3707 Blackhawk Lake Ct_ .. . . .? .,?
..
?NSPE?. ,? ?'?'I?. n ?N? w 1 0
,??t?f ?F EA.?'.,AN ' ? .?-.. ? PER?'I:' 7YP?? , OV T ?. r? 1- wc?
. 383Q PFlot Knob Road Permk Nidabor:
Eagan, Minriesota 551 22-1897
(612) 6$1-4675
SITEADDRESS: QPPUCANT: .
'3I ('+! III 4R1. t' }3A1.?1? ?. rlkta 1. t t1AN1.','i rf?l7?f r)?:!"?x.4ild1?'It N tl 1#?.''?
• AsC1T'f?'e34 6 .
. . ' - I , . . . _
PF-RMIT SUBTYPE: TYPE OF WCiRK:
_1) A ",?: M r N tf r N:[ e,11 ' at`i`fR*7'Jk0W
Permlt No. , RwmIt Ftotder Daie Tate?ho? N
ELECTRiC
., A ?
FQOTI4JG3
fOU1VC1
FRAMlNCi
f40OFiNG
HQU6H
PLUNIBM
PL9fi
pJFi'i'E8T
ROIiGH
HEATING
CiA6 6VC
1'ESf
INSU6
{3YP BOARD
FIREPIA(E
RfiEPIACE
A!R'TEST
FINAC PLQt3
FlNAL FiTQ
OR3AT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
0/94
?l
?Z tZ`-?pv mo- kr-p!-
jA/'1pD?"++'??sp 'r.
4NSPECTION RECORD
CITY QF F-AGAN PERUrT TYPEi 00 11 IS I NO
3830 Pilot Knob Aoad Permk Number.
Eagan, Minnesota 55123 Date Issued: 08,11 1 f94
(612) 681-4675 SITE ADDRESS: APPLICANT:
1.7 c+r III nr:rAknwF. 1.Ani ? 1 r,A?UStacOH Oe s>acwHER HuMES
ttllO-t.1tH(Jh i;i f':N 1101 i n!If') 49b. F,• 2.'-0 4 ti PERMIT SUBTYPE: TYPE OF WORK: ?
EyRkal(i t. !,t?i?`f AtlD I i`I UN
Uf `.yl. {r t. F' 1 I, OIV '. ( 3i"t[.1 `i7"A!.!. 7 )
1? I)!? 1? N ??i'.', 1?ttAh?i t 1+Fri
h tNo?l
FrF MANt. `, ? A ',i 11 11 itll l 1 ('t ftM 1 i 1°, kf 1,4111 ltt 11 1 lIR AN'l 1 ! h r. i f? {CAk Wf)HK.
?x.
? .
/
Fawuiaaion
----
Faffkg
futtp
Rao PR4
ROUO ft
IWW.
FinM 1+lw •
Fnel Pbo• , PI4 4rpeeor-NtAMy Phmibe?
Const. AAeter
EnW~
B1dg.final
Dsck Ftg.
Oack Firiai
SAfeN
Pr. Disp.
0_
.? -T.:?-... .?? ?,aos,, ?*?'??..f?. ..:.:,. c'9pS?e,?W'?""?p•?oe','Xp?l.°?q;'a,"?e'w?'??.y?^'e°"°?."_`'i'e°T"F??"'?.: . ??' -c 77` .
h ; . . , _ 77
CITY OF EAGAN .. ~ ,
3830 PiFat Knob Road, P.O. Box 21-199, Eagan,t ' ; M1VS5121
PHONE:454-8100
BUILDING PERMI7 Receipt #
To be used far W WAWCM Est. Walue $t32+WO Date is ?
Site Address 3707 KACW2= JAXX CT
Lot iT Block Z Seo/Sub OFFICE USE+ONLX
.
PafCBi NO. Occupancy FE£S,
W
Name Zoning
tual) Consf
--fAC
aidy. Rer,.?
o
Address 0100
~9 ,
(Allowable)
.
h
S
urc
arge
City Phone ? # of Stories
Plan Review
Length
F Name ? Depth City
SAC
?
g Q Address k- S.F. Total - ,
SAC
MCWGC ??S•01`i .
? CItY Phone ' S.F. FootpriNS - ,
Water Conn 311111111?;
?
On Site Sewage ?
?
N8f71:? On Site Well Water Meter ?
w W ?
Address Mwcc syscem 3D'fi11-
i W City _ -Phone
R city wacer ? ,accc. oe a
? ma,
. r 1X SMr P
it
Al PRV Required - erm 12 I hereby ackrrowlege that I have read this application and state that the Booster Pump - ?yy gurcharge ??.
information is correct and agree to com ly with all plicable State of
Minnesota Staiutes and C f Ea an inan e
? : •-.?
. .
Treatmeni PI
?
Signature of Permitee 4io---
APPROVALS
Road Unit
DANIS_M DOILOM ? PlaOner
A
Building Permit is issued to: - PBrk Ded.
on the express condition that all work shall be done in accordarice with all Council ?
appNcable State of Minnesota StaWtes and City of Eagan Ordinances. glog, pry, _ CoPteS
Building Official r V$riance - TOTAL
• .:.?. _ :. ...,_.. .. ... . . ?. ?:_.::.w ,...: ._....:. _. . ? _. _...__ ._
.. _ .. _ ??_. a,. . , __...__.,. ._ ... ?. . ... ..__, ..__ ;.? .._,?.? ,?`:;?,N,?3
?
= -I
, .
Parmit No. teLA HoMler Date Telephone #
bVAtTER ? .
SEYYER
PLUMBING p gr ?'
??• ?o ?
H.V.A.C. ?
ELECTRIC
Irtspsction Dete In . Commenis
FooGngs 1
rrouneation
Framin9
Rooling !O
Rough Plbg. Q ?
Ro+9h Ht9•
Lso. ?O ? ?S G ro 3 `
Fre„laos
Final hNB. _ t
Fin91 Plbg.
Const. Nieter Plbg. lnspector - Noti(y Plumber
EngrJPlan
Bidg. Final
Deck Fig.
Oedc Fnal
wen
Pr. asp.
., .
(Strttfiratit uf Orrupaurn
titp of (eagan
EP}1M1'tpiP1tY 11f NLtdbiltg lttm}1Ptftrilt
This Cernf icate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this stsucture was in compliance with the various
ordinances of the City regularing building construction or use. For the following.•
Use Claasifwtion ??/GAR Bldg. Permit No. 17016
o?Upwly ryw 'FR3/ zoning ninMct R) T)qx coosc W
ownn or suudin? 4MISM DESIGIM HR.Sndd,. 415 I M7B DR1VE, EA['AN
BuildingAdd[ess 3707 BLACKHAw LAKE flOURT?l;ty L17, ?. ? Q'? 3rm
. n
< <' ' ' D,u: DEMIER 7, 1999
BWiaiog ' ialt?
, POST IN A CONSPICUOUS PLACE
SEWER 8 WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. ------- -
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS
.Z rB4k""K
IISE ONI.Y
PERMIT DATE 918189
WATER PERMIT # 1Af?77 SENfER PERMIT #
METER # 06.T_a-B.P. RECEIPT # C 3710
I REAZ3ER ???31??,• B.P. RECEIPT DATE 91061A9.
METER SIZE ?'g'.??
ISSUE DATE 11- ?Z,7-_9!4_ 41 PRV _ BOQSTER PUMP
PERMIT REOUESTED
Lv T4-r BLOCK SEC/SUB r1- Aw -•a ? ?
?EWER
APPLICANT: -.W c
ADDRESS: ? ??/ ??'?'? ??• ?/d° --? _ COMM/IND
CITY, STATE 41?011 G'i'J r/'r'tw) ZIP 5" t?/ t a
PHONE: -9 Z4,7 J? NEW
PLUMBER: lkct .1'? 'k'1:sY _
ADDRESS: •Mf''h./'+f6? 41K),e !- .
CITY, STATE fc?s?.t ??.?tJrz t t•?.ti Zip Z?/(o
PHONE: "/.?'r , fiZp
V WATE R - - TAPS
?! RESIDEM'IAL
_ EXISTINC3
1 AG ???ITH F f
OWNER: - T Al ?--
ADDRESS: SIGNATURE VYHEN METER 13SUED
CITY, STATE ZIP
PHONE: rv '/ f
r,?i !• `, ., . /'` /l?'. /A J ??.. ? [..?? A' `^ . . - .
PLEASE ALLOW TW Wb?tk?, DAYS FOR PROC?NG. FOR STORM SEWER PERAAITS, CONTACT =ENGINEERING DE ',, ? '
• y CITY OF EAGAN N2 17 016
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 C? ,.? -1)
BUILDING PERMIT Receipt #
% 1
sl
Tobeusedfor 5r* DWG/GAR Est.Value $132,000 Date SEPTEMBER 1 19 89
Site Address 3707 BLA'CKHAWK LAKE CT
BLA^uKHAWK GLEN 3
LOt 17 BIOCk 2 SeC/SUb OFFICE USE ONLY
. R-3
Parcel No. occupancy FEFS
R-1
Zoning
W DAHLSTROM DESIGNER HOMES
Name
(ACtual) Const vn
Bldg. Permit $ 752.00
3 AddreSS 4151 KNOB DR., #100 (Allowable) Y1L 66.00
o
City EAGAN Phone 454-8737
# of stories Surcharge
-
376.00
5 Plan Review
67
Length .
o
SAME
Name
Depth
33-5 SAC
City id0•00
z
gQ Address S.F. Total ,
- 575.00
x SAC, MCWCC
C11y Phone S.F. Footprints -
water Conn
580.00
On Site Sewage _
? W Name On Site well - Water Meter 90.00
'xZ AddreSS MWCC System ? 30.00
V? Acct. Deposit
a W Clty PhOftB City Water ??
$?yy p
it 20.00
PRV Required erm
I hereby acknowlege that I have read this application and state thal the Booster Pump - S/W Surcharge 1.00
information is correct and agree to com ly with all ?pplicable State of
Minnesota Statutes and C f Ea an i an?? 7
Treatment PI
218.00
Signature of Permitee LA `? 1 APPROVALS Road Unit 340.00
A euilding Permit is issued to: DAHLSTROM DESIGNER HOAlES Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City ot Eagan Ordinances. Bldg. O(t. _ Copies
Building Officiai variance - TOTAL $3,158. 00
34
4 2s
9 aoG° ?
?.
5
6
7 ?
Request Oa Fve No. Rough-In Inpsection Required
(Vou must cell inspector when ready) Inspection Othar T
? Ready Now n ough•In
Will NotNy Inspector
O? ? Yes ? No Date Ready
Iicensed contractor ] owner hereby request inspection of above electrical work at:
Job Address (Street Box or ute No.)
37-0?- City
r
Section No. Township Name or No. Range No County
a
0c-cart (PRINT,) Pho o.
uppiier
S Address
Eiect I Contracfor ICompany Na el Contr icense N.
?
Mailing AdCress (Contract r w Own Ma I tail tion)
(?
A r ICOntr Owner M king In lallation
L? x
--- Phone
?
MINNESOTA STATE BOARD OF CTRICITY THIS INSPECTION REQUEST WILL NOT
Grigga-Mldway Bldg. - RoorrwS-773 BE ACCEPTED BY THE STATE BOARD
1821 Universiry Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENClOSEO.
REDUEST FOR ELECTRICAL INSPECTION
p C V ? See instructions for compleLng this torm on back of yellow copy.
4 2 O `X" Below Work Covered by This Request
EB-00001•08
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtriC Heating
Apt. Building Dryer Load Management
Comm./lndustrial Fumace Other (5pecify)
Farm Air Conditioner
Other (spec,ty) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Abave 100 Amps
Signs Inspector5 Use Only: TOTAL
Irrigation Booms
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTNS.
I, the Electricai Inspector, here6y
tif
h Rough-in Date
cer
y t
at the above inspection has
been made. Final Dat
r 19
OFFICE USE ONLY /
This request void 18 monlhs 6om
g ?iYa?
0-, 9 -019 A
Op''
I
`
?
Z
-
Req est Da e Fire N. Required
ctorhen ready) Ins ection Other Thgh-In
Read
Now II Nodf
Ins
ector
Y p
y
y
Yes No ?ate Ready
I? licensed contractor 116owner hereby request inspection of above electrical work at:
Address St?t, 8ox or t No.)
??awlc 1..1G 0?4-1 City
Section No. Township Name or No. Range No. Counry
Occu nt PRINT ? ` ! Phone No.
r vOV1N
Power Supplier Address
Electrical Conlractor (Company Name) Contraciors License No.
pv '0 a WM is-K
I
Mailing dress
(Contra or r Owner Making Installatlon)
0 Vc --___
Authorized Si n Contractor/Owner Making Installation) Phone Number
THIS
T
REQUEST
WILL MINNESOTA'STAT-E'BOARDSt -0?BSf ?Pau ? MN 855 041CYTY 11111111111111111111111111111111111111111111111111 ENC SS P OPI ER I SPECTIONF?EE p15
; f REQUEST FOFI ELECTRICAL INSPECTION EB-00001-09
Poo See instructions for completing this form on back of yellow copy.
? i
"X" Be/ow Work Covered by This Request
New Ad Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Speci )
Farm Air Conditioner
Oiher (speciTy) Contractor s Remarks
t/' )5? • ?? S '?..?
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A6ove 100 Amps
Signs Inspector's Use Only: -T?_
TOT
Irrigation Booms O
Special Inspection '
Alarm/Communication ?
THIS INSTALLATION MAY BL.QRDEREE7?DI5CONNECTED IF NOT
Other Fee COMP THIN 18 MONTHS.
I, the Electrical Inspector, hereby
1
Rough-in
Date
certify that the above inspection has
been made. Final ? oay?
OFFICE USE ONLY
This request void 18 monthS from
PERMIT #:
5']o 1-7
CITY USE ONLY
RECEIPT DATE:
EUOS MIDEPTIAL 14IECE"CAL PERNIT APPLICATION
crrY og EALsAx
3630 Pn.oT xxos Rn
EALHM 1!N 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 1. 1' I ? "' (o -0-L"
SITE ADDRESS:
OWNER NAME: L
3 A,1n Ti
INSTALLER NAME;
TELEPHONE #: iLooo" JZ
TELEPHONE #:
guAiE ;?-ica;?g & A/C, Inc.
STREET ADDRESS: 12,48, ?., -.:de Island Ave. SQ.
Sa-, age, MN 55378-1122
STATE: ZIP:
Place a check mark next to the permit work type
? v I? $ 30
00
_ Add-on, modifcatio? ? or alteration to e;:istin dwelling unit . D .
'
• furnace replacement? NOV 19 2002
'
• air exchanger
• air conditioner
• other - -- _ ?--- ---
Nature of work:
State Surchar e $ .50
TOtal
o'? °_'-
SIGNATURE PE TTEE
1/02
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
2002 COMMEItCIAI. MECHMICAI. PERMIT APPLICATION
CITY OF EAGM
S$SO PILOT KNOB gD
EAGEP, bIA 55 122
651-681-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
BATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CTTY: STATE: ZIP:
TELEPHONE #:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = nunimum fee
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
PERMIT # 6 4' 1
RECEIPT DATE:
2002 USIDENTIAL PLU1VI$INC PENITT APPLICATION
CITY OF EA6A1V
S$SO P1LOT KNO$ RD
F.Afi1kN, MN 55122
651-6$1-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME
STREET ADDRESS
single family dwellfngs, townhomes and condos when permits are required for each unit,
har_kflnw nrpupnt,-r fnr irrinQtinn cuctcxn
FRIEL, JOHN
3707 BLACKHAWK LAKE COURT
EAGAN, MN 55122
(651) 683-9793 TELEPHONE #:
t? 0 r b 1 o Y1? ?? UL1M.b1 vLt? TELEPHONE #:
2°l05 (:'aav4ic-0 CITY: MP15, STATE:
m t-1)
(AREA CODE)
q z?- 4f d33
(AREA CODE)
ziP: 55409
_ SEPTIC Sl''STEM, new/refurbished (requires two sets of plans and MPC license) $ 100
00
includes $40.00 County fee .
Note: Additional consultant fees may apply
• MODIFICA'TIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repairlrebuild S 30.00
_ lawn irrigation system
i
Replacement/additional: _ water softener !` water heater $ 15.00
State Surcharge $ .50
Total $ 15.50
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applica6le City of Eagan ordinances. It
is the applicant's responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operatlonal and maintenance activities to the facilities constructed under this permit withi ity property/right-of-wayleasement. -7/3 o/n2
?
51GNATURE OF PERMITTEE 1102
? ? .
. ?
? ?1,t?1?,:E YO R' S CE RUT I FI GATE AW CQWQRATQN
? iiEl/t SED 8- 24 - Bp TQ S1'OW
PRQPQ6ED NOUSE FQit ,
? WLhlLSTRQM 001OWT1QN ,
, 3707 ?
? l fJLACKHIrlWi? LAKE C1V4I11T r.
` ?. •
l
rz j
i ? AR! aMA
04°?
? '.°4a f
' R8 3 Od 0
? BENCN MARK :i'??'?'"?'•'•':;3:;=?;:: 4
}?.. .:. .. ..;
, ? ?? a6EY.??4l.C4 ??/? ? <i.tis? . ?Yu::•:'r ? E
!? . ?•
p !j
`-? ?? ?• r+ '!'.li?.`r ,' ??:.;:.c 1' , . ?
04 ? ? 1.6 ``?`?.?:;??:`:' •.`.`
y >?"?? ? ? ^'....';o? oi M?°E`?` i
??Q •
ILIN GA ry loj
P.16?
OppS a
10 Is ( £ jf3 '?'? ?
•b?1 6 T, 3/ i
? II5 ? ? ?????3 ?..?, -
? ? ? K1 6ag,p .040? -t i
w .
. h. ?' CY I Z • ? r 110
n
0 .
? an,iw ` 40 --? 14
15
? , ? ? •, ? '.
°lp
?
??s
??? ?? CD
? 0 ....r ?
LOT 't7 cu !
<"? • . ' 4a .p . ? ? ;
CN.`'
, ?^ ? •; ! . ,,% I
. ? ? . ? N
' (?Q m
r4
?
10.0 33.790.C?O 6 00i 9,i 9" e (f??.?+«?? ,
;
3°
?
=
?
p Q ?
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o
O
?
N r
?
? rn
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F
r?t
? c
n
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p ?
? m ::E
z
Z
?aQ ?
8 $4 r4 'o
0 -,m ?
N
. . . . ? • . ,.¦n- . . .
? ? ?.
. ?
James
Rr'
r?.I'1??1?? ! L??GIN?S ! SURVI?i?
?1 ?/??? AvE. S. 0 15L04M1NGT4Nr MN. FJW1 f.dilo?*4"A929
?. ? .
C1TY C}F EAGAN
• 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS;
P. I. N. s 10-14352-170-02
DESCRfPTI0N:
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
3707 BLACKHAWK L+4KE CT
LQT: 17 E3LtlCkG: 2
RLACKHALJK GLEN 3Rp
Perma.t T'ype
4q,r,. k T y p e
BRSEhIENT FINISH
AL.TERATION
434 ALT. RESZDENTIAL
?
} ro ,y ?e? . ? I ? ,?,
? ?-`?'? ?? ?a +;•sa i ._ ?`„ .n? . ?,? ,
BUILDIRlG
0271.73
03/22/96
REMARKS:
FEE SUMMARY:
8ase Fee $50.00
Surcharge 1.5e
Tatal Fee $50.50
?XG C }
I 4' , , I.o ,N ` '?
ya
,
APPLIC IPERMITEE 51GNATURE ? IS5UE-D Bi,(:SI ATU E !
? - • CITY OF EAGAN
3830 PILOT KNOB RD - 55122 4,? 016)
1996 BUILDING PERMIT APPLICATION (RESIDENTiAL)
681-4675 C/? ?3"22
New Construdion Renuirements Re eln?eRair Requirements
? 3 registered site surveys ? 2 oopies of plan
? 2 copfea ot plans (inc*de beam 8 window aizea; poured fnd. design; etc.) ? 2 site surveys (exteriw additions & dedcs)
* 1 energy calculatbns ? 1 energy calwlations ior heated addRbns
? 3 oopies of troe pmservatfon plen if lot platted after 711193
required: _ Yes _ No '
DATE: 3 3A? _ CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: 37`2 . u-
LOT BLOCK SUBD.lP.I.D. #:
PROPERTY Name: L- T9911) Phone #:
OWNER • "'°* Fute'
Street Address ?Ic ? ?& 1-ce???-
City: State: .4t-t) Zip:
CONTRACTOR Company:
Street Address: License #: -21 8
City; ?- ? /-/• - State: Zip: ? S ??17
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #•
Street Address-
Cfty; State: Zip: ?
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requssted once permit is issued.
I hereby acknowledge that I have read this application and state that the in rm t' is c:one nd?e to mply w?th il
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No 13 1996
Tree Preservation Pfan Received Yes No - - - - - - - - - - - - - - -
OFFICE USE ONLY
BUILDING PERMIT TYPE
a 01 Foundation a 06 Duplex
a 02 SF Dwelling o 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
o 05 SF Misc. 0 10 _ plex
a 31 New L-::" Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
? .
?0 11 Apt./Lodging 16 Basement Finish
0 12 Multi Repair/Rem. 0 17 Swim Pool
0 13 Garage/Accessory o 20 Public Facility
a 14 Fireplace ? 21 Miscellaneous
a 15 Deck
a 36 Move
0 37 Demolition
Const. (Actual) Basement sq. ft.
(Ailowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
MCIWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Engineering Variance
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Capies
Total:
Valuation: $
% SAC
SAC Units
1
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date issued:
? ??/ l
BUILDIN
024226
08/11/94
SITE ADDRESS:
P.I.N.: 10-14352-170-02
3707 BLACKNAWK LAKE CT
LOT: 17 BLOCK: 2
BLACKHAWK 6LEIV 3RD
DESCRIPTION:
(3RCl STALL)
Building Permit Type GARAGE/AGCESSORY
Building Wdrk Type ADDITION
11111111110
REMARKS:
A SEPAf2ATE PERMZT I5 REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
Base Fee
5urcharge
Lic. 5earch Fee
Total Fee
VALUA7ION $8,000
$99.00
$4.00
$5.00
$10s<00
CONTRACTOR: - A p p 1 i c a n t -- ST. LI C. OWNER:
DAHLSTROM DESIGNER HQME5 14552245 0003508 FRIEI JON
10525 AKRON AVE 3707 BLACKHAWK LAKE CT
IMVER GRQVE HTS MN 55077 EAGAN MN
(612) 455-2245
Z hereby acknowledge that I have read this aPRlication and state that the'
information is cnrrect and agree ta camply with a11 applicable State afi Mn.
5taWltes an City f Eagan A dinances.
Gr! " _ _ '
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A PLIC /PERMITEE SIGNAT RE ISSUED BY IGN URE
- ?' CITY OF EAGAN
7.?'A 1994 BUILDING PERMIT APPLtCATION
681-4675
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rniQ 7-A
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site nergy
l
ca
cs. .
COMMERCIAL ??Is,Z11s??f .
2 sets of architectural & structur C
specificatians, 1 copy of energy c _______
i?
P
enalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed ar 3) lot change is requested vrce permit
is issued.
Date z Valuation of work 0'piro
Site Address: 3?7 er-,
S7REET SU]TE #
Tenant Name: (commercial only)
LOT ? BLOCK StTBD?
.?(l?. ,dJ?rl P . I . D . #
Dascri tion of work: 4440 ?4- O
The appl i cant i s: ? Owner 0-£ontractor ? Other (oescrtbe)
Name Phone
Property LAST } fIRST
Owner Address
3Zio
2
.
-
STREET 57@ #
City State Zip
Company l?,AgWiF-?W-r Phone
Contractor Address /6Z?j5 ??? 4k4? License Exp. /-9cS
C;ty state G%L? Zip
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber . PrQCessing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
e S_tat of Statutes and City of
correct and agree to comply w th a a p ic bl
?
Eagan Ordinances. ? ?-
Signature of Applicant: ??
cOWFrCE usE ONLv
^y ? ?
BUILDIWG PERMIT TYPE
? .
? 01 Faundation ? Ob Duplsx ? 11 Apt./Lodglng ?.168asaideat Fin.ish
D 02 SF Dwg. ? 07,4 =P7ex ?12 Nlti ?'misc. [3 1?' Swfm Poa1 ,
11 03 SF Addit11on, :*- .. _,0 .,08;8-Plex ks 13 GaragejAccessary. ? 18'Comm,/Irtd.
O 04 SF Porch ` ? 09 12-P1ex 0 14 Ffreplace ' O 19 Cow. jlnd. Mlisc.
O 05 Sf Mi sc . ? 10 Mu1 tt: Add' 1. ? 15 paclc ? 20' Publ ic Faci l i ty .
. . , ? 21` I"scal taneous
waRK rYPE .
tp 31 INew D J3. Alteraticros 0 35 7enant Finish ? 37 Demo19sh
? 32 Addition ? 34 Repa9r 0 36 Idove.
GEWERAL INFORMATiI'}M ; -
Canst. (Actual) Baaernent sq. ft . Nwcc System
SAllowable) ist F1. sq. ft. ? City Water
UBC ccupancY
n ?d FT . sq. ft,
.
P'RV Rsqcti reti
?
S
tories
? of . Ft. tQta1
??ter F?
,?vo
Footprint Sq. ft. Fi rs Spri nkl er
Length U#Ous Code
'
Depth ??-tode -?
ARFROV'QLS
. ,
Leasus gt d
Census Uni?
Pianning Building ? Assessnaents ?
Engineering '-`"- Variance
REQUIRED iNSPECTIOW: ' . .
0 .Site JO Footir9 Z! Frul ng 13 insulation
Q Wallbaard t? Final 0 Dratnt4?* E3 Fireplace
Permit Fea wiwss? $ ? ? ?R.c? •: ?.??? ?,;, - , . .
Surcharge '? ,.---------, .,...?.v•.
P1an Review ' ,
Li:cense . ,
MMICC SAC -
G tty SAC
Water Corm. .
Water Meter Acct. Depasft
S/W Permit
S/W Surcharge
7reatment Pl. .
Road Unit
Park Ded. .
Traits Oed.
Cop.ies
t?tlaer '
Tatal:
SAC 96
SAC Un-its ,
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirY oF EAcaN
? E830 PiLflT KNOB RD • 55122 651-681-4675
New Consiructlon Rlaukements D 8 regisiered slta surveys showMg sq. ff. of lot, sq. M. of house
and qo roofed areas (2O% mmdmum lot coveroa2 allowed)
D 2 coples of plans (ahow beon a window:izes; poiued fnd. de:ign; etc.)
D 1 aet of enerqy cakukrHons
> S copbs of iree preservatbn plan M bt pk?thd alter 7/1/93
DATE: ifa% r _
DESCRIP'fION OF WORK: 1'1e? -CCA T-
STREETADDRESS: -776 ? &.fGtk.(( z,& ??•
LOT: ,.?_. BLOCK: D" SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
z copies W pian
1 set ot ensrpy Ctkula8ons for beoW oddNbns
1 sft swvey for exlerior addMons i dacks
? ???, a
CaNSTRUCTIDN CaST:
Name. Phon*#: (o S/ ???? l i?3
Last fM
street
7
N /1-- G ?- C;
Cify 4at9'K State: Zip:
Company:kz e- A+
irsfs
Street Address: 6,k"4Sy? ?/?.
City State:
Zip:
Comparry: Name:
Telephone #: crso code (
Phane #: ? c
(area code)
ucense 0 ;0l -"/" F.xp.
Shee4 Addreas: Regstration #:
City
Sewwer & water licensed plumber (raaWred for new corshuction onlvl:
State:
Pencft applies when addresa change and iot change Is requested once penr* is laaued.
ZiP:
i hereby ockno ?.f? I?? ?r?'pd ihN?s?ppUcahon, sMte fhat fhe information is corroct, and agroe to comply wNh aq ap?cabl
Stcte ?of Minnea ???fFy-s1 Eagan ?dinances.
I! ? '
i? 3,?? - Signature ot AppMcant:
I _ OFFICE USE ONLY
L.......?r. Certificates of urvey Rv ""'---"''r`Ss No AUs 31ffM
Tree Presenration Pian Received Yes Plo Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwelling
13 03 1 of _ plex
? 04 2-plex
? 45 3-plex
? 06 4plex O 11 18-plex 13 16 Fireplace ? 21 Porch (3-sea.)
? 07 5-piex O 12 12-plex O 17 Garage 0 22 PorclVAddn. (4 sea.
? OS 6-plex 0 13 16-piex O 1$ Deck ? 23 Porch (screened)
O 09 7-plex O 14 Apartments O 19 Lower Level O 24 Storm Damage
? 10 8-plex 0 15 Lodging ? 20 Pool 0 25 Miscellanecus
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteratian
fl 34 Repair
? 35
? 38
? 37
n 38
Tenant Impr ? 39 Gas Line Oniy 0 43- Siding/SoffitslFascia
Move Bidg. ? 40 Gas Insert O 44 Windows/Doors
Demolish Bidg.* ? 41 Waod Stove O 45 Fire Repair
Qemolish (Interior) p 42 Reroof
* Give PCA handaut.to applicant for demolition permit
GENERAL INFORMATI4N
Const. (Actual)
(Allowable)
UBC Occupancy ?
Zoning
# of Stories
Length
Width ?
APPROVAL$
Basemerrt sq. ft. ` Census Code
Main levei sq. ft. SAC Code
sq. ft. No. of Units
sq. ft. No. of Bldgs
sq. ft. MC/ES System
sq• ft. City Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Planning Buildin9 E?Mewft vadpam
- . --?-?- ; .
Permit Fee Valual
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge '
Treatment PI. ,
Park Ded.
Trails Ded. Other Copies
Total:
SAC Units
% SAC
1989 BoII.nING pgmCrr IPpLIcATIax - cnz o? ?GkK- --?
3IlNGLE FAMIl.Y DWELLING3 fol I (*
INCLUDE 2SETS OF PL.AN3, 3 C?RTIEICAT?S OF SIIRVEY, t SET OF ENERGY GALC[TLATIONS
NOTSs ADDa&SSES FOB COR14ER LOTS - Cfl1iiTRAGTORlSOMEOWNER MQ3T M.SIGNATE iTSICH !?DDnSS
IS DFSIREU. 80 CHkN'GES WILL BE ALLO1iSD OaCE BtTII.DING PSRMIT IS MSIIED.
MIIJLTIPLE DTiELLI1+TGS HSN'lAI. DAITS FUR SALB DHITB 0 OF UNIT3
INCLi7DE 2 SETS OF PL.ANS, CERTIFICATE OF 3URVEY - CHEC[ WITH BLDG. DEPT. t 1 SET OF ENERGY
CALCULATIONS !
COM?ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRtTCT[iRAL PLAPTS,
I 8ET 0F SPECZFICATIOI3S AND 1 SET OF EATERGY CALCULATIONS
To Be Osed For : SF Va].uation: z, Taate: ,? :??.
Site Addre"A / u / <=r. ?---------
Lot -/-
Z- 81oek 2-
Pareel/Sub 31'"Qm"j
Owrier
Address
City/Zip Code
Phone
Contraetor ?b&J-i
Address 4/-
City/Z3p Code
?
Phone
7^
Areh./Engr.
Address
City/Zip Code
USS ONLY
Occupaney R"31 m`I
Zoning R-1
ictual Const -/.!
Allowab].e
# of staries
Length
Depth ?'? ,1?•
S.F. Total
Footprint S.F.
On site sewagt
Oin site well
PWCC System 1
C3.ty water
PRV required
Baaster Pump
gPPaOY6LS
PZanner
Couneil.
Biag. off.
Yariance
FEB3
aldg. Permifc ????DC>
Surcharge (o.
Plan Aeview L` j G. Op
SAC, City Uo .pa
SAC, MWCC
Water Conn ?
Water Meter 0,oD
Acet. Deposft 3o.ao
S/W Permit 2?).ov
S/W Surcharge ,c-
'!'reatment Pl. 2r?q,J^
Raad Unit 3 Yv, Uf
Park Ded.
Capies
TOTN. `???
'5 ? cl r ?
y
Phone #
NOTE: Sewer & Water Permit fees and scaount depvsit fess wi].1 be includEd In the buiiding
permit fee. Pracessing time far seirier and water permits is txo daya onc;e a lioensed
plumber has applied for a permit at City Hall.
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SURVEYOR'S CERTIFICATE
SiENNA
REV ISED 8-24-89 TO SHOW
PROPOSED HOUSE FOR
DAHLSTROM CONSTRUCTION
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?------ DENOTES PROPOSED SURFACE DRAINAGE .
O DENOTES IRON MONUMENT SET y SCALE: 1 INCH - 30 FEET
• DENOTES IRON M4NUMENT FOUND PROPOSED GARAGE FLOOR - B4Z-; FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - L'3¢,? FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 84z.7 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION., THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
•Lot 17, Block 2, BLACKHAWK GLEN 3RD ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota. ' . . . . , • . ??
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHOACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISIDN 1'HIS DAY OF ,19 .
APPROVED FOft SIENNA
CQRPQRATTON
SIGNED: JAM , tNC.
DY:
DATEDt
aY: ?--
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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SURVEYOR'S CERTIFICATE
REVISED 8- 24-89 TO SHOW
PROP05ED HOUSE FOR
? DAHLSTROM OONSTRUCTION
BLACKHAWK LAKE C4URT
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PLANNERS I ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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CtTlf USE ONLY ?
L ? BL ? ? RECEIPT #: s??,/+5.-79l
? Q? 2?
SUBD./C??!??? o? DATE:J// 9A p(o
19DO19 1996 MECHANICAL PERMIT (RESIDENTIAL)
3/y?4G CITY OF EAGAN
3830 PILOT KNGB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permfts are required for each unit
New construction X Add-on fumace
Hdo-on air conciiioning Hdd-on air exchanger, i.e. vanee system, eic.
Date: March6, 1996
j??
? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) -4:9?
? State Surcharge .50
TOTAL a.o.4r'0
3?07
SITE ADDRESS: a?"93 Blackhawk Lake Court
OWNER NAME: John Friel PHONE #: 68
INSTALLER NAME: Hatthew Danie2s, Inc. __
STREET ADDRESS: 15230 Carousel Way
CI'T'y; Rosemount
STATE: MN Zip; 55068
PHONE #: ( 612) 423-3730
1
?
s. `
CITY USE ONLY
L BL
SUBD.
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? ail commerciaUindustrial buildings.
? mulb-family buildings when separate permits are not required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTI4N
DESCRIPTION OF WORK:
INTERIOR tMPROVEMENT
FEES: ?$25.00 minimum fee 2r 1% of contract price, whichever is greater. ,
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of gm3nd fee due on all pemnits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP• PHONE #: SIGNATURE:
SIGNATURE OF PERMITTEE
RECEIPT #:
CITY INSPECTOR
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Rvugh Openings 1.50 x.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114829
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 3707 Blackhawk Lake Ct
Lot:17 Block: 2 Addition: Blackhawk Glen 3rd
PID:10-14352-02-170
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 .
Elizabeth Hess
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 -
Jon Gutzmann
3707 Blackhawk Lake Ct
Eagan MN 55122--124
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature