1615 Blackhawk Lake Dr r
PERMIT #
MECHANICAL PERMIT RECEIPT # '
CITY OF EAGAN T a >
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address 'r,iL BLDG. TYP,EWORK DESCRIPTION
Lot Block Sec/Sup Res. ~ New
m Name Mult. Add-on
Address- Comm. Repair
c City Phone t Other
Name R-~-: ...z r j FEES
RES. HVAC 0-100 M BTU -$24.00
c Address . -il L ADDITIONAL 50 M BTU - - 6.00
3 (RES. HVAC INCLUDES A/C ON NEW
p Ciiyrf r z Phone
-CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced. Air° M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE: /
SIGNATURE OF PERMITTEE
S/C:
TOTAL: FOR: CITY OF EAGAN
v CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD y_
EAGAN, MINNESOTA 55122
• -g/n
` DATE 19
WOWED
FROM
AMOUNT $ r
& DOLLARS
,ou
O CASH CHECK
A&W
FUND OBJECT AMOUNT
Than You
BY
.
9603. NR* -Pb yes Copy
Ye1bw- *0sUfv Copy
Pink--Fde Copy
Y CITY OF EAOAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100;"
BUILDING PERMIT Receipt #
To be used for SF tw/c t Est. Value $1 551000 Date AUG 23 1g~
Site Address 1615 KI KMtK Irlll(fE DR
Lot 6 Block 2 Sec/Sub. BLAC'KHA' GLEIt~ OFFICE USE ONLY
Parcel No. Occupancy R -3 FEES
Zoning
W Name YS'P NE SUILDERS CORD (Actual) Const Bldg. Permit 8x32#00
z C11 EiEtZDGZ ST Vf N
c. Cddress SBORYIEW Phone 2 lAofStorie Surcharge 414 0
!f y # of Stories Y
Plan Review
Length t 00
sp Name Depth SAC, City'
8! Address S.F. Total SAC, MCWCC 600.00 `
City Phone S.F. Footprints - 623 00
Water Conn
f On Site Sewage -
Name On Site Well - Water Meter
E- Address MWCC System -
X Acct. Deposit •
a W City Phone City Water
PRV Required X S/W Permit 30s~
1 hereby acknowlege that 1 have read t s plication and state that the Booster Pump S/W Surcharge
information is correct and a to crimp with a plicable State of
Minnesota Statutes and Ci of Eagan Orrtibances. Treatment PI
Signature of Permitee APPROVALS 355.00
Raad Unit
A Building Permit is issued to: ~TM BUILDERS COOP Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance TOTAL 33x00
4 V
~ Permit No. Permit Holder p Date Telephone #
WATER C[ O
R
SEWER
PLUMBING ~fQ 9%v ~i0
HN.A.C. ~ , W 50
ELECTRIC ao
Inspection Date Insp. Comments
Footings l
Foundation 3J rJ
I
Framing
Roofing 9' 21 f
Rough Plbg,
Rough Htg. / S 6
Isul. lQn
Fireplace 2(0
Final Htg.
t R
Final Plbg. o `
Const. Meter P . Insp. tor- Notify Plumber4pyy.C-4
Engr./Plan
Bldg. Final MILS
Deck Ftg.
Deck Final
well
Pr. Disp.
1
Address: 1615 BLAUMAWK LAKE DRIVELot 6 Blk 2 Sec/Sub BLAGMAWK GLEN 3RD
These items were/were not complete at the time of the final inspection.
DATE: NO'vl!k 3E1Z 16, 1990 Yes No INSPE-TOR:
r
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
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.
White - City copy Yellow - Resident copy Pink.- Contractor copy
A,
i ,
~itp of eagan
iorp rr#mnd of NuYwm imvprtwu
This Certificate issued pursuant to the requirements of Section 306 of the Uniform BwZ*ggg
Co,* certifying that at the dine of issuance this structure was in compliance with the vvrous
ordinances of the City regulating brtlding construction or use. For the following. r
the cIml fIpti011 ,AGAR BM& i w -4829
o.p..T Typo R3/M I Zoning D6u a ' R 1 Type Co
oww of Binding IMSTM EIME S CEM Add 9n WtTn _
1615 XAQqM LAKE i,..sh XAa GrIm 3RD
na,
POST IN A CONSPICUOUS PLACE
i
PLUMBING PERMIT m For Office Use Only
CITY OF EAGAN PERMIT # f CONTRACT ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT
PRICE PHONE 454.8100 DATE:
Site Address 4 /4 'qd4tX-11,1 w X rC.-4,t do( BLDG. TYPE WORK DESCRIPTION
Lot ,Blpck Sec/Sub Res. New e"
C,11 a Mutt. Add-on
Name 164 1rt4" ac foe, Comm. Repair
m Other
Address ~rS ? a d , v`a co
S City Phone r5~' -4ee' RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $ act
Name Bath Tubs - $3.00 3='
3 Address 4- Lavatory - $3.00 .
O City. Phone - Shower= $3.00..~,~
-7- Kitchen Sink - $3.00
Urinal/Bidet - $3.00
FEES Laundry Tray - $3.00 ' .
COMMAND. FEE 1% OF CONTRACT FEE ~ Floor Drains - $1.50 Z 4V
APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 }
TOWNHOUSE & CONDO - RES. RATE APLLES Whirlpool - $3.00 '
MINIMUM - RESIDENTIAL FEE $12.00 1 Gas Piping Outlets - $1.50 1 S>J
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM - 1 PER PERMIT)
r STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $:50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
` Private Disp. -$10.00
4" 'f Rough Openings - $1.50 'Y
SIGN URE OF PERMITTEE U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES SIC:
FOR: CITY OF EAGAN '
GRAND TOTAL: O
SOR &"W,ATER PERMIT OFFit USg ONLY =,,C~ AN as _ METE]; # 74 PERMIT DATE 08/23/90 -
3830 Not Knob Rd. CHIP.#, 6 t ~fS7 PERMIT # 11524
Ewan, ~IV4N 55122-1897
" METI SIZE,5Z ~ r B.P. RECEIPT # ~r
AUGUST 23, 199fl ISSU 'DATE Z20 B.P. RECEIPT DATE ~.09Ft
DATE
PRV f BOOSTER PUMP
SITE ADDRESS 1615 BLACKl3AWK. LAKE DR PERMIT REQUESTED
''LOT 6 BLOCK 2 SEC/SUB BLACKHAWK G t3l,,D
X SEWER X WATER -TAPS
l_ APPLICANT:
ADDRESS: COMM/IND X RESIDENTIAL
CITY, STA
TE ZIP X NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
?LU,MBER: de 1;~ Ahead of Domestic Meters ,pn,,Water ,Line...
ADDRESS: Credit MLL N T be gi en for Deduct Meters.
CITY, STATE SAVAGE, ixfit ZIPS > " fr
PHONE: 894--7600 I .
1 AGREE T COMPLY WITH CITY OF
OWNER: KEYSTONE BUILDERS,CDRP ,k EAGAN ORDINANCES
ADDRESS: 201 BRTDCE ST
CITY, STATE SHOREVj y , H ZIP 5 126
PHONE: 483-8286 GNATURE WHEN METE IS§UED
yo,
PL~ASg ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT, 3
SEWERA WATER PERMIT OFFICE USE ONLY
CITY.OF EAGA? J4 _ METER # PERMIT DATE
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # t
s
METER SIZE B.P. RECEIPT # 4tz,
DATE :r. r, 1 cc; ISSUE DATE B.P. RECEIPT DATE
PRV _ BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT BLOCK SEC/SUB
SEWER WATER TAPS
APPLICANT:
ADDRESS: - COMM/IND RESIDENTIAL
CITY, STATE ZIP NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER:' ` Ahead of Domestic Meters on Water Line.
ADDRESS: i' Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP 3 +
r
PHONE:
1 AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS:
CITY, STATE " 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.
• DATE: AUG 23, 1990
RE: IM5 BL!►CKRAWK LAKE DR (KEYSTONE BUILDERS CORP)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed-until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be .
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Request Date Fire No. Rh-in Inspection
d Ready Now WiII NotInspector
❑ No When Ready?
I licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route Na) City
k4e
Section No. Township Name or No. Range No. /ty Coto%t_p•
f
Occu anI(PRINT) Phone No.
st 1303_
Power Supplier Address
Electrical Contractor (Company Name) Contractor' License No.
N -G E~
10
Mailing Address (Contractor or Owner Making u ion installat_~~/2.
fzi
A 0 Authoriz ignature (ContractortO ner AMang Installation) Phone umber
MINNESOTA STATE B - RD OP 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 EB-00001-07
00, See instructions for completing this form on back of yellow copy.
f 98 5
n
4, 9 6 6 4 X' Below Work Covered by This Request
New Add Rep. TypeofBuilding Appliances Wired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (specify) 1~~nlra.torb Remarks:
Compute Inspection Fee Below.
# Other Fee # Servi Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 A 647- 0 to 100 Amps
Transformers Above 200 Amps Above 100 Am
Signs Inspectors Use Only: S
17 TOTAL
Irrigation Booms
Special Inspection I p
Alarm/Communication
Other Fee
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
3 0. S a
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 551-675-5675
Please complete for: single family dwellings & townhomestcondos when permits are required for each unit
Date _ I 1 1 C55
Site Address (C1+ 'C5 34eu:-,~~^ Lof e T-r• Unit #
Property Owner 11 CcLr Telephone # ((ASI }to
Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 146'x' St., 4106
Street Address Apple Valley, MN 55124 City
State (952) 431-7099 Telephone #
( )
Bond #•-~S~`~ Q g~ Expires:
~`r _
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
_ furnace Additional Y-Replacement
air exchanger
air conditioner -New _ Replacement
other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 glans.
O-hctj_ l'~)
Applicant's Printed Name Applicant's Signature
APR 0 205
By
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5695
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are DA required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address city
( )
state Zip Telephone #
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank , Install Remove **see below
Interior Improvement , Install Piping _Processed Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
ii S50.50 ice' um (includes State Surcharge)
or
Contract Value $ x 1% - $ Permit Fee
't
• If permit fee is $1,000 or less, add $.50 = $ State Surcharge
If ermi fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
CITY OF EAGAN NO 1829 1
3830 Oilot Kndb Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 C(j~
Receipt # _ I
To be used for SF DWG/GAR Est. Value $155,000 Date AUG 23 , 194 _
Site Address 1615 BLACKHAWK LAKE DR
Lot 6 Block 2 Sec/Sub. BLACKHAWK GLEN OFFICE USE ONLY
Parcel No. 3RD occupancy R-3 M-_1 FEES
Zoning Ril
w Name KEYSTONE BUILDERS CORP (Actual) Const VAN Bldg. Permit 832.00
o Address 201 BRIDGE ST (Allowable) V=N Surcharge 77.50
City SHOREVIEW Phone 483-8256 # of Stories
Length 701 Plan Review 541.00
Zo Name SAME Depth ~ SAC, City 100.00
Address S.F. Total
OUF SAC, MCWCC 600.00
City Phone S.F. Footprints -
Water Conn 625.00
On Site Sewage
Ww Name On Site Well Water Meter 90.00
v Address MWCC System X
C W City Phone City Water _X Acct. Deposit 3n _ n0
PRV Required X S/W Permit 'Ao - n0
I hereby acknowlege that I have read t s plic ti and tate that the Booster Pump S/W Surcharge - 50
information is correct and a t c m I wit a pr able State of
Minnesota Statutes and Cit of r . anc s. Treatment PI 252.00
Signature of Permitee 'T APPROVALS Road Unit 355- n0
A Building Permit is issued to: Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official 4 h( Variance - TOTAL 3,533. 0
' Y
J
r+
11241
1990 BUILDING PERMIT APPLICATION
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.
I
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.
A U G 2 1 RECD
Ova
T6-Be Used For: Valuation: Date:
Site Address OFFICE USE ONLY
-Lot ~ Block -2- $~x}CauJk 3rd FEES _
Occupancy R'3 M-1
Zoning
3 2-
Parcel/Sub 91#ck a~,?k ;6 3d R-1
Odd, Actual Const Bldg. Permit
Allowable V_" Surcharge s
Owner J}r 1 F n f IIle L/'. i t1 # of stories Plan Review SS!/
Length SAC, City /a
Address Depth SAC, MWCC 00
25
S.F. Total _ Water Conn
City/Zip Code Footprint S.F. Water Meter °/1>
Acct. Deposit 30
Phone On site sewage, S/W Permit 34
On site well S/W'Surcharge so
Contractor -AJS-kne ~u Ply Bra MWCC System v1 Treatment P1. 2
City water Road Unit 3s5
Address! PRV Park bed.
Booster Pump Copies
City/Zip Code _CAOr PjJ/ ejj) ~ /2-A SUBTOTAL
APPROVALS Penalty
Phone _ h! Planner TOTAL 100
Council
Arch./Engr. Bldg. Off.
22
Variance
Address
City/Zip Code
Phone #
I
V Q o IQ ,
dOO
2Z~ 2z ~~y
3y~Z~ ~ Spa
r2~.. 3 =
1~k« zsz
~y ? Z3 y
~l 3 r 9 Z ?
2h~
15-- 57
l Z,S;F/~ z~a
Pty
26 0
S
A U G- 1 7- 9 0 F R I . 8 4 8 EXCEL YARD P.015
AUG 1G '90 15:4' A.B.C._MILLbiOM ~ P. J.
EXTERM ENVELOPE AVERAGE...... U" CAM-PPTA;f10N.
QY! H E R O A T
SITE ADDRESS YG' Tl- ^k, Pb'BNE _~r-•--•--- -
CONTRACTOR•~ PLAN
Determine working square footage of each
1. Total exposed wall area. -ft • x ^ 11 R _ ~r•~ /
f t. .026
2. Total roof/cei 1 ing area.., 4 -sq.
Total exposed wall area aba~<e .floor'~_,
a. Total wall vrindow area....... , _ N_-
b." `total doer area...... . .
c. Total sliding glass door area........ d. Total fireplace Viall area.. . . . _
e. Total wall framing area {average 10%} ...M . . . . .
f. Total. rim joist area... . .
M-~
g• not wall area above floor.......... . . . . . . . . . . .
h. _ wall area above floor . . . . . .
wall area above floor -
frani-tiwall aroa g.t foundalcion . . . .
Total exposed foundation area=
k. Total foundation window area.. -
1. Total net foundation area above grade
Determine "u" value of each wall segment
Ce,g. window, door, each separate wail section)
3-17 X 'lull
Ll.
C. "Ull 41
e, X )full
Pull 0,
9
X 11 U 1- - _
If item #3 is the
_ as, or less than ii
#1, you have met t?
/ X „v„ intent of SBC 6006
15 ....Total _ .r
A U G- 1 T- 9 Q F R I '8:47 EXCEL Y A R D P.05
AU(; 16 '90 15:47 A.H.C. _MILLWORK '
4. TOTAL EXPOSED R00F/CC i L f HG CALCULATIONS'
Total exPOsed / T sA ft
roof/ceoei l l i rlq area , , .
R
"U"
Total skylight area.. Sq ft x H
k) Total roof/ceillnq framing ft x.11"1+ ,w,~.~
area (Average I WO S q ---.r. -
l) Total net insulated <^fL x
roof/ce] 1 ]n9 area
TOTAL thru 3
if total of eh is the same as, or less than #2. YOu have met the intent of
2 ?LC?MZ 1,16008 A aT.d 0•
ALTERNATE $UiLDiNG ENVELOPE DESIGN
To utilize the total envelope systom methodthe sumklof etemsl lhandb~Zthe, sum
of items "3 and 94 shall not he greater than
.
41 -I'L
P' 0 4
AUG- 1 7-90 FK I 'moo : 47 EXCEL YARD
15.48 A.B.C..-MILLWORK
LINEAL FEET EXPOSED WA(.(~
+ 1170
r"
WALKOUT:
,
FUL, t I : J4--f- 00.
FIREPLACE: RlM: -
SQUARE FEET EXPOSED WAIT. AREA
BLOCK: , x .5
KNEE-, wAi,K4UT:
FULL 1
FULL 2.
x
'].REPLACE:
RIM:
TY: -AC
SQUARE FEET EXPOSED CET LING
DOORS r''^7
WINDOWS : , 2,r7 71
I "
.-•?.l~ 1 1 PATIO DOORS:
_rf 3
4e -
~~~,!}E£~ ^4os' BASEMENT UNITS: /~/4-
2~"~,CJ . VVV rr,
SKYLIGHTS:/?
400 ~ i
F'
h1lJG-,1 i - J~? PR I 8:46 EXCEL Y'ARD
HLi+; 1 ; G 1 r ~ ~ ' C, _MILLWORK
~pARu$ l t orrzf t
use 1% 04 CONS"I'RUGTX'09- FRfIaNG
TN .TOR AIR T'IiM ,
3. s 17 Pr SOTT
4. klul
RJR • '
•
-0,-AT F
.r-- rte: +
y(A L L U= . 09
P' WA GG
DIMRIOR A37, FILM
3
y
4. •
C •
U= *04
~ 7-1
~ Z. TIVERIOR AIR FILM,_
~ ~
UAL GV% 4.
.fll~
U-4
v•~
A{
h d r { ~~CK
T~cxi r INTF:R.T0» ss
Oft AIR. FTI?d ~w--
W~►1-~ i 2. -a~.-
dip
%roil
s •
u= r Q
y
SLAB ON GRADE. bw~ • ' ~ ~ `
r
IAA rw ..•A~.w.ry.~... ~ 40 9 TMM • M P•
1
-.i.'..A
~r
F-44,, IRA S M _ A
01
"w _ r t~► NQ'I'E: MICATB q'YF£, {tR" VANX, DEM AN
PLA4 P OF INSULATION-
AU G- 1 T-'9+0 FR I 6:45 EXCEL YARD P . 02
ACG 1E: '90 f5:49 A. B. c. -r4ILLWORK
Boor.-CEILING R-VAUS
_ r wM CONSTRUCTION
y1•> 4 _ e 1 R FILM
f TdTAL 45.80
v~ .02
11~ *-"~~J FRAME
1• XNTERIOR AIR FIII_ _.r~. 0~-
VkN!' HEAT FiIC W 2 _ '•-~-i i HULA
-'1: I .
u 4. . (1R FILM
AL 40.15
FIG. #5 U = 0.024
CONSTRUCT~~-
INSIDE AIR FILM 0 fli
5. E ATR LM - A - -QJJ-
U
FRAME
INSIDE AIR FIt0.61
L 04- 2.
3.
HFAT FWd UP VF= 4.
-~--FIG. #5 U
-INSIDE AIR FILM
2.
3.
r--
S. -__Tt5TA
L S~ s rF r~7 sP E x
NON-V~ ~OT£ : USE AX~UI', p, riA
NEEU£D FOR T~ETAYLS AND CAILULA'fIONS
HCAT F►JJAd
UP
FIG. 17
_A
J wa = I
It IL It
KEY BUtE
SURVEYOR'S CERTIF1
I
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E
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~ I
x
i T
2- -Z
DENOTES PROPOSED SURFACE- G AINAGE
0 DENOTES IRON MONUMENT SET SCALE. 1 INCH 30 ~ EET
0 DENOTES )RON MONUMENT FOUND PROPOSED GARAGE FLOOR - 637 -E;ET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR $Z6, -EST
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK 83% =EET
WE HEREBY CERTIFY TO KEYSTONE BUILDERS THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE 801-INnARIES OF:
Lot 6 , Block 2 BLACKHAWK GLEN 31RD ADDITION, ao cord Inq to the record I
plat thereof, 64koto County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21 ST DAY OF AUGUST , 1990. 1
APP ~jVEP SIENNA ~
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JOHN C, ;ARSON, LAND SURVEYOR
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' `s 9401 AMES AVE . ~ BLOOMINGTON, MN, 55431 # $1 34-3024
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA074573
Eagan, MN 55122 . Date Issued: 08/02/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1615 Blackhawk Lake Dr
Lot: 06 Block: 02 Addition: Blackhawk Glen 3rd
PID 10-14352-060-02
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Pictures are not acceptable in lieu of inspections. Brenda Van Sick le 4100 Excelsior Blvd St Louis Park, MN 55416
952-915-7226 brendav@sela roofing.com
Fee Summary: BL - Base Fee $2K $69.00 0801.4085
Valuation: 2,000.00 Surcharge - Based on Valuation $2K $1.00 9001.2195
Total: $70.00
Contractor: -Applicant - Owner:
Sela Roofing Remodeling Patrick J Mccarthy
4100 Excelsior Blvd 1615 Blackhawk Lake Er
St. Louis Park MN 55416 Eagan MN 55122
(612) 823-8046
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:Building
Permit Number:EA113388
Date Issued:09/04/2013
Permit Category:ePermit
Site Address: 1615 Blackhawk Lake Dr
Lot:6 Block: 2 Addition: Blackhawk Glen 3rd
PID:10-14352-02-060
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 .
Elizabeth Hess
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 -
Patrick J Mccarthy
1615 Blackhawk Lake Dr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133011
Date Issued:09/16/2015
Permit Category:ePermit
Site Address: 1615 Blackhawk Lake Dr
Lot:6 Block: 2 Addition: Blackhawk Glen 3rd
PID:10-14352-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Patrick J Mccarthy
1615 Blackhawk Lake Dr
Eagan MN 55122
(651) 683-0087
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:EA140529
Date Issued:12/28/2016
Permit Category:ePermit
Site Address: 1615 Blackhawk Lake Dr
Lot:6 Block: 2 Addition: Blackhawk Glen 3rd
PID:10-14352-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Bradley Keifenheim
1615 Blackhawk Lake Dr
Eagan MN 55122
(612) 875-2200
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156720
Date Issued:07/16/2019
Permit Category:ePermit
Site Address: 1615 Blackhawk Lake Dr
Lot:6 Block: 2 Addition: Blackhawk Glen 3rd
PID:10-14352-02-060
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bradley Keifenheim
1615 Blackhawk Lake Dr
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
