3789 Blackhawk Ridge Cir(
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Tbis Certificate issued pursuant to the requiremenu of Section 306 of the Uniform Building
Code cenifying that at the time of issuance thi,s structure was in compliance with the various
;ordinances of the City regulaiing building construclion or use- For the following.
_ cn a?saaoo ?' ? ;swe. Ftnnit rro. 14$7
: O-war t1vx R3 1 Zonin8 DWrict PD/R l TrM c? VN
, owm of Numins U(MPASS IiaIc.S Addmo 449 OI.IVE.R AVE S, MPLS
?? 378q Bd?A??fIAWK IZIDC,E R ??, L9! B2, BLAa{HAGd?. RIDGE 21?ID
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' POST IN A CONSPICUOUS PLACE
j
Add<ress 3789 m,a.awK xTDGE cTUaE Zip 55122
<
LAt '' 9 Blk 2 Sub BLAMIWK RIDGF, 2ND
I'HESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
w
Date: 02/ 12 j93 Yes No Inspector:
Final grade (6" from siding) ?
Pertnanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
SodjSeeded grass
Trail/curb damage
Porch
Basement finish ?
Deck LIX
Please verify with the builder the removal of roof tesi caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
K 24722 ? o? 090
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44 4 l
Requ st p?te ,ti 7 Fire No. Rough-in Inspection XeadyNow -
ed? 0 Will Notity Inspector
es G Na When Ready.
Iylicensed contractor ? owner hereby request inspection of above electrical work at:
ob ATJSS?ey?ox oY?fipute Na A
( L j ? `
? re_A.,. Ciry
4?..,
Section No. Township Name or No. Range No. Coy?F?(\y y j
?J 4
Oc pa (PRINT) Phone No.
P wer Sup her
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Address
I (
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11 _6
Electncal nVactor (Company N e)
,?j.??r??- ?
+ n?. Co a r' ? ense No.
?„?7
Maihn Address IComractor or wpg"r Makjng Installation)
???
V
Authorized 5 nature tConh r wner Making I allation) Phone Number
?
i Y? c _
SOT STATE BOARD OF ELECTRICITY THIS I SPECTION REQUEST WILL NOT
Griggs-Midway Bidg. - 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.
FOR ELECTRICAL INSPECTlON ?,ovl"Eft'$%? es-ooooi-oe
. ? See insUuctions for completing this form on back of yellow copy. ????+. /Ogs g?
-- `X" Below Work Covered 6y This Request
?Ijw Add Rep. TypeofBuilding AppliancesWired EquipmentWired
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 mps
Transformers Above 200 Amps e 10 Amps
Sigf1S Inspector5 Use Only: . '?
O T
?
Irrigation Booms ?
Special Inspection
Alarm/Communication ?ONNECTED IF NOT
THIS lNSTALLQTION MAY BE ORDERED DI
Other Fee S
COMPLETED WITHIN 18 MO ?
I, the Electrica! Inspector, hereby Ro"gh-'" _,?;?? ?r?•-•,?-„ ?' _,-???-? "eK
certify that the above inspection has
been made. F;nai
,r?,. Date
?` . ?7?f .•?
OFfICE USE ONLY
This request void 18 months from
?
" RESIDEHTIAL
BUfLDING PERMIT APPLICATION
ClTY OF EAGAN
3830 PILOT KNOB RD, 6AGAN MN 55122
651-681-4675
:
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas
(20°k maximum lot covsrage allowed)
• 2 copies of pian showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Cakculations
• 3 copies of Tree Preservation Plan if lot platted after 7l1/93
• Rim Joist Detail Op6ons selection sheet (bidgs with 3 or less units)
DATE
?SS2 CO', c- ?
SITE ADDRESS .3 79aakArxc..,1?" ??,'c??te6 C/,/-c (e . MllLTI-FAMILY BLDG _Y XN
TYPE OF WORK 3 Po rc 1/t 4f ?7?? OYl FIREPLAGE(S) _X0- 1 J 2
APPLICANT
STREET ADDRESS j4k 7 S??,1? Ut.P 65I CITY_Z.'°(?L__STAT?ZIP/?
TELEPHONE # ?SI'?tS "ZS?V3 CELL PHONE #AS/'Z 2 41 1 1670 FAX # 6 S1?6 92 - 25f?
PROPERTY OWNER ga TELEPHONE # Ll 7`16,q
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New adcskwek
• Energy Envelope Calculations Submitted
U : -
1 ? sEP 2 3 zooz
Plumbing Contractor:
Plumbing system includes
Mechanica! Contractar. _
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Hcat Recovery System
Phone #
Phone #
Fee: $90.
Fee: $70.00
I hereby acknowledge that I have read this appiica#ion, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin
Slgnature o# Applicant
- ------- - - ------ - - ----
OFFICE USE ONLY
Certificates of Survey Received r Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softener
_ Water Heater
No. of Baths
?
RemodeURecair Reauirements ,V ?
• 2 copies of plan `
• 1 set of Energy Calculations for heated additions ?
• 1 site survey for exterior additions & decks
• indicats if home served by sepfic system for additions
vaLuArioN ?z s, d a 0. i
Phone # 1U_
? La.wn Sprinkler ?
No. of R.I. Ba ?`
OFFICE USE ONLY
0 01 Foundation
? 02 SF Dweiling
0 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
O 07 05-plex O 13 16-plex
? 08 06-piex O 16 Fireplace
? 09 07-plex 0 17 Garage
? 10 0$-plex 13 18 Dsck
D 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 31 New
?!(L 32 Addition
0 33 Alteration
? 34 Replacement
Valuation
cer,sus code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Ly
/
(IK)
O 20 Pool
X 21 Porch (3-sea.)
O 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
0 25 Miscellaneous
? .
?
0 30 Accessory Bidg
[3 31 Ext. Alt - Multi
[] 33 Ext. Alt - SF
0 36 Muiti
0 35 int improvement ? 38 Demolish (interior) ? 44
? 36 Move Bldg. ? 42 Demolish (Foundation) O 45
? 37 [3emolish (Bldg)* ? 43 Reroof ? 46
*Demolition (Entire Bidg only) - Give PCA handout to applicant
Occupancy _A,--?LI ? MCIES $ystem
Zoning City Water
Stories
Sq. Ft.
Length
W idth
Siding
Fire Repair
W indowslDoors
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
Footings (deck) ? FinaUNa C.O.
?K Footings (addirion) _ Plumbing
Foundation iiVAC
Dra.in Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs T Air/Gas Tests ` Final
? Framing _ Siding Stucco _ Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
? Insulation - Retaining Wall
Appr4ved By ? z , Buiiding Inspector
Base Fee
Sureharge ? ?.
.? J?
Plan Review i?
MC/ES SAC
City SAG 67 Water Supply & Storage " /
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
Lieense Search
Copies
Other
Totai
Estabiished in 1962
LOT SURVEYS COMPAHY, IHC¦ F. B?NO. NQ??-7 r%
I.AND SURVEYORS SCALE I" = ?no
0 Denotea Iron Monumenf
R,EGI3TERED UNDER LAWS OF STATE OF MINNE$OTA p Oenotes ' Wood Nub Set
7601- 73rd Avenue North 660-8093 For Excovation Only
? Minneapolis, Minne.aota 65428 x000.0 Denotas Exiitinq Elsvotion
oo? Denotes Proposed Elevation
CGMPASS HCMES ????? Denotes Surface Orainaqe
f-`5Z•? Proposed Top of Block
Praperty located in Section 21, Township 27, 85- g Proposed Goraqe Floor
Range 23, Dakota Cotmty, Minnesota. 0 3 ?
4 ° Proposed l.oweat Floor
Type of Buildinq -
? Gr--uc-l-
? Enlz 1u r ntOr-?? s?x ?? s? v.
i 2 ?'aro ?Y T-?F'-t? ?'I ?
c??'b7 _ KNAwK
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Lot 9, Biock 2, BLACKHAWK RIDGE 2ND ADDITIQ+T
i
The oMy eownonta shown an from plata ot rocord cx Information provided by
ai«+t.
1Mo hsrrby artity tfW thls le a tnas and consct representation o( a survey of ths
bourKirla of the &bow deecrlbed Iand wnd Ms locatia? ot ali buildinqa and vis.
RN 010cachnrnb. if any, trom or un sdd lanci.
SurAryWbY us this 21 st ot Sept?ber 11, 92
$igr?ed
?
;
4
:f?.V. REQUIR
RayOhond A. Prasch Minn.
No. 6743
!
t
REACTIVATE 4ju C?E?`UJEo C1TY OF EAGAN
PE?iT #`' ' ?? 0 3 1 993 1993 BUILDtNG PERMiT APPLICATfON
681-4675
@14q - --
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested ance permit
is issued.
Date Qb? 9.3 Yaluation of work '-g7K' r?
Site Address: g7q ?,L.4cte .4cjK e ?•-'t-(fle
STREET SUITE tM
Tenant Name: (commercial only)
LOT ?I BIACK 2- SUBD.
?. P . I . D . 0 •
Oescri tion of work: b e cl<
The appl i cant i s: 0 Owner 95 Contractor ? Other (0e8cr;ae)
Name Phone `? SZ -7?l69
Property IAST FIRST
Owner ^
Address 37 E9 656a-cc k?K
STREET STE #
City 9A-6c?n> State "_AJ Zip
Campany Phone 3 - 37_0 24
Gontractor Address l0,,-,_5`0 4??4?8/ 5?17?e ApG LiCenSB #Exp.
City N?--,?k 6-nerJP 6Gfw State /Ll/\-/ Zip 4'9
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknawledge that I have read this application and state that the information is
correct and agree to comply wit 11 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
???
OFFiCE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
'?C31 New
? 32 Addition
? Ob Duplex
? 01 4-Plex
? 08 8-Plex
0 09 22-Plex
? 10 Multi. Add'1.
O 33 Alterations
O 34 Repair
GENERAL INFORMATION
[111 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 4 Firepiace
?15 Deck
? 35 Tenant Finish
? 36 Mave
?
•?? :;: - ?, ? ?.
l?Baiemz#,Li?sh
O 17 Swim Pool
O 18 Comm./Ind.
O 19 Comn./Ind. Misc.
? ZO Public facility
? 22 Miscellaneous
O 37 Defiol i sh
Const. (Actual) Basement sq. ft, MWCC System
(Allowable)
UBC Occupancy lst F1. sq. ft.
2nd F1. sq. ft. City Water
PRY Required
Zoning Sq. Ft. totai Booster Pump
# of Staries Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code
Depth On-site sewage SAC Code
APPR4VALS
Planning Building Assessments
Engineering Variance
REQUIRED (NSPECTIONS
? Site
D Wallboard
?t Foot i ng
? Final
O Framing
? Draintile
Z?
?
?
C] Insu]ation
? Fireplace
Permit Fee L, 1
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total.
Yatuetian: $
SAC %
SAC Units
e ?
?
4
,
a.
? , ? ?--?li uL' (? 'L.T ?1C-L. ?•
f?
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,w.rt.rr:???'f?i.o"??????????? ..........................
?'...k?rr•-.::.-e.na.+.w??,?i?
..?.. ?. .
CITY OF EAGAN
I 3830 Pilot Knob Road
Eagan, Minnesota 55123
,(612) 681-4675
SITE ADDRESS:
PERMIT
Control No. ? ? ? 1
-1-
PERMIT TYPE:
Permit Number:
Date Issued:
3783 BLACKHAWK RIDCE ClR
Lt7Te 9 f3L.aCK? :
bLAGKHAWK RID(aE 2ND
DESCRIPTION:
?, x ? ? .
v" k ?3d ,. 3 , ?
? S .
?r?
#??????
q wi
?e ;gtdN
BUILDIN!a
@014$7
09/23/92
REMARKS: c ??j.r'-?????
PRv s & w caNTR,acI'aR -- Pt_vMOu'rH PLBG
FEE SUMMARY
vALuATxON
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAG Units
Subtotal
$797 .00
$sa`18.05
$72e50
$700000
100
1
$2,087.55
$146,000
MISCELL.ANEQUS 10 .,5 0,
Total f=ee $3,698.05
CONTRACTOR: - Appla cant - Sl°d LI OWNER;
CQMPASS MqMES INC 13745446 000202 COMPA55 HOMES
449 CILIVER AVE S 449 QLIVER AVE S
P1INiVEflPCII.IS MiV 55405 MINNEAPqLZS MN 55405
(612) 374-5446 (612)374-5446
?
?
IS ED BY: IG TURE?-
PERMIT #
REACTIYA`tE _
CITY OF EAGAN
1992 BUILDING PERMiT
681-4675
S E F ? ?3 RECO;
SINGLE & MULTI-FAMILY 2 sets of plans, (3 registered site surveys, 1 copy of energy
calcs. ?..??
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re wested once ermit is issued.
Date Valuatian of work 1()6"5Ci0
Site Address: ? _/-7? C f?aGL'6?-
STREf? . SUITE #?
Tenant Name: (cammercial only)
LOT ? FLOCK ?- SUBD. L?.?'??RV?k ?`( P.I.D. #
?°
Qescri tion of work:
The appl i cant i s: 0 Owner [J Contractor O Other (0escribe)
Name 0- l-/fl6- e?`X1 ,__W%L.. Phone ..371'- S41.6
Property IAST F I RST
Ovirner Address 0,4 'r= A V- ?
STREET STE N
City '1lJ11:1-5r . State ZiP
Company ???1 ????=5...? t-{G`r??? ? P h o n e
C011t1'eCtOC Address Ac!, -?- License # 202 3 Exp. 93
City 44 lf>e ._'5 State Z i p j?540?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer b water licensed plumber processing time for
sewer & water permits is two days once area as een approved. '
I fiereby acknowledge that I have read this application and state that the information is
correct and agree ta comply with all applicable State of t4innesota Statutes and City of
Eagan Ordinances.
Si
n
t
f A
g
a
ure o
pplicant:
?- .
; ; q I . ,...:
t?
? ?
411
APPLICAT{ON
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF pwg.
? 03 SF Addition
? 04 Sf Porch
? 05 SF Misc.
WORK TYPE
;? 31 New
? 32 Rddition
OFFICE USE ONLY
0 Ob Duplex
O 07 4-P1 ex
? 08 8-Plex
? 09 I2-Plex
CI 10 Multi. Add'1.
? 33 Alterations
O 34 Repair
GENERAL tNFORMATION
.
,
O 11 Apt./Lodging
CI 12 Multi. Misc.
? 13 Garage/Accessory
CJ 14 Fireplace
O 15 Deck
O 35 Tenant Finish
D 36 Move
?
?O ? lb Basement Finish
O 27 Swim Paol
? 18 Conm'. /Ind.
? 19 Conan./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
O 37 Demolish
Const. (Actual) \1- N Basement sq. ft. MWCC System ES
(Aliowable) V- N lst F1. sq. ft. City Water YES
UBC Occupancy R 3 M_? 2nd F1. sq. ft. PRV Required
Zoning Pp R-l Sq. Ft. totai Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
tength ? On-site well Census Code ?
Depth 52., On-site sewage SAC Code 01_
APPROVALS
Planninq Building Assessments
Engineering Variance
REQUiRED iN SPECTIONS
? Site 0 Footing ? Framing ' 0 Insul ation
O Wallbaard ? Final ? Draintile ? Firepiace
Permi t Fee vstuaci«,:
Surcharge
P1 an Revi ew C?r?RaG?t + o x-z 2.? ?20
ticense -` 22X Z?? r 52$
MWCC SAC
city SAC
'74 8>4 16 .? I r,
Nater Conn. 28}c2q? (o ? Z
Water Meter _
36c>
Acct. Deposit
S/W Permit
S/Mf Surcharge
g'
Treatment Pl. 0?0 o 4 D
Road Un i t
Park Ded. 1s7
.
Trai 1 s Ded. Copies
Other is
Total ;
)K ::
SRG % ? ? 13qG.
SAC Units
yJ +i / ? `
, .
Established in 1962
Ltt'yTT SURVEYS COMPANY INC NO
?;?QR
, . ?5
F B.
LAND SURVEYOR3 5CALE I" = 70'
o Denotes Iron Monument
REGISTERED UNDER LAW$ OF STATE OF MINNE$OTA '
o Denotes
Wood Hub Set
7601- 73rd Avenue North 660-3093 For Excavation Oniy
Minneapolis, Minneaota 55428 x000.0 Denotes Exicfinq Elevafion
ooD Denotes Proposed Elevation
CqMPASS HCMES ????? &dffk& E^m Denotes Surface Drainaqe
91 5Z--7 Proposed Top of Btock
Property located i.n Section 21, Township 27, 01 Proposed Garoye Floor
Range 23, Dakota County, Minnesota. g 3 ?
4 '
Fi
d
P
ropose
l.owest
oor
Type of Buildinq -
2 4Tvpt-Y F-f2r-Ar'i E
-ttr Gvr-IG.
' "orb.
-PT Kc,-,,--k = 850 2
• ' ? 7-?,
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049. 1
846.Z
,
/44 Z ? A761
?. \ 749
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Lot 9, Block 2, BLACKHAWK RIDGE 2ND ADAITICK
-J
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TG
P48.91
/I
? g
?- ?
x ;.,**y+ a,.y..
TM only eawrtenb shown aro irom plata oi rscord cx iniortnation provided by
Cilem.
IMo hsrsby cKtiy Mat this Is a trus and corroct repxesentation ot a aurvey of tM
boundwtss of tM abow descrtbed land and the location of ail bulldinps and via-
ible encr+o?cttrtwnU, if any, from or on sad land.
Surveyed byusthls 21 st day ot September 19 92
S I
?---
.
Signed
d A. Prasch Minn. Reg. No. 6743
N. nmpr."QurR
1?-,,La e,- K NAw K
-(G
r?v-.l a
jnnn p rQurr?s
?
??
Wchitecturo?t consutta?nts tnc.
6008 03T. •. [, OSUO,MN. 6031i! rl1. (60-424-97Tt . . _w _ . .
C'vTrn???r? r?aiiiri ^nr- wtie-n wne- pooq ^P%&ir
Plan '?
Date.5-54-.-
Ownerj
ContraCtor= -.MR& G'u ? 3.> t-tr nn ??
Site Address: ?-o-t 9?t.«•?C 'x.ac:?c K.4wk RDc?s ?NOPHONE ' 3?4 rS"-44,(p
?. ...r?..._ t._...?._ ..
=
I)TOTAL EXPOSED WAL.L AREA ??-Ts sq.ft xU'
2) TOTAL EXPOSEO ROOFftCEiLiNa AREA ?L4q 0 s% ft. xlUll'_- ?•
WALI. AREA CAI.CULATIONS:
TOTAL WINDOW AREA 1? sq.ft.x,ll??,4?-"
GLAZED
TOTAL DOOR AREA sq.ft.z"U"'01 = 31
TOTA4 GLASS DOOR AREA sq.tt.x"U"-'¢x' _ 110.8p
GIAZED
TOTAL. FIREPLACE WALL AREA sq.ft.x"U"01-0 = 41b
TOTAI. WALI. FRAMING AREA 22-s sq.ft.x'U" 'd = 2-o,o
NET tNSULATEO WALL AREA 7-009 sq.ft.x"U" V
TOTAL RIM JOIST AREA 46? 7 sq.ff.x`U" -ISZ_=
TOTAL FOUNDATION AREA (EXPOSED) 9? Sq.ft.z"U" 12., t
TOTAL FOUNDATION WINDOW AREA sq.ft.zV'-,.?
TOTA
Z ?
. lI,
3)
It item 3 is fhe same os, or less thara Item l, you have met fhs intenf of
2 MCAR 1.I6008 A and 0.
ROOF/CEILINO CAI.CULATIONS?
TOTAL SKYLIGHT AREA ¢q.tt.z"U" =
TOTAL ROQF/PEII.lNG FRAMING AREA sq.ft.x"U"!E&= a>j1
NE7 INSULATED R00F CEILING AREA ???'b' sq.ft.xU'dZ = 6
? ?-
. , 4) TOTAl.(
.
If item 4 Is the some as,or tess than item 2, you hove mef the intent of
2 MCAR 1.16008 A and 0.
AL.TERNATE 8U{LDING ENVELOPE D.E314N
. To utilire the totol envelope syafem method, the sum of itams t and 2 ahaii
be yreoter than the sum of Items 3 and 4.
_ 1) +2) _
V
3) +4) '
1 hereby certtfy thct ths Dufidlng here described ?neats or sxceeds state 0
Ensrpy Conservalfon Act. ?
L? B ? CITY OF EAGAN - CIrY usE orrLY
?vIECHA1vICAL PERMIT RECEIPT # Z ( n
SUBD. (612) 681-4675 DATE ?? .? ?-?
RESIDENTIAL
PLFA.SE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELIINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
? ADD-ON A/C ADD-ON FURNACE ?
DDRFSS: 89 ADD ON/REMODEL (EXI5TING $ 15.00
CONSTRUCTION ONLY)
LER: HVAC: 0•100 M BTU 24.00
#:
[ ADDITIONAL 50 M BTU 6.00
ADDRESS:
/,.; C ?? GAS OUTI.ETS - MIlNIMUM 1?a $3 EA.
ZIP: ;3Gy SURC?iARGE: $ SO
TURE: TOTAL:
S?
$ Cl? ?
w?n TTT?y{TT RFllI1TUFTl F/1A 71TT?'TLT T?Y lIATT V1
`L\ lJ 1 y ?
?
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI,/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTAER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTf5 ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
WORK DESCRIPTION:
OWNER:
SITE ADDRESS:
TENANT:
SUITE #:
INSTALLER:
ADDRESS:
CTTY:
PHONE #:
SIGNATURE:
CONTRACT PRICE: I FEES
1% OF CONTRACT FEE.
STATE SURCIiARGE IS $.50 FOR EACH $1,000 OF PERMTT FEE. $
PROCESSED PIPING - $25.00 ("-
I?
MINIMUM FEE - $25.00
TOTAL:
$
CITY SIGNATURE:
ZIP.
t9 ` eL .Z _ CI1'Y OF EAGAN
PLUMBING PERMIT
?aw
SUBD. (612) 6$1-4675
RESIDENTIAL
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCIiARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TQWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLAWING:
f N0. FIXTt3RES EA. TOTAL
NEW COiqST REPAIR/ADD ON 15.00
ADD ON
REPAIR
? SHOWER
WATER CIASET 3.00
3.00 ?
?
:37 BATH TUB
LAVATORY 3.00
3,40
0 _
?orr? qSS /7e+?tz'?
OWNER NAME: KITCHEN SINK 3,00
??RY TRAY 3.00
SITE ADDRESS:
-
? HOT TUBjSPA
WATER HEATER 3.00
3.00
? FIAOR DRAIN 3.00 ? -"
i lp1d / V
INSTALLER: ox W!
? GAS PIP'ING OUT.
(MINIMUM - 1)
3.00
ADDRESS :
? R4UGH OPENINGS
OTHER 1.50 L .sa
WATER SOFTENER 5.40
CITY: ZIP: ? ? PRIVATE DISP. 15.00
U.G. SPRINIKLER 3.00
PHONE #: W. TURNAROtTND 15 . 00
SIGNATURE
TTEE
$25.00 MINIMt1M FEE,
COMMEItCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTR.IAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EAGH AWELLING UNIT.
WORK DESCRIPTION:
OWAtER NAME :
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS•
CITY:
PHONE #:
FOR:
CITY OF EAGAN
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TDTAL:
CITY USE ONLY .
RECEIPT ? ? a
-
DATE - 1%
STATE SURCHARGE .50
/
TOTAL: /
$
(SIGNATURE)
Volume No.
eof T'itle
OWNER'S DUPLlCATE CERTIFICATE
Ccrtrlicnte No. 8 38 5 9 Document Na ?15905 Dis(rict Court No.
7'rnns(er frocn No. g 0. 5 9 8 Oriqinally registered !he 18th day of p,pri 1
Volume fOrty page 59
St-'Ite ot Minnesot.-t,(ss
COaxnty of Dahvta. ?•??r? c.9 /a r.c>?(,??, 11t(r,e,' Meritor Development Corporation
605 West Travelers Trail
ofrhe City
County o( Dakota
of 8urnsville
and State of Minnesota
i5 nocv the owncr of an esta(c, to wit: fee simple
followinq describecf larid siruated in the County of Dnhota
lot Nine (9), 81ock Two (2),
in BLACKHAWK RIDGE 2ND /IDDITION,
according to the recorded plat thereof.
19 59
of and rn the
and State of bfinnesota, to wit:
Subject to the encumbrances, liens nnd rnterest noted by the memoria( underwritten or endorsed hereon: and subject to the (ollowinq rights
or encumhr•ances subsrsting, as provided in I aws 1905, Chapter 305, Section 24, natnely:
!. Liens, clarrns, or rights arisrng under the laws or the Constitution of the United States, which the staeutes of this state cannot require
ro uppenr of record;
2. Any real property tax or special assessinent for which a sn(e of the land has nor been had at the date of the certifcate of title;
3. Any lease /or a period of not exceeding three years, when there is actuat occupation of the premrses under the lease;
4. A!( riqhts in public hiqhways upon the land:
5. Such right of appeal or rrght to appeur and contest the application as is allowed 6y law;
6. The rights of any person in possession under deed or contract for deed from the owner of the certi(cate of title;
7. Any outstandinq mechanics lien rights which may exrst under sections 514.01 to 519.17.
Thar the sor'cf Meritor Cevelopment Corporation is a corporation organized and existing under XXXd(h(XkkYckYd(TStXXXXXXXXXX?(16X..X
kME(k*XX the laws of the State ef Pennsylvania. XX?GIOXd(XXXXXXXXYrXIAt(i(d(XXXXXXXXXXXXxdf%d(66DGa(N[.
? //' /1'
?t. c??2e6.f n;ven 1 hcrue hereunto subscribed my name nnd afrixed the seal of my ofrice.
Ihrs 17th day of May 19 89
i1iEI1?OItIAi. 1?°,`,` ', ` ? '?
o! Fxtnle,r, F,aRr.men(R or G/rnrges on the l.and deNCri6ed in the Gerlitica(e of Tille hereto allnched.
OOCUMENT KIND OF DAiE OF REGISTRATION O0.TE OFINSTpUMENT
Ni!MBER INSiNUMENT MONTH DAY Y[AN HO UR MONiH DAY YEAR AMOUNT RtlNNING IN FAVOR Of S1GNAIURE OF REGISTRAR
A
A.M. P.M.
215904 Ceclaration f Pro ec ive oven nts and c he land )
Ma 17 198 3:0 4 27 189 - The Public James N. Dolan
63969 ility Line Sept 8 972 2 6 1 72 1.00 Town of Eagan
Easement ( erpe ual Eas ments for anita y ewer urpos s and other lands) 3ames N.Dolan
208395 asement for ngre s a d E ress
Oct. 12 988 10:3 4 4 188 1.00 City of Eagan James N. Dolan
and the la ds)
239209 Pressure R ducin Va lve gree nt and the lan s) Between City of Eagan and
fe . 2 191 91 10: 6 12 2 19 - Meritor Development Corporati n James N. Dolan
• f r i f (I I ? I I ? ?
JAMES N. DOLAN
Registr-ar oF Trt(es
(Seal)
/n and for the County of Dahota nnd State of Mi?mesoca.
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reaufremeats
• 3 registered site surveys showing sq: ft. pf {ot, sq• ft. of Iouse; and ali roofed areas
(20% maxanum iot coverage atlowed)
• 2 copies of pian showirg beazn & window s¢es; poured found desgn, etc.)
• 1 set of Energy Calcula6ons
• 3 copies of Tree Presetvation Ptan if lot pfatted after 7i1193
• Rin Jast Detad Option.a selection sheet (bldgs with 3 0r less units)
DATE
SITE AQDRESS
TYPE OF
MULTI-FAMILY BLDG - Y ?N
_ FiREPIACE(S). 1 - 2
APPLICANT Catastrophe Restoration Serv)s4s Inc.
STREETADDRESS 24$9 Rice S# Suite 70 CiTY Rosevifle STATE MNZIP55113
TfLEPHONE # 651-734-9433 CELL PliONE #
FAX # 651-483-0219
PROPERTY OWNER TELEPHONE #
COMPLETE THIS SECTION FOR "NE4V" RESIDENTIAI. BUfLDINGS 4NLY
Energy Code Category _ MINNESOTA RULES 7670 GATEG4RY 1 MINNESOTA RUI.ES 7672
(V submission type) + Residential VenUlation Category 1 Wortcshee# Submitted ? • New Energy Code Worksheet Submitted
• Energy Envelope Caiculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
SewerJWater Contractor:
? Water Softener _
Water Heater _
_ No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
--------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is ci
with all applicable State of Minnesota Statutes and City of Eagan Ordjp=,ces,,e-'
S(gnature of
Fee: $70.00
AUG 0 F 7_pQz
-------------------
:t, and agree to c<
c
OFFICE USE ONLY
VALUATION - 4q
RemodeYRaoair Reauirsrtrents
+ 2 wpies of plan
. 1 set of Energy Calculations for heated additions
• t site survey fw extetror additions & decks
• Indicate ff home served by septic system for additions
_ Phone #
La.wn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received ? Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation O 07 05-plex 0 13 16-plex ? 20 Pool 13 30 Accessory Bldg
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of ^ plex C] 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-ptex ? 10 OS-ptex ? 18 Deck ? 23 Porch (screened) ? 36 Mul#i
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex PIbg,Y or _ N ? 25 Miscellaneous
0 31 New E3 35 Int improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Urzits Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const W idth
REQUIRED INSPECTIONS
- Footings (new bldg)
^ Finat/C.O.
_ Foorings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Fouudation
? HVAC
Drain Tile pther
Roof ^ Ice & Water ? Final _ Pool i Ftgs _ Air/Gas Tests -Final
? Fxaming ` Siding Stucco Stone
_ Fireplace ! R.I. _ Air Test ` Final _ Windows (new/replacement)
, Insulation _ Retaining Wall
Appruved By , Buiiding Inspector
- - --- - ------ - - - --- - ------ - ------- - ------------- - ------------ - --- - ------- - -- - ---- - - - - ---------------- - ------
Base Fee
Surcharge
P(an Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?
WINDOW
aIs-r. co.
19300 LINDEN DRiVE • P. O- BQX 335 • Rt)GERS, MN 55374-4335
PHQNE (763) 428-2883 * FAX (763) 428-4259 • E-MQtl. EAGLEWINDCIW@VISI,COM
November 25, 2003
RA Kresse Go.
1467 Skyiine Rd.
Eagan, MN 55121
Re; Epstein Residence
3785 Rlackfiawk Ridge Cir.
Eagan, MN
Dear Bvb,
Regarding the sliding windaws on this praject, these windows da have an intregaS
nail fin system_ Water cannot get ihraugh this fin system. ft would have to start
frvm above the nail fin.
5inc? !y,
:
Scatt Nelson
Eagie Vyindow Dist. Co.
_? ....._..._
GiVING VISION TO GREQT IDEAS
Notice
Please be advised that due te construction, the alIey
way befiween the rear of 1312 4th Street S.E. (Eriks
Bike Shop) and 4th Street S.E. witl be periodicatty
closed fram 8:00 a.m. to 6:00 p.m. starting Friday,
Septernber 26 #hru Wednesday, Qctober 8th. Watch
for barricades, especiatiy vuhen entering from from
4th St. S.E. This closure is required for the safe
removal and and replacement Qf the brick veneer on
Eriks Bike Shop. Obs#ructian Permit # 030B10451,
Gity of Mp1s Traffic Dept. Questions can be referred
to R.A. Kresse CQ. Inc. @ 651-274 1670
`"7 073 k
2005 RESIDENTIAL MECHANICAI. PERNIIT APPLICAT1ON
City 4)f Eagan
3$30 Piiot Katob Road, ???an MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings Rc townh€?mes?condos vuhen permits ane required fcir each tmtt
Uate
Site Address
"-F 1 C?t U U
Property Owner drL\)QYN@A Te1eph+ane # tW ???,?
Contractor
Street Address ? ??,(? ,? . Clty ??"??? ?
cr-
State Zipr _ ?5.?5 M Telephatee # ((a6l
.,:.
Bond #: Expires: .
1'ht Applicant is Owner ? Contractar Other '
Adtl-ou or alteration to existing dwelling aait $ 30.00
,
I hereby apply for a Residential Mechanical Perrrtit and acknowledge that the informa#ion is complete an+d'a:ccuraft;.thst;t1e wolk wa'tII
be in confarmance with the ordinances and codes af the City of Eagan and with the MochanicaI Ccdes; th4t I- ?4snott a' "
permit, but only an application for a permit, and work is nat to start vvithout a perrnif; that the wflrkwift be iit'with the
aPproved plan in the case of work which requires a review and approval of plans. . .. .... .. ... .' ,.. _;
?-
Applicant's Prmted Name Applicant's Signature TU
- T-
2065 Ct1?MMERCiAL MEGHAl"VICAL 1"ERMT APPIJCA"I'ION
Cit3r Qf Eagag
38M .Net Knob Road, Eagan ,55I22,
Telieph~.
Please comgiete for: commerciaUimduskrial buOdinp
multi-61nity bwildkW 'w`heA mpoVe , Paedo-sm nA ncluiMd Aw tarch dwell*uni,C ?... ` ?PeMit Fm: S76.5i tJsdcrground tn# iastalWia4o'kwovel
aSA." Mdwm (inchmles stace SWVWF)
ur
I Cornrwc Value S
x 1°r6
Formit Fm.
state Smhaw
Totii I'+ce
s If Resrmit fec is S1,000 or less, add $.SU ? $
If ''fee is ouer S1,000, add 5.34 fur
every $1,404 RMmit fee $
for a CasiAmercial Mechanical Permit an+d acknowrledge
accurate;.
will be in confotiumce wiChh the ordinances and codes of the CiLy of Eagan and with the Mechanical Codes; thd i und iis
not a perrr}t#, btrt ctnty an apptic.ation for a permit, and work is noC to stat wit#tout aperinit; tMt the worc vvi{I be in som with
the aprProve+cl pln.;tn de case of work which requires a review and appraval of plaw.
Applicent's `. ` Naane
? 'Approved By: Invoctor
?_q H ad
2006 RESIDENTIAL PLUMBING PERnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? ?r5.?o
Date?? I? ?(2
Site Street Address k ` r -e Unit #
Pro
O
CjViSf'1qS4e1v1
rt hone #(b51) 5-z-710
7ele
pe
y
wner p
H.. . PIPEWQRK
Contractar 3670 DODD RQAD 7elephone # ( )
Address ($51).365 134A CitY State Zip
The Applicant is: _ Owner ?ontractor _ Other
Septic System
Refurbished Submit 2 sets of plans and MPC license
New Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelting $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. lf you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
lWater Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ ?PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ?s`so
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 abpr4ved plan in the event a plan is r?quired to be rPviewed and approved.
kri j (?re h
Applicant s Printed Name ApplicanYs Signature
? ??
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ö ö öùöóöðýöó
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úîöó
úóýíõ
äöóïßôùó
Þèìì
óú
þýöö ïêèìåìæå
òùñ
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ùù
þö
Ûöò
öíú
ù
úóýíìõàåô òö
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ùù÷öóþ ýö
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Use BLUE or BLACK Ink
r
For Office Use
Permit a5
Win
City of Ea
I Permit Fee: s
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: f Unit
Name: l~ ` Phone: /_S1_ `1 ~y / ~i6 T
Resident/ ~3-2 Owner Address City / Zip: (dam
Applicant is: Owner Contractor
Description of work: C 1vt EL Xf ~V'\ (P- P06- -'I V \ +El
Type of Work 1/ 0
Construction Cost: Multi-Family Building: (Yes / No )
Company: V ~~iSe Cd r c Contact:
4--5Cd b, K l~ e SSA
Contractor Address: City: L= ~9~y1
t- ,F t '
State: rY,~~ t/v Phone: 6S1-Z1q-46mail: V C k~~'P25Se ,~Gfd Nd~
License o lc_0 00 5 7 [ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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.oopherstateonecall.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 plans.
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. Qp 5(~ Qp ,
X A" /I C. ~ X ~RJ
A pl icant's Printed Name A plicant's Signature
- Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151070
Date Issued:08/07/2018
Permit Category:ePermit
Site Address: 3789 Blackhawk Ridge Cir
Lot:9 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Harvey H Epstein
3789 Blackhawk Ridge Cir
Eagan MN 55122
(651) 452-7469
Wellington Home Improvement
7625 Golden Triangle Dr, Suite N
Eden Prairie MN 55344
(952) 933-6300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156164
Date Issued:06/18/2019
Permit Category:ePermit
Site Address: 3789 Blackhawk Ridge Cir
Lot:9 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Harvey H Epstein
3789 Blackhawk Ridge Cir
Eagan MN 55122
(651) 497-5819
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature