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1608 Blackhawk Lake Pl PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA098227 Date Issued: 03/14/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1608 Blackhawk Lake Pl Lot: 9 Block: I Addition: Blackhawk Glen 3rd PID: 10-14352-090-01 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: deb larson 8815 209th st Lakeville. mn 55044 952-469-6999 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Drain Pro Plumbing Henry J Crepeau 881 - 209th Street W 1608 Blacldiawk Lake PI Lakeville NIN 55044 Eagan NIN 55122 (952) 469-6999 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 k' . PERMIT # i MECHANICAL PERMIT RECEIPT # ~''?r f CITY OF EAGAN DATE- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address ' BLDG. TYPE WORK DESCRIPTION f Lot Block Sec/Subs Res. ~x~ New Mult. Add-on f Name Address lL ! /Comm. Repair ik jl, c City-~r~= cr Phone Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address `/f.~;~ n.- ~F 4 f( ADDITIONAL 50 M BTU - 6.00 3 RES. HYAC INCLUDES A/C ON NEW p City 3 n Phone f CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES Forced Air M BTU TOWNHOUSE & CONDOS -RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES s. Gas Piping Outlets # BEYOND $1,000) Other $ i.- FEE: SIGNATURE OF PERMITTEE S/C: TOTAL: r FOR: CITY OF EAGAN PLUMBING PERMIT For Office Use Only CITY OF EAGAN PERMIT #9 CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # - Z rep PRICE PHONE 454.8100 DATE: Site Address BLDG. TYPE WORK DESCRIPTION j Lot ck Pec/Sub Res. New --X - r Mult. Add-on Name G P/ 12 Comm. Repair F Other m Address c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ (_V Name Via at. 6-r gom 14o fte S Bath Tubs - $3.00 Address Lavatory - $3.00 ~q City Phone Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50 ~ APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 - Rough Openings - $1.50 SIGNATUR PERMITTEE PERMIT FEE: STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: eA$ft*CEIPT fTy F EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE AWUNT , s - DOUMS 100 o CASH CHECK FOR L Q. 1-c RM o"cT UW 21 r " ~ * '~St!-..FByrexY CLpyt ti. a y i y i r AA, s b , CITY CF EACAN DATEs 08/26/99 T;Msa W3508 1.. „ i'~:~L`;"+:: I--~. #1 r, ~~f ~-I ~.'i•( L.a.;(:p::} "'i.;....~ ~.i. i„±~t` 0. N Total Receipt ,i4o Sly, 0.50 I BLDG. PERMIT NO.`S 01-3210 Bldg. Permit r~ 01-3422 Plan Check R t, . 01-3445 Surch./Adm. i - T 01-3446 SAC/Adm. 01-2155 Surcharge 1 75-3860 Road Unit }t t 20-2275 SAC 20-3865 Water Conn. E 20-3868 Water Trmt. 20-3716 Water Meter C(I 20-2252 Acct. Dep. < < u 20-3713 Water Permit i t 20-3743 Sewer Permit I t . 79-3866 Sewer Conn. 28-3855 Park Ded. F TOTAL t 7ReDate Fire No. Rough-in Inspection Required? ❑ Ready Now ❑ Will Notify Inspector ❑ Yes El No When Ready? I A ensed contractor ❑ owner hereby request inspection of above electrical work at: Jab dr s (et x or o t o.) City ,r Ak 51 eNo. Township Name or No. Range No. ounty •fi/y{•-(/~-"~) Occu ant T) Phone No. P er upplier Address Electrical o tractor (Company Name} Contractor's License No. s • O w Mailing Ad ress (Contractor or Owner Making Installation) /U\ Authorize Signature (Contractor/O ner Making Installation) Phone Num MINNESOTA AT OARD 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 551D4 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION nEB-00001-07 ► Se@-instructions for completing this form on back of yellow copy. Vr _ X" Below Work Covered by This Request ew dd Rep. 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: E 1 1 7 Compute Inspection Fee Below: 16a;;O~ # Other Fee # Service Entrance Size Fe- # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abov Amps Signs Inspector's Use Only: TOTAL Irrigation Booms 6' -Y^ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby Rough-in Oate , ~ certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from , 7fequest 4672 c ate Fire No. Rough-in Inspection Required? ❑ Read y Now ❑ Will Notify Inspector ❑ Yes ❑ No When Ready? ised contractor ❑ owner hereby request inspection of above electrical work at: • Job dr ss (Strew Box or R N9.) City Section No. Township Name or No. Range No. County OcWp PRINT) - Phone No. 142 ~s ~ Power supplie , Address Electric I r C'~R1C ont ctor5 License No. ~ G Mailing Addre r ) AppTy VALLEY, MN 55124 Authorized Signature (Contractor/Owner Making Installation) r"', 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. REQUEST FOR ELECTRICAL INSPECTION •r'• EB-OW01-07 ► See instructions for-Completing this form on back of yellow copy. F 04672, "X" Below Work Covered by This Request r~wv Add FIep. Type of Building Appliances Wired quipmentWired Home Range porary 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: TOTA Irrigation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from i3 7 F 15088 , aa~ Request Date Fire No. Rough-in Inspection Require ❑ Ready Now II Notify Inspector ` t 27 EpOs ❑ No When Ready? I icensed contractor ❑ owner hereby request inspection of above electrical work :&4 04 A/ Job Add ss (Stre Box o t o ) City ~ ----Con fen- or 5~22191 - Section No. Township Name or No. Range No.' County O fpan (P N~ ! ~ Pho No. Ytl`. D .r Power Supplier Address Electrical Contractor (Company Name) Contractor's Li ensa No. D TG g i r o wj?Making1k!arF}~., t;+ 40 PENN d:., Authorize u{q cV c wr1Fr akin ti Phone Number 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. REQUEST FOR ELECTRICAL INSPECTION .r-« E6-00901-07 llip~ See instructions for completing this form on back of yellow copy. 1,9 O 88 `X" Below Work Covered by This Request ew Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building D er Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circufts/Feeders Fee Swimming Pool 0 -to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abo Amps Signs Inspector's Use Only: TOTA Irrigation Booms / Special Inspection Alarm/Communication Other Fee 1, the Electrical Inspector, hereby Rough-in , Date r,t7f 5~;' certify that the above inspection has Final ate been made. OFFICE USE ONLY This request void 18 months from ti~ _ ~ 1^_ DATE: 4/14/89 RE: 1608 Blackhawk Lake Place, L9, B1, Blackhawk Glen 3rd xa 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 WORDS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Y ur Sewer & Water Perrit for the above property cannot be completed for the following rsons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. - DATE: 4/14/89 RE: 1608 Slackhawk Lake Place, L9, BI ac awk Glen 3rd $X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ' It i Y urRewer & Water P 6rmit for the above property cannot be completed for the following '_r ons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be.ssued or occupancy allowed until further notice. y COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. :rl WATER PERW OFFICE USE ONLY EAGAN 4114189 PERMIT DATE 3830 PiW Knob Rd.,,' WATER PERMIT SEWER I ERMIT P.: $ox 2t t METER 7 Flan, MN 55121 3 > B.P. RECEIPT DATE .A.:IM9 METER SIZE ~ p c FSSI IE DATE RV BOOSTER PUNS' SITE A FtESS e, 44~ K ~,r A4Ae- L~ PERMIT FiEQUESTE® LOT BLOCK _/-SECISUB APPLICANT: SEINER ATER _ TAPS ADDRESS: - L/ COMMIIND RESIDENTIAL CITY, STATE - F~fFG.ArI~* ZIP 1x"Z~ I VE: 5!L' 7~ NEW -EXISTING' PLUMBER: ck`~ pC.-u~e!fl ~ C,- ADDRESS: 7 ' pO~-f/t c tft I AGREE TO COMPLY WITH CITY OF t CITY, STATE Ift"'Je'T 627- ZIP "r! 2..f~ EAGA ORM ES: PHONE: `~97 r t. x OMER: ADDRESS: SIGNATURE WHEN /ERE# CITY, STATE ZIP If 17 PHONE: PLEASE ALLOW `rWd WORKING DAYS FORJPR SSING. FOR STORM SEWER :PERMITS, CONTACT y ENGINEERING DEPT ' SEWER & WATER PERMIT OFFICE USE ONLY L CITY OF EAGAN i PERMIT DA7f:, . 3830 Pilot Knob Rd. WATER PERMIT # SEWER PERMIT # rt P.O. Box 21199 , t Eagan, MN 55121 METER # B.P. RECEIPT # ' READER # B.P.. RECEIPT DATE METER SIZE ISSUE DATE - PRV _ BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK - SEC/SUB ° SEWER WATER TAPS APPLICANTS ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP PHONE: NEW - EXISTING PLUMBER: ' ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE i ZIP - EAGAN ORDINANCES. PHONE: OWNER: r ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ' Est. Value Date 19 - Site Address Lot Block Sec/Sub. OFFICE USE ONLY Parcel No, Occupancy Fees Zoning w Name (Actual) Const Bldg. Permit Q Address (Allowable) Surcharge City Phone _ # of Stories Plan Review Length ZF Name Depth SAC, City 0084 Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage - Water Conn Pw Name On Site Well Water Meter xZ Address MWCC System_ Acct. Deposit aw City Phone City Water PRV Required _1 S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit Planner ? Park Ded. A Building Permit is issued to: 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 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING J!' / 4. ~tff H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I y!t`~l Foundation i2US Framing g Rooting Rough Plbg. 1T- /L Rough Htg. 4 7 S` fjr,~ Isul. ~22 he 7 IJ Fireplace «OW S'~C1 F J, Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final b v Deck Ftg. Deck Final Well Pr.Disp. ~6 X46 141-1 2-0-14' -72-L 7- oz 61L-, a-1 P4 C 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) _ CITY OF RAGAN 3830 PILOT KNOB RD - 55122 ` (o Q . 651-661-4675 > 3 metered We surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and al roofed areas (20% maxhnum coverage apowed) 1 set of energy calculations fax darted addition > 2 copies of plans (show beam 3 window sties: poured fnd. design: etc.) 1 slle survey for exterior addlikou & alecks > 1 set of energy calculations > 3 copies of free preservation plan if lot platted after 7/1/93 DATE: CONSTRUCTION COST: E0 49 52 DESCRIPTION OF WORK: L c~ tJU STREET ADDRESS: ~a q Y LOT. ` BLOCK: ' SUED./P.I.D. Nome: k em,ge Phone PROPERTY rat .OWNER Street Address: City State: Zip: Company: -4e'~ ~~/!c'i+ Phone Lz (area code) CONTRACTOR 3 0 Street Address: Z& 4c{~ ' - ST , License # Zvo YW y 7 Exp. Aim City O ` IState: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code { ) Street Address: Registration City State: Zip: Sewer E. water licensed plumber (reauked far aft construction onivl: Penalty applies when address change and last change Is requested once pemdt is Issued. I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicabi Skdd of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No 'tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porc h/Addn. (4-sea. ❑ 03 1 of plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments )K 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant ImPr ❑ 39 Gas Line OnlY ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) 5 NJ Basement sq. ft. Census Code (Allowable) ~ n- Main level sq. ft. SAC Cade o ~ UBC Occupancy 3 sq. ft. No. of Units Zoning 2_ I sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS 1 Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC s City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC L BL CITY USE ONLY RECEIPT SUBD. RECEIPT DATE: J PERMIT # S q S~ , r I~~~~~~~Y ■Y~I- Y~~~~.~ / ~A~4111~I . I~.M~IIl~~ 1999 PLUMBING PERMIT (ROMENTIAL) C"Or I*s" 3 r KNOG Ru FAG", IM SS1SS (651) 661-167I5 Please complete for: > single family dwellings > 1ownhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FLVMRES EACH # TOTAL Bath tub r•~-l a. 3.00 x $ Gas i in outlet * minimurn -1 3.00 x $ Hot tub/spa 3.00 x - $ Kitchen sink 3.00 x $ Laundry tray 3.00 x _ $ Lavatory 3.00 x $ Minimum fee alterations to existing dwelling 30.00 x $ Private Disposal System new/refurbished * requires MPC iic. 75.00 x $ Private OIs al System abandonment 30,00 x $ RPZ new installation/re air 30.00 x $ Rough opening_ 1.50 x - $ Shower 3.00 x - $ Underground srinkler If dwelling is under construction 3.00 x Underground srinkler if existing dwelling 30.00 x $ Water closet 3.00 x $ Water heater 3,00 x $ Water softener if dwells under construction 5.00 x $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .54 .50 Total _ > Reminder. Cali for Inspections of alterations, Le. water heaters, water softeners, etc. i adviuwledge that !have read ihts application, state that the inforrrration ~ correct, and agree b comply wlfh ~ appHoabie Cin+ of Eagan ardirr mces. It is the applicants 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 86 permit within City propertylright-of-way/essernent. SITE ADDRESS: /4,0 lI &aie- oN e-- OWNER NAME:: 4 TELEPHONE #:S--[$ (AREA CODE) INSTALLER NAME: }'1 l els` L TELEPHONE #:^L STREET ADDRESS: GU (AREA) CITY: (lb STATE: Zip: 7 j SIGN RE OF PERMITTE CITY OF EAGAN162 8 8 'M 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt# + sat To be used for SF DWG/GAR Est. Value $110,000 Date APR 13 , 19 -89 Site Address 1608 BLACKHAWK LAKE PL Lot 9 Block 1 Sec/Sub. BLACKHAWK GLEN OFFICE USE ONLY Parcel No. 3RD Occupancy R-3-x=1 FEES Zoning R-1 W Name DAHLSTROM DESIGNER HOMES (Actual) Const V-N Bldg. Permit 674.00 o Address 4151 KNOB DR, X100 (Allowable) V-N Surcharge 55.00 City EAGAN Phone 454-8737 # of Stories Length .67' Plan Review 337.00 $ Name SAME Depth 5o, SAC, City 100.00 va Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints 580.00 On Site Sewage Water Conn F 5 Name On Site Well Water Meter 90.00 =Z Address MWCC System _XX_ ¢ Z Acct. Deposit -30,00 W City Phone City Water PRV Required_ S/W Permit 20.00 I hereby acknowlege that 1 have read this application and state that the Booster Pump SM Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Ea an Or "na Treatment PI 228.00 t Signature of Permitee Z - OVALS Road Unit 3 40 - 00 A Building Permit is issued to: DAHLSTROM DESIGNER HOMES Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 2.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies yy Variance TOTAL 3,032.00 Building Official i)d4l_ ATQ,t r r C I L. i 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - APR i 1 1989 To Be Used For : S f:D / (sA ('Z- Valuation: 10 , O LL)O ` Date: Site Address G l tMtgc 4if"e-'e5 OFFICE USE ONLY Lot Block Occupancy R-1-' FEES "P Zoning R-1 Parcel/Sub~~ ~ /~VAJ Actual Const V-N Bldg. Permit ro74~OC~ Allowable V-N Surcharge S9.50 Owner . ~ eY=' # of stories Plan Review X7,0 Length 6 SAC, City 00,0U Address Depth SAC, MWCC -5X51 S.F. Total Water Conn $ . tarp City/Zip Code Footprint S.F. Water Meter 'Ro'00 Acct. Deposit O,QD Phone On site sewage S/W Permit ?.0. OD On site well S/W Surcharge OD Contractor Cj,r n1 rjtn~,~ MWCC System Treatment Pl. City water Road Unit 3 go, DO Address/2 % ~4_~1j PRV required Park Ded. Booster Pump Copies ® ti City/Zip Code TOTAL. APPROVALS Phone //J' / Planner Council Arch./Engr. Bldg. Off. tt4/17 Variance Address City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. VA ~LcA"C I c:7~J ARA4E 2 X / S- 8 58c~ Hows' 93 x 24 121 S/Z ~V yZ 3~8 f W X L4 X., I o y x by oq, os EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE OWNER SITE ADDRESS Z' AIM A,l CONTRACTOR PHONE f ~ 7j7 O Determine Working Square Footage of Each. 1. Total Exposed Wall Area . . 2~P (,>•~Sq. Ft. X .11 = 2. Total Roof /Ceiling Area . . Sq. Ft. X .026 = 3. Total Floor/Cant. Area . . Sq. Ft. x .05 = 3+ Total Exposed Wall Area Above Floor a. Total Wall Window Area. . . . . . . . . . el b. Total Door Area . . . . . . . . . . . . . _ 10c. Total Sliding Glass Door Area . . . . . . 1040, 1 d. Total Fireplace Wall Area . . - . . - e. Total Wall Framing Area (average 10%) . . _ _ f. Total Net Wall Area Above Floor . . . . . g. Total Rim Joist Area. . . . . . . . . . . 3 Total Exposed Foundations Area = 122+ h. Total Foundation Window Area . . . . . . i. Total Net Foundation Area Above,Grade ,OD Determine "U" Value of Each Wall Segment. a. X +o U+l 3 2 - b. X nun _ d. X ++U+l e. lc7, X ++U++ _ f. 2,+ X fluff h. -3,45(,- x .+U.+ y = , X fluff SUBTOTAL = 4. TOTAL = 2 • If item #4 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. Total Exposed Roof/Ceiling Area tL%•~ j. Total skylight area . -4 - k. Total flat roof/ceiling framing area ~2 ,(o© 1. Total net inslted flat roof/ceiling area ~(p M. Total vault roof/ceiling framing area-10% n. Total net inslted vault roof/ceiling area Determine "U" value for each roof/ceiling segment. j x 11U'1 _ k. _ '400 _ x "U" O2 = 2..yj~ x 11U11 - n. x "U" _ 5. TOTAL If item #5 is the same as, or less than item #2, you have met the intent of SBC 6006 (c) 1. Total Exposed Floor/Cant. Areas ~•G~ _ _ o. Total floor/cant. framing area (avrg. 10%) p. Total net insulated loor/cant. area ,p0 Determine "U" value for each floor/cant. segment. 0. 6" bD x " U " . O(O = 6. TOTAL = Q ~ C/ If total of #6 is the same as, or less than #3, you have met the intent of SBC 6006 (c) 3. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items #4, #5 and #6 shall not be greater than the sum of items #1, #2 and #3- 1. 2-" L 2. d 3. & 4. 5. 6. L _ ! Prepared By Date l Total Exposed Wall Area Above Floor a. Total wall window area . . . . . . . b. Total door area . . . . . _ C. Total sliding glass door area . . . . . . d. Total fireplace wall area . . . . . . . . e. Total wall framing area (avrg. 10%) .O f. Total net wall area above floor . . . g. Total rim joist area . . . . . . . . . . . p;., Total Exposed Foundation Area _ Total Foundation Window Area Total Net Foundation Area Above Grade Determine "U" value of each wall segment. Gj~7t~ a. _ l01 !O x "U" 2Fj2- = 3 b. x "U" J C. x "U" d. x "U" t. x IOU" eci. 2-7 g. 2-- x "Use CA 4,11 h. x "U" _ i. x It U of SUBTOTAL = ~ql_ i ~ 3w ttv llUU bqd CONSERVATION EASEMENT ~UK~ 3v~ ,1 ► `l THIS ZNSTR ENT is wade this 'I day of ~~j~ •`r~ 1 1988, 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, i 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 CdRPORAT ON, a Minnesota corpofatio BY John Hankinoon, vice president GRANTEE: CITY OF EAGAN .1i By is or it City Clerk bi , 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,-ar¢ording 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. r~YY' 8 f }t; II , 17 16 • O • > lay 1 ;Cp 15 14 slr' r ~i, 1~_ < ` ..'_t0UT L 0 T A nRVATION' EASE NT PROQOSEO CONSE r.' 10 1~• I ~ w~•+a lY~ rn rr ~ j^-S['b trf ar tare .aa al _ w ea•!~ O' r Asvtft, CO* OF LOT III c poopoSEO TRAIL CASCIOENT fo part ur ores o.er. r.nte r, anf across I"" to easerat r trail p i bLE c',arl _ of Lot 9. Block 1. BLA it'.C S 1]ti IOY, ucordw; co tns = a3 ' rec Jr lt7 plat 11e:ea[. Or`aco Co :n:Y. yt 1Yi'i ' of the tailortl{ da+cr tle! lines I. thane: .KAI a. H, Cca:e'+crn; at the sou:.•e'9ar chf tl qtr;r•n~s 2)tnin.-tr+ )S on s, auvael haarinj of ~lan: fat an is Esst Alan{ the svLh_as[e:ti lsEe{tnn ln3l of I'll dcst ice of 20.0d feet to cte p.iec s SS nl naca, 1~ C4 !e dascrlla l: thcace larch 19 as;: `rchenca South 1e . . .."'~r_~Y sac ands ties- a Jascance of 195.91 t.c.fist aaco of e:."7 f•:e: de j:ees 24 tn;ies Sl secants '.a;t ~.-.-+-M+-~•"."•"" co the share une of Blactnc.i La'k, cnar~ eIe.M~:rn.~~F• I 7 mnder F.nts481 tiny of t ~ TRAIJ, -_FtA5TMfFNT .t c;tn:a:y Audi p*k,ctA Co~ 7y i~\t! f- THIS INSTRUMENT is made this day of 2 - - 1988, 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 City, the receipt and sufficiency of which is hereby acknowledged, grants the Grantee, and the Grantee accepts, a permanent trailway easement, as that term is defined in this instrument, over, under and across the premises described in the attached Exhibit "A ("Subject Property") , so granted an accepted subject to the following terms and conditions: A. The trail easement shall be predominantly in its natural condition with the exception of a bituminous trail and the resulting conditions from construction and maintenance. B. The trail surface width shall be no greater than eight (8) feet. C. No more than ten (10) feet on each side of the proposed trail centerline may be cleared or disturbed. D. The Grantee must give the property owner of record reasonable notice prior to actual clearing and construction of the trail. uti E. structurenotherathanltheohard surface trailhshallr~beade placed in the easement area. F. The Grantee assumes the obligation of maintaining the easement area. G. The duration of the trail easement shall be perpetual. H. Grantor, for itself ,.its heirs, executors, administrators and assigns does hereby release the said City of Eagan, its successors and assigns, from all claims for any and all damages resulting to the lands through and across which the parcel of land hereby n conveyed is located by reason of the location, grading, g, construction, maintenance, and use of a public over and upon the premises hereby conveyed and from the uses incident thereto, and the said City of Eagan shall have the right to use and remove all earth and other materials lying within the parcel of land hereby v conveyed. I. Grantee shall have the right to post such signs along said trail as are deemed necessary and suitable Louse. define the above lands and locate them for public GPANTOR: SIENNA CO RATION, a Minnesota torpor Lion y vice President Jahn " Fiankinson , EXHIBIT "A" An easement for trail purposes over, under, and across that part of Lot 9, Block 1, Blackhawk Glen 3rd Addition, according to the recorded plat thereof, Dakota County, Minnesota, lying southerly of the following described line: Commencing at the southeasterly corner of said Lot 9; thence on an assumed bearing of North 41 degrees 23 minutes 35 seconds East along the southeasterly line of said Lot 9, a distance of 20.00 feet to the point of beginning of the line to be described; thence North 78 degrees 55 minutes 14 seconds West a distance of 195.95 feet; thence South 76 degrees 26 minutes 50 seconds West a distance of 62.00 feet to the shoreline of Blackhawk Lake and there terminating. i t Y II twat _ 13co- = ! oaf 2 16 - ua of d + 14 0 at kde. a ~ ~ • ~ a ~ *q sT ~ 4' Or lb b I ilT1 yVt. i a » i h' u rrt N . „-~T~ i+ III/// 1 19 T • R~ 7 s,~~ ~ - 4 ~~.wL t y 'S1 ~'rAN ~~;y i ~ p 20 - a„~ t tea' ~ IK 21 r 23 bir J ~i1S M YMt+4\ y,~ r 1 C t ¢ #1 t - 4p J) a emu- w ay+ 'tiloy .y ~ n ~ o Rwo Cxhr s ~ ~ I ~4 x a\ - - - - two NrwK:h - - - W. WIM t A 7 so a - 11 r 1 to r a T y« z t - BLAu AAWK t .moo 14 G 0 W{. tV j \ \ \ \ ~~G~`~~ p~ ( Ake tR la y- i \ ` II 12 1! ' ryf0~i V t 10 ~~40t s'P'P II 701 (RES.) p 41+271RES 1't I coo # IM NlnYp Ii/21/{{ 1WT ACR91a9 - T. tOV T It WV Y LOT LOT LOT 7 74 2 JItiVIVFd l.Uhfl'Utt1~111UiV REVISED 3- 24- 89 TO SHOW A PROPOSED HOUSE FOR DAHLSTROM DESIGNER a' a~ _ `J 52 50 ~ v ~ 9 10 F ~ ~ 11 t POS r ~ „ QRO P~ ~ , ~ ~d ~ / G 0 p g. 5G , .0 ~ 10 ®26 6 ~ 5.66(. ~ , ~ 't1 ~ ~ AN ? g2 , ~ , ~ ~ , 35 o s~ ~o~ ~ ~ 00 3. ~ q~~ , ~0 67. ~ 0 ~ 350 rn ° ' ; ~ ~ o ~ ' p 9 54 i , p ~ 30 5 ~ ~ FO i O ~ i;; s ~ k ~ ~ V , ab ~ ` t~ ~ ~o Z ~ G ~ ~ ~Q L s ® ~ ~ ~ ~ ~ ~P ~ ~2 ® ~ ~ ,a F ~ ` ( ~ ~ ~ 9~ o a ~ ,s A T -i E s Ad; ~ EASEh4~ NT ~ 1 ` p RAINAGE & UTILITY aA 4` PER PLAT S~ t a - - _ ~r y~ q~~ 4 - a ° ~mdV ~aSV ° ` ~ ~ . ~ DENOTES PROPOSED SURFACE DRAINAGE 149.63 ~9° 5 17111N 0 DENOTES IRON MONUMENT SET SCAL DENOTES IRON MONUMENT FOUND PROPOSED GARAG X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWES (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP 0 WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRl REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF; Loi 9 , Block I , BLACKHAWK GLEN ~i2D A.DDIT?ON, according Nlat inereof, Dakota County, Minr.eseta. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EX SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 30TH DAY OF SIGNED: JAMES R. HILL, INC. APPROVED FOR SIENNA BY: CORPORATION HAROLD C. PETERSON, LAND ; MINNESOTA LICENSE NUMBER 4Y; DATED° • ® ® 3 i i , ~ ~ 1 I _ i ~ ~ _ I hereby certify thot ~ ~ ~ - ~ ~ t is an s ecificati n r ~ ~ ~ ~ h I o o _ O P P 9 fI~ ~ ~I --pp~~ ~ ~ _ ~ ~ 1 i W i N V/ i I' r r w a d b e t as re re 0 , P P P ~ i Y ~J i~ , _ ~ ~ _ ~ - - , : ~i ~ me or under m direct i ~ ~ ~ ~ I f- O ~ ! ® ~ ~ '-3 ~ i ~ supervision and thot I ~ ~ ~ ® ' L ~ ~ ~ W ~ nl nl ~ ~J ~ 's'%~ I~ _ ~ - ~ ~ _ ! am a duly, Registered , : ~ ~ ~ \ fA ~ - - i 'Professional Engineer I ~ ~ - ® ~ ~ ~ under the laws of the Z ~ ® ~ ® ~ ~ -o ~ ; i State of Minnesota. I i ; N ~ O 6 I it ~ ~ ~ ~ ~ . Date Reg.No._ ~ ~ , ! 9401 JAMES AVE. S. ELOOMI$~IGTON, MN. 55431 - - _ _ _ _ r For Office Use Permit ! CJ C Fl~ City of Ea Da~ u b I Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _ Site Address: 1 b t7c,~) ~0 .gG. cN A'w~c (--,Aw-F- \ LAC-X-- Tenant: W* Suite RESIDENT / OWNER Name: rive? C- e-Ef IZA y Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Z , SJ V - Multi-Family Building: (Yes / No CONTRACTOR Name: L:f ~e,-NN E7xTFS-k4S' -IP4C- License Address: P^-1 City: Z - State: NAN Zip: SJ J Phone: - g' (orb Contact Person: CzC-\~ 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 (4 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 with the appr`oved' plan in the case of work which requires a review and approval p ns. X x Applicant's Pn ed Name Applic ignature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use City of EaEdll I Permit 1 1 Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 I~ 1 Fax: (651) 675-5694 1 Staff: 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ` 61-ze z Site Address: Tenant: s+~2y G'.2~p~la~ Suite M RESIDENT / OWNER Name: Zze--11>'2~~ Ci2~saf~~T4u~ Phone: X57 /~/~/i3 Address / City / Zip: ?"14co-s Applicant is: Owner X Contractor TYPE OF WORK Description of work:/7~z-,;~uvg /yy~~ Construction Cost: Multi-Family Building: (Yes / No Z~ 3Z7 CONTRACTOR Name: &,-6 License Address: City: State: /0,/ Zip: , 7 Phone: t,15-f low G 36 Contact Person: 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: 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. 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. www.gopherstateonecall.org 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 pl s Applicant's Printed Name Applicant's Signature Page 1 of 3- PERMIT City of Eagan Permit Type:Building Permit Number:EA114553 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 1608 Blackhawk Lake Pl Lot:9 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-090 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 . William Krech 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 - Henry J Crepeau 1608 Blackhawk Lake Pl Eagan MN 55122 (612) 718-1527 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature C!tyefEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 1 61616 Use BLUE or BLACK Ink For Office Use Permit # Permit Fee: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans withall commercial applications. Date: (di d l Site Address: /&i2 e /PCZ,kh 1. i„l )-kz j c Tenant: Suite #: Resident/Owner Contractor Type of Work Permit Type Name: Address / City / Zip. (6 Cre- Name: Address: State: Phone: 6(,,9-`7i—/L.5:727 U Cie Contact: Zip: 551/7 License #: i7,4U:51f6J v -e. 4'( City: 04-rif(etvcce,/(Phone: tf �7 q - / CMZ Email: Ai 4 / Com: New " Replace- ` Description of work: Additi?n 1 l_P Alteration Demolition NOTE: Roof mounted and ground fit tinted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL furnace ir Conditioner Air Exchanger _ Heat Pump Other COMMERCIAL New Construction _ Interior Improvement Install Piping _ Processed Gas Exterior HVAC Unit _ Under/Above ground Tank (_ Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge 69 TOTAL FEE Contract Value $ x .01 = $ Permit Fee = $ Surcharge TOTAL FEE =$ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance h 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 witho a permit; that the woJ will be in accordance with the approved plan in the case q work which requires a review and approval of plans. x t ('1c'.oJ- Ci/ Applidthi Printed Name pplicant's Signature FOR OFFICE USE Required Inspections: Underground Rough In Air Test Gas Service Test In -floor Heat Reviewed By Final Date: HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA156020 Date Issued:06/13/2019 Permit Category:ePermit Site Address: 1608 Blackhawk Lake Pl Lot:9 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Henry J Crepeau 1608 Blackhawk Lake Pl Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157726 Date Issued:09/05/2019 Permit Category:ePermit Site Address: 1608 Blackhawk Lake Pl Lot:9 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Henry J Crepeau 1608 Blackhawk Lake Pl Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature