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4010 Blackhawk Rd, . -J? +:' w • ?.x CtL'ttfiCQte of CCC1tpQIiC? Kit? of Ofagan Zepartment of Zuitbing ?u??ec#ion This Certificate issued pursuunt to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various orrtinances of the City regulating building corrsrruction or use. For the following: Use (,'lassification: SF DC Bldg. Permit Pto. 23151 . t7ccupancy 7j/pe R3 11 Zoning District F'il Type Const. V1j o,.ncr or suiiaing IVEW DZFMTClN BM naaress 1635 COON RA,PMS ?if ._ttD, !Yxg+t R.aptnS Building Address 40 I0 BLACKRAW, ROM Dwe Buildiag OfFiciay / POST IN A CONSPICUOUS PLACE Address 4010 Br.AQU1A4K R An Zip 5512 2 Le?t •? 2 Blk j Sub nEE41awx THESE 1TEMS WERE / WERE NOT CC?MPLETE AT THE TIME OF THE FINAL INSPECTION. -- Date: Yes No Inspector: Final grade (6" from siding) i/ Permanent steps (garage) V? Permanent steps (main entry) ? Permanent driveway Permanent gas Sod/Seeded grass VII" TraiUcurb damage Porch V" Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or instaliing underground sprinkler system. ` ?Q White - City Copy Yellaw - Resident Copy Pink - Contractor Copy %V ? 63 548 a ,? ?`Q2v Request Date Fire No. ?. Fugn-in Inspection o ed? ? / Requir o " ?Ready Now ? Will Notify Inspector n Read ? Wh 1 Yes '?No 1 y e I'xlicensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City k-? Section No. Township Name or No. Range No. County &'k Occupant(PRINT) Phone No. Power Supplier Address Electncai Contracror (Gompany Name) Contractor's License No. G 4r- Mailing Address (Contractor or Owner Making Installa6on) sc;U5 2_-7-i,-, ,4V'-e, J O.. rip)3? Al S-S f / Author¢ed Signature (ContractonOwner Making Installation) Phone Number ?j 7v MINNESOTA STATE BOARD OF dLECTRICITY .. THIS INSPECTION REQUEST WILL NOT Griggs•Midway Bldg. - Room.S-Y73 BE ACGEPTED BY TNE STATE BPARD 1827 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ???/Q? REQUEST FOR ELECTRICAL lNSPECTION J ? See instructions for compl2tin this form on back of ellow copy. ?R *? S Q, R "X" eelow Work Covered by This Request EB•00007-08 s?? ??q7p5 ? ew Add Rep. _ Type of Building Applianc'esWired EquipmentWired Home Range Temporary Service Water Heater Electric Heating AB% lding D ryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: ? >i/? /c Compute Inspection Fee Be/ow: # Other Fee # Service Entrance Size Fee # Circuits(Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ' Transformers Above 200 Amps A Amps SIgnS Inspector's Use Onry: x O , TOTAL Irrigation Booms ?/ ?..Q?, ? Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DiSCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°ugn•'" Date certify that the above inspection has been made. F, nai ? Date /?'-?' OFFICE USE ONLY This request void 18 months irom ?"M 4 5 Cg Request Date Fire No. spection y NOTICE: You Must Call Electrical Inspector If A Rough-fn Inspection i R ? No es red. Is equ I icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or fioute NoJ Ciry 4y00 6?--AC HAu a kfj. G?G-'A;J Section No. Township Name or No. Range No. County ??K ri A Occupant (PRINT) ,Lf ! ?en ? P Phone f•Jo. ??? ?a-7 06 Power Supplier Address 1?3 0? ( TO P ?- - ? Electrical Contractor (Company Name) Contracior's License No. f_°, A :X%3`33 Mailing Address (CoMractor or Owner Making Installation) ?F- ? ALOA ? t+???F ???1/?i°?!f?tlV 141r,) Authori ed Con ctor/O ner Making fnstallation) tur e ( Phone Number r ?? -? 18 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BYTHE STATE BOARD 1821 University Ave., St. Paut, MN 55104 . UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ?J g??, REQUEST FOR ELECTRICAL INSPECTION l_ ???? See instructions for completing this form on back of yellow copy. M "X" Below Work Covered by This Request E8-OOQ01- .: t ? ew d Rep. TypeofBuilding AppliancesWired EquipmentWired ' Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm.llndustrial Furnace Oiher (Specify) Farm Air Conditioner Other (specify) Contraotor's Remarks: s ? , 0fpF b Iv' F w ?0 L iT{l Compute lnspection Fee Be%w: 150 4, c ? # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 10 Amps Transformers Above 200 Amps Above 100 Amps SignS InspectoPS Use Only: OTAL ? Irrigation Booms ? ? ? ? a7? Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORD CONIVECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough•in k oatt4 t certify that the above inspection has been made. Final ?? Date ? ? OFFICE USE ONLY This request void 18 months from i - T 0-S 1-003 9,5 Request D te ? ??S ?? Fire No. Rough-In spectlon Required (You m t call inspector when ready) tnspection Other Than ugh-In 0 Ready Now Will Notlfy inspector Yes ? No Date Ready i? licensed contractor 5Lwner hereby request inspection of above electricai work at: Job Address (Street, Box gppoute No.) ??xxzw?? ?Qlo 10 City Section No. Township Name or No. Range Na County Oac t (PRINT) Ar?Q rckOnG.. phone No. Power Supplier Address Electrical ontractor (Company Name) Contractor's License No. Malling Address (ContracCOr or Owner Making Installation) ? V l.r-- Auth . rize S' natura (Contractor wn akin Installh'', -??f<?,1 Ph e Number ICITY LESS SEDOPERNSPECTONBOEEIS University SMN 8 510A IIII?????I??II11??7???il?llllllfl?I?f?fIl?Ilii??fl UN' T Phone REQUEST FOR ELECTRICAL INSPECTION ' , See instructions for completing this form on back of yellow copy. K"X" Below Work Covered by This Request EB-00001-09 4/U1?-?_/ New Add 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 s: Compute Inspection Fee Below: j # 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 SI 11S Inspector's Use Only: L7 T Irrigation Booms ? ?L/ Special Inspection Alarm/Communication THIS INSTALLATION MAY B RDERE DISCONNECTED IF NOT Other Fee COMPIETED WITHIN 18 M T S. I, the Electrical Inspector, hereby it Rough-in oat cert y that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from PERMIT i `CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ! SITE ADDRESS: PERMIT TYPE: Permit Number; Date Issued: 4010 BLACKHAWK RD k.OT: 2 BLQGK: 1 DEERHRWK P.T.N.: 10--19910-e20-01 04e? 5 Rld g/3-1 BUILDING 027791 06/07/96 ? DESCRIPTION: Permit Type 40,r, k 7 y p e I REMARKS: I FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: ? I hereby acknawl atnfivrtnation is. ? ? Statutes and Gi2 $45.00 .50 $45.50 APPLICANT/PERMITEE SIGNATURE bbbl- _ DECK ldEW 434 ALT. RESIqENT'IAL OWNER: - Applicant - BARANONA CARL.QS 4010 BI.ACKNAWK Rq EAGAN MN 55122 (612)452-9137 !SS D B SIG T E - ?- CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMiT APPLICATION (RESlDENTIAL) 681-4675 New Construction. Reauicements @ginodeUReRair Reauirements Y K ' PJt,?? ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured ind. design; etc.) ? 2 site surveys (exferior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1l93 required: _ Yes , No DATE: CONSTRUCTION COST: DESCRiPTiON OF WORK: STREET ADDRESS: ???D_ &6(lhatje kd LOT BLOCK _I_ SUBD./P.I.D. #: t 1 AlXd Z 6 Q f?f?? ???Z 913 7 PROPERTY YV? G Name: S Phone OWNER 1A5' "RS' LIQID , Street Address: City: 1?5LqaAt, State: Zip: CONTRACTOR Company: Phone #: Street Address: License #: City: Sta#e: Zip: ARCNITECTI Company: Phone #: ENGINEER Name: Registration #: Street Address- - - City: State: Zip: Sewer & water licensed plumber: change are requested ance permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this app(icafion and state that the i ormation is correct and agree to compiy with a!I applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: ?i"'?`??• ? "' ?' "`???fi? OFFICE USE ONLY Certificates of Survey Received Yes Tree preservation Plan Received Yes [R[ECENEDD No ? M AY 3 1 1996 No OFFICE USE ONLY BUlLDING PERMIT TYPE 0 01 Foundation ? 06 Duplex 0 02 5F Dwelling ? 07 4-plex ? 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-p{ex ? 05 SF Misc. a 10 _; plex ' WORK TYPE ' ? 31 New ? 33 Alterations o. 32 Addition o 34 Repair GENEFtAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # af Stories Length Depth APPROYALS ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. o ? 13 Garage/Accessory o 0 14 Fireplace o )w 15 Deck ? 36 Move 0 37 Demolition A ,a A? ? , ..+sz., 16 Basement Finish 17 Swim Pool 20 Public Facility 21 MisceNaneous Basement sq. ft. MC/WS System Main levei sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump de C C sq. ft. . o ensus Footprint sq. ft. SAC Code ? Census Bldg _ Census Unit 62 Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC . City SAC . Water Conn. Water Meter Acct. Deposit SNV PeRnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ? ? e ? ' ` ??---- --- - , ?'?-- a b' ` ? t , ??- ? 311;?i? ? . ? : ? --- ? ' . ?{.0, ; ? ?-_ ; , ? ?---? -- :.??t- ?, • _ ? ? ? ? ? ? ? ? . ?5 w,? ' ,a?i* ? .• ?• ?! " ?.. ? ? , . y?' { , ta v ? ? s , ? . ? ?3 r- ? ? ? ? • ,? ? ? ? ?G oi o h&wk '.8 1 dr, lqqq I 4 ? CITY-OF EAGAN ! 3830 Pilot Knob Road ? Eagan, Minnesota 55123 (612) 681-4675 - ,? -? -? -e--?-- PERMIT PERMIT TYPE: Permit Number: Date Issued: ? U 1-9 - r ?? ?-? 023151 @3f28/94 SITE ADDRESS: 4010 BLACKHAWK RD LqT: 2 BLQCK: 1 ClEEF2HAWK P.T.N.: 10-19910-020-01 DESCRIPTION: sF awG NEW R-3 M-1 V-N R-1 42 49 1 ?? ? ? agan I REMARKS: s & w PLBR - FxRsT cHCarcE PLBG ' FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee 5ubtotal vALuArxoN $89,000 $590.00 MZSCELLANEOUS $383.50 Tatal Fee $44.50 $800.00 100 1 5.00 `v1 9 823 • 00 1 828.50 $3,651.50 CONTRACTOR: ~ ApPlacant - sr. Lxca OWNER: ? NEW tJIRECTIpN HpPiES 17572700 0008386 NEW pIRECTIqIV HOMES 1635 CqC1N RAPIpS BLVD 1635 CQfliV RAPIDS BLVp ? COON RAPIDS MN 55433 CQqN FtAPIDS MN 55433 , (612) 757-2700 (612)757-2706 `eby ac k nO-lwle dc?e. t R?a`ti6 n i-s ta?r,???. ite s 6-nd t?: c?.? ???:?art t7 --v t(VIA R.:A1 l1-9 ( SS ED B SI NATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: s uILDItv G 3830 Pilot Knob Road Permit Number: 023151 Eagan, Minnesota 55123 Date Issued: 0 3 i 2 8/ 9 4 (612) 681-4675 SITE ADDRESS: Lo rt: 2 BLa c K: i APPLICANT: 4010 BLACKHAWK F2D NEW pIRECTTON HQMES pEERMAWK (612) 757--270e PERMIT SUBTYPE: TYPE OF WORK: S F DWG NEW INSPECTION FOOTTPIGS ., . FOUNpAT'ION .. FRAMING FtOpFING INSULATION FZREPLACE RpUGH IN PLBG RQUCaM IN HTG " FINAL PLBG FINAL REMARKSs S& W PLBR - FIRST CHQIGE PLBG 7-1 4 C? OF 9A.. L;J t J"o fofvalty appli8s; 1) wh4fl Q@1'qtit 1 140 0, iS tyj??, bL4t ?1fcked, uo by -last wor"kint°ol"Y ill #??ch. ?BQt1$$t iS made, +C} Sftdl^eSs? IS_ chaCtged or, 3) lot? L??l"S,_ µ . ?rluatian crf r?€tr ,C?? k ?t Site Ad+dress: ;: gt'REEt' +: , ?t?TE ? 14,ndnt Natle: (Commel"CiBl QTfly.) ., ' d.1fr*+e?+k 0: . WT GK ? ISLO $?38D • .??C?r" ?Ihc+.v?t?. ? • ?' . ? . D . ?k ` _• {w?i. . ? Y r !M . . - . . . . ?' ? ? , . , . ? } ??. icant is: t? twner ? ?ontractor ? fther (aft??lt* Name PM' "ity ?ast ?t?tst Oiltno!` Address ' sTFM ; t City State Zip ? Company ? ?. ? , ;??3t'?'?'????t' Address ?,.?„ ?I '? ,??..., ??• .... ? k ? . . .. /? V I ty ' . .. . . . State.W?W????M??Ww+!YWw'wAeqYl?, Zi?,F" V . .. .. . . . Y?any . . .. . . . . . ' . . , _ _, *. _ M1 . .. ? "f ????? .. .. ' , ? 4 . ... . , •S NW'' fleoti?tratiVy? •f:1 . ? S .. . ? MdrCss { ? ' . " . . .. . C1 ty z#?{ St?tt? /'? ? ? `Y Sefi?tor & 1+1??er ljCefiSed plttmbt'r ' 3r OAt<<e_ .?.. P1oC'alitiW'.??°`: s?r- A rraCer P+et^ari ts f stwrs aays once area as be ' ap#rov ? f hereby acknowledgs that T have read this ap licatior? an?f stat?e tf?at.the As correct ard agr.ee to c '??r r?ith :all ap?rl icab?e State of Rinn??o Statute$ and: ?i ty of ? f"#rt Ordirtances. , 'tf#na:ture of App11can r - - - . ? - . - .. . . . . . ? . . .g . . OFFIcE usE ONLY BUILDING PERMlT TYPE CI 01 Foundatfon 0 06 auptex. C] 11 Apt./lodgfng Z 42 SF Drrg. ? 07 4-Pl ex ? 12 t+tuul ti . Mi sc. o as sF addition o as a-PI ex o i? Garage/Accessory D 04 SF Porch C] 49 12-Plex ? 14 F1replace C! 05 SF Misc. 0 10 Mu1ti. Add'l. 0 15 Dock Wt)RK TYPE Q 31 New C! 33 A1 terat i ons CJ 35 Tenant f i n i sh El 32 Addition ? 34 Repair- D 35 Novo GENERAL INFORMATION Const. (Actual } Vp? Ba$ement sq. ft. rG?z {Allowable) Ist F1. sq. ft. UBC Qccupancy R-3 ?-/ • 2nd F1. sq, ft. Zoning -Sq. Ft. tfltal # of Staries Faotprint 5q. ft. ? LengtM On-site well Depth On-site sewage APPRC}YALS Planning Buildin Engineering Variance REQUtREQ Ih1SPEGTIONS ? .Site ? Wal l board PT Foot i ng A Final M Fram# ng 0 Draintile B Ir?sulation C] Fireplace Permi t Fee Surcharge Ptan Review License M4VCC SAC City SAC Water Cpnn. Water Meter Acct. Deposit S/W Permit S/W SurGharge Treatment P1. €toad tJnit Park Ded. Trai}s t?ed. C?pi es 4ther TOta'I : veuttlcm g? ocob iss 2yX? r(o3go ?.. 1, t #'? - ;? ? ?„.?• ?i `? Q 16 ?semeAt Finish 13 17 Swim Poctl 0 18 Conm. JTrad. C! 19 Comn./Ind, Misc. 0 20 Publ ic Faci 1 ity O 21 P4i scel'? ?neous 0 37 Demoi ish aWCc syst,em City Water PRV Required ? p ? Booster Pun ?'ire Sprirtl?ier ? Census Gode S?AC Cade Ceasus Bl dg Census Unit / Assessments 2 a x-4'l6 j S p ya ? ?a92- 00y ? Zb _ Zy - ??--- ?/gG ksy?. 6ys??f 5AC % SRC Units •R - ' r . ' IAT itTRYZy CgZC]CS.ZBT :0R ]tE6IDZNTZIIL 2IIILDZId pZRI+lZT "PLICJITZON "OPERTY ZEeA._ ato- z ?'z ? Dat* ot i sps 7 ? CoC DQCIIMENT 6TlrNDLlzr?a /??"4l'= c3 Z ? ??{ 0'rD' D • Reqisterea tand Surv*yor siqnature and eompany - tYD 0 • Suflding permit Appliesrit ° D- 0 D • Iwgal dorcription 0'D 0 • addrsss ?r ? 7 f? y?? H? 0 D • North arrcw and ba,? scale Seq?c_ , r?a.c Mr' G O • House type (ramblsr, valkout, split v/o, split tntry, lookout, •tc.) D?D D • Directional drainaqe arrows vith siope/qradisnt 4. 0' D 0 • Proposed/existir,q sawar and vator sorvicar fl'? 0 0 • 5treet name Z' D 0 • Driveway ELEVl,TZONS U"' D D • 5ewcr service el,"D 0 • Lot ccrners 0,13 D • Top of curb at the driveway D D, 0 • Elevations of any existinq adjaeent bomer pro? - H' D D • Garage floor . 2'-'0 0 • Fisst floor W"0 0 • Lowest expesed slevation (walkout/windoW) 0 D • Property corners D" D D • Front and rear of bcme at tiie foundation PONDSMG 71RE!?S (3f aflplf bie) D 0?0 - Ensement lins 0 D? D • Nwi, D ? 0 • xwi, . 0 B'0 • pond f desiqnation D 8, D • Emerqeney Overflov Zlevation DZKENBIOMB D 0 ? Lot lines D D • Riqht-cf-vay and stroet width (to back of curb) ?O D • Propesed bome dimcnsions inciudinq any proposed •dteks, overhangr qreater than 21, porches, stc. (i.e. all structur*s requiring permanent footinqs) tJ?D D - Shcw ail easements of reeord and any City utiliti*: within those sasements V""0 0 • Setbacks oi propesed strueture and setbnek ot adjacent existing h . D 0?' • Retaini requirements, if any Reviswed: ' - , :5??E-,7/ Na e / Le OeLabar 2992 • ; ? ? "'? ' M+i , AAiiA1 -. ? .?.., ???, . . ,. ,? ItX. JRE'r A"lJLl !? ar', WY. 1l,t . ? ?-., ? --?.- ..... .... ,..,. ..,., ? .... _. .... .... ? , DEERWOO : , ?. l?Q?.!!4 f IL ? ? r: .r PC ? f ? '4 1 i i?• ? p ! t S ?. 1 + ? ? ? Ff A ? ? i f st? t (?? K ? 1( ? YI 11 ?? ( , t t? ? ' ?' ? ` ?„3 • X LU m ,+, ?.! i , ?, ._ (b !{! ? ; > 6Q i w ? , :---?--?? --- ,?,; ? j I ? ! 1 ? i F) ? ? i •iwrle ? ---- _ _ ???1.??E.. t` ? 1 ? ( i ? 2 B ? 1 I ? { J s ?o $0.11 fril I ????? ? ? ????? 911 t { 1 ? ? ? E } est.v FE i l.._. .._, ._,. ._... .._ _.... ?.. _ ?... ....._ 0 E!'1,. lEn til" S1'C1P Box + i ,. ? ? ,? •? , ' ?c ., ; o- f? „ .. ? ?a°'.? ? --OR ?- ; u ?AND ?T'w ?. ._..?..r..._ _.... ,.? „? .? ?, ? - ____.?w TACONilrE c . 8118.82 ?''j i+lY. i77.11 ?.?.._.....__.?..... ?.?.. ??jv, 877,93 , •• ? ! ? ?---'?'`?' •- ? r7r`= ? r.lJ L??. i 5 :^-L Jil _Z__...._'!E Gwner ?l4??1-?ONF? ?L?irL'h?L.v' Pnone r.;.-a Sita address Contractor Phone _nti a1 ) ? i ?e ..; Single Femil i ? ? g Y? ; Type a2 ( Resi d° °uild;n C1ass; - ? (3 stories or ess •tnva r ? _zzr'.es) ' GcNERAL INFORM,"'i :ON 1. Buildino Ferime:=r 1'ap Tt. ; t3 _ ? . 2. Wail heicht (g;rour.d to eave; ?;.. 2 3. 1. x 2. (Ebove) gr:,ss wai 4. Building dime?s-tc::s (L) 'A'i x('r1) L(o' Z'L' _? tci"j r? Z^" f' ? ?. r..o ?& oor area 5. Square -fcot are_ of rim jo:st - Floorjois'. s;ze (2 x lU? ) ^ .?.p ? x Per:?e«r = Ri?? -?ist are? = 11Lt????"1 ,=?c 12 . 6. Goors - Araa ihickaess in. U Tact:r TL Pe o= ..cr,<_ zruc zior,r ,?-k ClaA INsOI Perir.:e-ter 7, 't I •:a_rn?? aCL1.II'=:? qcc C, ^i1 r In-'; tration Ra tes-Res . Doors : C;;I/sq. or" door area/iable Va. ?. ?otal door's 8. t•Jindows: ?ianu:a-_;srer Gj-?r`1H?, ? State approved ?(r? U`actor,3 °n;r Infil?razion RaLe: ?o3 CF;4/-t, c= operabTe sash crack/Tab1e Plo. 5-3" iYPE ARE-I. 2) 'tL+iq9ER Or iOiAL Fz-i 2:. , (Match CT Value)- E;=.C:? UPJIiS - ZO ?? 3't (???"'' _.a• 1 17 ? "] ? ? 1 i1 ?°t -Prn ttr rr-; y Z `1 b 71 ?A ,'+O 3 ?? ? t?S) Zo?V? y- ? I %f- 0 1-i . 2 `f '3li N L.'?.!'_,7 I tn. . , 9. -o ?al _--.' wiZcc;? . _. 2 ._ . , . . .._.. _. _ ( ..- Iti. ? I} a ? 1 Cc _.. .^.?'?._. n......? ?t ... ..?1. .- ?1 ? x II. ?Y?GSG? :I J:::__ -O1Cit_ X ???°1" ;( 4•L.?U - -70 ?--/ ., - ., ' V("'• ? _i :U,t ?J:` z i ...iS7--;,,I(.. ,'?nUJft .`C_,'?C:.^.'I._L Sl??.^. : r 7r ''i !'Itl•:. __ JC ,. i. 1:?1 . _.... _..?"... _ .._.. 1? ? ? . , . . 'i?.7 ! _ . .. _.-.. _ ? ' ' - • . .. L. _ ? . , ? ? 1 , , ? . ..o.. i .-..,, . . . , . .. . .. . ._ .. , . . .. ., ? . .......... . .. . ?...:.;. .:.. ..._. .. . . r, . . .. m . x.- .. . , . ,.. s. .a-wr uw..-+¢.:.....,.. ...w,»« ...w+.rr.»...-+-.-.,+.a..,++wo -..»„e....,.......-. ~ • ' ? ' • , ? 12. =ramira area = 1 Q; oT aross :vai1 are?. ??. Gr!oss wa1T area r?. 2 \diRCGW Q:"9a n 1'?. .y l? 2 T± . U = :yS RCca15 U X A - _ IY? Z Mim JO15i 3Y'Q3 N l t 1 "? ` (J ' ?J r:Z ;,OiSt = 1G1-I U X A = 41 Caor area ? U Iccr area • U x A - Fireplace ar•e? ? jt.? U aireoiacs n U x A - Expvsed foundati on .4 `1 U ft.z U founda.ion ? t U x A - ?N3?11T19 area n I-?-I ?'??? F?. ? ll p T:':T.lI1^Q 3T'23 u :< n 1 ` ° 1to 1 Net wal 1 area A U :vai i = 1 0 U x A _ ?? , '51-' 5 (13B) iOTAI . . . . . . . . . . U x A ¦ 15311 TG. Gross'wall area x 0.11 (A-1 singie family & dupl2x = aTlowabie U x A/Code(13. above) . x 0.23 -Z other residential) x .23 ?.4Other buildinvs) x .28 (Over 3 stories) ? 5iUH - Mus '. he 1 arger than A 1?', t j r? u x Ll Code6 I I = 2??' ? IF. 138 abave '153? 15' 1S. Ce'ling framing area (Ar) eyuals 10a of ceiling area I -y. Giross ceil ing area = (L) A'Z . X (?,?) rt.Z `Ea JO1St a1"°_a (nf) = IOo CZil1T1C zT'Ed' II??? M • t`•2 ' 15C. Net ceil'ng area (AC) (15A - 153) "-.Z !1 c_il ing x A C= Q? n??"• x I ?'17 ?3 = 2?,? 0 U frami ng x A?_ ? io2I-o x 1Eu, i07;l tl x A ........................................ 16. Cei 'ir,c area ( iEA) x 0.025 (A-i sinale fzmily S d-upi_x - c3dz ailowabie !.l xf'l x 0.033 (n-2 o*her-residentia1; .' x 0.06- (other) ?pZt? ,'Nust be loarger tran 1150 (a?-,ove) c 1 .4 ?154 V '31,?27 26??31 ::: S i _ ?. _ - ? ?• ?.(o? , . PLEASE C4MPLETE FOR SINGLE FAMILY DWELi,INGS. ALSO, FOR T4WNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -------------------------- ---------- ---------- ? 1v1EW CONSTRUCTION ADD-ON A/C ADD-QN FI3RNACE FIREPLACE INSERT DATE HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (Mnvrnrttnvt 1@ $3.00 EACH) ADD-ON/REMODEL (EXIsTnvG CoNSTtUCrioN) STATE SURCHARGE TOTAL S? ?DREsS: 140 I O 3?GK NAvJ14 ?h . OWNER FEES 24. 6.00 3 P' $ 20.00 .SQ Z-7 , 5"o ?...?.? [oivE #: -757- Z7o0 ? INSTALLER: AfO LQ.D G-'C?`Tl tiT G ADDRESS: foSIO d. rt (ACq .?L gWA - Crry: STATE: ? Ill ZIP CODE: TELEPHONE #: `_j -7 O -d 603 SIGNA F PERM E 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY QF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 .?. PLEASE COMPLETE FOR ALL COMMERCIAL,/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEIY SEPARATE PERMITS ARE NOT REQUIRED FpR EACH DWELLING UNIT. ----------------- - - - - DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ..;"?:?M?:' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (nMPxovErErrrs orR,Y) INSTALLER: ADDRESS: Cj'I'Y: STATE: 2IP CODE: TELEPH(aNE #: SIGNATURE OF PERMITTEE CTTY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 GITY USE ONLY L RECEIPT #: ? SUBD. ? /G• DATE: 1995 NIECHANi+CAL PERMIT (RESIDENTtAL) G1'TY OF EAGAN 3830 P'1LOT 1'CNflB RD ,p, y4. EAt3AN, MN 55122 (612) 6$1-4675 Piease compiete for: ? singie family dweflings ? townhomes and condcys when permits are required itvr eacM unit New construction Add-on fumace __Add-on air condftionirtg ? Fireplace c:anversion (to existing fireplatre) Date: z?/T7/9',T ? , EEES. ? Minimum Fee: Add-on/Remodel (ex#stinp residence on1y) $ 20.00 ? MVAC: 0-100 M BTU 24.00 Additionat 50 M BTU 6.00 ? Gas Outlets (minimum o# 1 required a $3.00 each) ? ? State Surcharge ToTaL .50 ? SITE ADDRESS:._..?.y°?0..__?{? ? ???? ?? • C?WMER NAME: :?.?'/'?? : PWONE #: ? 1NSTALLER STREET ADDRESS: Cilll: Qggnl STATE: ? ZIP: zaL2 ? PNUNE 6,,--- M? ??Pf' -R1VI1T'E'E__` C!T! USE ONLY L B! REGEiPT V. SUBD. DN?TE: 1995 MECHAWtCAL PERAAIT (CQMMF.,RC1AL) CfTY 4F EAGAN . 3$30 PlLOT KMC1B RD EAGAN, MN 65122 (612) 6814675 Piease r:omplete for. ? ali cammercialfindustriai buiicfirtgs. ? multafamily buildings vrrhhen m"rate permits are M required for each dweiling uni#. DATE: C4NTRACT PRIGE: W()RK TYPE: NEW CONSTRUCTIGtN 1i;1TERItJR 1MPR+C3VEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee Qt 1% of oontract price, whicherrer is gmter. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of U%Mt fes due on sO pamib. C4PfTRACT PRlCE z 1 % PROCESSED PlPING STATE SURCHARGE TOTAL si i E AuDRtSS: OWNER NAME: TELEPHCINE #: TENAIVT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: . ., CiTY: STATE: ZIP: PHONE #: SiCNATURE: S1GNATURE faF FERAAiTTEE CITY iNSPECTC}R 401?dtV oF eagan P,aTRICIA E. AWADA Mayor PAUL BAKKEN PECGY CARLSON CYNDEE FIELDS MEG TILLEY Council Ivfembers THOIviAS HEDGES Ciry Administrator Municipal Center: 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.3535 Maintenance Faciliry: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.cityofeagan.com THE LONE OAKTREE The symbol of sirrngth and growth in our communiry September 10, 2001 Carlos Barahona 4010 Blackhawk Road Eagan MN 55122 Dear Mr. & Mrs. Barahona: City staff has continued to follow up with the United States Post Office, Eagan branch, on your behalf in an effort to persuade the mail delivery personnel to allow movement of your post office mailboxes from the west side of Blackhawk Road to the east side for addresses 4010, 4056, 4060 and 4064 Blackhawk Road. The request was initially denied and then reconsidered at a later time. Scott Vikers, &om the Eagan Post Office, contacted me inquiring about the possibility of installing a bigjer 1DCDU group box at the same location where it currently exists at the intersection of Taconite Trail and Blackhawk Road. Please contact me by phone (651-681-4687) or e-mail (tstntve@ci.eagan.mn.us) and let me know if a group mailbox for your home mail delivery in that location would be acceptable to you in lieu of your individual box on the west side of Blackhawk Road. Since ly, ? ?U? Tom Struve Public Works Coordinator/Administrative Assistant TS/jj Estoblished in 1962 LtyT' SURVEYS C+QMPANY9 'NC. F gONO No 36709 LAND $URVEYORS BEGI3TERED UNDER LAWS OF STATE OF MINNE$OT 7601- 73rd Avenue North ?0-309 Minneapolis. Mlnneaota 55428 ?#Cp??itt"s .??l(C?.' NEN DIRECTION HOMES Rirst floor elev. e`?''•4 Property located in Section 20, Township 27, Range 23, Dakota County= Minnesota Property address: 4010 Blackhawk Drive D?Erz\vUt?t? t?s6.69 r?,,.,_.O, N • WI R.ES -? ? Q ? • ' ?x. M 887.4 ? 887. So . n? T L }: ? ? ' ?,1 ? ? ? ? ?*. ? . ? ? ?.. ! SCALE I" = 20 o Denotea Iron Monument o Denotes Wood Hub Set For Excavotion Only x000.0 Denofes ExittinQ Elevation onr;o Denotes Proposed Elevation •E- Denotes Surface Drainaqe f' `j 2kProposed Top of Block Proposed Garoqe Floor ??' t• Z Proposed Loweat Floor Type of 8uildinq - , ? 3 -DRrvF- Cr.0JG GufzES cArGH BA'Si hl mn 886.5zTc --10z.Zs-- PowE(L Pot-E ? ,; . ? 4 ? ? v ? V ? V Q ? ? 0 < 88?95 ' :J M T% ? OP ? f?/G 4fi f - g9r. Z(? -rG ?[? , F' 0 '. '. ??. N ? A ?°. ? ? -----_.?._-- --------? ,,, ..,....?.-?: A---..:...:... _. . . ?? ?''• 886:29 ' ? ` ? UTI1-IT`( '? p?tNf'?L?? LEA SEMF-N-t` \0- ry ..? ? ,"- ? ? ---- - ? ? vi ?._._. ? j - vo ? ? d j7Rs?RYa?D ? $89 2 K 5/ i ^ O ?_ ? ? - 4 t 4 86?,Z ? ?• - _ gea.9 j 1.47 1 889,6 5' m , L , ?? tjpz,v E ? ? . Id? , 0 I ,0 ?ZIT? iT}'S?'l'Y/E6S j N 0, , ? ?> > Ir--- --- - 89r,, 10 ? -33.v-- _ '! -- 48.0?- tn - 01.0 G g903? -- 9711 - _ Bo K `q° ` I r ^ A r ? ` ? i ^ Lot 2, 18A-&A;,J TM onlr ooertents ahown an from plata of ncord or iniortnatlon provided by client INw hweby cwtiry thM thls le a true wd caroct repreasntAtion of a aurvey of the baundmfsw of ths Pbo" dsecrtbed Iand and tt?e location of ali bufldinpa uM vfa- ltsa.ncnoeictWr?.t,ta, Itany, tron, or «, aWa Wa. sigraed ?1C. -' ???,?-•''?"'' .? -? ?.f ?? 3urv?eyed by ua thla 17th ? of March 19 94 Ray ond A. Prdsch Minn. Req. No. 6743 R Cv I1? c?e? 11 . ? 4% 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. --------------- - ------------ ----------- NO. ? I ? --?- ? SITE ADDI OWNER N. INSTALLE: ADDRESS: CTTY:-.-SG? FIX7'URES SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - i ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • neI.cty. uG U.G. SPRINKLER ' home uader oonst. ALTERATIONS • co edswng WATER TURN AROUND STATE SURCHARGE TOTAL: EACH TOTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 ? +? Y ? ., .?? ?'. .50 11`+?? (/^?? 8? . f 4...? I{,,, ' - ZIP CODE: -J-? 7 ? PHONE #: (Co / OL) q,/ j--5 . ? SIGNATUR P r , ? 1994 PLUMBING PERNIIT (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONIMERCIAL,/INDUSTRIAL BUILDINGS. AISO FOR MULTI- FAMILX BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWE ING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: T, . CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF R? FEE. ......... ......... MINIMUM FEE $ 25.00 .......... ... .. CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS• C CITY: PHONE #: $ 1o , t L?= , aA ^ UG% Q '- STE. # ZIP CODE: S?. FOR: CITY OF EAG APPUCANT ? _ . . IN , is ?°`=Y OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 ?. (612) 681-4675 SPE C' TION RE C01?D " PERMIT TYPE: Permit Nurttber: ow`' 7 7 91 Date Issued: ?'WE AQ RESS- tY .. .f , r? . ; 10 1 14 k) 10 . 0 .x 0 . Ol ' ? 4010 €t,????AM( ? .::. PERMIT UBTYPE: ? r ? APPLiCANT: HAti AtsONA (6J :?) 4?,Ft ' " 913J, TYPE OF WOR1C: ?? ? , Pemmt NC. Pertnit ikrtder f}oft Teiephone # El.ECTR6C PLllMBltV,Q HVAG Nraipet2tiot Gnte imap. Commeets FOdTiNGS FCfL1t1C1 FRAM1PtG ROOFitdU RQUQN PLUMBING PLBQ AtR TEST ROUGH HEATiNG GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 1/e?? d DECK FINAL a`fl f ?W ?i 4 1 Plr~ , Psm* e ?i V ? D*e, L (41 M_ . ?.'. l?i??:? /1PPL??V'?''?R T• ? ! f?? ??. '-.. . ii [, H# K. K i i.AWt P D ? az t.? { 6.oJ Il - ff Cf IO!l 14 0 x'1 f.. of TYPE WORK b V¦ . ,? ? . . s+i : ,,. .. . ? ' . . UOUNi.} i'i 1 t- QON . .. . ? ? t At `. . _ .. - S . R fj (16 i"l I U 14 T $a I lO f"4 I , y y.g? i. ?"?F? y ?. i pry'c i! f ??if f.? 1 {? ??I? !"' ?s f. 1!„ i'z ? # (" fi? ?r A.1 {:k f . .. ,. F. - . ?r?111?a t?e Y?. ? ? ? . `4w' Pbo' ? • (. ' RouSih HtCt' • ?? ft"We Ona!e{ ' Fkml MV. F94 l "Mft I'1? ? ? ?~ aft Dockft. Do* FkW we# Pr. DIW . A ?. ? 1 -40 PERMIT City of Eagan Permit Type:Building Permit Number:EA107745 Date Issued:10/24/2012 Permit Category:ePermit Site Address: 4010 Blackhawk Rd Lot:2 Block: 1 Addition: Deerhawk PID:10-19910-01-020 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Chelsea Laughlin 2211 11th Ave E, Ste #130 North St. Paul, MN 55109 651-770-9011 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 - Carlos A Barahona 4010 Blackhawk Rd Eagan MN 55122 Window World AKA Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA111704 Date Issued:07/09/2013 Permit Category:ePermit Site Address: 4010 Blackhawk Rd Lot:2 Block: 1 Addition: Deerhawk PID:10-19910-01-020 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 . Amanda Hanson 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 - Carlos A Barahona 4010 Blackhawk Rd Eagan MN 55122 (612) 709-9145 Prominent Construction Llc 5100 Edina Industrial Blvd Suite 207 Minneapolis MN 55439 (763) 486-6003 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130550 Date Issued:04/30/2015 Permit Category:ePermit Site Address: 4010 Blackhawk Rd Lot:2 Block: 1 Addition: Deerhawk PID:10-19910-01-020 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 - Patricia Barahona 4010 Blackhawk Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature r.... ... ..... .__ ... . . .... ._ , .. .. .. ........ . __. ...._. .. ,.... .... . ._. _ ........ . _ .. .. .. . ;?�- `��� ���-;� Use BLUE ar BLA�K Ink �� � �. ___� _�� �- _ ��� ► For Qffice Use � ,al� �:i 20,� ; . 1�,�s�,� � ` ' .��l� Perrn►t#: CI�� o� ����� � ������. ;��. �� � 3830 Pilo#1Cnc�b R+�Bd � � �� Eagatt MN 5S'122 j Dat��er�eived: � F'hvne»{651j 675»56?5 I 1 �a�c:��ss�3 sz�-s�sa� � st��: � i i .f�—....... .... --�..�� . .. ...�:�..J� �0�1� RESIDEI''�ITIAL �3UI�a1NG PERMIT APPL.ICAT`IC�N �e: ��,����� sne aaa�es�: '���0 13�•r�� H,�w,� ft�� un�:�; ..� , �. . .� �.x,v�� � �._ � ,..� ����x�, � , � .., �.�... ._, .�. ��, � � t # Narne: '��+�:.,lt�.. �*..� Phcane. �.2�'�_�:�' � (''�� ..� $ ReSid811fi1 � . ` � �' , � � Uwner # �ddress r city�Zip: �►7 :�.e r � � ` Applicar�t is: Uwne� �Contractor w... . ,�.n, ... M, ti�,. �. v -x�: �� ,,��F... .,. , � ��� , .... Type o�1fi�ork Description ofwork:�,�l'��. i�-'�C'Ca-+LV�g.��''�AT�/L- ��MK(R /��J/�(,� ,�ATi�' f.larR � w� ' , .`�E'.�i 1,�� `� Multi Fam�ly Suitd�ng {Y�s /Nn�j ...£x....r��.. ..��s. :�, r, Construct�c�n Cost', ,x � x�.�ah.��r. .,.� .. , .,.,. _,�_.� �,�x�.x x.,�, �.� _ �.. . , �^�-- � � Com an � Can#act: 1�� �.� p Y� Address. � �� � Cit�r: ���"L� �ry�,�.�'� � Corrtrac#t�r � ��4{�..���G.��. ���✓� .Pl1g�P..1��� .�S���C���.�+C�`-'�s'+��`v� 74.+r f �^�,����a���R�ti�*tr�V►�. ��.i. � . � ���r'�.�.�r�. '�r.� � ��L�r��il�..Efi�r�:���,* f ��� I�� �II a . ._, �_ . �:t;,� ,o.. :,�.�.,s�.��... :m.µ� ..�... .e�Q.��.. I . . . e. ..�.Y. ..,. .....f, . ... ..,:�:,�.�,. ... . ..n,.,�,,,-,ry-..� .�,.....a •....,x,-z) .. ....:- . i. If the pcc�ject i$exempt from lead cert�#ic�tion, please explain why° � , . � �3��w r �� g� � �,�����w ,�w'�n. .. . , .r �4M.... ���. rir� � .. ��, � � M� �, xi= _� �� F�.� r.�� ,., 4,x .a�.x�,� � i GQMPLE7E TF#IS AREA UNLY IF CCyNSTRU�TING A NEW�UILD1Nt� ' = In the last i2 months,tt�s#he City ot Eagan istued a permit f+�r a s�cnitar plan bas�d`on�master plan? Yes No I#y�s,dat�and add�e�s t�f master pt�n: � � Licensed Plurnber: Phone: , � � Mechanical Contractor; Phane: � k ;�.wver&Water ContractQr: Phone, �' _ .Fire Suppressi�n Contractor; Phone: �.i -AI�TE.Plans and supprrrtingr docurrrents thaf y��sU6mit are consiclere�d fv be publlc fnformatfon. Partfon��of�� � ##r�f»farmat�on may be class�fled as»�n-pu�rlic!t yo�pravfde sp�ciffc reasons#h�t wo�rld�m1f the�`fty tr� � ���� _ _ .,,�., r rz. . :,�<��At corr�lude fh�t�he are�ia�le sec'rets �x .,v, , . . ��.__ _ � , . ,�� �,ALi�BfFQFtE YOU D1G, Gafl GopherState t)ne�alt at{65#}454•OCf02 for protection�gainst underground utility dam2�g�. Csll 48 hours before you intend#o�iig to r�ce�ve bcates at underground utilities. .qop�rerstateonecall.orp I hereby acknowledge t�aat this informa#ion is complete and�ccurate;that the worlc wili be+n cxinfc�rmance with the crrdi�ances and�des of the Crty of Eegan; #hat 1 understand this is not a permit,but anly an application fo�a permit,a�►d work i� nflf#o star�wikhou#a permiF;#hat the wc�rk wili be in aixorclance with#he approved plan in the case af+,�rorosk wh'rch requires a review an�f�ppravai uf p�ans. Exterior work��tharited by a building permit�ssued in a+o-�rdance with the Minnesota Stat�e Buitding Gode eomple#�c[wfthin 1$0 days o#permit issuam�. _, x �t��l� ��t,��'�� _ Applicant's Printed Name Appiicant's Sign e Page#of 3� _._. � � _ ____ _. L�K �`'L�- /.��-�� � `"7D�C� ��f���l� DC1 NflT WRtTE SELCIIN THIS LINE / / � SUB TYPE^� Foundafion � Fireplace Parch(3-Season) Exterior Ali�ratian(Singte Fami�y} '� � Single Famity � �rage ! Porch�4-Seasor�} � Eacierior Alteration(Multi) I Multi DeCk Porch{Scr�nlCazebofPergala) � Miscell�aneous _ 01 a#�Plex � Lower Level � Pao! Accessory Buiiding Wt3R}�'TY�ES 1 . . " "�• :�`, ::'F i..�.,.^ � .� ,�A..,,.,•A �,, ';, _ New � Interior Improve�nt S��i1�g'� ' qe�r+oiish Bui[c�i�"" . ' � � Adtlition _ Move Buitding � Reroof __,, i}ennolish lr�teri+pr Atteration Fire R�p+air , Windows C�emolish Foundation � Replac� ____ Repair � Egress Window � Vf�'a#�r Damage R�taining Wall *t}�re�oletion of entir�building-glv�PCA handout t�eppifcant . .�� �,�,�,o� �atiart��° ;': °,.'`;.''�'��•� '� �lccupancy .��2G- / MCE�System — P{an Heview / Code Editic�n 'Zd�7 SAC'Urtits `� {25%____ 100% Y ) ZOtli�ig �–�� C�t'�/W�t�!' r �ensus Co�le y 3 k �tor�es `�' 8ovster Pump �' #of Units � Squar�F�et � PRV � #af 8uiltSings 1 Length — F�re Suppression R�quir�t! —` Type of Construc#ion ___� Width '� REDUiRED INSP��TIONS Footings(New Building) Meter 5ize: Footings(Deak) Finai!�,fl. Requi�ed Faotin�s(Additian) � Final I Nc�C.{). Required Fou�tti�tion HVAC�Gas Serv'sc�fiest G�s 1�'sn�Air Tes# Roof:,_ice&Water ^Finai Pool:_,_,Footings ,�,,Air/Gas Tests ,�_,,,,Final � Framing Drain Tile Fireplace:_Rough in _Air 7est ,,,�Fina! � Siding:�,,,,Stueco Lath _.,,,�Stone Lath ^Brick � Ir�suiation Windows Sheathing R�tain�ng Wa!!.,,,_Footings,,�„�,,,S��kfili_Final' Sheetrock Radc►n Cor�tro! Fire Walls Fire Suppfession:_„_„:f�augh in��ina1 �iraced Walls Erosiar�Cantral {�ther� �I Reviewed By: ,Buiidin�inspector �,ESIDENTIAL FEES Base Fee 7 3� Surcharge `�'lan Review y 7 94 MCES SAG Gily SAC Uttli#y Gonnection Charge S&W Permit&Surcharge Treatmen#Piant Copies `� � Z� TOTAL Use BLUE or BLACK Ink r----------------- I For Office Use � �, � � Permit#: / ��/�—� �"'� , Clty of �� a� � _ ; � � Permit Fee: �� � ; 3830 Pilot Knob Road � � ' Eagan MN 55122 i Date Received: � Phone: (651) 675-5675 i � Fax: (651) 675-5694 I Staff: � �-----------------I 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION ���� Date: Site Address: �� �� � ��-���,f�-�-�2�-� �`� '� Tenant: ����� �� 6 k � Suite#: �''� �tesid�en#�()�►r�er ; Name: f�_���^I c t �Y � °,- �/�,.c�}' Phone: �I Address/City/Zip:_ �0 � � � t �C��,�-�-(� , � =� Name:��C✓l � ��v k�<�� ����-/ rx� �. t1��� License#: s� � O�' �i� � Address: � ��x �� City: V��r l� i �°1 C�n�ractor � —r I State: � � � Zip: ��U �� Phone: � r�'d` ��"� � Z �� Contact: � � EmaiL• � !2� � G t� � � C - �O r� �T�I�e'�Df�l�Clc �.� —NeW ��eplacement _Repair _Rebuild _Modify Space _Work in R.O.W. ' Description of work: RESID TIAL : Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) P�����T��� Add Plumbing Fixtures�Main/ Lower Level) Septic System — New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround'(includes State Surcharge) ''Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic Svstem New(includes County fee and State Surcharge) TOTAL FEES $ 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.qopherstateonecall.orp 1 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 approva f plans. ___.----.._�.. -_. . X �` � C �r� � X Applicant s Printed ame ApplicanYs Signature :�C�R OFf�CE USE ' `Reviewsd By: Date: ` . Required Inspections; Under Ground Rough-ln Air Test Gas Tes# Fir�al Meter Related Items: Meter Size Radio Read Manorneter 5taff. Use BLUE or BLACK Ink I' �----------------� li I For Office Use �,./ � ' � Permit#:��� �'�-'' Clty of����� ' _��- e�t5 � 3830 Pilot Knob Road � Permit Fee: � , Eagan MN 55122 � I ' Phone: (651)675-5675 � Date Received: � , Fax: (651)675-5694 ► � ', � Staff: � �-----------------� I 2015 MECHANICAL PERMIT APPLICATION II, ❑ Please submit two(2)sets of plans with all commercial applications. I Date: Site Address: v/ � �� ( ����� �� I Tenant: �� �'� C'"�� �}� Suite#: ' ��� F�����? : w : (� y� ��� Name: t'�-f ri G�� !'`j�..y,��0 ri. �tj- Phone: i� F�t�S[der�#fC�Vn� T— � # 1� ' Address/City/Zip: �0 J l� tr 2� � . Name: Y�/ ���L f� � License#: �� � Q� 1' � �Q /' � o� Q' , �. `. f.. ,Gl • O � K r�t L ' Address. lo City: «� C O GOCI�C�C'�{�� �..: : �I � �s�� , � � '' State: � d� Zip: �S���� Phone: � ��' � ��`�3 �U � � ; , ���; ., >� . - Contact: � �- Gi � Email: � `t � � �!!�t � C, c a Iti ` : �� New Replacement Additional Alteration Demolition ��. �a� ' '�`ypg��yy���� Description of work �� a �.: ��, , a�3 ... `��°��, ,� . �a� � �"� .� ������ NQ'�t�Roof mvun��a�t�t�� \r��i�n�t�#�ted m�c���n��aF�qu�p�t�r�t 1�r���r�.to I�;��r�n�d I�y����r�; C'r�+de P[eas�can���t��� k�arwi��l Insp�ct��fr�r��t�i�rma��p��i�p�t�i�,t�d screen�ng rnetFto�s, ,�' __.... �. ,+. , __- . , w ... .,�._ � �.. � : ; �a� RESIDENTIAL COMMERCIAL � � Fumace New Construction Interior Improvement � � — ���,����=��� _Air Conditioner Install Piping Processed ° ��. � �• y� _Air Exchanger Gas E�erior HVAC Unit > � � � � , _Heat Pump _Under/Above ground Tank (^Install/_Remove) ;� � �,���, ��� Other �.. �. RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -� Surcharge" If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE 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 plans. x ���G1- �� f��f!/l � x Applicant's Printed N me Applicant's S' ature a�� ����a���� �� ��` �� �� � . - �� � " �� c G� a�`�'a� - ��. ,. � x R�t}�t�Bd��sp�:Gtl� � ' � � R��I��tM�a{� �y � ��� = C�af� ������ ����� t��iiergrc�und . `�c��c�h In ,,,�,,,A�r.Tes# ��s 5erv�c�Tesf ,;�„�„It�fl�or H�at� ��tn�[; I,�,,,H���'�creemric� y�� ` PERMIT City of Eagan Permit Type:Building Permit Number:EA140705 Date Issued:01/17/2017 Permit Category:ePermit Site Address: 4010 Blackhawk Rd Lot:2 Block: 1 Addition: Deerhawk PID:10-19910-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Patricia Barahona 4010 Blackhawk Rd Eagan MN 55122 (612) 709-9145 Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146932 Date Issued:11/27/2017 Permit Category:ePermit Site Address: 4010 Blackhawk Rd Lot:2 Block: 1 Addition: Deerhawk PID:10-19910-01-020 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: 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 - Patricia Barahona 4010 Blackhawk Rd Eagan MN 55122 (612) 709-9145 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature