INC. NA>t !1~ THIS LOT ey Tofu" Tom suTlllratr 1b wPPaNr BY. T►1[ l~PIC IIDU MIDM'OSED q NOT TIt I~ON!>•LITY of JOHN C. LARSON, LAND SURVEYOR THE sU1NtYOR. MINNESOTA LICENSE NUMBER 19828 a, • T w o ames R. Hill, inc. F- C- 0 1 D Lq ;011 o o > z PLANNERS / ENGINEERS i SURVEYORS 2500 W. CT Y. 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Mill.......... 74 l>;llit111l.lil.1111111]l]illllltllllllllllllll 1111i1llllllil llllll li lllllllil IMI ]11))) 75 CLG fROGF INSULATED ARE111 1WiTH RTTIC AREA) 1324 00 SQ FT l]11111111l„ 11) ll~lllll~~lllllJlltllullllllllitll)1111111111111 » )11111111111irllull11111 111111111 1 1-_}ll111111 76 77 F16URE 3 llllllllllllll llullll111 lulllllll lllllllll_ 0.68 ..llllll ll)llillj 78 INTERIOR AfR FILM )Il _ lllllllllll 79 iNTERIORrINISH .0.45llulllllll»... )lllllillll..... . `llll]Illl... 80 CONTINUOUS LINKIR«ORRBI ER « ..0..60:11111111111 __11111]111111 i Ill) un ....4 et INSULATION » 111l1I11111....» llllllillll llll11111... 82 SHEATHING 2.06:11111111111 ll111111111 ' lllUllll 83 [MEN ION FINISH 0.61 11111111111 )I]Illtllll )Illlllll » » . » »0.17:1111 84 INTERIOR AIR FILM 22.97.11 11111]lµll]11lilll1,_._111111111 85 TOTAL As_SEMBL4.A-UALUE _ »...._».........».......................aI . 1111111 .11 ]!]]!1 lill11111 86 ASSEABLY IJ-UALUE N11Fi1 . 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DATE : I, / R'`€ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON _.2- SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 r YOM 3 LAVATORY 3.00 OWNER NAME : oo 1~ b&,0 b-E'c +1 -e-- KITCHEN SINK 3.00 1 / LAUNDRY TRAY 3.00 _11 SITE ADDRESS:[ tackLau) tk HOT TUB/SPA 3.00 1-4-14 WATER LOT: ~ _ BLOCK SUBD. HEATER 3.00 A., ~ FLOOR DRAIN 3.00 / GAS PIPING OUT. INSTALLER: pt t _y, p ( 1 Ltc~ (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 ADDRESS : ~P 1, YLv~ S ~~~5 f (`'C OTHER w WATER SOFTENER 5.00 CITY: K/ 5~ 5T° ctcd zip: sue(/ g PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE # : SUBTOTAL ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: M~l1!sENDU9*TkIAT,i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 411d,& CITY OF EAGAN FOR CITY USE ONLY 1 y 3830 PSI. KNOB ROAD " EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 4C21~73 S-' t>} DATE : 5!1'L'IPs PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME : 4 SUBTOTAL: $01b SITE ADDRESS: S STATE SURCHARGE: .50 LOT : ~Lv BLOCK SUBD. TOTAL : $ o~ s a INSTALLER: L_ La %.A)vAvf 1 E) ADDRESS : HEATING & AIR CONDITIONING CO. sDk~ 8919-WE~i~Y @R:Rl AVE. a. SIGNATURE OF PERMITTEE MINNEAPOLIS, MN 55420 CITY: 831-WW ZIP: PHONE QQMMER xALjINDIISTR.IAI, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. wCONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN Req, at Date 4 1:) Fire No. Rough-in Inspection Required? Q Ready Now ❑ Will Notify Inspector OL*OD V/ I 1 Q Yes Q No When Ready? I Icensed contractor ❑ owner hereby request inspection of above electrical work at: Job d( et, or t o.) City • Section No. To nship Name or No. Range No. County Occup (PR NT) Phone o...rA 5~ 4-k,6 AC Power u ier Address lect ai Contrac r (Comp y Nam~ /F tr t 5 License 4 Maili Z W Rw Autho "zed Signa ture {Contr or er Making Insta a'on) Ph f1..,,^''~,r~,•,•,ffb'$[/~ aV/~._ MINNE A TATE BOARD OF ELECT Ct THIS INSPECTION REQUEST WILL NOT Grtggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119863 Date Issued:12/27/2013 Permit Category:ePermit Site Address: 1584 Blackhawk Lake Dr Lot:16 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Flanagan 1584 Blackhawk Lake Dr Eagan MN 55122 (651) 686-9105 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169633 Date Issued:06/03/2021 Permit Category:ePermit Site Address: 1584 Blackhawk Lake Dr Lot:16 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J & Deborah Flanagan 1584 Blackhawk Lake Dr Saint Paul MN 55122--124 (651) 686-9105 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171984 Date Issued:09/10/2021 Permit Category:ePermit Site Address: 1584 Blackhawk Lake Dr Lot:16 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J & Deborah Flanagan 1584 Blackhawk Lake Dr Saint Paul MN 55122--124 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature