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1607 Blackhawk Lake DrWI R i?1?4 ?K RY U CONTRACTOR M ?t ? LF P rn,lt ND. Pnlt Naldsr Daft I HVAODII PatndNtar+ !/ IN &"we ow t p _ tst l9sFari ? ,h• srepiwe Fhd 10- .2.2 IL OmetTest /d ZZ`9?, ? P1,1e1 Plb% Ptap. h"CW - Not Plumber Gaut, mew . Find j9-20-97 C / r'Irs Deck Pq. Deck Pint WON Pr. Disp. I W"tificate of ccc"anc? W This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: SF DWG Bldg. Permit No. 0038 R-3 M-1 R-1 V-N O-lY Type Zoning District Type Cast. E &F CONST 172-SW 2ND Owner of Building Address 1 607 B ACK AWK LAKE-DR , , BLA A D Building Address Locality ) G t Date: OCT 20, 1992 Building Official POST IN A CONSPICUOUS PLACE Address: 1607 BLACKHAWK LAKE DR Lot 7 Blk 2 Sec/Sub BLACKHAWK GLEN 3RD These items were/were not complete at the time of the final inspection. Date: OCT 20 1992 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry V/ Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish 1{S 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. AECYCEED P4PEP White - City copy Yellow - Resident copy Pink.- Contractor copy s.:2= 9 ? C 2/ Y 7 9 / / Request Date Fire No. Rough-in Inspection Required? ? Ready Now f] Will Notify Inspector '- Yes ? No When Ready? I ? licensed contractor ? owner hereby request inspection of above electrical work at: (Streat, Box or Rout N Job Atldress city ry V Section No. Township Name or No. Range No. oun A44?t Occupant (PRINT) Phone N o. Pow r Supplier Addre lectrical tr for (Co any Name Contractor's License No. c /H 19 Mailing Address (Contractor or Owner Making I nstallati Authorized Signatur ( ntr er M in Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRI?7y 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 ES-00001-08 10- See instructionr for completing this form on back of yellow copy. q ?? `f f +C" _ I - / /' J 6 2 9 9 4 X" Below Work Covered by This Request New 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 Furnace Farm Air Conditioner ,t,t, Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool J 0 to 200 Amps /Q hRO 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps / Signs Inspector's Use Only: OTAL 5p Irrigation Booms MCI-667 J? .6V Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee v COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspector, hereby if Rough-in Date cert y that the above inspection has been made. Final j e OFFICE USE ONLY This request void 18 months from RESIDENTIAL CJ -? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all 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 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate If home served by septic system for additions VALUATION to 2f SITE ADDRESS \ ?`' -?`ac?[ .?1? +c?• MULTI-FAMILY BLDG _ Y . N TYPE OF WORK FIREPLACE(S) 9,A - 1 2 APPLICANT STREET ADDRESS 2 R1Ct C\ _S--w CITY (\ ?\C STATE ON ZIP TELEPHONE # (1-J CELL PHONE it FAX # l_S _ ______ / PROPERTY OWNER Le- ,?. !kVj\\4YAnc, TELEPHONE # ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY i _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: y Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Fee: $90.00 Phone # Phone # ---------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the Information is core with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I - Signature of OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths 1 comply Certificates of Survey Received - Tree Preservation Plan Received - Not Required - Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or - N Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const - Footings (new bldg) - Footings (deck) - Footings (addition) Foundation Drain Tile Roof Ice & Water Framing Fireplace _ R.I. Insulation ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing HVAC Other Final - Pool - Ftgs _ Air/Gas Tests -Final Siding _ Stucco _ Stone Air Test -Final _ Windows (new/replacement) Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 Building Permit Type Building Work Type UBC Occupancy Construction Type Zoning Building Length Building Width Control No. 0840 PERMIT TYPE: Permit Number: Date Issued: BUILDING 001038 07/21/92 SITE ADDRESS: 1607 BLACKHAWK LAKE DR LOT: 7 BLOCK: 2 BLACKHAWK GLEN 3RD DESCRIPTION: SF DWG NEW R-3 M-1 V-N R-1 69 54 REMARKS: 1 PRV S & W CONTRACTOR - MIKE SIEFRIED FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Lie. Search Fee Subtotal PERMIT VALUATION $790.00 $513.50 $71.50 $700.00 100 1 $5.00 $2,080.00 $143,000 MISCELLANEOUS 1 610.50 Total Fee $3,690.50 CONTRACTOR: - Applicant - ST. LICOWNER: E & F CONST 13342515 0001325 E & F CONST 1729 SW 2ND 1729 SW 2ND FARIBAULT MN 55021 FARIBAULT MN 55021 (507) 334-2515 (507)334-2515 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L I '?" 6"?440-e- APPLICANT/PER EE SIGNATURE ISSUED : SIGNA I PERMIT # REACTIVATE t *10 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION WIL 0 e RFCrr 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l set of specifications, I 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 guest is made or lot change is re uested once permit is issued. Date 7 Valuation of work Site Address: 1667 STREET SUITE # Tenant Name: (commercial only) LOT BLOCK Tl SUBD. p T D = .. . . Description of work: 4 , lam/ The applicant is: 3Owner ? Contractor ? Other (Describe) Name < l e / C.-? r 4 C-- Phone t/", 75Z' Property LAST FIRST Owner Address 4 ?c_ STREET STE City State Zip 'A2 Company 14- Phone C S - -7) JJ 4 -f_1 Contractor Address 1 7? i S4L,, License ? `"? ?•.?3?s Exp.=3_91=13 City State Zip Company t `e l « n ; Phone (? ) ?rchitect/ Engineer Name . ?7..; .147' . Registration # Address City L- --u fe...-Cot State Zip 5-(. o 2 Sewer & water licensed plumber Lt $ : e f ?• w'l . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ± =- Signature of Applicant: " a OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging tS 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage /Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE '31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-N (Allowable) V_ r4 UBC Occupancy R-3 'M-4 Zoning R•1 # of Stories Length - Palo 1 Depth APPROVALS Basement sq. ft. 1st Fl. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final 16 Basementinish ? 17 Swim Pool ? 18. Conan./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System YES City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code 0L Assessments ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee valuation: $ 14 3 A 000 Surcharge Plan Review C______ License MWCC SAC 9 x36 = 86H City SAC IB Water Conn. Water Meter $ 7 6 X 1 f?, = 14 J 01( Acct. Deposit L_ L. e,ue. _ S/W Permit S/W Surcharge 50-AZ& s ?W X53 = )?t./? Treatment Pl. a5 x ?y: boo Road Unit Park Ded. Trails Ded. 3Z Copies MAIM L? Other Total: y -g .:. 6o o SAC % 2.x 14, = 3z ? SAC Units 11x 2 =? r? N , 9 --- ? ,% X17 dY 6 iLl 6 hX5 ?25 IJUL-07-'92 TUE 17:12 ID:JAI'ES R HILL INC TEL N0:612 890-6244 0994 P01 SORVEYOR'S CERTIFICATE iA CORPORATION a TO Ift 0090 TILL NOTE: BULDING DIMENSIONS SHOWN ARE ISM NDRIZONIAL A VERTICAL LOCATION OF 5TAIJCTUAC ONLY. Slit AITCHITECTUAL PLANS FOR BUILDING d FOUNDATION DIMENSIONS. NOTE; NO S"8CrIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE >ftfTAOILITY OF SOILS TO SUPPORT THE SPECIFIC "OUSE PROPOSED 1$ NOT THE RESPONSIBILITY OF THE SURVEYOR. 4 !; J T„"rM s. + DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE; 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - M 5 FEET X000.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9 Ji 8 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -90- FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 7, Block 2, BLACKHANK GLEE 3RD ADDITION, accor4 inq to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXOEPT AS SHOWN. AS SUPVEYEU BY ME OR UNDER MY DIRECT SUPERVISION THIS 7 TH DAY OF JULY 1992. SIGNED; JAM" MO-41NC. BY. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN_ 56431 9 612-884-3028 n ? ? o 2 -U 0 a j3 D A C F I, 'AJL-07-'92 TLE 17:12 ID:JAWS R HILL INC TEL N0:612 890-6244 #994 P02 I'$URVEYOR'$ CERTIFICATE L-l! + J ao 140.00 SIENNA CQRFJMATNON 1 '1a .. Lwow- % LOT 7 ?? r $o V rr - 00 ?` Q 3 tAjJ 716 Z M r? N r. 44- R-311,90 o 'N - DRIVE SCALE' I INCH = 30 FEET x p 7p ® 0 v to M gz i 0 j irn (3 40 James R. Hill, inc. PLANNERS I ENGINEERS I SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 35431 •612-881-3020 P 01 ONE AND TWO FAMILY $L??k J4*dX ENERGY CALCULATIONS - AVERAGE "U" COMPUTATION Lk 2, 3 OWNER 6f2 i -4 c : r- SITE ADDRESS AU/r HAw/( A/t OY-,,-07_ DATE JzC, / `d2 CONTRACTOR A L. F rL A.) 5 T'E CALCULATIONS BYj?,T,_ _ !_ i t .y Jt PHONE j- 7.5 Determine working square footage of each that applies 1. Total exposed wall area ............ :16c> b, sq* ft. x 2. Total roof/ceiling area...........o sq. ft. x.026 = .4 1. _U 3. Floors over unheated space;.......o sq6 ft. x ,.05 = 4. Roof/ceiling area (no attic space). sq. ft. x .026 ,. 5. Unheated slab on grade............._________ sq. ft. x .16' 6. Heated slab on grade ............... sq. ft, x .12'. a. Total wall window area ................... be Total door area .......................... 4 c. Total sliding glass door area............ J o d. Total fireplace wall area ................ e. Total wall framing area (average 107.).... se? f. Total net wall area above floor.......... A 9 g. Total rim joist area,.....,....,......... 3 1_ TOTAL EXPOSED FOUNDATION A R E A = he Total foundation window area ............. i. Total net foundation area `above grade.... l?• 4 J. Total unheated slab on grade area........ k. Total heated slab on grade area.......... Determine "U" value of each wall segmento a* l 39 x fruit 30 = 71.7(7 b. 41 x "U" '07 ,_- r ,r- rrr•+?? C. -1A0 x tru" , 9.8 d, x 'tUtt e. 300 x fluff 12, = ...,...r... ?.... x "u" .62 g• 3053' x trust .2+ he x "U" i. /6 _ x fruit o 7- x fruit _ J. k. x 'tu" 7o .............................. TOTAL.... = O If item # 7 is the same asp or less than item # lp you have met the intent of SBC 6006(c)2. NOTE: FOUNDATION WALLS Full Basement (Rambler) entire exterior wall must be not less than R-5. Half Basement (Split Foyer) entire exterior wall must be not less than R-10. P 02 Total exposed roof/ceiling area = Total gross roof/ceiling area = 1. Total skylight area......... ............. in. Total roof/ceiling framing area.........._M,, O no Total net insulated roof/ceiling area.....I + 4-7- Determine "U" value for each roof/ceiling segment. 1. x"U" = M. A- X "U" ..i o ..._.. 3 , _...._ n. 4-16 X stun 2..?..? ?. -",- 8. ............................. TOTAL..... = If total of # 8 is the same asp or less than # 29 ave met the intent of SBC 6006(c)l. To utilize the total envelope system method, the values established by the sum of items # 7 and # 8 shall not be greater than the sum of items # 1 and # 2. E BL CITY OF EAGAN CITY USE ONL Y PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT DATE REBID*ITIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ WORK DESCRIPTION ------------------------- ----- ---------------------- COMPLETE THE FOLLOWING: ----- NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 3 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 `` 3 LAVATORY 3.00 OWNER NAME: I ?^!1C-'i A KITCHEN SINK 3.00 5 ' / L & LAUNDRY TRAY 3.00 SITt ADDRESS : Am 7 i < FC _ct tC C % HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS : L? OTHER _ WATER SOFTENER 5.00 CITY: & 4 : t I 1 _ ZIP: PRIVATE DISP. 15.00 ?? : > ! s '? r PHONE ? - 5 ?- 3 U . G . SPRINKLER TURNAROUND W 3.00 15 00 - . . STATE SURCHARGE .50 SIGNA F PERMITTEE TOTAL: COMMET.e,'IAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: CONTRACT PRICE: _ 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L 7 B ?wmCHANICAL PERMIT SUBD. JJ ? .. (612) 681-4675 RESIDENTIAL RECEIPT # DATE 2i PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: E & F Const. FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCTION ONLY) INSTALLER: HVAC: 8.100 M BTU 24 PHONE #t: 507.451-6388 ADDITIONAL 50 M BTU ADDRESS: Route 4 Box 40 GAS OUTLETS - MINIMUM 1 @ $3 EA. d00 CITY: Owatonna ZIP: 55060 SURCHARGE: $ SIGNATURE: TOTAL: $ 3COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: l CONTRACT PRICE: 1 FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING -. $25.00 MINIMUM FEE - $25.00 Fs 41,1 City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or TACK Ink For Office Userr Permit #: -\ 10D614 Permit Fee: Date Received: Staff: (Ca J) Li - INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water J Date: 5/.21)--e03 Site Address: /6 G 2 5757 2-2 Tenant: Suite #: Resident/Owner Name: 6-" '''� < �,1 6_,.., Phone: /- f -6 7) Address / City / Zip: / 6a 7 & �✓X1, . -/ e %%> -.4 4,- -72 Contractor Name: 7� /7/y- `--)- f ; License #: Address: 96) %I' /(✓,, City: fes, - U / State:/2 -47 Zip: �Sti 7.5 Phone; 6-57 ---7-1,4.7 Contact: (A- �c Email: Type of Work PLUMBING (Within the building envelope) >Z. Sump Pump Repair SEWER & WATER (Outside the Repair building envelope) Other: Other: Description Description of work: FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinalces 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 reres a reviewand approval of plans. Applicant's Prin, �Jd Name P 3e x Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Under Ground Rough -In _Final PERMIT City of Eagan Permit Type:Building Permit Number:EA114630 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 1607 Blackhawk Lake Dr Lot:7 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Laura Gillespie Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory L Hillesheim 1607 Blackhawk Lake Dr Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA145970 Date Issued:10/03/2017 Permit Category:ePermit Site Address: 1607 Blackhawk Lake Dr Lot:7 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory L Hillesheim 1607 Blackhawk Lake Dr Eagan MN 55122 (612) 860-0666 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature