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1606 Blackhawk Lake Pl r CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _ PHONE: 454-8100 BUILDING PERMIT Receipt # 1 To be used for SFr DWG/Gi4R Est. Value $1510000 Date OCT 13 19__0 Site Address 1606 BLACKHAWK LAIN PL tO Block Sec/Sub. 11LACK"WK GLEN OFFICE USE ONLY Lot Parcel No. occupancy R-3 H--1 FEES Zoning ft-1 W Name JOHN KAEMER & SONS (Actual) Const V-N Bldg. Permit $18*00 o Address 7038 PARK AVE 5 (Allowable) V N Surcharge 75.50 City RICHFIELD Phone 934-13" # of stories 409.00 Length 90' Plan Review Zo Name SAME Depth 401 SAC, City 100* 00 °0004 Address S.F. Total SAC, MCWCC 57500 " City Phone S.F. Footprints - 580000 On Site Sewage Water Conn F W Name On Site Well Water Meter 90.00 Address MWCC System XXQ# a W City Phone City Water XX Acct. Deposit y PRV Required S/W Permit ~O* I hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge 1'00 information is correct and agree to comply with all applicable State of 228.00 Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 340,00 A Building Permit is issued to: JOHN KAMMER & SONS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 3,266.50 1 Permit No. Permit Holder Date Telephone # WATER i1#~ f~.,c..• ~v/vi} - ~ Ll.': f~ ~ f",;{}''', SEWER PLUMBING t H.V.A.C. I~' ~ , , i c~ , ELECTRIC Inspection Date Insp._ Comments it Footings I I Foundation Framing !yl L Tif~~ rJ /2 _ ~ Roofing / Rough Plbg. 1' ' it - 75 l~ d Rough Htg. :Sul. t Fireplace 60 / T - - - ' - f Y S 1 5 Final Htg. - z2i Final Plbg. L Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final G t Deck Ftg. Deck Final irivis q! 4GG .i Well I~S~Yf WET' Pr. Disp. 1 I l i i T.ertifirat t of (Orruvaury citp of Cagan i0tvartmmt of ludbim 3wrdion 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 various ordinances of the City regulating building construction or use. For the following.- Use Classification SF = /GAR Bldg. Pcmut No. 17179 Occupancy Type R3/ "1 zoning District RI Type Cmst. VN owner of Building JOW KPAEMM & SONS ~Add.. 7038 PARK AVE. S., RIJD Building Address 1606 B M149 LAKE +•A.r~Aality L10, B1, BLtMW3Z GI.IId 31M Date: APM 13, 1994 Buildin Official POST IN A CONSPICUOUS PLACE SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # "7 0 PERMIT DATE 10t19/89 3830 Pilot Knob Rd. 11042 Eagan, MN 55122-1897 CHIP # 007-3 PERMIT # TYWIT METER SIZE'S;!°.P. RECEIPT # C 4234 DATE ISSUE DATE ? B.P. RECEIPT DATE 1 lb 84 f ` PRV - BOOSTER PUMP SITE ADDRESS / ~'0 E ' ' a PERMIT REOUEST D LOT BLOCK ,_SECJSUB ~I-o EWER ATERR TAPS ` APPLICANT: ~n__a4+ E ~ !4 and r, ADDRESS: _ COMMJIND S~' "RESIDENTIAL CITY, STATE ,CSI Cd6 +L~-txdAo~ ZIP ,S---r" ki T _J,!NEW - EXISTING PHONE: -L-L -Z 2 / Lawn . Sprinkler Meters are to be Installed PLUMBER: Ahead of !D stic Meters on Water Line. ADDRESS: 4-°' it) Credit WILL N Ize giver for Deduct Meters. f CITY, STATE • kA)P&Jr_E,-, '-ZIP PHONE: 1 AGREE Tt3 C PLY WITH CITY OF OWNER: _ t;1 F~' plc' S S EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP ze PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT, ENGINEERING DEPT. mss. A Lr! E{. 1~y{> d f % CJ L SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 9/ g 3830 Pilot Knob Rd. METER # PERMIT DATE Eagan, MN 55122-1897 CHIP # PERMIT # I~'~~ 23 _ METER SIZE B.P. RECEIPT # i DATE ISSUE DATE B.P. RECEIPT DATE 10/ 16l 89 _ PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK SEC/SUB rw._.. A 4, SEWER _~_WATER -TAPS APPLICANT: 4. n ,4 f - - ADDRESS: COMMAND RESIDENTIAL `7 CITY, STAT " ,1 ZIP - NEW -EXISTING PHONE: ` S7 0-1 Lawn Sprinkler Meters are to be Installed PLUMBER: 50 Z urn Ahead of Domestic Meters on Water Line. ADDRESS: V Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: 10/19/89 RE: 1606 BLACKHAWK LAKE PLACE, L10, B1, BLACKHAWK GLEND3rd xx 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: 1 lour Sewer & Water Permit for the above property has been completed, but the meter cannot Pe 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 BX LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. r~ _ r ` DATE: 10/19/89 RE: 1606 BLACKHAWK LAKE PLACE, L10, B1, BLACKHAWK GLEN 3rd xx 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: 4 A Your Sewer & Water Permit for the above property has been completed, but the meter cannot the 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 Rouse (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. E 9676i' . i~--- Request Date Fire No. Rough-in Inspection j R uired? ❑ Ready Nowt Will Notify Inspector j Yes ❑ No When Ready? I licensed contractor ❑ owner hereby request inspection of above elec ' Job Address (Street, Bo r Route~N`o, / Ci 1406 l QG v{ tti- Section No. Township Name or No. Range No. County Occupant (PRINT) fzhQne No. ~ l E'~ t lii le km e P Power Supplier Address ) Electrical Contractor (Company~Name) Contractor's License No. eal Sao 4 4, 127~v1 Mailing Ad es-s~(Contractr or Own Making Installation) 7 C2' Za' c~C7~ 1 e it v^ ti C G7 Ei + ~a1 ' v / {nat "f Authorized Signature ( tractor/Own M ki Installation Phone Number 173 7- /Yo MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 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. BONN- REQLFOR ELECTRICAL INSPECTION 0' eons for completing this form on back of yellow copy.` G 9 6 7 0 X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Y 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 Vj? 1,4010 to 100 Amps Transformers Above 200 Amps A Amps Signs Inspectors Use Only: TAL Irrigation Booms g' Special Inspection p~ Alarm/Communication D Other Fee j' 1, the Electrical Inspector, hereby Rough-in f' 7 45 certify that the above inspection has Final f Dat been made. OFFICE USE ONLY This request void 18 months from 7t cl~ E 9 6 6 9 7 Request Dat Fire No. Rough-in Inspection r~ 2 t3 Required? Ready Now ❑ Will Notify Inspector rf ❑ Yes No When Ready? lk licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address Str et, (Box or q 0e No.) r _ Section No. Township Name or No. Range No. uniy l Occupant (PRINT t~ ! j ( Phone No.; -)(J. F' ~G1 (%Y~ l ✓ ~,^Imot' C0 IIcS ~ 1~ `~..J l Powerplier. E x Address Electrical ntractor (Company Nine) -/7^ Contractor's LL' ens. N"41 C Mailing Addre (Contractor or/~wner Making Installation) 76, L>c1,v /v e (E Authorized Signatur (Contractor/ ner aking aliIi Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. j / REQUEST FOR ELECTRICAL INSPECTION M 7EB-00001-07 w r ~ See inatructions for completing this form on back of yellow copy. c! E 96697 "X" Below Work Covered by This Request New Add Rap. -Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water 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 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL ' Irrigation Booms Special Inspection % J rD Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final t Date been made. OFFICE USE ONLY This request void 18 months from 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road., Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomeslcondos when permits are required for each'unit Date i13 Site Address / 9(-O Unit # Property Owner r-) Telephone # ((off } 3~ta^ Contractor Street Address city V"4(f State Vi Zip3 7 Telephone # Bond Expires: The Applicant is Owner contractor Other Add-on or alteration to existing dwelling unit x0o furnace -Additional -,,.Replacement air exchanger _ air conditioner -New Replacement _ other _ !f-- 5 7AL4, A-5 G 7a 015 t1-'44*' (v/'J State Surcharge $ .54 Total I hereby apply for a Residential Mechanical 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 with the Mechan' I Codes; that understand this is not a permit, but only an application for a permit, and work is not to start without a it; th tIi w' 1 n ordance with the: approved plan in the case of work which requires eview and approval of pl s. D ~ y Applicant's Printed Name Applic 's Signature 2005 COMMERCIAL MECHANICAL PERM APPLICATION city Of Eag" 3930 POW Knob R y 9,** N 55122 TelePhvat # 651-47,5&15 Please complete for: commercial/industrial buildings multi-family buildings whm separate permits are = requimd far ew,h dwelling wk Date I / Site Street Address Unit # Tenant Name (if applicable) Previous Tenet Name Property Owner Teiiephone # ( ) Contractor Street Address Clay . State Zip Teit~aF { ) Bond I#i Expires: The Applicant Is Owner Contractor Other Work Type a New Construction UndeMiround Tank Install _Remove below Interior Improvement Install Piping .,,,~_P Nature of Work: *"When inabiling1mmoving undwgrttand tank, calf for inspection by Fbv Xer ai and Plumbing ctat r Permit Fees: V8J0 Underground tarok installation/muoval M.Sa . (includes State Surcharge) or Contract Value $ x 1% s $ Permit Fee • If ' fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,0©0 per tttta ' fee $ Total F" I hereby apply for a Commercial Mechanical Permit and acknowledge that the informion complete and ac ; that the work will be in confornumce.with the ordinances and codes of the City of Eagan and with the hanicsl;Codes3 that I understand this is not a permit, but only an application for a permit, and work is not to start without :a permit; the the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans, Applicant's Printed Dame Applicant's Signature Approved By: Inspector Date: 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit 4 Date- k ,,,III Site Address 6l0~~ 1~LY'- Unit # h_ Telephone # ( ) Property Owner =ea Alm74 Contractor i9e, C . Street Address City 47y~ State Zip Telephone # ( ) Bond Expires: ~~e.•~~ The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit furnace i)7 Additional -Replacement air exchanger air conditioner New _ Replacement other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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. of- r Applic 's Printed Name Appl' is Siginatt, MAR U 1 ..2005 By 2005 COMMERCIAL, MECHANICAL PERMIT APPLICATION City Of Eagan w 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete-ftir: commercial/industrial buildings - multi-f0aniiy'buildT, s when separate permits are not required for each dwelling unit Date Site Street Address unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City ( ) State Zip Telephone # Bond Expires: The Applicant is Owner Contractor Other Work Type. _ New Construction Underground 'd'ank _ Install JRemove **see below _ Interior Improvement _ Install Piping -Processed Gas Nature of Work: "Men installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector I Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) - or r Contract Value $ x 1% _ $ Permit Fee • Ifs it fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan S0<6 .qt l 3830 Pilot Knob Road, Eagan MN 55122 ' Telephone # 651-675-5675 FAX # 651-675-5694 (~CV17-~'`_ New Construction Requirements Remodel/Repair Requirements Office Use Ong 1 J . I 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan 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 survey for additions & decks Tree Pres Required _ 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 p c) Date / p l lU l (5 q jj~~ Construction Cost K551 660 Site Address /jQ(J(o f~/~C.(Jlc / ~ ~ArYn--, Unit/Ste # Description of Work AJC-w rC^,7 ",tf Multi-Family Bldg - Y N Fireplace(s) - 0 1 1 - 2 Property Owner /~q/o e4 Telephone # ( ) Contractor / Address 3~/ Z- / O'~~ I-A& O' l City .S L State //y 2//1-~iAc$ow) Zip / to Telephone # Z) 308 . 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 Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone #f j Sewer/Water Contractor Telephone # ( j Y 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 cas e work which requires a review and approval of plans. A-1' Applicant's Printed Name Applicant's i e OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg 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-plex ❑ 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 Pibg_y or _ N ❑ 25 Miscellaneous Work Types (16"m 0 t`i ❑ 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 Valuation J~ 119 C3 Occupancy ( MCES System 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) - Final/C.O. Footings (deck) -;Lc, Final/No C.O. Footings (addition) Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing Siding Stucco - Stone - Brick _ Fireplace _ R.I. _ Air Test - Final. Windows Insulation _ Retaining Wall Approved By: , Building Inspector ( Base Feed Surcharge Plan Review 7,340 n 1 fs MC/ES SAC Z?!~ City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant 7 0 fa_ ~ License Search_ "r 5 Copies Other o L> Total I jiL I' 11011al ^ F' 9 OF SURVEIL, L Job No. - Bk. X69 pg. S► 6h'1• H ~ 3Y9.9 7 \ 80-9 Q 91 x ~ z 8 $~r s - a ti. y 4A n h n ^ oNo r 6•,y 4 13 rA ~ qti ~ i !a r f rt o 49 Iff 3g ~ SY3.9 i 7 ~8 0 /c'R'tk7~' j\ k a. € L r~r V ILL EASEm~IuTs s E 4 22s. <14 P. R. V. REQUIRE X)()( - DENOTES ExanNG ELEVATION PROPOSED EL EVATIONS ATION LOWESTFLOOR- $x(0.33 (XXX) - DENOTESPROPOSEDHEy GARAGE FLOOR- S'~9 S UFJ~If"~ - DENOTES DM-CT M OF FL10 W OF - TOP OF FOUNDATION- bK P~ • b l SURFACE DRAINAGE 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRES ATI N OF THE BOUNDARIES OF U INN Ru11K ~1 E 1%1 3 - pd~OcT SURVEYED BY ME THIS DAY OF " GEF ON A. LD L. R STATE REGISTRATION NO. 143T4 s 402~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 tv 4 New Construction Reauirements Remodel/Repair Requirements C.66 a Only 3 registered site surreys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cer# of &iirvey Recd ` t (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 survey for additions & decks TreeP.resRequired ! _ Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system Q..rr iia.saptia sy tem Y _ W: 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet Ndgs with 3 or less units od Date /0 / Z j 1 64 Construction Cost Site Address /&640 1141:25WW~ Z 4Z& # Description of Work Aim. e,'w F f1~~/yey Multi-Family Bldg - Y X N Fireplace(s) A 0- 1 - 2 Property Owner Xl olLiiq 1jC-ZTl?AY Telephone # (4o&-) Contractor ~«r 4!r014vS 1'''7W617vJ Address 39ZI 07M 44 .CL -it), - All State OT19 Zip !Z_414r Telephone # (44Z-) _-OZ ' OS-OO COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( } Mechanical Contractor ) E v a Telephone # ( j Sewer/Water Contractor OCT 2 1 2004 Telephone # ( j I hereby apply for a Residential Building ermtt 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. Applicant's Printed Name Applicant's Si ' a e OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex x 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 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 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 Valuation 457~ Uc Occupancy _ MCES System Census Code '~4 ,3 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const i y Width If REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Lo Footings (addition) _ Plumbing ?0 Foundation _ HVAC _ Drain Tile Other Roof _,D Ice & Water p Final _ Pool _ Ftgs _ Air/Gas Tests -Final yO Framing _ Siding ` Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: AMU41,11 , Building Inspector Base Fee I Surcharge a 5~ r X~ -~C) .0C) Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total I ~,~1 O . SURVEY. ¢f►3D =~6-9P s Bk\ 91 4~9 Qk Tv ~ cn4 zS, •oo ';~~~.n o _a 1~a All I to x 47 Q/ i c•~y , y3 ry . q1 - 1 oaf o ~87 ~'°,$sL ~y 'sue Goo bP~ ~ n z s3 s ~ ~ ~ ' V SAS 3 b4 b) b ie r w 1(8 i for ,w _ ~ ~a .o • a Y •6 Usk ro y yn.o~ W/o x $y ($4~> i1 S ~A,~ j~ ( /ATE poswr s 7 • e- ire TI D>?At►Jk49 MD MILM EA6Erit~ufS sJ. l0 O P. R. V. R E a R Ile) 3 ( QED ELEVATIONS _ RTES ~P'O~~yATION _ LOWEST FLOOR- $1L(o•'5 3 ( 1 DENOTES oENOiI✓soIRECnoN0FR-CWOF GARAGE FLOOR. vwm TOP OF FOUNDATION- SURFACE DRAWAGE . /wT ~o , BL..oc I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATI N OF THE BOUNDARIES OF U INN RW K (47 LSE 1~ 3 JLQ _ AQflc-<<o" T!~ ~s 89 SURVEYED BY ME THIS DAY OF ell-10160 ONALD L. R GER STATE REGISTRATION NO. 14374 j 2004 RESIDENTIAL PLUMBING PERI9 T APPLICATION CITY OF EAGAN V {P 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-6175-6675 Please complete for modifications to existing residential dwellings. Site Street Address ~ unlt* Property Owner Telephone # Contractor Z2"SV61~ ae~ Telephone it (74%7x) 16,V! Address city. State Zip ? The Applicant Is: ^ Owner XContractor Other Alterations to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater ;Septic System Abandonment -Water Turnaround (add $121.00 if a 5/1" meter is required) Other: !A_ [ Vlfater Softener Water Nester - i5.00 fl replacement additional s Lawn Irrigation System RPZ~ new repair _rebuild 30.00 Surcharge $ 50 T+ $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Ale" Applicants Printed Name Applicant's Signature SEP 04 E i y CITY OF EAGAN N2 17179 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT s PHONE: 454-8100 Receipt # eqp43q To be used for SF DWG/GAR Est. Value $151,000 Date OCT 13 119-89- Site Address 1606 BLACKHAWK LAKE PL OFFICE USE ONLY Lot 10 Block 1 Sec/Sub. BLACKHAWK GLEN Parcel No. 3RD Occupancy R-3 M- FEES Zoning R-1 W Name JOHN KRAEMER & SONS (Actual) Const V -N Bldg. Permit 818.00 o Address 7038 PARK AVE S (Allowable) VV=N City RICHFIELD Surcharge 75.50 Phone 934-1344 # of Stories Length 90, Plan Review 409.00 Z' Name SAME Depth 40' SAC, City 100.00 c°0. Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints Water Conn 580.00 On Site Sewage Fw Name On Site Well Water Meter 90.00 ~z Address MWCC System XX Acct. Deposit 30.0 W z 0 City r Phone City Water XK- PRV Required XX S/W Permit 20.00 I hereby ack wlege that t hav re ttys application and state that the Booster Pump S/W Surcharge 1.00 information is rrect and re to co it all applicable State of Minnesota Statute nd City f E g Ordi n s: Treatment PI 228.00 Signature of Permitee. APPROVALS Road Unit 340.00 A Building Perfnit-is-issued to: JOHN KRAEMER & SONS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of agan Ordinances. Bldg. Off. Copies Building Official 1 Variance TOTAL 3,266.50 ` 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MUL IPLE DWELLIN COMMERCIAL 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 CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: A&W Valuation: Date: s - Site Address D00-- OFFICE USE ONLY Lot Zd Block l Occupancy 9-S M-~ FEES 3~E Zoning R-1 Parcel/Sub 1344CA//,✓~1V.4- 6ze l xa/), Actual Const V-N Bldg. Permit Allowable y-N Surcharge Owner 47)/1. ~%/dC1 tt= S lle s " # of stories Plan Review °O Length 9 0 ' SAC, City 0 O Address Depth yp' SAC, MWCC 5r)!5, Do S.F. Total Water Conn T -6 -al Oa City/Zip Code Footprint S.F. Water Meter 90. Acct. Deposit 30.0 Phone On site sewage S/W Permit 2D;fla On site well S/W Surcharge 100 Contractor jell ,y,,:~lz j- Scl' MWCC System Treatment Pl. g3,0,) City water Road Unit 34D QO Address 7 6,~,~` ,40i,f /~/~r._ PRV required ~ Park Ded. Booster Pump Copies City/Zip Code 2,//f"~ SUBTOTAL APPROVALS Penalty Phone ~,3-° /~yy Planner TOTAL Council Arch. /Engr. Bldg. Off. I~12 Variance Address City/Zip Code _G_1/,~ ~.~✓Q ~a Phone # ~Cr VA L U AT C) til . ~ ' T y I GARAGE' ~ ~ X~y = 6~2 X I5 s 10 OS ~G x z~~ 1Sy8 tU k6 2 ~y )3 X z = z` Z 19 Z„ X~y = I`f0 Z~S 5c Roo Krossor S Assowlates Anc. CERTIFICATE Prairie8080 Minnesota W 55344 Eden ;Zh' 'S~"9b2d alldc Road OF ti_fi r:.S a cr'~ SURVEY, (612) 934-4242 _S,~Lf r n^1. .aC ~4- 931 AEti~" :Y t Survey for. 30 tw t~ EWER • SDlsi S TJob No. Bk. X69 P9 52 Tip 91 (7` IYV~ 1~ ,j ~J~ TvP~ yC.A.ls_: 1 =30` $y~.(o ti zs ~ O _ .p0 .n Di 0 ao~. ~ yea Or N I~s~. X 70~ a to ay;'~' >.y $t,o v 8~! 1c tip. . 8~ s g'/'1 g3 4ti Sq~.9 ~o.o a 6 / SY3.9 D~AINMal; A+~ID UItU'('~ EA6Ewts:.l~tt5 `.:V cpq f x I P) ZZ S• tf ~ $3 p~ P. R. V. R ~ I bz PROPOSED El"ATIONS M - DENOTES EXISTING S"ATION LOU M FLOOR- 3 3 (m) - DevMS PRIN)SMS"ATION GARAGE FLOOR- Sy9.5 UwH i+ - DENOTESDRECTIONOFF1owm TOP OF FOUNDATION- SURFACE DRAINAGE I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATIpN OF THE BOUNDARIES OF I 0 gLoG~ { % 06LaC.KRA1AJK OL.E M I La ADUt?lot~J DA~Co U , MINNESOTA. SURVEYED BY ME THIS DAY OF OCTo,~EiQ 19 89 ONALD L. R • GEt4 STATE REGISTRATION NO. 14374 i L 10, 1 CTtJ --t~ _Y '~L~I Cot,OUT.4Tja,-- L9, AMD - 3 , - - - - , rs : Y _.rt_ __li_ t M-L/ 90-1 _ R~~ W o 5 0P tJ~1~lr - _..P.K ` e 1 ~11,~1 - - - --------_~-AMl I NCB--- - - -6w) 5 12.l 2-~ 2 ---1 -6 W14---=-- - Ir7 0 -Y-74ME~-,WK- F- _ PAS 2 P s z?~ I 50 _ 47 i - - ' - - - _ - - - - - - - q(o -10) r P/~~ac 3 fZ i . I --_CON -T. - - ~ LAS ~tq A -07 WOO j ~ 20, 0 i - TOTAL ,7 yip _qj 4p _ r~Tr -TC?T L-____- 5 - LAI ~ tl 4 }0 VP A - jt~T Ip 1 ice! t_. A 19, r-ILM ___--__------------------__________Q~_l_?____ f 00 ---~__t..- - - # _ _ ~x . - ~,,'T _ - - _ - - _,2 _ - - r~ r f 3rd#~- _ _ - - - - 7"a _ _ - - - - ----~_.I -91 - r - - - - _~~z~~R _r~l,i - - - - ----~1~ ID T104 M07b OF AR64~ lo?c OF 07 c Jr_-~__- - t i ,i i i i y r 1 ION - - 1 - _ _ - ` ` C~a1~?`_1A - - - 5-7-_ - = _ -LOT 6Ec7 Iv' r. a ~ - 77 DeAll 5Tt V! A14 0.0 -----~_~t! - -1 - - _ - - O -5 - - - - 0 '5E ---ter- - ~4__~ - - i - - ~L-A_1 A 40,e- 414 RbW r~ a= 076 - - _ J~~T iQ~l~, GaN ' 7 i - - - ` 1 Q1V - - - - - - - - 3 r -0 Cod - - - - - 1'2" __o'C1n1a - - - - _ Co---------- - -►-LA - D - - - ' d _ - - --112 -_~'~-YvYc---~~'- ~ t~k~ - Q, NEB _At - Lytw2 - - - _ A964 - = All J,A --1 - - 7~. 90, Joe t.- L_/p Rtc _ - _ . ti - - _ {3~t A-IM 67A0 ' . E-7 CDN -f - - - - - NAT __~A'_ L.PV_-- - ----_-M-JN ----loo 4J-RQ~q - 11-7-------- ____=~~~~-~o BAs... - ~ _ - - - - - NAT---V_/L_P?~- - - - - - NOM2 I T - 1 04 - qq "U" Ax elT©71..--- - 1~1~1~ .4'x.;.11 ~('1.. 'I rk T.Tja V. F-1, x (A VA VW 6 -WO©D .10 20 4512 - - Y - W] NOD 117. x . 44 = zo77- FV-SW1,44 VW46 (AN M XN) 0, 7-~ 60 4510 olv ---FULL- 61 µ CITY OF EAGAN Page 1 of 4 PERMIT WORK WITHIN CITY ROADWAYS Gam/ Q`~ LS '~Gf3erc6fA.Jic f~ E ~,•5 1. Location jUv0(=:, 2. Nature of Work L-11v_30 _--I,V 11-.)L { YI- r=>Y ; ZC1 1 3. A construction sketch or plan shall show the location of the proposed work. A copy of the sketch or plan shall be provided with permit application. 4. Method of Installation or Construction r 12j p- ~;,UL_ U LV 5. Work to start on or after 0/0"I and shall be completed by approximately 61 17 'ti/ 6. Will detouring of traffic beTnecessary? U If necessary to detour ~tAraffic, 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 {^~`EP 0 {.PHONE ADDRESS iY; lam! . L 61C K {1,A Vi d. L A f C C-3 Lily 5 IA It P NAME OF PARTY OR ORGANIZATION PERFORMING WORK \1 fl F ~~Z.1 ~E-~ , 3- ADDRESS PHONE 741-1130 TTY-~T blAlt LIP The undersigned herewith accepts the terms and conditions of the regulations by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the Eagan City Council. t For: LVI f ~..~a~C121i ~t Title: ",A EbC... U+-` a~ ! {mot i Signed: p.c~j- Date: U LFOR CITY USE ONLY AUTHORIZATION OF PERMIT Fee: $ Receipt No. Permit Nol 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 Eagan City Council; 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: APP 319&~-BY: QEP OF PUBLIC WORKS Y: D - t ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. Page 3 of 4 c. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining and using of said utility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not ifiterf% re with any existing utility facility on the City's right-of-way. 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road upon completion of work shall be at least equal to or better than specifications of original road in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the roadway or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--No pole anchors, anchors, braces or other construction to be put on roadway shoulder, except by permit authorization. 11. Driving Limitations--No driving onto highway from ditch or driving on shoulders or over curbs where damage will occur. 12. Lugs on Equipment--No lugs shall be used on equipment traversing road which will damage the road surface. 13. Clean-Up--Street surface and roadside shall be cleaned afters construction is completed and left in a neat and presentable condition. 14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals to control or kill trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with al~ the PERTINENT REGULATIONS as stated above. 00, DATE: j1~1~ SIGNED: ~,.,Gt" f UNDERGRQoUND SPRINKLER SYSTEM PLUMBING PERMIT Date: Receipt L Date (OX-0- Permit # / _ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. E)dstiniz residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. & , ,®lacxdtec'*c A . (Address to be sprinklered) Installer Name: "I'lleoey ,(d ud a, zll --c vv. Phone 13 Street Address: OG C7 4 ~n• City, State, Zip: !z~y~%~r Gl~ ri y 3 Owner Name: "4, ~cs 41 edJ Street Address: o - lq- Phone I'f// Irrigation Contractor: Phone I hereby ac owledge that I have read this application and state that the information is correct an ee to com with all applicable City of Eagan Ordinances i cc: Engineering Department (commercial only) I . PLUMBING PERMIT DATE: 6/12/91 W.G. SPRINKLER) RECEIPT: 13909 SITE ADDRESS 1606 BLACKHAWK LAKE PLACE Unit # Permit # 15 L 10 B 1 Sect./Sub. BLACKHAWK GLEN 3RD LUMBER: LEON;T)TIDA-93'~-5636 IRRIGATION CONTRACTOR: AQUA ENG.-941-1138 INSPECTION INSPECTOR DATE COMMENTS l~ G!z 11 INSPECTION INSPECTOR DATE COMMENTS - ~ w 1 (p n r r dpd CONSERVATION EASEMENT ~LK Cpl 3na THIS INSTR ENT is made this ' day of 1986, by and between SIENNA CORPORATION, a Minnesota corporation ("Grantor"), and the CITY OF EAGAN, a Minnesota municipal corporation ("Grantee"). The Grantor, for good and valuable consideration paid by the Grantee, the receipt and sufficiency of which is hereby acknowledged, grants to the Grantee a permanent conservation easement, as that term is defined in this instrument, over, under . and across the premises described in the attached Exhibit "A" ("Subject Property"). 1. Grantor, for itself, its heirs, successors and assigns, agrees that the following are prohibited, without prior written consent of the Grantee, on the Subject Property: A. Constructing, installing, storing or maintaining anything made by man, including but not limited to buildings, structures, fences, walkways, clothes line poles, and playground equipment. B. Parking of recreational vehicles. C. Vegetable gardens. D. Storage of firewood. E. Clear-cutting or removal of native vegetation. 2. Grantor, its heirs, successors and assigns, may establish and maintain a lawn in the conservation easement area, as well as other plant material which is approved in advance in writing by the Director of the Eagan Park Department. 3. Grantor, for itself, its heirs, successors and assigns, further grants the Grantee the right, after giving the owner or occupant reasonable notice, to enter upon the Subject Property at any time to enforce compliance with the terms of this instrument. 4. This Easement is supplementary to the platted drainage and utility easement and does not supercede or replace it. GRANTOR: SIENNA C&PORAT ION, a Minnesota corpokatio By JOhn Hankinson, Vice President GRANTEE: CITY Or ULAN Its Mayor _ 13Y it City Clerk EXHIBIT "A" An easement for conservation purposes over, under and across the southerly 25.00 feet of Lots 10, 11, 12, 13, 14, 15, 16, and 17, Block 1, Blackhawk Glen 3rd Addition, according to the recorded plat thereof, Dakota County, Minnesota. ALSO: That part of Lots 8 and 9, Block 1, said Blackhawk Glen 3rd Addition lying southerly and westerly of the following described line: Beginning at the intersection of the northerly line of the above described southerly 25.00 feet and the southeasterly line of said Lot 9; thence North 79 degrees 45 minutes 33 seconds West, said southeasterly line has an assumed bearing of North 41 degrees 23 minutes 35 seconds East, a distance of 177.71 feet; thence North 29 degrees 23 minutes 08 seconds West a distance of 91.49 feet; thence North 26 degrees 51 minutes 19 seconds West a distance of 141.42 feet to the northwesterly line of said Lot 8 and there terminating. ' V7 . i • •>.1 ~ ~ .~,i ~ I~~17 i' p Ali .T • ",i V N.G~. y. r•. .i x33.`.' - aO• ~ X11 ~Oy` ,~l: •=l"d.?•; 1' t = `V~; 'Q 'ill M.~ J{ •,3 a a +h ,.a 14 _ EASE ff NT CONSERVATION PROPOSED - 12 10 .-fhr I It or LOra °~r 1. au+alae w...a-a:: as ^ ~ 'afwtr[atnwt toe a 1.01 • 9 ~({f2rO5ti0 TIUII [2lMINT i 111i I M rA : t, esfaaaat for trJll patio tet o.er. otle:. Jn7 Jrr>tf tot: pare ad's 1. ELJCiia:! ILO )JD t))Ii lpv, aceord>ai t> he of Lot 9. D ")n-.<, r. it=+i _.ar., .-.:.j t ecar le! pint taare af. 9a->:7 Ce:':T. of the failo~lnt daaet lael Itaa: .l.+Ei'3 iG' Cca:retat a: the s)a:'r> X?cn lil'Ie 2)=tta")S~eace ' . on >n os raael aaarin; L ue of s>L,t L>t t saeanli ' ut alanc eha s>attef>terft y df fiance of 2J.(IJ feat to t`s p)loc;=`"`;aSSnaln;crr I~t ltn: _ to as descrlle l: t\caea Y>re~ ld de dance 5)a:S 'a V. s- a dastanca of 19S.9i fee: r,~,...r+.+~'w'~"" tae >n4s 4a J: ees 25 :ratan 54 set >n1a :e a: a di a:>aco of ox•'' eQC ~~...~'°.r to tna sAaratise of Bl ac4~)•< L>•'t~•2 cn~~,,,~rn~:,,' .aa.. 1~0 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 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 surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan 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 survey for additions & decks Tree Pres Required _ 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 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date prCo struction Cost :~:,25' Q r. Site Address (J KJ 45 Unit/Ste # Description of Work ~_s✓`-~~ Multi-Family Bldg - Y ' ' N Fireplace(s) 0 ? 1 _ 2 Property Owner 1ya, Telephone # ( ) Contractor k11111V l l :i l~s~ C C_f ,~a- T'G°7 G> Address City ° S State Zip 3 ~Z Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25%a 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 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 whi ADd appro al of plans. FEB 1 2005 4 /4~~' , - - __W_ A// _,V Applicant's Printed Name Applicant's Signature ray OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 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-plex ❑ 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 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 Valuation Occupancy MCES System 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) _ 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 -Final Framing - Siding _ Stucco - Stone _ 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 CASH R EIPT CIT "`,QE EAGAN 3830 PLOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE r. r f9 j AMOUNT & DOLLARS iro O CASH CHECK FUND OBJECT AMOUNT "PAL ou t nan BY c 4Z3 Y49 "„4 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE r 19 11E= Y _ FROM AMOUNT $ & DOLLARS ❑ CASH ~ _O -'CHECK FDR ;,~t~ x r FUND OBJECT AMOUNT Thank You BY z Qte--pay" 13904 Copy Yeilov+---Posting Copy Pink-F" Copy PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: ! - . PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot - Block Sec/Sub Res. New Name Mult Add-on Comm. Repair Address c City Phone Other FEES Name RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00° p City Phone fi (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.' _ TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air" BTU ' APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond.'"`:zt:: - ' ` M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - 50` f Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # as • BEYOND $1,000) Other r: FEE f A S/C:lr_o SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN N411~ PERMIT # PLUMBING,' PERMIT RECEIP CITY OF EAGAN T# 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE:'4~4-8100 Site Address j 4 4~Yo 1 Al BLDG.TYPE WORK DtSCRIPTION Lot 4., Block Sec/Sub Res. New Add-on (:j Mult. Name L I (D Comm. Repair Address Other C City - Z Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO, FIXTURES TOTILOL, Name Water Closet - $3.00 Bath Tubs - $3.00 C Address 3: Lavatory - $3.00 0 City Phone Shower - $3.00 __ZKitchen Sink - $3.00 FEES OUrinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE /Laundry Tray - $3.00 APT BLDGS - COMM RATE APPLIES Floor Drains - $1.50, TOWNHOUSE & CONDO - RES. RATE APPLIES i Water Heater - $1:50 MINIMUM - RESIDENTIAL FEE -$12.00 _0~Nhirlpool - $3.00 MINIMUM - COMM/IND FEE - $20-00 __~LGas Piping Outlets - $1.50 L., STATE, SURCHARGE PER PERMIT - .50 (MINIMUM - I PER PERMfT),,,. (ADD $.50 S/C IF PERMIT PRICE GOES -Softener - $5.00 BEYOND $1,000.W) -,Well - $10.00 -Private Disp. - $19~00 -Rough,Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATIE S/C: FOR: CITY OF EAGAN GRAND TOT A L, 538656 ' ,r . f', 'i' t! -y"^' t . 'i` ~,~',1 ,f /i."'? ~ fj li r~ 1~ s:~' i ,l t; ,y _ ~ ~tfi / ,F l ~ ! - '1 i"~ ~ t _ ~ i ,.k 4 " t~ 1 , ~t` f~ - ~ " ~ 4 o' d i - f,.fP R ' ~ - /1 f. Y l.~ _ i " - ' ~ I - 1 " '4 j- r ,  - "7r~.+.uF.,2',~.',u~w~"_.r, _ ~ w:.,v."..~~:~"~u"56^W'tGC1Ci:~T.'G^.y'¢t::w,l: i:-.l..~fi 'Sfi. w'". / ~ r ~ f I ~ ( ~ I ~ ~ I ~ ~u _ -i ~ ~ ~ ; L _,i , _ _ _ , _ ~ r ~ ;.e' h _ L'.'.. , 1.~ _ psw~~^rn' 6~*~ rl~~n:''~„ Tr~a: em^m*, ra~m~anc~ n' ~ ~ , r ~ ~ ~ ~ RAWN Y , , ~ , _ ~,1 ~~r r.:l ~ ~ ~ 9 _ _ _ ~y , _ ,r ~ a . ~ ~ ~ , _ ~ DESIGN N'0~.~.. ' _ _ s r~ %~~,~v rn i or T. `•~1^a 'd~^-,`i; ° ~ / i r"+ h ,'Y'Rl _n ~ Y 3 yi y~ i.' f re,~ eft ~i ! 1 ~ % 1 ~ t ~g i ~ ~ F, '~'9 r. - r „ i'' - 1, ~ , , ,vim .w~~~~ ~i . , < , K3 ,a,,,~~ ~ ~ ( I i ~ { ..:.y y - ~ ~ t ~ ~ ~ This-dretv~ngor plan is the prnperry >.i ~ by?.t.;~z:,, I~ copied or duplica4ed inahy manse -'~-'tea--~--•-- - ..w. ~~v, ~-~;,a~,-_-.-~-.R~...~..~.~..~,,,~,,.~.._. ,~..,~_,,...,:~,~,~.~,~.~.-~~,.__,,~,~~„~.,,,~.~.T~,~,~~~~,~ ~,_~,.~.3~..~~,~.~~~w~~,~~~~,~s;~.,~. ~i r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ E I For Office Use City of EE(~ ~ Permit I ( I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I cz~ I Fax: (651) 675-5694 i Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Dater 14V!:~'f Site Address: Tenant: Suite RESIDENT/ OWNER Name: e/cE tZ ~~~1'~ ~at1/ t' Phone: Address/ City /Zip: Applicant is: Owner L---Co-ntractor TYPE OF WORK Description of work: ~-&b~ coc Construction Cost: l~ S Multi-Family Building: (Yes /No CONTRACTOR Name: l License Address: z/ocp City: StateNk4) Zip: Phone: ( S1 r ~o 7- Z"S~~ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 accords a with the a proved p an in the case of work which requires a review and approval of lans. X x y A licant's Printed Name Ap icant's ignature Page 1 of 3 I For OTfice Use~j~} j Permit City of E I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: - - - - - - - - - - - - - - - - J 2008 RESIDENTIAL /a,~BUILDING PERMIT APPLICATION - Date: 1 `7 -09 Site Address• I ~ 0(P uqcj< L Ln IGr - PtAcE Tenant: Suite #i: RESIDENT / OWNER Name: AE-J) T-I , II~ QZ~A Phone: + - 2847 Address / City / Zip:1 ~0(o P-Pal ~ CC Applicant is: Owner X_ Contractor TYPE OF WORK Description of work: k~iI p (VQP ~C I Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: lls~slf~ P L ~OJkoftjl V JicelnsW. Z&r4 489 Addres City: - State Zip: 1- P_Z) q Phone 4 74 _ / / Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 ith the approved plan in the case of work which requires a review and approval of plans. x 1~'rf,~L1 ti x ` Applica is Printe Name Applicant's Signature Page .1 of 3 Bid Date INSTALLATION 1GEa Start Date Phone FOUNDATION SYSTEMS INC. H - lG - vs Foreman Quality We Can Guarantee 1-800-430-5851 W C Name Job Site Address Mailing Address City Sta City, State r l ~f rU G /7 _ , Z4 !s $ Y A -c.. i _ Lam.,- s~ ' , x a . c Approximate number of days for job completion: Additional charge for moving Gopher One Amount of bid $_~Q objects out of the work area $ X Yes No Plus permit fees if required ❑ Homeowner to et e g rrrut , Our priority is to fix the problem with your foundation, that's what our customers rely on us for. Keep' in nand thae we can not be responsible for any finish carpentry, painting, paneling, etc. that may be necessary after our work is completed. Jesse Trebi 1 Foundation Systems Inc. will not be responsible for any landscaping, reseeding or re-soding, unless otherwise noted on bid. We will call "Gopher One" to have all public underground lines located. If you have private lines such as satellite dish cables, propane line, sprinkler system, etc. you are responsible for marking them. Jesse Trebil Foundation Systems, Inc. will not assume responsibility if there is damage to private lines. If you live at a rural address, public lines will only be located to the pole or your property line. If damage to any of these lines in an area that was not marked occurs, you will be responsible for all repairs. If your city requires outside engineering, this quote may need to be rewritten to meet their recommen tions. 3`7o surcharge Mastercard/Visa Representative's Signature Authorized Signature CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 1 ! 20~ V' RECEIVED FROM AMOUNT Is Ice ❑ CC *CASH ❑ CHECK O U_ ACCOUNT CODE AMOUNT Thank You ICP 2110016 BY SIR^ White- Payers Copy Yellow-Posting Copy I For Office Usi II Perrnit#: E G Permit FN . . 1 - I Date Received: 7- 3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810 REerfit4,.... c , ,....,,..,„i I i (651)675-5675 I TOO:(651)454-85351 FAX:(651)675-5694 I Staff:----- builciinoinsoectionstQcityofeagan.c,om JUL 0 5 2018 ,.... F— 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/3/2018 Site Address: 1606 Blackhawk Lake Place Unit#: i Name: Craig Vinje I 1 Resident/ II Phone: 612-730-3241 Owner I i ....,_wner Address/City/Zip: 1 1606 Blackhawk Lake Place j I I X i i t i li Appcans: Owner Contractor ...,_ — t i Remove mortar wash of chimney top and pour new concrete crown with drip edge and expansion junts at top t 1 Type of Work Description of work: 1 41 1 - 2275,00 Construction Cost: Multi-Family Building:(Yes /No______ ) $.......„„--- -,..„....... -i. i 1 Company: Contact:Chimney Doctors Lindsay Address: P.O. Box 240722 CiApple Valley Contractor 1 ty: 1 t State: Mn Zip: Phone: Email: 55337 952-888-5252 chimneydoctorarnn@grnaiLcorn I k i License#: Lead Certificate#: if the project is exempt from lead certification,please explain why: 1 _ ___------------__ ,.. ------1 , 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: i Licensed Plumber: Phone: I Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 1Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-publiclyoup_mv#Lovecific reasons that would emit the Cl to conclude that tfiaLaie trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at wwwcityofeagan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. .. CALL BEFORE YOU DIG. 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. vvww.qopherstatoonecallorq 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. Steve Trumble Applicant's Printed Name Applicant's Signature 1646 Bita.Ickoz.,u0i,c_ Lx-4 P1 I CbtoDito • DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace ____ Porch(3-Season) Exterior Alteration(Single Family) y, Single Family Garage Porch(4-Season) ____ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous _____ 01 of Plex Lower Level Pool Accessory Building WORK TYPES Demolish Building* New Interior Improvement Siding _ — Addition Move Building Reroof Demolish Interior Alteration Fire Repair I Windows _ Demolish Foundation Replace \ Repair Egress Window Water Damage Retaining Wall Z (-iimAN .6y *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 0 (i Occupancy -Ftvt, 1 MCES System Plan Review Code Edition /14K/)-0(5" SAC Units -V - - (25%_ 100%\( ) Zoning City Water _ Census Code Stories Booster Pump #of Units Square Feet PRY #of Buildings Length Fire Suppression Required Type of Construction yf4, Width REQUIRED INSPECTIONS -- Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) Final I No C.O.Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood 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: Le" , Building Inspector RESIDENTIAL FEES cy 6 Base Fee t, (1. flAf\N Surcharge Plan Review MCES SAC (1. t ief f- City SAC Utility Connection Charge S&W Permit&Surcharge (I I 0 Treatment Plant 2 t) Copies TOTAL ilt--1 VPage 2 of 3 ( 14 6, ( Kfl 7 For Office Use ,.)671 j� /� C 6- • , , � PsrtnR 7f •� EAGAN vO Permit Fee: Date Received/e7- -/1---" 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675.5675 TDD:(651)454-8535 FAX:(651)675.5694 E C E I V E Stat buildinoinsaectionsfficitvofeaoan.com L OCT 2 9 2018 2018 RESIDENTIAL BUI ING PERMIT PPLICATION O Date: I 0-?'?-/r Site Address;i6062 // _ ZA KE Unit#: � / • i Name: 171) Vli7 p��Phone:f�—(so�tio-oeay Resident/ ,/ !� � n — -O::Yier- - Address 1 CityI Zp: j Zpp�1 Rik I�--�lai..�.ik - .. . . _ • Applicant is: _Owner Type of Work Description of work: 14 / drier/• •. /��� - ��A Construction Cost trbMulti-Family Building:(Yes_/No ) • Compan��� , //�� 2+�.0jC taNct [ .ai Address: (,43.35- 1isi w / city: /.xL C.Gf r9..pl Contractor vp pp Stat Zp:55/35 .PPhone: O0/EmaiL' -Alg2�� h e Cern ,tom�i 7T license#: LO Ye 9 Lead Certificate#:/v4T/66O,?›.9 0g If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI • • = In the last 12 < - *as the City of Eagan issued a permit for a similar plan base. • master plan? Yes _No If yes,date and ao• - -- - er plan: Licensed Plumber. Phone: . hMechanical Contractor. Phone: Sewer&Water Con - •r• Phone: •• • Fire ..pression Contractor: Phone: NOTE:Plans and supporting documents that you submri are considered to be public information. Portions of the information may 6d� classified as non-public if you provide specific seasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.ckvofeastan.com/subscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Can 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. wvw,sloprterstateonecall.orq • 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. X ' t15#7Y16 J!'Y)IW, x Applicant's Printed Name Applicant's Signature 'd U99Z '°N Wcia:S Slot '6z 'PO DO NOT WRITE BELOW THIS LINE / �l SUBTYPES /&06 / !7 i , ,/, Foundation Fireplace Porch (3-Season) Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of_Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation t 0Occupancy ' '" MCES System Plan ReviewCode Edition 4.k 1 SAC Units (25%_ 100%X ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Y Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC Drain Tile ytt Other: Roof:_Ice &Water Final Pool: Footings Air/Gas Tests Final Framing Siding: Stucco Lath _Stone Lath Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: Footings Backfill_Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee ``� Surcharge D# l� Plan Review MCES SAC p\-1.) City SAC Utility Connection Charge �` S&W Permit& Surcharge 0 0 0 Treatment Plant Copies TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA172441 Date Issued:09/30/2021 Permit Category:ePermit Site Address: 1606 Blackhawk Lake Pl Lot:10 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-100 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 - Craig D Tste Vinje 1606 Blackhawk Lake Pl Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179230 Date Issued:09/26/2022 Permit Category:ePermit Site Address: 1606 Blackhawk Lake Pl Lot:10 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-100 Use: Description: Sub Type:Water Heater 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Craig D Tste Vinje 1606 Blackhawk Lake Pl Eagan MN 55122 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature