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1660 Blackhawk Cove INSPECTION RECORD ~ , 1TY OF EA GAN PERMIT T'~ 10; 308!30 Pilot Knob Road Permit Number. 0.3 1 0? Eagan, Minnesota 55122-1697 Cate Issued: (612)-681-4675 SITE ADDRESS: 1. , 4 et (K V ~ g APPLICANT: SFr 0 CACA031AW COVE 410"[1t"R50" CoWil INC. Rick 612 ) 894-0001 PERMIT SUBTYPE: TYPE OF WORK: AuTERATION F THAt.. Pr14A0 kil p4OVAI Of !.OWEV t FVF L H A§41't0+ "Al 1. AN!) t'NS At 1 A'fION OF SQWPORT DFAlt% t,t AN fTF'VTFWEP flY MIKE SAACh - 1 •s, .r .yl.~ .F i» 1 to : r 11.~in 1. a':i PoToot wo, ftmdt imdor Date Tole Mme k MOW" F ICi a AI tMT W . E .IL ~`r?dP!BQA~ FORM" MAL PLIO O RBA TEST SLOG FINAL SSMT R.I. BFMT FINAL DECK FTG DECK MAL INSPEGl ION `lilt'U(0KI) CITY OF EAGAN PERMIT TYPE: 0014. DI 3830 Pilot Knob Road Permit Number: 014010 Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: C 0 T- f 4 fit t) (K APPLICANT- it>t0 F1 I AI:KaiAWY rt)VF AN1)VR1 ltp4 HI ACC HAW, 111.t 1. t ) 4(,4 PF134T SUBTYPE: TYPE OF WORK; AS MI N1 1 1NI",11 Al TFRATIOM a7i>MTN13 • INAI c)0 t 1,146 RFr4AkV, III 14H nF %JTVbJU ) BY IJAYNV Aft 14,14 F F Ff, la: PF,RNI7 !tt ()!111"tt FOR ANY PI_11MH1N6 WORK, t JAI I fijl;'a 415 28,10 RF.6ARDING I'l.a1'1'141+. Al. PFRHFI AND IN"itiF6",tTONS Permit Helder Date Telephone # T PUMI NO HVAC 1 tloA bate lop. Comments FED FOUND FRAMING RD FlPl1:s . PLlt~iQ TEST €loue # HEATM t31AS $'bC TEST ihlStJl GYP BOARD FNRIPLAICE FIREPLACE AIR TEST FNOL PLBG F94AL HTG ORSAT TEST EL13G FINAL METERTIG IRRIGATION METER FLUSH MAINS OONDUCTIVrrY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD' CITY OF EAGAN ~ PERMIT TYP 3830 Pilot Knob Road ;a Permit Number: y • j Eagan, Minnesota 55122-1897 136t6 IS d; (651) 681-4675 10 46, 0-01, 138 40 APPLICANT: SITE ADDRESS!'- ` N I O7 4 01.01:# I t64E t?I { A.1l Wl (AW Ahli1~ 1~'[ i #i i 81 ACIf1W,#- Fi1I 1 > f►ei;.! ► 4f 4^6afk PERMIT SUBTYPE: TYPE OF WORK:. t.1', t~''1 T?id rr1#~".1 YS • . ,yet F Of) TT H6 FR A14 r 06 g: k„ .1 RFMARI( f1l AN f VtfFefn BY CRA16 ROVAr;/YK . CA( L 44f>--?840 PFCoARDING f t F C I li 11 AI- 1'f l4MT1 AND 1H5PE'C7J0NS i S ~ 7 f 11 1 I I I - ~ ~ 7 fR- i~c.'rd.l~,__d.~ Permit Holder Date Telephone # SEWER/ WATER PLUMBING H VAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL VILLAGE OF EAGAN WATER SERVICE PERMIT 7$5:Rilot Knob Road PERMIT NO.: 1609 Eagan, MN 55122 DATE: 10/28174 Zoning: RI No. of Units: l owner: William Bartl Address: Site Address: 60 Blackhawk Cove Plumber: same Meter No.: 24002521 Connection Charge:280.00 pd Size: 5J3 Account Deposit: Reader No.: 607881 Permit Fee: 10.00 pd I agree to comply with the Village of Eagan Surcharge: .50 pd Ordinances. Misc. Charges: 60.00 mete Total: By Date Paid: Date of Insp.: 1=21-75 Insp.: lIJL.LAQE OF UGAN SEWER SERVICE PERMIT 2370 8795 Pilot Knob Reed PERMIT NO. Eagan, MH 55122 DATE: .10/28/74 Zoning: RI_ No. of Units; 1 Owner: w nyam. Rare] Address: Site Address: 1660 Blackhawk cove Plumber: same I agree to comply with **-Village of Eagan Connection Charge-400.00 pd Ordinances.. Account Deposit: Permit Fee: 10.00 pd Surcharge: 50 pd . By: Misc. Charges: Date of Insp.: Total- Insp.: Date Paid: CITY OF EAGAN Remarks 7 A(-4 Addition Blackhawk Hills Addxn. Lot Blk 1 Parcel 10 14380 040 01 Owner KPI~h D. F .G. 1108 tli bV; nL Street 1660 Blackhawk Cove state Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date # STREET SURF. 0 1976 2 62 276.27 10 1381.44 C005479 7.13.180 STREET RESTOR. GRADING SAN SEW TRUNK fJ N977 380.88 1 5.23 25 213.35 0005479 3 80 SEWER LATERAL IL.721.35 236.06 20 2596.81 0005 9 713,180- WATERMAIN WATER LATERAL 20 WATER AREA 192-7-- A * STORM SEW M lat. 1972 20 STORM SEW LAT STM SEW TRK '7)L/ 1983 1159.00 77.27 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 280-00 11821 1 BUILDING PER. QWi , 38.00 -20- 6 SAC 14 00.00 - - PARK CITY OF EAGPN 3795 Pilot Knob Foal Eagan, Minnesota 55122 PERK T NO.: 523 The City of Eagan hereby grants to William BArtl of 295 E. Marie Ave., West Rt. Paul 55118 a PLUMBING Permit for: (owner) same at 1660 Blackhawk.Cove. pursuant to application dated 10/24/74, Fee Paid: $20.00 dated.thi,48th day of October. 19 74 _s .50 s 76 Building Inspector Mechanical Permits: Bid Total: N CITY of EAGA.N ~ 3902 BUILDING PERMIT 3785 Pilot Knob Road Owner., l..l <.l. ..:A& r.z../ ' Eagan, Minnesota 55121 0 C1//r Address (present) ./W(A/[1...... 454-8100 Builder - -nol-,.....ll• .i~ 7 Date ~d G Address .ZG.XZ......... ..ove..A.~....:..:~.,, DESCRIPTION Stories To Be. Used For Front Depth Height Est. Cost 'Permit Fee Remarks ~~eF - co LOCATION Street, Road. or other Descr'ption of. Location ~II Lo! Block Addition or Tract ®c'~/ l a of 11140 This permit does not authorize the use of streets, : roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a . hazard to the health, safety, convenience and general welfare to anyone in the communi THIS PERMIT MUST B PT H E S HILE THE WORK IS IN PROGR S. ' _p This is to certify, thal.~- ..•...has permission to erect a::... ...~"7^:'' :.............upon the above described p ise subjec to the provisions of all applicab ces for t e City am . . ` Per ayor Building Inspector f CITY of EAGAN N2 3421 BUILDING PERMIT l f 3795 Pilot Knob Road Owner LL.l a.a ~~t'.Y.. Eagan, Minnesota 55122 Address (present) ....Qt {!L ..........1 .f,1- 454-8100 Builder r_1../:Pi.4.L 172.-..1.r.4..~t1........~.-t2......... .....Via-..l.-e..... av..'................... Dale t ,~..I9..T..~l....... Address DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cost ermit F e Remarks 77 ~7 LOCATION Street, Road or other Description of Location I L Black Addition or Treat This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create' any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare !o anyone in the community. THIS PERMIT MUST B~~~:~;CEPT REMISE WHILE THE WORK IS IN P SS . This is to certify, thatV,:..--TAM..P has permission to erect a... ............................upon a an, the above descri romise subject to the provisions' of all applicabl ces for the Via.......... Per Mayor Building Impeelor PERMIT -~C CITY OF EAGAN 3830 Pilot. Knob Road PERMIT TYPE: -RU I L O I N G Eagan, Minnesota 55122-1897 Permit Number:` 3 4 6 (651) 681-4675 Date Issued: 03/11/99 SITE ADDRESS: 1t;60 3LACK,HAwK coVE ' LOT: 4 BLOCK 1 SLACIKHAWK HILLS P.I N..: .10-14380-040-01. DESCRIPTION: BL! .;_-J 11j' F"er-mit Type BASEMENT FINISH B,:':! :J is ll, Xk 7ype ALTERrw1TfON 434 ALT. RESIDENTIAL a REMARKS: PLAN RLVI'I WFD RY WAYNE MILLE SEPERATF_- PERMIT REQUIRED rOR ANY PLUMBING WORK- CA L L (ti12 44b-2840 REGAPDING Es_LC"FR ICAL PERMIT A N 0 1NSPECTILOINS'. FEE SUMMARY bd:~F Fee ffa i~ . S u r" c h a r g e Total Fee d . S 1 I i~ CONTRACTOR: OWNER:. - A p p l i c a n t ANDERT Jlrri 1£610 BLACKHAWK COVE EAGA N Mf~f 55:122 ~651)4E4---6032 ` 1 I I. t- n fi. ;1 c I. f t r rr,; i i r:.~ 1PL PE EE SIGNATURE IS D BY: SIGNATURE B I, ii , i s~s~?4c~~K~~*h'c~c~~K•~jk~~7l~~7K'~ss~~~~~+~~#~~~~X~~~K~~~XXt~s CITY OF EAGAN CASHIER.- 5 TERMINAL N0„ '709 DATE.- 03/15/99 TIME: 15040024 I III NAME-. JAMES B ANDERT a' 3210 9001 1660 BLCKHWK CO 60.00 21.55 9001. 1660 B1-CKH14 , CO 0.50 Total Receipt Amount: 60.50 ~ CR 10:388J. USER ID.- NANCY j i. it I r PERMIT CITV_ff AGAN Road PERMIT TYPE: BUILDING Eagan, Minnesota 551122-1897 Permit Number: 034137 (651) 681-4675 Date Issued: 12 01./ 9 8 SITE ADDRESS: 1660 BLACKHAWK COVE ; LOTz A BLOCK; 1 BLACKHAWK HILLS P.I.N. 10-14380-OAO-01 DESCRIPTION: SHED 16X 16 8t i t.,_'F'armi_t Type GARAGE/ACCESSORY BLi di;1.t Iype NEW :_rF i'j :ctrc:; 328 EITHER NONRES. k REMARKS: PLAN REVIEWED BY CRAIG NOVACZYK. CALL-445--2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: VALUATION $33@00 Base Fee $74.75 Surcharge X1_.50 T o t a l Fee $76.25 CONTRACTOR: OWNER: Applicant ANDERT JIM 1660 BLACKHAWK COVE E;AGAN MN 55122 (651)454-6082 X n 1" I I1 t_ 1: ri r, 7 i 1 Y' r'. - ui .y, r# i ! r.-❑ i a _i Ill >.J a 1': i"r •~i (:T i. i. 1 t . t : _ >-l ' i i i °i PPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE ..IL I. , ICI ~i I i :k :lr yr11 3.1.•,1 L• ! i ! • ' ;'A?~{}f(~~i'•~{h'~A'r~i~~ti+i+1i{;i.?itfl{~I~, hl:a!(%1C'.~ll rJ ir,~r! CITY OF I_.i`60.a N I , CASHIER; S TERMINAL NO! 791 DATE: W/01/98 TIMP 1D 432! O 9001 1660 BL04AW CO 74.75 205 I.....J W1 S:1'..1.`Y: j.1f/, JI• I j f:)W Receipt Amounn 76.05 CR0020 USER ID, NANCY I. :~C7~: ~~::~:~C:1;;i~:h;:~',•;:~~Y~Y.c?k?k~n~~~"%n3~~;+~;ti:;{.~'n';:~'.:~i~;:zk:~;+'y~?Y~'h~X{ I 11 I PERMIT %TY EAGAN 0 Pilot R Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031822 .(612) 681-4675 Date Issued: 04/21/98 SITE ADDRESS: 1660 BLACKHAWK'COVE LOT: 4 BLOCK: 1 BLACKHAWK HILLS P.I.N.: 10-14380-040-01 DESCRIPTION: Building Permit Type SF (MISC.) Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL r REMARKS: REMOVAL OF LOWER LEVEL BEARING WALL AND INSTALLATION OF SUPPORT BEAMS PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION $4,000 Base Fee $87.25 Surcharge $2.00 Lic. Search Fee $5.00 Total Fee $94.25 r CONTRACTOR: - Applicant - ST. L I C .OWNER: GUNDERSON CONST INC, RICK 18940001 0001001 ANDERT JIM 3341 HARMONY CIR 1660 BLACKHAWK COVE BURNSVILLE MN 55337 EAGAN MN (612) 894-0001 (612)454-6082 I hereby acknowledge that I have read this application' and state that the information is correct and agree to, comply with all applicable State of Mn.: Statutes and City of Eagan Ordinances. Law kit f E APPLICANT/PERMITEE SIGNATURE S E QY: GNAT R i :;1 Yo t . S Hi `r. Ir„„% r i ~ ? to . f f,a tf4, t• t, t tt ~f ~t ty / CITY OF ! .f?GAN CASHIER: JS TERMINN. NOi 699 DgTEv 04/22/98 TIME: W4032 I3? 32iQ 9001 WD BLACKHANK 87.25 205 9001 WD BLACKHAWK 2.00 9001. j.660 PLACIG-1ANt" 5.00 i Total Receipt AmounQ 94.25 1 USER IDn JAN i 1 1 ' 1 ' i i:!-f ~;,.:t ~)f°.f _'{;1}~~+~>t _.Sf+St f~l~~i~.. 1- •'i 1.~:•1 ~~i'1 i `!+Itl.! !:l i.t a.?:!•!'I!?..j •i P 1/5 I°f I ' F+i , I f i:t t! l ' 1'f r '1 V-s i, r ! , I ' ' 1 i ? r i { .L ? J } t f v i .r r .t r r .r . VA... {'(.t.t tJ V.{ tiJl!l 01 "'Ina n.,, T (iC/..- rlift"i/:", I`7 I,i no an~ ~ i 1938 BUILDING PERMIT APPLICATION (RE DZXT ' CITY OF IGII C" 36A`PMOT Oft *D - `68122 681.4675 New Construction Reouirertents Y ♦ 3 fegistered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sites; poured (nd. design; etc.) ♦ 2 aite sun" Imctefio►, additions & ) ♦ 1 energy calculations ♦ 1 energy calculdi a a Mated silt 041M ♦ 3 copies of tree preservation plan g lot pied after MJ93 required: _Yes _ No DATE: November ?fit, 1998 CONSTRUCTI Ot4 COST; $2,923.43 DESCRIPTION OF WORK: 16X16 Shed 7' Side Palls Greens Treace Po tten-~ 1: P104r STREET ADDRESS: 1660 Blackhawk Cove li on, Minnesota..551 2 LOT: 4 BLOCK: i SUBD.IP.I.D. Name: Andert Jim and Retry Phone 651-454 PROPERTY Last First OWNER Street Address: 1668 Blackhawk Cove City State: Nn Zip; 55121:2 Company: Phone - CONTRACTOR Street Address: Liceme # City State: Zip: 51 ARCHITECT/ ENGINEER Company: S Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (rww construction only): PW' ► WMn and lot change is requested once perrrlit is issued. I hereby. acknowledge that I have read this awn and state that the k9orrnIll ' artd agi"10 "ply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Yes NOV 1998 Tree Preservation Plan Received Yes 'NO Not Requirad OFWA USB ONLY - - BUILDING PERMIT TYPE CJ 01 Foundation ❑ 08 Duplex ❑ 11 Apt/Lodging. 0 18.. t:Finflah ❑ 02 SF Dwelling ❑ 07 4-plex 0 12 Mull Repair t. Ci 17 SW!m.Pt*t,,- 0 03 SF Addition ❑ 08 8-plex 113 GarageJAOX I s y ❑ 20 Fadlity. . 04 SF Porch ❑ 09 12-plex ❑ 14 F 21 Mbeellenems, ❑ 08 SF Misc. ❑ 10 t -plex 0 15 Dec WORK TYPE S /G► C ~ , t ; 31 New ❑ 33` Ait+em 036 Move ❑ 32 Addition ❑ 34 Repair 0 47 Dorn n GENERAL INFORMATION Coast. (Actual) Baserno t sq. ft. MC, S sy"n lew (Allowable) Main leaf sq. ft. Water UBC Occupancy sq. IL hire. Spr klerad _ r.......r..._ Zordng sq. ft. P RV # of Stones sq. ft. Bass ltrpp Length sq. ft, co us Depth Fob sq. $A' Dxde APPROVALS Planning Build ng Permit Fee Va>ueri: $ Surcharge Plan Review License MCOWS SAC City SAC Water Conn. Water Meter Acd. Deposit SOW Permit SOW Surcharge Treatment PI. j . Park Ded. Trails Ded. Other espies Total: % SAC ,_.,,T 98 BUILDING PERMIT APPIWATION (RI SIDI;~TTl ,Lj ~ . ~J CITY OF SAGAN aiawl 3930 PU OT KNOB RD - 86122 681-4673 New Construction Requirements ftmodefftegair Raguliements ♦ 3 registered site surreys ♦ 2 copies of plan 2 copies of plans (include beam & window sizes; poured find. design. etc.) ♦ 2 site surveys (exterlor addcom & decks). ♦ 1 energy calculations ♦ 1 energy clculations for addition # 3 copies of tree preservation plan if lot platted aRer 7/1!93 required: _Yes i No DATE: 41 CONSTRUCTION COST; DESCRIPTION OF WORK: e.-.c,,-(- aF B s~-5 t K1CC_ r-?y4m, A Io STREET ADDRESS: 1016 G le,'lodc°k 10w<< CcGv f.- LOT: BLOCK: SUBD./P.I.D. I). tWjj L& Name: 946 1 r2 S t rn Phone '-l S la O$ 2. PROPERTY Lust Fint OWNER Street Address: 4 g~r~~K t{slwlC c, tJ City State: iW A~) zip: company: et e toC~/ucP-P~ rJ ~`o o~ d'7+- U~ Phone ~~l dOCS r CONTRACTOR Street Address:,q3cfj fZ1*eg%nV 9 0 f License # /,00/ City ~~~iuS (~ILCC State: M J0 Zip: lq;C+3.37 ARCHITECT/ ENGINEER Company: Phone Name: Rgjstration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applift when address Chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infarmatiort is correct and agree tocoff" with alt appiiccabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of licart aPP _ OFF ICE USE ONLY rAPR Certificates of Survey Received Yes No 4 Tree Preservation Plan Received Yes No Not Required w . a OFFICE USE ONLY Otte BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex 011 Apt/Lodging D 16 Basement Finish ❑ 02 SF Dwelling . ❑ 07 4-plex ❑ 12 Multi RepaldRern. ❑ 17 Swim Pool ❑ 03 SF Addition - ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 . Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous X05 SF Misc. ❑ 10 ; plex ❑ 15 Deck WORK TYPE t_La.H wall - { ►.4+1 beo►,n► S ❑ 31 New 33 Alterations O 36 Move 0 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) - Basement sq. ft. Maws system (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire SprinMered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Census Unit O APPROVALS Planning Building .3 Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: ' , R SA t _ nits 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGM 3830 PQ40T KNOB RD - 55122 3 (4 (651) 681-4675 New Construction Reauirements RemodeUReosir Reaiirements 1 3 registered site surveys ♦ 2 copies of plan l ♦ 2 copies of plans (include beam & window sees; poured find. design; sic.) ♦ 1 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: - 93 CONSTRUCTION COS • DESCRIPTION OF WORK: 4`F- STREET ADDRESS: ktin() IED1 f~AN14k ~OV T LOT: BLOCK: SUBD./P.I.D. Q. Name: K NdEpf Phone PROPERTY Last Firsts! OWNER 1 ~o(~ l l/ V u a~N \ y l!J 1 0~ Street Address: ` State: Zip: I 14M Comp4E~t El T Phone CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip. Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the informati , an to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE ❑ 31 New 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code ll3`~ (Allowable) Main level sq. ft. SAC Code O UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg _ # of Stories sq. ft. MC/ES System Length sq. ft. City water Width Footprint sq. ft. Booster Pump PRV APPROVALS Fire Sprinklered Planning Building Ae Engineering : Variance Permit Fee ® O Valuation: $ Surcharge i ®d Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 70, Cr) % SAC SAC Units - 3 X10 COPY COPY BINSTALLATION CREW MINNESOTA PACKAGE PRODUCTS, INC. COPY C--CUSTOMER SWIMMING POOL DIVISION 6922 55th Avenue North No. St. Paul, Minn. 55109 770-1313 GENERAL INSTALLATION INSTRUCTIONS f PACIFIC PALM POOLS CUSTOMER NAME_ DATE_ il l ADDRESS -~L Cam- 611-'mar kI. J :I PHONEVZ 4 - 11p POOL SIZE_ f l :L__._ TYPE *S DATE SOLD Diagram pool site in relation to house, garage, driveway, etc. (Allow 3-inch variance) IJ t 1. Indicate deep end by (X). 2. Mark location of filter and/or heater by X. 3. Indicate approximate elevation of pool in relation to permanent fi on property. rtet«""' A. Elevation 4. Will trees, clothes poles, power lines or any other obstruction be encountered during installation? Yea No-X- If yes, explain: 5. Does customer wish to retaip any or all of dirt from pool excavation? Yes No ~Iz If yes, explain: 6. Indicate and explain any special instructions not covered above. (Example: Placement of backfill for walls, patios and fill dirt, etc. Customer agrees to added charge if dirt is ndled more than once.) W Customer agrees and understands that any changes or additions in the above outlined installation which occurs after excavation has begun may require an added charge. Y This charge shall _be computed on a cost plus 30% basis. Seller Signature 'Customer Signature-` MASTER CARD LOCATION A4 OWNER 1~~•46~.(~.f~.l~s STRUCTURE AND LAND USED AS ._q sp , Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ❑ OBSERVED. EVIDENCE OF NON-COMPLIANCE ❑ NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. F ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ❑ COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND ❑ NON-COMPLIANCE. BUILDER WILL COMPLY CONTROL. WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: F-1 REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION-1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. F-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 23 MASTER CARD LOCATION OWNER STRUCTURE AND LAND USED AS ,;t X~ 6 D Issued To Permit No. Issued Contractor Owner BUILDING 40 PLUMBING ZIP r r /At' CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING j SEPTIC FOUNDATION CESSPOOL FRAMING r TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER 7 Violations Noted on Back COMMENTS: w ~ t I. A COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ❑ NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ❑ ACCEPTABLE SUBSTITUTIONS OR COMPLETION OF CERTAIN IMPROVEMENTS DEVIATIONS. ❑ WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. E] NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED 4 CERTIFICATION-1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 23 PERMIT City of Eagan Permit Type:Building Permit Number:EA122587 Date Issued:05/13/2014 Permit Category:ePermit Site Address: 1660 Blackhawk Cove Lot:4 Block: 1 Addition: Blackhawk Hills PID:10-14380-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Clint Schmidt Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James B Andert 1660 Blackhawk Cove Eagan MN 55122 (612) 868-1558 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139534 Date Issued:10/27/2016 Permit Category:ePermit Site Address: 1660 Blackhawk Cove Lot:4 Block: 1 Addition: Blackhawk Hills PID:10-14380-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James B Andert 1660 Blackhawk Cove Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143486 Date Issued:06/16/2017 Permit Category:ePermit Site Address: 1660 Blackhawk Cove Lot:4 Block: 1 Addition: Blackhawk Hills PID:10-14380-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James B Andert 1660 Blackhawk Cove Eagan MN 55122 (612) 868-1558 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature