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4060 Blackhawk Rd Use BLUE or BLACK Ink r------------------ ff4 For Office Use City Of Ea~la~ I Permit I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 RECEIVED j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 OCT 12 2010 Staff-------------- 2010 RESIDENTIAL BUILDING PERMIT APPLICATION q~ ~ - I Date: 10 VO Site Address: ~1xC ~h L~ /~r✓ S ~Z Z / Tenant: 1011.11 Suite RESIDENT/ OWNER Name: Phone: is l N5q- cf IBZ Address / City / Zip: Koh O !L (_Z1txwk ,2c4 Applicant is: Owner Contractor TYPE OF WORK Description of work: rC1t-0,1c S 41, Z,, 4-t,,^ ~ ^4, Cc7 ~ ~ "i y 4, 4V f Construction Cost: Multi-Family Building: (Yes / Nov CONTRACTOR Name: License Address: od 41 S ~ L A Y-r S City: Sati ~F ~ ~3 h ~ State: Zip: Phone: G-S a 2 3 o Contact:h Email: ~~S~~G~GOO iLf. rLSr»to jet >u 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: 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 the are trade secrets. 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.org 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. f~ x '4~reL,-, ~^~'l~IiGt Sd4 x x Applicant's Printed Name Applicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE ! 7~6 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy ~ZI?Z, MCES System Plan Review Code Edition SAC Units (25%_ 100%-ACr Zoning City Water Census Code X34 Stories - Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings _ Backfill - Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES `e 7 - Base Fee ?3 Surcharge Plan Review y MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 Use BLUE or BLACK Ink or Office Use I I City of Eapn I Permit ~2 5- Fpop, Permit Fee: J 5 ® I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: -z I Phone: (651) 675-5675 j Fax: (651) 675-5694 1 Staff- 2011 RESIDENTIAL PLUMBING PERMIT APP CATION Date. /--ld-11 Site Address: /-v f~l c k7'riavl< /Y CP Tenant: Del' L,bc & E Suite RESIDENT / OWNER Name: L del z-kk'6e.'k) Phone: Address / City / Zip: a o lCi 0 CONTRACTOR Name: License 9 Address: city: State: M,/-,/ Zip: s 3C~ Phone: 7~O -7- 4L S F- ~7 Contact: Email: TYPE OF WORK -New ,G! Replacement -Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 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.gopherstateonecall.org 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 { out a permit; that the work will be in accordance with the approved plan in the c e of work which requires a review and approval of plan x 7-6N V l/~~✓~~~~ x Applicant' Printed Name Applic nt's 'gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In Air Test Gas Test Final CITY OF FAGAN • 3795 Pilot Knob Rood Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 4S4-81 00 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Dote: Receipt No.. 5 ~r Single Site Address: r ' .~C "h'?* r Residential Lot Block 1. Sub/Sec. ctC'~" `'i s YXX:v Multi Res., Comm./Ind. , Name New/Alter./Repair Address ` Cost of Installation r, n, City Phone: Permit Fee Nome 't'C~' ~ Surcharge Address City Phone: ' 73ii Total 20. ")f e This Permit is issued 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 04 I-V l1~t~'S7'tftq'C`E City or Vili FORM 117+8$49 - - Oowner ?hone NAME fag oa,& W&22MQ.acontractot tilting bill to be paid by - PtWf'C"qA[d fP 1NiTtXG LAfT NAME Make of GWtA 101WA Gt F-14W 3 V Lei SPACE firspot Plant d E ❑ ❑ ❑ ❑ ❑1 Size ` Wier No. Installed Rotiatron _ "-of DoMM* a quipment. Ranges ~F. Htrs.4tnwt ) Ttry*m Htrf'f~l s 4 I F*cd Checked By - Hem Input aLWO Cert. No. SCluipment to be Installed On #1et#b AA9in Size tiff OK_ Sold by Seulce Renew sf Pt~?'~ t~ei~`ng SA7iffiRN'Tf lps ttVat3f. k TC6i 111Gic TYPE A'tTic r~~ss 1t Ad " Moors Wan Vented Yirc9t0 , Y+-No Ceiiing Yes-No,avt'n LehptSt wwth Height t ' Room Lervo width Height Roam Lereti Width Height f~Pd£1 DOORS-CRACKAGI A 0 AREA Height No. f Arms 'ne ft. r3 of pane tigt,fs sq. ft. ' of crack Coe f, Otu lctftltrotioi~ 00or l._~ Hft w kYet~ 1"eia~ 4 . <ii4 Of _fAC.AN 'WATER' SERV CE' P€R ..~37 t:'Kw~ [hood 'PERMIT NO.: - 3 a4klt$' 55122 DATE: sing No. of Urn#s:_4-~ Trm bed Acco,4i* +s SEWER SERvtcE 0t N. *n,A Rood PERMIT N ► X5122 DATE: I$1 G~~ier:~ Trend ~ ~Ip~nes _ ~ _ r 2 /,f A' c(er~~4r'e-~3~iy~4of'Fu~9ti* ; C~r~ce3?3~5f~jAr ~ I ~r'' i k"cr'''y CITY OF EAGAN Include 2 sets of plans, 1 site tan w/elevations & BUILD PERMIT PLICAT 1 set of energy calculations. 1' . f, ~C-~~ l p Zb _ Be Used For JY(.O(c 1~ie_ aluation Date Site Address OFFICE USE ONLY Lot 2_ Block Z_ Sec. /sub.u1c~,VK4Erect Occupancy Parcel Alter Zoning f Q r; Repair Fire Zone Owner: IR~ehr 40~&3-, A) Enlarge Type of Const. Move # Stories Address: l~ - DEmlish Front Lf ft. City/Zip Code: Grade Depth A4 ft. Phone ` APPROVALS FEES C Contractor: e, Assessments Permit water/Sewer Surcharge ' Address: Police Plan Check City/Zip Code : Fire SAC Phone Eng. Water Conn. Planner Water Meter Arch./Eng.: 0&,1,1-5 Council 4-17417 Flc Unit C . Bldg. off. Address : V-:30 APC City/Zip Code : Phone TOTAL o This request void " -fir L18 mothhs from Dat Nirni this Request Z2 - 11-5"'- ~b Fire No. 6000 I, as Licensed Electrical Contractor El Owner, do hereby request inspection-of the above electri- cal g installed at: Street Address or Route No. r v 1 -c clirr 941 / City - Section Township Range County Which is occupied by (Name of Occupant) Is a roughin inspection rele on this job? No El Yes Ready Now El Will Call Power Supplier Add ess Electrical Contractor A- JY421,ol- Contractor's License Nw_~5iJlo (Company Name) Mailing Address Q'~ ~Ac~f ( ct ical Contr or or Own aking This Installatlo ) Authorized Signature Phone No. V ~ZL (Electrical Contractor or Ow er Making This Instaliation) STATE BOARD COPY This inspection request Will ii not be accepted by the State Board unless proper inspectionfee is enclosed. _ Minnesota State Board of Electricity Griggs Midway Bldg. - Room N191 EB-00001-02 18.21 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 CHECK BELOW EST WORK CO EREDTBYf THIS REQ EST'O" T 6000 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ Range ❑ Temporary Wiring ❑ Duplex '0 El ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ Me List Other ❑ ❑ ❑ Mersr Others COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Amperes 0 to 30 Amperes O d!f 101 to 200 Amps. Pict 31 to 100 Amperes 31 to 100 Am eres orJ Above 200 Amps Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs cial Inspection Minimum fee $S Remarks TOTAL FE Q ,pr/ S I, the Electrical sp fy tha bov t on h een ma (Rough-in) (Final) r This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N°_ 6 519 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # z l> To be used for SF a,r,,/GAR, Est. Value 43,000 Date 3-2 19-B1_ Site Address 4060 BlaCkhawk Rd. Erect ?g Occupancy -R Lot 2 Block 1 Sec/Sub. BlaCkhawk WOOds Alter ❑ Zoning Rl Parcel ,-f# Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. Vn c Name Trend FMc7mP. nc-Move ❑ # Stories 1 W 3 Address 910 Selby Ave. Demolish ❑ Front -66 ft. Cit St.Paul Park phone 459-3628 Grade ❑ Depth 26 ft. Approvals Fees o Name oU Address Assessment Permit 123.00 city Phone Water & Sew. Surcharge 21.50 F Police Plan check 61.50 Name Phillips Plan Svc. Fire SAC 525.00 W W u~ Add re s 7630 W. 145th St. Eng. Water Conn 305.00 aW G app e Valley Phone 432-2044 Planner Water Meter 60.00 Council Road Unit 185.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. 300.00 the information is correct and agree to comply with all applicable APC Total 1 5521 M State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Trend Hc]iTn Tn on the express condition that all work shall be done in occor ce with al pplicabie State of Minnesota Statutes and City of Eagan Ordinances. Building Official • CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N° 6 519 PHONE: 454-5700 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. cccc Name Move E] # Stories 3 Address' Demolish Front ft. o city Phone Grade ❑ Depth ft. W Name Approvals Fees 0 uu Address Assessment Permit t city Phone Water & Sew. Surcharge Police Plan check F FZ~ Name Fire SAC U3:3 Address Eng. Water Conn. Q W City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: 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 Permit Date Issued Permittee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. ; -,27-,FL ,(}V Mechanical _ Final Remarks: 3d „~f7: rt . F~ ,,c~ f .c.~$_3g.,~i•q.~ L✓L~..r=" 1,~{'-?~i"t,/' `~-t 4 c~'~Tz CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name New/After./ Repair 3 Address Cost of Installation O Ili City Phone: Permit Fee i fi Surcharge ss Phon e: Total mit is issued on the express condition that all work shall be done in accordance with ail applicable State of a Statutes and City of Eagan Ordinances. Building Official i S. "1 ~ r ~r w via K' + r~ y a .E, 1 v. Fn Y t~ t t w t t F se ,l r.- ''pt.nUt int ~I:t`yl~fv r . nMrC,,.. 4t~1,4.. n)",~( -Nt,>> J (Enfifiratr of ("rrut our ~ , zs Departmut of Building Intp-rdiion v x This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building r Code certifying that at the time of issuance this structure was in compliance with the various f3 } ordinances of the City regulating building construction or use. For the following: Y., ' Use Clonftcstion - Bldg. Permit No. ocett y TYp Ty Pe C tnution~ Fire Zone Zoning District , 7 S' Owner of 04ding 1Le,,C5. iP? ,L./ 2, Address r Bwl gAddressY' Locality _ °.7 ,P, I i l X 7 By.:1P'. ' B ' Official Date: VNX z, POSIT IN A CONSPICUOUS PLACE 4002 1 V t ~t F Y Fr s- SWI, ftc. -;7;T3y1 '~~.4` : c -c9tFfc'. ,t~ r. " -'ORS' ,((il~: i 'A5 :!{t[4' ~..~`::'-.,tn °ifR~• i x t pry ~ . • ~ ',4 ~.s~~~ {A ~ t j1„~,. L "t f \a'. ~ A ~ a~ 1 ~~."~l-` A , q, t .r~, "~'S1 A ~~~.-7~ ~ww".Try ~ -t~. 'WxaLa~:l~•t ;ter z~+eyy "_,~~~,,,~~,v~ ~~oes nea ~ LITHOIN U.S.A. CITY OF EAGAN Remarks -:1 Addition Blackhnw]c Wands Lot 2. Blk 1 Parcel #10 1439() 020 01 Owner t L_cv', Street 4060 Blackhawk Road state Eagan, MN 551,22 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 11115- 1970 Paid under arcel- n-60 5 se tion 20 SEWER LATERAL 16 1982 2$ Olt x.24 g0 10 1248.04 0007110 4-10-81 WATERMAIN WATER LATERAL WATER AREA L 1977 233-33 1.1; - 56 is 1 -1) -S A010075 4-10-91 STORM SEW TRK (v 1982 4433a8Q: -44.38 10 443.80 0007110 4-10-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT } Road Unit 185.00 23548 3/2181 WATER CONN. 305.00 23548 3/2/81 BUILDING PER. 6510 93S48 3 ?Iql SAC 525.00 23548 3/2M PARK For Office Use I I I City of Ea I Permit I q I Ed I Permit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r o $ Site Address: t/af~o l3l,oe-k/1A,,4 7 J Tenant: t oc l kl4jl^ Suite M RESIDENT /OWNER Name: z)41r,1` t u Phone: Address/ City/Zip: ~'~G 7~~~rc 4 ~ P_J Applicant is: Owner Contractor TYPE OF WORK Description of work: elo rL,rr.~, /oa,, /e~.ol 1'~^i 4 t~4 Construction Cost: v G Multi-Family Building: (Yes ! No CONTRACTOR Name: -4(,e,5!5 ~1 r~ln c s 1.LC License a-06 "515 Address: AW S City: gai 41 S- PALc L State: /4-10 Zip: .5r:504-5 Phone: GS/ .71q 1 22~ Contact Person: 4,VbY 2~5~^ rscr. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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 plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water 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 the are trade secrets. 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. k_ _l r. x A-4jb(-e_~ N s's - 11 x Applicant's Printed Name n 1 J Applicant's Signature L A P i) 1 2_008 ~ Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building' ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation ❑ Replacement ❑ Egress Window ❑ Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: q, + Valuation Occupancy II- MCES System Plan Review Code Edition SAC Units (25% 100%Zoning City Water Census Code ql-q Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed B / y: Building Inspector RESIDENTIAL FEES: Base Fee f, 1,, ' 4 Surcharge Plan Review MC/ES SAC City SAC r° Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 " 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Off a nl 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey R. Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan 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 it on-site septic system On site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) _ o b Date Construction Cost 45vl Site Address Unit/Ste # Description of Work- I/ Multi-Family Bldg - Y N Fireplace(s) - 0 - 1 - 2 Property Owner Lzaou f )`O VI Telephone # ( L01 ) Contractor Ll Ott Address '9t l) ('3 a City State PAN Zip Z Telephone # ((p j ) ~-t O yL COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING r rl~ - Minnesota Rules 7670 Category 1 Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet' AP~ 0 r/ ew rgy Code Worksheet (4 submission type) Submitted i I,` ub d Energy Envelope Calculations Submitted i Have you previously constructed a building in Eagan with a simil _ If so, 25% plan review fee applies. Licensed Plumber Telephone # { ) ) Mechanical Contractor Telephone Sewer/Water Contractor 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 State of MN Statutes; 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. Applicant's Printed Na e A p t~cantfsS ignatu re OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding - Stucco _ Stone - Brick Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3030 PILOT KNOB ROAD, EAGAN MN 55122 651475-5675 Please complete for modifications to existing residential dwellings. Site Street Address _ unit 11 Property Owner Telephone 0 fecs ' - f Contractor /17-/"9 111) 1 zpx) "7LeA:9_,7 Telephone # .b Address l Zip The Applicant Is: owner Xcontractor -Other Alterations to existing dwelling 50.00 Add fixtures to rooms, excluding water softener and water heater Septic System Abandonment Water Turnaround (add $121.00 if a 5/8" meter is required) Other: ,,,,Water Softener Water Neater $ 15.00 replacement additional Lawn Irrigation System RPZ,_,_„ new repair ,mild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for e permit, work is not to start without a permit and work will be in accordance with the approved plan in the eve plan is required to be reviewed and approved, Applicant's Print Name is n 's Sig e / CITY USE ONLY LOT BL RECEIPT C l U 19 SUBD. RECEIPT DATE: (I aC) l 9 1999 MECEiMICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN MN 55122 ' Date //pp (651) 6$1-4675 . I Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ - 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New Z -'Replacement _ Repair Other ✓ Furnace Air conditioning Air exchanger, i.e. Vanee system, etc. Other Reminder: Call 681-4675forinspections. $ 30.00 State Surcharge: .50 i Total: Dl D ~J.eGZ~%~~,./(LZ~;~/7~ SITE ADDRESS: OWNER NAME: PHONE INSTALLER NAME: PHONE ~DD®.~~ STREET ADDRESS: J CITY: ST E: ZIP: S GNATURE OF PERMITTEE !S/FORMS BLD/MECH PERMIT (RES) - 1999 CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: APPROVED BY: INSPECTOR 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAFAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK. TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of permit fee due on all perniits,) TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE BEA IST THOMAS HEDGES CITY ADMINISTRATOR MAY OR O'D MAY THOMAS ELAN CLLERERK MARK PARRANTO CITY - CITY OF EAGAN C AITY KE JAMES A SMITH " THEODORE WACHTER 3795 PILOT KNOB ROAD COUNCIL MEMBERS EAGAN. MINNESOTA 55122 PHONE 454.8100 February 23, 1981 Trend Hanes Inc 910 Selby Ave. St Paul Mn 55071 Attn: Orrin Aune Re: Dwellings at 4060 Blackhawk Road and 1820 Kathryn Circle Please be informed that these units have been under instruction since November 1980. You have been reminded several times that these building permit fees should be paid . I will not allow the City water to be turned on, and I will issue a cita- tion if you do not remit immediately. Sincerely, Dale Peterson Chief Building Official DP/j ac cc - Wally Hafstad Sent - Certified Mail THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. SEA ELOMOUIST THOMAS HEDGES CITY ADMINISTRATOR MAYOR CITY KE THOMAS EGAN CITY O F E N ALYCE MARK PARRANTO CITY CLERK JAMES A. SMITH THEODORE WACHTER 3795 PILOT KNOB ROAD COUNCIL MEMBERS EAGAN. MINNESOTA 35122 - PHONE 454-0100 December 11, 19$0 Orrin Aune dba Trend Homes Inc. 910 Selby Ave. St. Paul Park Mn 55071 Re: Lot 2, Block 1, Blackhawk Woods, 4060 Blackhawk Road This is a stop order for any further construction on the referred parcel until all ordinance requirements are met and a permit is issued. Sincerely, ale Peterson Chief Building Official DP/jac cc - Paul Hauge, City Attorney Certified Ma 1 - Return Receipt Requested THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. BLA(-KHJAW?F WOOrS a DELMAR H. SCHWANZ LANE) SURVEY" Rpostored Undor LAWS Of Tn• SuU of MinnesoU 2678 - 146TH STREET W. - BOX M RO6EMOUNT, MINNESOTA 66068 PHONE 612 423 7766 M SURVEYOR'S CERTIFICATE Description: That part of the Southeast Quarter of Section 20, Township 27,- Range 23, Dakota County, Minnesota described as follows: Commencing at the northeast corner of said Southeast Quarter; thence South 39 degrees 39 minutes 34 seconds West (assumed bearing) along the north line thereof a distance of 796.72 feet; thence South OJ degrees 20 minutes 26 seconds East a distance of 721.66 feet; I thence South 89 degrees 39 minutes 34 seconds tWespointallel with said north line a distance of 240.00 feet to thence South 00 degrees 20 minutes 26.seconds East a distance of 233.82 feet, more or less, to its intersection with the north line of HILLANDALE ADDITION NO. 1, as on file and of record in the o8ficegreea of the County Recorder, Dakota County, Minnesota; thence ADDITION 57 minutes 13 seconds West along said north lineoof HIL interseLO A ADDD NO. a distance of 324.56 feet, more or less, its ction with the easterly-kind of j0ZDARd}R©VK,N©" I,+rab-dn file nan said in the office of the County Recorder, Dakota County, Minnesota, east line also being the centerline of Blackhawk Road; thence North 91 degrees 12 minutes 52 seconds West aolongrsaid alcentsaidne a 0 distance of 208,53 feet; thence continuing n centerline and along a tangential curve concave to the east, central 3451.73 angle of 00 degrees 23 minutes 33 seconds, radius 39 minutes feet, a distance of 23.65 feet; thence North 89 degrees 34 seconds East parallel with said north line a distance of 328.00 feet, more or less, to the point of beginning. Containing 1.745 acres other Subject to public road and sanitary sewer easement and any easement of record. i MINNESOTA REGISTRATION NO 86 t Certificate for: Wally Hafstad DELMAR H. SCHWANZ LANDSURVEYOR Registered Under Laws of The State of Minnesota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 4231769 SURVEYOR'S CERTIFICATE 4v 445.03 N 89° 39' 34 F- - 10 z W- z :4 ° , P, F45.03 14 89° 39' 34" e 4o _3o Sca lev I hereby certify that this is a true and correct representation of Lot 2, Block 1, BLACKHAWK WOODS, according to the recorded plat thereof, Dakota County, Minnesota.. Dated: October 20, 1980 y 04, MINNESOTA REGISTRATION NO.8625 - T.,w ~4M na...:,,....r:i..yw.". .w>.,. r.<r•~. ....1,,......+w.~.r..r.v►*+++.~.si.. PHILLIPS PLAN SERVICE 10700 Lyndale Ave. So. EXTERIOR ENVELOPE kVERAGE "U" COMPUTATION imulingtoni MN 55420 Suite J 104 OWNER ~l2.ErJp ~t- SITE ADDRESS CONTRACTOR _ DATE I- IX-&© PHONE Determine working square footage of each 1. Total exposed wall area 1(gb.(.G sq. ft. x •1~ 2. Total roof/ceiling area _ __~•__p sq• ft. x .0 a = Total exposed wall area above floor a. Total wall window area.. . b. Total door area ' ci Total sliding glass door area 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 foundation area _ ~Z•j~ h. Total foundation window area i. Toal net foundation area above grade L• 1 Determine "U" value of each wall segment. a'----- X U z b. 3~.o x „u„ C. X •55 = _ d.----- X Ifull _ f 7 q 7~v X "U" _ • D X "U" fluff 76. 25 x t- 3 e) •.C04!... .....Total = 1,~°►,~ If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = ' Total gross roof/ceiling area = 0 j Total skylight area k. Total roof/ceiling framing area . 1. Total net insulated roof/ceiling area....... Determine "U" value for each roof/ceiling segment. X ,4Utt X „U„ 07_x_ = 2. 7 1 •__~.2s..__ X „U" , 07-17 = !~`7 4 .................IQSS-Q ..........Total r If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. To utilized the total envelope system method, the values established by the f sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1 + 2. 3. + 4. _ * t; , I05T?R.4 ply 1.5._ it NIGH DEBIT_j r n ,I i t r. BEA BLOMQUIST - THOMAS HEDGES CITY ADMINISTRATOR MAYOR THOMAS EGAN CITY OF EAGAN CALYCE ITY KE MARK PARRANTO CITY CLERK JAMES A SMITH THEODORE WACHTER 3795 PILOT KNOB ROAD COUNCIL MEMBERS EAGAN. MINNESOTA 55122 PHONE 454-8100 December 11, 1980 Orrin Aune dba Trend Homes Inc. 910 Selby Ave. St. Paul Park Mn 55071 Re: Lot 2, Block 1, Blackhawk Woods, 4060 Blackhawk Road This is a stop order for any further construction on the referred parcel until all ordinance requirements are met and a permit is issued. Sincerely, 1 ~ 1 ale Peterson Chief Building Official DP/jac cc - Paul Hauge, City Attorney Certified Mail - Return Receipt Requested THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. 1 PLEASE SIGN AND RETURN ORIGINAL COPY TO THE CI'T'Y. Special Assessmen Department I WAIT,'s? OF HF.7`-2I:IG RrQUF.ST For. UTILITY nVr'-%E =S 1 :E/`Ka hereby request of the City Council, City of Eagan, M-L'+.nezota, utility improvements on and over property ot73e3 by rs/»3 as r mr . (Mer..*.. on tyre of improvement, e.g. wa..er, sanitary sew... , etc ) LATERAL BENEFIT FROM SEWER AND WATER a:ND STORM SEWS TRUNK 5"ae lncati?n of said utility improvements shall be gener::ill as i;• Blackhawk Woods Addn. tots 1, Z$7 & 3 of Block I TOTAL ASSESSMENTS $6013.11. If not paid in 30 days will be spread for 10 years at 8% interest. IA-73 hereby waive notice of any and all hearings necessary Gar the as ea:~:'•r % s fastallatton of said improvements and further consent to any 1 neccsaa_ily levied by the City of Eagan for such improvements. I/te further agree to grant to the City of Eagan any easemcats sary for the installation of such improvements. It is further understood that this request shall be reviewed by the 1 City CoLacil of The City of Eagan or its agent and I/We will be given reasonable notice as to whether this request is possible under psezent utility planning as to timing, to , etc. Dated: 3-2-81 X Signature ~-7 c Ao, i--rC Address Fegiesy accepted b Date~_ _ City of Eagan i R`quest referred to City Administrator: Date I Copies: 1. City Administrator 2. Applicant 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF E:AGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Now Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house / 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) t set of energy calculations for heated additions 2 copies of pions (show beam & window sizes; poured fnd. design; etc.) f site survey for exterior additions & decks ➢ 1 set of energy calculations ➢ 3 copies of tree preservation plan if tot platted after 7/l/93 DATE: / - ] 9 -6 t'1 CONSTRUCTION COST: DESCRIPTION OF WORK: If multi-family bldg., how many units? STREET ADDRESS: 41() &t) LOT. BLOCK: SUBD./P.I.D. - C L Name: Phone 9V e-~-) PROPERTY Last First? a OWNER a'l Street Address: City State: Zip: Company: Phone C CONTRACTOR (area code) Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration City State: Zip: Sewertwater licensed plumber (if Installing sewertwaterPhone ( 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. 11-n to Signature of Applicant: y G~' OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required I OFFICE USE ONLY i BUILDING PERMIT SUBTYPES 0 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi fl 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Adds. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of, plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage 13 05 03-plex ❑ 11 10-plex Plbg _Y or, N E3 25 Miscellaneous 0 06 04-plex 13 12 12-plex 13 20 Pool ❑ 30 " Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding D 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair © 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit I j GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC city of eagan I?aTRICIA E. AWADA Mayor September 10, 2001 PAUL BAKKEN PEGGY CARLSON Lowell & Dorothy Lubben CYNDEE FIELDS 4060 Blackhawk Road IMEGTILLEY Eagan MN 55122 Council Members Dear Mr. & Mrs. Lubben: THOMAS HEDGES City staff has continued to follow up with the United States Post Office, Eagan City Administrator 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 Municipal Center: 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 3830 Pilot Knob Road exists at the intersection of Taconite Trail and Blackhawk Road. Eagan, MN 55122-1897 Phone: 651.681.4600 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 Fax: 651.681.4612 would be acceptable to you in lieu of your individual box on the west side of TDD: 651.454.8535 Blackhawk Road. Maintenance Facility: Sincerely, 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Tom Struve Public Works Coordinator/Administrative Assistant Fax: 651.681.4360 TDD: 651.454.8535 TS/j,j www.cityofeagan.com THE LONE OAKTREE The symbol of strength and growth in our community I For Office Use I I Permit cqJ 452- _7W_ j Cit of Ea~ti I ~v I I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 j staff: Fax: (651) 675-5694 I I tt 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C P) Site Address.40Q C' 1 U~c ~L PIC,~ Tenant: Suite RESIDENT I OWNER Name: Lou c U 1 L u b fkl & n p r Phone: ~4-~ 9! 9 Address/ City / Zip: ~4o b Q 61 cu t-K k LLw k Applicant is: _1X_ Owner Contractor TYPE OF WORK Description of work: h e c i c~~ 4 Construction Cost, Multi-Family Building: (Yes / No 2C~ CONTRACTOR Name: - License i Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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 plan? Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water 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 the are trade secrets. 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 a ordance with the approved plan in the case of work which requires a review and approval of plans. X x _001-0 f-kv 4. 1,U i Applicant's PT----,L e Name Applicant's Sign ture i Page 1 of 3 i r I For Office Use • i ~l~ City of EI Permit I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 j start: Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT, APPLICATION Date: Si Addr ss:D6V J /Lt ) Tenant: Suite M RESIDENT /OWNER Name: f/ Phone: 64 LL -e Address / City / Zip: /7 Applicant is: Owner Contractor TYPE OF WORK Description of work: jo 3 l1 e / S l k/ Construction Cost: ;;6,45- Multi-Family Building: (Yes / No X CONTRACTOR Name: /z 11 ~t Q yU y g License 2G I ~~3 ( Address: 3etcl tA c~ 1 City: &LtifSUI -S~t-atter k1 Zip: Phone: q3~ `-7 _3604ontact Person* -5a 4, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted T4 submission type) • 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 plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information.- Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 per ; that the work will be in accordance with the approved plan in the case of work which requires a review and approv 7ans. r X App icant's Printed Name App ant's Signatur Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115947 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 4060 Blackhawk Rd Lot:2 Block: 1 Addition: Blackhawk Woods PID:10-14390-01-020 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 . Rick Schwab 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 - D & S Investing Llc Po Box 2213 Burnsville MN 55337 (952) 292-8894 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169991 Date Issued:06/16/2021 Permit Category:ePermit Site Address: 4060 Blackhawk Rd Lot:2 Block: 1 Addition: Blackhawk Woods PID:10-14390-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Chad R Rands 4060 Blackhawk Rd Eagan MN 55122 (213) 310-9270 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature