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4056 Blackhawk Rd A PP of For ciff a __s City Permit 3830 Pilot Knob Road Permit Fee. . ~ Eagan MN 55122 I Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 I Staff: 2009 CGMJ E. AL PLUMBING PERMIT APPLICATION Date: John Porter Tenant: 4056 Blackhawk Road Suite Eagan, MN 55122 PROPERTY OWNER Name: 6516870722 Phone: CONTRACTOR Name: W0 r b t UYYI 1' 7 bi (l3 License 0L01524 p~. Address: 2805 e_ e 4 J S.City: rYl pls _State: %N Zip: 55_f08 Phone: ((0I2) CT7-4033 Contact Person: TYPE OF New X Replacement -Repair -Rebuild _ Modify Space Work in R.O.W. WORK Description of work: r ltace wa &r me. r PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System L_ yes / _ no) ( RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter $203.00 Avg. GPM High demand devices? _Yes No Flushometers _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x1% Permit Fee Required on ALL new buildings and boulevard irrigation systems - = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ 5n Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ • 50 State Surcharge TOTAL FEES $ E50!59 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 of work which requires a review and approval of plans. x Je4WL• Nufbt tNYL x Applicant's Prin ed Name A icant's Signature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground -Rough-In Air Test Gas Test Final PFk1/ Requtre4: Yes No Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4056 Blackhawk Rd Lot: 1 Block: 1 Addition: Blackhawk Woods PID:10- 14390 - 010 -01 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Owner: John E Porter 4056 Blackhawk Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA082431 04/01/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State CITY OF EAGAN Include 2 sets of plans, ?Y 1 site plan wjelevations & BUILDING PERMIT APPLICATION 1 set of energy ca].culations. 4 ,? -- ? ?--/ Zb Be Used For Valuation Date Site Address 4056 Blackhawk Rd., Eagan, Mn. Lot 'OloCk I Sec./Sub. B1gCkhaw'k WondgExvct t? Parcel # : c) ( Alter pwner; Daryl and Jeannette Truax AdC3ress : City/Zip Code: Phone # : Contractor• Frank M. Langenfeld & Sons Gonst., Inc. Addziess: 1317 Vermillion CityjZip Code:Hastings, Mn. 55033 Phore #: 612-437-8007 Arch./Eng.. Address: Repair Enlarge Nbve Demolish Grade OFFICE USE ONLY OccupancY Zoning ( Fire Zone Type of Cpnst. # Stories Front /Z- ft. DePth ft. APPROVALS FEES Assessrnexits Pernut taater/Sewer Surcharge Police Plan Check 7 s? ` Fire SAC Eng. Water Cann. ? 3;5- Planner Water Meter 60 '?-- Council Road Unit 1$,5` 9-4" Bldg. Off. APC City/Zip Code: Phone # : TpTAL 1300? CITY OF EAGAN 3795 Pifot Knob Rood Eagan, MN S512Z N? s?? 7 PHON E: 454-8100 BUILDING PERMIT APPLICATION Receipt ?# °7-sL? ?`?` To be used fer Sr' ??1?*'? Est. Volue 57, 000 Date ?une 9 , 1 g gl Site Addre.g ?#?S6 Bl S_khA?pk Rpgd _ Erect [? Occupancy -R ? Lot 1 Block ?.?. Sec/Sub. B18CkYlaWk lA(?OdB Alter ? Zoning R7 Parcel # 1? ??3? ?l? 0?. Repair ? Fire Zone NA W ! Name ?AI`.?L]. ?r $PEiT?T1P.?','t??'2`t18.y 3 I Address 0 Zo Name 1rrAnk l?f_ TAnnEanFRalri R Snna n1,,,a? o? Address 7;?17 Vprmil ? i Q,? U? Cit ?5?3?$ Phone 437-8007 F? WW Name ? _? Address I hereby acknowledge that I have read this application and state that the information is correct and ogree to comply with ol1 appficoble Stote of Minnesota Statutes and City of Eagon Ordinances. Enlarge ? Type of Const. _ ? Move ? # Stories Demolish ? Front b2 ft. Grode ? Depth ??i ft. Approvcls Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bidg. Off. APC Permit j'?j'•"" Surcharge 2g• 5Q Plon check 75• 50 sAC 525.00 Water Conn. 335 • C3a Water Meter 6fl•t? Road Unit ?-g5•? Total 1360. d? Signoture of Permittee I A Building Permit is issued to: Franlc j,?,y?e?e?? g? ???}B--?efl?. on the express condition that oll work sholl be done in accordance with all opplic State of Min?? o,ta. ?StatuYes ond City of Eagan Ordinances. Buitding Official /'??R'? /'???'L?'??lyL ? CITY OF EAGAN • 3795 Pilot Knob Rood Eogan, MN 55122 PliOhtE: 454-8100 SUILDING PERMIT ReceiPt # N2 6707 To be used for Est. Vaiue Dare , 19 Site Addrews Erect Q Occupancy l.ot Btock Sec/Sub. Aiter Q Zoning Parcet # Repoir Q Fire Zone _ E l f C t T n orge 0 ype o ons . W Nome ` Move ? .#' Stories Z 3 Address Demolish ? Front tt. ? Cit Phone Grode p Depth ft. ce Name Approvals Fees ?o ? Address Assessment ? Ci Phone Water & Sew. F Police ?w Name F W Fire ?? Address Eng. Z" Ci PMone Pinnner Councii t hereby acknowledge that 1 have reod this application and state that gldg. Oft. the informotion is correct and agree to comply with o!1 oppficable Stote ot Minnesota Statutes and City of Eagon Ordinances. - Ap? Permit Surcharge Plan check SAC Water Conn. Water Meter Road UniY Total Signoture of Permittee I A Buiiding Permit is issued to: on the express candition thnt aU work shail be done in accordance with all applicabie State of Minnesota Statutes and City of Eagon Ordinances. Buiiding Official f-t tr_c-?-t- r' c -(- -7I tO ho_,4 7v-;..,_co: Parmit #k Rnte issned Permittae Plumbing 15 S"- ZC" t _S'w`o, ivscri Mechanical 'f- lr t F(EC' ?1?? ? Fc.. r0 e__ "t'-,S"-7 ZCc? q-i4-- ( e- c : INSPECTIONS DATE INSP. Rough-tn Pinai Footings Date tnsp. Oate insp. Foundation Frame/ins. Finoi Plumbing Mechanicai ,?-- ? Uka Remarks: /,>w ?? 0" . .. " r ? ? ' Cl? t /y) e" C?rrftf irafit of ODrrupanry Cirp of (Eagan DP.pttxtm.ettt nf ButldtMg 3ritiVrrt'tmt Thi.r Certi f icatt i.c.cued pur.ruant to tbe requirenient3 o f Section 306 o f the Uni f orm Building Cade certifying tbat at the time of itsuarua dhi.r .rtructure wa.c in tompliance witb the variou.r ordinance.r o f the City regulati»g building constrtution or use. For thc following: Use Claxcifcation SF DWG/G.AR Bidg. Permit No. 6707 Occupancy Typc R'3 Type Conswction V Fire Zone NA Zoning District Rl - owner oeBuuav,g Dar:Yl Truax naa«n 4056 $lackhawk Rd., F.,agan gW7ding qddreu 4056 Blackhawk Rd. BY euw"8officw n,«: Oct4ber 29, 1981 rosr w w cowa??cuous ?uce ? _ urr+olN u_s-n. r_-- This request void 18 months from T ?7??5?. Ll 1 Cal(' Re,quest Date P j?rry Fire No. Rough-In Inspection R ired? ?Ready Now Q Will Notity Inspec- ? ?? ??? Q Yes &o . ror When Ready ? icensed Electrical Contractor- 1 hereby request inspeciion of above ?wner electricai work instatied at: Street Address, Box or Route No. Cit 0 ection No. Township Nme or No. Range No. County Occupant (PRINT) Phone No. &. . ? L { ?'? . Power Supplier Address ? Etectrical Contractor (?v Name) - Cont?actor"s License No. i A Mail!- gAddres (Contractor or Own king Instailation) ? Autho " `-nature Owner Mak ng Installation) Phone Numtier ? MINNESOTA STATE BO?RD OF ELECTpICITY THIS INSPECTION REQUEST WILI MOT Grigg5-Midway Bldg. - Room N-191 ? gE ACCEPTEO BY THE STATE BOARD 7821 University Ave., St. Paul; MN 55104 . UNLESS PROPER INSPECTION FEE (S Phorle (612) 297-21,11 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTtON EB-00001-03 T », See instructions tor completing this form on back of veilow copy. -?- i _ - ""X:" Below Work Covered by This Request ?2?7 Ne. Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duptex Water Heater tightiny Fixtures Apt. Building Dryer Electtic Heatin Commercial Bidg. Fumace Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) t er (Specity Other Other Compute Inspeciion Fee Below tf Fee SewviceEntranceSize # Fee Feeders/Subfee.ders k Fee Circuits 0 to100Am s 0 to30Am s 0 to30Am s 101 to 200 Amqs 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 100-Amps SD Above 1 00_Amps Transformers Remote Control Circ. ? PartiaL`Oth Signs Special Inspection $ Q ? Q Reniarks ? (?? ? i? ?? )z - d ? TOTAL / Rough-in Date 1, the Electrical Inspector, hereby tif th t th b Final ? ?`?t? cer y a e a ove inspection has been ,,.? 7?'?? made. ? This request void 18 months trom REQUEST FOR ELECZRfCAL lNSPECTION EB-00001-03 ' See instructions for completing this form on back of yellow copy. - iV- T .1151?-?5 9 ";t" Below Work Covered by This Request •? &?? ? New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commerciai Bldg. Furnace Siio Unloader Industriai Bldg. Air Cortditioner Bulk Milk Tank FBYm O S pecifV Other (Specify) therlSpecify 61bcr Gompute mspecrion ree tte #Y Fee Service En e # Feeders/Subteeders # Fee Circui[s - O to 1 o O to 30 Am s ?/ ; O to 30 Am s 101 to 2 mp 31 to 100 Amps 31 to 100 Am s Above 20 Amps Above 100_Amps Above 100_Amps Transtormers Remote Control Circ. " Partial-'Oth Signs Special Inspection $ U Rer narks 1 ,y?l 1 TOTAL EE Rough-in ? Dat , , the Electrical Inspector, hereby f Final ?tt e -P 6 certi y thatthe above inspeciion has been ? t i m d ? a e. ihis request void 18 months from Thfs-request void?l` ? 18 montAs _`y,om T=57259 L t ? 1-3 1, RjeccAaui-__ 60c. c54- L C9 C-) Request Date - Fire No. - Rough-in lnspection Reqwred? , I RReady Now?Will Notifv lnspec- September 9, 1981 ?xes ONo tor When Ready E?Xicensed Electrical Gontractof , _ . I.hereby request inspecYion ot above ? Owner - - - electri-cal work installed at: - - - Street Address, Box or Route No. City 4056 Blackhawk fZoad Eagan . eciioia- o. I --TownshipName ar No. . Range No. County OccuGant(PRINTI Phone No. not occupied -- Langenfeld & Sons, Builde 437-8007 - Pawer Supplier Address Dakota County Electric Farmington Electrieal Contraetor{Company Name). Contractor's License No. S. P. & H. ELECTRIC 40008 MaiFi.ng Address IContraetor or Dwner Making Instailation) 16229 Levi Avenue East, Hastin s MN 55033 Authmized^'.SigAature ICbntractorlOwner:Makrng Insta1iation{ Phone Number - 437-8535 MINPIESDTA STA7E'BOARD OF ELECT111CITV THlS INSF'ECTIpN lIEOASEST WlIL h/0T Gri,pt-Midway B{d9. - 1loont-f4-101 BE ACCEPTED BY TF1E STATE 90ARD 1,821 UnivetsitY Ave., St: Pau1; NIN 55104 UNiESS PRQPER {NSPECTION. 6EE IS E Phone `(612) 287_2111 NCtOSED; This reQuest void L 78 months from T 57263 Request Date 'Fire No. . Rough-in Inspection 1? ?l - R aired? " ?Ready NowXWill Notify, Inspec- t Wh ? Y•es E] No or en Ready . Licensed.Ele tri-cal C,ontractor . 1 herebyrequestinspectian of-above - Q Owner cA ? ?^{.?? ?? ?l??electrical wark installed at: Street Address, Bo or Route No, 41O _X6111:1?1 City ection o. Township Name or No. Range No. County Oceupant {PRINT) • - Phone No, - Power.Sup/plier. .?- - Address _ ?I ) Hectrical Contractqr (Compa.n?v ?Namel G !J C ? ? Contractor's License.NO. - ? 7 Y ..?/? ,,.G ? ?? . ??C+ ? Maaling AdJress.(Contrac4or or pwner Making instailationt 17 Authorized ig i e( tcact f?n r aking 2 ilatinn) ''ho++e Mumber 4tlYNE,507A STATE BOARfl OF EL6CTRtC1T'f, pj-00;`el\0Z ?t'(?-?l 1S IMSPECTION.REQ4EST WILL NOT - (3rigqs-Midway Bldg. - Ibo'».N-19"I ` \-4 ACeEPTEO 8-Y THE S7ATE tOARD 1821 Universixy Ave., St. Paul, MN 55104 UNLESS PROPER 1NSPECTION FEE IS Prione (612) 297-2111 ENGIQSED, ?----- REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. "X" Below Vllork?Covered by This Requestd New Add Rep. Type of Building Appliances Wired Equipment Wired - Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other(Specify) OYher Specify Other . Other c,ompute inspecrlon ree tseiow # Fee ServiceEntranceSize # Fee Peeders/Subfeeders # Fee Circuits 0 to100Am s 0 to30Am s 0 to30Am s 101 to 200 Amps 31 to 100 Amps 31 to 100 Am S Above 200_Amps Above 100_Amps Above 100_Amps Transformers Remote Control Circ. Partial?' t erp Signs Special Inspection $ / Remarks /e, :n.. r FOTAL- - 7 / ? / Rough-in r Date 1, the Electrical . Inspector, hereby if h . "? Final ate cert y t a2 the above inspection has been made. g.iEB-000101-03 O?:S Ihis request voia - -?r 18 months from .? A.-tG U° 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ??- +??? • 1v lan- ?- New Construction Reauirements RemodeVRepair Reauirements Office Use On{v 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Pian Recd _ Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -? Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 711l93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) l l Date 10 ? / ? Construction Cost /gD Q SiteAddress 7(91560 R0 Unit/Ste # L- a a Description of Work jqX / U D 2..C k Multi-Family Bldg _ Y _ N Fire place(s) _ 0 i 1 _ 2 Property Owner JQA ti Pp;r-r-e-f' Telephone # ((o51 Contractor w 110-il Z.tj (_OvtST1"ue_'n e?- .7 7, c. Address 1?13 C, City State Zip 5?v2 y Telephone #(&S-1 ) y 97 - n QLv3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residentiaf Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( ) I hereby apply for a Residential Building 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 the S of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not t,hout a permit; that the work will be in accordance with the approved plan in the case of work which ? a re and approval of plans. • ,iC; Cood X ?:. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types C] 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex x 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-ptex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg Y or _ N ? 25 Miscellaneous Work Types X 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation C1?-O Plan Review SI/ 100% or _ Census Code SAC Units # of Units # of Bldgs Type of Const ,o Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing ? _ Fireplace , R.I. _ Air Test _ Final _ Insulation Approved By; _ Base Fee ? `' Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 35 Int Improvement ? 3$ ? 36 Move Building ? 42 0 37 Demotish Building* ? 43 *Demolition (Entire Bldg) - Give PC Occupancy -1 25% Zoning Stories i Sq. Ft. l h/0 Length f O Width Iq Demolish Interior ? 44 Demolish Foundation ? 45 Reroof ? 46 A handout to applicant MCES System ` ? T A - , ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors City Water - Booster Pump ? PRV - Fire Sprinklered -` REQUIRED INSPECTIONS FinaUC.O. Final/No C.O. _ Plumbing HVAC ? Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding , Stucco _ Stone _ Brick Windows _ Retaining Wall Building Inspector ? V 4. ..z c, . . " q . 5 . J ' '+ %_i 4 ?. i /ti i ` ( •` : ? :S ?:. ? ?r .' ti.! ???? .°+ ?°. ? ? ? ?.? i.. ??.a ?..1 '. i?9 J-•? : ?if ?'ti ? t . ?..' ? i L: IR =3451.74 ?A Q a CL 6LACKHAWK ROAO 5 EASTERLY LINE of CEnAR GRQVo NO.7 `l I(.?=4?23'33 _.? 208.53 ' N i 12 52 W 23.65 }. BLAC;KHAWK. RQAD I° t ? 52.38 90.00 ? 66•97 ? 123,02 0? ! I I +Y ` ? ? ? o, ? I m ?. I? 73 ? Q r ? (Do :? fl ?•?, ? & W 01 W ? ? tD m b ? ?c)? -h rj I m ? 51 X< ? ?y o ? ? r? I ? II w r^ V1 ru ? ? J._. ? .r-?- ---? --•- - J ?. . -co p ? ? 90.00 _j 90.00 a ? 180.00 N 1°42'52" W o 0 v ? 0 z us W C p r" . ? . ? W? I } I ? ?•? lb4 I 233.82: S 0°2a'2f" E +a ?a ? Q? 4- , 721.s( , J . - • .? .. ? ., ? 50 ? M .M tc) ?oO ? ? M l 1''M ? QN ----- / - I i •--. 3 :.., w? N ..? U') .. ,?.• z N s... Wo o - cr- Z 0 cy- coa 0 w 00 ?OM . , Y. W z 1n Q J OD '?! U ? O • aW N m , %s W , ?.: ??. ..' I : 50 -1 33 40.00 C) Q O cr- ? Q Y V Q ..? W 40.01 50 328.00 N 89° 39`34!'E cm ? 144.95 ? ? N. ?-00; - - I I10 10 ? O I O ti) Ici 31 ? I N r ! ? Z '-'N 890 39' 34" E f 145.03 ? I ? oS 0 0 0 0 ? 2 ? T `k- G ? I ? - N 89o39'34" E J3 ? 145.03 ? ? V ao I M ? N 284.55 -143.06 ? ? 20 SEWER EASE DOC. N0. 397403 'y 3 324.56 S 89057' i 8" W NORTH LINE of HILLANDALE ADDlTION NO. i -- ( ?? ? r?? I Y?! ??? ?? ? ?-? 1? ?• ? FERMIT CITY OF EAGAN ! 3830 Pilot Knob Road I Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: ? ? IL° IN' Permit Number: 032753 Date Issued: 08/03/98 SITE ADDRESS: 4056 BLAcKHAwK RQ LOr; 10 BLaCK: a. BLAcKHAwK waaDS P.x<fU<: 10-14390-010--01 DESCRIPTIIJN: REMARKS: RERoaF DuE To s-rORM DAMAGE. FEE SUMMARY: CONTRACTOR: azTEc RaaFxNG 1444 CLIFF F3URNSVILLE (612) 895-0040 - APPlicant - ST. LIC 1e950040 2013914 RD E MN 55337 STQRM CIAMAGE REPAIR 434 ALTe FtESiDENTIAL OWNER: PaR't'ER JaHN 4056 BLACKHAWK RD EAGAN MN 55122 (651) 6$7-0722 ? =,ADDRESS: N aF wc>R?c: ?, L .?'? V -- '? ? AP 5 r f? r .. . E . l _ ? State: ty-4u -zip: . ? ARCiMC'Tf Gomgany: Phcane #: ? ? Name: Iiegistradan #: ? Sttvet Adclress: Irtipe M_vurvabon Ptan Receired Yes No a?- ?,. ? BUILC3!NG F'ERM!7 TYPE CI 41 Foundation 0 06 aupiex D 02 SF Qwelling 0 07 4ptex 0 03 SF Addi#ion O 08 8-plex 0 04 SF Pflrch ? 09 12-plex Q 05 SF Misc. ? 10 --plex WORK TYPE ??? tm ONLY CI 11 Ap#.iLcadging 0 16 Usernent FWsh Ci 12 A+ut#i RepairlRerrt. CI 't? SvWm,Poot 0 13 C3ar??Acomory 0 20 Public Eacitity a ?? Fireplace ac ?? ??sceRansous CI 15 C?it 0 31 Now D 33 Atterations, CJ 36 Move 0 32 Addifian E3 34 Repair Ct 37 dernalitian GENERAL lNFC1RMATIClN Const. (Ac#ual) Basement sq. ft. ? MO1VVS Syatem ? (Aflowable) Main lm1 sq. fit. Cjty VVater ? UBC QccupancY sci. ft. ? Fft SpMlcWe+d Zonin9 sq. ft. ? PRV # o# Stories sq. ft. Bouster Purnp k.ength .._ ,?.. ,?.?..,_...?_ sq. ft. Ceansus Code. ? Ltepth ? Footprint sq. ft. ? SAC Ccde Census Btdg ;'+Census Unfit APPROVALS ? Ptanning 8u'rkiing Engtnoerft , Vadance ,_,. % SAC ; SAC Unlts CITY USE ONLY L gL RECEIPT #: SUBD. RECEIPT DATE: ? en 1999 PLUM$u?? PERUrr (REsInEvTIAL) crrr oF EAsArr 3830 Pu.oT KNos ftn EA6AN, MN 55128 (651) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system - - ---- - -------------------------------- - ----- - - -- - ------ FIXTURES ----------- - --- EACH - -- - -- - -- - - - ----------------------------- # TOTAL Shower 3.00 x = Water Cfoset 3.00 x - Bath Tub 3.00 x - Lavatory 3.00 x = Kitchen Sink 3.00 x = LaundryTray 3.00 x - H 3.00 x = ater Heater 3.00 x oor rain 3.00 x = Gas P'iping Outlet * minimum -1 3.00 x - Rough Openings 1.50 x - Water Sottener ` for dwellings under construction 5.00 X = Water Softener * for existing dwelfing 30.00 x - U.G. Sprinkter ` fer dwelling uncier const. 3.00 - U.G. $prinkler ' for existing dwelling 30.00 = Alterations to existing residence 30.00 = Water Turn Around 30.00 = Private Disposal System ' MPC iic. 75.00 - (new and refurbished systems) Private Disposal Systems * Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Remindei: Ca11681-4675 for inspections of water heaters, water softeners, alterations, etc. ?n So TOTAL ------------------------------------------------------------------------------------------------------------------------------- t hereby adcnowledge that I have read this applica6on, state that the information is correct, and agree to compfy with elf appliqble City of Eagan ordinances. lt is the appfipnYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement. S[TE ADDRESS: ec"??-?gi?? ? OWNER NAME: ??1 ?'j,/? ?!J??'-? /' (,? ?? ? ? 10? ? iNSTALLER NAME: I??0' y9-; p? ,Lr ?l I-flkh hi ??T_ TELEPHONE #: STREET ADDRESS: ,?'n CITI': `, Y- STATE: ZIP: SIGNATURE OF PERMI7TEE CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1999 .ti ?????? ?????????io? Sijpplement T? iBuildleg ?????? ?pp?????on BUILDING AND SAFUY DEPARTMENY CiTY OF 0 AT E. Jur;e 19191 Thir3 suppiemert is provided to assis, the app4icant in r?arnputing the EXTERiC2R ERlVEL(5PE AV''RACxE "U" FACTOR 1NFOFtlvlATtON. Th3S i4^fCsrrlAtEt,7fi ;s Ce?qult'ed So tfl8 BUi4._?"?iNG OFFICIAL can determine 'hai ihe submitted pfatas compl.y with the Eh1ERGY COR3SERVATION DESIGN CRITERlR of the STAT'E BUjLDlNcI CODE (Sectiori 6001). It :s the APPL!CANT'S responsibility to accurately and Campieiety contpute the da8a; re'sec± the proper DES!GN CRiTERIA in the plans; subsnit praduct Qpacification, aa needed ta suppart the "R<: and "U" factorr used; and tn assure that consteuction is accamptishgd per the appraved pians. J 08 L 0 C AriQ?V --- OWNER(S) _,?.?.??..._.?.__?..._...?._.?..?. PHONE CONTRAGT(:R , Truax -F.M. Lanq'en-fe1.d Fx Son? pyONE- 437-8007 v A. Detgrmine thP Total Expased iFtal.i A?ea as tollows: . 1. To4ai wa! fwi ndow area 2, ToteE daor area 3. -1 cstai siidsrig giass door area 4. Total forepiar.e wail area 5. Total Lwall framing arca (average 109'q) 6. Total net wail area a`:ove fl;,o!` 7. 'rota{ r3m joist area Subtotai: Total exposed wail- area above tloor 8. Total fovndation window area 9. Total net feundation area abeve ;radp. SubtuTa': Total axposed fo:anc?aflon, area; GRAND i OTAI. EXPOSED Yr'ALL AREA 124 ssi.,ft. 54 i 8- ?'? 0 141 971 1- 14 _.. 2..ssr- f t. 100 8. Multipiy the GRAND T"OTAL EXF'C2SED !"tALL AREA X .185 C. Determine ihs Total Exposeci Floof/€:eiifn9 Area as foliows; 10, Total skyl4ght area 11. ,Total roofl`ceilfng iram+ng area 12. Yota I net i rasu fa4ed roof! c,0ai iig ar;?a i'aRAN[. TOTAL tE'7CiaQSEC3 ?`??zC??`>'f.:?M.'_Q?. ?1RE ?4 ?n-- j . ?? .. 0. Multipfy the GfiAN'D TOTAL E>CP05EO F3OOF1CEIL9Nti3 AREA li)9 st?. ?t" 983 ?1092 Aq, ft. X.04= 1522 sq. ft. .a--f t - ,?_._ Item ! ( 3U?-.74 -J IfBm I? r?? .3 a 6$ r : !.? .._,??..?? p???_ ?. , K E. Determine the ''U'va4ue of each segmeni (1 -9) and multiplv by the area as fohows'. 1. 124_sq. ft._ X „u,l .51-_ 63. 24 _ 2 54 X .45--- - 24 30 . _ 3 78 x „U,_ .46 - _._.?...35.88 . ? 4. `}?J x ?.( (II ? l,/ JCJ w ?v 1J GCJ J. ? 141 ?? V !,{4 {,V allQJ 1 _. ._._....,.? 1.7.l 6 971 X ..Uf . .049 47.58 . 7. 114 X ,, U. .045 . 5.13 8. 9 x "Ult .51 4.59 9. 100 x .,U„ .298 _ 29.£30 ADD 1-9 FOR 70TAL WALL SE!GMENfS - Item i11 237. 71 F. Determine the "U" value of each segment (10-12) sttd tnu{tiply by !he area es follows: 10 --- x .lu , -__ -?-_ . 11 109 X "U,. .029 ? 3.16 . 12. 983 X "U" .024 23.59 ADD 10-12 FOR TOTAL ROOF/CEII.lNG SE GMENTB -- Item IV 26.75 G. !t item Ne. !!1 is the same as, or less than item No. J, you Ia4e mst €he intent o` State Building Code 6006(c) 2. H. N item No. IV is ttie same as, nr isss than item No. 1/, you have met the intent af State Building Code 6006 (c) i. 1. Add Item No. I 301.74 + item No, {{ 43. 68 _ 345.42 J. Add item No. 111 237.71 + i tem No. I V 26.75 _ 264.45 K. fJ the sum o/ ltems IlI and !V are Jess than ftenas 1 and ll, you heve mat thr3 intent of the Gode for tota/ envelope sysiem. In addition to the above items you may have to add far such items as fioors over unheated spaces, such as caniileverd areas, etc. To arrive at "U" value divide the tota) of the R values tor each segrr?ent (as above) into 1,000. Answer you have is the "U" value for that segment. Exampie: A totai "R" of 35,08 divided into 1.400 =.028 "U" t%Mby certify that this plan, specification or repiAdlt was prepared by me or under my direct supervision and that I am a duly Kegistered Ar t der the la of t State oi ?blinn- ?l I•)'Alii.? Y 1 AA 1 /1,-, _ The undersfgned, as appiicant for a Building Permit, hereby affirms the above Intormation has been prepared and submit- ted by himseli or u?tider his direction; hereby acknowledges the informatlon to be correct and accurate; and hereby pre- sents the iMarmatlon with required plans in support of the BuildinQ Permit Appiication E' tr: ;: ;.? 1 1 Lt == 1/20.37 = .049 U e:tt . wall f?ami U = 1111.75 = .085 U r .i m j,oi st u = 1/21.80 = .045 ext. f_oiard. wal.I' j "G' 0.45 insu1. - 13. 0C? 3,-'4'" "'??ff R shthg. - 5.4() t".?.". Cx?.,,,,? .•,:? S idlng - G. ?%_i _-xU. d i.1C' S' ; ? '?'• '° . - 17 R = 2 0 «.1, i znt. ai.r fi1m R - 0.68 l,?o gv?.?. bd. - 0.95 sV LliYY4'od ` 4•3l? 3; 4" `:'uff' R shtfYg. - 5.40 hardb oara sidinq ext. ai.r fiim R = 11.75 int. air fiIm R = 0.68 3-5/8„ F.G. insul. - 13.00 1--112" softwood - 1.,8< 3!4" Tuff F shthg. = 5.40 naAdboard sid;Ing = 0. 6%' ext, air film - 0.17 I2 = 2I.8() int:. ai-r Li 1.yi1 R= 0.68 12" cone. bl.or_k = 2.50 ext, air fil:n - 0.17 t? = 1/3. 35 =. 29€3 R-- 3.35 . ' . . ?i c?';?._?r"?`'' ? L7 - 1i4:1.78 =. .024 U ceil.inq/rac,f f.ramzng U - 1/34.49 = .029 LI fir.eplace wal? U == 1J2. 63 =- .38 ?.t1ta ?ii ~ ?':s.:.?_, ?t - 'isF..61 0.56 1_2„ L.rist, '. bc e 1_ 1_ut 1_os e = 40.00 :xa;; 0,61 i2 == 4 1. 7 8 i n t. a.i. r f-1. a.:n{ R. -- 0.61 5 / 8" gyF. s?d. - 0.56 sof=twaod -- 4. 38 .i..1siit e cellul=-.>se-- 28.33 eiCt.. c9?.r fi.?i.ITI ° 0.61 int. air f? !nl 8" masom.:/ ext, ai c fi1:n Assigned ualue Taylar stesl wa1K da??s w1,r?)mh,. doors Assigned valu.e Marvirn in;sul. wdw. Assigned val.ue slidi.rzg aQOr, Marvin insial. R = 34.49 R = 0. 61 - 1.85 0, 1_? R = 2.63 U = .45 zJ = .51 iJ = .46 {.. ? ,-? .?? PLEASE SIGN AND RETURN pRIGINAL COPY TO THE CITY. Special Assessment Department WM'E'C: GF FMPa+?t;.ra FLQUF•ST FOF. L'TILITY DIPItOVEr1ENrS I/'v,a hcrFby request of the City Council, City of Eagan, r_i?..ze:,cta, uti].ity irprove.nnents oa and over prcperty 01•.e3 by m4/L?a '-ss (Her..t:.en tyre cf impYOVement, e.g. watex, Eaziitary sekct::, eta.) LATERAL BEPdEFIT FROM SBWER AND WATER AND STOZ9 SEWER TRUNIi 's'Iie lncation of Aaid utility impzovements shatl be genero31y ps f-:-i;X-•'- Biackhawk woada Addn. Lats 1, 2, & 3 of Bloc&n 1 TQTAL ASSE5SMENTS $8750.68 If not paid in 30 days will be spread for 10 ysars at 8% interest. I/;?a hsxeby waive notice of any and all hearings necessary Cax tre i..zstallat:Lon af said i:mpYove?nents and further wnsent to aLny ar:.,c ='?:?-,r:.'s nec.:saa.xil,y le.ried by tlle City of Eaqan for such imprOvementc- IJt,ie furthQr agree to gr.ant to the City of Earan any easem;;its ::•: :=s?-- sary for the installation of such impravements. It is further understood that this request shall be reviewe3 l`+y the Ci+,:y Cou.zcil of The City of Eaqan or its aqent and I/We will be g:'.-v,-=n ream;zable notice as to whether this request is possible under preEr-n;: utility plar.ning as to timing, location, etc. Dated: 3-2-81 X S ig:iatuYe AdcL•:ess ? FAQ'leSt accegted by Date C:',-ty a£ Eagan Request referred to City Administrator: Date Gopies: 1. City Ac]ministrator 2. Applicant L(, blc-cV-kA Uj )=.- S. P. & H. ELECTRIC 'qwaNSOp Tvumbtng 9 ?Cctflng' PLUMBING AIR CONDITIONING HEATfNG SHEET METAL WORK 16229 LEVI AVE. E. JOHN P. (JACK) CHRISTENSON, PRES. (612) 437-9215 HASTINGS, MINNESOTA55a33 October 19, 1981 Mr. Bill Akins City of Eagan 3795 Pilot Knob Road Eagan, Minnesota 55122 Dear Bill, Regarding our affadavit number T-57259, please be advised that the owner is installing his own light fixtures. We wish to be removed from responsibility regarding this matter. Owner is Truax. Address is 4056 Blackhawk Road, Eagan. Thank you. Very truly yours, S. P. & H. ELECTRIC Division of: Swanson Plumbing & Heating, Inc. Joel Huelskamp Manager JH:jc 401?dtV oF cagan ['.ATRlCIA E. AWr1DA I Ntayor ; September 10, 2001 PAUL BAKKEN PEGGY CARLSON I John & Janis Porter cnvoEE F1ELDS ')4956 Blackhawk Road ` Eagan MN 55122-1755 MEG TILLEY Council Members I Dear Mr. & Mrs. Porter: THOMr1S HEDGFS Ciry Adminisvator Municipai Cencer. 3830 Pilot Knob Koad Eagan, MN 5 5 1 22-1 897 Phone: 651.681.4600 Fax: 651:681.4612 TDD: 651.454.8535 Maintenance Facility: 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 sttengch and growth in our communiry 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 ta 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, from the Eagan Post Office, contacted me inquiring about the possibility of installing a bigger 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 (tstruve@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. Sincer ely, , Tom Struve Public Works Coordinator/Administrative Assistant TS/jj .;., y i Y.:?. r: ? ? ?-- ? ?.; I DL '[4x 44 Ql? I s! u?4 i„?_..? .. .. _ ?, . _ . .. . ?i ; ? ; ? ? ? 1 i I ? r , . _ _.........__ _ . . . ., _,....,..... . .._ ..... ....., I _ __... ? , ? t.......__..._.?_ ...__.,..___.t,.....?._._M__...___._...?._?,...?..__._.__?.._.,__._.__,. ?44.95 _.. .__. ?.?. _ . .... _` , , ? ? ? ? 1 . , { ; I 1 ! f ? , e ? 1 ; 0 ! ! v1 N <. ; . CITY OF EAGAN Remarks adaition- R1 ac khawk Woods Lot 7 aik 1 Parcel #10 14390 010 01 Owner Lk v?'•?? ?i'r?;lit (v'ff?'?r Street 4056 BlaCkhB.wk RaB.ca State Ea.gana MN 55I22 -`- -- - -- IASr?.'.t7.rc, Ad.0lS~7.S° Improvement Date Amount Annual Years Payment eceipt Date STREET SURF. STREET FiESTOR. GRADING SAN SEW TRUNK 1970 Paicl UITCI@ parcel 060 75, ection 20 SEWERLATERAL 1982 1248;04 `.1.24,80 10 1123.24 A010759 11-19-81 WATERMAIN WATER LATERAL 1 g/ WATER AREA 1977 233.33 15.56 15 1.40. 04 A010759 11-19-81 STORM SEW TRK ^14 1982 443.67 . 44.37 10 399.31 A010759 11-19-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET UGHT Road Unit WATER CONN. 335.00 25055 6-9-81 BUILDING PER. 6707 SAC PAR K ? ? , tt t??Mt? -7 f,U rEx _ E II A Na of,?nrts ?` `'ta5.3?%?F???--??s.a?.x` ,._ ?? }_ ?6',V": f: ?n,? ?* ? .. ., . ' .-.0nl*t+;l? ?6t?i lr ? Account Deposbt fee• ?w.C- Ptrrrrit _ viw ik?qq,°# usan , SZirchta?: d ? ,' }? • Trnsl ? ,P&?,?,? 77 ? . .: $ ` :CiTY 4E` 1AGAN . SEVM/ER. SERVtCE PER1#At'f .; ?79 i4nob Rood PERMIT NO.: ??? Ea ". n, MN 85722 DaTE: Zoning: ?".ZIT No. of Units: i " . Uwner. _Fran! lAn?et'tte lt7 r Addressc Sifie Address: ??^"? °1`?Clz??, r ?•OF:1?, ? ? T,?- r±?°C?.???c?'? VOC3dS Phuenber:. ?t.i?'??'CF? i'??CaZ%E"t-ti?<' ?Q0.0f .) pd I agree fa aonnply with #he Gity of Eagon Connection Cfiwge: 42 5 ?11 Q ne, Oedihoeeaes. Actount Deposit: Perrnit Fee: 0_ 012 r.r? Surzharge; pd_ BY /V4+sc: Chorges: f?cte, si# Irasp • 'tis['at: _ , „ - . lrtPp. . ` G7ats Pozd: .. ii ? x; . , . , ?.. '?A:: ? °??? •. +?? ? ?fbad Mrmmta 55122-1897 W1Z 681-4f75 ??VKMAWK wt1oos `' MPE: !B. DAMtAar tO Pertttit Hai+der tme Telephotts # F'LttM$Ch#G HVAC kmpoction DatA tnsp, Ca+nments F€3OTf41GS FCfUND a FRAlu@#h!G I ROOFiNG / RLO MS P ING 1 FLBa AIR TEST ROEtGH FtEA7'ING CiAS SVC TEST lNSUL GYP BOARD LL4 ? FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ' DOMESTtC METER IRRIGATION METER I FLUSH MAINS _ corvoucTIv+-rv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CASH RECEIPt ? ? CITY QF EACAN ` 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM G? AMOUNT $ & DOLLARS foo ? CASH F-1 CHECK FOR 1` ? 7t-...• , "'7 ,_ "' Y / r . ., ? FUND ?AMOUN7' '' . ? "? / ' ? 7/' Thank You !i 2.7 ? ,. B,r White-Payers Copy Yellow-Posting Copy Pink-File Capy Recsip PLUMBINIG PERMIT Permit No. CITY OF EAGAN Pee Fill in numbered spaces S/C Type or Print legibly Tot. _ ?R- 1. Date 2. Installation Cost t 3. Job Address LL ?? .-?" Lotk. ? Tract `Cin??d ? 4. Owner ? 5. Contractor 'Phone ' J . ? r ? ? -. 6. Address 7. City State Zip 8. Building 7ype: Residential Q Commercial ? Inst+tut+onal ? 9. Work Description: New 0 Add ? Alter ? Repair O 10. Describe 11. No, Fixtures Water Closet No: Fixtures- Cesspool/Drainfield Bath tubs Septic Tank Lavatory ? Softner Shower We14 Kitchen Sink Urinal/Bidet Other Laundry Tray • Fioor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correci, and 1 agree to comply with all prdinances and cqdes governing this type of work. Signed: ' ?41!,, fot Rougl4 Final Inspections: Date Insp. Date Insp. 7his +s your rmit?when num¢?red and approved. Approved ? ,„CITY OF EAGAN 454-8100 Receipt ?. _. e ,. PWMBING PERMI7 CITY OF EX1GAN Fill in numbered spaces Type or Print,Jegibly 1. Date 2. Installation Cost ? 3. Job Address Lot ? Blk 4. Owner {.-.' Permit IVp, Fee 'U S/C 7ot. J tract ?*.?'•a c2: i 5 5. Contractor ? Phone /:; ' ?-_xt%? r 6. Address 7. City State Zip 8. Building 7ype: Residential q Commercial ? Institutional ? 9. Work Description: New 0 10. Describe 11. Add O AVter ? Repair O No. ? Fixtures Water Closet No. Fixtures C fi l/D i ld i° Bath tuhs esspoo ra e n S ti T k f Lavatory ep c an ft S Shower ner o w ll ? Kitchen Sink e Urinal/Bidet Laundry Tray Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outlets 12. 1 hereby~Ce?tihat the_ abov information is true and correct, and I agree to ply wi vaH:lo?-dinan co? governi this type of work. Si ? for x - - Gr" Rough Final y Inspections: Date Insp. Date Insp. This is your rmit henpumbered and approved. Approved ??' CITY pF EAGAN 454-8100. ? -5 ??Y--- F-'- -,---. -.m'_?r^:T „ _ . , . . _ , R" pt 2? y MECHANICAL PERIISIT Permit ido. CI7Y OF E?AGAN ?i.?? Fee FiN in numbered spaces S/C 7ype or Print legibty Tot. 1. Date 2K1 nstallation Cost 3. .tob Address ' ?-- Lot ? Bik. ? Tract 4. Owner 5. Contractor Phone a ' 6. Address 7. City State Zip , 8. Buildirtg 7ype: Residentia4 C? Commercial Cl fnstitutional ? 9. Work Description: New l? Add O Alter ? Repair ? 10. Describe Fuel Type , 11. No, ? Ea,uioment 9TU - M. Ea. Forced Air No. Equipment CFM Ai H Mfg. r andling: Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Air Cond. 4 Mfg. ?`- Gas, Piping Outlets ? 12. I hqreby-Wti?r hat t#?e, abov information is true and correct, and I agree to ? mp(y w al?br?na??sd es governjAg this type of work. . ? Rough Finai I inspactions: Date lnsp. Date insp. This is yotj-r permit when nurnbered and approved. APP?'oved CITY OF EAGAN 464-6100 PERMIT City of Eagan Permit Type:Building Permit Number:EA115854 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 4056 Blackhawk Rd Lot:1 Block: 1 Addition: Blackhawk Woods PID:10-14390-01-010 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 . Chris Hill 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 - John E Porter 4056 Blackhawk Rd Eagan MN 55122 Aztec Roofing 4105 85th Ave. N #201 Brooklyn Park MN 55443 (952) 895-0040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160211 Date Issued:02/24/2020 Permit Category:ePermit Site Address: 4056 Blackhawk Rd Lot:1 Block: 1 Addition: Blackhawk Woods PID:10-14390-01-010 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John E Porter 4056 Blackhawk Rd Eagan MN 55122 (651) 724-0051 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160644 Date Issued:03/31/2020 Permit Category:ePermit Site Address: 4056 Blackhawk Rd Lot:1 Block: 1 Addition: Blackhawk Woods PID:10-14390-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - John E Porter 4056 Blackhawk Rd Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature