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3727 Blackhawk Lake Ct
PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA092448 Eagan, MN 55122 . Date Issued: 12/30/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3727 Blackhawk Lake Ct Lot: 12 Block: 2 Addition: Blackhawk Glen 3rd PID 10-14352-120-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Apple Lake Heating & Air Conditioning Mark J Riesgraf 207 150th Street West 3727 Blackhawk Lake Ct Apple Valley MN 55124 Eagan MN 55122 (952) 431-4328 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. Applicant/Permitee: Signature Issued By: Signature * ' . 02'6&, INSPECTION C~m CrrY OF EAGAN ',3830 Not Knob Road ~ .-~k - s; Eagan, Minnesota 561• i2) 661-4675 SITE ADDRESS: LA`s t 1z DLOCK s 2 AM . :5 *LAV%HAW LAKff CY M k StAVKHAW OLE* $00 (412) 446* 1lk PE %j"TYPE: TYPE „ OF WOW- eAr~a f08Tl*6 l~t1►~►LA~L e A1~~fA#l VIM F F `n Dab _ 41 oaf 9 i _ - - PA* ptva Flrkal 471 Collet mew 610r,J~n 1 Bldg. Final -712Y19, Deck F%g. Deck Final Well Pr. . (rrtifiratt of (Orrupaury Citp of eagan atrw-hand of lwlbtq ntim This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the mrious ordinances of the City regulating building construction or use For the following. use auslsadw SF DWG/GAR Nft Iamit No 300 R-3 M-1 R-1 Vn ~ MENDOTA HOMES " 1906 LIVINGSTON, W ST PAUL, MN AAA- 3727 Adams A A K , B2, BLA GLEN 3RD /x.X JULY 23, 1992 acc POST IN A CONSPICUOUS PUKE Address: 3727 BLACKHAWK LK C$ot 12 Blk 2 Sec/Sub BLACKHAWK GLEN 3RD These items were/were not complete at the time of the final inspection. = 9/ l Date: 7/23/92 Yes No TnApectnre Final grade (6" from siding) Permanent steps - garage i Permanent steps - main entry Permanent driveway y/ Permanent gas Sod/seeded grass Trail/curb damage Porch ~j 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. RECYp,FD M.ER White - City copy Yellow - Resident copy Pink.- Contractor copy I E~ ON k9COR CITY OF EAGAN PERT TYPE; 6830 R10 Knob Road Permit ilnb6r: Eagan, Minnesota 55122-1897 Date Issued: rt / (612) 681-4675 SITE ADDRESS: 1 01 - ji, 0 t,.0f K j: 2 APPLICANT: D A H L S T R O M. FOP 31 W R i# M S 1RO Prty ,H TYPE CAF WORK fttitill Tf+1 Pk day. PA a 4 ` PffOARt-i ; t`t1RAI V FIER iyl ~i c +#t'# t.t1 foR AMV P1.111413I id "OftK.. 1:<'.At.L 44r,-20:4* RefiApotife. f.. I. fa TAI~At PT'ft14VT AHO W4PU ,TFt1#~4. Pf,AN HfVTFwf`0 By NIKE "*Vex _ FT {r r _ PLU FCA" FK*FDM P, 11~6 4, 7-1i - AJR TR FWAL HTG ORRAT TEST 13LOG FIN& BSMT R.I. BSMT FINAL DECK F rG DECK FINAL ~6 5 9 dos ~az,;AL 3 Regdest Date Fire No. Rough-in Inspection Required?leady Now t7 Will Notify Inspector Yes When Ready? a I Klicensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address Street, Box or Rout Section No. To ip Name or No. Range No. County Occdpant(P INT) Phone o. o/0 Power Supplie Q Address Electrical Contracto 7any Name) Contractors L ense No. r C Mailing Address (Contractor or Owner Making Installation) r / f / Authonze Signature (C ac net Making I aIlat n) Phone N' r MINNESOTA TATE O R OF ELECTR CITY THIS INSPECTION REQUEST WILL O Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 university Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. EB REQUEST FOR ELECTRICAL INSPECTION" -00001 -08 (r See instructions for Lompleng This form on back of yellow copy. i'. ~l 6 519 `X" Below Work Covered by This Request New /tad Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service J. Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (spec fy) Contractor§ Remarks: Cornpute 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 Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void /8 months from J 16 5 2 d J'11~d Request Date Fire No. Rough-in Inspection S^~ Required? ❑ Ready Now Will Notify Inspector es C No When Ready? I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address Street, Box or Route No.) City 1 c l~ S trop No ~ o hip Name or No. Ran No. County ~r p Occu am PRINT) Phone No. I-If Power SuppI Address Electrical C tra or (Com any Name Contractor's License No. CA~'z c- Madmg ddress (Contractor or owner Making Instaltalion) Authorized Signature t !Owner Makm Ilauon) Phone Nu ber MINNESOT STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ei3-00001-08 No- See instructions for corYpleting this form on back of yellow copy 165-20 X" Below Work Covered by This Request" e Add Rep. Type of Building Appliances Wired EquipmentWired Home Range Temporary Service DuplexWater Heater Electric Heating Apt. Building Dryer Other (Specify) _ Comm./Industrial Furnace_ Farm _ Air 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 40"mps 310, ° YTransformers _ Above 200 Amps Above 408 ° Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection All arm/Communication THIS INSTALLATION MAY BE ORDERE SCONNECTED IF NOT :Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date _ _cl certify that the above inspection has Final Date,: r~ been made. fra OFFICE USE ONLY This request void 18 months from 2004 RESIDENTIAL Pia s. PMM CITY VAGMA F 3820 PILOT KMB lea, * li 1 42 8514764WS Please complete for modifications to existing residential dvw .ngs. ti Site Street Address " 1 Property Owner r lrI 7;n Yk-AP Contracto Address The Applicant Is: _Owner Contractor -other Alterations to existing dwelling „_.Add fixtures to rooms, excluding wa*r softener, and wafer heater Septic System Abandonment Water Turnaround (add $121.00 N a 591 meter is required) ~ n Other: { J ly i3Water Softener 11hi'a14er "Offter replaoement addiWwi Y` Lawn Irrigation System RP2<L" now repair 4 State Surcharged Total 1 hereby apply for a Residentiai Plumbing Permit , ackn #,A, and accurate; that the work will be in conformance with the oWfinifflosiVW: Eagan and the plumbing odes; that I und+ tand 1ris is not a b 5 a "ltl+ permit, work is not to start without a pear grit and work will be in the event a plan is required to be reviewed and approved. Apolicant's Printed Name nt's Sagcta# r 4 / PERMIT 4 3 C * P oOF EAGAN PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031407 (612) 681-4675 Date Issued: 02/09/98 SITE ADDRESS: 3727 BLACKHAWK LAKE CT LOT: 12 BLOCK: 2 BLACKHAWK GLEN 3RD P.I.N.: 10-14352-120-02 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - A p p l i c a n t - ST- L I C OWNER: DAPLSTROM DESIGNER HOMES 14552245 0003508 RIESGRAF MARK 10 25 AKRON AVE 3727 BLACKHAWK LAKE CT I ER GROVE HTS MN 55077 EAGAN MN 55122 ( 12) 455--2245 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 agars 0rdin nces.f 4/41 ~'ee APPLI ANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE i A i .i: ~ t t a .y, r i. a, t ~ i i 1:' Aft ~ ~r.~. Np 752 fOI 7727 i.. 50 00 055 `i 1 ! ; 199S B IttI IT A PZ4 T I crrr or EA1" r b } . reommw eft turn" ♦ 2 copies of Phns tincwds 1098M a vdmkw GkW Pmmd * d. deck; dQ ♦ Is" ♦ 3 copes of tm plsssnvalion PI Mt If lot 01011041 Ow 7193 requfrod: _Yes No DATE: ?i 9cr CONSMC"t Mft DESCRIPTION OF WORK:~l STREET ADDRESS: Z LOT: d' BLOCK: SUMM.I.D. 1 r ~ o 1 G~ - ? SIM RlCS RAF ~ ~.Name: s[.f' Lot ~c PROPERTY 0vmER Swat AddteW SUM Crty Company: CONTRACTOR Strew Adde+ass:'~..~:. ~:r...: ; r EZZ City strte: . ARCHITECT/.. EN{3INEER Cc~np~y: , Pyre S 1 Name: is . Stroet Address: $3p:, a City staw sow & water kwind plwnber (nlw omdn oOm Onyy: and Wt camps is mquesad cm pwft le bslwd. I Iw aby wMmedpe tltet I hM road appal end Oft tl the # ` ft& Q# Nnneaft > eS and Cft Of EtiW Off. SowUe Of Applkmt , OFRICIEUK OBEY Comes ofStuveYReceived Yee No . M Tree Preservation Plan Rw9MW, Yes No Nt~t ll w.rr . USEONLY BUILDING PERMIT TYPE 0 01 Foundation O 06 Duplex 13 11 AI pt.Jl. rrlg 16 Fish 0 02 SF Dwelling 0 07 4-ptex 0 12 iii Ri WR m. 0. 17 Swim phi O 03 SF Addition 0 08 S ex 13 13 GmrsgeftmimomV 13 : 20 pAft j1!,% y O 04 SF Porch 009 12-plax 0 14 Fireplace. 0 21 M m 0 05 SF Misc. 0 10 _-plex 0 15 Deck WORK TYPE 0 31 New 1e33 Albecabons 0 t 0 32 Addition © 34 R"& 1347 Dsini*fion IERAL INFORMATION Basement sq. It. MCNVS1 am (Allowabt*) Main 11rvel . ft. City Weller USC 80cupency sc. ft. 2 g _ _„_.r..,.. s . ft. r............r.~. my *of Stories dq. ft. ft"W Purr Largo sq. ft. ode. Depth Foo#prlr4 i.q. ft, SHAD C;eft CO." 9ft: Cmas Unit APPROVALS Ping Building variance Permit Fee Valuation: 8.....,..:.: Surcharge Plm Review License MCNVS SAC City SAC Water Conn. Wafter Meter Aoct. Deposit sw PerrrEik S1W Surcharge Trestriont Pi. Park Dad. Trails Dad. Other . Tool: PERMIT Control No. 0 2 16 C&Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit Number: 0 Eagan, Minnesota 55123 00300 (612) 681-4675 Date Issued: 04/21/92 SITE ADDRESS: 3727 BLACKHAWK LAKE CT LOT: 12 BLOCK: 2 BLACKHAWK GLEN 3RD DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW USC Occupancy R-3 M-1 Construction Type V-N Zoning R-1 Building Length 68 Building Width 35 REMARKS: y~ PRV S & W CONTRACTOR -~''rz FEE SUMMARY: VALUATION $144.000 Base Fee $793.50 MISCELLANEOUS $1.610.60 Plan Review $515.78 Total Fee $3,696.78 Surcharge $72.00 SAC $700.00 SAC % 1@@ SAC Units 1 Lic. Search Fee $5.90 Subtotal $2,086.28 CONTRACTOR: - Applicant - ST. LIC. OWNER: MENDOTA HOMES 14665511 0003165 MENDOTA HOMES 1906 LIVINGSTON 1906 LIVINGSTON W ST PAUL MN 55118 W ST PAUL MN 55118 (612) 455-5611 (612)455-5611 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. ICA RMITEE SIGNATURE ISSUED'IBY: SIGNATURE PERMIT= # CITY OF EAGAN 7S 1992 BUILDING PERMIT APPLICATION "APR 1 7 RE'co 681-4675 ~0! SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re guested once ermit is issued. Date Valuation of work telA) Site Address: :37,~ 7 9A_-L1 a,,K 40F 6r,~ STREET STE # Tenant Name: LOT % BLOCK SUBD. ~C Jk" G Wi't' P.t.o. M 3l1 Description of work: The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name b 2 /~l 2~L-.Su Phone Property LAST FIRS/TT Owner Address ISTREET STE ! State Zip City Company 1)7E-AJ6& !)q Hz~fn~S Phone - Contractor Address f c%&d t) SS/ 4 License # r Ex City State Zip Company / 1~uN Phone Architect) Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I hav read this application and state that the information is correct and agree to comply wi h all li le S ate M' nes a Sta tes nd ty of Eagan Ordinances. Signature of Applicant: Urrlwit Uat UNLT BUILDING PERMIT TYPE O 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 PWn i c 'Fac . .5102 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous ❑ 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE .9 31 New ❑ 34 Repair ❑ 37 Demolish O 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move - GENERAL INFORMATION Const. Actual) Y- N Basement sq. ft. MWCC System (A1 owable) VL /•T 1st F1. sq. ft. City Water Y ES UBC Occupancy R-3 M 4 2nd F1. sq. ft. PRV Required YE% Zoning Q Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth - On-site sewage SAC Code ai APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final O Draintile ❑ Fireplace Permit Fee 7 93' so Wluation: s 144,000 " Surcharge 7Z. OGrAaA" ; 82 ~ 2~3 = 84 ~ Plan Review 51 "--a License lo-A j 0.= X00) MWCC SAC oo, ~o a k ate. City SAC ouo 8~ 140 !6 i c s"~ Water Conn. S , 00 - , Water Meter 9sloo 4 x 3G q34 Acct. Deposit 30.0 )o ; 1ov S/W Permit 30,oo S/W Surcharge 6SO ~a 3` !S' 15, 5-~1 A Treatment Pl. 30p,oo Road Unit 3gp,~ tsT Ft,oc,0 Park Ded. Trails Ded. Copies .4''2ir 7yz:;- g Other Total: --g ~ - If5 Is G. %O60xS31AI0` SAC % 00 f~ a n w. SAC Units 3Xa~yt `~~1~ o I4f 3`11 APR-17-192 FRI 08:56 ID:JAMES R HILL INC TEL t-10:612 890-6244 0394 P01 SURVEYQRIS CERTIFICATE SIENNA CORPORATKNV REVISED 4- 13- o2 roR MENDOTA HOMES REALTY ELACKW~k LAKE COURT 0 M e--b &!;74) r- 95.00 S 0"19'19" E X034-, Irg o O ' 1 U MOTE: BVILDINO DIMENSIONS SHOWN ARE FOR HORIZONTAL _ YF,~iTICAL LOC- ATION 3 ARCHITECTVAL PLANS FM BUSILD90 PROPOSED 6 FOUNDATION DAWWBIONA. OkIVEWAY~ 45 37. d- '~153'7. 4 - 0 20.0 1210 - ' N , M 0 GAITAGE 0 in° 0 0 L---- _ W en m N P ~ H OUSE . w jLU b' R ' 31.5 = 36.5 M - -K•- - - I a Q' z M I N ~ J s LOT III s / -z2' m w cur o o g 9 95.00 S 0' 19' 19" E DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET i DENOTES IRON MONUMENT FOUND PR CDIF 7 FEET X000.0 DENOTES EXISTING ELEVATION PR FEET (000.0) DENOTES PROPOSED ELEVATION PROPO FEET 'E c' By WE HEREBY CERTIFY TO MENDOTA HOMES REALTY S S n REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF; Lot 12, Block 2, BLACKHAWK GLEN 3RD ADDITI 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 15 TH DAY OF APR I L , 1992. NOTE: NO SPECIFIC SOILS INVESTIGATION SIGNED: Amp Fl. RILL, INO,---"` HAS SEEN COMPLETED ON THIS ~ LOT 'BY THE SURVEYOR. THE E t SUITABILITY OF SOILS 70 SUPPORT A ~t ,T THE MCFIC HOVSE PROPOSED BY: FOT THE URVEYOR.SPON518LiTY OF HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 M C) F - o M I , o -0 James R. Hill, inc, r- m ~p,~, cn 0 - 0 m z re N ° ' m Z PLANNERS / ENGINEERS / SURVEYORS T N O m of ~ -0 W 2500 W. CTY. RD 42 + BURNSVILLE, MN. 55337 9 612-890-6044 NALL2 t T 5~ = -5&96P, ZZ W AI-1_s I H tu.A7-r,-~ = 330(a. ~~r~ i ~ ~ 3 x , l q ~ lam" ~I l INt~fb l•4 F ' 3 ~Co x , 2 = 2 ,leg CDR Sq >C . 09 1 - I _r City of aagan MUNICIPAL CENTER MAINTENANCE FACILITY THOMAS EGAN 3830 PILOT KNOB ROAD 3501 COACHMAN POINT Mayor EAGAN, MINNESOTA 551 22-1 897 EAGAN, MINNESOTA 55122 PHONE: (612) 681-4600 PHONE: (612) 681-4300 PATRICIA AWADA FAX: (612) 681-4612 FAX: (612) 681-4360 PAMELA McCREA TIM PAWLENTY THEODORE WACHTER Council Members November 24, 1992 THOMAS HEDGES Cliy Admininstraior EUGENE VAN OVERBEKE Clay Clerk MS SUSAN RIESGRAF 3727 BLACKI-iAWK LAKE CT EAGAN MN 55122 RE: PRAIRIE GRASS Per our conversation November 19, 1992, I asked John VonDeLinde, Parks & Recreation Superintendent, about the prairie grass. He informed me that it is not the intent of our turf grass ordinance (which is where the 6" comes from) to enforce on the natural prairie grass surrounding a body of water. It was designed to enforce no3dous weeds and persistent neglect of turf grass maintenance. In fact, reserving the natural prairie grass surrounding ponds and bodies of water is in the best interest of the City. Not long ago the City decided to make water quality of its lakes and ponds a top priority; keeping the natural vegetation surrounding the pond would be a benefit. If you have more questions about water quality, please contact Rich Brasch at 681-4300. John VonDeLinde can also be reached at that same number. Sincerely, Shannon Tyree Zoning Administrator ST/js THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer CITY USE ONLY L ~ BL co RECEIPT O SUBQ.' RECEIPT DATE: 1998 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 D backflow preventer for underground sprinkler system FIXTURES EACH TO Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x - Lavatory 3.00 x I Kitchen Sink 3.00 x Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 =o Alterations * to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 D 5 TOTAL - - I hereby acknowledge that I have read this application, state that the information is correct,and agree to comply with all applicable City of Eagan ordinances. R is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: Oajize~~ INSTALLER NAME: 11,Gc V`r V' 1 u vwCj•`y~~ TELEPHONE* STREET ADDRESS: LL CITY: STATE: ZIP: SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CITY OF EAGAN CASHIER: JS TERMINAL NO: 766 DATE: 04/25/00 TIME: 11:33:29 ID: NAME: ABC PERMITS 3210 9001 3824 WESTBURY T 111.25 2155 9001 3824 WESTBURY T 2.50 3210 9001 3727 BLACKHAWK 139.25 2155 9001 3727 BLACKHAWK 3.50 Total Receipt Amount: 256.50 CR127486 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDam= CITY OF EAGAN "l 3830 PILOT KNOB RD • 55122 651-681-4675 Remade)/Repair Reaulrements 3 registered site surveys showing sq. fR of lot, sq. it. of house 2 copies of plan and gj roofed areas (2Q% maximum tot g=Mae gIRM f 1 set of energy calculations for heated additions * 2 copies of pions (show beam & window sizes; poured hid. design; efc.) 1 site survey for exterior additions & decks * 1 set of energy calculations > 3 copies of free preservation plan if lot pksfted after 7/1193 V O DATE: 4- ca I - oo CONSTRUCTION cosT: RAJ DESCRIPTION OF WORK: STREET ADDRESS: 8 r DoT: ei.ocK: ~ susD./P.I.D. NDIC,94MA)~ lt Name• V, Phone Iob - W bbo RJ"4 Tl a PROPERTY 1.060 First 11 OWNER 3-120 P)@ _ Sheet Address:- ~ city --t State: MQ_. Zip: C~ I L 1n9 J Company: K~CY1C~~ l~AX1, 1f (\a ew&oci- Eton ~Ql -70 (area code) CONTRACTOR street Address: 1 ~J I C u CL~`,t Ave- S License 313 Expo ~ city P)Utrn) l tit state: M IV Zip: tr-b33 ARCHITECT/ ENGINEER Company: Name: Telephone { ) Street Address: Registration C City State: Zip: Sewer/water licensed plumber (N installing sewer/wa%rl: Phone I hereby acknowledge tholl I have read this application, state that the Information Is correct. and agree to comply with ON applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: A OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plea ❑ 21 Porch (3-sea.) ❑ 31 Ext Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex P1bg Y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of stories sq• ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MCIES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. 9 Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY OF EAGAN L_Zj2j_ B MECHANICAL PERMIT RECEIPT # SUBD. (612) 6814675 DA 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: fL1 C -e FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 L . ~J r c/1 CONSTRUCTION ONLY) HVAC: 0-100 M BTU 24:00 INSTALLER: - ADDITIONAL 50 M BTU 6.00 1 @ $3 FA. ADDRESS: 2 S Z~ 12,,,,-, n 4 r Y~ ' L l'J . GAS OL"I :.ETS - MINIMUM CITY: 4", s ZIP: _ 5.33 SURCHARGE: $ .50 SIGNA TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL 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: CITY SIGNATURE: PHONE SIGNATURE. 1 _ _ Z~ f BL _ - CITY OF EAGAN CITY USE ONLY - ,_s rri PLUMBING PERMIT SUBD.~iJhG.tch~ (612) 661-4675 RECEIPT 1! DATE f~r RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON / SHOWER 3.00 3_ REPAIR 3 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 7 _ OWNER NAME : Mark R i e s g r a f KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 SITE ADDRESS: 3727 Blackhawk Lake Court HOT TUB/SPA 3.00 / WATER HEATER 3.00 3 FLOnR DRAIN 3.00 3 GAS PIPING OUT. INSTALLER: McDermott Plumbing Inc. (MINIMUM - 1) 3.00 3_ ROUGH OPENINGS 1.50 ADDRESS: 12350 River Ridge Boulevard OTHER _ WATER SOFTENER 5.00 CITY: Burnsville MN ZIP: 55337 PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE 890-9084 W. TURNAROUND 15.00 al s Vol _7 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN T ti 'LOT Id- BLOCK SUBD. RECEIPT # 5U ~~9-- CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT M Date: S - 19 - 3 Commercial project Residential project Existing residence _y OS . 3~P'7 Area/address to be sprinklered: ✓V Tcr/~ r- >1 A f~ Installer: 4:34 1-057-J-[ GAAAQS419 p195 eDVTJV.467'0R S Street address: I S-p 0o e' L&/ 7brv N -L-~c 4. City, state & zip: 12C2 1 AL^ e can 7 Mal P-C-a ee Telephone 16 /1) U3,?- JJ -'3 3 Owner name: MARk Mffs 0?4-r- Street address: '39 J2 I U/. 0 MAWS 4&AE G o v2 1" City, state & zip: hF4 (4 Ni M sA/ Phone a,5-S I ~ Irrigation contractor, if different: Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. Signature of Permittee New service required Fee due: $ Calculated by: r f ~ CITY OF EAGAN UNDERGROUND SPRI03" SYSTEM PROCEDURE 1993 1. Plans must be submitted to the City's engineering department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial project: $ 25.50 plumbing permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with engineering department regarding feasibility of City installation (City will only install taps up to b. Residential project: $ 15.50 plumbing permit. $ 50.50 water permit fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Eidsting residence: $15.50 plumbing permit - (not required if backflow preventor previously installed) however plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist will contact utility billing clerk for cost and notify installer of all costs associated with project. If new service lines are not reau'red, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(engineering department will advise utility billing clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to utility billing clerk. I 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backflow preventor. The public works department may be reached at 681-4300 for water turn-on and set and seal of meter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. +':::#aSi: ::%:$r:''.::c: •#:ea:%% J:.^:i?":':;C,?Sif:t..°v:','".~s:::..?.i . . {}~t: t>... : {:P}xY^:•.C,.:i:#~:: ~I ...{..:.:{:}{~{+?:••.t S~#..~CV: •;n;.4,~ ~"ti:IL, Sv,',:i..{}':h'} C;:•TH, :'\~C•~:!W.v+\ +~:r,•.:yv+•-.::i;};{{.T:.3a;3: :.'~i•.'3j;~"•`k'•,~ik,.' ~'{t0••'7.¢?i,•:}~~ .v.;£:Y'• ~ ~ tb. .tw:i~s :•:S?'.^•.?•S`:?':--•:;.:..s:. ~.~sv.''}} ~}2.+ q:::$:'.i:;~.•~..} afs::T .3.t ,:.:~;R..ss4~av:,»ys; ':iji.M1:2:iR2i:::":1:::ivt.i~ i;i:{i;i::#itii};....-'#•~:::.?. Y.:}w::}:;ti A:v v,. .~:Q qY.i ~ • h?h:ti4{} '1'(~{iii:iii:~:ii:?:F~{~is:it{Fi»:$}iv;{intAi~'+:i.}'v{i:::#":ii?~?' •?:}~.<?:J. .,$+•}.,+'~}vi+,.,. b: ...'>.'33:::::: ~ : • ,k..:.tt• '':r+wi':. tt .•"wY+:': F •T33;ri'. ~+~.•:•.::::•::~:.}:;:.:}iii:'siii~.;v::::-ii+i~i:.~ii:;;., .+~n'.v.\. ...K.:2d}... h#;. iyy~S~ , ...:.,v:.~n. .:r;.;{.}, ;;;:,:•}:4 i:i.i ;n:• ivn , }i~si;:y:;t<:Rii::s:ir;: {:i::;:;.:}r ;::•n,.,~,.. . •.\o,'L,~:R ~::,d,>,i u.., . ,,~}i'. K • ♦ • • +x.. '~y. :::};:;:.::.;:Yfii+ii•si•:~::~:'idv:•~i:s•:5:;•q.?::'•''~,•`• ,r 3} ,v,~\~::ty, ` : ~ hen y • : : ...:z•:{~ir.•:•.i:t::..,.w.., OT.k;.r.s::••.a~c;::},~,};~.,;.~.vk3. ~,o{ ' :n ' .x~..........4i+:{i:<'i ~i.`SC:?:::#5:9:: i.H'v.0{4 • nk4•JOi'}` ,h .~T,2,y,~RT~•.+: :t.:s;~::;ii:ii:~;i::o:{+:F•.~:tt~x,{:aov.-.t:,•::.?~:::;.:::m•:.,..:.[•`.,~.,'•.'':•k':$::: f:•~.. ~rx , 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PELOT KNOB RD EAGAN MN SS122 (612) 681.4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIX'T'URES FC SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum - 1 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • nak cty. iic. 15.00 U.G. SPRINKLER • home under conc. 3.00 ALTERATIONS • to easing 15.00 WATER TURN AROUND 15.00 co a 3AcKFLocj PQeV6)vWP_ ROR STATE SURCHARGE LAWN I RP-l 1~~1 ~ .50 TOTAL: SITE ADDRESS: 3 `j d 9 13 t A Lk 44-11k 10,6 c ou 2 7- OWNER NAME: 12-42/L fZd~"/ 6 9 INSTALLER: ADDRESS: CTT'y: dS/G ri o vn T STATE: /J ZIP CODE: S~ e68 PHONE ( ) q2 3 _373D 7' 7,3 ,v t1le SI NA OF E ,,,a,r>r:x~~`•`."`."Yp.~.~... »°"M'::h'"•""" ' $:•`,:ii:'L .,v,.Q:•. r ..:0:.K:~{i: •v~t:LLt:::::Rt :'•::•i:::.,;;;.;•: .y :'•fi.., 'E. :v...,~c:ot:•: v},. $(ri;iv: •{;h:,.. .:.Y.:.v :\{:i: i:,`0%•. 4 y~• :•,~x 'y Y {':.L^4': }:t•':;. .a. v.~K .vii'. • h•.{. w :4}}::}Y'4}}ii~:i\v:i::jiii::Qiitiji}::.... j}i:}::::..: G ''•a:. '•}'L~{ :•}^.Q~: •.:a:::..,......,: R. vi x:'x:{}.. 3.{. ~.:La3~f~l}'s~ .,.vim,, .,•,y... , {.~kY;. :.5, . L. ~..••iiisr.:83:t3;~:z::: i:#~;:;::#;ka?:'d`..:.x„a:,;;.:.•:.•:::x,..}: }}s:~•':.r..}4..::0';•..4{,'x: ta..'i4':.'..,;n: p. "ki.$Y,.o> •x .r a?c.': ' 'x, '.k:5';,~dv'k'• ~~~~~~pp ~:yi;:;r:L"cw2: x:v,•; ::i:;~:i?ti:.ixaS:::'` 4. # b `Y ~ . a°t k. n3F:•~:u iv +n;.Gi.:: vu•':.,40,.lti::vi:~{::..•, , :4.::. ,{:r{~v rh!,..:k~•..,} ~`~.2• .:xW ;if~."~ ''Lv~~ryi:-':~:::iiJ,t'•.?.{i:',v',SP.{vK•)0:1:.G'.t{rti:iti::k,\:r}i:S4.L?.t.''t. •.}•2 v'S; ,~:!i~, ' ii•SFi- .:,i;a . at, ~'`.bx•.• ' a~' .'•te vM~'. ••':as}x•.w.,.t•:'saans'"''.;2:.r2Sr?a::.^:•:{.}xax~a;'~:a;,~R.h:;:~'iw'x~.w`~F:w'~:'7•.0~•'~w.l ~n} •':G.~S•, .,•i, •r~~`'~.. •>:it~~;fi 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUPLDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNM NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE. MINIMUM FEE. $ 25.00 { xi`....:. CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT CITY OF EAGAN Page 1 of 5 ` PERMIT TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS 1. Location 3 `1 &4e_h-Y4ca*' lAeA L7% t"0 2. 131k 2 Li t, kMAwK 2. Nature of Work S f f? J'I4s '6yS `f k ~ G L 3 D 3. Indicate below items to be affected and include a sketch or plan of work to be done. Curb & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Buildings Other t_,4&%iN p AIJ Y 4. Method of Installation or Construction 5. Work to start on or after: _5 =/y-43 and shall be completed by: S- du '9 3 unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary? NO . If necessary to detour traffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT AEI 4-j e S T•fCC L. A,; 0A, 4 P_0" G~~ r/1 G7`~Xd S PHONE CSI 3 PLEASE PRINT Ste`®~ p ADDRESS / j' CF6 0 ( C ,4 T7 W PC 0 0 cr /P /~I G STREET CITY STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK /a Az A y y CONTACT PERSON : Q 4 ;t v (,'ia d -41 EMERGENCY (24 HR . ) PHONE L/ ) jP - q..) 3 .1 ADDRESS 4,-,1 s v DAY PHONE STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: ~40 -I- Title • 4J N iR -DATE: ` 3 P" OPV FOR CITY USE ONLY AUTHORIZATION OF PERMIT FINANCIAL SECURITY: AMOUNT: TYPE: (Cash,bond,LOC,etc.) Fee: $ Receipt No. Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan, permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: APPROVED BY: DEPT. OF PUBLIC WORKS BY : LO`~1 I ~A y l ft3 /DA k ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. i ,1 I ,M ~rir - ~ ~ ~ ~ ~ ~ro ~ 1 i } <; 4 1 I l l 1 ~ I ~I 1 } I ~ ~ ~ ~ ~ f q~ ~ H - ~ ~ ~ i; ~ l ,i ~ ~ ~ ~ r + ~r ~ ~ ~ ~ + ' f..""' by f ~ ,.r t/ tJ n~ E j 7 , f ~l r ~ ~ ~1. ~ ~ 1 ~ / I ~ ~ ~ r i p _ ~ ~ ~ 1 ~ is JJ J ~ t s' l` l r r i` r~ I i~ ~ w e f /r ~ y ! ,!'i~ ,d ~ x r r! 1 . ~ ~ ~ ~ J:. i 1 ~ 1 ~ I 1 '''ti . ! ' I ~ ` ti f E 1 / f f, r ; t% ~ ~ '1 s . . t , . ~ t ~ a., ~ W i ~ / , a s, w: P ri ~ ~ ~ ,r' ~ : ; ti , ~ _ _ . r~ .i ~ y r;, ' z d f ~t~. b a ~ ~ ~ 3 / y,,, ~ ~ ~ i l ~ i 1 f ~ / ~ A j~ t ~ / ~ ~ s1 ' i ! T ' i _ ~ ~ D r j r ~ J j ~ ® _ i << x D ~ _ v _ b h \ . A ~ ~7 ~h. 1 t t + `r 5 f . (~l i i i ~ i~ ~ ,f~175~~~~ (r N ~ ~ ~fi 1~~ + ~ N I .e6~~~rt ~N~ i ~ r f r{ ~ ~ #~tra~u. rib, ►aaa.is~:~ ! ~ , ~ tea, ~ ~ , k~ ~ A .v i PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA098913 Date Issued: 05/04/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3727 Blackhawk Lake Ct Lot: 12 Block: 2 Addition: Blackhawk Glen 3rd PID: 10-14352-02-120 Use: Description: Sub Type: e-Siding & Windows Doors Construction Type: Work Type: Siding & Windows doors Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: 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. Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing Fee Summary: BL - Base Fee S6K $132.75 0801.4085 Valuation: 6.000.00 Surcharge - Based on Valuation S6K $3.00 9001.2195 Total: $135.75 Contractor: - Applicant - Owner: American Exteriors of Minnesota LLC Mark J Riesgraf 1408 Northland Drive =106 3727 Blacldiawk Lake Ct Mendota Heights NIN 55120 Eagan NIN 55122 (303) 86-3328 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114623 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 3727 Blackhawk Lake Ct Lot:12 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-120 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 . Luanne Yang 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 - Mark J Riesgraf 3727 Blackhawk Lake Ct Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118230 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 3727 Blackhawk Lake Ct Lot:12 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Mark J Riesgraf 3727 Blackhawk Lake Ct Eagan MN 55122 (651) 230-8180 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142162 Date Issued:04/18/2017 Permit Category:ePermit Site Address: 3727 Blackhawk Lake Ct Lot:12 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 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 - Mark J Riesgraf 3727 Blackhawk Lake Ct Eagan MN 55122 (651) 230-8180 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature ...,.. f I For Othce Use 1 i Wel% 1. 1 1 1 PerMit t 4 Permit Fee. 1 e-:,..-.,••=.-•„,•..•... tl It , , Date Reoerved, i i I I ---7 \ 31339 Pilot Knob Road stet___.---- Eagan MN 55122 Phone:(651)675-5675 I Fax:(65i)675.5694 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Unit*:___ ______ "6-12.71 i-4.,::'<-‘,0,4,3.1,,k‘, 1,,A.(,,e L.,,-;*r„ ... 'Z-CYC1 651-230-8180 , , MARK AND SUSAN RIESGRAF Resident/ ' Phone____________ Name: 3727 BLACKHAWK LAKE CT EAGAN, MN 55122 Owner i Address/City I Zip: X , i. Applicant is: Owner Contractor - „„„..,„ INSTALL NEW RAILINGS AND STAIRS ON EXISTING DECK Description of work. Type of Work , Multi-Family Building: (Yes_/No ) Construction Cost: $8,300 RJCONSTRUCTION, Contact UCTION, INC RYAN JOHNSON .. Company: 20376 BOONE AVE City PRIOR ContractorLAKE 1 ; Address:. • f MN 55372 612-290-6749 Email: RYAN@BUILDWITHRJC.COM State: Zip: Phone: BC851441 NAT-94481-1 . Lead Certificate#: License#: is If the project iexempt from lead certification, please explain why: ____it.p............._ - HOME WAS BUILT IN 1992. I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ' in the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: ,., Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire suppression Contractor: . NOTE:Plans and supporting documentsat you submit are considered to be public in feml at lb n: fertiOnS of ' the information may be classified as non-public if you provide specific masons that would permit the City to conc!ude that they are trade secrets. CALL f )BEFORE YOU —IC. Call Gopher State One Call at 651 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gonheistateonecall.arq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 clays of permit issuance. ...------, ,..RYAN JOHNSON ,,„. x ‘ Applicants Printed Name Ap. 'cant - ign ture Page lot 3 .-- 7a,7 b tattchcodiji,6 La-ke C,t- , DO NOT WRITE BELOW THIS LINE d4 f4' ? V-)7 SUB TYPES Foundation Fireplace Porch(3-Season) — Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ _ - Multi /4' Deck Porch(Screen/Gazebo(Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building ____ _ — WORK TYPES New _ Interior Improvement _ Siding Demolish Building* __ Addition Move Building Reroof Demolish Interior _ _ Alteration Fire Repair Windows Demolish Foundation t Replace Repair Egress Window Water Damage _ _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION A\ coo. oc/ Valuation Occupancy LTL! - I MCES System Plan Review Code Edition owl ZiP/S- SAC Units (25% 100% ?4 ) Zoning PP City Water _ _ Census Code _ Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V5 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) > Final/ No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile _____ Fireplace: Rough In Air Test _ Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: i b rY\ in:1<1 I/ if- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review If / e.. a 5q. te- MCES SAC 4 City SAC fil;/?:/Y1')/Y/ e'e 2, ' - Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 I. J.*-- at rice vat, IV J1-11.1C. rt. rill-t- 1 Nl• ttt.• NU b1G ti kJ b44''# ti,3'J4 11!11 A_ /V ‘e SURVEYOR'S CERTIFICATE sIE141,41A cxlrRAttOfti REVISED ITA HOMES REALTY — RL h1 1 LAKE COURT , __•�.�.. .� e'a i :4) *. 95.00 $0°1919" E -„ c/B 4 4-.) • I . 1r�TEt • LDJAi1i t;tA1 • tette 1A41a0 etWettrmlibrulait OW SEE AIscHITECTV4 I. PLtNS ,_ SU1 PRQPostD a F ►TloNt immediIot$*. _ _ ._ WAY !,. GARAtItE 0 ID 0 •WIt_ '"r r'i iii, Pf0POSEt3 L.__ Mi .,. .'__ 8.5, It' _ ', topeetz,ii.0 ` „1/4 if zu1 574ox) . Ald I� z G' -1 d..izq:l;ng '� r r ,,r/is 11 7 'Pt.- f,, , ,....d Ili et al Pr) N 1 5 -...s.. !Yt1i.ITY 0 T 12 13...„. i'''5zo..t ) !"PER Mot`vist 8D t?0 •_s,• • 0 I t ,-`�-1- ir I tr..l J r t ;J r S 01'19'19'1E ! 1 .. i t..... k,i 1 ‘..) 9-7 .w--- - DENOTES PROPOSED SURFACE DRAINAGE t~ � t ,� Q DENOTES IRON MOMU1VIENT SET SCALE: i INCH - 30 FEET i DENOTES IRON MONUMENT FOUND X000 o DEMO EXISTING ELEVATION PR$ ,t, a r h, - •Al • sir:: FEET tt)a0.0) DENOTES PROPOSED ELEVATION PR t . 0# a ,` . FEET I'RClPfl'. . ; �2 ,r' / FEET WE HEREBY CERTIFY TO MENDOTA HOMES REALTY ' M:, .,_,.w REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF "• ®1:i _.o�, Lot 12, BLock 2, BLACKRAWK GLEN 31U ADDITI� r plat thereof, Dakota County, Minnesota.' t+d i. > IT DOES''NOT PURPORT TO SHOW IMPROVEU NTS OR FNeRnAf'j-1A,trht - 0at`e!r13,T AC t*Ltrttar;' &.•.