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1624 Blackhawk Lake Dr CITY OF EAGAN P>Allq" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MIN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # # To be used for SF DWG/GAR Est. Value $167,000 Date AUG 28 19~ft' Site Address 1624 EI.AGKHA T. LAM OR OFFICE USE ONLY Lot 4 Block 1 Sec/Sub. BL„ACF11AWK GLEN 31 D R-31 1 Parcel No. Occupancy ~ FEES Zoning TsA LSTROM DES I GNLR HOMES 87 +.00 w Name (Actual) Const"" Bldg. Permit 3 Address 4151 TOB DR, #100 (Allowable) Surcharge 83.50 O City EAGAY Phone 454-8737 #of Stories j Length 72i Plan Review 437.00 Name BAS Depth 411 SAC, City 100.00 ;i2 OU 0< Address S.F.Total SAC,MCWCC 575.00 City Phone S.F. Footprints On Site Sewage Water Conn 580.00 ~ i ~w Name On Site Well Water Meter 90.00 i ww Address MWCC System - zr Acct. Deposit 303.00 aw City Phone City Water PRV Required S/W Permit 20'00 I hereby acknowlege that I have read this application and state that the Booster Pump - 1.00 S/W Surcharge information is correct and agree to comply with all applicable State of 228.00 Minnesota Statutes and City of E"agary;Ordinapcos. Treatment PI R t Signature of Permitee APPROVALS - ~,F-R~--fi •-~-~~``p- ~ y Road Unit 340.oo ~ A Building Permit is issued to. DARLS'PRO! DESIGNER Hoot 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. Copies Y Bldg. Off. 3.358.50 ~ Building Official Variance TOTAL 1 l Permit No. Permit Holder Date Telephone # ~ ~ .%J - 'j }}r i r rr WATER SEWER r PLUMBING H.V.A.C.N ELECTRIC r~~ct j:. r 17 Inspection Date Insp. Comments Footings I Foundation cok Framing Rooting - - % G9t(.c' Ccr T2 Rough Plbg. Rough Htg. 6~ l3 : f Gam,! lx~ A. f ~ r ~t p Fireplace dC p~ ~Q3 & ~G' / t , G Final Htg. Final Plbg. 1` -1; -1?1~ Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final .3 Deck Ftg. Deck Final Well Pr. Disp. i (Irdiftratt of (Orruvaur Citp of (Cagan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various i ordinances of the City regulating building construction or use. For the following: Use classification SF DOGA .t Bldg. Nmtit No. 16 91 o-uaa rime - Mblst=m I J. rl~ 4151 I IWI ,AIJ - Owner of Building ess 1624 ELNMWK WE BUM Locality - 27, 1989 { Date. Building OdQ POST IN A CONSPICUOUS PUKE i i l SEWER & WATER PERMIT *FIC ONLY CITY t PAGAN METER #414 PERMIT DATE $128/89 3830`Pi of Knob Rd. CHIP # WATER PERMIT # 10825 E2gan, MN 55122-1897 METER S1Z of B.P. RECEIPT # C3590 ISSUE DATE - 7 B.PE;RECEIPT DATE $128j89 PRV - BOOSTER PUMP SITE A DRESS PERMIT REQUESTED LOT BLOCK SEC/SUB &A<'~1tIrJ~'_ j SEWER AWATER .-TAPS APPLICANT: Q o rc / d its /AJC- ADDRESS: f'•~ - ` COMMAND -je RESIDENTIAL CITY, STATE !'c •~I G- ` ZIP PHONE: b' -7 /NEW EXISTING PLUMBER: 15/.1/4- "?wry pt.e,~.it .cJG ADDRESS: o -T is2 rrc/ G . 2_. 1 AGREE TO COMPLY WITH CITY OF CITY STATL',~ t/.c , i's?, ZIP E A ANC Wis. PHONE: -~j & c' ' OWNER: ADDRESS: SIGNATURE WHEN METER I SUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERfiNG DEPT. APPUCA T AND Fk MS /RR WILL BE NOTIFIED WHEN PERMIT IS PROCESSED, SEWER & WATER PERMIT r OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 3830 Pilot Knob Rd. CHIP # WATER PERMIT # _1_062 .5 Eagan, MN 55122-1897 METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE U PRV _ BOOSTER PUMP SITE AQDRES$ PERMIT REQUESTED LOT BLOCK SEC/SUB f SEWER -WATER -TAPS APPLICANT: ADDRESS: COMM/IND RESIDENTIAL CITY, STAVE ZIP PHONE: NEW EXISTING PLUMBER: r . ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. DATE: 8/28/89 RE: 1 fi26 BLACKHAwK LAKE DRIVE, L4, B1, BLLACICRAWK GLEN 3rd xx You'r S er & Water Permit for the above property has been completed. It will be held at the Public orks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CAL ' BLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Z ur Sewer & Water Permit for the above property has been completed, but the meter cannot 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. - - DATE: --8~28AV RE: 1624 BLACKRAWK LAKE'DRIVE, L4, B1, SLACKRAWK GLEN 3rd xx Your 4wer & Water Permit for the above property has been completed. It will be held at the PubliWWorks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CAL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. j Your Sewer & Water Permit for the above property cannot be completed for the following reasons: dour 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. r INSPECTION RECORD, 0 5 09 "WY OF EAGAN t# "fit : 3W fW Knob Rind Per Nucor Eagan, Mssata 55123 S► lssw& (019) W-4675 ik*Cxofmw t"s 1* *"gin tilts*s tole Us"'f"m: TYPE OF WORK: 7"o 1\ { A, 11 R n x y L PwIrA NO. PpOWA Pbldw Do* * S/V+J PLUMMM HVAC aFECTRIC EIEGTFUC 1 ink E'~6s t~wm~r~is 1~ FOO* st ' I Fri Roo" h e Rote P1bg. r fttvh suf. C Fwaphwe I' Fitsl i Ono Test Final Pfp. Pfbg. few - NOWY PWmbw C.". mew Fagcfilsn M4 FkW I oe& Ffj~ Do(* FWW 4 1 1 Pr. DWO. 1 /5945 est D e Fire No. Rough-in Inspection Required? ❑ Ready Now J15011 Notify Inspector t Yes No When Ready? 1,A licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) city b.1, w cc o Section No. Township Name or No. Range No. County ` P4 Occupant (PRINT) Phone No. mark'+6WLr Power Supplier Address Electrical Contr, forP(Compa/ny Na ) ^ Contractor's Lcense No Mailing Address (Contractor or Own. aktng Installation) 0 ~0 Authorized Signat nira Owner king Installation) Phone umber MINNESOTA STATE BOARD OF EL RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 rn BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ~~C3 ENCLOSED. -J f 7 2 REQUEST FOR ELECTRICAL INSPECTION es-oooot-o •Y ► See instructions for completing this form on back of yellow copy."` f S R ~ 2 rX" Below Work Covered by This Request V tly` ew A73da-Re 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 Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: 'F TOTAL OCR Irrigation Booms < 30, Special Inspection Alarm/Communication THIS INSTALLATION MAYBE ~D, DI CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final been made. OFFICE USE ONLY This request void 18 months from F 6 713 6 " t~ J, R 7s14- t Date Fire No. Rough-in Inspection Require ? ❑ Ready Now kYr, TI Notify Inspector El No When Ready?r{j I 10kensed contractor El owner hereby request inspection of a e electr al wor d Job Adds (Street Bor R to e , ) City ra 14 C f~ et4_4 Section No. To nship Name or No. Range No. County Occup PRINT Phon No. L s- e po A, E:s ~ q Power Supplier Address 0 42 Elec ical Contractor (Company Name) lContractor'slocenseNo. Mailing All ass (Contractor or Owner Making Installation) Authorized Signatu (ont ctor/Owner Making Installlat~ion) Phone Number r 1~' MINNE OT STATE BOARD OF ELE CITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD L1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. / /~C, REQUEST FOR ELECTRICAL INSPECTION OIL% EB-00001-07 jo. See instructions for completing this form on back of yellow copy. W i F __36 JC" Below Work Covered by This Request e dd Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Pryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders fee swimming Pool 0 to 200 Amps 0 to 100 Amps G Transformers Above 200 Amps A A ps 6,t Signs Inspectors Use Only: 11 TO AL .150 Irrigation Booms Special Inspection Q