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3715 Blackhawk Lake Ct
INSPECTION RVCORI) f_ TY OF EAGAN PE TTWE: VVU 604 3830 Pilot Knob Road t ber, 0311 Oil Fagan,,Minnesota 56122-1897 Date t +d; (612) 681=4675 SITE ADDRESS: g . g APPUCANT: ; t,O,T"S 16 BLOCK 2 1715 HI.ACKWA'►W I.-AKE: C U:~~ ~ 1P9 PLUS INC SLA CK14AWK 61 FN 3Rfi (#a1,< 726-622# PERMIT SUBTYPE:- TYPIE OF WORK: gftr NEW FINA1 f l~ 4 J, e C Patti 11b. PimakHokbr e Feu AS A- . rater H~lld!a (SAS IP16ldl r' FWAL HM ORGAT 'PEST BLDG FINAL E"T R.I. S SMT FINAL DECK FTG DECK FINAL `_r ~-70 "-a- ar,~rTC'M'c ar~1 _ 3 t PH*t," b RoMi P.O. Sba 21*199. 414#014 ' r PHONE- $814675 { To be used for /tom Est. Vai UP Date_ Site Alless 3713 I AM CT 6UPAMA =U 3M O"ICE USE jo Lot Block Seel FiSS Parcel No. Occupw,:,/ liwi ft. ftTM Zo6ng N ON TM IAM. ~ rFS (Actual)'Const Swd" W A,dCJ[BS 1835? TUlM WAY (Allowable) V-8 tan RvAew OL Qty ' ""xis- 'lam . Zip 533" ` ength Stories Uce rya ~~Q4 Depth SAC. City to4e0 " `.j Name S.F. Total SAC, MCWCC 7t~[3+ S.F. Footprints On Silo Sewage Water Co* OD: Cily Zip On Site Well Water Meter's MWCC System 30*0*i 1 Phor ie City Water Mot. Deposit .~.ICBtw PF1Viiequired S/MI Peimit` 'a I her6by ack that I have road this application and state that the Booster Pump 5NV Surcharge + information 3s WW "e to oornplp wi h all applicable State of Mi»rt~•otrci~ it E4gan Or Treatment t~9` i, signature of Peru' - APPROVALS Road 4lrtit Pian~er A Building Perms is issued to: C" ism in ` Part cr,ad. on the express condition that all work'ahall be done in accordance with all . Council - rR s»oQ Capin applicable Stale of MilAnesota Statutes and City of Fagan Ordinances. s3tl, a' Building Ofkial Variance TOTAL ` parwtt NO. wit Holder Date T8lephowe PWMBM $9D- a HVAC t` C 3 v~ . - „ a5 RECTFIC ELECTFVC tIei Pion Daly Insp. Ctownento Foo6vo I x/2 Foundation Frwft PAup Plhg. FrE Final H4g. Onset Test ' Final PIbg Plbg. inspector- No* Plumber Cond. Maier Engr.~ Bldg. Fell s Deck Fig. Dept Final Wall Pr. Disp. /i ss -Z s , SEWER & WATER PERMIT "OFFICE USE ONLY CITYPF E"AN METER # o f PERMIT'DATE 02/19/92 3830 Pilot Knob Rd n . PERMIT # 12540 Eagan, M 5122=1897 CHIP # METER SIZE B.P.,RECEIPT ~j~ DATE FEB, 18, 1992 ISSUE DATE B.P. RECEIPT DATE 0 /18/92 x!IiPRV -BOOSTER PUMP SITE ADDRESS 3715 BLACKHAWK LAKE CT k PERMIT REQUESTED LOT 15660CK`' 2 SEC/SUB BLACKHAWK GLEN "3R}3 X SEWER % WATER TAPS APPLICANT: ADDRESS: - COMM/IND RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: ALTA MECRANICAL Ahead of Domesti Meters on Water Line. ADDRESS: 12651 ZENITH AVE S STE 110 Credit WIL NOT b` given for Deduct Meters. CITY, STATE BURNSVILLE MN ZIP 55337 PHONE: 890-3779 1 A EE TO CO PLY WITH CITY OF ON THE LEVEL INC EAGAN ORDINANCES OWNER: ADDRESS: 18357 TRISTAM WAY CITY, STATE EDEN PRATRTF. A~t11 ZIP 55446 it PHONE: 445-9663 I SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 54-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . _ . it _ _ CASH RECEIPT CITY OF EAGAN ''V 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 c. r DATE 19 i AMOUNT Is -jb 3D /t„}' ; ti v & DOLLARS 100 O CASH CHECK FUND OBJECT AMOUNT 7i Thank You ,y vT St.....--.-;f: s..~..sas.. ..c:_iav.~..;._.~:_,.-:._..:. . s'F~',.~,~'^►r," _.:..~..:.Y:a....~:..~_%~~ I , CITY OF EAGAN~ 2 0121 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 681-4675 Receipt # C c -7 To be used for SF DWG/GAR Est. Value $133,000 Date FEB 18 19 -92 Site Address 3715 BLACKHAWK LAKE CT Lot 15 Block 2 Sec/SubBLACKHAWK GLEN 3 OFFICE USE ONLY FEES Parcel No. occupancy R-3 M.1 Zoning R-1 Bldg. Permit 7 55.00 Name ON THE LEVEL INC (Actual) Const vs1 Sure 66.50 Z Address 18357 TRISTAM WAY (Allowable) Plan Review 491.00 City EDEN PRAIRIE MN Zp 55346 Length of tories 68 License 5.00 Phone 445-9663 Depth 62' SAC, city 100.00 S.F. Total ~ Name SAME SAC, Mcwcc 700.00 O S.F. Footprints - Address On Site Sewage Water Conn 675.00 Coy Zip On Site Well Water Meter 95.00 O Phone MWCC System X Acct. Deposit 30.00 U City Water -X- License # PRV Required X S/W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50 information is correct and agr a to comply with all applicable State of Minnesota Statutes and City Ea an OOrrdi /~iv6s. Treatment PI 300.00 Signature of Permitee~ APPROVALS -7 Road Unit 380.00 A Building Permit is issued to: ON THE LEVEL INC Planner Park Ded, on the express condition that all work shall be done in accordance with all Council 2.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies ~`Q}(a aa,{~ } Variance TOTAL 3,630.00 Building Official _T, DATE: FEB 19, 1992 4 ~ RE: 3715 BLACKHAWK LAKE CT (ON THE LEVEL INC) T X Your Sewer & Water Permit for the above property has been completed. It will be held at the ' Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. SEWER & WATER PERMIT ' FFICE USE ONLY CITY OF EAGAN METER # 1 3 PERMIT DATE 02)19192 3830 Pilot Knob Rd.9 REKNIT # 12 40 Eagan,' M"5122-1897 CHIN # SGT s s METER SIZES' 0 ' B.P. RECEIPT # 92 ISSUE DATE ° y I Z B.P. ~RECEIPT DATE 02/19 DATE -FB$ 18. 1992 IL PRV -BOOSTER PUMP y SITE ADDRESS 3715 BLACK 10K LAKE CT PERMIT REOUESTED: LOT i 5' BLOCK 2 SEC/SUB BLACMIAWK GLEN 3" ? SCINER A WATER - TAPS. APPLICANT: ADDRESS: - COMMAND ~ RESIDENTIAL CITY, STATE ZIP X NEW. - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: ALTA MECHANICAL Ahead f Domesti Meters on Water Line. ADDRESS: 12651 ZENITH AVE S STE 110 Credit I NOT given for Deduct Meters. CITY, STATE BURNSVILLE MN ZIP 55337 PHONE: 890-3779 A EE TO CO PLY WITH CITY OF OWNER: ON THE LEVEL INC EAGAN ORDINANCES ADDRESS: 18357 TRISTAM WAY CITY, STATE EDEN PRAIRIE Ill ZIP 5534 PHONE: hh 445-9663 _ NAT RE WHEN METER ISSUED PLEASE 4~LLO ' 4A0RKING D' AYS a FOFI PROCESS N AL •4-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Ad4ress•: 30715 BAIJCKHAWK LX(E CT Lot 15 Blk 2 Sec/Sub BLAMM aFN 31-M These items were/were not complete at the time of the final inspection. Date: 5/18/92 Yes No TnqpPnrnr- Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch / Basement finish V Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. a[cmeo rav~a White - City copy Yellow - Resident copy Pink - Contractor copy Tertifiratt of COrrupaury Citp of (Eagan lorp"ho ct of lbbv 3prrtim This Ceraficate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure wws in compliance with the various ordinances of the City regulating building conduction or use For the following: the a.oswc.aco S F D W G/ G A R Bldg. Pared Nm 2012 1 TYa TOM zooimg Dbuict R 1 TM r%, VN OwwdBwlding ON THE IMM III AddM 18357 TRISTAM WAY, ECM PRAIRIE Buildiog Add- 3715 BLAMM TAM rJ M,.,it L 15, B2, BALER WK MM 3RD 5/18/q2 Of:OHic d , POST IN A CONSPICUOUS PLACE 3/~'~~ Yom" /OCSl05 Request Date Fire No. Rough-in Inspection Acquired? ❑ Ready Now 'ffill Notity Inspector y When Ready? i . ensed contractor ❑ owner hereby request inspection of above electrical work at: Job t, ~~ute o I City r Section No. Township Name or No. Range No. County Occu ant(PRI T) Phone. No. Power Supplier Address Gam.-y?'L-dam' Electrical nirector (Company N M ce se No. - 7 64 Mai Address (Contractor or Owns .Making Installation) Authos ed natu Co tractonAwner Makin_ IIa' Phone Numbel MIN SOTA STATE BOARD OF EL IG THIS INSPECTION REQUEST WILL NOT Griggs•Midwsy Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plane (612) 642.0M ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION A EB-00001-08 10- See instructions for completing this form on back of yellow copy. 10,51L S X" Below Work Covered by This Request N_,' F ew Rep. TypeofBuilding a Appliances Wired Equipment Wired Home -Thange Temporary Service Duplex Water Heater Electric Heating Apt. Building -WY-Etr Other (Specify) Comm./Industrial race Farm Ir Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to mps -3 Transformers Above 200 Amps 13100 Amps Signs Inspector's Use Only: OTAL Irrigation Booms 00 ~IkO Special Inspection Alarm/Communication THIS INSTALLATION MAY RELORDERE CONNECTED IF NOT Other Fee COMPLETED WITHIN 1 HS. I 1, the Electrical Inspector, hereby Roughin certify that the above inspection has Final _ Date J_ been made. C _Z• OFFICE USE ONLY This request void 18 months from CITY USE ONLY t PERMIT RECEIPT DATE: L~ ~Q d SIDENTIAL MECHANICAL PERMIT APPLICATION CITY OF E.mim 8650 PILOT "O$ RD EAGAN MN 55182 651-681-4675 Please complete for: ➢ single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: 13115 IGLCI..hQ11I11 WA~ OWNER NAME: TELEPHONE 5! - U09 I I~ (AREA CODE) INSTALLERNAME: Wof 1ln -s &lAI`]_., ijcJ TELEPHONE 1_ (AREA CODE) STREET ADDRESS: 9 JD W u T. ~~A I-K )()(.,o CITY: STATE: KA ~J ZIP: J , i Place a check mark next to the permit work type New residential dwelling unit under constructionand not ownerloccupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other} Nature of work:~~ State Surcharge $ .50 Total $ -50.5D F.7 r 7. Reminder: Call for inspections. JAN 8 100 SIGNATURE OF PERMTTEE Updated 1101 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMMERCIAL MECHANICAL PERMIT APPLICATION CITY OF tGAN 3830 PILOT KNOB RD EAGAN, MN 55182 651-661-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y _ N. NAME: INSTALLER: ADDRESS: PHONE#: - (AREA CODE) CITY: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installingfremoving underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing linspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1101 PERMIT PITY- Pil ?Fnob EARoad GAN PERMIT TYPE: B U I L D I N G 30 Eagan, Minnesota 55122-1897 Permit Number: 031103 (612) 681-4675 Date Issued: 11/10/97 SITE ADDRESS: 3715 BLACKHAWK LAKE CT LOT: 15 BLOCK: 2 BLACKHAWK GLEN 3RD P.I.N.: 10-14352-150-02 DESCRIPTION: GAS INSERT/GAS LINE Building Permit Type FIREPLACE Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - OWNER: GAS LINE PLUS INC 12266220 ERDMANN JEFF 14806 RUTLEDGE ST 3715 BLACKHAWK LAKE CT PRIOR LAKE MN 55372 EAGAN MN 4612) 226-6220 (612)454-8469 I hereby' acknowledge that I`have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED Br. SIGNATURE CITY OF E•!"l GAN DATE: H/10/97 TIMEw MUM W 1: r-C 300 Hot 371c:-21 lei.JC 7 30 ROM 3715 MOM L}' 50.00 205 900t P70 BLKCHWK W (1,50 071 Receipt Amount!, CI'T'Y OF'EAGAN 3830 PILOT KNOB RD - SSI22 ~i 1"7 FIREPLACE PERMIT APPLICATION 51 to "1-4cs DATE: PERMT DESCRIPTION OF WORK: ~ CONSTRUCT Z FIREPLACE To masnNG' INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTHER: qa6 5 ef-+ w Q5 11 ~ -fo mS4e r I- -tl r ~acS~ STREPT ADDRESS: la G ha cJ I LOT BLOCK SUBD./P.I.D: APPLICANT: (circle one only) OWNER CONTRACTC3R I retry acknowledge that I have read this application and state that the informadon is conva and awee to c ry witb all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: j5r mQn~ P'#~. 51QQ ! OWNER Signature: Street Address: City: Stye: Zap: FIREPLACE Company: Ine INSTALLER Gw Pj1s , Signature: AM Rudodge 2"" dd SIB"' Lake, MN Stmt Address: City: State: Zip: GAS LINE Company: Fe d. INSTALLER Warne: Signature: C Street Address: NOV 10 1997 City: State: dip:. BY; V SE ONLY Ri1"ING !'ERMI"I MIL D 14 Fireplace l WORK TYPE Cl 3.1 Now Ct 33 AboUlm' 0 32 Addition v 34 GENERAL INFORMATION Census Code. 43 SAC Cade 01 REMARKS Chimneylfhre must d bdmimcaging. A-0 J A:. . 1992 BUILDING PERMIT APPLICATION ` CITY OF EAGAN REQUIREMENTS: C?b lal SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QB 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. To Used For: Valuation: Date: rt - 71 Sete Address 3 131AW r" Lot 15 Block .Z, OFFICE USE ONLY K O l Bldg Permit p~ ccupancy R ,3 l3 M Parcel/Sub Zoning R-~ Surcharge Actual Const v- tt Plan Review y ! . ~a Owner. , `f r Allowable V - N License Fee 5 , v xl' # of stories SAC, City 160 00 Address fifes, - r A ; Length SAC, MWCC ~ ©o, 3' Depth 6z Water Conn. , n S.F. Total Water Meter 5,0 Footprint S.F. Acct. Deposit 3Q'00 Phone S/W Permit p,o On-site sewage S/W Surcharge Contractor rwa On-site well Treatment PI. pD, MWCC System v Road Unit S 80 00 Address City water T`; Park Ded. PRV Trail Ded. CRY/Zip -Booster Pump Copies 2.,~fl SUBTOTAL Phone Li nse #PPROVALS Penalty 'Planner Lot Change _ - - Council TOTAL Arch./Engr. } , j~M µ Bldg. Off. Le a. S Variance Address: i City/Zip Code Phone Sewer/Water. Ucensed Contr. CIP 1 RJ U J,,, . Processing time for sewer/water permits is two a on area has been approve a. agrees that all worts shall be done in accordance with (Signatu e o Penn ittee all applicable State of Minnesota Statutes and City of Eagan Ordinances. VALuA i I I t CiARAC~ Si4o A lr1 Ci6©o ~4 x 3Z : I '12~ x r14 y Y.~/z~ B 116o X 114 2 L41 - SSM7 9L-*t Y S3 SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 2-5-92 TO SHOW PROPOSED HOUSE FOR ON THE LEVEL, INC. MOTE: BUILDING DIMENSIONS SHOWN ARE.. FAT ONOF STrRUCTUREONLY SE AFICHITECTUAL FOUNDA ON DILAN PDR BUILDING NOTE: NO SPECIFIC SOILS INVESTIGATION , HAS BEEN COMPLETED ON THIS G LOT BY •THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT' THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBLITY OF THE SURVEYOR. DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET'' SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - cd4a•7 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - g-5Z.75 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 434 1, 1 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 15, Block 2, BLACKHAWK GLEN 3RD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 28TH DAY OF JUNE , 1988. APPROVED FOR SIENNA SIGNED: JA INC. CORPORATION BY. C m7 BY: HAROLD C. PETERSON, LAND SURVEYOR IIATEW MINNESOTA LICENSE NUMBER 12284 MM -n W o o m James R. Hill, inc. - r- m m X CA M D -4 z O m P ON D °z ERS I ENGINEERS / SURVEYORS T Q D m ~y $ Rl 7~ AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 b O b CORPORATION SURVEYOR'S CERTIFICATE SIENNA REVISED SED 2-5-92 TO SHOW PROPOSED HDUSE FOR ON THE LEVEL, INC ELACKHAWK LAKE COURT PROPOSED HOUSE FOR ON THE LEVEL, INC. 0 0 M M 100.00 S0°19'19"E LJ3~,~- , t 0 0 ~~3~,4-} o POSED ¢ to to DRIVEWAY 5 en t , te~•d4~ _ - - - 24.0 ni t2A~ 22.00 O ~ GARAGE a N p 940.4.) 7y- 140 _ 14.0 I M7 M If1 I N 18.0 PROPOSED HOUSE S 1 ~ I 0 1 094 28.0 DECK I I r 14.0 ---k•-22- - W W a IWO LOT 15 _ Cp s Q a 1 -1 L_L 1 r d' W qT L- 41 I o N~ 1 ~.r Z N ~ 10 ' t O 0 O M M hN 4f 1 821,5) 100.00 S 0° 19'19"E L_ ll I C_ SCALE, I INCH= 30 FEET M ~ 0 0 ~0) mss R. Hill, inc. Q M o D m PLANNERS ! ENGINEERS I SURVEYORS N C O M 7G -C , 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 812-884-3029 n N f H X Lot /-15 Block Subd. UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date Receipt Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will 3e required, as well. Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be del ermined by building inspections department. May require payment of water permit, plumbing permit,'WAC, and water treatment plant fees. (Address to be sprinklered) riomeowner~i~i:wiuer:'~~"r't cu Phone Street Address: 3-7 I'S City, State, Zip: Owner Name:` Street Address: Phone W"'- 1 Irrigation Contractor: Phone - I hereby acknowledge that I have read this application and state that the information is correc jao c n)ply with all applicable City of Eagan Ordinances cc: Eering Department CITY OF EAGAN FOR CITY USE ONLY T 3830 PILOT KNOB ROAD , s) EAGAN, MN 55122 PERMIT # PHONE: (512) X5#=8 RECEIPT fy.`> DATE EPA' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DES RIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ~~~,JJJ ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00T REPAIR WATER CLOSET 3.00 off- BATH TUB 3.00 r LAVATORY 3.00 I OWNER NAME: On-The bL_ KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 SITE ADDRESS: .9-715 BlQtd/hagg Lam l..►~• HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT: 9.5 BLOCK 42 SUBD. (Y~11 ~3r~ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: ~11 L'( U ' (MINIMUM - 1) 3.00 y ROUGH OPENINGS 1.50 ADDRENA 110 to MIAV~l M....,,..M.,. OTHER 161uIH AM _319-L 110 _ WATER SOFTENER 5.00 CITY: LE.1~166~1 ZIP: PRIVATE DISP. 15.00 --3779 U.G. SPRINKLER 3.00 PHONE SUBTOTAL $ y&"QD ST. SURCHARGE .50 SIGNA OF PERMITTEE TOTAL: $ £'El' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN L_~_ MECHANICAL PERMIT RECEIPT # SUBD. (612) 6814675 DATE a3 9 -p RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: G t-j j -f Le-- E c- w C- FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 7- CONSTRUCTION ONLY) INSTALLER:t /v S } t- HVAC: 0.100 M BTU 24.00 PHONE - 42 G ADDITIONAL 50 M BTU 6.00 ADDRESS: Z J ~~G j f S`G_ GAS OUTLETS - MINIMUM 1 @ $3 EA. CITY: 1 c ZIP. I:TLRCHARGE. $ .50 SIGNATURE: OTAL: $ -2 56 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI jINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE -$25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP. PHONE CITY SIGNATURE: SIGNATURE: / RESIDENTIAL BUILDING r •CI~ ~i Q Permit Application LAIL" City Of Eagan ~1a 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surreys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan J*Gert of Survey Recd t N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres. Plan Reod _Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Not Reqd -Y -N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date ~l Construction Cost !:o Site Address g tAcle- -q,-xC615-c C% ~l Unit/Ste # Description of Work j- / O '-e-,p Multi-Family Bldg _ Y - N Fireplace(s) _ 0 2 Property Owner J +~~```t Telephone # ( ) Contractor V L e -e I City q t-41 Address XC) 1 C c State Zip -7Telephone COMPLETE THIS AREA ONLY IF CONSTRU EW BUILDING Minnesota Rules 7670 Category l esota Rules 7672 Energy Code Category a Residential Ventilation Category 1 h! .1. L? `ICJ I ew Energy Code Worksheet (4 submission type) Submitted ' ubmitted • Energyy Envelope Calculations Sub Have you previously constructed a building in Eagan with Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( } Mechanical Contractor Telephone # ( } Sewer/Water Contractor 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 under s is is not a permit, but only an application for a permit, and work is not to start without a permit; that t rk will be in accordance with the approved plan in the case of work which requires a review and approval of lan Applicant's rinte Name Applicant's Signature OFFICE USE ONLY ti y Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-piex 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plea ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement r~ *Demolition (Entire Bldg) - Give PGA handout to applicant Valuation ~v Occupancy MC/E5 System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) T Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) Plumbing _ Foundation _ HVAC Drain Tile Other Roof Ice & Water _ Final Pool Ftgs Air/Gas Tests 41inal Framing^ _ Siding Stucco _ Stone Fireplace _ R.I. - Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review Flo MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total r! E Y O R' S C E R T I F I C A T• E SIENNA CORPORATION REVISED 2-5-92 TO SHOW PROPOSED HOUSE FOR ON TRH~EVLEVEL, INC. BLACKHAWK LAKE COURT PROPOSED HOUSE FOR ON THE LEVEL, INC. 0 M t00,Q4 S 0° 19'19" E fY3~,~- , o o '7, 4-) o 1 O ron Pp P~S£D M . IO OR V WAY 5 ti (64ta.4' ' . 24.0 GARAGE ti S7 ' O f3 O.d.J N / ~o"'S 14.0 M o L © 4 ISO a ~ m m coo { O z M PROPOSED 1, 1 'f h10U5E S.. om 1 o DECK 1 r , ` f r" q ' 1a.0 X2200 J i. LjAIUS !I/ ] 151 20 q W W s D- I r~ I Off? MO 00 ODD N re r 00 I Z Z I t to a c7 toy. - ~ ~:1 ~ y~9 fyiJ'E! of pawning wail Will 8e RequilMd 1 1 ~ 1 ~QJlla,o) 100.00 S 0° 19' 19 E _ L_ l1 I C_ S CALE : I INCH= 30 FEET.. I m~ W~ o James R,, Hill inc 0M 40 0 0 m o > PLANNERS / ENGINEERS / SURVEYORS N ~O M 9401 JAMES AVE. S. BLOOMINGTON, MID. 55431 • 612-884-3029 N O -y~~ POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS GENERAL INFORMATION U Q O `Z Q d ❑ ❑ Applicant - name, address, phone & fax numbers, signature ❑ ❑ Property owner name O O Legal description and address of property ❑ ❑ North arrow, scale (1" = 30' or 40') and date ❑ ❑ Location and name of all streets adjacent to property 110 ❑ Site Plan drawn to scale showing location of house, pool and other existing or proposed structures ❑ O Directional drainage arrows (existing and proposed) ELEVATIONS Existing ❑ O House corners ❑ ❑ Property corners ❑ ❑ On property lines at point of measured dimension to pool (see below) ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ~Op/U Finished pool deck corners ❑ E ❑ Top of retaining walls (if any) and at each different elevation (if it changes) ❑ ❑ Pool bottom (or max. depth) DIMENSIONS 1 Existing 0 ❑ ❑ All property/lot lines Proposed ❑ O Pool ❑ Pool plus integrated deck/patio ❑ O Shortest distance from outside edge of pool deck to lot lines and house Reviewed: D4, - a - U 3 Name Date G:/rECH/JR 2002/Pool Permit Checklist I 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Repair Reauirements Office Use Oniv 3 registered site surveys showing sq. ft. of lot, sq. t of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site surrey for additions & decks Tree Pres`Required -Y -4 1 set of Energy Calculations Addition - indkete if on-site septic system On-site Septic System Y -N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date c-I 1 0? / 1 000 Construction Cost Site Address 5715- o6MCX-"11WAJ1i1 LAIL4- 691,li27- Unit/Ste # Description of Work /1 ~y~!/ULt ~PLJ 1 U~f" 1 Multi-Family Bldg - Y X N Fireplace(s) - 0 _ 1 - 2 Property Owner % Telephone # ) T~7"" O 7~/ Contractor 4i5L.! T ~ ~U ~S C• Address / 72.41ee l Z44e city State /niAWEA- 41 Zip / Telephone # (X) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor 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 plan in the case of work which requires a review and approval of plans.. f/~u V O/'5 E- Applicans Printed Name Appli 's Sign e DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plea ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plea D 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plea ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Tykes ❑ 31 New ❑ 35. Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing Siding Stucco Lath Stone Lath Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA113550 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 3715 Blackhawk Lake Ct Lot:15 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-150 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 . Jason Vogen 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 - Jeffrey B Erdmann 3715 Blackhawk Lake Ct Eagan MN 55122 Elite Exteriors 1513 Southcross Drive West, Suite A Burnsville MN 55306 (651) 688-7808 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130744 Date Issued:05/12/2015 Permit Category:ePermit Site Address: 3715 Blackhawk Lake Ct Lot:15 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-150 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey B Erdmann 3715 Blackhawk Lake Ct Eagan MN 55122 Elite Exteriors 1513 Southcross Drive West, Suite A Burnsville MN 55306 (651) 688-7808 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149625 Date Issued:05/31/2018 Permit Category:ePermit Site Address: 3715 Blackhawk Lake Ct Lot:15 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jeffrey B Erdmann 3715 Blackhawk Lake Ct Eagan MN 55122 (612) 804-5098 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159623 Date Issued:01/06/2020 Permit Category:ePermit Site Address: 3715 Blackhawk Lake Ct Lot:15 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-150 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 - Jeffrey B Erdmann 3715 Blackhawk Lake Ct Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172334 Date Issued:09/27/2021 Permit Category:ePermit Site Address: 3715 Blackhawk Lake Ct Lot:15 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey B & Annette Erdmann 3715 Blackhawk Lake Ct Saint Paul MN 55122--124 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature