1690 Blackhawk CoveCITY aF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 6$1-4675
INSPECTION RECORD
PERAAff TYRE;
Perrnit Number.
t3ate Issued:
????r?rw??
8241&4
? !' f i fi r ?i ?l
SITE ADURESS: t 0I : WMA-
t9* ti 1, A I.? HAW; t crvU
H! R0: 1-1 A1,.4. H 1 11 PERMIT SUBTYPE:
i:?t. E ?
a APPLJCANT:
6t? 1 dI?'. N
4 ?;1 :? 3 4t5q--t?+13i?6
TYPE aF WORK:
JAMES
N FW
i
ldmir NtL ?'s?? Maltv ?e '?slapl?pe ?
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F€~i .
Fa?niP?
"h Htg• .
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or" im
Fnal Plip. PW !qxdw - AivllI Fkanbar
Const. d48?6Br
EngrJPbn
Bog. FwaI
De* Ftg. ?.
DBdt Rr2al
vm
Pr. O?p.
CITY OF EAGAN
3795 Pilot Knob Robd
Eagan, Minnesota,55122
Phone: 454-8100
WA'I'FR SOFTE=R _ PERMIT I . No. . 103
March 9., 1977 6,5411
Dcte: . Receipt No:
Single
Site Address: 1690 BlackhBFtk GbVe. Residentiai
Lot ..?_?Blotk _.,j 'Sub/Sec. Multi Res.,. Comm./Ind. I
Nome ?a=les $ro? New/Alter./Repair X
? . ,
v 1690: Blackhawk t7one
c Address Cost of Insinllation
City ?g? Phone: Permit Fee 5.00
` Nome commers Soft Water Oo. _ Surcharge •50
? 3801 California St. N.E.
? Address '
a .
0
v
City Npl$' Phone: Total 5.50
This Permit is issued on the express condition that all work sholl be dane in accordance `with nll applicoble Stote of
Minnesota Statutes ond City of Eagan Ordinances.
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Buildi
ng _OfficiuC;.42
7770
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1IWa1er tkxW - $8X
rew L? M i ? 1???? v ?U?
Aad &M -rubs -$= t _
Q Gity t:"f l Phon 6 i umatrI? - a11Q
_.._.?Shower - $3W,
S** - a.t1Q
GOMM/IND FEE -19? OF f?3NTq'AGT FEE
9 j
I nl?ndry Troryr . $3,pp
NNNIMUM - RESIOENTIAL FEE
MINMkUM -- OOMM/IND FEE - 20.00 14or Drei? -$1.50 "
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yy?, ?_$??
STATE SURCI-It?RGE PER PERMIT - .50 wrpypod _ $SLW
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'D $.50 S/C IF PEiMTf RRlGE tiOES ?G
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SIGNATURE
. FOR. L!ff1 W,""Nf
4. - . ,.. . ? ,. . _ ... _ . . . ?.. . ... ...F. ..a: . _a . _ . ....'.3 _ ? ... . "' __ . . . _.a..,,..2 ,. _ f?:il? "?fi:t?-?.,._??.??
PERb11T 0
M@GF1AN REF?MIT REC?i #
ClTY ? EAGAN
3W PILOT KNOB R411i, EAteiAid, MN 55121 DATE: ?
CaNTRACT PRICE:
Site Address if tv1
Lot Block Sec /Sub
? Name
Addr i
? Ct#y ?fi(?-r1rv Rhone
? IName 'In1'h Lz H#4 6'1
? Address 1&'76) 61ACXF1A u.
p City? A L} A AJ Phone
'I'YPE OF WORK
Forced Air dQ4? M BTU
Bqiler M BTU
Unit He&ter M BTU
Air Gond. M BTU
Vertt CFM
Gas Piping OuUets #
Other
FEE:
S/G:
TO7AL:
W"
c
%
:--,?
.?
. ?- 011)& TYPE WORK "pT", -?
R
N
es.
ew
A
?-
M
l
;
dd-tan
u
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Comm: RWair
O
h
t
er
REE#3 -- ?. ..,
? i RfS. HVAC 0-10(1 tA BTkJ . .$ 94Qp
ADDITIONAL SQ AA m • ' ? ?
ADD-ON AIR COND. 0-24 BTU - 12" E
, AQDtTIahlAL 6 M 8TU -
. GAS OUTf.EfS -
COMM/IND FEE -'1% QF GfJJNTRACT F€E
' MINIMUM - RESIDEhiTlAL FEE - ?3
?
1090
?
IalaNIMUM - GQRA1w1fIND FEE • ?,?
S7'ATE SURCHARGE PER PERMff .60
(ADD $50 S/C IF PF-RMIT PRiCE G4ES
BiE1fCYIVD $1,000.00)
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S16NATU#tE QF.P TTEE
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` FOR: C1Tlf 4F EAG?A1+1 ?
s -•• ' "` U ?'?aN '? . ? ? ? 6 3.
CITY OP tOAMN
-. ? 3793 PYbt Kner Rmi Iowa. MN 511422
PfiOln: 454i100.
Bti1LDING . PERMIT ?ece'wt
T. L. ?ud far P001 &Pe11Cm Fct Vnl.m 7,?aw D?e 1a"?"?_-___.
Sit6 /1ddfC 1b9Q B?C?Cl]3?1c OD°Ve
I.ot ? Block 1 Sec/Suds. Blackhawk-all
Paroel #
de Ncme Charlss 8rawa
z 1690 Bladchewlc Cbve
? --- Eatgart 5 2549
? Name St• Ctoix Va11eY POpls
Add, 13481 N. 60th 8t.
3Ci111I8ter1' ?..,.,e 439-4476
Erect 4] bocupanty .• - ,
_
?
Alter ? Zoning
?
Ropair ? Fire ?_ane
Enloye ? i'ppe af Const. _
Move p # Stories - +
Demoltsh ? Front
Grock ? Depth ft.
Ao ? kft ., ,
Assessment
Woter & Sew.
Polite
Fire
Ene•
Planner
Council
Name
/lddress
I hereby acknawledge that I hove read this applicotion ond stote tfiat Bldg. Off.
the information is correct and agree t+o comply with oll cpplicu6le A?
Stete of Minnesota Statutes ond.Gty of Eegon• Ordincnces. 'J
Signolure of Permittee ?'? f l _ •- "-f
Renrnit
SurcFrarps 3. ?0
Pbr? itkock
SAC ,
Wosr Offm. '
Wata' ? ?
Tow 7.?-Av -
A Buiiding Permit is inued to: %4QWx-JAW
oU work shatt be done in acto,rdanoe w' a ticoble State af Msnnesotn St?utes brd Gty o# Ecrpam.? -
Building Offitial
:&A.
PwmIF # pob Isni PwaIttu
Plumbing
Mechcnical
INSPECTIOPA OATE INSP. RougMln Find
Footings bvte Dote kpp.
Foundotion J plumbim
Frome/Ins. Mechonioai
Firal
Remorks:
. ) i i. ? '; n •, ( ,
CITY OF EAGAN Remarks ? ? _•- `r ? ?? ? ??`' '' "
Addition B1a.ckhawk H711s Ad,dz7.. Lot 1 81k 1 Parcel 10 14380 {)12 01
Owner Street 1690 S,lackhawk ????zr?r'cu. 5tate EaganaMN 55122
Improvement Date Amount Annual Years Payment F3eceipt Date
??. STFiEET SURF. 1 s025.79 102.58 18 % . ?? -
STR EET R ESTOR.
GRADING
SAfV SEW TRUNK ?'?f
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATERAREA 1977 160 Q{) 10.66 LS Lr 0,0 :Z -
STORM SEW TRK 1983 589.05 39.27 15
STDRM SEW LAT 1972 Pald under aY' eI O11 1
CURB & GUT7ER
SlQEWALK
STREET LIGHT
WATER CONN.
BUILDIIVG PER.
SAC , pQ
PARK
-, . . 1 .- ?
?Fb, Z 2ldL
J ????; ?? a ,?? ? ?o
Request Date Fire No. Rpugh-in ;rlspection Required? ? ? Ready Now Will Notify Inspector
1Mien Ready?
Yes No
I, licensed contractor D owner hereby request inspection of above electric at:
Job'Atldress (Street. Box Or Route No )
_?'i!? ¢ctJJL C t"? ?2r iry
' ?
Section No. Township Name or No. Range No. Coun
I ?
Ocwpant (PRINT)
? ? E Phone No. -
Power Supplier
?.rc,?-?? ??-h,-;? Address
Fcc.r.???; ,, ? ?, 4c
Electncal Contrector (Company ame)
A-rnit-.[?c-l-i"?tc- Contractor's License No.
N,. o? ?
i ading Address (Contractor or Owner Making InstallaUOn)
?'1
3? lo e ? ? ?
---
n Ssa o ??
?? n?,-? l -?15 . ?
- --
Authorized nature (CoMnacton Making Instauatwni
--?L%??2d!!?L- Pho Number 'ge
MINNES(YTA STATE BNAM OF ELECTRIJITY
Griggs-Midway Bldg. - Room &173
1821 University Ave., St. Paul, MN 55104
Phone(612)642-0800
THIS INSPECTiON REOUEST WILL NOT
BE ACCEPTED 8Y THE STATE BOARD
UNLESS PFiOPER INSpECT10N FEE IS
ENCLOSED.
716/C ? REQUEST FOR ELECTRICAL INSPECTION
? ? ? See instructions for completing this form on back of yellow copy.
X" Below Work Covered by This Requesf
v?r?.;,?
F : ? EB-00001-08
?
ew Add Rep. Type of Building Appl-?iancesl?lired EquipmentWired'
Home Range Temporary Service -
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (3pecify)
? i Comm.llndustrial Fumace
Farm Air Conditioner
Olher (specify) Conty ?a toC r's Remarks? ??? «v v
Compute lnspection Fee Below:
# ? Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
ing Pool 0 to 200 Amps i to 100 Amps ?
Transformers Above 200 Amps o 0 : Amps
Signs Inspector's Use Onry: ?yy YOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNEGTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electricai Inspecror, hereby Rough-in
P
?? Dote
certify that the above inspection has
been made. s ?,
Fnal aate _jp/ 3?4_
OFFlCE USE ONLV
•
This request voitl 18 months irom
L - --
YILLS"E OF EAGAN
3795 Pilot Knob Rood
Eagon,MN 55122
WATER SERVICE PERMIT
PERMIT NO.: _20Z3
DATE:
lonfng: RI._---__-- ? No. of Units: _- 1
owner: Crest Inv. for C. harles -j3row . .
Address:
Sice Address: 1690_ Blackhawk_Co_vf4??_?!°?-10N W6 ev"
F'lumber: Ra ymond E. _ Haeg plumbinq Blackhawk Hi:
Meter No.: Connection Charge: 2 2 0. 0 0 p d
Rize: "?i'--- Account Deposit:
R? r No.;...??5'---? Permit Fee:10 . 00 _p_d
1` yr? to.complr with the Village of Eogon Surchazge: '50_pa ---
O. inanE?es. Misc. Charges: 60.00 pd mete1
Total: --
?
BY Date Paid:
Date of Insp.: Insp.: -
vNLLAU qF EacaN SEWER SERYICE PERMIT
3795 Pitot Keob Road PERMIT NO.: 2823
Eagan, MN 55122 DATE: _ 11/ P/ 7 K
Zoning: r I No. of Units: 1
Owner. Crest Inc for Charles 13rown
Address:
SiteAddress: lFnn RlacY.hawY, Cove%, T,9
Plumber: Raymond E. Haeg P).umrinq
11/2/76 44479 `
So. Pt & R 1
Blkhk Hills
100. nn pd
I o9roe to ewnplr with the Vilbge of Eagan Connection Charge: 350.00 pd
O?dinonees. AcCOUnt Deposit:
Pernut Feel n'on Pd
Surchazge: • 50 P d
BY: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF E61CrAN
3795• Pilot Knob Raad
E?gan, Minnesota 55122 .
'
PERMIT NO. : _935
?he City af Eagaxz hereby grants to Pay 17. weXtex neating Co. -
of 4637 r_°hicago Ave. a HE.F.TIAtG Permit for: (Owner?_ CrESt Congt.
at IW Blackhawk mve_r pursuarit t4 a,pplication dated 12/14f7E
Fee Paid: $20.00 da-N.ed -this 16 day of nec. ,. ?9Z6 .
50 S/'c :
Buildsng Inspectar
Mechanical Permits: . , Eid Totaa: '
/Q
CITY . OF EAG'',N
3795 Pi1.o-c Kr:ob Road .
Eagan, Minnesota 55122
.
PERNffT N0. : 748
The City of Eagan hereby grants to Raymvnd E. Haeg *Plumbinq Inc.
. ? ?.
of 7226 Cedar Ave., Rich£ield 55423 a PLL'MBING . Permit for: (Owner) Creat Inv for ChaY4res Brown
at 1.590 Blackhawk Cove, p?quant to application dated -11/5/76 .
Fee Paide $20.00 dated this s day of Novem?er 76 .
..5 O?c .
Bu3lding Inspector
Mechanieal Permits:
Bid Totalt
pp-
cnnr oF EAGAN
3795 Pilot Knob Rood Eagae, MN 55122 ND 5100
AHONE: 454-8]00
BUILDING PERMIT APPLICATION Receipt
r'
Te be uttd fer Pool & Fe21Ce Est. Value 7#OOU. Dote 19-2?7B 19
Slte Address 1690 B18Ckhawk CbVe Erect :C pccupancy 1
Lot A%?lock 1 $ec/Sub. BlaCkhBpIC Hi.ll Alter ? Zoning Rl
Paroel # Repoir ? Fire Zone 3
m Name Charles BrOV111
? Address 1690 B1aCkhawk Cove
Ci Eagan Phone 452-2599
o Nome -St. r•=i Y Valle;?-Bool ss
qddre,s 13481 N. 60th St.
? Ci 5tillwater Phone 439-4476
W ?Q
??
Address
?z
_Z
< W Ci Phone
Enlorga ? Type of Const.
Move O # Stories
Demoiish Q Frvnt ft.
Grode p Depth
Approvols Fees
Assessment _
Water & Sew.
Police
F1re
Eng.
Planner
Permit 14_ nn
Surcharge 3.50
Plcn theck
SAC
Wcter Conn.
Wcter Meter
Council
l hereby ocknowtedge that 1 have reod this cpplication and state that gldg. Off.
the informction is correct cnd cgree to comply with o11 applicable
State of Minnesota Stnt es gvd City of g rdina es. a'C Total 27?.$ti
Slgnoture of Permittee
r
A Building Permit is issued to. C2 = S Bmwn on the express condition that
oli work shall be done in a963rdance wit6?dd applicabte State of Mlnnesota Sintutes and Gty of Eagan Ordlnances.
Building Official
$. ..w
CITY of EAGAN
BUILDING PERMIT
Ownsr ..CIIARLFS...DR.0:a1? ......................................................
Address (presenx) ..................•••-•-•-----........••••••••...................---..........
Hrsildar ..... C:RFST II??V . CORP •-•---•--•.........-••----• ••................................................
.Addrers ........ 79th 5t :...... Rloomin?ton.?.._!?2?
DESCRIPTION
. ;., .
Nn .? 4122
3795 Pilo3 Kaob Aoad
Eagan, Minnesota 55122
454-8100
,
„L • [? f
Date ....... ;R9.0)ffij1fflqE0 .....................
Stoxies To Be Used For Fron! Dapth HsEght Est. Cos! Por:ni! Fee Rfmarks
S/F Dwlg & Gar
63'
44'
47,400 135.5
24,,
LOCATION 1-1-A ?'a
S3reet, Raad or cther Uescription af Lvcation I Lat 8 Additioa or Tsae!
7_E90 ?3lackhacak Cove So,Pt
f 1
1
F.lackhavrk Hills Addn
This geamit does act authorise the use of slreels, raads, atleys pF sid8walks nor does it give !ha owner or his agant
the right to cxea2e any situation which is a nuiaance or whieh presents a hauazd to the heallh, aefaly, convemiann aad
general svelfare !o anyoae in the acmmunitg.
THIS 1rERMIT MUST HE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
.••....••----._..has pesmission #o erect a.. .S IF...D?v I a.... &... G a r............^..^upo?t
r p•••
Th9s is to car3ify. t6at.... e s t_ I.n.v . ...... C o-----_
C .••r •••• • ........•--
the ahove described premiseu "ect to the pravisions of aIl appli te" Ox Fnances for the Ci f gaw
•--•----•-•••...... ....•-•••... ea!or' ..?---•...._.....•.----Per -•••--• -- ..... ..........................
/ BuildiaQ Iaapecios
?/
cITY usE anTLY
PERMTT 3" 7 RECEIPT DATE:
?SIDENTLAL MECHARICAI. PERViIT APPL1CATTON
crrSt? ?EiAN
s$so Paor Kuoa fn
EAfiteklq MA 551 EE
651-6$1-4675
Please complete #or: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: l'(_J (V 1
SITE ADDRESS: Il ? '?0
OWNER NAME: P(.4 66X.r?-z--
INSTALLER NAME:
TELEPHONE
(AREA'CODE)
TEI.EPHONE #:
(AREA CaDE)
vOGT HEAr??? & AIe corrrnrIogrina
STREET ADDRESS: ??6?G0B[°!1A AVL
SA.LES -g-6767 SERVICE 929.
C ITY: 49VATE: ZIP:
Place a check mark next tn the nermit work tvne
New residential dwelling unit under canstructionand not owner/occupied i
$ 70.00 ;
- Add-on, modification or alteration to existin dwelling unit $ 50.00
? • furnace replacement
i
• air exchanger
;
? • air canditioner
• other
Nature of work:
I1 !eA(Vl-fs-Jrro !C 1) Ifrn
5tate Surchar e ?
$ .50
Total
I
Remiieder: CaCI far inspections.
SI rNATURE'OF PERMITTEE
Updated li0 1
cirY usE oNLv
PERMIT #: RECEfPT DATE: ?
APPROVED BY: , INSPECTOR '
caMMERcIAL MEcHMicA. PERMFr APPLtcATIoN
crrYo? EAdM
S$SU PILUT KNQB RD
f.ACLA16, MN 55122
651-8$1-4675
Please complate for: all commerc;a1!industrial buildings
multi-family buildings when separate permi#s are not required far each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODF)
TENANT NAME (IMPROVEMBhTTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SFACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE #: -
(AREA CODE)
CITY: STA'I'E: ZIP:
WORK TYPE: New construction install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Fiping
Specify Nature of Work;
When inslalling/remQVing underground tank, call 631-681-4675 far inspectian by Fire Marshal -ut1d
Plum6ing Iinspeetor.
Fees; 1% of cantract price UR $50.00 minimum fee, whichever is gFeater.
Underground tank removaUinstallation = rninimum fee
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF FERMITTEE
Updated 1!01
yYR?7
2000 FIREPLACE PERMIT APPL[CATION
C[TY OF EAGAN
3830 PfLQT KN4B ROAD - 55122
651 6$ l -4675
Date: L)
Descriptian af Work: ? Canstruct new fireplace _Gas Masonry
Y Install gas ittsert o?tdy
Other
40-50
? Alterations to existing
Install gas line onlv
Jab$adress: l? 2a ? L. ? ir h? f cz; 1-/
Lo€: Block: J Subdivision/P.I.D. #: I? 1 aCk h aw ?? Il ?'
Applicant (circle one only): Owner ontractor Permit Fee: $60.50
Name:, 54??,.r7- Z Phone #: nS/^ (-/.1 ;- -0ooel
PROPERTY Last First
OWNER
Street Address: I6 =] ?3,? ? f t?a,:.?,? e'-o U c
City State: /'7 /t Zip:
?
Company: Phone 3
(area code)
FIREPLA CE
INSTALLER Street Adcress: o-7d) C.I Pn '6r
City State: ".-, Zip: IS2 7 `i
Company: c. "4- C? S`!z r-i- Phane #:
(area code)
GAS LINE
INSTALLER Street Address:
City State: Zip:
I hereby acknowledge that I have read this application and state that the inforxnatian is correct and agree #o
compiy with a1l applicable Sta.te of Minnesota Statutes and City of Eagan Ordinances.
3gna
UFFICE USE ONLY
BUiLDING PERMIT TYPE
13 lb Fireplace
WORK TYPE
? 31 New O 33 Alterations ? 39 Gas Line E] 41 Wood Stove
O 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL 1NFOItMATIOIV
Census Code 434
SAC Code 0]
REN[ARKS
Chicnneylflue must be inspected before concealing.
V t
anIzDINc PEx??? ?PLIcATxorr
c:; /??- 0 ?
Include 2 sets af plans, 1 site plax? w/elevations and 1 set of enexgy calculations•
To be used fox L ±e? Valuation ;site Aaclrest: / (? ? L?
.4,Zj/ Lot Block
A`
See. Subz?`e0-1 ? Parce3_ Nwnb?r
Ok?ner C, hti '"'c 1` 1,2 ? G r- ?" ..-, wti.
Addres5 (? G' 1,?? l`",
Contractor Address S'-i1 6(2
f
p.roh. rEng..
Address
TeZephone
Te].ephone
?2 0G
DATE ?? . Z7-S-
'-/ 3 1j.- (-1 `t 7 6
Telaphane
OFFTCE USE
Ereat L!
Alter
Repair
Eiilarge
move
Demolish
Grade - - - -
oFFIcE usE
Date of Approeal & Initial
Assessment
Waterisewer
Folice
F3.re
Llrig .
Planlter
cotu3cil
Bldg. Of f.
a_p_c_
Qccupancy
znning
Fire zane
Type of Const.
# of Staries
rrotrt
Aepth
FEEs
Perrnit
St1rC'll8rqe
'Pian Check
SAC tqaCcr Conn.
Water Meter
;
'1'dTAL
? ?z?,
s
C:.
? -
J Lt
?J
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?
?
;
41?
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CITY QF EAGAN
3830 Pilat Knob Road
Eagan, Minnesota 55123
(fi 12) 681-4675
SITE ADDRESS:
PERMITI
PERMIT TYPE:
Permit Number:
Date Issued:
1690 BLACKHAWK COVE
LOT; 12 BI.QCK s 1
BLAGKWAWK HILLS
P.I,N.: 10--14380-012-01
BILDIIY??
024154
fbT/18/94
DESCRIPTION: 'kz
? •e?Dif ? ?? ? ?i`??:. y? ? .?::?{s<. ? ?.? ???
.? 3
r .
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge __$.50
Tntal Fee $30.50
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
suzLoING
024164
07/18/94
SITE ADDRESS:
LOTc 12 BLOCK:
1690 BI.ACKNAWK COVE
BLACKHAWK MILLS
PERMIT SUBTYPE:
DECK
1 APPLICANT:
HEI.LZEN JAMES
(612) 454-6495
TYPE OF WORK:
NEW
INSPECTION .. . .A
FpOTTNGS FINAL
?
?
?
?
t4 crryaF EAGAN . .
199+4 BUtLa?i(?G PERMIT APPL1+Ga?i'i`I
+' f81-43i75 . .
SINGLE & MULTI-FAMTLY 2 sets of plans, 3 registered site. 0;y "rw ,
calcs.
C"ERCIAL 2 sets of architectura] & structu p ia?a L4.?.?:I
speci fi cati ons, 1 coRy of enargy:q
Penal ty appl i es : 1) when permi t is typed, but not picked up #ay ]ast vorkitwg d? `?if
i n wi? i ch request i smade, 2) address i s changed or 3) 1ot ci??:rtgt t? ??qwst??e'pemtt
is issued.
,
Date Yaluation af vork
Site ddress: c L< '
. :`? . .
7enant Name: (comnercial anly)
b
50,
LaT BLOCx ?..,,._ soBD. Descri tion of roaotk:_ '` ..• • - .
7he appi y cant i s: 1:9 Owner ? Contractar ' C7 4ther c*"cr;bea.
Name
Rraperty u?r f,RSr
C)wner Address 9j,4e. K hA"t!c .
w6
STREEI
City ?_A Co ?f Al . Statt
7
r
Company. Phow .
C017tC8Cto1' Address
b ! 4y . . . State
FCOmpSny
Archi#ect/ ?
EMgineer ?Iame R?tstrit?s?? ?
?..
71 77
Address - Ci ty State
Sewer & water 1icensed plumber for
sewer & water permits is two days once area has en approv ..
I hereby acknowledge tMt I have read th3s a p7ication and s?te t#at ? 1r?f ?i ?scorrect and agree to camply i th al l appl i c?l e State a?' Mi n?6t?i itatu?Ges "ar? ?t?? af
Eagan Ordinances.
Signature vf Appl1cant: .
OFFICE U5E t3NLY
BUtLDING PERMIT TYPE
? 01 Faundatio.n
? 02 SF awg?.
C! 43 SF Addition
CI 04 SF Porch
E3 05 SF Nlise.
, 13, 06 Qup1ex
[3 07 4-Pi ex
? 08 8-Pi ex
L] 09 42-Pl ex
. ? lU ?lu1ti. Add' i .
? 11 Aipt. /lodgi ng
0 12 14u1ti, Mist.
0 13 Garage/Accessory
0 14 Fireplace
M 15 Dock
WORK TYPE
M 31 New
E7 32 Addition
E3 33 A1 terati ons
0 34 Repair -
E3 35 T"ant F1nish
0 36 Mave_
?
E7 lfi Basement Finish
? 17 Swim Pool
CI 18 Cama. jInd.
E3 19 Cnmm./Ind, Misc.
17 24 Pu619c facflity
0 21 Miscellaneous
0 37 flemlish
GENERAL tNFt3R11AT1ON
Canst. (Aetual
? -Bas?nt sq. ft. ?1!iGC Syste?t
(A1lowable
) 1st F1. sq. #'t. ? City Water
?)BC Occupancy 2t?d F1. sq. ft. PRY Requtrerl
Zoning Sq. Ft. total Booster Rttt?
? of Sturies . Footprir?t Sq. ft. ? Fi? ?rinkler
.
Length an-site weli Census Code ?
Depth On-s f t? sewage SAC Cole . .
.
?L_
? .
..
Census Bld
.L
APPRO1lALS ?.
?
Cer+sus Unil
Pianning Building ? Assessments
Engineering Variance
REGurRED IrtSPECTItrNs
M.Site Footi ng Ci Fruing C] Insulation
D Wallboard Final E3 llraintile 13 F'irep"lace
Permi t Fee
Surcharge -
Plan Review
tieense
MWCC SAC
City SAC
Water Conn.
Water Meter Acct. [3eposit
5/W Petrmit
SJW Surchar e
Treatment P?.
Road Unit
Park Ded.
Trails Ded. - -
Copies
4ther Total:
saC %
sac Un,ts
i----.
y 1
]3ate : ??' .+C ?? 7K
;o IIUILDIY?G PEM21T P.,PPLICATxJN
LOT ? l BLO :K / ADD T s ION?'?,,?'L„kl ,- %C.C
PARCEL & SECTIOrl NUMBER iF UNPLATTED
ADDRESS OF F1RCEL
7,Qi3ZTdG OCCJP.Ar'CYS `i-??`???
E..",TINIATED CoST
.
oWIrER zErEPxaNE vo .
ADnPEss
CONTRACTOR TELEPHQNE RT0 .
ADDxESS .5 Le n
Notes Inclucle site plan, building plans, and energy calculations with this
application
Sic,ned -
Ok'FICE USE
VALUATIOTd 70 L ?
SAG
T7A'1'E'_Z COidNECTI011
YJATFR METER
SUILDING PERt-YIT FEE
SURCHARGE FEE
PLAP1 CFECK FEE
PAAK DEDIC2ITIOIT FEE
OTF3F:lt
TOTAL*
i`f ?`'1?• cU O
?--->
-?- ? ? -
APPROVALS :
ASSESSMEiIT CLERKj?2_2 HUILDING DEPT. PaLICE AEPT.
V7F.TER & SL"frdER DEPT. FIFtE DEFT. PAI2K DEPT.
olA °°I
. ?_
MASTER CARD
LOCATION 1690 Blae3chawk Cove So. Pt. of 1 BIk 1 Hlackhawk Hills Addn.
OWNER CHARLES BROrn7YV (894-5678)
STRUCTURE AND
tAND fJSED AS S/F ?wlg. & Gar.
Permit
No.
Issued Issued To
Owner
Cantractor
-
BUILDING 4122 10/29/76 ?
Crest Inv. Corp.
PLUMBING
RAW
CESSPOOL - SEPTIC TAIrlK
WELL
ELECTRICAL
HEATING
GA5 fNSTALLING
SANITARY SEWER
OTHER
07HER
Approved
Items (lnitial)
FOOTENG
Date
Remarks
, Ig
Distance From Well
SEFTIC
r CESSPOQL
7iLE PIELD FT.
FOUNDATION
FRAMING
FINAL
ELECTRICAL
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIEED
PLUMBING
WELL
SANITARY SEWER
COMMENTS:
DEPTH
OF WELL
Violations Noted
on Back
COMPLIANCE INSPECTION REP4RTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIQNS
PERMIT NO.
CONDITIOIVS QF COI+iS7RUCt1aN AT TH15 INSPECTIOIY
? NO EVIDENCE OF trIQN-COMPLIANCE
OBSERVED.
F IACCfPTABLE &UBSTITlJT14N5 OR
DEVIATfQNS.
pATE OF INSPECTIOhI
? NaN-COMPLIAtVCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FdLLOWS:
? REINSPECTEON REQU(RED
REINSPECTIQN REVEALED
NON-COMPLIANCE. BUILDER BOES NOT
INTEND TO COMP4Y.
? COMPLETiON OP CERT/alM1t IMPROVEMENTS
WILL BE DELAYED BY CONDITEONS BEYONO
COAITROL.
DATE OF REiNSPECTION
GE RTI FICATION - I certifythai I have carefuliy inspected the a6ove in which I have no interest presant or prospective, and that I have reported herein
all significant cpnditians observed to be at variance with ordinances of the Town of Eagarv, approved plans and specifications, and any specific require-
rnents for off-site improvements relating ta the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
9lJILDItVG IIVSPECTOR
cannnaENTS:
DATE
a.
MEMG TG2 DIANE DaWNBj VTILITY BILLINCi CLERIC
FROMs ED RIRSCHT, BR. ENGINEERIWG TECH
DATEt N09EMBER 25, 1991
SIIBJEGT: STREETLIGHT ENERGY GOSTB FOR
LOT 1, BLOCR 1, BLACK1iAWK BILLB 18T ADDITIONe JAMES
HELLZEN
LOT 2,, BLOCK lr BLACR$AW$ $ILLS 18T ADDITION* G$ORGB
BOHLIG
LOT 31 BLOCR 11 BLACRSAWK HILLS 18T ADDITIQH, LLOYD WA88
LOT 91 BLE?CK 1, RQSEHILL ADDITXON
This memo is to isnform yaur department ta start to invoice the
energy costs in the amount of $2.80 per quarter per lot wa.th the
next utility billing far the following listed groperties.
Lat 1, Block 1, Blackhawk Hills ist Add. - 1690 Blackhawk Cove,
James Hellzen
Lot 2, Black 1, Blackhawk Hills 1st Add. - 1680 Hlaekhawk Ccve,
Gearge Bohlig
Lot 3, Block 1, Blackhawk Hil1s lst Add. - 1670 Blackhawk Cove,
Lloyd Wass
Lot 9, Block l, Rosehill Add. - 1691 Blackhawk Cove, Martin
Schuetze
The City will be billed by Dakota Electric far the streetlight
energy cost for a streetiight that was installed recently in the
Blackhawk Cove cul-de-sac.
s:n.awuiv, aptr?vaa.
Sr. Engineering Technician
cc: Miehael P. Foertsch
. Ed Brunkhorst, Dakota Elec.
Enciosure
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City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 21 2014
Use BLUE or BLACK Ink
For Office Use ^
Permit #:
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ,-) I N. I 11— Site Address: ry `tC i kli t-LL.4'`1
Tenant: Yl6 -"\--
Suite #:
Name: \ Y*
Phone: C'1 .-Ln;—CCC"C>
Address / City / Zip: i"a71c . \W\. 11 ('C -1 y` �(:) , PSD
Name: 1'`6`-+'-" t c►l\
License #:CL (Hii.CCIV'
� t m
Address: -? \C \ C � City: < J i -(( Lit
State: t11C> Zip: r- Phone:
Contact: C�
Email: ?l\1 n +'
_ New Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W.
}
Description of work: ; �'�,` ('X'
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
XWater Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ LCAT
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.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x j( 1.C4 i 1
Applicant's Printed Name
G"'1s
x
Applicant's Signature
rL�
FOR OFFICE t1S
Required Inspections;
Meter Related Items:
411111
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
L
Use BLUE or BLACK Ink
For Office Use CL-
Permit
i
Permit #: l / `F-�� 2
Permit Fee: - O�
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ,Y/a y/yi6 Site Address:
Tenant:
lca 14e.ek-7
Name: ,//rr,/
Address / City / Zip:
Name:
Address:
Suite #:
Phone: CS/ 3q1✓7`'42-9.V
(T,/ ,/e./71.14/
City:
License #: '4 Ve/
State: /1/.0.1.7 Zip: SD6 Phone: 6-1,2-"��?-06-9/
Contact: (%%-r/ PIZ/A. „/ Email:
_ New 1 Replacement_ Repair _// Rebuild/ _Modify Space _Work in R.O.W.
Description of work: AveC-2-- yam! `/er.i
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Tumaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes o e 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 or will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x L2 /4s v Y
Applicant's Printed Name
elate
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156714
Date Issued:07/16/2019
Permit Category:ePermit
Site Address: 1690 Blackhawk Cove
Lot:012 Block: 1 Addition: Blackhawk Hills
PID:10-14380-01-012
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kurt T Swartz
1690 Blackhawk Cove
Eagan MN 55122
(651) 452-0000
Overhead Door Company Of The Northland
3195 Terminal Drive
Eagan MN 55121
(651) 683-0307
Applicant/Permitee: Signature Issued By: Signature