C) Alarm/Communication Other Fee j,,/ 17 a X .J`0 Ilbeen the Electrical Inspector, hereby Rough-in - tifythat the above inspection has r Final Date made. CE USE ONLY request void 18 months from 'PERMIT it Control No. 0509 CITY 1OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000616 (612) 681-4675 Date Issued: 05/26/92 SITE ADDRESS: 1624 BLACKHAWK LAKE DR LOT: 4 BLOCK: 1 BLACKHAWK GLEN 3RD DESCRIPTION: Building Permit Type DECK Building Work Type NEW Building Length 26 Building Width 17 REMARKS: r RECEIPT iF 1 - Q FEE SUMMARY: Base Fee $25.00 Surcharge $.50 tic. Search Fee $5.00 Total Fee $30.50 CONTRACTOR: - Applicant - ST. LI OWNER: EDGEWORK BLDRS INC 13683511 000368 CASPERS NARK 8301 AUDUBON RD 1624 BLACKHAWK LAKE DR CHANHASSEN MN 55317 EAGAN MN (612) 368-3511 (612)456-5381 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 Nn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE I SUED B : SIGNATURE PERMIT! CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION .VAY 2 RECD 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural_A structural plans, I 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 request is made or lot change is requested once ermit is issued. d Date -ILIA 12 C) Valuation of work as ~ Site Address: td ,2q E~ L,4 c/,--4A j< L--.4 E STREET STE # Tenant. Name: (commercial only) LOT BLOCK L_ SUBD. &&s4a~ &-31 P.I.D. # Description of work: C FzucTto-,r o~' nt c_cK_ The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name CAsPC-2Phone Property LAST FIRST Owner Address 162.4( lac,o ck_N.,4A1jL L44L < l~ A STREET STE S City L,Aa4,4 State 1-7 IV Zip Company tout., Phone -3 s`ii Contractor Address 8 3t~r 4uyuBo-,. 14). License # ©o0_~k& 61 Exp.-~ 3 City CO'"H-¢5.5&'y State k4lV Zip -31 -2 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 of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. 2aa ry' P ~ OFFICE USE ONLY BUILDING PERMIT TYPE i ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Comm/Ind New ❑ 02 SF Dwg. Q 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Comm/Ind Add ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add. ❑ 15 Cam/Ind Rem D 04 Multi-fam. T.H. ~ 08 Deck ❑ 12 Res. Porch ❑ 16 Public Fac. ❑ 17 Agricultural WORK TYPE L 31 New ❑ 33 Alterations ❑ 35 Move 32 Addition ❑ 34 Tenant Finish ❑ 36 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Lengthy On-site well Census Code r t Depths On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site tz~ Footing O Framing E3 Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee Valuation: S , Surcharge Pla view T ce s - 44c City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: p SAC % SAC Units . JRVEYOR'S CERTIFICATEYeso 2 SIENNA CORPORATION REVISED 8.23-89 TO SHOW PROPOSED HOUSE FOR s° DAHLSTROM DESIGNER HOMES aF~~ 83s 6~ ~ ~ s6 3g 46, \ g34 e . Qb ti R~ 44 a o g \O SS 4~ f ~0 F l90 R k tD At < r, l~f1 l \A y % s~ OA~\ s O3~ 3~'J Fp S / 4F I EXlSZ 4 ~sg0 Wgr ~ St29 ~V o ~ NO 9~0' M / LSE ~ Op X2,0 ~~Q) ~ ~32•~ 00 ti G,q h t RgG,,Z c' ' ` ~e I ry y AOS v s 44-. ,kO ,r. o 93, 4 (D A. L (11/ ae ?3s 6 ? :s , 2 ~t a S m A. w O• (D r Mh M~ • 3 REVIEWED 40 F .0 4 ~o F iN " By Q6'o~9',' RAC c 3 ~9 4r 4~,~,</ Data 3y r`~gsF~ EAGN ENGINEER G DEP` T N 62.°0741' V/0 ` I QOO % 53.89 \ ~5 R=204 ' 37 BLACKHAWK POINTIINCH=30 FEET LE(Al co- James R. Hill inc. mO nNODO / ERS ENGINEERS SURVEYORS z ? > Z m W PLANN m DD 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 812-884-3029 0 PERMIT ~~~~I C CITY'5F EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 022329 (612) 681-4675 Date Issued: 10/27/93 SITE ADDRESS: 1624 BLACKHAWK LAKE DR LOT: 4 BLOCK: 1 BLACKHAWK GLEN 3RD P.I.N.: 10-14352-040-01 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION REMARKS: SEPARATE PLUMBING & ELECTRICAL PERMITS REQUIRED FEE SUMMARY: I Base Fee $35.00 Surcharge .50 Total Fee $35.50 CONTRACTOR: Applicant - ST. LIC. OWNER: EDGEWORK BLDRS INC 13683511 0003681 CASPER MARK 8301 AUDUBON RD 1624 BLACKHAWK LAKE DR CHANHASSEN MN 55317 EAGAN MN (612) 368-3511 (612)456-3381 I hereby acknowledge that I have read this application +nd 5t-jite that the information is correct and agree to comply with all apptic9bl.c 3t.ate of Mn, Statutes and City of Eagan Ordinances, L- APPLICA / RMITE SIGNATURE ISSUED B 't-. SIGNATURE' ^~k REACTIVATE CITY OF EAGAN PERMIT # 1993 BUILDING PERMIT APPLICATION 681-4675 . S, SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications. I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is glade, 2) address is changed or 3) lot change i_s requested once permit is issued. Date Valuation of work Z2* 3 :?2 Site Address: 1{ l~latl k C~ ~t ~tz STREET SUITE M Tenant Name: (commercial only) BLOCK 1 SUBD, P.I.D., Description of work: i n+ ' The applicant is: ❑ Owner ❑ Contractor ❑ Other (Describe) . Name lASPC- mt r-L, Phone 456~- Property LAST FIRST Owner Address y ~at° 1 u (ca f, STREET STE M City ~ ry State Zip Company - Phone S{ H-ua{tc~Cirm License #3691 Exp. ills- City fnnn ~ State ,LCLL~ Zip ? 5: l7 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 tha have read this a lication and state that the information is correct and agree to c ply ith all appl cable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ Ol Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex - ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage /Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water lfBC ccupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee vaiuation: 4 Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W. Permi t S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units f ` CITY OF EAGAN 16991 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C To be used for SF DWG/GAR Est. Value $167,000 Date AUG 28 11989- Site Address 1624 BLACKHAWK LAKE DR Lot 4 Block 1 Sec/Sub. BLACKHAWK GLEN 3 D OFFICE USE ONLY Parcel No. Occupancy R-3 MM1 FEES Zoning RR =1 W Name DAHLSTROM DESIGNER HOMES (Actual) Const VN Bldg. Permit 874.00 3 Address 4151 KNOB DR, #100 (Allowable) VVN o City EAGAN Phone 454-8737 # of Stories Surcharge 83.50 Length 721 Plan Review 437. 00 ZF Name SAME Depth 41 r SAG, City 100.00 Address S.F. Total SAC, Mcwcc 575.00 City Phone S.F. Footprints Water Conn 580.00 On Site Sewage Name On Site Well Water Meter 90.00 s? Address MWCC System z Acct. Deposit 30.00 a W City Phone City Water XX PRV Required S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump SiW Surcharge 1.00 information is correct and agree to comply wit. all applicable State of Minnesota Statutes and C' f rdi n Treatment PI 228.00 Signature of Permitee S Road Unit 340.00 A Building Permit is iss d to: DAHLSTROM DESTGNER HOMES 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 f9ll/1 Dt I Variance TOTAL 3,358.50 4 f 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I Iq INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: 'a' 3 Date: Site Address lamt4KI: J),, OFFICE USE ONLY Lot Block Occupancy 'k- FEES Zonin Parcel/Sub > M4A) Actual Const Bldg. Permit 00 Allowable , N Surcharge ' ..15 Owne ~ # of stories Plan Review ta, l~"I, ,ryp Length rilSAC, City 'f "~O-C)n Address Depth y SAC, MWCC S.F. Total Water Conn ;City/Zip Code Footprint S.F. Water Meter Aeet. Deposit v~ Phone On site sewage S/W Permit On site well S/W Surcharge Contractor bl4tf -X 44XIIK-t .lklr~ CC System Treatment P1. / City water Road Unit :.Address PRV required Park Ded. Booster Pump Copies City/Zip Codes P z1 TOTAL . S _ APPROVALS Phone 7-*> 2 Planner Council 4¢ Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. L~;_ti A SURVEYOR'S CERTIFICATE SIENNA', CORPORATION REVISED 8-23-89 TO SHOW PROPOSED HOUSE FOR DAHLSTROM DESIGNER HCMES r I ~ i I I t, 3 Y iDENOTES PROPOSED SURFACE DRAINAGE..'.' iF O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 8 37,3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - SZa.y FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - S-&7,7 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot , Block I , BLACKHAWK GLEN 3RD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION-WIS. 23RD DAY OF AUGUST L 19$9, APPROVED FOR SIENNA SIGNED: JA ,ESRNL, INC. CORPORATION C, PZ BY: BY: HAROLD C. PETERSON, LAND SURVEYOR DATED, MINNESOTA LICENSE NUMBER 12294 ~mU+ O GN pD O D O ~ M W o m r9401JAM~ES es R. Hill, inc. .~i D m Z ERS ENGINEERS SURVEYORS O Z - G) En Z65 -WG .t O m AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 0 n I SIENNA SURVEYOR'S CERTIFICATE bP-z e~ CORPORATION REVISED 8-23-89 TO SHOW PROPOSED HOUSE FOR DAHLSTROM DESIGNER HOMES F, ch M ' m O 4 44'' o LF o ~ 93 N~ co SS ~~`t No S~ 0 8 S8 80 'Sr s _ qr ' 4~9 0 9 ` \ \ ( 3 \ a3 \ / N"O1/sE 164 v* V6 05 A /9 a '1y' SF0 40 r F / Op ~ Ss SF ~ ! FCF~op,~gRk S' 8 O 93 .ON ~7 N ~34 % aJ A. 4r) 0 l Ir .23 o S h ~ o ° co (o o,• N h ' M N~ s G- p i 11 ~ N 62. 07 41 W : 'o Ct00' \ 53.89 \ \~s R=204.,37--' =15° 061 3211 BLACKHAWK POINT IINCH =30 FEET "n (A M 0_ O m m 3 o ames R. Hill inc. LL"Vj ~ r- ~ ~ c °o < 0) v D / p Um a+ n o\- (n > O~ o rq o$ D O, -m- z PLANNERS / ENGINEERS / SURVEYORS )0. v O m z oo m a 9~ 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 0 H L X ab~,~ 3 ES CCCCTC'I'TI ITf~T+ C'Crr'CCCC' t'C TI'1 I'I'I + MOD i33A S1118 IS SY als oaola r 9~ LS C'C C CCr t t't't t t t'Iti CC CCCCCr 't I't'i't t't r a3[I I WML S s3-I _ S r El nil 3I« -9T, 3YI-I 4333OZZ Is C CrrrrITITCITITTrrrrrr ITI'I I'I I I'o ......zai s3oa E; «zz.. os a3xraa3g s~► s~rT~ir3ss~ 0s g3iTY 9l► 31I7 1QHi 3iY3TIJ S I Ev nil 11 fill rrCr'Cr I"C'I It'~'~'''rrrr'rr'Cr~'It7iit~' rrrrrrr'C'CrTrrrCrrCrCrrrr'Crrrrrrrrr'rr'Crrrr'[rt_"Crr1 rr •r'r'rrrr t-t't't't'~I'r°•r'r'rrrr~r'C t'I't't~t-I~I'r'~~"rrr'rrr•rT'rrrr~rrr~rr•r~rrr•r~rr~r~r~r•r•rrr•r~r~r•r~rr-r~rrr~rrrr~r~rr'rr . Cr r rrr€TITI TI T+£I "-6££ ~I3E8$bik' 6 M7+$ 3t3TT..................................... Q z 9t ............................a. TCrr'C'C' t t't't't't t'I ; « MSKY « z ~ 3ri'nr X{ r z y r s~ _ . 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I of lot. . Of house 2 copies of plon rooted area: 1 set of energy calculations for heated additlona and go (20% 2 copies of plans (show beam & window sizes, poured fnd. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations D 3 copies of tree preservation plat If lot platted after 7/1/93 ' DATE: (0 •14 00 CONSTRUCTION COST: ---i"===- DESCRIPTION OF WORK: _ r c 0 7 STREET ADDRESS: I ( iOktk k6,w'K L. " LOT: BLOCK: SUBD./P.I.D. )64 (46 0 k Gi leh L J Name: h Phone PROPERTY last First OWNER Sheet Address: ) 0 4 ekjc!'1kuoy- 4 State: I "N Zip: city Company. . ~ ~h Phone 9Sa w? 5 Z ' (area code) CONTRACTOR Street A~ess: C lv~ License # x01693V Exp. City 6, rN S i t State: . Zip: ,10 ARCHITECT/ ENGINEER Company: Name: Telephone Sheet Address: Registration City State: Zip: Sewedwater licensed plumber (if installing sewer/waterPhone I hereby acknowledge that I have read this application, state that the Info tion Is correct, and agr to comply with all applicable Stak of Minnesota Statutes and City of Eagan Ordinances. n4 x Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes L No JUN 16 Tree Preservation Plan Received Yes No /Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Ping Y or_ N ❑ 25 Miscellaneous ❑ 06 04EPI ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. ~ 3a ~ s WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone 2 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC :ii'Jr:?}:iit:•ii:?vv?::::::::: •.v::: v: v:.•:::: v:: •LL.}ti}: v::::: v:: i.:4:'.}':•}::}}}:v.:a ♦ jri\~:•:?: r: w~' ;,}r„ w:::: +t•}' is " i ~:::.v: v:: .v v :w ::t:....••:,, r....n r. y ?.v..,4 r. .n,,, v f. j. • . ~v.. ..:x;w.,v:: x:: }:iii:{:iiii:4i:j; , ~:ttw t;:~`.`•? , ;:,;:`.,2:;'t2;:+c£?,•:#:~ra,'~y' ~~~;.7,t►22:2•..... 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PELOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 - 't 1 A TE CT OSET 00 - 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK LAUNDRY TRAY 3.00 f HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum - 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. - Dai.cty. iic. 15.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS - to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: OWNER NAME: INSTALLER: f r ! l jK ADDRESS: CITY: STATE: ZIP CODE PHONE ( ) R '7f~`.. SIG =vPER EE ,~l" rr~•,y ......n......•.:fi ........:....:.....,w:::::::::::::::::::::::.~ :w:: v.v::::.wr....,.:........Kvr............:.v.........l.,.n.xxw:::::nvnn• n{J:.v: };m, ::.::fy:A......:.: v n}.:::':::::i^i ~`i v. ....n:•:.v :....•.v...:w:: n..v... ...}..n.....:.,n'•v 'ft>,.:?':.ti:}::::n:v;: , n..... :nn r . ..:•::v.v:::.v :::::::.........................................,.'.v :.::.}:w::.:x:::. v ::.J: hJ.vu::::. r..: n}.....x.y ~.L,....xx.....-,......... r• :J.•: t,'.}, nL.,.:., v....y .x:. 1......:..K.~ i4;:.}}}T iT'.;:f.•i}:4:~h:J'J:J:¢i~'hy uw -::::.wnv:::::r •.v: n•:.v:::::::; w.v;}}}}:{?{•}}T}}}}isJ},}y}}:•.:v:;:::.v.,:v::::::.........,; }..v......... r........... 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L........::v{ r. ...1.-u:•: w•: :v..vy.Jh• :?h:: A...•l.:F:nry^:?}{: ii:?}tti}^:i?{':,T.jii:~ :i;T>}: .....::.,:w;:::: :v:::::.v::::::w::.v:::.+•.v:::::::: ::v.w: nvv .v:::::::::::.v::.x:v.J:, h.:,4,...w;: ..v vr..:.4 v• . nv lib..{ ..4:4 . .n....,.::..n .y{.::nv:::: r}: rv: w::::::.v::: :w.:::::::::::.v......:.7..::v}:•}:.i:::::::::::: :w:;;.,?4:JT ::•:.x:w::: x:::::: ri.4,..w .r: x. 4:,1•.. .n{ .....~:•}:r .,.Y:n..n...........:.,•.r.:?{??4}•:::::}. ...fh:.y.~:•v::::: vvh ............................:::w::: h::v: :?:w; :•::::::::.v:::::::::::::.w::. w::::.v:::::: ::w-vn:•nw:.v:.v.v: r:; n::v •nw::. t}.t: t•'. ....n •:{%•}:^}}:J}'::::::.:::: v.v:::i:: n;.;., ~~,r •x.•1'•::nh n....... ...............n , r:.n..............4:h.n ,.vb. ^w:;:,.n•:x;•.tvr}:J'?b:J:?i}:n:{??4:4:?J:{Sjj ;::i'rii::..y nv::: :w:::::::::::::::::::::::::::::.v:::::n::::•.:............... r......... n.. v.•:tv::wr:.vw::::::::h.::::::::n•:nv..............n:x:rovJ3t,w: x::::nv ..:::::::}.v::n•:::.:v.J:.•.•Nh- }nv:nvT.•}::nw:::: r::.v.•r::n... r:: n,w:.. 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUFLDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN 7. NEW CONSTRUCTION ' ADD ON REPAIR WORD DESCRIPTION: CONTRACT PRICE: $ FEE. lac OF CONTRACT FEE. STATE SURCHARGE. $.50 FOR EACH $1,000 OF PMMFEE MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT ~ o L3~ ) 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Date:_ hoe-\ I l T }•--L ~ - Description of Work: / Construct new fireplace Alterations to existing Install eas insert only Install gas line only Other Job address: Z 62 t9 4 Ict ry mw kak e- ~ r a `c i_. ~ I e 3r Lot: ~ Block:. ~ - Subdivision/P.LD. ~ >aC k km A Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: Phone PROPERTY Last First OWNER Street Address: 16 J kaW State: Zip: 5l 0( City (j CA a 1o I Company: 1 1\ 17 c r - hone FIREPLACE at= INSTALLER Street Address: } City 6 U i ~ fl , 11-e, State: Zip: Company: Phone GAS LINE INSTALLER Street Address: Ck. MV City State: Zip: g I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signature OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 14 Fireplace WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 32 Addition ❑ 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. city of aagan PATRICIA E. AWADA Mayor PAUL BAKKEN BEA BLOMQUIST PEGGY A. CARLSON 6/19/00 SANDRA A. MASIN Council Members THOMAS HEDGES City Administrator Mark Caspers 1624 Blackhawk Lake Dr Eagan, MN 55122 RE: Building Permit #41339 issued 6/16/00 Lot 4, Block 1, Blackhawk Glen 3rd Dear Mr. Caspers: A permit to reroof your home was issued to American Building Contractors Inc. Inspections required are: • ice and water protection prior to shingling • final when complete It is the responsibility of your contractor to call the City of Eagan for these inspections. For your protection, we are recommending that you withhold final payment until you have verified that the City has approved the final inspection. Please call 651-681-4675 weekdays between the hours of 7:00 a.m. and 4:30 p.m. with any questions you may have in this regard. Sincerely, Jan Severson Office Supervisor MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY EAG 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122-1897 EAGAN. MINNESOTA 55122 PHONE: (651) 681-4600 PHONE: (651) 681-4300 FAX: (651) 681-4612 Equal Opportunity Employer FAX: (651) 681-4360 TDD: (651) 454-8535 www.cityoteaigan.com TDD: (651) 454-8535 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1 14 -1 o4 She Street Address 9LI ~1i11U., rV_ k Unit # Property Owner Telephone # ( } Contractor Telephone# (loth) Address] city C~+ V\SCfv~ States zip The Applicant Is: _ Owner ! Contractor Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater Septic System Abandonment - Water Turnaround (add $121.00 if a 518" meter is required) Other: Water Softener Water Heater $ 15.00 , replacement additional V t.awn Irrigation System RPZ new repair rebuild $ 311.00 State Surcharge $ .50 Lt, U $ Total 62004 JUN 1 I hereby appl r a Fie bing Permit and acknowledge that the information is complete and accurate; a work will be in conformance with the ordinances and codes of then. City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name Applicant's Signature CV0 N RECORD CITY OF AGAN PERMIT TYPE 1i 11 1 t~ T N 6 h 3830 Pilot Knob Road P rtnit dumber # Erman,,Minnesgta S4j23 Date Issued: 681.467t' ADDRESS: 1, 01, 4 111, o;.. F APPLICANT: #4 AC, KHAWK E At t OR t l►~I ~IC~~K l.[~ r tM[:, 61211) 3w? - t l TYPE OF WORK. ALTERATION AA4 L 7 pbuo Iri - r' Roo t ~,w f ..a V r WK FkW F tqg P#4 kupMw - NoWy Pkmnber i cwwt m J I Ift FWW ~Zo [Jack Fig. Ooh FbW 1-7 CASH RECEIPT CITYA r y. 3830 PILOT KNOB 1ROAD EAGAN; MINNESOTA 55,122 , DATE 69 14 RffCENEQ ~'y 1~L~~..~! / ~ il~✓F~F"S.F+~f ! W LJ7~'1~~+Rr~'Cl~+ AMOUNT q OOLLARS 4UD ' ❑ CASH u~.W ECK 1 IT FUND OBJECT AMOUNT ky e: h„ f E Thr~ By y„ y 71. I 111~_ X I 4""P 16 '11 #1 ~-W 4T ~Rrl" -Wr n F7 '-'-W PLUMBING PERMIT For Off lee Use Only CITY OF EAGAN PERMIT#,,-/---)<-- '2 CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#t"~-7 -r 7 PRICE PHONE 454-8100 DATE: W42 2:~~ Site Address 11,22.14 BLDG.TYPE WORK DESCRIPTION,, F I New se t Sec/Sub Res. lv~' Lo J_ Mutt. Add-on C comm. Repair NIlm e L- Other 1%ddress Pho RES. PLI3G. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL J?__ Water Closet - $3.00 $ NarneD_'P_~ ~-(C.-A4 J4-y~q 'C' Bath Tubs - $3.00 -$3.00 Address gj Lavatory City 6,gi keA-_.e Phone Shower - $3.00 Kitchen Sink - $3,00 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMMAND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLUES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 - Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM - 1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 '",,000 OF PERMIT FEE) Well - $10.00 (ADD $.50 S/C PER EAC - - Private Disp. - $10.00 - Rough Openings - $1.50 SIGNATURE OF PE" PERMIT FEE: ST~;T~ES S/C: FOR: CITY OF EAGAN "i6RANDTOTAL: _ v..,,-w.r ...,g,r. ~,~q.,y.~.7...• :e,.j,.m. .sy~ _ ~yti _ ~ ,,-,~t~ nn;;: ,a... ••s PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: 1t.. PHONE: 454-8100 For Office Use Only: Site Address s v BLDG. TYPE WORK DESCRIPTION Lot )ock Se /Sub Res. New Name Muit. Add-on ? Comm. Repair m Address ' ` ' c City Phone : Other FEES Name RES. HVAC 0-100 M BTU -$24.00 3 Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK `'COMM/IND FEE - 1% OF CONTRACT FEE Forced Air Y M BTU `f "If APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS- RES. RATE APPLIES Boiler M BTU 'MINIMUM RESIDENTIAL FEE - ALL ADD-ON i& 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 L--~ - FEE: I SIGNATURE OF PERMITTEE S/C: x TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at .,!°C 1 have this day inspected this structure and these premises and have found the following violations of city codes governing same: 5'GJ L I -j 0119 ~.Fr2 r~rny erg 6 s ~ A4,W 6 ~'4 Gc. c e p When corrections have been made, please call 454-8100 for inspection. Date /V Inspector City of Eagan DO NOT REMOVE THIS TAG PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA112202 Date Issued:08/01/2013 Permit Category:ePermit Site Address: 1624 Blackhawk Lake Dr Lot:4 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-040 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. Crystal Cochran 7588 Washington Ave S 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 - Mark E Caspers 1624 Blackhawk Lake Dr Eagan MN 55122 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117216 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 1624 Blackhawk Lake Dr Lot:4 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Luanne Yang 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 - Mark E Caspers 1624 Blackhawk Lake Dr Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125672 Date Issued:07/30/2014 Permit Category:ePermit Site Address: 1624 Blackhawk Lake Dr Lot:4 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Mark E Caspers 1624 Blackhawk Lake Dr Eagan MN 55122 (651) 245-1708 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162736 Date Issued:07/27/2020 Permit Category:ePermit Site Address: 1624 Blackhawk Lake Dr Lot:4 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Mark E Caspers 1624 Blackhawk Lake Dr Eagan MN 55122 (612) 840-4168 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165171 Date Issued:10/20/2020 Permit Category:ePermit Site Address: 1624 Blackhawk Lake Dr Lot:4 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Mark E Caspers 1624 Blackhawk Lake Dr Eagan MN 55122 (651) 245-1708 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature