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3708 Blackhawk Lake Ct.. _,,,.._ . ,... CITY OF EAGAN , • •k ?? ?; ? ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE: 454-8100 BUILDING PERMIT` Receipt # 0 To be used for SO DWG/GM Est. value $i 13•000 oate JWLY i0 19 41 Site Address 3708 AI.ACKHANK l.AKE CT Lot 18- Block Z Sec/Sub. BLACKRAWK RXM Parcel No. g Name KEYtAVID HOMES 3 Address 16450 a1IRN8V1LLE P'Kii1[ ° City 3' VILLE Phone 844-2636 Zp Name S!? ?a Address ? City Phone ?- W W Name Address <W City ' Phone I hereby acknowlege that I have read this application and state that the information is Correct and agree:- to comply wit?i a?N' applicable State of Minnesota Statutes and City o!;@?agan Ordinan?s,. Signature of Permitee 4-? ! ?F??? A Building Permit is issued to: ?" ? on the express condition that all work shall/oe done i accordanCe with all appliCable State of Minnesot Statutes and City of E an Ordinances. Building OffiCial ''`' 1k r OFFICE USE ONLY Occupancy R-3! M'! FEES Zoning R-12-a_ PO (Actual) Const VII _ Bldg. Permit ? ?,?t ?00 (Allowable) VA - Surcharge - $6' 50 # of Stories ?5000 Length 48 Plan Review Deplh 41- SAC, Ciiy 100000 S.F. Total - SAC, MCWCC 630•00 S.F. Footprints - ?? ? On Site Sewage _ ater Conn W ? on Site well waler Meter 45.00 MWCC System 4X-- ??? City Water ?_ Acc?• Deposit ??? PRV Required - S/W Permit Booster Pump - S/W Surcharge ? 50 276.00 Treatment PI ApPR0YAL5 370400 Road Unit Planner - park Ded. .' Council BIdg.Off. _ Copies ; 3 ? ?1 ?? Variance - TOTAL ,? " Permit No. Permit Holder Date Telephone # WATER SE'dUER PLUMBING H.V.A.C. ELECTRIC Inspeetion Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. - -?' Rough Htg. Isul. g Fireplace 9/y? q Finai Htg. Orstat Test Final Plbg. 1. Plbg. Inspector- Notify Plumber Const. Meter rngrJPlan Bldg. Final q ? ? Dedc Ftg. Dedc Finai Well Pr. Disp. 4 ' CASH RECEIPT CITY OF EAGqN ` 3830 PILOT KNOB ROAD ` :. EAGAN, MINNESOTA 55122 OATE k, r-I N? VIOs AMOUNT $ & DOLLARS ,m p CASH 19 CHECK L-1 E,- ? F ur w?-a.L? ? i i? 4-7 14 VAu :zf 14;+tL Lv , FlJND OBJECT AMOUNT ? 1-1 `D?9 t se - '? l . " ,... . ... ....: ... ... .. . „. .. -, .. . : , ,. : . .? ;, . . , . ?. . . SEWER & WATER PERMIT CITY OF EAGAN . 3830 Pilot Knob Rd. Eagan, MN 55122-;§,.97 DATE J.li.'at 1o, 1991 OFFICE USE ONLY ., , 7/10191. METER #. ' PERMIT DATE CHIP # ,,.. „ PERMIT # 14128 METER SIZE B.P. RECEIPT # -146"25 ISSUE DATE B:P. RECEIPT DATE , • - PRV -.BOOSTER PUMP, DRES SITE A 3,708 SLe1CKHAW, LAM :AURT. ',PERMIT REQUESTED LOT ?? B ? . K? SEC/SUB BL1CKiiAWK RIDGE 9 9 y i E:Fsk'I At:D HOMBS °? SEWER __)r_'WATER - TAPS APPLICANT . ADDRESS: ?4aSd '3MSYII.1.E PKWSt -COMM/IND. "?'RESIDENTIAL. CITY, STATE' ` $I??''?'`F ZIP 5?"3'?7 EXISTING PHONE: , . , $94-2036 . . are to be Installed Lawn Sprin`kler Meters PLUMBER: . Ahead, of Domestic Meters on Water Line. ADDRESS:a,1 13845 DAW P?TCH LANE Credit WILL NOT be given for Deduct Meters. STATE CITY ?, A aS ZIP 55.178 ?.. s t , PHONE:` - ? . I AGREE TO COMPLY WITH CITY OF OWNER: ?? aS ??????,? • EAGAN.ORDINANCES , ADDRESS;. . . ... , CITY, STATE ' ZIP ' PHONE: ' SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO,WORKING DAYS FOR PROCESSING. CALL .454=5220 -FOR INSPECTIUNS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. , . . . y . ' , ._, ,. ' . ?• , INSPECTI4N RE C ORD CITY OF EAGAN PIERtAR TYpe; 3834 Piiot Knob Road : Permit Numt?r. ..' .02 ?! A,. F, Eagan, Minnesata 551:22-1897 Date Issued: 44 12 4 1" 7 (612) 6$1-4675 SITE ADDRESS• 1? - ? 14 4 v, w ... I Ei ?, v? .> ,., APPLIC??NT' ? L, 0:1' ? 3I0F4 kii AfJ 14RWthi iW14 1: T Itl?''lil.R,E.1:lIF11Ilk iY l Il(yf PERMIT SUBTYPE: .'? TYPE t)F WtN4K: ? 4?AS1' Mq',W'I' 1' fi N IS14 . '1014 At. 1'?:?tATT+?k C? - - f;?'.YI, (.. I ?+ T (171s PR"y0?`,0Q10wr1'! . / 7#M41 I ??,?,a aiI ???+ ?> 10 r, t? ? rt i? 1. . P+ewnR No.. - f+emdt Hafdar Qete . TalephaAe # El.EG'TM ? PLIU . . . .. tni _ ifate huqL 1?'1'?Ifa1?? . . . . FOUMi') _ PRAMING ?? • RWfRtlG . , Pl?J ?kBlt3 0*#7 f9olbsi! W%ST WEAiM GAS BVC U+1S411 GYPSOARQ F?IEPI.ACE .. . ?4?Tl? ? - , FML FLBQ ? . .. . . AL FIt+fAl H"fO - OR6AT TE$T BLQ(a FINAt BSMT R.L . BSMT FINAL DECFf FTG DECK FINAL , ., . DATE: _ 3708 BLACKHAWK I.A1CL COURT, L18, B2, BLACKHAWIE R1DGE RE: XX ' • • _ YnSewer & Water Permit for the above property has been campleted. lt will be held at the Pu* Works Garage (3501 Goachman Road) until the meter is picked up. BE SURE 1"O CP,A? PUBI.IC WORICS (454-5220) FOR YOUR FERMANENT WATER TURN OM. _Yiur Sewer & Water Permit for the abave property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter canno# be issued or occupancy allowed until further notice. C MERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be c med by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: iIEFORE DIGGING, CALL LOCAL UTILITIES - TELEPhE4NE, ELECTRIC, GQS, ETC. r - RE4UIRED BY LAUU. CONTACT COMMWNITY DEVELOPMENT DEPARTMENT FQR WATER TURN 4N POLICY. 7/11/91 Secretary, Building Inspections Dept. AddMss: 370$ gLAaqiAW TAKF. r,OURI Lot t$ Blk 2 Sec/Sub $LAOqL" RIDOE These items.were/were not cornplete at the time of the final inspection, 9 25 91 Yes No Final grade (&" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway p? Permanent gas ? Sod/seeded grass ? Trail/curb damage ?O Porch Basement £inish Deck Please veri£p with the builder the remnval of roof test caps from the plumbing system and the shut-off of water supply to the outside lavm faucet before freeze potential exists. ? xECrt?ow?etA White - Gity copy Yellow - Resident copy Pink.- Contractor capy SEWERy& WATER PERMIT CI'I"'Y OF=EAGAN . 3830 Pilot Knob Rd. ' Eagan, MN 55122-1897 DATE JULY iC. 1991 SITE A DRESS?;,.._ 370$ BLA?IC?iAWK LA'.E ?OURT LOT ?8 BL06K 2 SEC/SUB BLAC-`111AWK R1DGE APPLICANTr KEYLAND HOMES ADDRESS: 14450 BURNSVILLE r'±CWi CITY, STATE B`V1LLE ZIP 55337 , PHONE: 894-2636 PERMiT kQUESTED ?SEWER ?WATER _ TAPS - COMhA/IND --ZRESIDENTIAL _ZNEW EXISTING D.C. MEUCHANICAL Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. 13545 DA?7 PAT?H LANE Credit WILL NOT be rven for Deduct Meters. ADDRESS: AVAGE ' 55378 ? - g CITY, STATE ZIP t PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: SAME AS APPLZ::ANT EAGAN ORDINANCES ADDRESS: GITY, STATE ZIP PHOPJE: SIGNATURE WMEN M R ISSUED F PLEASE/ALLOW TWO:'WORKIN(3 DAYS FOR PROCEStSING. CAI.L 454-5220 FOR lNSPEIP1'IONS. f-UR STORM SEWER PERMITS, CONTACT ENGINEERyNG QEPT: ;r.??i . . >_ I* Citp of Cagan Erpmutraf rrf Nuitdittg Jttprrtiua ?7us Cernficate issu&plrrsuanl Jo !he requirements of Seciion 306 of the Uniform Building 1 Code certi.rl'in%drat at the lime of rssuance 1Jiissducture was in wmpliance with the uarious ordinances of the City regulating buiJding construction or use For !he foUowing: vx aWW&Rfim SF pwo?om sw& R=A t;m 10'A49 O-UP-C7 Tm- R.r/m I zoni-9 Disttin RI.a(a_ Type Coast UN ow= or e?s 1----?AN-D-UMS Aaama 14450 R'VM-:+E P=, 1LVIt T F B„aa;nsAadnm '?7nR Wrr L.AKF. OYBEFw;b T.IR, AO. RT.AfKHAtaft RM ' euadias oesid 17? Drca ? POST IN A CONSPICUOUS PIACE 45y?yr ? .?:?88??.?? ? oa Request Date Fire No. R •in Inspection I Required? - I J Ready Now„.-'OJill Notdy Inspector O ? es No When Ready. ? licensed contractor :1 owner hereby request inspection of ove electrical work at: Job AtlCress fStreet Box or Route ) - Ciry ????" I , ?6??e? Section No. Townsh?p Name or No. Range No. If? Co ? ? ? Occupam P T) Phone No. AZZ> ??--7J- wer pher%%/J QZ,? ?/?.1f Electncal C tractor iCompany Name) Contraaors License No. _/0 Maiiing Atldress (Contractor or Owner Makmg Instananon) ;Yo 7_5- Autho,ized S,gnat,/e IContractor?Owne, Making Inslallafion? ?Phon Number 0 ?1 n . n c? .. ? I V t?n L ?_/Y-1 r%• I [Z/!..°- ....-ti I MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT Griggs-Midway 61dg. - Room S-173 BE ACCEPTEO BY 7HE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL lNSPECTION ? See instruc:ions for completing this form on oacK of yellow copy. I L,. 8 V e? Rep. Type of Building ' F;oma Duplex Apt. Building Comm./Industrial Farm ?-?Olherlspecrfy; "X" Below Work Covered by This Request Appliances Wired Range Water Heater Dryer Furnace Air Conditioner Contractor's Remarks. Compute Inspection Fee Below: # Other Fee Swimming Pool Transformers Irrigation 8ooms Special Inspection Alarm/Communication Other Fee I, the Electricai Inspector, hereby certify that the above inspection has been made. Service Enirance Size ' Fee # CircuitslFeeders Fee 0 to 200 Amps 0 to 100 Amps Above 200 Amps Above 100 Amps cror's Use onry: D TOTAL_ ,,,,? , ? ? THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 M-WTHS:"""'"a?' -?a ? ?•??? EB-00001-08 ???-?,.??? /D? ? Equipment Wired Temporary Service Electric Heating Other (Specify) OFFICE USE DNLY This request void 18 momhs from 3 3 8? V(J ? :1 ?FFI E USE ?LY_This requesf void 78 months from validafion dale printed in this bo„ ? e.'A 9 • ?? ? ? PLFASE PRINT OR TYPE ", ??I?1zC Request Date Rough-in inspedion requiredZ Yes ? Na Inspe t er Than Rough-In: [:] Reody Now D Will Call (You must call the inspector when/ready) Dute Ready: I, licensed contractor ? owner hereby request inspecfion of the above electrical work at: 1ob Addrws (Street, Box, or Route Ciiy Zp Code Sedion No. Tawnship Nome or No. Range No. Fire No. Couny L7A-lLC) t4 pcapant Phone No. Power Supplier Address Electrical Contrador Gomp ny Namej Conhacior License No. Maskr Lic. No. (Plor» Elect. Only) Mailing Address (Conlraclor or Owner Performing Insiullation) . . / z- ?- r ? i`- rized SignaNre (Contractoior er Performi Inslo afi n ! . ?S/ .1?'?- L?/?• / ? Phone No. ??i?"' ]_.-? ?/>; - EB-OOO61A-10 6/95 ??? STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY IIIII IIIII?III Ilill I?IIIIIII Iilll IIIII IIIII I?II * 0 3 3 8 0 8 1? REQUEST FOR ELECTRICAL INSPECTION 4P Minnesota Sffite Board of Electricity 1821 University Ave., Rm. -128 St. Paul, MN 55104 Pn?,e ;s,2; saz-oa? 1 ?. Home Apt. Bldg. Other: New Addn Commerciol nd Farm Remod Re air Air Cond. E . Water Htr. Load Mgmt. Other: D er Elec. Heat Tem . Service bove the work covered by this reqvest. Enfer remarks in this space and on the back of fhe white copy only. "k' a Calculate lnspection Fee - This Inspection Request will not 6e accepted without the corred fee: Ofher Fee # Service EMrance Sae Fee # Circuiis/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps ove 100 Amps Transformer/Generator INSPECTOR'SUSEONLY TOT 5ign/Outiine Ltg. Xfmr. , ,?-- Alarm/Remote Control Swimming Pool ins aNo daxrib herein on 1he datea sta*d t I i d I h ' ib Irrigation Boom ns e erece o 2ough-in Dote Speciallnspection - ? TH Investigafive Fee IS INSTALLATION MAY BE OR Finol DI DERED DISG IF D WITHIN 18 ONTHS. CITY OF EAGAN N Q 19392 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5,!k121 BUILqING PERMIT PHQNE:4S4-$1a0 Receipt#/li • ? 7o be used for ¢F DWG/G? Est. value $113, 000 Date JlfLY lq 19 91 Site Address 3708 BLACKHAWK LAKE CT .--- Lot 18 Block 2 Sec/Sub. BLA^uKHAWK RIDGE OFFICE l1SE ONLY PBfCeI NO. Occupancy 1 R-3, M- FEES ? R- ? ? Zoning 9 " W Name KEl'LAND HDMES {aciuaq Const V? Bldg. Permit 685.00 ; AddreSS 1445d BURNSVILLE P?W?C (Allowable) VtI _ 56 50 ? City ?' 'VI?E ptlone 89?+-2b36 # os 5tories $urcharge . 445 00 4$ Plan Review ' Length o Name SAME Depth 41 SAC Cit 100.00 - , y U4 ? Address S.F.Total - SAG, MCWCC ??SO.40 Clty Phone S.F. Fooiprints - w t C 660.00 on Site Sewage a er onn L?u w Name DnSiteWall + 95'00 E - MaterMeter ? Address MwCC system xx 30 00 e W City Phone Ciry water g? Acct. Deposit . 30. QO PRV Required _ S!W Permil I hereby acknowlege that I hav read this eppliC tio and state that ti?e Bvoster Pump ? SM/ Surcharge . 50 iMormation is correct and a to comply wi applicahle State of ?? 276 Minnasota Statutes and City 8n Ordinan g Treaimeni PI _ Signature of Permite 7/1 AP?ROYALS Raad Unit 370.00 A Building PermM is issued to: nyLil! H?ME Planner - park oed, on the express candition ihat all wnrk shatl e dane i accardance with atl Council _ 3.00 applicable State oi Minnesot tatutss and Cit f E'an Qrdinances. . 91dg. Olf. ??ies y, 3 401, 00 ?? Building pftiCidl Variance - TOTAL ? ? ?,p L M113?- /Sr.Nf,Ki>.Vwr Ot", A-5rV RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? - ?? •??, ?:E,as New Gonstruclion Reauirements RemodeUReoair Reauiremenis Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of 5urvey Reod (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicete if on-site seplic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs witti 3 or less un'rts Dat ?? Cost ti C t e on ons ruc Site Address L_? aC{ l,K,/ ?L nkQ. UniUSte # Description of Work Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 2 Property Owner ? im r lo U e A -a i? 5 Telephone # 65( ) L/D C - Contractor 0 604? ? Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 M' sota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Wo sheet; •, N Energy Code Worksheet (q submission type) Submitted Su?mitted • Energy Envelope Calculations Submitt ' , . Licensed Plumber Mechanical Contractor Sewer/Water Contractor one # ( ) Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved p in the case of work which requires a review and approval of plans. ?U 6,e AKO-n5 Applicant's Printed Name , ? ? -. Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 a3-plex ? 06 04-plex Wark Types ? 31 New )9( 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex O 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 10 08-plex lw 18 Deck ? 23 Porch (screen/gazebo) 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 12 12-plex Plbg_Y or _ N ? 25 MisCellaneous Valuation Census Code SAC Units ? Nbr. of Units ^ Nbr. of Bldgs Type of Const Footings (new bldg) ?L Footings (deck) _ Footings (addirion) Foundation Drain Tile Roof Ice & Water ?- Framing ? 35 Int Improvement ? 36 Move Bldg. ? 37 Demolish (Bldg)* *Demolition (Entire Occupancy _ Zoning _ Final 0 38 ? 42 ? 43 Bldg) - Give PC Stories ---- Sq. Ft. Length Width Demolish (Interior) ? 44 Demolish (Foundation) ? 45 Reroof ? 46 ;A handout to applicant MCIES System _ City Water _ .? ? . ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors Booster Pump _ PRV - Fire Sprinklered ? REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall _ Fireplace _ R.I. _ Air Test _ Final Insularion Base Fee ----------------- Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Approved By - ?? Building Inspector * * *-V ? pIpNEER CertiFicate of Survey far: ? ? ? ? ? ? ? ? I I ,e?? a` M a- ? tk i`` ?*_4 D? ? V ^ Z ICC- Y L A ?J r2 _ 49.11 171.23 ? ?, T- ,- 4?vDxo6} Zo? r 4f•° ? X" x _ p r? ?Q? N J r o? E71 ? r r ( ei? P N o-m N ? I ?-? ?--- Z ?- -- -• - - - ? ?3- 0 I33. Q(J Ar99°?$'5-4 °G?, 7477 Fntr.rpiisr. Drive Mendot., ilcights, MN 55170 (612) 681-1914 NoaT?l ? -- -- - f / ? r C?? ? f _.. _J f'QOROSfo NvusE EIEVArioNs 1.owe5f Flndr Eleva??an = 33.56 Top at elock LulevafrOrt = '74-1•??° G'oraja Slab Cle vcrf?'or1 = -14-1. . 900.0 Denotes exislin? flevofian . yoo.o Dtnotes propaf d E{pvnfiafl ---- Oenales Uraraa e(Utilr l Easemenf `..- Uenoles DrAirtd e Flow rrows o Deriaf es mQncimtrif g earinss shown arP assu n2 ed LO7' L8 , F3LOCK pnkorA COuNTY? AA,NAfF-soTA 2 ) 8LACIIRA 4 . RIDIIE UBJECj 7U EAStMElWTS QF i4fC0X?b f herehy ceiNfy thnl lhis smrvey, Pian os report was prPpnrrd hY mp *i??+d+`r my siirecl suprtrvision and Ihnt 1 ?rin ?tilY Flp9'«PFPd l8nd $Ertveynr u.rt1er the laws of ehe State of Minnvsvsa. Oa?ed ihis ?day of ?A.D. 19 ?? •,_ 1 r o , / l CCaIe• I I?ICEi t N'? -1' ?e? re?Rfrz i?. ei?<rci i ?.?. sxer... rs?,. ?ne?? -- ..-- R . :. _ { ', _?_... ..? ....' "_' - .. . h.. --- . - - _.- -- - -. ? ? , .S . _ ? .1 .? . - -- - ? ?•? , ?...._ .._ _ .. . • .l, f? , . , .i '• ?. ? ,'. , - ? ? - X. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUz LDING Permit Number: 029422 Date Issued: 01/24/97 SITE AQDRESS: F . I . N . : 10-14400-180-02 DESCRIPTIQN; U-11,.1. 4 434 ALTe RESZDENTIAL ? ? •?&x '3_ k . aY??xS'. ? ?F.Es REMARKS: FEE SUM14111ARY: Base Fee $50.00 Surcharge _ $.5o Total Fee $50.5O i , , t CC?NTRACTOR: _Ap p 1 i can t- s T. LI c OWNER= BRI7"TR-GMflSE INC 18049454 0008111 EVANS 10908 203Rfl S7 W 3708 LAKEVILLE MN 55044 EAGAN (612) 894-9454 3708 BLRCKFiAWK LAKE C7' LOT: 18 BLOCK s 2 BLACKFiAWK RIDGE (No BEDRoaMs) rma.t Type BASEMENT FIMTSH r,.k Type ALTERATION J E F F BLACKMAWK LAKE CT hl N 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) lw44 cinr oF E?GAN 3830 PILOT KNOB RD - 55122 681-4675 4,Jr C", . ? ? ?? IfArt ? 8 rogistered site aunreys ? 2 copiss of plan • 2 copfes of phns pndude bsam 8 window sizes; pourod fid. desiyn; etc.) ? 2 sRs sunreys (exte?ior additfons 8 decks) ? 1 eneryy calculaUons ? 1 enerBY cakxilations lor heated addidons ? 3 oopiea of troe proservadon plan if bt platted aiter 7/1/93 required: _ Yes _ No ' ? DATE: CONSTRUCTION COST: DESCRIPTION OF 1NORK: ?V4?!A,1 F1 h ? STREET ADDRESS: LOT I ?',_ BLOCK 3'70R .91,,,kAjk i A Kt? (!t ? - SUBD.IP.I.D. PROPERTY Name: L:Vao-s ??t Ff, Phone #: OWNER LABT •a•* ? Street Address: 3206 B/?? ? V k."X_ I-A _ e'f, ---- -- City: State: AW Zip: ?a . CONTRACTOR Company: S&L -Clu Phone #: 86y- qy5V Street Address: ?d ?13s ?3p-q5f W_ License #: City: ?. 4G.,A state: /M &A1 zip: ?Sd ?y ARCHITECT/ Company: Phone #: ENGINEER Name: ? Registration? Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction only): . Penatty applies when address change and lot change are requested once permit is issued. i hereby acknowledge that I have read this application and state that the information is correct and agree to comp y with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. 'Y Signature of Appiicant: OFFICE USE ONLY Certificates af Survey Received Yes No Tree Preservation Plan Received Yes No Not Required JNN ?-k Nyl : ?3 BUILDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation ? 06 Duplex o 11 ? 02 SF Dwelling o 07 4-plex a 12 0 03 SF Addition o 08 8-plex n 13 ? 04 SF Porch a 09 12-piex n 14 0 05 SF Misc. ? 10 = plex a 15 WORK TYPE NO Ff?„oae--, *- 31 New )5?- 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Apt./Lodging ffiir- ?, 6 Basement Finish MuFti Repair/Rem. 0 17 Swim Pool Garage/Acxessary o 20 Public Facility Firepiace n 21 Miscellaneous Deck n 36 Move 0 37 Demolition 8asement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprirrt sq. ft. Ptanning Building MC/WS System City Water Fire Sprinklered PRV Baoster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance ? Zf 3 ?I ?L ? Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. _ Trails Ded. Other Copies Total: % SAC SAC Units pp- NEW CONST ADD OP3 REPAIR .:.... M uti?{.? PLEASE GOMPLETE UPPER PORTION dNLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/Cf3NDOS WHEN PERMITS ARE REQiIIRED FOR EACH UNIT. ------------------- ------------------.,_-..----------------------------- WQRK DESCRIPTIDN COMpLETE T"HE FOLLAWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 3 WATER CIASET 3.00 -1 BATH TUB 3.00 tA LAVATORY 3 00 . I?•"' OWNER NAME: 1 KITCHEN S7NK 3. aa 34° ? l LAiINDRY TRAY 3.00 cf- SITE ADDRESS : ??C?tS ??.???.?? ?'• HaT TUB f SPA 3.00 L(7T; + `6 BLOCK ? SUBD. e WATER HEATER F'L40R DR.AIN 3.00 3.00 ? ? INSTALLER: GA5 PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ? ADDRES S:?, b„)cQ?? QTH ER WATER SOFTENER 5.00 CITY: ZTP: PRIVATE DISP, 15.00 U.G. SPRINKLER 3.00 PHQNE # : SUSTOTAL $ {"I,(" rI pn.1fl ST. SURCHAEtGE .50 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAZ/INDUSTRrAL BUILDINGS AND NNLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NflT REQUIRED FDR EACH DWELLING UNIT. CONTR.ACT PFLICE: OWNER HAME: CITY OF EAGAN FOR CTTY [1SE ONLY ? 3830 PILOT KNOB ROAD 2 EAGAN, MN 55122 PERMIT # PHpNE: (612) 454-8100 RECEIPT # 'S(? ?DATE : o? 9 5TGNATLTRE OF PE?iITTEE ?? TOTAi.: $ LA-1 `LD SITE ADDRE55: IAT: BLOCK SUBD. INSTALLER: ADDRESS: CIT'Y: PHONE FOR: CITY OF EAGAN ZZP: FEES 1% OF CONTRACT FEE. STATE S[]RCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25,00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) i CITY OF EAGAN 3830 PILOT KNOB ROAD ' EAGAN, MN 55122 PHONE: (612) 454-.8104 .: .... ? "`a; .::<?:r: :.: :.:k-::.ik i.vn'F.•:ni,Tx'wix+<a<i FOR CITY USE 4NLY PERMI'F # RECEIPT # D a? CF' DATE: -? f PLEASE CQMPLETE IIPPER PORTION QNLY FOR ?STNGLE FAMILY DWELLINGS & TOWiQHOMES/GOND05 WHEN PERMITS ARE REQUIRED FOR EACH UNIT. FEES ---------------------- ------WORK DESCRIPTION------ r ------------------------------ NEW CONST ADD ON REPAIR OWNER NAME : k?.? c.! LA',JD 4p ry. e,3 SITE ADDRE55 : VIa?e-k J4141),t IL4 lV-e df ° , LOT;? BLOCK ? SUBD. INSTALLER: MEx7to pIR1" ? ? . AnnRES s : f6 214 G?? ??i--c.. ?c? • ?. ? . CITY• art"'a t 4.4A?'c 'A ZIP: PHONE # : T ADD-ON MINIMUM $15.04 HVAC 0-100 M BTU 24.00 ABDITIONAL 50 M BTt3 6.40 GAS OUfiLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: S 2? 7•0 0 STATE Si]RC13ARGE: .50 TOTAL: $oT -2,50 SIGNATURE OF PERMITTEE DtJS??IALPLEASE COMPLETE THTS PORTION FOR ALZ COMMERCIAL/INDUSTRTAL BUILDINGS, APARTMENT BUILIlTNGB, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUTRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRE55: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHOIVE # : FOR: FEES 1% OF CQNTRAGT FEE. STATE SURCHARGE g $.50 FOR EACH $1,000 OP PERMIT FEE. PRDCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTR.ACT PRICE x 1$ $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY t?F EAGAN L? gL ? GITY USE ONLY SUBD.?,?"UA .CRECEIPT#: RECEIPT pATE: I/? ? P ; 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: • single family dwellings ? townhomes and condos when permits are required for each unit • backflow preventer for underground sprinkler system FIXTURES EACH NO. TQTAL Shower 3.00 x 1 = 3-- Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Mot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 • 3.00 x = Rough Qpenings 1.50 x = Water Softener "for dwellings under wnstruction 5.00 x = Water Softenef * for existing dwelling 20.00 x U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinklsr * for axisting dwelling 20.00 - Alterations * to existing residence 20.00 = Water Tum Around 20.00 - Private Disposal System ' Dak Cty iic. 75.00 - (now and refurbished systems) Private Disposal Systems * nbandonment 20.00 = STATE SURCHARGE .50 s TOTAL 60 S I hereby adcnowledge that I have read this appfication, state that the infomiatan is comecc:t, and agree to comply with all applicable City of Eagan ordinanpes. It is the appEicarrt's responsibilify to notify the property owner that the City of Eagan assumes no liability far any damages caused by the City during its normal operational and maintenance acdvEtles to the Taalities conatructed under this permit within City propertylright-of-way/easement. S[TE ADDRESS: -376 OWNER NAME: INSTALLER NAME: TELEPHONE #: 75?7;42 $TREET ADDRE S: 22 ? ?A 'f & G (-r - CITY: fi! ? ' STATE: ZIP: /--W? SIGNATURE OF PERMITTEE M 1 ? ? 1991 BUILD TY OF gAGAN Y1'ER5AL ICATION riUN g-8 '? ? F,INGLE FAMILY DWELLINGS MULTIPLE DWELLINGS CO?MRCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For:?c?. Valuation: igww Date: a, l ? ?T . Site Address Lot k` Block ?) Parcel/Sub-0 uAI& -kI Owner (r"\j 1p Address City/Zip Code -?jUkrM(n f Phone . ??- Contractor Address City/Zip Code Phone ` Arch. /Engr. ??? Q lAl?' Address ?,?9r/Aoo.- OFFICE USE ONLY .7? Occupancy R'3 M'1 Zoning P'D IZ -1 Actual Const V-N Allowable V-N # of stories Length y 8 Depth Igi S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water ? PRV Booster Pump _ APPROVALS Planner Council Bldg. Off. J 73 3? Variance City/Zip Code Phone # 7e--, FEES 00 G857 Bldg. Permit , Surcharge 56.5b Plan Review 4I'5,00 SAC, City /00,00 SAC, MWCC O?00 Water Conn. (01 0 Water Meter 95+n0 Acct. Deposit 30,0 o S/w Permit 30,00 S/W Surcharge ,5"o Treatment P1. 276, 00 Road Unit 0,00 Park Ded. Trail Ded. Copies 3•-v? SUBTOTAL Penalty Lot Change ??* TOTAL - ? ?'1 ' • - i . agrees that all work shall be done in accordance with (Signature of Contrac or) all applicable State of Minnesota Statutes and City of Eagan Ordinances. V A Lu G a rz a-" E Vo = y o 0 ? 3? x I S = ?,Syo 35M T. ?-.---- ?43x??= l? ? / q ?. g y A 14 14 ? I y,nZs I sT FL-a-, ?3sri? T. =/ o5Z &c 5 3 = r?5(0 X2`6='?2$ I%i? i2 = f ?3 .?' '? 4? ?c 53 :. 3 9 5 3 a (o X C ?( = k?l l??I0 L 32?? ? y = ??53? ) olz I 13? vo 1) 1-11 t , •? i ? * * * 4C * PIONEEI * engineer ? * ** . 2422 Enterrrise Orive Mendota Heights, MN 55120 (612) 681-1914 Certiticate of Survey (or: ?I V ? I 31 ? ? ? :1 ??n a` M ?N k.1) _ a? KEYLA NP M?. ? ?- 99.71---• T-- / -y i ?j / / - - s-? Z?o/ 0 •? ?? ..\ .qti 4f.o ?--? pr?ve ? ? ? v r" ? ?f.bi J o w 1,? I ib I ?- 7,o ? ?3- 0 1519.00 A/ 89 04B.15-4" l.?. • 900.0 Denoles exislin flevafion • 900.o Denotes propc??d £levofion ------Denofes Dra»c? et ufi/i1? Easemenf - dtnotes Dr4ina e Flow /-lrraws o Deno/es rnonumtnf 8 e4rls shown orQ assu m ed PROPOSED NOVSF ELEVA710NS Lowest Floor Elevation = I 3-2,.56 Top vt Blocl? Eleval;oR = ?i.?? Goru4a 5lob Elevafion L C) T /$1 9LOCK 2,8LACkHAWk RIDGE DQKOTA COUNTYl MINNESOTA SUBJECT TU EASEMENTS OF QfCORd I here6y cei dly that this stnvey, ptan or repo.t was pr'eApired hy me under my direet supervislon and that I am duly RegistPred Land Surveyor vnder the IAws of the Stete ot Minnesole. Oated this / 7LKday of .? A.D. ig ,T SCq` le : 1 iach t 40 f ee f : i; =? . -;%;; '?' Z C? R(7RFR T A. SI{<IC11 1..5. REC+. Nn, 14A7] / 0 or ? M ? O lN /7/.23 ° YZ'? ? 0 NoQTE1 ? ---- ---- % I ! ? \? ? ? tio / ?. - --/? N ?x N I 2 8.33 ? ?• o .?= - --?=?---- JUL--02-1991 14=14 FROh1 KEY-L.AND HONES IMC. TO 4548363 P.01 . . ?1 . , REV LAND 14k50 Burnsvil]?e Parkwa7 Bnrn'svilIe,' MK 55337 •• . ?,.?"?`' 612 894-2636 • • '" : • H ta M' E S'PAX 612 894-6823 . . ' , _ ;. • . , • : .. • . • ' ' r .• • • . + ' ' . ??^'?- ? ! bete • T F ? • ! ` • o a ex -- w . . . ' . Company Time' . ACtenticn . : ' .. . .. , . • . , , Hnmber oF pagee saat. + covpY ' ? $?• :-?Ar-+? ' . . . , ,"? . ? , . . • Thsse. ere transwittted en checked beXow s '?? . , •r . ' _ ' • For epprovsl ,... Approved'a?? anbA??t?d ? • . ' F'or.Your use Approve3 as noted . • ' As 'rQquested Rexurtied for eorrections ? +For xiview and comment Qthes ? • • ' . . A-IV _ t } • ' ' .. . • , . ., . ' ' , • , , •, ' . • •• ,' , . '. ? • • ? . , . . . . ,,. . ? . . ' • ?_ . Plee?ae r?eply ?' ', ? ... " ' . . . •.,. •• ... . . . . _ . . , . r • ? Na freply necesa?rT . . . ?. , 7v ? A I t T n A'NmI'B 2 M -.1 T JUL-02-1991 14-15 FROM KEY-LAhlD HDf*ES ] NC. Ti] 4548363 P. 02 • t.A f r.Aiwlti . . ? OwNER : .?.-_?.------?..r..? .----• . , . 7 SITE ADpRE55• .. . . ? . prr COt?'?RAG"?aR • . . , . " Determine wt?rk;?g sQ?are fcatsge o? ea?h • , zvl- ' 1. Total exposed wa11 area...,._„ Cv?.?? ' r-?-?.- ? sq,ft•. x •_ ?2b =. '??"' ? . .?..?.-.. 2. '?ota3 roofJCeiling ar?a....- . , Total exPosed wa11 area abave.flaa?'?__? Total wail wfndaw area......................................... ...... b.' Total dOn]" itrea, . ? • . . . . . . . . ?. , : . . • : ' ; : _', . . . . . . , . c. Total 5'?idirig glass doar.are .. , ." ..... . . ...'"..., .... ?. ?Tota1 fir?? .. . . ? . . . ? ? . area.•.•....... ' " ` 1a?? wall .. e _ TaUl wa11 framiri9 arsa (averagg 10%) .,.,....,.,., . , . .. .... . . . . . . . . . . . . . : . ?, ...? ••• f. Total rim jotist area................... .......... . ... ?. , . net Y(all drea above ?1oor.. ..-......*... .. . --••. •. •` • . h. ? wall area above floor, , .,...., ............ . 71 wall 2rea above flt?ar............. •. , .. . .. . i . fia?emg wal l a?ea at fotinda.O.on . . . . . . . . . . . . . . . . . . . . . a. _ . Total $xposed faundatiar+.areaA . . . • . • ' . ?"r ?r . indow araa............ ....... ....?, . ` ?.. r? 4?? ??ou?a?t?o? r? , _ . i. Total net roundation area aboyt.-grade...,.•....,,. r . aetermine 'Iu" va1ue afi each wa1l segment . (e.g, wi•ndaw, door, eaGh'separate wal1 section) . . -- a. . 114 (o ? c. K d , ..?.- x ?. ? -z- 7- ql . (o 'x f . ?'?--?-?----- X ? . ? "7,? 0 x h. K 3. „uw iE urt ?? ? L?? l1ull ? , Q ? • ? . u P-•- „ ? u„ .. .?• -=__:_,__?_ ?.,.., ?'.- ?. •?ut,?? ??..- ?? X tlu„ XI i. . ? . . x iiull • ? J?• , x t, url ? • , k . _.._, ? ? ? y 11u 7 S 11 n .., .,....,...,. . , ...,.... .S . If itant 43 is the 3 $S, D1' 7e55 th3R.,?? 11, you he,?e net th intftnt of SBC.6006 JUL-02-1991 14=15 FROM KE`!-LAMD HOhES ]NC. TO 454W63 P.03 ? . Tcatal expasad xooflcroiYing area _ ? '?"do . ' . ? • . ` ?. ??a! skyl3.ght area ..? .................. ....... S. fraraing a"ea (averaga 10%) .•-; .. a . -i-ata! not ? i.risu3.atar3 roCf/ctai.linq area. . . ...: . , . : ?: , . • . , • _ . 1>atexmine "u,l value iCci; each rooi/00 iljn9 $agmeii-t , : . . : . ??uil „?••- r ?" . , '-•r•' . !:?. 7C - ,....._R- ' " • ' • . Q L ?-?--CW X ?? TJ" , 0 ri. ,.?.. . ; • '. .. • . G X. t?u- ? ??.. _ ? , . ' . ' •? ' . . 1 $?7• ?' ? ........ ................. Tot;al ?, :? ?j Y • •. . . •• os #4 ;.s the s=e asr or less t:han 02, YaU have mst the inte)t ot • ? ? .t .' . . S.'i-7 $o,.-.5 tc? '1 • ' , ' , ' ' , ' ' , ? • . ?. . , A].to:nate 8uildi Bnvelwe Dssi n . , ? . _ • . •? ? -G; liae tY!e Cotal eZVelope 'systen method, ttxe values estab3.ishe$ by the s•,sa?,.cs? ?. ? t??:s #3 ?^_st J4 s#?a11 r_ot ba greatex '?han ? ?surn ??, xt?sna ??. xtnd ?2. ; . . • . , 7 , + 2. ?.? fW1 ? ? `? ? b''? ' • . , • ? - ?-- _?-?-__ ? . ?- - Z.ZA,411 - -- + 4. . . . ? ?, . • ?? ? ? ? '•_? ? ' . . , . ? . . . ? •? 4 ; . ?A ? . ' • . ? ? ' • • ,' • • J • ` ,f . . • . . ? . , ? ? r . ? • • . . . t? ? ' ? . . • • • • ? . . . • , +? ' ? , . . . ` . . r. ? , . . ? • ? , .'? JUL--02-1991 14:16 FROM KEY-LpND HOhES INC. TO 4548363 P.04 # ,. . . * r.INUL FM .EXPosM wAtL . ' . . BL=: 1? 17- t 4o fl y t z'b + Z-t,* a c.r, w, o. W. O. '. z'g ' FUL,L 1: ?( f5 *I7- 4- 7-0 't 14 az. Z.4O Ft1LL 2 : • S" #- Z:. c.,o4 ?. P; +' Z(o4 f. .?"s - i1 l F"IWiACE: I RIM: 7-S4) • . * SQVARE F'E?.'T E?P05ED WAU AIiFA ` BlACK: - ! `'{ $ x .5 = -7 1Lf . , IQ?: xb- W.4. : 8 k'UI.L 1: 1 L{<6- x8 = 11 0 rULL 2: t( ? x 9- $ 8'? movam: X a RIM: x I * WUM FEE',C EXPQ$M CFIx,3M ct$ C?? *WsµPoWS ? ??? 0 Z: T ti 's t ? ? . (c ' , ~ `ns- 'a-Tr s-'C Ty4-1, •-- 'Z-.3 +t3' _ 4 , ? r 3 q ? i--?'-N,0 ? 1 ! 1 ? 7-11`l $ Z. 3-f" / ? z- rr•l.? t ? ??. y7?rr • ( ? ? ? DQORS ? FATIO DOQRS - &= ;: 32 ? &acasm UNM . Jl1L-02-1391 14:16 FR7M KEY-L.Ahm HC1hES IhIC. ? -?15E 10$ QF OPAQUE V7ALL AMA FQR ? A?jr CC 1??ISTRU(."1`ION I• ? ' ? ..?. ? Lsic WAT T ? . z i? FT-G. '-mn'iv DF rP,FME WA1.,t+ 2. zrrM= All? _ ?'`xLM ,,., . t_,1, ?. ? ? C?da~f 2. t?,,"? ?. F? + u? u- ?, • 4. S???? 5 . ? 7... . Z 't-JL ?,. INTMt3R AIR rTiM 2. •'??? '-` ?? s-?s?-. 1'? +_?c? -- 3. • T 1 `,' ? l+?Mr -?ww"?' ??i• ? + V • - ' . ?? ?..7iO ? . ' • c..1= ??7 ?-? - . ; '? ?..?- • . ' .. _ .? _ •.. ? . ._ .., ?- t '9 S?'. 1'0 4548363 P105 r,,-vtWri r . , ? r JUL-02-1991 14=25 FROM KEY-LAhm HIJMES INC. .. , ?..-. ..- ? . . . ??t TD 454$363 P.01 (,ONSTM.3CTION R VAi,U'.E ? . ZNTUaOR AIR FTiM ' 0.61 2. . • ' .' 3. 4.' U - .02 MT FL10W ?JP xrC. ?5 ' FRAME 1. IN=OR AXR FXLM 0.'.61 2. , .. 3. x ' 4. FTLM TWAL ? jj a . 0.024 CCHdS".CRUCTZdN ?. IusIDE axR Fzzrr 2. 3. 4. 5. ? . ... . TqLAL ' U. - Y+ :.RT F'"iAFi UP Vm= NpN-VEKMM irEAT FLAW tJ? FrC. 17 FRAME ?,. YNSZI7E AIR FZLM ? • 0.61 2. ? 3. . ? . 5. . ? ?sxDE az? fz? 0.61 ? i,. . a. ' a. 4. . . s.. s? v = . NOTE; USE ADDSTZONAi. SMTS .?' t:?RE SPAa tS NEE= FOR DETA'CLS AND CAILt1LAT?'0N$ . TOTAL P.01 ?t?. ?? . . • PERMIT City of Eagan Permit Type:Building Permit Number:EA113464 Date Issued:09/04/2013 Permit Category:ePermit Site Address: 3708 Blackhawk Lake Ct Lot:18 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-180 Use: Description: Sub Type:Reroof & Siding 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Adam N Derryberry Mauer 3708 Blackhawk Lake Ct Eagan MN 55122 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA118873 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 3708 Blackhawk Lake Ct Lot:18 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Phil Holmin 3432 Denmark Ave #228 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Adam N Derryberry Mauer 3708 Blackhawk Lake Ct Eagan MN 55122 (651) 695-8585 Holmin Heating & Cooling Llc 900 Park Knoll Drive Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176420 Date Issued:05/16/2022 Permit Category:ePermit Site Address: 3708 Blackhawk Lake Ct Lot:18 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 or installing Bay or Bow windows, 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Adam S Nicola Derryberry Maurer 3708 Blackhawk Lake Ct Eagan MN 55122 (763) 391-5552 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177811 Date Issued:07/19/2022 Permit Category:ePermit Site Address: 3708 Blackhawk Lake Ct Lot:18 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-180 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Kitchen 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Adam S Nicola Derryberry Maurer 3708 Blackhawk Lake Ct Eagan MN 55122 Spring Plumbing Llc 8220 Ravenrock Road Rockford MN 55373 (763) 614-7963 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177936 Date Issued:07/26/2022 Permit Category:ePermit Site Address: 3708 Blackhawk Lake Ct Lot:18 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-180 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Adam S Nicola Derryberry Maurer 3708 Blackhawk Lake Ct Eagan MN 55122 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 941-2685 Applicant/Permitee: Signature Issued By: Signature