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1596 Blackhawk Lake DrSec1 2? - o City 't T1 eJ Phone _ ; ( ( ? 1'YPE OF WORK ? Forced Air M BTU Soiler BTU - tlr?it H?eater ' "- M Bfi? Air Cand. M BTU ? Vent CFM ' 1 Gas Piping C?utiets # 0- ,. Qther . 14 = Comm.tMd. Coniract Price 'x t°lo PERMIT FEE S/C: ? xnraL N'9,0HANiCAL?`# - GI'FY OF EA! KNOBF ROAI? 1 RHONE 4544 S*19ATURE'OF F'ERMITTEt / (?R:, ITY CJF AGAN ` RLUIUr81NG`i PERMIT Far 4fiie . . CITY OF EAGAN PERMIT # ' CONTRACT3830 PILOT KNOB RC1AD, EAGQN, MN 55122 RECEIP7' #9.c PRtCE PHONE 454-8104 bATE: ._..`? , Site ? Loi ? -r 'y Oniy' ? ? r,4+„" &?gC,& ,,64,,,^ 14 Ac c Q*f BLDG. TYPE WORK DESCRIPTION? Block j ,._ SeclSub m ?dame ?fi?t Cv's t .?• ' ?G f . ,?' ? Address /olytf c City ?'?!?? e- c Phone i7?,*1u' Name f?.,r?x ?1?.++.?tC+ ? Add ? City Phone Oy, YJ" ? FEES COMM.lIND. FEE -1% OF COMI'RACT FEE ? APT. BLDGS. - COMM. RATE APPLIES 'T'OV1/NHOUSE & CONDO - RES. RATE APLUES `- _M1NfMUM -;?tESIDEMTIAL FEE $12.00 ° fiNlNth?M - COMM.IND.lFEE $20.00 ? STATE SURCHARGE PER PERMIT .50 z' (ADD $.50 S/C PER EACH $1,000 CJF PERMIT FEE) SIGNgTURE dF PERMITTEE " I ? ` FOR: CITY OF EAGAN ?_?. ? __ _ . ,..._ .- .., .. New ZL ?.. ; r r?lult. Add-6n ,comm. Repair ? her Ai RES. PLBG. ONLY - CON6PLETE THE F OU:OWING ? wP? `NO. FIXTt1RES TOTA? s 4 ?' ? Water Closet - $3.04 A $ Arx? .? Bath Tubs - $3.00 00 Lavatory - $3 ,l d r,a • Shower - $3.00 l Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $? QQ: 3 >>. ? Floor Drains ?0- Water Neater - $1.50 --??' Whirlpool - $3.00 Gas Piping Outlets - $1.54 J ? {MINIMUM - i PER PERMIT} !f Softener - $5.00 Wetf - $10.00 Private Disp. - $10.00 Rough Openings - $1:50 U. G. Sprinkler 5ystetn - $12.00 PERMIT FEE: d1? STATES S/C: ? GRA,ND TOTAL: AhAOUNT $ "? ?^? ? LJ ? G/'{,./ Thank You BY C 8280 ; . t sa t?i , ?,u?i_???/ / ` 5'" . ?»°,?,+x?..?rm?"„p^?cwr?c?rs ;'TM ?r.?*??r'?. ?'z,. ?a v ??r.??"rtF a?• *?.?+?'e ??? CITY OF EAGAN 0 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PWONE-:454=8100 Bl!#LEINO'PERM1T Receipt Tabeus?cifor St ?f? Est. Value $147*t? Date +?m ? 19 Site Affess Lot Block S-eciSub: ParceF No: • ?? , Narn?? ,i.iO1l11Y ?i . Address ,, . Phtine Name 0 Address ? City Phone ? W? Name Address <9 City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ocdinances. ? ....) U Signature of Permitee JOWNBON-UILAW COM A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minne a Statutes andCyy of E an Ordmances. Bwlding Offiaal ? s?+...?., .... ..........w .?.?,»._w.a.....?-.n .. w.,_.. . _..ta.._?,., ...,_ ,r.._ ,., .OfE, UStOl .Y`," .°:. ity Occupancy °fEES Zoning . .z:, • ' '? ?*00 .. (ACtual) Const Btdg. Permit (Allowable) - Surcharge ? ? ---- # ot Stories ??- ?? Length Plan Review * Depth SAC, City ? S.F.7otal SAC, MCWCC ---- S.F. Footprints - 52 On Site Sewage Water Conn On Site Well Vt7- Water Meter MWCC System ry Water Ci ? Acct. Deposit PRV Required S/W Permit Booster Pump - S/W Surcharge ---? s ° Treatment PI APPROVALS Road Unit Planner - Park Ded. Council BIdg.Off. _ Copies Aft Variance TOTAL i .?..,._ _ .._ ....4.... . .. _?.?. ?_, ...?.:?..?.r??,.?.3. .??a?? -? Permit No. Permit Holder 4ate Telephone # WATER sEwO PLUMBING O / 3/ U H.V.A.C. 39 ELECTRIC Mspection Oate Insp. Comments Pootings 1 6/ 9? Gei ? Foundation Ai,4-'j' $' /o- tr' ?a ? ?r ? ;: bg. ' L'??? s? ??3? d• G? RK3 go?li' o ? M . ?v'?Q . "v'b '?d eter Plbg. inspector - Notify Piumber Engr.lPlan n Engr./Plan Bidg. Final Deck Ftg. Deck Final Well Pr. Disp. ? SEWEfi BrIATER p"IT CITY ClFEAdAN 3830 Pilot Knob Rd: Eagan, MN 55122-1897 },jUr,F 11, i?90,0 DATE , ._ , . . , t?FPICE USE"?1?lL?f ' ?: c?t??2/9o ? N?ETE?i? ??? f PERMIt bATE C#ilk',. S? ? PERMIT-# ' 1144 3 nnEr, izE a ` B.P. RECEiPT # ? ' ISSC} TE ? aV" d B.P. RECEIPT p YX PRV -6005TER PUMP., ATE 6j12j90 1596 BE?ACK'ri,?TJ`IC Lt?"..E ?3RIVE SITE ADDRESS PERMIT REQUES7ED LOT 13BLOCK 1 SEC/SUB Bi.AUKttAWK GLEN =:.D E, x SEWER ? WATER , TAPS ? APPLICANT: JOHNSQN-RE1LAND 4C1NST ADDRESS: 1 526 E 122NO ST ' GOMM/1ND ? RESIDENTfAL . . ? GITY B" V1LI..E 55337 . , STAI"E ZiP ^ X ` ?IEW - EXISTING ? ? PHONE: 894-93f2p ? . LA.5Ii1E PLIJN`?#? ?C. ? I-awn Sprinkler Meters ar.e #o be lnsfalleii ` f PLl3MBER: 'Ahead of Domestic Meters orr Watet Line: ZII?R 4t?1 ' - ? _ ADDRESS: Credit WILL NtJT be given for Deduct Meters. CIT`f, STATE ZIP ' 5 ' 33 7 ' PHONE: , i!?.? ? _1.11t..?.k.?!`? i .?? ?i`?:?,.9? iirl.?'_:`<.•?...;1 : s I AGREE TO COIIAPLY WITH CITY. OF ? OWNER: `??'HN5?'N?'REILAND C4NST GAN ORDIPIANCES z ADDRESS: CITY, STATE ZIR ? PHON?: SIGNAT E WH METER ISSUED + . vec_:?{s`i' ,, LO?. -W ?..,7V?i??. ?-Qf`WO .?.1.. ' NG DA f. / .YfS'"_?„?*•yFOR??t.;`,i J'fry' 4'n ?f; PLEASE Al{R OC? C??Li? ? ? 454-5220 FOR INSPECTIC}IdS. FOR STCl?iM ? SEWERPERMITS, GbNTAC I?I?EERII?G DEPT. ', ? ,? fi . . . . . . . . ' ' . . . • i,' x? .. . ? . . ' .. .. , . - SEWER & WATER PERMIT CITY flF EMAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 ? DATE OFFICE USE ONLY C. METER # PERMIT DATE CHIP # PERMIT # METER SIZE B.P. RECE{PT # ISSUE DATE B.P. RECEIPT DATE _ PRV - BOOSTER PUMP ? SITE ADDRESS A' LOT ?'BLOCK ` SECISUB ?L`iAPPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PERMIT REQUESTED - SEWER - WATER - TAPS _ COMM/IND - RESIDENTIAL - NEW - EXISTING 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 PHQNE: ; I AGREE TO COMPLY WITH CITY OF i OWNER: EAGAN ORDINANGES ADDRESS: ? CITY, STATE ZIP ? PHONE: SIGNATURE WHEN METER ISSUED ? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM I SEWER PERMITS, CONTACT ENGINEERING DEPT. ,. _. } ? , .. _ . 4 _- .. . . . --- - - -. 1 i ? - Citp of eagan I' igrpttftm uf Buildt" imprPttim T7ris Cerlificate issued pursuant to the requirements ojSection 306 of the Uniform Building Code cerli.l?l&S lhat at 1he time of issunnce thisstructure uws in compliance with the various ordinancer of the City regulaiing buildirrg conrtucYion or use For the jollowing. vcawsw=fm ?",E'nC?w sag. P=k rio. 17991 OOCUPancy TiM R3?41 -zo? okw;« R I rype c- VN ow=ocsuw;.g -11MqOnt-uM.ANm MT1526 E. 122i?'3 ST., B'VI= aaa;?,wa? 1596 L13. B 1, B.AMAWK (LEN 3RD 76, 19M nasc Bwlding 06idi1 POST IN A CANSPICUOUS PIACE .-... ... : . _. _ . ..?.,?_? ..,. ... . DATE: JUNB 12, 1990 1546 BLACKHAWK LAKL DR1VE9 L13, Bi, BLACKHllt+itC GLSN 3RD RE: XX 0 (FOR jOHNSON-REIL*ND (3 Yoi.,u Sewer & Water Permit for the above property has been completed. Ifi will be held at the ic Works Garage (3501 Coachman Road) unfil the meter is picked up. BE SURE TO OILL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. "Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNfTY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLIGY. Secretary, Building Inspections Dept. R u t Date Fre No. Rough-in Inspec ion Required? ? Ready Now t]1+Oi11 Notify Inspector ? No When Ready? I censed contractor D owner hereby request inspection of above electrida( work at:tr-'" Job Addrgs ( Street, BoX or u No.) c% • City ? x, ?~ Section No. Township Name or No. Ranga No. County Oc a t(PRI T). phqvr;?l? ^? ,\ O U Power Suppli ? ? Address + Electrical tractor (Company Name) - tractor5 License No. a ? Mai(ing Address (Contractor or Owner Making Insta)lation) • Authorized ignature (ContractodOwner Making Insta(lation) Pho N mber r. MINNESOTA STOE"40ARD OF ELECTRIClTY THIS MSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Rnom 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. ?f/,?/?O ?? ?RE(.?UEST FOR ELECTRICAL INSPECTION i'see instructions for completing this form on back of yellow copy. ?,?, es-oo X" Below Worit Govered by This Request ? ? v ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial urnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders ee Swimming Pool 0 to 200 Amps % r 0 to 100 mps , Transformers Above 200 Amps e 100 Amps SignS Inspector's Use Only: _ .,.. TO AL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT r I, the Electrical Inspector, hereby if h h Rou9h-in ? Dat?, cert y t at t e above inspection has been made. F;nai oate ? OFFICE USE ONLY ? . +? This request void 18 months from y/ ? F 13qi RESIDENTIALBUILDINGn ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ali roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodellRepair Reauirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Add'dion - indicate if on-site septic sysfem -7a. (z) Office Use Onlv Cert of Survey Recd _Y _ N Tree Pres Plan Reaf _Y _N. Tree Pres Required _Y _N Ori-site'Septic System _ Y i N Date ? / (op / Site Address 0 S?°??' ? Construction Cost r /-/r br Unit/Ste # Description of Work Multi-Family Bldg _ YXN Fireplace(s) _ 0 2 Property Owner Q Telephone # (&S?? Contractor 5 ( G' Address ?L l'?W1e A2,9e State ,/Z1 Al Zip ??1/ 7 City Telephone #(?,?? 7 5-76 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categor? _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission rype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has fhe Cify 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 Mechanical Contractor Sewer/Water Contractor Telephone # ( Tefephone # ( 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, liut only an application for a permit, and work is not to start without a p it; that the work will be in accordance with the approved? lan in the case of work which requires a review and ap ' val of plans. - ?'eUf;n -efS 10 Ap lica t's Print d ame Applicant's tur DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 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 Muiti M:sc. ? 05 03-p{ex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 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 D@SCrIptlOtl: Water Damage Yes Valuation P1an Review Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace ^ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 100°l0 or 25% Occupancy Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Sheetrock _ FinaUC.O. _ FinaUNo C.O. HVAC Other Pool Ftgs _ Siding _ Stucco Lath _ Windows _ Retaining Wall Building Inspector tiirivas iests ruiai Stone Lath Brick 2005 KESIDENTIAL MECHAlYICAL PERMIT APTLICATICI?PP?I" ? City 4f Eagan 3830 Pilot Knob Road, Eagan MN 55222 ? Telepbone # 651-675-5675 Pl,ease cainplete far: single family dwellings & tawnhomes/condos when perniits are required for each unit Date Lie` 05 Site Address 159 Wc?ko,-''' 1L.> Drv Unlt # Preperty 41wner Telephane # ( ) Con#ractar i O'COnnOr - Rlumbing, Heating SL Cooling Street Addrea', 1904 Vermillioe St. City Hastin9sr MN 55033 'I 5tate TelePhCane # Be?nd #• Egpires: li Th A t i 4 ? O he pp can e a wner Contractar r t Add-tm or alteration ta ezisting dwelling unit $ 30•00 furnace _Additional ^Replacement air exchanger ? air condiiianer _New '?. Replacement other State Surcharge . ? .50 . T l # ? '?+?,:f : ?? $ t a .? , I hereby apply for a Residential Mechanical Perinit and acknowledge that the inforaistian is complete and accurata, ttat tht wtrrk w'tlt be in conformance with the ordinances and codes of the City of Eagan and with the Nlechanical Codes; ttat I understand this is m a permit, but anly an application for a pernut, and work is not to start without a permit; that the wark will be in `? the approved pian in the case of work which reqwires a review and appraval of plans. ?2 Applicant's Printed Name?u t Applicant's ' atur . q) JUN 10 2005 2805 COMIVERCIAL MECSANICAL FERMIT APPLICATIUN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: cammerciaUindustrial buildings rnulti-fanuly buildings when separate pertnits,are not required for each dwelling unit ?, . Date t / Site Street Address IInit # Tenaut Name (if applicabie) Previous TenAnt Aiante Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone# ( ) Band #• Ezpires: The Applicant is Owner Contractor Other Work Type New Gonstruction ? Underground Tank ? Install Remeve **ses betow lnterior Improvement _ Install Piping _ Processed Gas Nature of Work: '""When installfng/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspeccfor p'Cl'Htit FECS: $70.50 Uriderground tank installation/removal $50.50 Mirum/un (includes State Surcharge) or Contract Value $ x 1% _ $ Pernut Fee • If vermit fee is $1,000 or less, add $.50 ? $ State Surcba?'ge If peoit fee is over $1,000, add $.50 for every $ 1,000 perrnitfee $ Tfltal Fce ! hereby appty tor a[;ommercial Mechanical Pernut and acknowledge that ttze information is complete and accurate; that tne wcrrit will be in conformance with the ordinances and codes af the City of Eagan and with the Mechanical Codes; that I undersGand this is not a peimit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordauce with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant`s Signature Approved By: Inspector Date: CiTY OF EAGAN Na 47991 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PNONE: 454-8100 f+" C, ?? $0 BUIIDING PERMIT Receipt # ?1? ffl To be used for SF DWG/GAR Est. Vaiue $147,000 pate JUNE 11 19 90 1596 BLACKHAWK LAKE DRIVE Site Address BLACKHAWK GLEN 1 13 OFFICE USE ONLY Sec/Sub. Block Lot M-1 R-3 3RD ADD. Parcel No Occupancy , FE ES . i Z R -1 Name JOHNSON-REILAND ^,ONST on ng (Actuaq Const Vt1 Bidg. Permit $ $04.00 W z ? 1526 E 122ND ST Address Ailowabie) ( V?_._ Surcharge 73.50 ° CitY B' VILLE Phone 894-9300 # ot Stories 523.00 ? 66 Plan Review Length ^ o Name SAME Depth 4Z- SAG City 100.04 , ? Q Address S.F. Totai - rncwcc SAC 600 . 00 x City Phone S.F.Footprints - , 625.t30 Si S O Wate? Conn 85 N8m2 ewage n te On Sita We11 - Water Meter 90.00 iw ? Address MwCC System Xx osit t Ac De 30.00 00 c W City PhOne City Water XX.__ . c p 30 d0 i d XX SNV Permit • re PRV Requ --- i hereby acknowiege that I have read this application and state ihat the eooster Pump - gtW Surcharge • 5fl information is correct and agree to comply with ail appiicable State of 252.00 Minnesota Statutes and Cit of Eagan rdinances. Treatment FI mk ? ! ?{ ?? APPROYALS 355.00 _ Signature of Permit?e?% v - Road Unit A Buiiding Permit is issued to: JOHNSQN-REILAND CONST Pianner - Park Ded. on the express condition that all work shaii be done in accordance with all Councii -- appiicabia State of Minne ta Statutes and ity of ?an Ordinances. Bldg. Ott . _ Copies $3 ,4$3 .OQ t Buiiding Officia) 4- `-`"- Variance - TOTAL i .? _ __ ? ? • ? SINGLE FAMILY DWELLINGS /79 ,f ? ^ y 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURaL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PL'{::S I SET OF ENERGY CALGULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST [tiORr:i:,G 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 CO::PLETED. PERMIT MUST SHOW A LICEN5ED PLUMBER. / /7 de" o To Be Used For: QF?jMA-- Valuation: Date: Lt-LQ°qn Site Address OFFICE USE ONLY Lot ? Block ? Occupancy ?:? ? ? Zoning ? Parcel /Sub U l?lc?u?L Uk? 1 r Actual Const - Allowable ?? Owner--7 6)rls m- -- # of stories Length Address Depth S.F. Total City/Zip Code m'wl m Footprint S.F. Phone Loa On site sewage_ On site well Contractor MWCC System Address City/Zip Code Phone Arch. /Engr. Des& Ad d r e s s'y??1 V Q\t?s-,; -30U-e- City/Zip Code 5??? Phone City water ? PRV ? Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit '::?a?- Surcharge ?3,Sp Plan Review .S`123, SAC, City 0 4 SAC, MWCC jn(°?Q Water Conn 2,t'- Water Meter ? Acct. Deposit 3G? S/W Permit 3D S/W Surcharge ,SC? Treatment P1. Road Unit 3SS, Park Ded. Copies SUBTOTAL Penalty ?? TOTAL < B??st 33 ZS ?- - ?_ - 3 3 ZS` 7? ??,r- ?°? 3? z y 3? G .?----------' .? y-- ? (9S, -??---?- . 3 3 ?6 ? C; ? .? ? . P i oneer Erigi nersr i ng * P,ONRER * er?rg * eer-ir?g . * .?t * Certiticate oi Survey for: &AC?14AWK v Qplbc- p'??-? ?7 .7 ,C L Ifo' ZO ANI \f t ? 37J. 90 2. ? ?-r - -- - ? ? d N f?( I ? ? j b cc,ul `. `JZ, a ? ?u - t?.5 ? t .r .... '? ? ? e LAX& ? -?-- ?--? -? O k2.0 \ \ \ ?P? f ? ti a3? ? •?o oy 1l , ? ? 0 k r ? f ` a --?--- --------- -o (612) 681•1914 NoartI , j ?T X x A £' ?. i? -1t4• 0p -.-- ? 90010 C)ehvfes ex?sfit?o Elevalivrt ^'.sg•?W 1 7 ..W _ .9?a. o Dena1`es ro ?t?;?ed ?/eva?'iort Cl.°nofes Urarrra fr ? F_ ? U l ? asemenf -?-- Denvfe? inc?v ?1vrv ,4rrows ° D8t"iQ t@5 tl'T O?'j U l77 e!"1 f Bedrirt?c s shvwn are osstamed 8 hs? N us?' - vQ rrvn? LaweS ?OOr... evq? rnl7 B? ,[O-p af 8lock Cleva-liQn Oz,i;, Gara e S/ob Cleva?tiarl s,z. 3 n 0, e 114 @g Q? f SC/ gUb §e*d, tU Ep'_qetr1er7t5 Of ' Rr'.COr"d LOT 13 , BL0/-61/ i gL4CJ<H,4WK CLEA! 3'',?? ? ? ?R I411! D4karA CauNrY, MiNNf S p T A ?? ? ? .. . ?k, ? 1 fierehvi ce?tffy thttt thlv surv?v, Olen or rPpOrt w?3 pr p?rnrJ b Y me pr «nrier n?y ireNt?'^rvisi?n arid 11int ! a+n rttrly F7eRisl?red Land SUrveynr undEr tho laws af thg Stat9 nl Min.,@snta_ fJatRA this r1ay ol 6:319488 P.02 2,1122 Entcrfiri-ce Dtlve Mentlofe 11r,ights, MPd 55120 ? ? V14 1? _ ?ca?C? . .__?L???V ?-.. .ncr: ExTri:l.oiz t:Nvrr,Orr Avi:PncL "v^ cOMu•rn'!'IOtd O;ri:En Tb M siTL nDDizE.SSIS; ' CONTIt11CTt)R D11ZT I'iiON1: • ? a , Iktermi.nc woxfcj.nq sqvaro foot.aqe vf cacli. 1. Total exposed vrall area ...... ?903 sq. ft•. x ??J ' `? Z 9 33 2. Total roof/ceiling area ...... ? ?? sq. ft•. X1? -? 33 779 A. 'ror.,1 14-iI1 winda-er ar.ea...... 39 S? ?• , .................... ? D.•Tatal ciuor area ........... :..................... SCo C. ?ol-ai Zlidir,g glaun cloor area ................... U. Tot•al fireplacc wall nrea....................... ~ E. Tat•al wzll t'zaroing area (svcrage lUe) ........... 302_ I'. 1bL'a1 I:im joi:;t Zzca............................ 286, . G: '1'ot:al. 21et wall area abovc floor................. ,2'11 P? ' . . . , • 'ibtal es:posed fouiidation area - '7 8 . . . ?Il: Tatal foLndatj.rni Nin3ow areu.................... , 2: Zatal ne` faundation area above grade........... -I,8_ . ? Dr_L•ezmine "U" vslue o[ ezcli wall SeTn+ant. 31S x t,t1,. . 3 sZ „ ? 39, o . .. ... .. • ?? „,. q? b. - x u . 33- L- ---- • C. X NU~ ? 3S 2I n C ? ?• -{ ? . . ? . V NU?? ' La. 30 Z X liV~,0 l 2 a• 27. 1C> X ,.U" . 0 ? ? ??• ? . , g. .2'718 0 ? 3 Q //?• 8 7 • x NUq ?" . !'T ??... ' Q^ -l 3............................. .. .. . . .. mtat. ti L-3?? , s-o • If ZL•rin 113 i. UIC rham12 :17, cIr, lcc::s than i.tc•in I!1, you havFS mci: t.lic inl:c»t oC SllC t1006 (021. • ;1:I1, f tJC: ...!.'%..!..:?????y? ?')? `_ ?? • ?r??..' .?•??? , ?,?, J u?? ? ?" ;%I`' ?r? ? ?;1 i??-??n'`?`(?; `? . . .. . : I ? ?,. . t r }.l . v ?it 1 l ? .?.. _._._.L.L1.. .?. _.!__... -ol i? C2) V C11CCtI uCAC C-LO!•1 ? U p rIG. q5 ? ,?._;,..,.?,...?tl.:,•??..?':^??;t:??:??._. t••:,,,._?•.?..??r?:) ii ? --------•. .. 'i' _ ' . ?? • ? ?? ??- .1?.?? ?'" . i ' ? ? .......? .?.i. k J L? 111cat f low up 3. 5X,,vi?s1?-r ?`? 4• , 1:::Lc??{ar ;iir . ' • ?[o ,g b , • ? CI.C;. Fti1?;•tItlG (U?e L•or. Ttem K) . l'0 ?t(U.^.c Ior Il:cm I,) 1C4`7u?? ? l. T.?ii:cx i.or ntr. film (?. G1 .?! 2. j,? 1?suZ _ R- y5l?3c,,.J • ?8 cit? 44;. tn •1. ZnL•cri.ar A{r f.i].m .O.G1 Z.. 'Sfft"l.i3lF?Z.TIsH7-X /,! Z - 3. Iit.r.heq ;;ritt wood ' !(i • S(o 4. It1C?lt'? .t11S11?. Ftl)OVI+ f):?!tij,llc] s • ? S. J1ir r.i7.tn ? .. . _ ? ? /?, 9/ • _ l. tni:cr.ior aix 'Cilm 0.61 _...__ _ . z./ ? . • . , 3, .. 4. r:xtcrior <Z3,r filin (,tz11) ? r 0.61 ' Total • ... • • • • • ? ? ..fxc. ???' . . 03 .. _- -• r FT • ; _,,,.r..?? r ?: • ?; s. _.?.?.a:'1. -' •? ' ' • - t' T.r.. ?y •J , , , . ?, • „ No;t•-rt:2?TI'.U ' . . .. ? . . , Cluv u4, . . a ? 1. :3. _ -- - ` - 4. . S . Uut•.:tde .:I i.r. C:it;n _ 0. ?.7 7bLat I:ri:?:• U::c1 tt:l,l.iti.??????J. ::licc:l.:? il morr? ;;?,ic•?? Lc: foz: csrt.iil:i n»:l .. _• . vcsytcd . . .. ? - '?Jl1Lf, `?1'?"'I'???il.^. • - ! ' _ ?;.•?? ?-??+--?f c???:ii?n.? will arc:,? Lor " . ...- . ? ' -• _ ,fram: c:c,n:,lniction C.o»at:2711cri0n n-Valuc - a. G 0 (D 1• Slt ?.?Z: I n r ? i. r f 1.1m I • ... Z? ???z " Roc-v-- inc:tIcy sntt wn??1 G. 88 ?. 4. ZS/3z 07, o? 1 -1?0 •16-7 ?IiSIC: . 6. FU11.L rxl•er.ior air tilin : 0.17 ' - Total r• ic. Itl ToPvzEw oF ? . 11LVtL•' 1•711T,L l. Ini:crior aiz L•ilm 0. GII . ? 2. t 2 - 12c1CJrL- 14:i 3• ?." 9,00 . . ?; • 4. 25 3 L S t-1-t"? - z, o? ?,,, _""'? ? ' • ?S ? ? r ?.J6 _ ' . ? "7 •. . ,_ ?"1 • G. l;xtexiur aii film 0.17 i IG. 42 Total , 0 3 ...-.- . _ ?...._.,.,._? . . . ? ,, ??' ' ? , Q?'3 . • . . ,.?_......?j .. , _ I • Z 1. Ini:cr.ior air fiJ.m O.Ga ? .«_...._...._._. _?•??? • 2z P-,(!t ?NSJL, 1q,00 <?.?!? O • 3. 25' 3 z .Stt z-, •:. = 1. .Q3 \...r5. v c r??.?b ' < 6? r ?'iGZS?. ? ?• L_. j?? -?._...'.._.?? ,.r ??,?? '?'• , ?? f. Lxtcri.or zir f:ilm 0.Y1 ?...?? SrL?..-? ? ?? ? `t . j<<?•;?; ??•," L? Total .c • ? '' • -_...r. • ? ? _ I • . . - . p • ' . 60,0 ;, • ? ? . . • ' 1. Intcrior iir. L•ilm 0. G(7. ??? , ,?.' ' ? r ' ? ? 2• Q-8 1?5c/L 8. av ._._._......___.--_t7 1• J±LL ? ? ? • . ' 3. r3 (.l?- ! . Z 8 ,?' • cl' • 'p' - - ---? , . ? . ?.` • tl . ?,._r'i,.?it,? ? 5. ,r . • • :.?., ? • ??' .•i. ?' =?'% `'' ' G. rxtcr.ivr air filin . i? ?; • ? -' Total ?--- ?.. • t . • /o. t 3 • = ..? ;;LnIl ? C);1 GiU1[)^ ? . ??--? 1 I1 • . • . y . ? ?---• ? a? f ~ 1 ? ? ' • `F ' , •.' ? . 1 / 1 ?. ? `? :. ' • ?• ' ? ? >? ;: - =- ?/ y'.a.^... ? y •. . • . .. • u • ' ? • • ? ? . ? - - ? y s • ' • • ' ? <• ' •• •?'?-`ii?r-",'( .'' . . :: , , '',_ .. . ? ?` : • ? . . ?r f (r l ,` , V • . , • ?, , ? ` ,: _, . ? ?, . •, iTi ... .• ^ • FIf;. (E?1 '.._ ti• ? • ? ??? .. ' ? . ?• /1f . 'j NOTE: jlldil::lt.l! p] or.urietiC ni 1IInulal:imn. ' . • . .' . j . 1'nt:ll sl;ti•.liql?t .iren . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . k. 7a1a1 rav(:/c6ilituI L'ramituJ area (avcr.aqc lUZ) .. .. .. 109 l 9 1• TUtS1. 17Q:t: i11:i11l:.1tud 1oQt/CC.tlj.I1CJ a12'C!tl.. . • • . • • • • t • • • 51 1-7/ DeCeiintnQ "U" valuo far cach roof/cailing segmcnl•. ? ? . X to Uto - n ' • , lC?y •o . .2• ? : . • k, ! q ;? ?,??. ??3 Q /, o ? ? • 97 7 1•_ 1 '7 r 4. . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . .'rol•al • v• Z ?/ , Z ?--? . If taL•a1 oF 04 is tliu namQ nn, or le:ts CIian 02, you hciva nict ttte int•ent of SYC E006(c)1. . A1Neznnl•e Dulidiiig CnvnlopQ De3ign • ' Tn u+.ilize tlici total enve?tapo cynLem methacl, the values e3tabli.shed by t2ie ' swn o£ ftcin..a 63 and PH Chall no:; ba yreaLer L•hzn thc sum o.f itenLS 01 and 112. ? ? -- ---- ... _. . 1. ? 2 -/ • 3 •3 . _ -- + 2. 3 3 . / a • a ? • _/ ? Z • ?r _ ? . . 3. ' 3 44,5_0 - + 9. 3. 7S.?2 • . • : . • .? . , PERMIT City of Eagan Permit Type:Building Permit Number:EA128473 Date Issued:11/14/2014 Permit Category:ePermit Site Address: 1596 Blackhawk Lake Dr Lot:13 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-130 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas E Swensen 1596 Blackhawk Lake Dr Eagan MN 55123 (952) 250-4509 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature J �q� �/��K C-�k-� � � ��- ,Z� y�.� te rit � � gy from MARVIN Windows and Doors Built to perform: March 3, 2015 Integrity Windows and Doors have recently been contacted with a request for All Ultrex Casement Inserts with egress hardware, to replace the ones currently in your customer's home. Unfortunately, we do not offer egress hardware for this product. I hope this answers your questions, regarding the egress hardware on the product offered by Integrity Windows and Doors. Pre and post customer service is very important to Integrity Windows and Doors. Please call me if you have any additional concerns. Joyce Meek Integrity Windows and Doors PO Box 100 Warroad, MN 56763 218-386-4130 ��ry� Warroad, Minnesota 56763-0100 218-386-1430 www.marvin.com Use BLUE or BLACK Ink For Office Use tel/Permit#: /1/1P" 2 City of EaRali 10C)'S Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspections(a.cityofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "` �ZU13Site Address: 15 C1 1�V�(Q,il�t� `� Unit#: Name G.1(41 E, t�Y� o C C1 Z it 0 Phone: 91� Z`� - /� Resident/ 0,L'159 ( l Owner Address/City /Zip: 'vttai �- Applicant is: Owner Contractor Type of Work Description of work: u E t Construction Cost C) IL- Multi Family Building (Yes /No ) Company: .A) A Contact: Contractor Address: City: E State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: I Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.cityofeaqan.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. x { Coro-L2ef to x Applicant's Printed Name icant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA172240 Date Issued:09/21/2021 Permit Category:ePermit Site Address: 1596 Blackhawk Lake Dr Lot:13 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Daniel M Cocozzello 1596 Blackhawk Lake Dr Eagan MN 55122--124 Gv Heating & Air Inc 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature