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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 ? ? A O ? o O ? N r ? ? rn ? . F r?t ? c n ? ? 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! " _ _ ' 3 niJ A PLIC /PERMITEE SIGNAT RE ISSUED BY IGN URE - ?' CITY OF EAGAN 7.?'A 1994 BUILDING PERMIT APPLtCATION 681-4675 ?I oi .0o 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. ?.? ?.J y b 13 6,Z 9 K t3>S ?t8s y9L4 Qv --------------- 131?o(p , , , I SURVEYOR'S CERTIFICATE SiENNA REV ISED 8-24-89 TO SHOW PROPOSED HOUSE FOR DAHLSTROM CONSTRUCTION . ??, v, • ? ?vc? ?- p? d,? ? ' . ? V e-i ?•' V ?? M :? ? :? . ? ?.?... ..? .-?...... .... !_. Ti?? ?9 .?? I X'?' T'? VV'F L- T ?------ 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 = ? -r?? o? w p ? w o 70 rn ? r? - p r rm ?2 m O O tn? tn ?> D ? ? ?? ? z ? GDi czn a?o m ao N ? ? .r m ? James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 ` RT 0 nU i.. . _ /. , . . SURVEYOR'S CERTIFICATE REVISED 8- 24-89 TO SHOW PROP05ED HOUSE FOR ? DAHLSTROM OONSTRUCTION BLACKHAWK LAKE C4URT ? ? BENCH MARK W P OFR HV.=84.'S9 ? ?O ? r / ? 840.6 839.8 1 ?, • 8` ? ?9°F5'33" e4o.a ;::... R83000 n w .'??'?'i.?;;i4;Sx•. / . ? \•• ?? 4 M 5 I p0 641.8 ? - J4.?JL4?4-tra-, 8 42,a) 0 ?J\ ??•fi? { ? 9391 836.3 ai?.a eaae: ? : ? 3& 1. ?o -?i___. I to I I e3e.? 15 t0 ? I ? I ; <o . o I ? o g ? z zT io ? I Jt?- I S . F? J? IO ?t ? 5w ? 151 ??Q? `, I iS ??•?,? I . ? \ ?0 ? -A O 90 ? 30 CA = ? V o ? ? 0 D N Or- t- m .P .. m j? O c ?r, ? N> a° ? o v Z m o 03 Q ? " ?> p ? F4 m z ? Z ? O m ? N .. ? "fol, '5,p" GA R. / p? N p?s: DUSF sz5 / .3 Lo-r ?$ \ Z?^ ? G 'D a . o ,. 4 90.00 ?g 33.7) '7 FO O M N s 1(1 i? \J I I \O ? 82a.9 x, S 00I 9' 19" E. P. James R.Hill, inc, PLANNERS I ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 ? --BENCH MAIa( 1DP OF PIPE Et.EV.s 941.26 , l M 1 ? z3.? xe33.7 W t1" 0 qt 0 ? z pcanucc cAux. t-a iI7 Lb,-4e- L 0 &4L-4*,k•-K G uj•J 3' ¦ C ¦ E 1 SITE 8DO-DAYLSiAQM 8ES16NER NOMES :IIIU]I]?ll '=]]lllll]]II HAllll)ll] :ll]llll]l ......_.. .__... _........_. ____... ? BWNER- ??.? ._.........._...._........... ...... _......_........__...._......_.....,..... ? : ?mnu?n Immi»n : ?vmu?li : ?viiu» _.. ..?__._._...._....._..._.. 3 . CONTAACTOH- . r?t,5rv :lAllllllll;,Illllllll .?.. . _ _ . . --.. . .-- -..____.-? 4 _ . . ..... . _ .... __ . . .. .... CALCUTATIDNS DNE BY-STEUEUIETOR ? : €l)Dlll?]ll €]l]Illl??D 1DD11))ll ]l]Dl]]I 5 TYPE af BBILDIN6-??vo S?_ ...??` . ...... .._.....__.._......_._...._. :IllDllllll,?;lllllltll ?IIID 'llllllll] ....._;._._..._ ? p _... .. ... ... .. : n 'n n m? ......... ? r y, . DATE- ? _...... Z? ? ?in?ni?in ..._.. ......... ....?. . 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FI#KNIORFINISII _ .........._..?____....._.?.._ : U.61':•I??llll]lll ?1ll]llll]ll . ?. . ; °.]1???llil ........................... ....._.........._..........._ .................__-???......__._ ?1#iEplDIR AI0 Fll.M . . ........?..?....?...?.W??.__.?...?. _._-?......_.?.. : 8.17;?llllllllll :?llllll]]Il .......,. ...... . :lujlilll ._?_....__._.. ?.... ?5 _ . ..............._....._................__._.....__..................._....____?....?........?_.....?......._.._....?.........._...._..____..._...._ ??T'AL flSS?N?BtY I?-IJAL?.??:11?11Z1]3ll :]?n?Il?3l? ; ;1I1111111 Gfi RSSEMKM !f-dRlBE l t fR) : O.KIlIZD11llI Iilllllll? _...............?... ? :?llllllll .. .............__......?._._..._.. ................._........_................................._.._??___-?___.._.... 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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 4 ? CfT'Y ll?IE OWY L ZZ,_ SL SUBD. ? ?" ?, ??„?•?? 1M, P.UMMING PEW1T Mim P#eme complift for: ? sirwgle #amNy dwe#kw FtXTURES um 5howw 'Im x Wafier Cloeet 3.00 x 8ath Tub 3,00 x Le+ratm 3 .00 x WAc1wn Sink . 3.00 :s ???? Tray 3.00 /1 ! 4Yf T UbISpa . ' 3.01I ?Y ". . Water Nestter 3.00 :c . Floor Drain ` 3.00 x G8s Piping Outlet nwmwrn -1 3.00 x Rvugh Openings 1.50 x. VMer Sc?ftww &00 x ?? i ¦7-a1e ?s?sPi * {Jak? ?.-? ' A? Wf/.1JV ' . `i????- re , , .-.,.. ). ., - . U.G. Sprinkler - l7F11?undw conda 3i00 Alterations * to aAmng 20.00 illfater Turn Amwd 20.00 ???? ???HAME 'fiOTAL SITE , DVRESc OrT\7fWi ¦1AME. ????LER NA E ? - s? ? , 9? a J ' ?3 y? ?.? . ?? . ?.?...?. ; ..?.?.?,? ?... ' .. , YY' ':. ? . .?' ? 3 _ ... t . ? 4 .. . ?, ,r,..- ?? . ? l. ' ? . J?. . . ' ' .. .? ? . A3.? STE TMOJ417 NAJAE4 . OWNER ?..At t ADDRESS: _ . ? cI71f:_l 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