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1632 Blackhawk Lake DrFOR DECK 5/12/89 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 223-3946 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for t' ?u C l GAw Est. Value *135,0W Date + - 198- Site Address Rt.AC:t`..t LAVE iR ALAr KKNA,t -1 OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy Z(-13 cr FEES Zoning 4-1 W Name i'ABLST&O irk St NE t+x'1,,17:.9 Address .?, i 51 t'" ter . t ? City x.'RrL*x Phone 454-8737 IAI Name . OV ?a Address City Phone UW 0 W Name Address <w City Phone I hereby acknowlege 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 Permitee A Building Permit is issued to: t TMA t) S 1G1' _ IWI on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official (Actual) Const V-N Bldg. Permit 762,00 (Allowable) V-X Surcharge 67.50 # of Stories 181.00 Length ? Plan Review Depth 3' SAC, City 100.00 S.F. Total SAO, MCWCC 5750__ S.F. Footprints ' •" ' On Site Sewage Water Conn On Site Well Water Meter C . C+o MWCC System ; 30. XX Acct. Deposit City Water PRV Required S/W Permit Booster Pump S/W Surcharge • tv0 Treatment PI `00 APPROVALS Road Unit 32 5. 00 Planner Park Ded. Council Bldg. Off. Copies Variance - TOTAL 3, 1 29. 5C Permit No. Permit Holder Date Telephone # WA-WR SEWER III 1 •: U' PLUMBING Ut/ 9 °7/G H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation ???r >F J f O 0 4 5 E - 3 Framing / Roofing Rough PIbg. .3-Z` 8'7 .e4 A Rough Htg. 3 -/ - ? 8M Isul. Fireplace Final Htg. Final Plbg. Const. Meter ' ector - fy P Engr./Plan Bldg. Final s-I;Z?07 1 Gt.? Deck Fig. 0 Q S Deck Final Well Pr. Disp. PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block _ Y - -_ SecJup Res. New Mult Add-on Name m Address City Comm. Repair Phone Name 3 Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE - r_. FOR: CITY OF EAGAN Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING. NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATES/C: GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONES 454-8100 For Office Use Only: Site Address TY 7'9t& RIPTION D S . . PE WORK E C Lot Block f .. Sec/Sqb ' Res. New Mult. Add-on Name ti Comm. Repair m Address City Phone Other Y FEES Name ''" `_ •'- x 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) MINIMUM -1 PER PERMIT) - 1 50 EA GAS OUTLETS . . ( TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ._%M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM PERMIT PRICE GOES (ADD $.50 S/C IF Gas Piping Outlets # BEYOND $1,000) Other FEE: SIGNATURE OF PERMITTEE S/C: TOTAL: FOR: CITY OF EAGAN CASH RECEIPT OTY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 i . RECEIVED FROla AMOUNT J$ _ & _ DOLLARS 100 0 CASH J HECK k ho'; INSPECTION RECORD CITY OF EACGAN PERMIT TYPE: 4J tt 1, ?.. } t, N 6 3830 Pilot Knob Road Permit Number: 02:3644 Eagan, Minnesota 55123 Date Issued: 06/09/94 (612) 681-4675 SITE AiR: APPLICANT: 16,32 to i A (A( 14 A t4f { A): L £,3 # # !;'3 ? 1A 4 0 .1 M f-' S ?? - t 1.Af.KHAWA. [Yt..1'4N ;3{£{? (t;{:' #'3c". ?:.J f4 V VE T SUBTYPE: TYPE OF WORK: t r)4.), -rt NEW }.€i'v rrtf' {t t il1)1«4 t1,A1110 1 FOOT I fN i.', { € At9 14 t FINA. 6it 0 AR! `j S ,:PARA.r4- 4" 0"1 1 6ARI: Of QUIPf It 1 `OU A NV P1.{1M1:41.{NO 00 {,t.{':{„I'{2I{_`At_ 44418 ELECTh bUpWdft t W". comm" F©11flin'?- AV PAM*V ftugh Ptbg. Rough Htg. WW. Firms Fuel H. Oreat Tom Anal Plbg. Peg. Inspector - Notify Plumber Caret. Meter i ~ ice. Fi Do(* Ftg. Dim* Final WON Pr. Disp. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 Alf OFFIC1 USES ONLY PERMIT DATE WATER PERM # 10251 SEWER PERMIT # 11392 METER # B.P. RECEIPT # 90767 DER # 12 6 7 7 Z B.P. RECEIPT DATE METER SIZE S/ /'?a c ?( ISSUE DATE ---?-= PRV BOOSTER PUMP SITE ADDRESS PERMIT REQUESTI LOT BLOCK_/SEC/SUB &'i "0lt.._ &4 3" *d'jj SEWER `:WATER APPLICANT. tQ f}'d'wt ?j GvJ4 f +scc?d? /plc ADDRESS:,.5?/S"! /1A4'4 'd_, CO WIND F CITY STATE /r' ZIPS 7 t TAPS PHONE: `I.a'?` - i737 --n'-NEW -'EXISTWG: PLUMBER: /??•?. Pr ICr ?. ki It I 1 11 ADDRESS: I AGREE TO COMPLY WITH, CITY Ol t CITY, STATE /?, J) J,) 724 /--r ZIP /2 EAGAN ORDINANCES: PHONE: 6?v" 6?7 L OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE 21P PHONE: fiM PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # SEWER PERMIT # METER # B.P. RECEIPT # READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE PRV - BOOSTER PUMP SITE ADISRESS PERMIT REQUESTED LOT BLOCK -'SEC/SUB SEWER = WATER TAPS ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP PHONE: NEW EXISTING PLUMBER: ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: r -" OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 71 C??er#tftrttt? of (!rrupanr° (lCitp of (Eagan frpnthnrut of iuilhing Jeri prrfinn 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 SF . /. RR Bldg. Permit No. 16082 Occupancy Type , j`3/M1 Zoning District RI Type Const. VN Owner of Building -DARLSMCM I 'SIC K ID€S Address 4151 KIBB DR, EACAN Building Address 1632 BLA KHN, K LAKE DRIVE Locality I,2, B 1, 1 BAWi( Cdr' T 3RD ,?L C -, o {/ ?j f Date: MAY 24, 1989. Building Officia POST IN A CONSPICUOUS PLACE BLDG. PERMIT NO. Pee 01-3210 Bldg. Permit 01-3422 Plan Check b ?° ?? r 01-3445 Surch./Adm. R 01-3446 r- SAC/Adm. r i Cod 41-2155 Surcharge 75-3860 Road Unit 20-2275 SACS 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CITY OF EAGAPt 3830 Ptlot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DM/GAR Est. Value $135,000 Date & . I Site Address 1632 BLA?CKIIAWK LAKI AYR Lot 2 - Block 1 Sec/Sub. SLACKHM GUN Parcel No. Name VDAHIJITRON Y E$IGNBR H c Address 4151 B DR. 1100 City EAGAN Phone 454-8137 o Name SAID gg Address City Phone Name Address City - Phone I hereebby? acknowlege that I have read this application and state that the informatfbn is correct and agree to comply with all applicable State of Minnesota Statutes and Ci of E?a?gan O.pintancP, Signature of Permitee A Building Permit is issued to: ?' MI DES I k liter on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 1ES, Zoning (Actual) Const Bldg. Permit 00 (Allowable) 1-. Surcharge. # of Stories P 381 *00 Length lan Review Depth 31' SAC, City 100 400 S.F. Total SAC, MCWCC 575.00 S.F. Footprints W Co 5".00 On Site Sewage nn ater On Site Well Water Meter , 00 MWCC System 30 * ? Acct. Deposit City Water PRV Required X S/W Permit _ I . Booster Pump S/W Surcharge 1000 Treatment Pl 228.00 APPROVALS Road Unit U5.00 Planner --- Park Ded. Council Bldg. Off. Copies Variance TOTAL 3,129.50 DATE 1/26/89 RE: 1632 BLACKRAWK LAKE DR., L2, B1, BLACKBAWK GLEN 3RD Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. T, ,,?Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAt 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. V?ARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTRACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 1/26/89 RE: 1632 BLACKHAWK LAKE DR., L2, B1, BLACKHAWK GLEN 3RD XR Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. 0 dYour Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. .t. Secretary, Building Inspections Dept.' 02 51 X f? ? $ Request Date ! 5 fQ /C' / Fire No. Rough-In Inpsection Required (You mus all inspector when ready) Inspection Other Th ough-In ? Ready Now Will Notify Inspector 1 Yes ? No Date Ready I ? licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Bo r oute No.) l k ? Z a?k w L City Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supplier Address Electrical Contr ctor (Company Name) Contractor's License No. rneown&- Madmg Address ontractor or Owner Making Installation) Authorized ign ure(Contractor/Owner Makki+nig Instal ion ) Phone Number MIN OTA STATE BOARD OF ELECTRICITYt THIS INSPECTION REQUEST WILL NOT Gri s-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ii- 02591 See instructions for completing this form on back of yellow copy. N X" Below Work Covered by This Request ? E13-00001-08 y C> 7S New Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: /. /5710 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: TOT SL Irrigation Booms Special Inspection - Alarm/Communication THIS INSTALLATION MAY ORD DADI5CONNECTED IF NOT 1 0ther Fee COMPLETED WITHIN 1 TH I, the Electrical Inspector, hereby certif th t th b i Rough-in ? , ` Dat? 41 y a e a ove nspection has been made. Final o OFFICE USE ONLY This request void 18 months from E 73912 ?- Request Date Fire No. Rough-in Inspection Required? El No ? Ready Now II Notify Inspector When n Ready? llicensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) f City Section No. Township Name or No. Range No. Coun :`' Occupant (PRINT) Phone No. Power Sur Address Electrical Contr or (Company Name) Con tor's Licenser No. Mailing Address (Contractor or Owner Making Installation) i????"'_' ".r ?K-l=??o•`L? Authori ature ( r lctor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD O 4ECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roo-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Pau, N 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. /rS REQUEST FOR ELECTRICAL INSPECTION Ge EB-00001-o7 OP. See instructions for car?,pleting ibis form on back of yellow copy. 7 3 9 1 "X" Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm it 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 I/ Vol o to 100 Amps Transformers Above 200 Amps Abov Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication Other Fee 47 1, the Electrical Inspector, hereby tif h t h Rough-in F Date3/ cer y t a t e above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address /?Q3 1 c IC' Qj C?{4 ?E? ?.'? _ Unit # Pr t Owner _ _ MO ?C Q (c Telephone # '( 7 y oper THE SNE.LLING CQ'MMFANY, INC. Contractor 1404 CONCORDIA ST. P,'JJL, MN 55104 Street Address Erk _646.7381 City State Zip Telephone # ( ) d #: '? B - I / L? ? ires: Ex Id on - ? p The Applicant is Owner --`- Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace -Additional Replacement New air exchanger air conditioner heat pump other 0 2007 $ 50 State Surcharge . Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a iat_the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla Applicant's Printed Name App cant's Sign tre RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constructlon Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE RemodegRepair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION SITE ADDRESS '4 A*__ MULTI-FAMILY BLDG - Y N TYPE OF WORK__/ O LV FIREPLACE(S) , 0 - 1 2 APPLICANT STREET ADDRESS Cr'- CITY. TELEPHONE # CELL PHONE # AT5 ___ ZIF1'7 FAX # PROPERTY OWNER Tu? G 1c TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • • Energy Envelope Calculations Submitted Plumbing Contractor: __ Phone # Plumbing system includes: Water Softener Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: Air Conditioning Heat Recovery System Sewer/Water Contractor. Phone # ,IUI. 0 12002 Fee: $70.00 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 Or an es Signature of Applicant OFFICE USE ONLY Certificates of Survey Received „ Tree Preservation Plan Received Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of __ piex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or - N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Aft - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. -Air Test Insulation REQUIRED INSPECTIONS Final/C.O. _ Final/No C.O. Plumbing HVAC Other Pool , Ftgs _ Air/Gas Tests - Final Siding Stucco _ Stone Final - Windows (new/replacement) Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1632 BLACKHAWK LAKE DR LOT: 2 BLOCK: 1 BLACKHAWK GLEN 3RD P.I.N.: 10--14352-020-01 DESCRIPTION: (SOLARIUM) Building Permit Type SF ADDITION Building Work Type NEW C? ')-lo BUILDING 023544 05/09/94 REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK i FEE SUMMARY: VALUATION $9,000 Base Fee $108.00 COPIES $5.00 Surcharge 4.50 Total Fee $117.50 Subtotal $112.50 CONTRACTOR: OWNER: - Applicant - MCDONALD JAMES 1632 BLACKHAWK LAKE DR EAGAN MN 55122 (612) 452--6174 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. APPLICANT/PERMITEE SIGNATURE ISSUED B SIGNATURE? k CITY OF EAR 1 994 BUILDING PERMIT APPLICATION MOVED 681-075 ++ ++ ?,? AI 0 2 1994 F( SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,, Py of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I 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, Z) address is changed or 3) lot change is requested once permit is issued. Date Z-- / .. I ... Valuation of work 1411060 Sit* Address: t"32 & LacL k&ZU.Q 1G, Ut" .- STREET Tenant Name: (commercial only) LOT BLACK 18U8&ioiJi&LAJkixI P. I.1), gg?mriRtLSn of work: ttAM The applicant is: Owner 0 Contractor 0 Other (a albs Name line„, 6 [ LAST FIRST r Address ?a. STREET STR City State t .. Company Phone Contractor Address License Exp. ...r.,_. City State zip Company Phone A?rchlte? Engineer Name Registration Address ?:.. City State Z"ip ,Sewer & water licensed plumber , Processing time for sewer &: water permits is two days once area .:as'been approve . 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: BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF tom. W 03 SF Addition El 04 SF Porch ? 05 SF Misc. WORK TYPE ,R 31 New ? 32 Addition OFFICE USE ONLY ? 06 Duplex O 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. ? 33 Alterations ? 34 Repair - GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck O 35 Tenant Finish ? 36 Move ? 16 Basement Finish ? 17 Swim Pool O 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous O 37 Demolish Const. (Actual) ) Basement sq. ft. MWCC System (Allowable 1st Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pun # of Stories Footprint Sq. ft. Fire Sprinler Length On-site well Census Code %.,,_ Depth On-site sewage SAC Code Census Bldg APPROVALS Census unit Planning Building Assessments Engineering Variance REQUIRED INSP ECTIONS D site ? Footing t$ Framing ? Insulation C3 Wallboard )Z Final ? Draintile ? Fireplace Permit Fee vait4tton: $ ,mao Surcharge Plan Review ( Z,F z5 k 30 .©o? License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge T reatment P1. Road Unit Park Ded. Trails Ded. Copies WT. 00 Other Total : SAC % SAC Units IArr le 'e? 6EV 1[341£5 F ?41LL 1,a: IE- tj:612 k?"'' •" y /? MINNA CORP_OBA lON iURVEYOf'S CERTIFICATE lttvtSEC 9-ap,Pr ro SiwW PROPOSED 1S?1J app pgtll%OM ocsocR HOMES 034.4 w BLACKHAWK POINT 1 INCH= 50 FEET I I 1 LOT 2 fSy e d N OD 1 I I DRAINAGE a Unurr ' 5 1"A SEA r PE/7 P"r !Y9 gts ) I f. r # N0al3'39"E James R.HiI c inc. PLANNERS r ENGINEERS / SURVEYORS 0401 JAMES AVE 5 • 3LOOMINOTON, NN 85431 • 012-84"4•3020 M I ` V PROPOSED I u I DRIVEWAY ?S O ANT T69" 3 ? / GAR/ qpg PROP03Qo !Q ?:I ?,/ HOUSE Ckqr 31_44 r ?? I ?'?? (Booo? . 1. ''1 S 3 9, S ?`?` ? t ID ? I M a'ZGI Ir%11 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $135,000 16082 Receipt # 1 a 7-? Date 1989 Site Address 132 BLACKHAWK LAKE DR Lot 2 Block Parcel No. W Name DAHLSTROM DESIGNER HOMES ' Address 4151 KNOB DR, #100 00 City EAGAN Phone 454-8737 z0" Name SAME 0004 Address of City Phone vrz Ww Name Address W City CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 Sec/Sub. BLACKHAWK GLEN 3RD Phone I hereby acknowlege 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 O hyancep. . _ g Signature of Permitee /off!'"`'`Z j -C e A Building Permit is issued to: DAHTSTROM DESIGNER HOMi on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 M=1 FEES Zoning RR1 (Actual) Const VN Bldg. Permit 762.00 (Allowable) Surcharge 67.50 # of Stories 381 00 Length Plan Review . Depth 31' SAC, City 100.00 S.F. Total SAC, MCWCC 575.00 S.F. Footprints - 550 00 On Site Sewage Water Conn . On Site Well Water Meter 90.00 MWCC System XX 30 00 City Water XX Acct. Deposit . PRV Required XX S/W Permit 20.00 Booster Pump S/W Surcharge 1.00 Treatment P1 228.00 Road Unit 325.00 Planner Park Ded. Council Bldg. Off. Copies 0 Variance TOTAL 3,129.5 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 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: .SF ' ?kJ Gar Valuation: 3S 000 Date: 3 4 Site Address /4 X /3L4C' M - C L4/'-,r dR, OFFICE USE ONLY Lot 'Z- Block __7 } Par eel /Sub ????K?I? •(? Owner Address City/Zip Code Phone Contractor 'Dc/ Address 111,3% 1<A'oi3 D2 '/.Do City/Zip Code SJ % L Phone ql?-y -" 73 7 Arch./Engr. Address Occupancy 3 , / Zoning M?`1 Actual Const ?/?1/ Allowable V4/ # of stories Length Depth 3 / S.F. Total Footprint S.F. On site sewage On site well MWCC System t/ City water PRV required ` Booster Pump APPROVALS Planner Council Bldg. Off. 11(q Variance Council FEES Bldg. Permit 7? Z Surcharge & 5' Plan Review 32/ SAC, City _/00 SAC, MWCC Water Conn 5 S 0 Water Meter 0 Acet. Deposit 30 S/W Permit S/W Surcharge / Treatment P1. Z 2 Road Unit Park Ded. Copies TOTAL 6 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 Hail. zkz? ?5A- /s, ?- 4r ?3 ? c3f3 SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 1.9.89 TO SHOW PROPOSED HOUSE KR DAHLSTROM DESIGNER HOPES. P.R.V. REQUIRED N I l-8q we DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET , SCALE: 1 INCH - 30 FEET i DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR -- aqo 3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 3t,(, FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 844o, 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 THIS I I TH DAY OF JANUARY .1989 nPrnuv SIGNED: JAMES Jt.MILL, INC. CORPORAT 101`1 SI fly: BY:O,ea HAROLD C. PETERSON, LAND SURVEYOR DATEn' MINNESOTA LICENSE NUMBER 12294 M 0 r 0 tD D 00 I _ 0 Rm -'m N? -e O1 ta mz d 0 -n :0 0 > ro Q I m ca 8 ? m James R. Hill, inc. PLANNERS /ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 l j . - j=3 4-18-'8? ?.ED 14:4'? II!:JQ7€S P HILL It*: Tim rn:612 SURVEYOR'S CERTIFICATE SIENNA COapoJoN REVLSEO 1-9-gsLST ROM PRDPOSEp "'OX* l p,p?i DE; R MO n ?3l.t Q •S6J6 122 - 87 )In 17 p •x a 1 1,511 l I--_ I I w 0 co N LOT 2 N M 'Y r.? _-J r.,, .•-iyr. aA n s- Ir Ir r" "+ N 0° 13'3V E 6LACKHAWK POINT i Ma+= 30 FEET SIM Z n C? m EVEN James R.HIII, inc. PLANNERS / ENGINEERS . 0401 DAMES AVE 3 • BLOOMINGTON, MN. 55431 • 812-884-.02Y FMPOSED DRIVEWAY 3 0 ?F93 - ANT. ?? leaao ` ?-ZTS9? n GARAGE , PROPOSED t MOUSE ( 3q.5) P.R.V. REQUIR EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE OWNER lAtlcl -L- ??L ???L .? -• =? SITE ADDRESS /6 ,?'? /?c.?cY , L- ?`. ().ei?r? Cz/ ,3u??Ke????«-G?? `3? CONTRACTOR p.4f4 .f a,A1 PHONE S -g,73 y 1. Total Exposed Wall Area . . Sq. Ft. X 2. Total Roof/Ceiling Area . . 1 (?6k7 Sq. Ft. X .026 = 3. Total Floor/Cant. Area ?c00 Sq. Ft. x .05 = 3?C0 Total Exposed Wall Area Above Floor = 00 a. Total Wall Window Area. . . . . . . . . . 12-t M! b. Total Door Area . . . , . . . . . . . . . . 0 ti7 c. Total Sliding Glass Door Area . . . . . . 10 6-0,71 d. Total Fireplace Wall Area . . - . . . e. Total Wall Framing Area (average 10%) f. Total Net Wall Area Above Floor . . . . . g. Total Rim Joist Area. . . . . . . . . . . ?/- Total Exposed Foundations Area = (12- 6!v h. Total Foundation Window Area . . . . . 3-h?v i. Total Net Foundation Area Above,Grade Determine Working Square Footage of Each. Determine "U" Value of Each Wall Segment. a. X "lull 3 2 - b. 4o, &-7 x " u" p = lt? c. 10lo. -71 x "lull d. X "U" e. c7, 4- X ""u" O = _ f. f X "U" g. 4 X ,"Ull = 5, S h. 3, 6(o X "full i- 1 ,00 X "U" SUBTOTAL 4. TOTAL = 2 4' If item #4 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. Total Exposed Roof/Ceiling Area ____ _ j. Total skylight area . . . . . . . . . k. Total flat roof/ceiling framing area 1. Total net inslted flat r oof/ceiling area M. Total vault roof/ceiling framing area-10% n. Total net inslted vault roof/ceiling area Determine "U" value for each roof/ceiling segment. j _ x "U" _ k. Coo x "u" - 2- 1 . 1 x "U M. -. x " U " n x "U" -"_ - _ - _-- --_ 5. TOTAL If item #5 is the same as, or less than item #2, you have met the intent of SBC 6006 (c) 1. Total Exposed Floor/Cant. Areas (19,00 o. Total floor/cant. framing area (avrg. 10%) Ga,OO p. Total net insulated loor/cant. area . . . --/_s .00 Determine "U" value for each floor/cant. segment. 0. x Pluto P x U 01 ---- 6, TOTAL = r?? If total of #6 is the same as, or less than #3, you have met the intent of SBC 6006 (c) 3. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items #4, #5 and #6 shall not be greater than the sum of items #1, #2 and #3. 2. ?55, [ 3 . _ = 3 32 -cP 4. 2 3? • ?O 5. 2-4 "l I 6.- Prepared I- By Date . x• Total Exposed Wall Area Above Floor a. Total wall window area . . . . b. Total door area . . . . . . . . . . . c. Total sliding glass door area . . . . d. Total fireplace wall area . . e. Total wall framing area (avrg. 10%) f. Total net wall area above floor . . . g. Total rim joist area . . . . . . . . . Total Exposed Foundation Area Total Foundation Window Area Total Net Foundation Area Above Grade Determine "U" value of each wall segment. qq2 ,aa . . k t 70 a. tO 70 x "U" 3rj?- _ 3r2,7' b _ x "U" _ -- c. -? x "U" _ d. _ x "U" --- e x "U" f. 01O(. 27 x "U" g. _ (02 q 2 x $tu" 4,11 h. x "U" _ -- i . ?- -- x RU,, SUBTOTAL = -7 / (?/ _ I 1999 BUILDING Construction R ui nts PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 2 ^?_a RemadellRepair Requirements C5 J ?T # 3 registered site surveys 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) i I energy calculations # 3 copies of bee preservation plan if lot platted after 711(93 required: _Yes ` No DATE: DESCRIPTION OF WORK: -?ZlyC/ll?ll STREET ADDRESS: A? - '0 ? 2 copies of plan # I site surveys (exterior additions & decks) # 1 energy calculations for heated additions CONSTRUCTION COST: '6'e6' -As LOT: BLOCK: I SUBD./P.LD. #: Name: /,/ z o 0 ? r/j ? Phone #: %4 PROPERTY Last First OWNER ???1 ??/9G'h'' ?J9 kE Y`/ Street Address: City State: 1;el? Zip: s UGLE Company: U a 1-:5 /e Phone #: t? J 1 ? CONTRACTOR t QQ ??,, Street Address: License # Exp. _ City 62c'A 41State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Street Registration #: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and lot change is requested once permit is issued. 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: t, 9 OFFICE USE ONLY Certificates of Survey Received Yes Noy 151999 Tree Preservation Plan Received Yes No Not Require OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 --- -plex WORK TYPE 4 31. New ? 32 Addition ? 33 Alterations ? 34 Repair 1? t y jl. ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code -3 Z- SAC Code 0/ Census Units Census Bldg 43 MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance Permit Fee ?.;?3,Z5 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Park Ded.. Trails Ded. Other Copies Total: -.2 f1 7s. Valuation: $ l?? ?4 % SAC SAC Units II':JAMES R "!LL 1?A_ 5 Y RVEYOR'S CERTIFICATE BLACKHA •>N.• a (?\ --4 0,2&-f 111 "?OP'OSED e DRIVEWAY I Q ? Tc ra: 61z t1r +-??? . M Cba/o,o i• _ d - X7.69 1 in GARAGE PROPOSED K1 ?L..._ MOUSE M w z 42 tV LOT 2 N DR.,a1N4Gr a Lr trr s sasEMlwr PEA Aur rr.;4 N0013'39"E O _II 1 ? 1Y 4A) 74 o ys ' J jI 1 W-is i r BL•ACKHAWK POINT 1 1"W it SO fEET James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS D401 JAMES AVE 9 • R-LOOMINCTON, MN. 58431 • 012-884-30" SIENNA GUMP-OR&IJUN W OUSE MR DApHeLSTROM WDE IGI?J R HOMES Equipment Specifications Date Customer Address Phone/Homne S Office Submitted by Valley Pools Inc. POOL DATA fy f? Pool Size Turnover Rate Hours Surface Area_?; Filter Rate 20 GPM / sp. Ft. Capacity . Rate of Flow Perimeter's Piping Data: Suction: PVC schedule 40 & 100 Poly NSF Return; PVC Schedule 40 & 100 # Poly NSF Mainfold: PVC Schedule 40 & 100 Poly NSF Filter__ Sta-rite Pump & Motor Sta-rite Skimmers- Hayward Inlets Hayward With Dr- Flow Ftgs. Main Drain' Hayward Chlorinator <? - Discharge Hose Vinyl Thermometer- yes Pool Heater 1; `` ,,, Diving board Slide ',- Ladders 3 step S/S Grab Rail Stainless Steel Steps' Pool Lights Deck Box Vacuum Kit - Yes Maintenance Kit _ yes Water test Kit Bio- Guard Safety Deck Work Electrical Gas Line Fencing work Retaining Walls .? ` Pool chemicals -' Solar cover -yes Winter cover - yes Other 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN `? ? ? ?.?,?????-rte --? SINGLE FAMILY DWELLINGS 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 & S 1 SET OF SPECIFICATIONS AND 1 SET To Be Used For : Valuat TRUCTURAL PLANS, OF ENERGY CALCULATIONS ion: Date: 'WAY 0 41M Site Address OFFICE USE ilium ONLY Lot off. Block Occupancy FEES Parcel/Sub JAG( tI 6L•ct•i 3Rv - Zoning NActual Const Bldg. Permit e- f? ? A ` Allowable Surcharge Owner c ? J C??Iia 7?^ A # of stories Plan Review ' k " Length SAC, City Address /C$ ,, ,6 .4c W Depth ?, SAC, MWCC ?- %V" 5'94 04 S.F. Total Water Conn , City/Zip Code &eov j , 0 Footprint S.F. Water Meter Acct. Deposit Phone 1}Ac,$ On site sewage S/W Permit On site well S/W Surcharge Contractor ? I-"la (aeve?) MWCC System Treatment Pl. City water Road Unit Address PRV required Park Ded. Booster Pump Copies •.b?- City/Zip Code TOTAL APPROVALS Phone Planner Council Arch./Engr. Bldg. Off. ??-5/10 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. P I I 0 I L LP fl (I :' i (I a ~ 9n ?P i. CC `ttt to PERMIT City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Permit Type: Building Permit Number: EA034757 Date Issued: 03/30/1999 Site Address: 1632 Blackhawk Lake Dr Lot: 2 Block: 1 Addition: i K44, NmA, 4 Description: Sub Type: Pool Work Type: New Description: In ground Census Code: 329 UBC Occupancy: Construction Type: Zoning: Square Feet: Remarks: Plan reviewed by Wayne Miller. Separate permit required for any plumbing work. Call 612-445-2840 regarding electrical permit and inspections. Fee Summary: State Surcharge Base Fee Valuation: $13,000.00 6.50 223.25 $229.75 Owner: Jim McDonald 1632 Blackhawk Lake Dr Contractor: - Applicant - VALLEY POOLS INC St. Lie.: 651 CLIFF RD BURNSVILLE, MN 553370000 I b12 94146U I Ea an Mn 55122 651-452-6174 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. I Applicant/Permitee: Signature Issued By: Signature CITY or EAGAN 03/130/sw -W: 15:130? pA"E% 11 1W VALLEY POOLS 55 ^4• .'•r') {,''i 1.?..Y•t::,f''r.:y 1._[,t 9001 t 05 21 , -in r, vTTEIRS; A , 223 M55 4; i. 9001 163E BLC1•;-1-41n{ •.. - 223.25 56 ;VK ' 4 699 BI 'K 90W 22 . . . 459.50 Receipt Amount,: Total USER M NANCY      ó  ÿ    ò    ÿ þýþýüþþ     ûÿÿ þòúüó ùñðôñïñ ïòøñî ðîíïï    ù  ÿþýüûø ç  þýü ûþýüûø ç ùøç üô  üú    ðîðàüý Ý  Üê ôüáô òòôÜ ô ÿô ä õ øøü õõô     üäõõ üõ ä ÿôâ Üÿýø  õôýòô ä  êåîÚåëëäíëäðëí øû  ò  ÛåîÚåäíäïí Ûîä  ÷ö ù õô üü üâ ý  óô ÷ í ò áû ìîïòø  á÷ùííîì ÷ùííïï éìíæìëëïãî òÿýø ò òáò üü òòõô  ôüýøòüüÿ  õ÷   ýõ à ä üüç ý             ÿþ ÿþþ  ýüý     ûþþ ú  ùø÷öøõøÿ         ÿþù  ýüûúùø  ÷ö ñ üúùø  ÷ ÷ö õ öô ø ó    òü ñ üñ  íüøù ðÿ ýïü  óø ì ó  ó  ïü ó    û  óëê ÿø ÿþê ê óÿ  þ ø ëñê êø ê ë ñ ûóé      ïü ûùÿ êóùó ë  î ç æçååëåëå ôû  ýü  çëäëä èü þë  óòñ ù ðö øø ø é  âó  ã äýü  á   ü ÿãõ àáßáååÞ ä  ûù ÿ ì  øø  ê ó ÿ óøùøøû ý  êã ýü ñùê ÿí  ë øøö ó ýÿü ü ùýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA114178 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 1632 Blackhawk Lake Dr Lot:2 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-020 Use: Description: Sub Type:Reroof & Siding 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 E Mcdonald 1632 Blackhawk Lake Dr Eagan MN 55122 Smart Builders Inc 7001 Garland Ln N Maple Grove MN 55311 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 rC ( CV C,I Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: U0 © 0 Date Received: } '2D6 - Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please sub7i3 1 two (2) sets of plans with all commercial applications. fin ate: f Site Address: /652- t% C kh e, k Lm k D Tenant: Suite #: SVA arC Name: Ti r'1 Pie O -7 G Phone: 4.0 l— VSA _0/ 79 Address / City / Zip: 5'17 Name: THE SNELLING COMPANY, INC- License #: Address: 1400 CONCORDIA City: ST. PAUL, MN b5104 State: Zip: 651 616-7381 Phone: Contact: Email: New /Replacement Additional Alteration Demolition Description of work: %l C / /4 6-- C 't' 1 &5,�`•�.r.,5'e/k `Y �`R -®b R 4 f 3 ®� 6 a �! E E �k ® �d X88 ®� 9 ;&,, RESIDENTIAL — Furnace Air Conditioner Air Exchanger COMMERCIAL New Construction _ Interior Improvement _ Install Piping Processed Gas Exterior HVAC Unit Heat Pump — ground Tank ( Install /_Remove) Other _Under/Above RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)/% _ $ v TOTAL FEE $100.00 Residential New (includes $5.00 State Surcharge) COMMERCIAL FEES $55.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract ***If the project valuation is over $1 million, please call for Surcharge = $ Surcharge* Value x $0.0005 = $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in Eagan; that I understand this is not a permit, but only an application for a permit, and work i with the approved plan in the case of work which requires a review and approval of plans. Applicants Printed Name ance with the ordinances and codes of the City of out a permit; that work will be in accordance x Applicants Signatur r For Office Us• /� C, 05 , i• � :::: : 1 20' Date Received: /0/t1 19 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(&citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t K4r1 Site Address: 76 3 t2 24Unit#: 4..Q/* -_ • Name: 4k/= ��✓ L Phone: /2 799 Y32 Resident/ Owner Address/City/Zip: 74 3 .2 6A<i((___G2q_,,r/E Lc ' ©Attie Applicant is: Owner Contractor Type of Work Description of work: 4e eKf Q .� o c,r Construction Cost: C2O0 Multi-Family Building: (Yes /No �) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orr I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl s. 3-7\01-1zS to +�5 _ Applicant's Printed Name Appl' ant's Sign ure PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160156 Date Issued:02/19/2020 Permit Category:ePermit Site Address: 1632 Blackhawk Lake Dr Lot:2 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James J Jacobs 1632 Blackhawk Lake Dr Eagan MN 55122 (612) 799-4384 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163910 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 1632 Blackhawk Lake Dr Lot:2 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-020 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 - James J Jacobs 1632 Blackhawk Lake Dr Eagan MN 55122 Corbin Exteriors Llc 1115 Southview Blvd South St Paul MN 55075 (651) 760-3116 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170471 Date Issued:07/06/2021 Permit Category:ePermit Site Address: 1632 Blackhawk Lake Dr Lot:2 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: 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, 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 J Jacobs 1632 Blackhawk Lake Dr Eagan MN 55122 (612) 799-4384 Dubois Design & Remodeling Inc 715 St Croix St Suite 14 River Falls WI 54022 (651) 458-0844 Applicant/Permitee: Signature Issued By: Signature