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1619 Blackhawk Lake Dr? ; CITY OF EAGAN 3830 Piiot Knob Road, P.O. Box 21-199; Eagan, MN 5 121 PHC?NE: 454-$100 BUILDING PERMIT Receipt # To be used for Est. Value .Qate ?- _ -- Site Address ` +< < OFFiG6 Lot Biock Sec/Sub. •' 'k '' ?` On Stte Sewage MNtCC System Parcel No. On Site INeil m Name City VVater #. ? PRV RequlCed 3 Rddress + Booster Pwrnp - , ° . City Phflne>- Name z 0 ? 0 a Address °-` City? Phone OW Name ? w Address Q W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to compfy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Permiftee A Buifding Permit is issued to: on the express condition that all work shaii be done in accordance with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Building Official L upancy ,j9.. ing uaq Gonst ? °wablej Stories 3th th ,; r. . Total rRrint S.F. APPROVALS EngclAssess. _ Pianner _ Councif _ BIdg.Off. _ Variance _ 5urc arge Pian eview ' SAC, ity SAC, WCC Water onn. ' Water eter ° Road U it -" • Treatme t P1 Parks TOTAL ' Permit No. Permit Holder Date Telephone # P{umbing H.V.A.C. G ? SLP ? '' Y ' ? ??J Electric Softener inspection Date insp. Comments . Footings I Footings II Foundation Framing = ic, - Roofing Rough Pfbg. d 7? Rough Htg. A/ ?t- ISUI. ? Fireplaee Final Htg. Finai Pibg. Bldg. Finai cert. occ. / Temp. LP Deck Ftg. Deck Final Well Pr. Disp. T PERMI # ?MEGHANICAL PERMif ? ? RECEtP7. # CfTY QF EAGAN ; 30 PILOT KNOB ROAD, EAGAN, MN 55122 ` ? ? DATE: , CONTRACT PRICE: r?? ? ?- PH4NE: 454-8100 Site Rddress ? 7 " ` .?: =' r BLDG. TYPE / WORK D R1FTlON Lot Rlock Sec ub V Res New . ?Name z Mult. Add,on ig Address Comm. Repair ? ? City Phone Other Name.?`'' cA c AddreSS p City Phone ,,,. - 7. TYPE OF WORK Forced Air M BTU Boiler M BTU $ Unit Heater M BTU Air Cond. M BTU ? Ven#. CFM $ r Gas Piping Outiets # ,. Other ' s FEE: ? $/C: r. "'i... ? ? 60 TOTAL: FEES I RES. HVAC 0-100 M BTU ADDiT10NA4. 50 M BTU (RES. HVAC INCLUQES AIC ON NEW i GQNSTRUCTION) € GAS OUTLETS (MINIMUM - 1 PER PER0417) COMMIIND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPI.ii MINIMUM RESIDENTIAI FEE - ALL ADQ-ON & REMC}DELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1;000) SIGNATURE OF - $24.00 - 6.00 - 1.50 EA. - 12.00 - 20.00 . .50 3 J FOR: CiTY OF EAGAN .. ? ,?. ? PERMIT # E . , PLt1MBiNG PERMiT ? CITY t7F EAGAN REGEtPT # 3830 fltLOT KNOB RO/4D, EAGAN, MNt 55122 CS?TE: ? CQNTRAGT PRfCE: PHONE: 454=8100 ? . Site Address BLDG TYP4°' WORK DESC TION - , Lot ? Stoek Sec/Sub ?es: New r -?._._.. ?-•?.?..;>:.....-..,..»--;_:.,?: "?t ?' . Muit: Add-on ? Name Comm. Repair ? Address Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOI.L WINGc N,-0. FIXTURES OTAL Name -L_VNater Closet - $3.00 h ` Bath Tubs - $3A0 3 Address Lavatory - $3.00 ` p city ? Phone / , Shower - $3.00 , f Kitchen Sink - $3Ao ? FEES COMM! WD FEE - 1% f3F CONTRACT FEE UrinaVBidet - $3.00 ?Laundry Tray -$3.00 ? . APT. BLDGS -C4MM RATE APPUES Fioor Drains -$1.50 r! TOWNHOUSE & CONDO - RES. RATE APPLIES ? Water Heater -$1.50 ° MINIMUM -- RESIQENTIAL FEE - $12.00 Whiripool - $3.00 MINIMUM - GOMMIIND FEE - $20.00 Gas Piping Outiets - $1.50 .. ` STATE SURCNARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) •;' (ADD $.50 S/C iF PERMIT PRIGE GOES Softener -$5.00 ; BEYOND $100.00) Well - $10.00 ? ? ? ? Private Disp. - $10.00 Rou h Openin s ? $1 50 g . . g - 4..,. SIGNATURE QF PERMITTEE ? FEE: -a STATE S1C: R R ? FOft; CITY OF EAGAN GRAND 74TAL: . _, -?- ? Oft'JOFy EAy??'AN ?.?Ktoi1VR<V 1 , Minnesota 55#23 ?-4675 . TION ]RECO- t ? '? <; , ? ?'?' C#??O?? P4.,??• ? k ' ? ? ?4? ?r . ? . . ??? pir ? -T OF EA ?'#AN 3M PW Kriob %ad ?eaw,.MW"Iosfti7J?23 ? - ? .. Daut 'Y?'t'Li75 (6121 , ? -. _, .... .. ? ?C+?" : ??'?' t IB? ??v?'r? 1? +`? ?. ,. ,. . . ? . a.'. ? ?t? t? P?r?ik ?kr ` ' ?r 9?e?arw s aw. MAC , . Ei:?C?t'R1C it+?tlpoqtln t? i?. G?s "" G ^ FOWAkdo't fifF1161? ? %A111 P"• . , ?. ... Fir191 H[g. : Qnset Teat M4 WAMdw - No&fY Murlbw 0000. &WW mt• ? De?c F'6g. d8dc FN?at Wo Pr. mep. ? ? ? ? ?????"?#?!? ? ? k ? , ? 1"?C?It??+ilt+?lf ? ? ? ? ? f, ? ,?, "? < ? ? . .? . ? ? ? ? _ ??? ? ? , ra ? ? . ?, ? ? ? ,. e., - _ _ .- - ? , ? . . ; , ? ?;:. . ? a ? ?'nprace c`'. ?'? Fb? Hlg. Orsd Teo firia! F'Ibg. Ptg. !?m oew - NditY Pkmftw GoneL Meter &WJPWA Oft. F" Art- Dif* ?Q. Do* fkW Wo PP. DISa. . Cf3'Y OR'EAGAN Permit No: It} Q?l8 ?-88 Date: 10-13 , 3 , Filo# Knob R oad ivteter No: ?Ft? P?Box 21195 °° er No: Date: E a g a VM N 5 5 1 2 1 C* Owner. Dahlstrom I1esign SiteAddress:---"16 Ig $IBClthBwrk Lalce Drive L5 82 B1.a.ckha-wk Ptumber. M m Flumbl.ug G1en III Conn. Chg: 5$ 0 00pd Zoning Acct Dep:3 ,?- oopd._ No. of Units: Perm'st Fee: 1 -0„ Ct9?d Surcharge: _ ?',Qpa I agree ta compiy wfth the City cat Eagan ` Tr. Plant_-- Ordlnanc . Meter. ti , Misc.: ? By _ WATER SERVICELPERMIT ?. ? (gtrfYftratt of Orrupaury titp of eagan Drpttrimrnf nf Buitding Jttspprtimt This Certificate issued pursuant to the requiremenis of Section 346 of the [Iniform Building Code cenifying that at the time of issuance this structure was in compliance with the various o'zdinances of the City regulating building construction or use. For the following.• Use Classifiarrion SF DWf C6R Bidg. Rrmi[ No. 15445 Occupancy Type ?/mi Zoning pishict R! Type Const VN' Owner of Building nM.S'iM 11}'+CTfM H7+1FS Address 4151 I= MM, EAGAN ?, ?, M'?`. Q"? 3M Buildi?Address if}I? MAM14& LAM . 'Locality ?•?'"Date: C)G"I.'t1B?',R 27, 1989 Bdilding Offic' ? POST IN A CONSPICUOUS PIACE ' 1 ? i _ .i This request void G/? fl ?? 18 rnonths from / E 1 q S -? 2 t a, Request Date ' i Fire No. Rouph- in I nspection Re uired? DReady Now?Will Notify. Inspec- j ?G F ? es ?No tor When Ready ;5-4,?,.censed Electrical ContraCtor - I hereby request inspection ot above . ? Owner electricai work installed at: ' Streelt /Address, Box or Route No. l ,:7'J ?/S? 1'y???.[?PC Zk &' f CSF CitY ection o. Township Name or No. Range No. Gount Occupant (PRWT) , . L t- ? t9g?-r?,??.? Phone No. S --?? a Power Supplier C? a Address IV-el-I ' Electrical Contractor (Company Name) Contractor's License No. ? ??-s- C! Mailing Address (Contractor or Owner Making Instailation) "? b 9'? c? s? L.? ?? ? .?+/ r? L- . ?c?i?C.d ? Aut zed Signatur ?C ntractor/Owner Making Installation) Phone Number ' 6l? ? p.?;L/ ` MI SOTA STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST Will N07 Griggs-Midway Bida• - Room 91 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Universitv Ave.. St. Pau , MN 55104 ENCLOSED . Phone (612) 642-0800 REQUEST FOR EIECTRtCAI INSPECTlON ? See instructions for compieting this form on back ot yeliow copy E 1'? ,`? "X" Betow Work Cavered by Thrs Request EB-00001-06 Newf A ,ddl Rep. Type of Buiiding ADPliances Wired Equipment Wired Home 'Range Temporary Service Dupiex Water Heater ightin,y Fixtures Api. Building Dr er Eiectric Heatin Commerciai Bidg. umace Silo Unioader Industria) Bidg. Air Conditioner Buik Milk Tank Farm Otner peci v otner (spor:itv) t er Specify Other Other ComUUte lnspeciion Fee Below ;i{-a% M Fea ServiceEntrancaSize # Fee Peeders/Subieeders # FFe Circ;uits Z 0 to 200 Am s 0 to 30 Am s O tn 30 Am s Abave 200 qmpy 31 to 100 Arnps 31 to 100 Am s Swimming Pooi Above 100_ Amps e''R)0 Amps Transformers frrigation Booms PartiaL"Other Fee Signs Speciaf inspection $ I OTA ? Rernarks L FW / ., ..? -o? flough-fn f Date y? I:.spect the Ele ctrical +? or, hereby ? Au ertlty that the above Final r Date ins0ection has been / 1-,.! ! ! A?. l!\ ? ,P"• ?^ mad?^'?'?.",.\ Thia request void 18 months from Fc;-- 3? /OS? H 68657 Li. &VI ", 9 ? °-? 040 Request Date Fire No. Rough-in Inspection Required? ? Ready Now ?fWill Notity Inspector Wh R d ? ? Yes ? No en ea y 1 Ilicensed contractor 0 owner hereby request inspection of above electrical work at: Job Addre/ss (Stre/et, Box or Route / ?T? J &_ Ciry Section No. Township Name or No. Range PJo. Couny OccupaQt (PR)NT) A L ZcA1 Phone No. Power Supplier Address Electrical ntrector (Company Name) Contractor's License No. Mailing Address (Contrac r or Owner ing Installation) 'WA j 5,rD 3 ? Authori d i ure (Contr t/Owner M ing In I Phone Number M{NNESOTA STATE BOARD OF ELECTRICITY ?r THIS INSPECTION REQUES7 WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St, Paul, MN 55104 UNLESS PROPER fNSPECTION FEE 1S Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION t? - ? See instructions for completing this torm on back of yellow copy. H 68657 - "X" Be%w Work Covered by This Request E13-00001-08 ew Adii Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial ' Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee BeJow: # Other Fee # ServiceEnlranceSize Fee # Circuits/Feederg ee Swimming Pool 0 to 200 Amps 0 to 100 Amps I ?TJ Transformers Above 200 Amps ve i Amps SignS Inspector's Use Only: ?j.? ? TOTAL 5? Irrigation Booms ? Speciai inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee , fl COMPLE7ED WITHIN 1 THS, f, the Efectrical InsPector, hereb Y Rough-in Date •_ ?.-?r certify that the above inspection has been made. F;nai Da l OFFICE USE ONLY y This request void 18 months from ? ? ??---- ? /o ?/os J 0 8 ? 3 16R{ Request Date Fire No. Rough-in Inspectiori Required? ? Ready NowXWill Notify Inspector Wh R tl ? ?es ? No en ea y Ik licensed contractor p owner hereby request inspection of above electrical work at: Job Adliress (Str g Box or Route No.) Z b City---- ? --?C j2? 1 l (? l.v l? L Section No. Township Name or No. Range No. nty Oc ant(PRINT) C, r Phone No. ?'] ?f J 4 r ? h- Power Supplier Address ; EI c cal Contrector (Com y ame) Cl- C-? Contractor's License No. O-"/ Mailing Addrestr t or Owner Makmg InstallatiogY,? A W S3?V uthoi zed e n[ractor/Ow aki nst ion) Phone Num/bR r ,/ /JI? i . T2v - Y G ? V-2 MINNESOTA STATE BOAAD OF ELECTRICITY THIS INSPECTION REQUEST WILL NKJT Griggs-Midway Hldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 7821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. J 08,1 PH REQUEST FOR ELECTRICAL INSPECTION ? See instruc,?ions fov cpmpleting this form on back of yellow coQy. `X" Below Work Covered by This Request 3 E13-00001-08 ex Add ". Type of Building AppliancesWired EquipmentWired Home Range Temporary Service ` Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) ContractoPS Remarks: - Compute Mspection 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 Abo e 100 Amps Signs lnspector's Use Only: OTA?. ? ' Irrigation Booms v Special Inspection ?d Alarm/Communication THIS INSTALLATION MAY BE.$RD D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT ? I, the Electrical Inspector, hereby if Rough-in Date ?•?.?7 Y? cert y that the above inspection has been made. Finai ? ?'? e ?? "`?? OFPICE USE ONLY This request void 18 months trom 2005 RESIDENTIAL MECHANICAL FER11'IIT APPLICATI N City Uf Eagan 3830 Pilot Knab Road, Eagan MN 55122 Tetephone # 651-675-5675 Please camplete for: single family dwellirigs 8c townhomes/condas when permits at'e requn'ed for each unit Datc Site Address `-? / a? ???`?? ?" _?iLZ?Q, ? Uni # Property Owner W bxf'Um Telephoite # ( ) __. - -- Contractor B{NDER HEATING & AX, RC. 222 Hardman Ave. N. streex Address S Q. St. Paul. MN 55075 City 651-457-87$1 State Zip Tetephone # ( ) Bond #• Eapires: The Applicant is Owner _/-Contractor Other Atld-an or alteration to eaisting dwelling unit $ 30.00 ? furnace __V/Additionai Replacement air exchanger air conciitioner _,., New Replacemerrt ather State Surcharge $ .50 Total I hereby apply for a Residential Mechanical Pernut and acknowledge that the information is cflrnplete and ac 1c in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Cades; that permit, but only an application for a pernut, and work is not to start without a permit; that the wvrk wi11 t appruved plan in the case vf work which requires a review and approval af plans. `???? W??j "_ fft40" Applicant's Printed Name Applicant's Signatjure 11 ? Era?te; tbat the vuork will understand this is nct a in aceorda.ace with the 9 L? uuL9 eT2 12005 2005 CUMMERCIAL MECHANICAL PERMIT APPLICATIUN City Of EagaR 3830 Pi1ot Knob Road, Eagan M 55122 Telephone # 651-675-5675 l'lease compiete for: commerciaUinchistri,al buiidings mutti-family buildings when segarate permits are no required for esch dwelling unit Date / / Sitc Stroet Addreas Unit # Tenant Name (fi agplicable) Previous Tenmt Name Prnperty Owner Telephone # ( ) Cantractor Street Addresa City State Zip Telephone # ( ) Bond #• Expires: The Applican# is Owner Contractor Other Work Type lUew Construction ? Underground Tank ,_,_,,,,, Instatl __,_Remove **See betow lnteriau improvemerrt Install Piping _ Processed _Gas Nature of Work: **VVhen tnsWling/removing underground tank, ca/1 for Irrspection by Ftre MarsHal and Flumbing lnsp+edor Permit Fces: _ $70.50 Underground tank installalion/removsl $50.50 ?r,?rrmum (includes State Seercharge) or Contraet Value $ x I% = $ Pexmit Fee • If permit f? is $1,t? or less, add $.SQ ? $ State Sum,har?e If taermit fee is over $1,000, add $,SU for every $ 1,400 p_E__'_t fee $ Totat Fee I hereby apply for a Commerciai Mechanical J'ermit and acirnowledge that the inforntatiw is camplete and accurat.e; that the work will be in canformai?ce 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 nat to start without a permit; that the work will be isi accordance with the appmvet plan in the case of wark which requires a review and approval of plans. " ?. Applicant's Signature Appraved By: Inspector Date: RESIDENTIAL BUILDINC RERMIT APPLICATION CITY GF EAGAN 3830 PILOT KMOB RD, EAGAN MN 55122 651-681-4675 New Construclion Reauiremeats 64 • 3reg?ster? sitee surveys shaw'sn9 sq. ft. of lot, sq. ft. of house; and aH roofed a?as (20% R137ciR1UIT1 Iot C048t8fJ8 WIOWBd) • 2 mPies of (lan showirg bean & window sizes, Poured found design, etc.) • 1 set of Energy Calcuiations • 3 copies ot Tree Preservation Plan 'rf lot platted after 7/1/93 • R'an Joist Detail Options selection sfieet (bldys with 3 or less units) DATE RemodsURaoair Reauirertents • 2 copies of plan . 1 set of Energy Calcudatrons for hesked additions . t site sunrey Ear exterrof additm & decks • Indiqte if home served by septic systen for additions ? ?-cr I 41" VALUATION 4?? ? SITE ADQRESS /6 jff &k4llai.vk /a? ?, ?('iv?.,. MULT!-FAMILY BLDG Y N _ _ . TYPE OF WORK a arw_ Q c. ai?& ?; ca v1 FIREPLACE(5,) ?C, 0 1 2 ,_ ^ APPLICANT%v.? STREET ADDRESS CITY ?iq?. STATf ?ZlP,;?'? TELEPH4NE # ,9.9)ffi/-CELL PHONE # ??/ ?S=?sZD FAX #?,??,???-? PROPERTY OWNER &d1g-_r&..._14( I!?Yj 1'ELEPHtJNE COMPLETE FOR "NEW" RESlDENTtAL BU{LD{NGS ONi.Y Energy Code Category , MINNESOTA RULES 7670 CA1`EGORY 1 viINNESOTA RUL.ES 7672 (J submission type) • ResidenGal VenGlation Category 1 Warksheet Submitted • Energy Envelope Calculations Subm'stted Plumbing Contractos: Plumbing system includes: Mechanical Conhactor. Mechanical system includes: 5ewer/Water Contractor. Water Softener ? ? Water Heater M ? No. of Baths N Air Conditioning r Heat Recovery System ? lUl l? ? ? ? SEP 2 o 2002 Phone # Phone # Submitted Fee: $90.00 Fee: $70.00 I hereby acknowiedge that f have read this application, state that the information is correct, and agree to camply witM a11 applicable Sfiate of Minnesofia Statutes and City of Eaga:Zi e 0-1 s. ? Si gnature of Appiicant ?"""" - 9 ? ..... ._........._?..M.__..?.«.._?_.__.?_..____...?.r.._.?_._?_---___._..__._?_....._..a...?..__........?....._..._ OFFICE USE ONLY _ Phone Lawn Sp . No. of R.I. Certifscates of Survey Received r Tree Preservation Plan Received _, Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundatlon ? 07 05-ptex ? 13 16-ptex ? 20 Poo! O 30 Accessory Bidg CI 02 SF Dweiling ? 08 06-piex ? 16 Firepiace O 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti CJ 03 01 of _ plex ? 09 07-plex '4 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex D 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Mui#i ? 05 03-p(ex Cl 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex CJ 12 12-plex Plbg Y or _ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement 0 38 Demolish (interior) ? 44 Siding ? 32 Addition ? 88 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration O 37 Demolish (Bldg)* ? 43 Reroof O 46 Windows/Doors O 34 Reptacement *Demolition (Entire Bldg oniy) - Give PCA handout to appiicant ? ,-?J \ Valuation -' Occupancy v? N!ClES System Census Code ' 3? zoning City water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr: of Bldgs ' Length Fire Sprinklered Type of Const 4' E1 Width • REQUIRED INSPECTIONS _ Footings (new bldg) , FinaUC.O. _ Fooiings (deck) -,4 FinaUNo C.O. ? Footings (addition) ` Plumbing ?C Foundarion _ HVAC _ Drain Tile Other Roof k Ice & Water Final Pool _ Ftgs ? Air/Gas Tests -Final c Framing y ` Siding Stucco Stone _ Fireplace ` R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation , ` Retaining Wall Approved By 'IL , Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicai Permit license Search Copies Other Totai I I F I C: A T E SIENNA -CORPORAT{01 REVISED 8-2-88 TO SHON PROSED HOUSE FOR BL ACK Hq VyK LAKE DR I V E DAHLSTROM DESGER HO 0 M 832.5 o?x 4.75 e34.3 e3^4, M R=618.5A-~ _____ ?832.a) 60.00 S28°03'19" W ? -- t?= 5004' 16" -• ?gs3? a ? , ° D ? o ? 10 m M 17 i ? 1 /?-?- L_ l / I ? ? i . $28.4 x A ? ( •27.7X ? Z ? ? ? PROP ? : ORIVEWAY $ `---- ? n r) CANL ? ?j ' (836.7? : ea4.r9 ? (936•,?i ! o+ ? .? ? ?..... PRO OSEO \83 HOUSE ? \ N 12.5 \I .25 0'T.75 -> 5.0 _---- ?Q --- - zss:a - - ? Wt [ ?. ? ? • 929.1 Lt N - "-- ? DRAtNAGE 8 UTIL/TY EASEMfNT 10 PER PLAT 4N --- '-JO t09.66 S 25•00'16??W ?Ol", V1 LOT 5 y ? ?? - 0 p ? • • ? -, -,- t_lJ r 01 Jvf 1 `b. . „ ? rl-,- L_?i i Il/ N ? ? O ?O p ?e?9?9 5 P 04 James R . Hill, inc, PLANNERS / ENGfNEERS / SURVEYpRS 9401 JAMES AVE. S. • BLOOMING70N, MN. 55431 • 612-$84-3029 C,I'' 44. R ?`xlr,r?? 88 ? `) . ..,?v, 5s431 . ?, _ vn0- 11 RESIDE11rTIAL BUILDING PERMIT APPLICATION ? -ISO CITY OF EAGAN q U ,,,( ? ? 3830 PILOT KNOB RD - 55122 ? X? ` 651-681-4675 ? New Construction Reauirements RemodellRsoair Reauirements ! • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum bt coverage allowed) . 1 set of Energy Calctlations for heaqed addiGons • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & becks . 1 set of Energy Calculations . Indicate if home served by septic system for addiiti?ons • 3 copies of Tree Preservation Plan if lot plaaed after 7l1 /93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE S• )t5tt& • Q2k VALUATION 3*a }U11A - C) 0 JOB SITE ADDRESS I?f?I??????A?.W?., ?4..`?.?C.?jL. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER '?0,4&WC1 TYPE OF WORK4 K.4VwA 414 4am:k%• ?*.Akw.oe'&wv% u&mr?y\ FIREPLACE( _ 0_ 1_ 2 APPLICANT?,¢..l1aV?ti?t^?dt5c.,? "i'?5, PHONE ?'?aw?'A'?''-14C?6 ADDRESS ZIP!CODE PAGER # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sut - Energy Envelope Calculations Submitted MINNESOTA RUI.ES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor. Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, 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 ? CELL PHONE # Water Softener Water Heater ? No. of Baths Phone #: Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ', Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous 0 31 New ? 35 Int Improvement ? 38 Demolish (Inte(or) ? 44 Siding 0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration . • . 0 37 Demolish (Bldg)* ? 43 Reroof • 046 Windows/Doors ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to appl'tcapt Valuation Occupancy MC/ES System Census Code Zoning City VNat2r ° SAC Units Stories . B'oosteF P'uFnp Nbr. of Units ? . , Sq. Ft. _ - PRV ', . Nbr. of Bldgs . Length , Fire Sprinklerpd Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By 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 Building Inspector Pella Windows & Doors - Twin Cities, Inc. i/ ? 3une 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Dear Jan: ? Wd9£?l '8 , u n r aW il p8 n10 0 a? 15300 25TH AVE. N. STE. #100 PLYMOiJTH, MN 55447 763/745-1400 WATS 1-800-462-5359 FAX 7631745-1401 Elder Jones Corporation is authorized to pull building permits for Peila Windows & Doors - Twin Cities, Inc. Flease allow their representative to provide that servi?e for us in Eagan. This authorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeclitiously, so as to not delay the processing of our building pernnits any ftirther. Please ca11 me if there are any questions, I can be contacted at 763-745-1432. Youi iiyunediate attention to this matter is appreciated. T" cerely, Bryan . May `?-----' Replacement Sales Manager SANOW ? ? yE W.p Mr"sout 1b?r?n Ex?rac ba.9k II07i cc: Kara - Eldcr 3ones Denna Krafly -- Replacement Sales Process Coordinator ? Windows, Doors, & Skylights nnna CATTT'1 ATTAAT-.Sf11.7 171i?T Cii! 7T0 VH.T JT'CT T)iJ rnioninn CI'T,Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control No. U373 PERMIT TYPE: BUILDING . Permit Number: 880448 Date Issued: 85/04/92 SITE ADDRESS: 1619 BLACKHAWK l.AKE pR LOT: 5 9LOGK: 2 BLACKHAWK GLEN 3RD DESCRIPTION: SWIM POOL NEW 20 18 It ?_ P? Mt? IS, REMARKS: RECEIPT N ? ?? V? O ? FEE SUMMARY $12,0e6 VAIUATIQN Base Fee $135.00 Plan Review ;87.75 Surcharge 6.80 7ota1 Fee $228.75 CONTRACTOR: - Applicant - PRESTIGE PQQLS 14886726 245 E RQSELAWN AVE 5T PAUL MN 55117 (612) 488-6726 OWNER: ALLAN BRAq 1619 BLACKHAWK LAKE DR fAGAN MN (612)452-2776 ? PEP,FJT..i:.r' ; ? . ? . crrY aF EaGarv ? 1992 BUILDING PERMIT APPLICATION ; 681-4fi75 i ' -7 S- ApR24 RECp SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL Z sets of architectural & structural plans, 1 set af specifications, 1 capy of eoergy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit i issued. Date 2«- /-:z_?/ 9?Z-- Val uati on of work Site Address: STREET STE ? Tenant Name:_ LOT S BLOCK SUBO. 13LA eR.,1? A(AJK P.I.D. # t D Descri tion of work. The appl i cant i s: ? Owner Contractor O Other (Describe) ' Name r? Phane.VXZ , ga27 (.? PrOpQrty tAST FIRS7 Owner address /2 STREET ' STE # i Ci ty State Zi p S? S l Z? Company STI6 ' Phone -?,z r ? Contractor Address License # Exp._r______ City State Zip. Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. ? I hereby acknowledge that I have read this application and state.that the information is correct and agree to comply with all applicable State af Minnesota Statuties and City of Eagan Ordinances. Signature of Applicant: ` VrrIL:C U,t VIVLY BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg D 09 Basement Finish ? 02 SF Owg. 0 06 Garage/Accessory P 10 Swim Pool E3 03 Two family ? 07 Fireplace E3 11 Res. Add./Porch ? 04 Multi-fam. T.H. ? 08 Deck CI 12 Comn./Ind. woRK rrPE 'a31 New ? 34 Repair ? 37 Demolish ? 32 Addition D 35 Tenant Finish ? 99 Undefined ? 33. Alterations El 36 Move - GENERAL INFORMATION Const. (Actual ? 8asement sq. ft. (Allowable lst F1. sq. ft. UBC Occupancy M-7 2nd F1. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth 1Y_ On-site sewage APPROVALS Pl anni ng Bu i 1 d i ng Engineering `Yariance REQUIRED tNSPECTIONS ? Site 0 Footing . ? Framing ? Wallboard I3 Final E3 Drai.ntile ? Insulation ? Fireplace Permit Fee oo v.iu.c;on: Surcharge ? , r r Pl an Rev i ew ?17 :'9 5 Licer?se MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SJW Surc.harge. Treatment P1. Road Unit Park Ded. Trails Ded. Copies Qther Total: . ?? SAC % SAC Units co C? !. ? O 13 Public Fac. O 14 Agricu1tural E3 15 Miscelianeous MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? ? s U R VE-Y O R' S?C E R T I F i C A T E SIENNA CORPORATIOf REVISED 8-2-88 TO SN01 BL A CKHA wx L A K E DR lV E PROPOSEO HOUSE FOR DAHLSTROM DESIGNER H0 . ?°eaz.s o r4.75 634.3 834.9 ? O cs3z.a) j 60.00 S28003'19" W ? R=618.5 ? t83s.2> -- 5004' 16 -? e35.3 r--?? o A '-+ o o' ?p M e" caNr. . , (836•7? "b 834.19 "=- - 17.0 y 2.33; ? ? \o' ?' S. . Bp8.4 X ( ? 8 \7x h, • ? ? ? -?- • L_ l / I (^ ..? 2 o Nd'1 -.1 N ? = ? 1 63419 A 1 2.5 z6a3.s c`T.75 >5.- sssa I' 629 05 ?z f" A .25 . 9213.1 ( 2J?`? D N ? --- ?. DRA/NAG£ b} UT/L/TY EASEMENT 0)C ° 10 PER PLAT ;J N " ?1p 109.66 S 25'00' 16" W ,8,3 0, ?1 LOT 5 I '? a+ ?4? A ? •R ? . . ? -,- t_l ? i PROPOS D ? oa?v+?wr?Y ? 1- ? Lt 0 9,`9 5 \ . p0 N ?e O ?O p c? v ? p ? W ? 0 ? ? v ? W o °mz o °°? -? W ? o I m ? ? ? Z T ? m Z ? Z ? m N cvp O m ?' -< inc, James R. f? ??, PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOQMINGTON, MN. 55431 9 612-884-3029 % \ ?, `e ' ? ?. .'.? .. > l, . pl Lr 1 Y 55431 • ". "rfzi / / L_`i i 1 Copy: Office . ? ? 2 Copy: C,?ew,Chief 3 Copy_ Municfipality ? 4 Copy: Customer St. Paul Business Center 245 E. Roselawn Ave. • Suite 29 St. Paui, Minnesota 55117 CREW CH1EF Equipment Needed ? Back hoe O Sob Cat 0 Gat X Truck ? Snow Fence O {nspections Contract p wa?Is , D Plumbing O Footing ? Befae Backfill • Oiher ? 7771 L/ f, PF10NE S7ATE "' ZtP COOE CITY -- Diagram pooi site in relation to house, garage, property {ine, and wues. tAnow 3 varldw-Qp i 1 i ? II ,? k ? ? ? I O Mark location of filter an/or heater by (#2). ? indicate deep end by (X). pDoes Customer wish to retain any or all dirt from pool excavatiort:; ° 4'42 - L7 Wil1 any obstructions be encountered - such as trees, clothes poles or powerlphone lines etc.: 0 Elevation from location marked "A" i diagram: ,. - Ll Show tvpe and location of slide If app iaai5lb/I L' ? Location for disposaf of dirt: ? Prestige Pool & Patio recommends tl?iat customer instati (As soon as possible tollowing pool donstruction): 1. Rain gutters adJacent to pool 'F 2. Retalning waN where d(agramed 3. Run off control or drainfieid -- --- •'• CUSTOMER ALSO UNDERSTANDS 8 ACKNOWLEOGES THE FOLI.OWiNG '' 1 Some damage may be done to the yard andlor driveway entering and leaving the yard during construcNon: l?tial Customer assumes responsibiNty for electrical wiring and grounding of the pool {Including permit if requlro): Inittal Cusomter assumes responsibility for the gas fnstaliation of heater If appUcable (Inciuding perml; If requireif): Initial If debris, structu?es, or substance toreign to normal soil should ba encountered whlle excavatinq which? reguires abnormal handfing andior disposing - Customer shall assume responsibiNty If any extra costs are incurr,eci, tntia! If you wish to change: fliter position, slope ot land, or anythlnp else stated in this outUne, please cali ouri,oftice -488-6726. Crew chiefs are not authorized to chanpe anythlnQ on the job or meke any promlaes for work to be done by iherti. Any Changes that are not authorfzed by the otflce will be charped at arstandard rate - no exceptions. I Prestige Representative Signature;j;,' Customer Signaturo ' ' LIGFIT 4PPUCATION 4' R ? 1 8' 8 _ - -? 4'R ? ? ? r r r r ir r 20? x40, Ncr? Tvm t i i 2r 3IfAB.S rr • rNe.s r r 4-+' Pw+as ?-20'-?* (4/1yA?) ?Ir/???I? ? ? 3e 1'?, M ?Mt? iM'I? /m m ?MYAYiR sET _ 1-SSEEI 11ommm K1T IWlIM, t1M 8 ? ? " D _T C' l I E FH •J ?-K-.-? J SIZE A D E F G M K L 16' 3'• 8' 14' 3'61 4'6 4'6 7• 4'8' 16' a 34' 16' j 3'4' 10' I4' 1 5'6'I 4'6 4'6 7 4'8 18'36' 18' 3'4' 12' 14' S'6 V6 4' 9' 4'8 2040' 2p' 4O' 8W 3'4 13' IS T' 4• 6' B' b ? M ??, • : «•?..?. "` ,? - . ?..? . ? r......?. _ , " ._ - , ?a w _ • _ a.. i STL- NTt .,. . s..? •..? rw •w? ? i. .w?. L .. ' "%.c?"?,..?.s rwa wwW ". ..?w r?.sres- +??? -a- ??1?? w RYI?f ?rr ' - i ? ?? ??? IL . . ? . . . ? . . . . . . . . . . . . . . . . . _ - ?.?.?.. ? ?. ?...? _ ,.? ww nr? r? w..r.we?..s nriss.r w?r ar. a wr ?r..?r. aw? s? wrn aw rum . _ . _ a?nslYr??w??1/?w?wrirart?M?1AnY1?Ya2elIYr?lrraMitla?8f11•7?At STEP APPtICAT10N 81 el e• . 4'R ib' x 32' RECTAN6lE T1PE 1-1 1' e-e ? PArQs 281-10' 6' i-4• qAp1115 CWS" PAIELS 12-eRAIES I-161z32' (I1R) CpPlt6 STRAIpiT $ET 1-1'RAO!!!S COPItG COFq1ER $ET 4?R I-57EEL MARDItARE KIT 8' 8' 8' 1-VIMn LINE[i 16! x_34' NECiA16LE TYRE 11 6-E' PAlEt.S Q' 6' 2-2' PA1E15 4-4' RJIOI IJS Op11E1t PME15 11-BRACE$. 1-IQ' s 361 (I1R) CWIti STRAICIfT SET 1-1' RADIUS COr111C CpIMER SET 1-$TEE"L i{MDwIIE K!? 1-YINR lllER 180 x361 IIEC'T'aWE t'?TE 1 t s-s? PANELs 2-4 ? P,we.s • r2 rwW , a+• +Mna cnwER n+AILS r i- "'Nam 1-10fts• trRXocrtw snaMM ser . 1-40R aorINB aow?et sEr 1-31FEL IIIIIIOIIME RIT 1-YtNML t1NDt ?.? ? PERMIT ClTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date lssued: Contro( No. ? ? 3 8 BuxLoxNG 000132 @3/31j92 SITE ADDRESS: DESCRtPTION: 1619 BLACKHAWK LOT: S BLOCK: 2 BIACKNAWK 6LEN 3RD LAKE QR DECK ADQITIQN 12 10 1.? f' ,?. ? ? ? ..39? t`i S L.' ?3. , , 4: S 4 "- S. ? F& Si,.a . -?'3s 4 '4°?.....? ..a,.? ?Yn.._ ? ?_k REMARKS: ,- FEE SUM ARY: Base Fee $26.09 Surcharge .50 7atal Fee $25.50 CONTRACTOR: - APPlicant - ST• OIAINER: MILLER GQNSi' JQSEPH R 14406625 0005 70 BRADFARD ALLRN 17900 VER6A5 AVE 1619 BLACKHAWK LAKE DR JQRqAN MN 55352 EAGAN MN (612) 440-6625 (612)435-8121 ?" . PERMIT # , IS2- CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 NAR 2 6 REco SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy cales. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date - / 2 6 /? Valuation of work-- ? Site Location: let e ? AQ?? f?P- STREET STE # Tenar?t Name • r LOT ? BLOCK SUBD. L?V4"n M P.I.D. !? Descri tion af work: The appl i eant i s: 0 Owner C] Contractor ? Other (Describe) Name '0 r? 11' Phone ? ?^Z 27 Property LAST FIRST t' ?). ? ?'I Z J Owner Address f 6 D1adx? ?k O ' l? r STREET STE # City ????u?r State'4W Zip Company c-41ex F 144A Phone Yvo 6675 Contractor Address ?7940 U-,r2 C+3 lotIZ License #?:517b Exp.3/3/ ?`3 . 1 City 41" State Aa?l z;p ??3 5'z Company Phone Architect/ Engineer Hame Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 4F'FtCE USE ONLY BUILDING PERMIT TYPE ? 01 Foandation ? 02 SF Dwg. ? 03 Two family O 04 Multi-fam. T.H. O 05 Apt. B1dg. ? 06 Garage/Accessory ? 07 Fireplace p 08 Deck O 09 Basement Finish ? 10 Swim Pool O 11 Res. Add./Porch D 12 Comm./Ind. Mew O 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. 0 15 Public Fac. WORK TYPE ? 31 New Y 32 Addition ? 33 Alterations ? 34 Remodel ? 35 Repair ? 36 Tenant Finish GENERAL INFQRMATtON ? 37 Move ? 38 Demolish ? 99 Undefined Occupancy R-3 Basement sq. ft. Zoning lst F1. sq. ft. Const. (Actual) 2nd F1. sq. ft. (Allowable) Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building 3-3?- ?2- LC Engineering Variance REQUIRED INSPECTIONS ? Sfte 0 Footing ? Framing 0 Wallboard Ot Final ? Oraintile ? Insulation O Fireplace ? Permit Fee a5, 0d vetuati«n: $ i Surcharge , Sb ? Plan Review ticense ?I MWCC SAC i City SAC i Water Conn. ' Water Meter ihAcct. Deposit S/W Permit S/W Surcharg e ' Treatment P1. ! Road Unit ! Park Ded. ' Trails Ded. ! Copies ! Other ! Tota1: - _? . , , ? ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SRC % SAC Units I h, i. , jtJ RVEY O R' S C E R T 1 F I C A T E SIENNA CORPORATION REVISED 8-2-88 TO SHOW D R I VE STROM OESGNER HOfY T 8L A CK HA {NK L A K E o DAH 0 832.3 O 54.75 634.3 834.9 ? . M ? ts32.g? 4 R=618.59?? (?3s.21 60.00 S28°03'19" W.,1,•- A= 5°04' 16 .5 ? (g29•o ` ? 12.5 xeaa.s I ? ? .0 -?- i It 18.25 0T75 i5 g2 e2 e.4 X--. ?3- - 69.0 '••? . (62 35 ? 827.7 % -i- L_ l/ i Z ? `-? ?° ? --- DRA/NAGE d UTIUTY E4SEME8T 10 ? ?R PLAT ? ( 109.66 S 25•00'16?? W ssx.? ? `t 62 B.? 5 Z , 823 a) - tD - p ? f ? • ? \ ?UlQ r- L_? 1 ? ?) ? LOT 5 '001 > ?.. ? • f ? ? y ? ? ?. o, . . N ? ? ?N N_ ?O ? m? ? ? .- . 5 ??.eo0 5' •? L_ ? i i I t_ ?0.0 o.°o Ai ? y m ? o T ? M W 70 o CD ? 0 m m a o ? wv ti> N O z ?n "i ? o a' ? > -i r- ? ' Z O t*t p ? _ D 0 ? m 0 ;o ? O m ?' ? N James R. Hill, inc. PLANNERS 1 ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3028 . ,.r?v. 65431 AN I ?'?- L_?i i CITY Of EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 6$1-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1619 BLACKHAWK LAKE L7R LOT: 5 BLOCK: 2 BLACKHAWK GLEN 3R0 sasErrENT FxNxsH REMODEL o;p ,N. ?Control No. 004 euxLarNG 0eeara6 @3/16/92 ? ? ? ? , ? ?? ? ?. ?; . x t, _.: ? ?_ „ . ?., :?.?'. REMARKS: RECEIPT #C017787 FEE SUMMARY: Base Fee $35.00 LZCENSE SEARCH 5.00 Surcharge 1.00 Total Fee $41.00 Subtntal $35.00 CONTRACTOR: - Applieant - 5T. O.1NNER: DAHLSTRQM DESI6NER NOMES 14552245 0003 08 RLL,AN BRAQ 10525 AKRQN AVE 1619 BLACKWAWK LAKE qR INVER GR4VE NTS MN 55077 EAGAN MN 55122 (612) 455-2245 (612)452-2776 E , I hereby ackncswlectge t1??? X h?ve r-44d this applicatiori and s1tate that e infr?rmat3.c?r? fs; ccrrreot 'arrd aqr6e tc? ;ct?mp?y ??ith ?1l 'a " ppl?:c?b?e ????? a? l?rrf ' Sta???es and City taf:: Eaqart Orclirtances. ?&Y,Q Il 91,C I ? APPLICANT/PERMITEE SIGNATURE ISSUEa 681GNATURE 7 - -- -- -- ciTr oF Eaca.N ? ?- ?? 1992 BUtLDING PERMIT APPLICATtON YAR ?r) RECo 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sTte surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty-applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Valuation of work ??2? ?S?O S i te locat i on :A?_%?' STREET STE * Tenant Name : LOT ? BLOCK Z SUBD ,0'?X'?1`'? P # I D . a?b??? ? . . . Descri tian of work: 10>??t.,5 o.-O' te).4- «-?=ei? The applicant is: ? Owner Contractor ? Other (a??ibe) Name &LA70 Phone /-5? Property LAST F1RST Owner , Address 161`5? ????? ??? ??? zj"e. STREE7 STE # _ 4 ! City State Zip Company St? /&J.e Phone ? Contractor A d d r e s s license # 35 D$ C i ty /??i1?a2 ??. J?. ,mzc-'?oa 5tate //hA) Z i p ?.5"JJrl? Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water 1 icensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of.Minneso a Statutes and City of Eagan Ordinances. ?_ Si t f A lz gna ure o ppl icant: 'e OFFICE USE ONLY BUILDING PERMIT TYPE El 01 Foundation ? 02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H. D 05 Apt. Bldg. WORK TYPE ? 90 New C] 91 Addition 92 Alterations ? 06 Garage/Accessory 0 07 Fireplace O 08 Deck ,W09 Basement Finish ? 10 Swim Pool 0 93 Remodel ? 94 Repair O 95 Tenant Finish GENERAL INFORMATION ? 11 Res. Add./Porch ? 12 Comm./Ind. New O 13 Comm./Ind. Add O 14 Comn./Ind. Rem. ? 15 Public Fac. ? 96 Move 0 97 Demolish ? 99 Undefined ? ? 16 Agricultural ? 17 Building Move ? 18 Demoiition ? 20 Misceilaneous Occupancy Basement sq. ft. Zoning lst F1, sq. ft. Const. (Actual) 2nd F1, sq. ft. (Allowable) Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site O Footing E3 Wal l board P"` Fi nal MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code _73-7- SAC Code 0 Framing O Draintile 4,'-Insu1 ation CJ Fireplace Permit Fee S` Surcharge ? Plan Review License V'U MWCC SAC City SAC Water Conn. Water Meter Road Unit Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total : ? ?, ?-b vatuation: $ /.5-00 Assessments SAC % SAC Units CITY 4F EAGAN fvQ 15445 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 ?"`"? ? ` PHON E: 454-8100 ??'le BUILDING PERMIT Receipt # To be used for SF DWG jGAR Est. Value $152,000 Date AUGUST 15 1988 Site Address 1619 BLACKHAWK LAKE DR Lot 5 Block 2 SeclSub. $LACKHAWK GLEtd 3R Parcel No. x Name DAHLSTROM DESIGNER HOMES INC 3 Address 4151 KNOB DR #100 0 Gity EAGAN phone 451-8669 OFFICE USE ONLY On Site Sewage Occupancy MWCC System X Zoning On Site Weii (Actuai) Gonst Ciry Water _X_ (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Totai Footprint S.F. 'o Name_ . o Q Address ? City_ ?- ¢ U W WW ?Z CC z aW Name _ Address City _ i hereby acknowledge that ! have read this appiication and state that the information is correct and agree to compiy with aii appiicable State af Minnesota 5tatutes and City o Eagan 4? Signature of Permittee ???????? __?,'??-•,?*T?' , A Building Permit is is ued to: DAHLSTROM DESIGNER on the express condition that ail work shaii be done in accordance with ali appiicable State of Minnesota Statutes and City of Eagan Ordinances. Buiiding Officiai_ { ? ?? APPROVALS Engr./Assess. _ Planner _ Council _ Bldg.Off. _ Variance _ FEES Permit Surcharge Pian Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL R-3 M-1 R-1 V-AT V-N 41? 744.OQ _ 76.00 372.00 100.00 550.00 55o.ao _ 67.00 315" 204.00 2,988.00 ` SIdGLE FAMILY DWELLINGS 0 N? -I '7 sJ ? INCLUDE 2 SETS OF PLANS, 3 CERTIFIGATE,S OF SURVEY, 1 SET OF ENERGY C CULA?ZQns ? AtOTEs ADDRESSES FOR CORAtER LOTS - CflNTRACTORIHOMEOWAiER MUaT HESSG?TE i?dIHIM t?DT??Ss : ; IS DESIRED. N0, CHANGES WSLL BE ALLOWED ONCE BUILDTNG_PERMIT IS 5SUED. MULTIPLE DWEbLINGS REI3'TAL IIP3ITS ?. FOR SALE UItiIT3 4 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUBVEY - CHECg WIT1i BLDG. DEPT, 1 SET OF ENERGY CALCULATIONS CO_ t?RCIAL INCLUDE 2 3ETS OF ARGHITECTURAL & STRUCTURAL PLA1dS; 1 SET OF SPECIFICATIONS ANp 1 SET OF ENERGY CALCULATI{}NS No To Be Used For: ?? /6rAJe--. Valuation: Date: ? Site Address &A441,"4 L4 OFFICE USE tJAII..Y Lot ?`'?Bl.oek Z- v On site sewage t?ceugancy. N&JCC system V, Zoning Pareel/Sub ^4CX#o*JK fa?AWl 3 ?AJ •. 0n site well Aetual Con C3.ty water L7 A1lowable Owner SRV required f/ # of stor3 ?rot? Booster Pump Length - Address yf S! *-4,66 Depth S.F. Tota1 City/Zip Code X44-,--) /Lt N Footprint t?_.r.?_. Phane APF? FEES Contraetor Address ?''?'1*46 k,f° ,...,.....,._. Gity/Zip Code Phone ' Arch.JEngr. Address Cityl2ip Code Phone # 9Engr/Assess Fermit I Planner Surehaz*geI, Couneil Plan Rev3. ??2,. 0t? Bldg. Off.?????.?'r SAC, City? :'? 14kaAj2, Varianee SAC, MWCG =igo Water Cc?n Water Met r . Roa?d ?Unit C? Treatment Pl Parlcs I CC?pies TOTAL I Vr4t.c.1 A-r1oN 6ARr4CrE 1Zx 2i - 2SZ ?I k zS? 52?' ------- ??? x1?y ? ! oo78 !ST rLoqG, . ? 3%z?C2-j %z= 16 3,2s , i'??l"2Y qo,S = y ? l, Srq I 2 , 33 X ,i,.C :- 4-7q , '7 I ? (6,5 X: 3215= L f t, 2Sr ? X Z I =? ? b$ , co ?1 X 3, 67 = 3&03 Y t Zs- ?.Ox3-r7 -. (13) Izxq t- 9G 3x??- 3r ?S l ?y3 . . . ,:?. ; 1 r? t _ . ? • ` } I r ? SURVEYOR'S CERTIFICATE StENNA CORPORATIC7N REVISED 8-2-88 TO SHOW A PROPOSED HOUSE FOR DAHLSTROM OESIGNER HOMES pp r L, ?C? . Q llh?eo ?---- DENOTES•PROPOSED SURFACE DRAINAGE O DENOTES,IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROFOSED ELEVATION „ .?,. ?? ;? .. ?.:.,.... .,° A ,. SCALE: 1 INCH - 30 FEET PROPOSED GARAGE FLOOR = 8-7 70 FEET PROPOSED LOWEST FLOOR = 829.3 FEET PROPOSED TOP OF BLOCK _ 8 3 7* FEET WE HEREBY CERTIFY TO SiENNA CORPORATiON THAT THfS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF; Lot S, Bloclt 2, BLACKHAWK GLEN 3RD ADDITION, accordina to the recorded plat thereof, Dakota County, Mlnnesata. I i DUES Ni:3 i PUHPOFtT i U Si-1O`v"V iiviWi-iGVEIViENi SOR EiVCrsOACHMENTS, EXCEi'?' t3S SHvotli"iJ. fi.S SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2 ND DAY OF AUGUST , 1988. nPrROvcn rOR sicNNn , SIGNED cORPaRnT; oN !3 Y : BY nnTCD, ? ? ? m ? ? r ?? O r .. cO- N m O < W p 0 7 n D m 0D m W? L ? D r' O t?Tt O Cn ? \ D Z OD m '0 Z N x ? O m ? ? JA L, INC. ? , P-,"Orzw? HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. 9 BLOOMINGTON, MN. 55431 • 612-884-3029 , ,I S U R V E Y O R' S C E R T I F I C A T E siENNA CORPORATiON , ?..-----" REVISED 5-2-88 TO SHOW A PROPOSED HOUSE FOR BLACKHAW K L A K E DR IV E 0 DAHLSTROM DESIGNER HOME; M M 832.4 ?p'T.75 831.3 834.9 1\ 5 H\ St cn 2 9 0 -- , ? 12.5 X633.S ??3 ? .1 ? xeub ' ?\I825 7.75 >5.0 52?.T ? 828.4X .-.-?% . ?ez9•?? 0 $ ? ? 82 8.1 827.7 % ? i?-?- ?_ ? J 2 ?o ? ? N? = ? -- -? ORA/NAGE 8 UTIUTY 10 PER P.ar C? ?? 109.66 S 2! 1 ?3 ?., 'o) \ ? ? j?*?4\ LOT 5 P"`Tr ,G ? ??? \,? 3• •y ? - ??,?, _. 4R?n , .? ? 1 \b, N ? N?o ?N -? o ? ; Lu L_ l/ I co1 -4 ? L .t. k ; q"? °y I . ? .. ? ? `% ? ?..?/ ? 9?9 ?o? 0o 0 5 . , i I ?. ? m . , „ W p ? ?o b? ? ? t ? n o? ?? N ?? ? WO ?D N I- m vZ E Co ?? w? ? v cn p ? D o? m r? -pz o ?o ?? -? z oD ? N ?p O m ? f •- L_?? i I f_ James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOQM{NGTON, MN. 55431 • 612-884-302$ L_?i i f EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER /?/?c?/FS^J':? SITE ADDRESS l,,Q,Vrt. CONTRACTOR??? 04,f/ba/Vk DATE PHONE Determine working square footage of each. 1 1. Total exposed wall area. .... , sq, ft. x .?_ ..p Z 2. Tor_al rooi /ceilinr, area.. ..... sq. ft. x 3 7, ? O2lo Total exposed wall area above floor= 3.C?z. C> l t T wall window area /Q0 47 a. o a .................................... _ b. Total door area ........................................... -4 `7 7 c. Total :;iding glass door area .............................. 74(?5. CD d. Total f:ixeplace wall area........... ..................... e. Total wall f raming area (average 10%) ..................... _ f. Total net wall area ahove floor ........................... O g. Totai rim joist area ............ ......................... 7 Total exposed foundation area= 6 q, oR h. Total foundaticn door area ............................... i. Total foundation window area (includes sliding doors)..... j. ';otal net foundation area above grade ..................... k. Total wall framing area (average ].0%) .................... 1. Total net wall framing area .............................. Determine "U" value of each wall segment a. X"U" = fU?. ? b._ 3 2 ru„ C. X„u., q3 =..? 8 d.?- _ ---- . ._-------'_ X„ U „ e . X"U-' r 7T/1 r O 4 O. f • Z??It?? lJ g.. O -S ? S7' _L.1 • h }( ? ? U" i. 3 9. 33) ?. ? X„U„ _ = l Z, 8z' X? ? ?, ? _ ??? ? k. ?.• 60 . „ 3 ...........................................Tota1 (? If item #3 is the same as, or less thln item ill, you have met the inter.t of S3C 6006 Total exposed roof/ceiling area = z 44X C> m. Total skylight area ................................ n. Total roof/ceiling framing area (average 7%) . ... .. / C?l - ?3-& -_ o. Total net insulated roof/ceiling area .............. , L-l-3 4 (p , L`t Deterinine "U" value for each roof/ceiling segment. m. X"U" _ ..? n. f t??.??a }{.-U., 03 o. LAX,-U„ 4 .......... ....................... Tota1 If total of #4 is the same or, less than #2, you have met Che intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the susn of items #3 and #4 shall not be ereat'er than Lhe sum ui item ir'1 and #2. ?. Z93 Z +2. ?7. 1A = 22l`l(o 3 2- .30-2,? + 4 3? 7(0 _ ? ,?? -? I ? CITY Oi",EAGAN Permit No: " Date: 3830 Pilot Knab Road Meter No: Size: PA Box 21199 Reader No: Date: Eagan, MN 55121 Owner. Site Address: Plumber.? Conn. Chg: s, Zoning: Acct Dep: No. qf Units: Permit Fee: Surcharge: 1 agree to compiy with the City oi Eagan Tr. Plant Ordinances. Meter. Misc.: gy WATER SERVICE PERMIT ? CITY OEtAGAN Permit No: Date: ?, - 5 ; - a 383 Pi?ot Knob Road BIP No: °" Date; ? P.Box 21199 Eagan, MN 55121 Owner. Site Address:? tLa?:c '`'Yrive. ;.? P? !Jack.hawk TI." Plumber: MWCC: City Chg: . . . ?F: Acct. Dep: Permit Fee: Surcharge: Misc.: Zoning, No. of Units: ? i agree to compiy with the City of Eagan Ordinances. ' By SEWER SERVICE PERMIT APFLICOATION 1=QR PERMIT SEWER AND/OR WATER CONNECTIQN * NC7PE: PAYNffNP OF M AT TIME OF * * APPrIcp,TTON DOIEs NOr cON- * *k STI7VIE APPRGVAL OF PERNQT. * * * iNsencrrav oF sEWER aND/Ot vATM * ,*k INSTIILSATIONS WILL N()T BE SCID[7LID *t (?NfIL PIItF'IIT HAS BEEN ApPR017ID. * **#x* *+.*w**a **+t ?* ?,t* *,t,rr: * * r,r,?,r,r ** * * * tv.oF cagan _(PLEASE PRINT 1) PROPERTY ADDRESS: G 1A) 1-4} LEGAL DFSQtIPTION:. Lot B ock S vision or Tax Parcel ID ) IF EXISTING STRUCTCJRE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE: Mon Year PRESENT ZONING/PROPOSID USE: ? COM?MCIAL/RETAIL/OFFICE 1-34 R-1 SINGLE FAMILY Q INDL?STRIAL E-1 R-2 DLPLEX ('i'wo Units) ? INSTIZ'[JTIONAL/GOVERNMENT ? R-3 TOWNHOT-ISE (Three + L'nits )( Units ) Q R-4 APARTNIENT/CONDOMINIL'M ( Cnits) Ta • , 2 ) „i . _ kINIII NANE: CC ,S (r 0 ADDRESS: CITY, STATE, ZTP: PHONE: MURR PLU11AgiNG tNC. For City Lse 3) M ?:?+? NAME: lacv? wne:ru, 4.,., .:R..... Plumbers License: ADDRESS : SU11'E 4Q3 Active Expired CITY, STATE, ZIP: 75,MN 5572p Not recordec PHONE: MASTER LICENSE # ?7C t4` Staff Initia 4? ? ? • ?•? 1VAN1E : ADDRESS : CITY, STATE, ZIP: PHONE: 5) ? ' CM • ?• S ' i? . k ?I? 5Z?LONNECTION TO CITY SEWER ? CONNECTION TO CITY WATER ? QTfm (l 6) ********************************************************************************?*?*****?*****????*? * TfE GOLD COPY OF THE PII2MIT WILL BE 5ENT DIRECTLY TO PUBLIC WiDRKS TO FACILITATE r'ETER PICK-IIP. * PLEASE AIdAW ZWO WORKING DAYS F'OR PROCFSSING. SOMEONE FROM T!E CITY WILL CONTACT YOL? IF THQtE * * ARE ANY PROBI,EMS. ? ' ?***************************************************************??**?r******?***********************; . FOR CITY USE ONLY PERMIT # 25SUED Pd w/Bldg. Permit FEES: $ $ k. _ l.7 $ t $ $ $ S ;?? $ $ $ $ n $ $ $ a ' $ w 3 ? SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SL'RCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOLiNT DEPOSIT - WATER WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT 0„A T,'ATERAL,: ?F48FIT/TRUNK SEWER $ LA'I'ERAL:.,???I,,'FT.N /TRLiNK WATER $ WATER TREATMENT PLANT SURCHARGE $ S??, RECEIPT $ OTHER: TOTAL RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK 69ITHIN PLiBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLI,OWING CONDITIONS: APPROVED TITLEs DATE t CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? , ? DATE 19 ?L. RECFROM y L..S.n4..C' SllJf'? fi?,.4?rL'(.E'"? ,,?-: L,' ? T"t..+?; ,?LG?.+? ? AMOUNT & DOUARS ,on • ? CASH 111.4CHECK .? .r:. , g ly',? ? ?t.?.?C(/?- ??! -?` j LL?it??'?'? j' ?.C...-?'{ i':? l?.U U. , Thank Y . tsY ?- . . White-Payers Copy Yellow-Posting Copy Pink-Fpe CoPY r ? CASH;RECEIPT CITY OF EACAN 3830 PILdT KNOB ROAD ; EAGAN, MINNESOTA 55122 , DATE 19 " 0 . RECE1VED FROM L?Y f AMOUN7 / ` :8 DOILARS 100 s' ? CASH 156NECK ` ?. ;'. '^ ,...., .,., .1 ...N n .T ,q. ... .- ? BLDG. PERMIT NO. : 01-3210 BIdg: Permii ?.. { 4 01-3422 Plan Check ? 01-3445 Surch:/Adm. 01-3446 SAC/Atlm. ? 01-2155 Surcharge -t1 75-3860 Road Unit Q 20-2275 SAC "?? ? ? ? ? 20-3865 Water Conn. 20-3868 Water Trmt C) . 20-8716 Water Meter ? 20-2252 Acct Dep . . ?. 20-3713 Water Permit ? t 4- 20-3743 Sewer Permit ? 79-3866 Sewer Conn , ?-- CC) . 28-3855 Park Ded . TOTAL `? _. , ?. . _ CITY OE EAfAN 134 4?= 3830 Pilot Knob Road, P.O. Box 21-199; r*gan, MN 55121 PFiOWE:454=8100 BUILDING PERMIT Receipt# To be used for j? DWC.?GAP, ESt Value $152s000 bate AUGUST L5 ,19.86 SiteAddress 1619 ????CKHAI41( IAKE D?i Lot 5 Block 11 Sec/Sub. BIACKHAWr GLEN 38 Parcel No. cc Name DA?iLSTRCM DESIGNEi+: hOMES. IpC z Address. 4151 KNOB DR i?1W ° City ??AN Phone 451-6669 , o Name31?"`E ? d Addrms ? City ` Phone W W W Name f x z. Address U Q W City ? Phone I hereby acknowledoe that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc.es. ?$ignature of Permittee A Buiiding Permit is issued to: on thaexpress condition that all work shail be done imacchrdance with ali applicaiele State of Minnesota Statutes and City of Eagan Ordinances. Buitoiaig Official_' OFFIGE USE ONLY I On Site Sewage Occupancy R^3 W1WCC System X _ Zoning -R-1_ On Site We11 (Actual) ConsY ? City Water _X (Allowable) ? PRV Required X # of Stories Booster Pump Length ? Depth ? S.F. Totai Footpr'rnt S.F. APPROVALS FEES Engr./Assess: Permlt 744 "W " Planner Surcharge 76 •W Council Plan Fieview ???•? Bldg. Off. SAC, City Variance SAC; MWCC ??•? Water Conn. ` 550• W Water Meter 64t'? . . Road UnEt . 325, Treatment P1° 204•00 Parks 2- W TOTAI t ?;? SH.LLINRi3d ,30 g2if1.Ld jJIS ? 7 vC ?'??'# amOHdTIaI. L Q..?ff7:aQOo cIIZ I.HZS •' • ??.LI? -?,q6 (?'acy',??'_s? ? p :SMQQ? , C-,2/qKll `"".?`lvdo,;? :2isTI`d,LSNII '# 9NOHdTIML (-?-y?ky%'l PYYv '3L1IvN 2IaN11A0 ' ? yepqe? P' ,.kjy 17 /1 :SS32IQQv aLIS , I ? 09, 00'OZ $ 'IvZO,L ?OUVHDUns aLVss (Nowxnutsxoo Oru.t.sixa) 'IHQOWH21UO-CIQH' (i-iov a uii is v i wi imivitkiii j.LR" 1.l.I 1lU St% J UO'9 00'vZ $ 1*-1cln tLLg w OS 'TVNOIZIQQV l1,Lg W 00I-0 ?DVAH aLdQ Z2IF[S11II aov'Ida2II3 aovNt2n3 NO-QQV O/d N0-QQV NOI,iJf 12I.I.SMO3 MaN `ZIAtfl HDV'3 2iCy3 C[Mf1Z)32I EW S1.IMad NaHM SOCIAIOo QNV S3YIIOHNMO.L 2143 `OSW 'SJNIITIa&UA'IIY1td3 310IoIIS 2i03 MLS"IdWOD 3S`da'Id SL9b-ig9 (ZT9) ZZISS Aim Atvov'3 Q2I gOmm 1,0'IId 0€$£ I?-DV'3 JO AJ.D (WLLNH(IISO2I) d.IMM PIK)INVHORL1i ti661 PLEASE CC7MPLETE FOR ALL COMMERCTAL/INDUSTRIAL BUII,DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ----------------------------------------------- DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF RQ?WRM FEE $ - - PROCESSED PIPING: $25.00 MINIMLJM FEE: $25.00 STATE SURCHARGE $.50 F4R EACH $ l,000 OF ??? FEE. TOTAL $ STTE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMpROVEMENTS oNLY) INSTALLER: ADDRESS: CITY: STAT73: ZTP CODE• TELEPHONE #: SIGl`dATURE OF PERMITTEE CITY INSPEGTOR 1994 MECHANICAL PERMIT (COMMERC7AL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 41 ,.3btYo 2004 RES1aENTtAL PLUMSIMG PERNtiT APPLtCATtQN ' CI'fY OF EAGAN 3830 PILt?T KNUB ROAD, EAGAN' MN 55122 651-675-5675 Please complete for modifications #o existing residential dwelGngs. , Date (P 13 f y_ Si#e Street Address jk E k?IQ.C ? LojZj ? V' • Unit Rroperty Owner Telephone # (G G+ontractar Tefe{horte # { lot?') l,! 1 y ?j 5XV i?V?- u city i-t U.AC.-? i Vt ?,er?? sta#e z,p Address The Applicant is: 4wner Contractor ?4ther ; Altemtions to existing dwetting $ 54.03 ,iAdd fixtures to rooms, excluding water softener and water heater . ?Septic 5ystem Abandanmen# -Water Tumaround (add $121 A(1 if a 5/8" meter is required) ,,._._Other: reptacement ? additional EIr-ZLawn aftener Water Heater $ rigat'so n n System RPZ? (:newL repair -rebufild $30. ?3t? State Surcharge $ .50 Total otion is ccunpWe . I hereby apply for a Residentia{ Piumbing Permi# and acknowiedge that the infivrm! and accurate; that the work wili be in cvnfarmance wi#h the ordinances and aados..c?f the C?. of ::. Eagan and the plumbing codes; that i undecstand this is not a permit; but Onfy an ',?applictk#ivn fcr a.permi#, work is not to start without a permit and work wila be in accordance wittt the ' kk i? the event a plan is required:to be reviewed and approved. Appiicant's Rrinted Name Applicants Signature ? ZQa4 ???? PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128395 Date Issued:11/07/2014 Permit Category:ePermit Site Address: 1619 Blackhawk Lake Dr Lot:5 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-050 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. Scott Follese 5182 West Broadway 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 - Eric J Krech 1619 Blackhawk Lake Dr Eagan MN 55122 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171235 Date Issued:08/06/2021 Permit Category:ePermit Site Address: 1619 Blackhawk Lake Dr Lot:5 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-050 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 - Eric J & Erin M Krech 1619 Blackhawk Lake Dr Eagan MN 55122--124 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:EA177105 Date Issued:06/16/2022 Permit Category:ePermit Site Address: 1619 Blackhawk Lake Dr Lot:5 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-050 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 - Eric J & Erin M Krech 1619 Blackhawk Lake Dr Eagan MN 55122--124 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature