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1516 Blackhawk Ridge Ct CITY OF EAGAN Ae. 3830 Pilot Knob Road P.O. Box 21-199, Eagan, MN 55121 ~ ~ ,t M ~ PHON E: 454-8100 BUILDING PERMIT Receipt To be used for - Est. Value 4-15C4CK' Date NOM 1 ,19 Site Address 1516 IACO; `'A .'K CT OFFICE USE ONLY Lot Block On Site Sewage Occupancy X4-°3 t•f-$ 2 Sec/Sub. MWCC System _ Zoning Pt) R- 1 Parcel No. On Site Well (Actual) Const cc Name City Water (Allowable) V--N, W PRV Required # of Stories 3 Address 460 ~~~IIT 1fv,e #300 7C: o City. USVIL'UE Phone 411-71' 7 Booster Pump Length Depth p Name VIF S.F. Total oz a Address FootprintS.F. City Phone APPROVALS FEES W Engr./Assess. Permit 736.' Name' rw 75.W k = z Address Planner Surcharge v z Council Plan Review 30. W M z Phone - -W lO. U? , Bldg. Off. SAC, City 55000 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC• information is correct and agree to comply with all applicable State of Water Conn.- Minnesota Statutes and City of Eagan Ordinances. Water Meter k7.00 Signature of Permittee Road Unit A Building Permit is issued to: WA NLR. 11~)hgs Treatment P1 04.00 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances.; Parks TOTAL Building Official _ Permit )No. Permit Holder Date Telephone # Pumbing ©~C; V.A.C. 19 rr)_ / J~J}(J Electric Softener Inspection Date Insp. Comments Footings 1 ~~f 8 Footings If Foundation y/~B ® Z~ l 3 oh 2 H Framing Roofing Rough Pibg. qv-r Rough Htg. vpl Isui. Fireplace Final Htg. Final Plbg. j Bldg. Final Cert. Occ. 3zc- S I Temp. LP 4 Deck Ftg. Deck Final Well Pr. Disp. (Urtiftratt Of of fudb edThis Certificate issued pursuant to the requirements eSec#on 306 'the Uniform Building Code certifying that at the time of issuance this structure w#" s in covWUance # the vanous ordiances of the City regulating ba~ildirtg constructj~n or;`use; For tie following.. 1 use dpo - flWG _ Bldg..~drmit Na Owupa-y Type $1~h1! zoo Di5ftict VDAI Type COWL V$ dint Address 1316 I ~ i;, h2. 32, ffi, M MbW ` 20, 1990 ding OffiW POST IN A CONSPIOUOM PLACE r f _..~:.,,..,...-.--,-.tea.,- . , _ PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 89 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 4-89 CONTRACT PRIG : PHONE: 454-8100 -Site Address" BLDG. TYPE WORK DESCRIPTION Lot _Bigck Sec/Sub Res. New «t v.: t t'~z~ to , . _ Muit. Add-on L Name Comm. Repair Address Other c -City,- Phone: t FEES Name RES. HVAC 0-100 M BTU -$24.00 1.46MO ADDITIONAL 50 M BTU - 6.00 c AddreSys p City ~"Iw. Phone 435- 657 (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 '.LV UU%i 24. Lk) 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 MINIMUM COMMERCIAL FEE 20.00 Air Cond. BTU $ STATE SURCHARGE PER PERMIT :50 Vent C FM It (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ waLi BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 t-, t Site Address t - BLDG. TYPE WORK DESCRIPTION Lot ~ _Block §ec/Sub Res. - New e . b L Mult. Add-on Name Comm. Repair Address" Other c City r ; Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3.00 $ Bath Tubs - $3.00 3 Address _Lavatory - $3.00- 0 City Phone Shooter $3a0 - Kitchen Sink - $3.00 FEES Urinal/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 I MINIMUM - RESIDENTIAL FEE -$12.00 -L-Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 - Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 II BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 = SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 15902 PHONE: 454-8100 BWCDING PERMIT Receipt o'be used for SF DWG/GAR Est. Value $150,000 Date NOV 25 ~g 88 Site Address 1516 BLACKHAWK RIDGE CT OFFICE USE ONLY On Site Sewage Occupancy R-3 M-1 Lot 2 Block 2 Sec/Sub. BLACKHAWK RIDGE PD R-1 MWCC System _X_ Zoning Parcel No. On Site Well (Actual) Const V-N a Name WAGNER HOMES City Water _X_ (Allowable) V-N W 0 Address 14600 TENTH AVE S #300 PRV Required * of Stories City BURNSVILLE Phone 431-7557 Booster Pump Length 70' Depth 521 Name SAME S.F. Total .o 0 a Address Footprint S,F. City Phone APPROVALS FEES U W Name Engr./Assess. Permit W 736 • F i Planner Surcharge 75.00 x Address 368.00 Q W City Phone Council Plan Review 1x0.00 Bldg. Off. SAC, City 1 hereby acknowledge that I have read this application and state that the Variance SAC, MWCC -55-0-00 information is correct and agree to comply with all applicable State of Water Conn. 50.00 Minnesota Statutes and C' of Eag rd' ances. L„t (Nr/,~ Water Meter 7_.~0 Signature of PermitteeklW4 Road Unit __325..QD A Building Permit is issued to:_ WAGNER H0bWS Treatment P1 204.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL 2, 975. Building Official _ - PERMIT # « MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: T CONT ACCT PRICE: PHONE: 454-8100 For Office Use Only: Site Address Q09e C BLDG. TYPkE WORK DESCRIPTION Lot Block Sec/Sub Res. New , (D Name Mult. Add-on 'm Address Comm. Repair C City Phone. d Other te, FEES Name RES. HVAC 0-100 M BTU -$24.00 3 Addre ADDITIONAL 50 M BTU - 6.00 p City k Phone (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 M 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. ` mot' M BTU $ MINIMUM COMMERCIAL FEE 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE: 11 7M7 S TMIT~E dl 'lT TOTAL: FOR: CITY OF EAGAN E 85853° Request Date Fire No. Rough-in Inspection 1 / -7 _ R iced? ❑ Ready Now 11will Notify Inspector Yes o No /t When Ready? I lrlicensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route 6N) City Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power pli k n Address - oei, 8? 3`/r/J fLJ f~lG /~l~ l 7~dYl Electrical Contractor (Company Name) Contr r"s License No. /y l mss- Mailing Address (Contractor or Owner Makin Inst on) Authorized Signature (Contracto wner Makin Installation) 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 Es-00001-07 ► See instructions for completing this form on back of yellow copy. Sd (j /a E "X" Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired 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 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms J {p`~ Special Inspection Alarm/Communication Other Fee _ 1, the Electrical Inspector, hereby Rough-in r Oahe -i certify that the above inspection has Final ate d been made. r ' OFFICE USE ONLY This request void 18 months from i 5 CITY SAGA Permit Na~10137 Date: 12/1/88 35301 iFiiof Knob Road Meier No: A// Size: V P.O. Box 21199 Reader No. a 0 2 3 o Date: ESgan, MN 55121 Owner. WAGNER BONES Site Address: 1516 BLACKHAWK RIDGE CT.. L2, B2, BLA: KHAWK Plumber. STAR PLBG RIDGE Conn. Chg: $550.00 pd Zoning: R-1 Acct. Dep: 15.00 pd No. of Units- Permit Fee: 10.00 Rd Surcharge: 5nd i agree to comply with the City of Eagan Tr. Plant 204_M lam- Ordinances. Meter. 7.00 pd Misc.: By A4X~L Z;~ WATER SERVICE PERMIT 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3E;_ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reauirements Office Ilse 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 Real _ 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 7/1193 Rim Joist Detail options selection sheet (bldgs with 3 or less units 2S A2 Date. / 30 / 2.:0 O C Construction Cost Site Address A. Unit/Ste # e.Ar" Z /N Z Description of Work L aAj L t..u t, Multi-Family Bldg _ Y ~C N Fireplace(s) 0 - 1 - 2 Property Owner ',jr SL7Ls -2 v\ Telephone # (BSI )L(05-- Contractor t`S S ~~G• Zo1 17-0 5 C.If Address (A 7 rl L V,~ I " City 4-t90 State T,. ij Zip Telephone # (V i L) $ g~ ~o 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 (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previo tructed a building in Eagan with a similar plan? _ Y - N If so, 25% plan review fee applies. D (0 I1 Licensed Plumb Ll Telephone # ( ) .1111 1) 12 9nnA Mechanical Co tractor Telephone # B ( ) Y Sewer/Water Contractor Telephone # ( j I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ' r,i±V-tsTb Prt ~ 1~1 u~S J Applicant's Printed Name Appli is Signature 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 2aLon) 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) ~G 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 x Insulation _ Retaining Wall .-,---7 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 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Phase complete for modifications to existing residential dwellings. Date 1 L_ 1 (n Site Street Address /J(6 kZ A-scQ. gn-:t_ Unit # arty Owner s- is 4(:(y-d-,, Telephone # (G51) Contractor a%+2.~, _ T~.Rcee (~l t o rM,}, : Telephone # (,(,rZ) 76V Address'Bt5--c ,k Qc s X-_ J5136- City &&MICci X A fc. r k State.-MJJ _ Zip ; , The Applicant Is: Owner Contractor ,,;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 5/8" meter is required) other: LLr. %r t, , .t, R" r Water Softener _ Water Heater $ 15.00 replacement _ additional. Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ S~ ' z 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 plea in the event a plan is required to be reviewed and approved. Applicant's Printed Name Applicant' ignature I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN C ~ 3830 PILOT KNOB RD - 55122 9 3L '`1' 1:~ 651-681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys showing sq. ft of lot, sq. & of house ♦ 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) ♦ 1 set of energy calculations for heated additions ♦ 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ♦ 1 site survey for exterior additions & decks ♦ 1 set of energy calculations ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 o c7 DATE: (0-/e- q CONSTRUCTION COST: 000, DESCRIPTION OF WORK: ~-f-aK 0f L-'1L L y 2C-)2 CQA~~ Q C C3Ui' - STREET ADDRESS: ISl (D ~I a0-S ho U) A-1 doe LOT: BLOCK: SUBD./P.LD. ~0- C ~5?5 nn Phone Name: ~ PROPERTY List Fwst OWNER Street Address: , -C'l ~ - - City _ LAC _ State: / y Zip: Company:- Phone #:7- ~o ! CONTRACTOR l l n r Street Address:__ License # 2 9 City State: Y l zip: Y ARCHITECT/ ENGINEER Company:_--- y Phone Name:- Registration - Street Address: City State: Zip: - Sewer & water licensed plumber (required for new construction on : Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: C OFFICE USE ONLY Certificates of Survey Received Yes No RECEIVED Tree Preservation Plan Received Yes No Not Required JUN 2 2 1999 BY: 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 Porch/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 ❑ 19 Lower Level EP 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 GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ,r OM USE ONLY ni4 AM, l~RMR ~ ~ L ~ c~ ~s CITY or RA&M 3830 PILOT KMM EEIt "GfsA2T, W 5512 551681-46?5 _ wmpkft for D Shoo fay 4 dnne#Ir be t > %wMmm mid txxx* whdn petmita are roquhvd for each unit pfd e" Far +s+~erwww Wk*W s"ern EACH , AUMWM to ftJs*ng **oft- n* ftm fte i A 3.00 x f boo ±drain 3.00 x *Utl8t ' n* *row. ! 3.00 x - oY 3.00 X, KdcW sink 3.00 x tray 3.00 x ltmw4y 3.00 x rrsYwlr~ifurfW1 >G uc. 75.00 x elerrt lft rit 30.00 x netrtr+st ittrekutHd 30.00 x $ 1.50 x 3.00 x F iF 4s WKW contft jon . 3.00 x nd 30.00 X 7 diet 3.Ot? x VV6W heater 3.00 solertet under ewwbueftn x 5.00 soft a dtiyretii 30.00 x Wmwwmmund 30.00 x . , left e 50 i i+~i+'a►is' i r+d i► It it V* App#ces fespomRft fm mAW ft praperty owner ow City of Eater aso mes no Wboy far any "m muyed by7#,* Co otuft lb vwft d epetWtWW and Im **Abw to Ow fad coraftood under this perrnit_wOM C*y IM, RESS: f.5lsr +Grl~' OWNER NAME: TELEPHONE (AFMA tom) UOTALLER NAW: - - TELEPHONE {k S~T AWRESS: - r ' Ci' f` STATE: T . SIGNATURE E*: i'I'mi a r+r ' i t e APPLICATION FOR PERMIT *NarE: PAYMF~lP OF FEE AT TIME OF * APPLICATION DOES NOT CON- STrwm APPROVAL OF PERMIT. * t. SEWER AND/OR WATER CONNECTION * INSPDC.TION of sEwER AND/OR wATER INSmuATIom wILL Nf7P BE SCE uim * UNTIL PERMIT HAS BEEN APPROVED. t' ~ . ~ tt,tt***:**tnt*,t*,r*,t*,t,t,t**,t**,t***,t***~t*w city OF eagan (PLEASE PRINT 1) PROPERTY ADDRESS: LEGAL DESCRIPTION;. Lot B oc S vision or Tax Parcel I D)4) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/Year) PRESENT ZONING/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE , L R-l SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) IWA° • NAME : S/1 CI ADDRESS: CITY, STATE, ZIP: ~A SI- 3 2 7 PHONE: For City Use 3) NAME: Pl ers License: Active ADDRESS: G Expired CITY, STATE, ZIP: Not recorded PHONE: TA MASTER LICENSE # ~ja Staff Initial 4) KOW0 0.11iN x+711 NAME: ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6, * * THE GOLD COPY`OF THE T WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. .FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ ' SZ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ S~S $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ~j $ WATER TREATMENT PLANT SURCHARGE $ $ / OTHER: $ $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ED NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY': TITLE: DATE : /-"4- f 1 ry I FT77PERMIT NO. a 01-3210 Bldg. Permit 01-3422 Plan Check' 01-3445 Surch./Adm. 150 01-3446 SAC/Adm. 01-2155 Surcharge 60 75-3860 Road unit 20-2275 SAC 5-6 20-3865 Water Conn./ 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL 7~5 0 0 i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagarn, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ' r To be used for Slr D /GAR Est. Value $150,000 Date 1 25 19 56 s Site Address 016 ALACKHAWK RIDGE CT OFFICE USE ONLY Lot 2 Block 2 Sec/Sub. On Site Sewage Occupancy R 3 N-1 ~C $ ~ MWCC System --X- Zoning PD R-1 $ Parcel No. On Site Well (Actual) Const V -K City Water _ (Allowable) V -N cc Name 'WAt"R 4t+tMBS # of Stories m PRV Required z Address 146ti0 TSM An jj X900 # il: Booster Pump Length O City DURKSIVILAS Phone 451-7557 52' Depth P Name SAM S.F. Total x~ o ` Address Footprint S.F. 0r°C- City Phone APPROVALS FEES Engr./Assess. Permit 736.00 u. wz Name Planner Surcharge 75.00 c=ig Address Council Plan Review 368.00 a W City Phone Bldg. Off. SAC, City 100.00 I hereby ac nowiedge that 1 have read this application and state that the Variance SAC, MWCC 550.0C informat*5 is correct and agree to comply with all applicable State of Water Conn. 5 ,00 Minnesota Statutes and City of Eagan Ordinances. Water Meter f►7.0C~ Siggature of Permittee Road Unit 3S UE3 A Building Permit is issued to: Treatment P1 204.0 on the express condition that all work shall be done in accordance with all Parks E applicable State of Minnesota Statutes and City of Eagan Ordinances. , 2975.00 r' TOTAL ; Building Official ;,ate. f4 ~'~;;`.;Rf q•« .j[ 3 L. T-+A y s CASH RECEIPT CITY OF EAGAN V 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 a RECEIVED FROM AMOUNT I's { 6 & DOLLARS tOD ❑ CASH CHECK 3 FOR 4IGf ) f +.ir vp FUND OBJECT AMOUNT 12*0 :f Thank You BY w°" +k ~ White--P~1~rg Y YeNOV~.-Posting Cppy - FSnk--file Ct~py l CASH RECEIPT r _-CITY OF EAGAN 3530 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 w c1 DATE 19.S..1 vc, w~csrv~o 1 AMOUNT $ & DOLLARS 100 ❑ CASH I CHECK 1 1. 4 r~ FUND OBJECT ' AMOUNT Thank You BY ~.ILl.' _ 'e Vftft--Payers Copy Y ng Copy Pk*__F71 1t3237 12/ $ CITY OF EAGAN Permit No, Date: 3830 IVqLKaA Road Meter No: Size: P.O. Box 211#9 Reader No: Date: It ' Eagan, MN 55121 t` Owner. 1~AE'i Rti?~S RIDGE CT L2, 117, MZMAW Site Address: lit HI.A.`"AtIt ' + STAR rumi Plumber Conn. Chg:550.00 Zoning: -L Acct. Dep.------- No. of Units: r Permit Fee. If~.fJCt .50 Surcharge: I agree to comply with the City of Eagan 204.00 pd Tr. Plant Ordinances. Meter: 67.00 Misc.- By WATER SERVICE PERMIT 1-1-1 71-1-1 F CiTy N Permit No. 11277 Date: 1;t1188 _ (k0b B/P No: 89538 Date: 111301" 303W I Road p.. E Eagan, M%W 21 Owner %*Aam BOMBS 1210 19MAGMANIL arm # 12, 12, Site Address: KID" Plumber STAR iP1 MWCC: $550.00 pd Zoning R--i City Chg: 104*40 No. of Units: 1 Acct. Dep. 15.00 gel Fee: ltl ~ i agree ta,c arnpiy wuh the. City of Eaw Permit Fee: Surcharge: 50 pd Ordinances. iisc By -2 SEWER SERVICE PERMIT i December 1, 1988 WAGNER HOMES 14600 - 10TH AVE S., #300 BURNSVILLE, MN 55337 RE: 1516 BLACKHAWK RIDGE CT., L2, B2, BLACKHAWK RIDGE WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW _XX_ Your Sewer and 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 and Water Permit for the above property cannot be completed for the following reasons: Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY Your Sewer and 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. Please come to City Hall to pay for whatever size meter you will need for this project. The size must be confirmed by either our Public Works Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before issuance. Sincerely, Jan Severson 9 a ~ Secretary is 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN r .r,00, 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. t 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 C RCIAL. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ! 8 #988 Nov To Be Used For: Sin,.gte fam.i_4 Valuation: 1-a--,-E)6 -p re Date: 99-97-88 tot . Site Address 1516 &achhawh 2~ e C OFFICE USE ONLY /:5Q 0M 10% Lot 2 Block 2 On sits sewage Occupancy MWCC system _.1e -Zoning _ Parcel/Sub 3,Cachhawk R- e On site well Actual Con., Y-N City water % Allowable Owner Egoez Home4 PRV required # of stories Booster Pump Length Address 94600 loth Avenue South #340 Depth S.F. Total City/Zip Code L3aNuvil-le 55337 Footprint S.F. ~ Phone _ 439-7557 APPROVALS FEES Contractor -jame Engr/Assess Permit• F Planner Surcharge Address Council Plan Review mesa. 00 Bldg. Off. ' tfCl 11 Z2 SAC, City (DO, City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter 61000 Road Unit Arch./Engr. Nanco Treatment Pl Parks Address 3435 Wa iLaq ton. DAi ve Copies TOTAL City/Zip Code pagan,, 122 Phone # 452-0724 z I A LU A7, 10 k FF 2OXZ.~ F I2X2Z=Z6 IN4 X t4 = I o 4 i 6 56MT ~ 15r FLOM 736-00+ :368.00+ 27 1G X 4 Z. -MONO c~5`t3 2 Q11) y to ~w 142- = 1008 Z 3'/2i 1-7 , o ww 'zo 1°86 X 4q..--3214.I 14 ~ s-6 Z. * * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 eng * Bering.. (612) 681-1914 Certificate of Survey for: WU NE R NOME 5 ~ouRT NORT" RED ZOp 4)4• a w ~ 10 0 O 7~'• o N Zo, u ' ~1ba o o G^ \6 tt y 9, 9 Q;1 \ v 1,0 1b a o ~ Q \ b, ~ Ci°i• - IO \ • 6 1~.o(JZLO/ 59" W ~ L). 7 • 900.0 Denotes existtn Elevation PROPOSED 110U5E ELEVATIONS 900.0 Denoles propd Elevation Denoles Oral qa je j Uld l~ Easement Lowest Floor Eleval~ion Denotes Drarnale Flow yrrows Top of Block Elevation o Denoles montimenl (,ar04,1 S/ab Reval<ion ~O . B eari1s shown are assumed LOT 2 , BLOCK 2 8LACk1kAWk ROOF DAKOTA COUNTY, MINNESOTA SUBJECT 70 EASEMENTS OF RECORD I hereby certify that this survey, plan or report was pr pared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this It day of /✓Nt. A.D. 19 ILI- Sca ioch = 40 feel i~l If. 1 : 1 R(-7)13ER. SIKtCtt L.S. REG. NO. 14891 - ~ 34 EXTERIOR ENVELOPE AVERAGE 'lU ll CORPUTATION (To be submitted with building permit application) One or Two Family Dwelling 4- Owner All Other Site Address . CoAtrac to r AA ee--w • Date Phone LINEAL FEET of NW(~ 94VOSED WALL ~ ft. above grade a TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION' "Us' Value x Area Detail -FrAm C._._._flu a i 3 x Sq.-FT. iq . 3 ~r7 ~U) (A) reference "U" x SQ. FT, l-_ 211 (U) (A) from iiUu x SQ. FT.~ attached flull x SQ. FT. U)(A) d ~U) shoots ull x SQ. FT.r=- _(U) (A) slU x SQ. FT.-(U) (A) WINDOWS' 'lull Value x Area Make & Type 1N~44 ~'r „ „ 11 11 - U .-x sQ. FT.~a loom U) (A) If It uU x sq. FT...~...._.__.._._.__(U) (A) If -flu If 11 x SQ. FT....._...~ (A) DOORS' 'lull Value x Area !lake & T yPe ,•stuff x 3Q. FT. s. s (U) (A) IOU 11x sQ. FT. 1 MI "/L- (U) (A) If if stuff x Sq. FT. _(U) (A) __._•__,_....__(U) (A) TOTALS l SQ. r'T.=1 (U) (A) TOTAL (U)(A) VALUES AV RAGE llull a DIVIDED BY TO YALL AREA AVERAGE 11U . or lose for 1&2 family dwellings ROOF/CEILING' TOTAL AREA s Detail reference null OZ-~ from --_'~~Uu x sQ. FT. (U)(A) attached shoots. -'uUu x sQ• FT.----._.~ (U) (A) Describe openings flu If x 3Q• FT•(U)(A) ' in roof. _ uU„ Q' FT•.~_: (u) (A) TOTAL (U) (A) VALUES DIVIDED BY Z 1 ( 7oTA uL LO N,.ft Z1~~CV TOTAL ROOF/CE NG AREA I AVERAQE 'lull •02 r ventilated roofs. fQ~~ 6?)X (40 -~o LP'+ zo).= 4FLO d?t-.44 mom Z.,~F'. -40- 10 H ~l i 2 • Zo _ do" 19 . b termining11U11 values at Rooi# 11a11; Aim, and Conc. Hlook 4 1iOO~ E~ • :.~LY~U~ 1.) Interior Air rilm 0.61 2.) 51811 Gyp. Bd. .56 3.) Insulation 44.oa 4•) 5.) Exterior Air Film .61 . I ~ 3 l STILL) • 6 "UH a 1/Ra •,0~2.t 41OTAL (R)■ .7$ 8 W, JELL A vALu 9 6.) Interior Air Film 0.68 7•) 111 DYp• Bd. '.45 8.) Insulation 19;pp 10.) Maeonite siding 067 %D 11.) Exterior Air Film .17 'lull 1/Ra TOTAL (A). 23.01 IZ RII• A VA1,~UFj Ib 12.) Interior Air film 0.68 13.) Insulation 19.00 1 fir u~GT• ~ TJoint • 1.88 5 1 19.) 21g 16.) Maeonite Biding 2.6- 170 Exterior Air Film .1? o d 'lull a 1laws j,040 TOTAL 000 Z j,,¢f . 00 e • • FOUPDATI,OH A V U 18.) Interior Air Film 0068 tl Ig 190 • ~,►1 J . ve 20. ) C/vmt-P n 0• bo% 210 1211 Oonorete Blook 1028 A n 1a 22,) z3 '~j • 23.) Exterior Air Film ..17 • (ge . hull a 1/Ra 00791 TOTAL (A)a ~3,'~ 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Rao 1 Telephone # 651-675-5675 V Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 04 Site Address c0.Cr~h~V`7~ V I( .1 Unit # Property Owner Telephone # ( (JOS ' Contractor ( ~Iry~ Street Address ~c~ P~ City State ry-t Zip Telephone # (Cv~f) ~C) - 1 Bond #Q zS Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional \Q1___ Replacement air exchanger air conditioner -New -Replacement other State Surcharge Q 15 l~ LI $ '0 mr, 1.41-n WE 7-2A4 U T) Total $ Y 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 perms hat the r e in accordance with the approved plan in the ca7 work which requires a review and approval of lans. ` Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings 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 r New Construction Underground Tank _ Install iRemove **see below Interior Improvement Install Piping `Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If e~ rmit fee is $1,000 or Jess, add $.50 $ State Surcharge If e~ fee is over $1,000, add $.50 for every $1,000 ep rmit 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 r-ork,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: ,1,q s/1 9~, 1~16_ 2006 RESIDENTIAL. BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction 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 showing footings, beams, joists Ced of Surrey 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) Minnegasco mechanical ventilation form a~• Date Z/ / d G Construction Cost Site Address 576 Unit/Ste # Description of Work 2~. Z3 Aiv Multi-Family Bldg - Y _ N Fireplace(s) - 0 _ 1 - 2 Property Owner Telephone # 0;S_0 q0! T_- V_5-7v Z (/17 Contractor t Address .3-s. City Lz~~ State _bI Zip Telephone # (4y7) 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 (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approvedlan in the case of work which requires a review and approval of plans. / r* I ~i Gam? E' 4, 7e,, 7 Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 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 ❑ 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 Buildin9* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) _ Final/C.O. - Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco Lath _ Stone Lath -Brick - Fireplace _ R.I. -Air Test -Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 4 , For Office Use Permit s`: I I City of Eapn f r . I t - / y ( I Permit Fee: ~f ~ • I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 0(orl - Ue' j Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: f" I I f..r, I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION iti Date: Site Address: C- 7" Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: 13GACK ~ ef!?c - e A1`rT M /y Applicant is: Owner contractor Z2 TYPE OF WORK Description of work: ~G~C /C ~~G/~~~ Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name:,AL L License Ol 5 Address: City: State: 1,71Y Zip: '5'5 3 0 r~ Phone:,/-- hone: g~~ 3 ° 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; tha a work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Signatu Page 1 of 3 r , DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool ❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of _ Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex 'g Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES & New ❑ Interior Improvement ❑ Siding ❑ Demolish Building* ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation ❑ Replacement ❑ Egress Window ❑ Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 3, &OD - Occupancy MCES System Plan Review Code Edition Znt~ 7 YXI K SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length- Fire Sprinklers Type of Const. Width 2n REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: ,eO Footings (deck) Final/C.O. Footings (addition) yJ Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:-R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed By: 40 , Building Inspector - - - P P h - - - - - RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 * * 2422 Enterprise Drive PIONEER Mendota Heights, MN 55120 * engineering.. (612) 681-1914 1 Certificate of hN WAS NE R NOME 5 SIh%Q REVI Y Y'ED BY. NOaT" ~ / ~d y ~ouRT DAM lD1NG INSPN ~d-) po w 0 -o i\1 o t ~ 9 G~ `~-p o t ' s 1 iz'° v O w o P°~'~ ~ t- ~ t \ ~ Q 3Zo yt\~' otbo Al - F DE" q o S y ~5 ZS w 900.0 Denoles exislin FleVafion PROPOSED HOUSE ELEVATIONS < 900.0 Denoles propd Elevation EI v io _ (6 ~ n4 ~ -------Den Denotes ol1ee5 s D0rrady a 'U/-iif' Fasemenf Lowest Floor e al n - - na~e Flow /grows Top of Block Elevation - o Denoles monumenl Pura f,, 5/ab Flevalion = . cv B earin~s shown are assumed LOT 2 , BLOCK 2 , BLACrV%NAWk RIDGE DAKOTA CouNTY, M"WESCITA SV9JECT 70 EASEMENTS OF RFCOKtD I hereby certify that this survey, plan or report was pr pared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this day of I✓ U. A.D. 19 Q e Scale ' I_Ll7Cb 40 eGl ROGE9 z/W'/ R r f3. SIKICII L.S. REG. NO. 14891 S $O¢Z.G I - J G3 "3 x t 4. Use BLUE or BLACK Ink I For Office Use I Clt 01 1Ja non j Permit b I Y l 1~4 a ' Permit Fee: I 3830 Pilot Knob Road ~ Eagan MN 55122 I Date Received: 1 13 Phone: (651) 675-5675 I - I Fax: (651) 675-5694 Staff:_ I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~(LZX J Site Address: _ Unit Name: e. c~ V' 1, t Phone: S / - 3 3Y- 76g 5 - Resident/ Owner Address / City / Zip: / S/ 6 IE re 4v /C ~,`~9t C'o v Applicant is: Owner 1-<ontractor Description of work: -j c c. Type of Work 12c SRO®, (LJ7 b fi l0 5 5:d% !^s Construction Cost: Z2- 000 Multi-Family Building: (Yes / No = Company: m, \j V\-- 90 V-105 T~-tc Contact: )L Fa7\4V-k ~)Z-,$ 9e- Address: /I I'"~ 't° /-lr / Ion City: 5/60 State: Zip: SC K 1E~2 30 Phone: ! S2 -9 q l/` ZZ 7 °f License Lead Certificate I~f 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 may be 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.qopherstateonecall.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. x x Applicant's Printed Name Applicant's Signature - Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136621 Date Issued:05/24/2016 Permit Category:ePermit Site Address: 1516 Blackhawk Ridge Ct Lot:2 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Dougherty 1516 Blackhawk Ridge Ct Eagan MN 55122 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143676 Date Issued:06/23/2017 Permit Category:ePermit Site Address: 1516 Blackhawk Ridge Ct Lot:2 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael D Dougherty 1516 Blackhawk Ridge Ct Eagan MN 55122 (651) 335-7695 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature