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1627 Blackhawk Lake Dr PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA077939 Eagan, MN 55122 . Date Issued: 05/24/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1627 Blackhawk Lake Dr Lot: 003 Block: 002 Addition: Blackhawk Glen 3rd PID 10-14352-030-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Valuation: 12,145.00 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air James T Nikolai 8910 Wentworth Ave S 1627 Blackhawk Lake Dr Minneapolis MN 55420 Eagan MN 55122 (952) 881-7739 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature s PERMIT- # ~CL7 PLUMBING PERMIT CITY OF, EAGAN RECEIPT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 'y CONTRACT PRICE:' PHONE; 454-8100 Site Address 1 42A BLDG. TYPE WORK DESCRIPTION Lot % Block Sec/Sub Res. New X ~~t i a n=- K ' f c- Mult. Add-on L Name . <r t r d Comm. Repair m. Address Other c ' City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N FIXTURES T TAL a ` tl.yS Water Closet - $3.00 Name Bath Tubs - $3.00 'a c Address ~ Lavatory - $3.00 A- 0 City Phone Shower - $3.00 - ` ~-Kitchen Sink - $3.00 ''j FEES Urinal/Bidet - $3.00 COMM/IND FEE -1%.OF CONTRACT FEE _-7- Urinal/Bidet Tray - $3.00 t~ APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES t Water Heater - $1.50 L~~ MINIMUM --RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM COMM/IND FEE -$20-00 -/Gas Piping Outlets $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) rt' Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIG K TURE OF PER41TTEE FEE: ' STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL:' 777 MECHANICAL PERMIT RECEIPT #L,;~fi CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: " CONTRACT PRICE: PHONE: 454-8100 Site Address _Z1 2-7 12 4F1 1i ~,4 ZA BLDG. TYPE WORK DESION Lot ? BI c Sec/Sub Res. New r I v^ Name , . > Mult. Add-on Address Comm. Repair i., c City Phone Other a FEES Name L RES. HVAC 0-100 M BTU -$24.00 c Address - - 16 ly, ADDITIONAL 50 M BTU - 6.00 O City Phone (RES. HVAC INCLUDES A/C ON NEW , - - - _y CONSTRUCTION) _ GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forrgd AirgTU APT. BLDGS. -COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES ' Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & w Unit Heater M BTU $ REMODELS 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent: r CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: : f FOR: CITY OF EAGAN s CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-t 100 BUILDING PERMIT Receipt '5 7, ,7 ; r . To be used for Est. Value Date ,19 Site Address z r ~3~: ACY'aA14Y LAKE OFFICE USE ONLY Lot Block Sec/Sub. °A K rl r On Site Sewage . Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const LL x Name City Water (Allowable) F Address t* ,I aF PRV Required # of Stories Booster Pump Length c Cit Y Phone Depth o Name S.F. Total 0 a Address Footprint S.F. M City Phone APPROVALS FEES ~ ¢ En r /Assess. Permit m W Name g i Planner Surcharge x g Address a m city Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all app4G ba le State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee f ),I Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work*shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. - y - TOTAL Building Official Permit No. Permit Holder Date Telephone # Plumbing HN.AC. Electric 91-6 Softener Inspection Date Insp. Comments Footings I Footings II Foundation ~ Framing Rooting Rough Plbg. Z , ~ _ Rough Htg. Isul. 62 Fireplace 2d L G~•v7'/L- ?-2C-$ f~~ Final Htg. Final Plbg. Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ` CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 S DATE I{ 1g RECENER - r^ - ...i. FROM tJ AMOUNT f. DOLLARS ,00 0 CASH] CHECK wa :t f£ j tt # as f FUND, OBJECT AMOUNT . { ~ I 1 11-. Thank Yoe f White-Payers Copy Yellow--Posting Copy Pink-File Copy CASH RECEIPT P CITY OF, EAGAN 3830 PILOT KNOB ROAD - EAGAN, MINNESOTA 55122 DATE 19 B RECEFROM NE6 - • 'Vi i i MI AMOUNT $ & DOLLARS 100 D CASH L;i ECK FUND OBJECT AMOUNT u, 6 Thank You BY White-Payers Copy ' " 1{J 41 Yellow-Posting Copy Pink-File Copy INSMCTION RECORD M OF EAGAM PlIRMIT Type. X130 Not Knob Road perrpIt Nurrtk W, Minnesota 55123 Date Issued: ~ ~ /Z4 ~ .9 612)'68146'75 "FE ADDRESS: f- 81 : 3 6 i O C K, APPLICANT: t~+:x7 BI.AGisHAWK LAIC O VAI>IUY P00.t'; INC ~Iw S TYPE: TYPE 4P WORK: 1,1101111 Pool N 4 I ftF t;lt'I I''t 1 ?M 440 t1A1 JHU.Ntl#, NDt ~ f(lf1TI G FRAMING 104-tli.AT 10N V1 NAI 11 } *??yyam~. PON* 14066*s Ir PUJMWM MtArG E~~C too bw- 00- • ,v F ad. i Fkw h 6 FWA Mg. Plbg k"odw - try PWnbw CON* mew F i MW Fk* Daalt Fq. tlYa~l Pf. MO. ,ry BLDG. PERM N 7' 21 Bld . ermit 9 01-3422 Plan Check f1 Q 01-3445 Surch./Adm. Y 01-3446 SAC/Adm. 01-2155 Surcharge 7& Y,5 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. S-~5-r OCR 20-3868 Water Trmt. 0 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 00 28-3855 Park Ded. ai TOTAL IF CITY 01 E~ AN , -W rt 3830 Pilot Knob $ d, P.O. Box 21-199, - gan, MN 58'1 1- PHONE• 454-SlO BUILDING PERMIT Receipt 88 To be used for 3F nwIlGAR Est. Value $157100() Date 'my 17, ,19 Site Address OFFICE USE ONLY BLACItAAWKt GIAN On Site Sewage Occupancy,. Lot Block Sec/Sub. R3 ~D j3 MBVCC System X Zoning Parcel No. On Site Well "(Actual)Const V11 ac Name f M, TORE BLDRS CORP City Water X (Allowable) yit it, I z Address 201 8K21GE SST PRV Required * of Stories City SHOMIEW Phone Booster Pump Length 7118" cll Depth 42 o Name Salrll* Y° S.F. Total o u Address Footptfi S.F. City _ Phone APPROVALS FEES F Engr./Assess. Permit 760.00 WW Name 74.30 Z Planner Surcharge 5 Address 380.0 CC m City Phone Council Plan Review 10000 Bldg. Off. SAC, City• ` 1 hereby acknowledge that I have read this application and state that the Variance SAC, MWCC $50.00 liqa~ ley State of water Conn. 550.001. information is correct and agree to compl/~ae& Minnesota Statutes and City of Eagad-OrdiWater Meter 7.00 Signature of Permittee KEYSTon 'SLORS Ca Road Unit 2~-~ A Building Permit is issued to: Treatment Pt k 4 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks t a TOTAL rt.' f- Building Official' r r SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. )71 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD 1" -7 ADDRESS CITY. OCCUPANT OWNER I SOLD BY. C ► w INSTALLED BY _!"vh 4 )AA MAKE 4 } j MODEL .~J~. VIA C C SERIAL NO. INPUT t ©Q~ Cl a,~- o THERMOSTAT r q oVENT SIZE VALVE TYPE OF LINER t LIMIT ^ ( LINER SIZE LIMIT SETTING FILTERS: SIZE Z NUMBERS FAN SETTING" WIRING PILOT TYPE TEST TAG IGNITION MODEL LIGHTING INST. 7\ [7 FE PILOT TIMING DATE TESTED t PRESSURE PERCENT CO z ~S INPUT CFH PERCENT Oz COMPANY TESTING ( n>> i7/k STACK TEMP. PERCENT CO © NAME OF TESTER I FORM 235 (REV. 11189) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY CITY F EAGAN Permit No: 9740 Date: 7/5/88 j,3a3,6 Pilot Knob Road Meter _No: Size: INO. Box 21199 Reader No: Date. Eagan, MN 55121 Owner Keystone Bldrs Site Ad re s- aCx Lake aC w Plumber Lakeside Plbg Conn. Chg: 550.010 Zoning: R1 100 Acct. Dep: No. of Units: Permit Fee: P' Surcharge. ''B I agree to comply with the City of Eagan ' Tr. Plant 204 • OQ Ordinances. Meter. 67.00 Misc.: PRV RrQuIRED By WATER SERVICE PERMIT (Urtif trafr of (Orrupaury Citp of (Eagan Mrparxmmt of IutlM g Jmprthou 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 ordinances of the City regulating building construction or use. For the following.• Use Classification " Bldg. Permit No Occupancy Type Zoning District Type Const. Owner of Building Address Building Address Locality Date: Building Official POST IN A CONSPICUOUS PLACE i This request void S~ 'T 9 ,f 18 months from Request Cicte' w( We No. RRequgh~~~Inspection Ready Now ❑ Will Notify. Inspec- ~J1j E Dyes No for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box r Route No. City Sect-ion No. Township Name or No. Range No. County Oc upant (PRINT) Phone No. C_ Power Suppli Addr ss Electrical Contractor ICo pany Name) Contractor's License No. Mai i g Address ICo tractor or Owner Making Insta' ation) Luth r'zed Signature (CoZra etor ner Making Installation) Phone Number ~ MINN ESOTA STAT BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 'See instructions foi completing this form on back of yellow copy. D 99,953 "X"• Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other Specify OthertSpecify) ftomEE th er Specify Other Other pute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits Oto200Amps 0to30Amps ,r Oto30Am s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100- Amps Above 100_,.Amps Transformers Irrigation Booms -SCJ Partial-'Other Fee Signs Special lit spection r4piE Remarks $ L4 Rough-in Date rical Inspector. hereby ertify that the above Final ate) ?v . inspection has been made. This request void 18 months from , This request void 18 months from /fj f~ M rt t f~/ J / Reque§t.Da* Fire No. Rough-in Inspection j ['a `'r Re red? C-] Ready NowWill Notify Inspec- l 4Y es No tor When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or R ute No. MA Cit i -i r t t~ 6r.i ectron o- Township Name or No. Range No. Co ty Occu ant (PRINT) Phone No. Pow r upp(ier Address r Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Co actor or O- wne?Making Installation) _ 930 i'JinlAA f Z o c A561 orized Signature "tract Owner Making Installation! Phone Number f 14- -b-52 - - 4 ZI I C"l- MINNESOTA ST E BOARD OF ELECTRICITY THIS INSP CTION REQUEST WILL NOT Griggs-Midway-'Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1 Universitv Ave- St, Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS ne (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E13-00001-06 See instructions for completing this form on back of yellow copy. / 1 - 9X15 6 "x" Below Work Covered by This Request Now Add Rep. Type of Building Appliances Wired Equipment Wired X Home *1 1 Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other cy Other (Spe-fy) v~~ ther Specify Other Other ompute Inspection Fee Below q Fee Service Entrance Size H Fee Feeders/Subteeders N Fee Circuits 0 to Am 0 to 30 Amps 0 to 30 Amps Above -Amps 31 to 100 Amps wo 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial-Other Fee Signs Special Inspection 3 t TOTA ~fe- Rema rks ~ Rough-in the Electrical /yp Inspector, hereby _ certify that the above Final D spection has been made. This request void 18 months from K4 065 Request Date 41i, Rough-in Inspection Re fired? ❑ Ready Now ill Notify Inspector Yes G No hen Ready? I I licensed contractor D owner hereby request inspection of above electrical work at: Job Address Street. Box or Ro a.) City M2 7 Section o. Township Name or No. Range No. County Occupant PRINT) Phone N i Power Supplier Address Electncal Coactor (Company N Contra tor's Lie a No. Mailing Address ( r ctor or Owner Making Installatio Authorized Signature (Contractor/Owner Making Installation) Pho;n/e N bar s li , 4 i MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 / BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 00 J UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ~j f REQUEST FOR ELECTRICAL INSPECTION01p8 /pr ► See instructions for completing this form on back of yellow copy. Rill X' Below Work Covered by This Request ew Add Rep. TypeofBuilding 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: 44~~ # Other Fee # Service Entran Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Si 9nS Inspectors Use Only: TOTAyL Irrigation Booms i Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO THS. 1, the Electrical inspector, hereby Rough-in ,i certify that the above inspection has Final at been made. OFFICE USE ONLY This request void 18 months from RESIDENTIAL fi BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Requiremnts kn_iodel(Rsgair Regufrr+merrts • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house: and all roofed areas • 2 copes of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions G~-\ • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Cp selection sheet (bldgs with 3 or less units) DATE VALUATION SITE ADDRESS MULTI-FAMILY BLDG ! Y TYPE OF WORK TJ~ FIREPLACE(S) - 0 , 1 ! 2 APPLICANT ° W ;r G STREET ADDRESS 7 I~ 2 64-4 CITY 64/1c,,STATEZG ZIP TELEPHONE CELL PHONE # per. FAX PROPERTY OWNER TELEPHONE i 6-E-1) Ir 1_ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Y Water Softener _ Lawn Sprinkler Fee: $90.44 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $74.00 Heat Recovery System n _ n r; i~ P7 Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information porrect, ato omply with all applicable State of Minnesota Statutes and City of Eagan Ordin s r t Signature of Applicant OFFICE USE ONLY ICI Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool CI 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex I 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding * 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water _ Final - Pool _ Ftgs i Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone Fireplace ` R.I. - Air Test - Final - Windows (new/replacement) Insulation Retaining Wall Approved By , Building Inspector Base Fee - - - Surcharge Plan Review ' 19- MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Y O R' S CERTIFICATE SIENNA CORPORATION 14 REVISED 4-26-88 TO SHOW PROPOSED HOUSE BY a,•y KEYSTONE BUILDERS. 1rJ L_ 1 I L_ l) I I e- t f PAN. REQUIRED .0 f 110.00 S 0019'19"E r ~ N Of 1 t0 M 0 PRA/iy4G a ~o pY 4r vT/L~~-y o EASpjfENT 5 x09.5/ 1 S /3`°j'27` w W LOT 3 N s W M 1 / -I- 0 10 ~ I I L_ li I n N L_ 0 I ` CID ° x 828.9 d• L~ C ~OD t 27.7 x s N 83LS x 7. CID ' 166.e31.9 " 0832• ry ._r~.--------- /20.0 ^ - _ 832, 4) 0-0 1 m 34.0 5123 zea2~,., DETPT N a~ ..r{1`a ~,a.1_•s.1,.1.. HOUSE S~,.. v 1767 - PROPO O ro os NAGgRAGE 1-01 Z In / o' p aa. ai 633.73' x 11.67 p 13.0 7 .3.0 `t 2. N 22.67 cti 3' 840. 170 u M D r yr' - 9ae,gx 2_ _ N 84 838.99 M O / 1 µi l1Vf UN{ s ,~~~~1d38.2)~ x838.32 N NAIL SET cy M o 145.00 4m 9043'32" fte.ix ; M R=6/8,58 ~83,V8 e - LA cKH NA/t SFT AWK eats ~ A KE \ Z 0-0 cl) ° 0 N lanmes R. Hill, .rec. Lo 0 " 5 T JE PLANNERS / ENGINEERS / SURVEYORS 6401 ,JAM#$ AVLC; S- • lMOOMNOMk~ iMN Sg4St # 4p2-fta- Wq PERMIT (CITY-OF ]EAGAN g~xY/ 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 0 2 0 8 7 0 (612) 681-4675 Date Issued: 0 5/ 2 4/ 9 3 SITE ADDRESS: 1627 BLACKHAWK LAKE OR LOT: 3 BLOCK: 2 BLACKHAWK GLEN 3 P.I.N.: 10-14352-030-02 DESCRIPTION: 34,000 GAL. INGROUNO Building Permit Type SWIM POOL Building Work Type NEW Building Length 50 Building Width 20 REMARKS: FEE SUMMARY: VALUATION $14,000 Base Fee $153.00 Plan Review $99.45 Surcharge $7.00 Lic. Search Fee 5.00 Total Fee $264.45 CONTRACTOR: _ Applicant - ST. LIC. OWNER: VALLEY POOLS INC 18941480 0004421 NIKOLAI JIM 651 CLIFF RD 1627 BLACKHAWK LAKE OR BURNSVILLE MN 55337 EAGAN MN (612) 894-1480 (612)454-6453 I I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ZA ---J L APPLIC NT/PERMITEE SIGNATUPOV ISSUE Y: SIGNATURE REACTIVATE r' CITY OF EAGAN PERhiT # hIECEWED 993 BUILDING PERMIT APPLICATION MAY 0 4 1993 681-4675 'VA SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 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 made, 2) address is changed or 3) lot change is requested once permit is issued. Date 4/76/93 Valuation of work 14000.00 Site Address: 1627 BLACKHAWK LAKE DRIVE STREET SUITE S Tenant Name: (commercial only) LOT BLOCK c; SUBD . ~~~t hAuf ~K ~ hd P . I . D . N Y/ Description of work: b The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name N1K0LA1r--- JIMd,&,-~.BETH Phone 454 6453 Property LAST FIRST Owner Address 1627 BLACKHAWK LAKE DRIVE STREET STE 0 City EAGAN State MN Zip 55122 Company VALLEY POOLS INC Phone 894 1480 Contractor Address 551 CLIFF ROAD License # AFFIDAVIT 60. FILE City BURNSVILLE State MN Zip 55124 Architect/ Company Phone 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 gal applicable St a of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ,17 Swim P O 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 )k21 Miscellaneous sw /44J" /900 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 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 Length On-site well Census Code Depth -2~ On-site sewage SAC de b APPROVALS 0 0 Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 3 (4 0 00 a.~ Iaal /H ro" f~ob U ❑ Site I. Footing ~Z Framing ❑ Ins,ulation ❑ Wallboard CeFinal ❑ Draintile ❑ Fireplace Permit Fee G d . vatusc;on: $ Ova Surcharge a Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: _ SAC % SAC Units S U RVE YO R' S C E RT hAC AT E SIENNA CORPORATION REVISED 4-26-88 TO SHOW PROPOSED HOUSE BY ' KEYSTONE BUILDERS. L_ lJ I I 1 P.R.V. REQUIRED r8l9 of °v 110.00 S 0019'19"E r i N IG 914494 4C tOp P~ r irk rj, ~ OWNER' fgSEME Nr .JIM & BETH NIKOLAI 1627 BLACKHAWK LAKE )1 EAGAN MN 55122 w PH 454 6453 3jN3y (-VON (V 1 ~lo 04""y lU L_ li I L_ `l I 00 N co v co f rn o v 6 4! 0 Ea eai.sx 4 co /20.0 _ 1 ^ ti of r a 1(690'0 34.0 X E c ~ ERING DEPT. 17.67 P ?OpOSED M M SE M ~ RAGE / / o 0 638.73 X 11.67 0 13.0 3p 2. JIM 2267 Go' 3 (84ou) IM & BETH NIKOLAI E30 .o Xil- 1 1627 BL• ACKHAWK LAKE N 'RROP.p D-` , 2 9q ejg99 EAGAN MN 55122 t D MI ~M~ s (eae.~~~ X838.3 y t N NAIL SET N M 0 105.00 4= 994,3# it ? °3g.,X ; i M R=618.58 _ ~e37 .e LA CK H Hql~ SE>• 83Zg AW" 83~Q ~ Y ~ n~j (n -4 • M T° o r\) o amen R. Hi inc. 0r Prcl(~.10 T 0nD N r In ~ (7 \ 25 (n IV D r--4 03 o m oNo co z ww >G) Z Ml PLANNERS / ENGINEERS / SURVEYORS 0c) ca T M (n N • O 31 • 612-884-3029 (Jl ' 9401 JAMES AVE. S. BLOOMING? N, MN. 554 n n 10o a i i 3 CITY OF EAGAN N0 15 0 2 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 2.2 -z. To be used for SF DWG/GAR Est. Value $157,000 Date MAY 17 19 88 Site Address 1627 BLACKHAWK LAKE DR OFFICE USE ONLY R3/M1 Lot 3 Block 2 Sec/Sub. BLACKHAWK GLEN On Site Sewage Occupancy 3RD ADD MWCC System X Zoning R3 Parcel No. On Site Well (Actual) Const Vn Name KEYSTONE BLDRS CORP City Water X (Allowable) Vn z Address 201 BRIDGE ST PRV Required X # of Stories Booster Pump Len th 711811 o City SHOREVIEW Phone 483-8256 g Depth 42 o Name SAME S.F. Total z~ o a Address Footprint S.F. ~W- City Phone APPROVALS FEES !-s $ 760.00 ~ w Name Engr,/Assess. Permit L Planner Surcharge 78.50 z. Address Q m City Phone Council Plan Review 380.00 Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this applicatio and s_ tate that the Variance SAC, MWCC 550.00 information is correct and agree to comply wiilh a4f ppli . bl State of Water Conn. 550.00 Minnesota Statutes and City of Ea Ore . Water Meter 67.00 Signature of Permittee KEYS 6)NE BLDRS CORP Road Unit 5 32-,-00 A Building Permit is issued to: Treatment P1 2 204.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota a utes and C?' ..9of.Eagan Ordinances. $3,014.50 TOTAL Building Official 4 1$$ BUILDING PERMIT APPLICATION - CITY OF EAGAN ' 7 SINGLE FAMIL DWE LINGS 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: /oa e ( Valuation: Date: Site Address /(off? ' /5? QOO" OFFICE USE ONLY i Lot Block Z/ On site sewage Occupancy 3 M7! MWCC system Zoning R- S Parcel/Sub Qfpcaaaxt ' 45 i41 On site well Actual Const Vl-,,, City water Allowable V -N Owner 4j C-Jnne aj erS eopAa PRV required # of stories Booster Pump Length It - Ali Address Depth 0 S.F. Total City/Zip Code 5'1j0~`PU%tlr/r~• ~~~2.6 Footprint S.F. Phone r!/~.3^~ Z 5-~ APPROVALS FEES Contractor S' r Engr/Assess Permit .60,00 Planner Surcharge 178. Address Council Plan Review 380, 0 Bldg. Off. S SAC, City IQ. $ City/Zip Code. Variance SAC, MWCC S M54,00 Water Conn .±.W Phone Water Meter Road Unit Arch./Engr. Treatment P1 Z Parks Address Copies TOTAL City/Zip Code Phone # VAWATION G ARAC' lox j2= Zyo Z2xZ2 c4~ty 3 v Ir 4S '769 X Iti= 106` €Trt T Mt%tI&.! FLoo~ Za = 340 yy1. 1~ ~3~ : bob 3 X Zy i y~ 2 x = ~©Zy Zia ~r~oo~. ~xLl ~Z. -Z Y. z y 113( X ~9= 55404 1s-(6 4 s-Y ~ F S a s S 'f S # SURVEYOR'S CERTIFICATE SIENNA CORPORATION Revised 4 26 88 To Show Proposed House By Keystone Builders P.R.V. RUIR ED 80. A +1 s. : e DATE. ..,..,,a,_.~...~..~ DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 8140. 3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 832, (o FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 840, 7 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3, Block 2, BLACKHAWK GLEN 3RD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BECOME VALID UPON FILING THE PLAT OF BLACKHAWK GLEN 3RD ADDITION.) IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS S;;RVEY r--- ^ BY" E CJ f', JNDER "Y DIRECT SUPERVISION THIS 26Th DAY OF PP,:.L , 199°. APPROVED FOR SIENNA SIGNED: JAI~A 0 LL, INC. CORPORATION BY: BY: HAROLD C. PETERSON, LAND SURVEYOR' DATEDt MINNESOTA LICENSE NUMBER 12294 m O T No m James R. Hi inc. W0 < 1 o 0 D OF( L- / ° Z KA C600-1 6 --0 °D M - Z PLANNERS / ENGINEERS / SURVEYORS ° ;a- G Nm 00 O M N 01 9401 JAMES AVE. S. e BLOOMINGTON, MN. 55431 • 612-884-3029 a SIENNA CORPORATION SURVEYOR'S CERTIFICATE S C CATE REVISED 4-26-98 TO SHOW PROPOSED HOUSE BY KEYSTONE BUILDERS. I L_ ! ! lJ 1 ! `t PAN. REQUIRED ~a~5 0l 110.00 S 0019'19"E N Of ~G M P~q~NAG~c ~°[.qr 6 vT/Cily, EgsEMENr ~o 5 /09.5/ 1 S /3.O T,2 W 1 W LOT 3 N 5 w m N o I t to \J I I N Co x 828.9 ° /I co ~t C_ Q) cy) v 82T.7 X c . sx 831.5x - 1~66'fzea~s - (832,4j) s.--~~~~ ,rte l0 ~ / M N j of / 34.0 _ 5123. X832.7 ny. et 'O ; M~ 7 FHOUSE 0 o A RAGE / on 0 CY 838.73 x 11-67 0 13.0 T3 , 3p ~t 2. , . N 22.67 170 (84o.0/ N R4PdD p/ 2194 836.99 Mr x MI i1VjGG~ 5 ~_~836.2)\1 X838.3-0 0► NAIL SET cy M 10500 4a 9°43, c o M 32 R$6/8 58 ft. °,k ' 8a~8 _S L A C K HA W q,~ SFr 6378 K -A KE D 83ja R/ VE M Z w -4 NW ames R. Hill inc. m O, W o w o o n D / N p Z a 00 Dl r Z co O m u PLANNERS / ENGINEERS / SURVEYORS ~oIWzOWm z OD co OD N U1 ' 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 a N v N m O h Page 1 of 4 2! EXTERIOR ENVELOPE AvrRAGr •'n" COMI-11TAMIN CSI ~ NER. SITE ADDRESS: L.A[IC ,4wV,P1!ONE: GLel,ki 30m CONTRACTOR: Det mine working squire footage of each 1. Total exposed wall area..... sq. ft. x .11 - 2. Total roof/ceiling area..... ? s4. ft, x .026 s r0 a 4 Total exposed wall area al,nvc floor= a. To raI wall window area b. Total door area . - c. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average 10t) f. Total rim joist area 1 S. net wall area above floor l h. wall area above door i, wall area above floor J. frame wall area at foundation Total exposed foundation area= _ k. Total foundation window area..... 1. Total net foundation area above grade Determine "u" valuelof each wall segment (e.g. window, door, eac-h separate wail section) X so Ulf X SOU" d. „ X "U" y}~) V N " P 1 X "U" f h X t • X "U" s Lam/(/~/^~► 7/~, V X "U" If item 13 is the s k. X "U" _ as, or less than it. II #1, you have met th• t _ x "11 s 1~ intent of car tAnK r IEiWLcr kuwalope Average "U- Computation page 2 of 4 Total exposed roof/ceiling area s. 'total skylight area n. Zoul roof /Ceiling framing area (average 10%)... . a. Total net insulated roof/ceiling area........... aali~ Determine `U" value for each roof/ceiling segment s. b x OU" \6~\ O'k x V- k Total If total of /4 is the same as, or less than 12, you have net the intent of Sbc 6006 (c) 1. Alternate building Envelope Desion To utilize the total envelope systeir. method, the values established by the ssm of items i3 and #4 shall not be greater than the sum of items Y1 and^$ 2. 1. `~'✓i t 2. r 1 1 . 3. 4. i j LA W L i tit EA L FT, EXPOSED WA L L ~)Lor- vvv T'u L L I SGT . ~T, KPOSEb WALL ~ AZEA X , S =1 IC.M E.F. ' - X 5' - r-uLLI X S P u LL 2' ; ;C.~ k 8 F. P. -7b TA L M5Q.,F-f-- E 1C oS e:-D GEi L W DwS ib Do©~s I x~ `fib PATIOI ZZ6 , Ink F35t~ V iir+ 5 C~ Moor/CM INC • Construction R-Valttc • 3 1. • Interior air film .0-61 ' 3. AP5UL- 4e4 -Ct~ 1 i~~ !l ! 4. Exterior air file istilll 07 Total OZ • FM •rt s: stttd Hcat flow ' 1. Interior air film 0.61 p _ 2. Std 3• -Z uL 8.3~ • 4. rxtoLio a•ir tilt., (Sti'll • ; - Total 2 9 4.1$ rte. es' . 02-q CoA. ST,*i✓[Ti r1%-,- ' . ' ...,a •.v.• ~,....,t. , 1. Inside air lilrs 0.61 2. 3. 4. S. Outside air film 0.17 Total 1 2 3 4' 1. Inside air film 0.61 Legit floe vp • ,vented 3• • 4. • S Outside air fills 0.1 • • .TIC. ! 6•' • Total 'v 1. Inside air fills 0.61 2 F. 4. x•j"rC.;: , • S. Outside air film O• 17 . r,~. • ~,/e total Notes Use additional %beets if more spaco _ • seeded lot vetsils and calculations Nest • • • . flow up • • 11; r1.;, o opol!U^. µa11 ar~.1 for il'•it:M: ccav,1 ruts sun t'c~n .t t t,ti;•tt t:~•!a tit _--1!J i. 1tt~t•l.i.•~ :11 t 1 i tn: , _ tl,t•~) 6.4 o., a .AiZ- alt 6. kxterivr alt file, 4 Its, to. its u~ FIG. it TO1'V1114 or m _ A. GtI • fltNtl: HAldr 1. 111te r tor_ stir Mm 2. ~►z".~j_.bjL_. .....___.._.__~45 3. I 6•. _ Cxt.c Lu•r i n~ 6at air f il,.t Q. 1'1 Air rIG, 12 )»tCYior _p it film _ _t1•t~•i 0 . rx t r r f r r A i r i i 1►i :1` 13 TO t '94 *4 A 1. tit ,•tiPGi~alr [il~t tt,f,R ATICII 1 o • • ; t. •1_.aJ~Iro• ~ , , .Q. . ,.f,rafttl~us.. b~►,~►.r'rrt~c_ -~-r.-~.-_ `r ; r G. i:xt~~rirr_.,;r. s ►it,«- 0.17 "+ut.t i R X 101 Alt Otk1 IMME • 1 • 40 is • .1. % • • • -•r its y I( r. Flt.. tit i v ' lit 00. • • ;KtTC: Indicate ty••e• "!t" vtlisa, 4101!1% anus F` i ° , . placerwit of in•••rtlation. M',~54• E CITY OF EAGAN Permit No.' Date: 3830 Pifoll Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121, , Owner. Site Address: Plumber. Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: 1 agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: ~ Date: r 3030 Pilo) Knob Road B/P No: 4=1 Dater j P.b. Biw 21199 idgan, MN 55121 Aa. Owner. Vx stonc B14rs Site Address: 1627 Blacks awk- Lake Eta- 13 X42 iackip k (hen III I Plumber: IAkesidc t Plbg 4 MWCC: _ Zoning• City Chg: No. of Units: Acct. Dep: I agree to comply with the City of Eagan Permit Fee: } Ordinances. Surcharge: Misc.: By f r SEWER SERVICE PERMIT s APPLICATION FOR PERMIT :N=% PAYM M OF nZ AT =W Or * APPLICATION DW NOT CON- * ST'I7= A[' Wk= * INSPEICTION OF SEi a + SEWER ANl IPR WATF..¢i CONNECTION * It\1STALIATION~,; SC.EI71.A~ * I.WnL PERMIT APAW=. i+~f~r,rr*+st~te,et! ,fir*A+ C-QC cin T,F= DF=lpTSCN, t YSa a1 Ar . "fax Farce VFW Irp+. jille, R MR-3 7v*aiof- - R-4 A'ARTM=/C43WQN1 s~ aa 44 ri 44o Cg::~4p a f, k b' d i mmnnrr~~ Z DD ' , 77 r f:- 7 777'777 k Y.`z - FTV 4 p" To PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108480 Date Issued:12/10/2012 Permit Category:ePermit Site Address: 1627 Blackhawk Lake Dr Lot:3 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-030 Use: Description: Sub Type:e - Water Softener Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - James T Nikolai 1627 Blackhawk Lake Dr Eagan MN 55122 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA112807 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 1627 Blackhawk Lake Dr Lot:3 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Jeff Greenlun 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 - James T Nikolai 1627 Blackhawk Lake Dr Eagan MN 55122 Perfect Exteriors of MN Inc 321 1/2 Walnut St, POB 297 Monticello MN 55362 (763) 271-8700 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116871 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 1627 Blackhawk Lake Dr Lot:3 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-030 Use: Description: Sub Type:Garage Work Type:Overhead Garage Door Description: 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - James T Nikolai 1627 Blackhawk Lake Dr Eagan MN 55122 (651) 454-6453 Perfect Exteriors Of Mn Inc 321 1/2 Walnut St, POB 297 Monticello MN 55362 (763) 271-8700 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136155 Date Issued:04/27/2016 Permit Category:ePermit Site Address: 1627 Blackhawk Lake Dr Lot:3 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James T Nikolai 1627 Blackhawk Lake Dr Eagan MN 55122 (651) 454-6453 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164033 Date Issued:09/17/2020 Permit Category:ePermit Site Address: 1627 Blackhawk Lake Dr Lot:3 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 - James T Nikolai 1627 Blackhawk Lake Dr Eagan MN 55122 (612) 581-6233 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:Mechanical Permit Number:EA171525 Date Issued:08/20/2021 Permit Category:ePermit Site Address: 1627 Blackhawk Lake Dr Lot:3 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James T & Mary E Nikolai 1627 Blackhawk Lake Dr Saint Paul MN 55122--124 (651) 454-6453 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178291 Date Issued:08/09/2022 Permit Category:ePermit Site Address: 1627 Blackhawk Lake Dr Lot:3 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-030 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 - James T & Mary E Nikolai 1627 Blackhawk Lake Dr Saint Paul MN 55122--124 (612) 581-6233 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature