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1528 Blackhawk Ridge Ct PERMIT #f MECHANICAL PERMIT 4'`'~ . CITY OF EAGAN RECEIPT # ` v 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address i BLDG. TYPE WORK DESCRIPTION x- Lot Block - Sec/Sub Res. New Name ; Mult. Add-on L Comm. Repair c Address ! -Other c City r ' Phone LiLl 1` 41" FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address L- 1 ADDITIONAL 50 M BTU - 6.00 3: 11 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEROAM 1.50 EA. TYPE OF WORK COIV M/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._ 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 S/C: SIGNATURE OF PERMITTEE r TOTAL: FOR: CITY OF EAGAN PERN41T # -rte PLUMBING PERMIT RECEIPT # CITY OF EAGAN ar - u~ - - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE. CONTRACT PRICE; PHONE: 454-8100 Site Address ~ ' " ~ BLDG. YPE WORT ,DESCRIPTION Lot 5 Block Sec/ Sub $ Res. New Mult Add-on Name Comm. Repair Address Other c City ` 3'1' Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: X10. FIXTURES TOTAL a ~-Water Closet - $3.00$ i Name' I °s Bath Tubs - $3.00 3 Address I4 Lavatory - $3.00 p City Phone Shower - $3.00 -L--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 Water Heater - $1.50 ? MINIMUM - RESIDENTIAL FEE -$12.00 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 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 t } r _ SIGNATURE OF PERMITTEE FEE: I STATE S/C: I f FOR: CITY OF EAGAN GRAND TOTAL: .`G C". OF EAGAN PERK' TYPE: 3430 Pilot Knob Road Permit Numrbef: 1► r~~ ~ , Ea 9m, Wnegota 55122-1697 date Issued: l! t$& (612) 681-4675 - ` tr E ' APPLIQAW: laze OL,ACKRAW RIDGE CT $Tt,A PQtYFINIG ~ RE*06ftI04 ' ImACKHAWX RIDGE OF W t ~t *AOWFT SUBTYPE: TYPE URA; 4 *TOR44 -DAMAGE Ftf FAIR ha - WMARKI T . Ot s RFRO F t#t USC ANN 6AtaA6f t7t1i' T s i 0014 DAMA(if , Permit Hoklor Die T # PLUMBING t;IVRC wn date insp. comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG. AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST j BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY Ey4GAN Permit Plo: 10097 Date:, I1-3b -8$ If4tCn<sb Road Meter No: Size: d[ x 24199 Reeder No: Date:. Eagan, MH 55121 Owner: St Charlap Homes Site Addrer,- 528 Blackhawk Rit1 a Ct: L5 B .r.lt,arik gi ge _Plumber Petes S W/Krimba1,z, Conn. Chg, 5.5n 00pd Zoning Ri Acct. Dep: LS 1 L d No. of Units: l Permit Pea: IQ 00,%d ` Surcharge Sid, I agree to comply" with the City Eagan Tr. Plant- ? 4 'QOpA Ord naapoes. Meter 67. Misc~ " k WAS SERVICE' RSA CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15656 C)77 g BUILDING PERMIT PHONE: 454-8100 Receipt # d °LJ To be used for - SF DWG/GAR Est. Value $148,000 Date SEPTEMBER 27 1 g 88 Site Address 1528 BLACKHAWK RIDGE CT OFFICE USE ONLY Lot 5 Block 2 Sec/Sub. BLACKHAWK RIDGE On Site Sewage Occupancy R-3 M-1 MWCC System X Zoning PD R-1 Parcel No. V-N On Site Well (Actual) Const a Name ST CHARLES HOMES City Water X (Allowable) V-N Z Address 4194 COUNTRYSIDE DR PRV Required X # of Stories City EAGAN Phone 454-7925 Booster Pump Length 62' Depth 48' cc Name SAME S.F. Total .o o a Address Footprint S.F. U City Phone APPROVALS FEES ~ M Engr./Assess. _ Permit 730.00 w w Name Z Address Planner Surcharge 74.00 u~ 365.00 X W City Phone Council Plan Review Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application an - state that the Variance _ SAC, M WCC 550.00 information is correct and agre to comply with all ap ble State of Water Conn. 550.00 Minnesota Statutes and Cit of agan Ord' es. ,q Water Meter 67.00 Signature of Permittee Road Unit 325-00 A Building Permit is issued to: C- LE-S - HOMES..Treatment P7 204.00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks _ TOTAL 2,965.0 0 Building Official 'I CITY OF EAGAN 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING,PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const Name City Water (Allowable) W 3 Address PRV Required # of Stories City Phone Booster Pump Length Depth a Name S.F. Total 0 o a Address Footprint S.F. v city Phone APPROVALS FEES mW Engr./Assess. Permit W Name , ~ Planner Surcharge za Address a w city Phone Council Plan Review Bldg. Off. SAC, City 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 Signature of Permittee - Road Unit A Building Permit is issued Treatment P1" 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. -t ; TOTAL'_' ' ` Building Official Permit No. Permit Holder Date Telephone # ,r Plumbing I-I .A.C. r1 C 4 %tt ij Electric Softener Inspection Date Insp. Comments Footings 1 Footings It Foundation 'u Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. J' Temp. LP Deck Ftg. Deck Final Well Pr. Disp. - 1 (rrtiftrot.e of Orrupaur citp of eagan Orparb nt of Wuilding JusprMan This Certificate issued pursuant to the requirements of Section 306 of the uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the QP regulating building construction or use. For the following. U. classifieatio. SF T= Bldg. Permit No. 565 Occupancy Type R3/M1 zoning District FD/R1 Type C-. VN Owner of Building Sr. MAYMS HOWS Address 4 194 CWT SIDE DERVE, EAGM Building Address 1528 MA` RIDGE ocalityJ-5s B2i MAMI" ! ,AUGUST 7, 1989, Budding M Date: POST IN A CONSPICUOUS PLACE ~s E 5 4 1 8 Request Date w Fire No. Rough-in Inspection Required? Ready Now. O Will Notify Inspector es ❑ No When Ready? licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route o. City ~EI j~or df Section No. Township Name or No. Range No. County Occupant PRINT) Phone No. C'L"" Le 610;~Ai 5- Powe uppI r Address Q ~Cr Electric Contractor (Company Nam) ntractor's License No. A S jt/ C ~t n!C Mailing Address (Contractor or Own Making Installation) 7- Z.-i if4, 3_1 Authori nature (Contractor/Owner Making I tal(ation) Pho Number ~ ! q 4g~~' ~ ;z s- MINNESOTA A BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midw Idg. - 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'• EB-00001-07 Oo. See instructions for completing this form on back of yellow copy. it E 5 4 1 ®8 "X" Below Work Covered by This Request New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps j 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms L Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in date r f certify that the above inspection has Final D a been made. OFFICE USE ONLY " ` This request void 18 months from E 54179 Request Date h Fire No. Rough-in Inspection r „ s~ ~ Required? eady Now ❑ Will Notify Inspector es ❑ No When Ready? I1licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City I ' 131eye-ekaj 7),4 c "w~ r1_7 q jn Section No. Township Name or No. Range No. County A'd 116 Occupant(PRINT) Phone No. C~ r ~s A,4 e-5, - 7 2,51~' Pow r uppiier Address A-lej E ectr' al Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) 5 / CV Aw ~ 33 ...111117 - Authorized re (Contractor/Owner Making i tallation) 7 Phone N tuber MINNESOTA ST OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwa g. - Room 5-173 11117, 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 M EB-00001-07 ► See instructions for completing this form on back of yellow copy r' E TSTA !7 "?C Below Work Covered by This Request New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication EJ_ Other Fee I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final e been made. OFFICE USE ONLY This request void 18 months from RESIDENTIAL BUILDING Permit Application I City Of Eagan i / 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements Remodel/Repair Reouirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system - On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date L/ _91/ 63- Construction Cost f d Site Address Unit/Ste # Description of Work Multi-Family Bldg - Y_ N Fireplace(s) _ 0 2 Property Owner Telephone # q Contractor Address L4 Lf ail L.11 I City State Zip 5!;_6 ~q Telephone # 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 0 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( } Sewer/Water Contractor Telephone # ( ) OCT I hereby apply for a Residential Building Permit a_ d acknowledge that the information is colnpiete and accurate; that the work will be in conformance with the or nee 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. , \)o ~,TCK RRTO'SoL Applicant's printed Name Applican S ature 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 i ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 A.ddi}ion ❑ 36 Move Bldg. ❑ 42 Dernoiish (Foundation) ❑ 45 l=ire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) - Plumbing Foundation HVAC Drain Tile - Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final , Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final - Windows (new/replacement) 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 i Other Total MECHANICAL (RESIDENTLAL) Fe3rmtt A:pioa City Of Eagan 3830 Pliot Knob toad, Eagaat SU22 Ta*kowut # 3-675-5675 ; FAX # 65-1 '1 74 y ➢'ftw con ete ftac " Single Fm dyDweititt gs Tt~vvrtho ug and Condos whcn pen s are t squired fbr eaa unit r Me Address ~ goo ~ Unit # T-hiperty Owner + f1jay t 't-,~k Tei+a # y " +aatra►ctor -fit c R Zip Teter #3- A►~t O . Catrtrctaar Comer Aid-ou, uw&ftxfl= at . fen to existing dwelling a*t , : 3t3.tiF} f~m~ rtt air - a vb+l t~~~x~~:ha er Oth" .l i3R8t~r S SO 1 rl `APR 2 9 )031I heteby epp2y far a Rea' Mtzhankal wit and acknowledge that *t information LEccr t 4 t t ak' t#, ►~pft Will be in, C4=f0r ce with use' 0TfU as M and cod" of the City of Eagan a with the WcNuical Codes; - t UP&OWba -'%6 is tm a WWrl posit, but only an ctitii for a permit, and work is not to start without a permit, that the Work ba. ac~x~ with 441 2a roved plan in tare . of wwt which requires a review, and approval of plans. . pa is itrinud Name gticant's 53gmt"o MWkVAMCAL (C r b Plow convh to for d4ndusiri&i buildings m i-farttily btdWkgs when wporate pomuts ate tg Mquimd for each dweflig oak D*e Tenant Naeere# Of ft"Oltg earn er T New t`Anstmction 4#t uW Tank Install FuNnove inwor 11»Ptd'v""t Ca# f+at"Inspection durWg in:rYalIW*Wr*M*v*l of tarok Proo"seld PIpbV Nature:Of`Wo*. • ` l~'Rrlsrlt Fee ~.~6 F+ra ~rnc.Iride~ Smte 3ui~+} Coact V alma $ x t311o . lice ~ , Ifpcx* fee is Sl,W or less, aW $.Sd $ StG Sw* If pdi*t fee is over $1,0% add $.50 per S 1,W6 Permit Fee „ S TOW F" `amt itt lltz Ito" I hereby ap pty for a Co ed Mochv ical Pawit and sctarowledge w w*wtt 'ill be in oo0onnMnce± with the erdiuaaces and codes of the City of Eagm and frith it al Co tt; that I ftl It MA a .peradt, but otdy an a licadon for to permit, sud work is not to start wid wut a p~Ae 4w rk wiWbe in dw approved plan in the case of work wb ch regteires a review ftd gproval of plans. APP6-Anes Printed Nora t'2 Signuum PERMIT # 1 ` - RECEIPT DATE: MIDENI IAL PLUMING PIT= AM ICATION CrrYOF iE AGM S$SO PUM KNOB RD FAWK MN 55122 651-661-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for irrigation system d'ou SITE ADDRESS: OWNER NAME:: TELEPHONE (AREA CODE) INSTALLER NAME: TELEPHONE M 607)11 / STREET AD ESS: 2 (AREA CODE) CITY: STATE: / ZIR Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 _ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround f Nature of work:' Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ C Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during i " normal operational and maintenance activities to the facilities constructed under this perm' ithin 'ty pr ht-of-way/ease ent. l C it SIGNATURE OF PERMITT Updated 1/01 PERMIT CITY OF EAGAN ` 3830 Pilot Knob Road PERMIT TYPE: B U .T. L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 5 8 2 Date Issued: 10 / 0 5 / 9 8 612 681-4675 SITE ADDRESS: 1528 BI.ACKHAWK RIDGE CT LOT.- 5 BLOCK.- 2 BI_ACKHAWK RIDGE P e l° o N e s 10-14400-050-02 DESCRIPTION: T.O. & REROOF k~u ldi nq.."')er°m.a t Type STORM DAMAGE Wot'k Type REPAIR Lens I ;ode 4,34 ALT. RESIDENTIAL I I I E REMARKS: Tao. & RFROOF HOUSE AND GARAGE. DUE. TO STORM DAMAGE. FEE SUMMARY: p` CONTRACTOR: App 1 z. c a n t: ST. L I C e OWNER: I SELA ROOFING & REMODELING 18238046 0001,050 ISBURG GUNNER 4100 EXCELSIOR BLVD 1.528 BL.ACKHAWK RIDGE CT ST LOUIS PARK MN 55416 EAGAN MN 55122 (612) 823--8046 (651)454-5075 I hereby ackncwledtje that . havo r'€aad app1 J,cati.on end state that tale 1nto,matl.vn is corr,e(-f, and agree tC-) cofrpl_V i,ilt.h e,11 app:1_icable State 1,i` Mn, S1 at Cite and City of Fagan 0'di.nanc APPLICANT/PERMITEE SIGNATURE I ED BY: SIGNATURE 1998 WELDING P'ERMI'T' APPLICATION- IRESIDENTLO) qty ~ulr~,t~~ ~mgc~„uRa~arir Ftea~rements 3 "*wed sft svnr " ♦ 2 cop" of p n ! 2 copes of Vftm (ksdude boom & vwin km a ; VOWW MO. stn; Oft.) # 2 she wxvo" (Oxtenw irdd & docks) 4 ! Z on*W € tahms for Bates a ddbans ♦ : 3 *DPW* of brae p4neaftn plan' p lot steer t!M t93 ti`a:s NO 5 DATE: +.tn , ~ Ct~h1STR1J~TIQM COOT; ~ MCRI PTICIN OF WORK: C ia $TR ADDRESS: 1 LOST... BLOCK: SUSDJP.I.D. #R: N --b me: Sit PROPERTY Last First OWNER !T Sreet Address: City State.atp. Com .A ROOFING & REMODEUNQ,1W Phony yp PanY: - C RACTOR ST. LOW PAf~K, MN 55416 Street Address: License # City State: Zip: ARCHrMCTt UNGDMER Coutpay:, Phone Name• Stmt Addmss: fS' ,11t: City water Sow & : karmW pha dw (now c on*uctipn only): Penalty appon when adds CN" bt Ve 1 eq c e permit IS Ued. I hemby a&rwvkedge that ! have mad this applk;abon and stft that w*matt+on is cw agree to comply wPth M ep i Sees of Minnesota Statutes and City of E &W Ordinanoes. Soature of Applicant OFFICE USE ONLY Cart of Survey ReceivedYes No Trees Pralaetvation Plain Received Yes NO Not R a d OFFICE USE ONLY WILDING PERMIT TYPE 13 01 Foundation © 06 Duplex 011 Apt.A odging 0 16 Basement Finish E 02 SF Dwelling D 07 4-plea © 12 Multi Repair/Rem. 0' 17 Swim P DI 03 SF Addition O 08 Q-plex 0 13 Garage/Ac ssory t3 20 Public Facility a 04 SF Parch 0 09 12-plex © 14 Fireplace 0 21 Miscellaneous D 05 SF Misc. O 10 ,_,,,-plex 0 15 Deck WORK TYPE 0 31 New D 33 Alterations 0 36 Move, Ll 32 Addition © 34 Repair © 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. ;UCNV8 System (Allowable)Main level sq. ft. City Water UBC Occupancy -sq. ft. Fire SprinW*red-. Zoning _._.r._ 4q. ft, PRV of Stories ~ sq. ft. Baflster Pump Length sq. ft. Census Code...~,~., Footprint sq. ft; SAC Code Census Bldg Census Unit ,:..,4...::. APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MCNYS SAC City SAC Water Conn. Water Meter Acct. Deposit SW Permit SSW Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY QFEAGAN _ Permit No: Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No. Date: ' Cagan, MN 55121 Owner. St. CIiarlas uonas Site Addressl528 1ackbvt~~.tt P44 4 e Ct, 7 ~ 1? "ja Plumber. Petes S /Krumhol z Conn. Chg: -ojaa' Zoning: r~ Acct. Dep: 1 €1~ c? No. of Units: ~ Permit Fee: 1 : Qclpj? Surcharge: sfl;ul 1 agree to comply with the City, of Eagan Tr. Plant Ordinances. Meter t p` Misc.: By 71 'r, J, P i WATER SERVICE PERMIT F EAGAN Permit No 11237 Dates 11-3044 z _ OP&M Knob Road B/P No. $7723 Date. ftx 21199 Eagan, MN 59121 ;-4 Owner. S`•# rles Rams Site Address: 'Blackbawk R1 !fie Ct LS 32 lfi.a~ 3Zfd~k Plumber: Tat" 8 & r MWCC. 550. Aflpd Zoning, _ City Chg: No. of Units: 1 Aczet. Dep d 1 agree to camply Wdh the City of Eager - Permlc~ee: , Ordinances. , Surcharge: Misc.: PRV "Qujg~" fly SEWER SERVICE PERMIT -zl APPLICATION FOR PERMIT *NOTE: PAnMErr OF FEE AT TIME OF ,*t APPLICATION DOES NOT CON- STI= APPROVAL OF PERMIT. • jw+ SEWER AND/OR WATER CONNECTION * INSPECTION OF sEwER AND/OR WATER C~-_`y *k INSTALLATIONS WILL NOT BE SCEDULED * UNTIL PERMIT HAS BEEN APPROVED. * _ ,t,r,r*t*****,t***,r*,t,t*,t*##,r**,t*,r,r*****,t,t* t pity ®F eaga,n (PLEASE PRINT 1) PROPERTY ADDRESS : ~Jl) 6 e- LEGAL DESCRIPTION;. (Lot/Block-/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE ,i R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) , w • NAME: T £W Ft2 TLJC . ADDRESS : 31 y -7 Ud1 DAB A-U_ /V . CITY, STATE, ZIP: H (ELI NAZ ~S /Z PHONE: For City Use 3) Z : M NAME: (~/~•I 4, 2- Z Plumbers License: ADDRESS: Active Expired CITY, STATE, ZIP: Not recorded PHONE: MASTER LICENSE Staf-~ In teal 4) NAME: ADDRESS: - CITY, STATE, ZIP: PHONE: 5) 1501-011-~w STORM SEWER PERMIT - CONTACT ENGINEERING CONNECTION TO SEWER CO TION TO CITY WATER TAPS 6)e -~0 * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. ,*t PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE ARE ANY PROBLEMS. *****kic*****kit*k****ie*******Y***k**tt*k*tilc*itkickt**Y*k**k****t****ir***t*iF*~c******FY*k**7Y****k*******k~ FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ Alls WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ? S 'c±-Z` ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ l I Cr° $ / c~Zy TOTAL 7 7 2 •3 ~i 2 7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ED YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY:~ t?- e1/~ -z~__;7( TITLE: DATE : BLDG. P RMIT NO.~ Afy 01-321 g. erm 7 ~ jQ20, 01-3422 Plan Check✓ 01-3445 Surch/Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75;3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt.` 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit i e: 20-3743 Sewer Permit 79-3866 Sewer Conn. Q 28-3855 Park Ded. TOTAL 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 SF M/"R Est. Value $149000 Date $I IFT0011R 27 ,19-(A- Site Address 1528 CMUK RID CT OFFICE USE ONLY R3 14V Lot 5 Block 2 Sec/Sub. ALACiMAW RIM On Site Sewage Occupancy " MWCC System $ Zoning PD, 11`1 Parcel No. On Site Well (Actual) Const City Water X_ (Allowable) V -X ac Name S? CRANIM 8"8 W PRV Required R # of Stories 3 Address 4194 COUNTA 192 ~ F- O Cify AN W Phone 454-792 Booster Pump Length 62; Depth o Name SAM S.F. Total ua" Address Footprint S.F. 11 City Phone APPROVALS FEES - 73 r v W EngclAssess. Permit 00 ~ W Name 74,00 _ z Address Planner Surcharge am City Phone Council Plan Review F: Bldg. Off. SAC, City 100*00, I hereby acknowledge that I have read this application an state that the Variance SAG, MWCC SS0fi00 information is correct and agre to comply with all apble State of Water Conn. . Minnesota Statutes and Cit of agan 67.00 Water Meter Signature of Permittee Road Unit 25, A Building Permit is issued to: j Treatment P1 204. i 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 'f- 65.00 ' Building Official G` ^ o 4 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN 4 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 PENT 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, S~. 1. SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: SINGLE FAMILY Valuation: 28'80 Date: 9/20[88 Site Address 1528 BLACKHAWK RIDGE CT. Qtr OFFICE USE ONLY Lot 5 Block 2 On site sewage Occupancy - MA MWCC system „ji'` Zoning. - Parcel/Sub BLAC_K_HAW, gTpGV On site well Actual Const City water _ Allowable Owner JOY & CHRIS KIRBY PRV required ! of stories Booster Pump, Length Address 1911 RYAN WEST Depth S.F. Total City/Zip Code ROSEVILLE, MN 55113 Footprint S.F.- Phone 636-2564 APPROVALS FEES Contractor ST. CHARLES HMES Engr/Assess Permit Planner Surcharge , Address 4194 COUNTRYSIDE DRIVE Council Plan Review Bldg. Off. SAC, City a 00 , City/Zip Code EAGAN MN 55123 Variance SAC, MWCC Water Conn Phone _ 454-7925 Water Meter Road Unit 00 Areh./Engr. PLANCO DRAFTING & DESIGN Treatment Pl Parks Address 3435 WASHINGTON DRIVE Copies Q TOTAL. 1.20 City/Zip Code EAGAN, MN 55122 Phone # _452-0724 i i E VALuA'T' Ic~N F Z 2x Zy CZ g ?4Z x14=IIOgg, $ SiN1'T' Z16 k I i = 449 2 6 x 7 444 AH Y 189 13 o c~ X 1.3.-- 14. 9 oe-- ~a0.00+ 74.00+ 365.00+ I Soo 1 ~ 796.00+ H o 2,965.00: Z x2o _ i 3sa. x 4g . GG24►~ 2NV zy~ 38y 13)( -Z 3-98 Z.xz tq)(A 2- Z114 z los*x49= 531I(o 1 L4 r)3S2 I - CERTIFICATE OF S! lRVEY FOR KURTH SURVEYING INC IHEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPARED 4002 JEFFERSON STREET N.E. BY ME OR UNDER MY DIRECT SUPERVISIO AND THAT 1 AM A DULY COLUMBIA HEIGHTS MINNESOTA 58421 _RE•GISTERE0 LANG RVE R UN ER S FTHE STATE OF MINNESOTA. 612-T88-9769 DATE l IZ a 8S SCALE ~ ZD MINNESOTA REG TION NO.II \I_~ PROPOSED 0 a IRDN MONUMENT FOUND GRADES BEARINGS ARE ON AN ASSUMED DATUM GARAGE SLAB 0260D SPIKE SET = BCoZ..O SPOT. ELEVATION TOP OF BLOCK ( ) -PROPOSED ELEV. BASEMENT FLOOR= DRAINAGE ARROW ~-Ac . CBS ~ r - ~ Qd 1100 Lo-T s ~~-~CrKH o.Vv ~k G, n o 4 c) 2Z.0 tp ri Q I !!J f- ~ ~t W 1Z.b r ~r o i 1 v) C'j / 16.0_ - _ _ ! tro.25 GO N ~ C1tN 33.15 O Q` 1. S~ 1~v i P,R.V. REQUIRED n 1LiJ4 MINNESOTA STATE ENERGY CODE CALCULATION S~ -2e.2 -s 1 QED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION Adoption Effective 1/1/ Jwner Phone Date Site Address 5 C3 Z U(.AEKHAtuK. Contractor ~T, > Phone Building Classification: Type Al (Single Family E Duplex) Type A2(Residential) DOTE: Complete pages (3 stories or less 3 and 4 first. (Other) (Over 3 stories) 3ENERAL INFORMATION I.' Building Perimeter Ia Y ft. I 2. Wall height (ground to eave) ft. • 2 3. 1. x 2. (above) gross wall area (Oft. Building dimensions (L) X (W) = ZZ ft.2 roof Ji floor area Square foot area of rim joist - Floor joist size (2 x ~D ? ) ~C X Perimeter - Rim joist area = ?j 11 ft2 12 Doors - Area Th i ckn eS ~ in. U factor 4~ , Type of Construction Perimeter ft. Manufacturer Total door's perimeter ft. i Windows: Manufacturer ^,A.1 U factor ~T State approved ' TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 Pv AvA' EACH UNITS , Total ft.2 GIass-- Fireplace area; Width X height X Ft.2 Exposed foundation: Height X Perimeter 1 U2 X Ft.2 !IPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING VED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. pining area = 1076 U1 yr'v~,s wail or e- q J . Gross wall area I (P4i , k."/) ft.2 Window area A ' ft.2 U windows' U x A= M Rim joist area A 31, I ft.2 U rim joist - IOq~ U x A- i Door area A ft. U door area - -I~ U X A = 2 U x A 2°I ~C0 epIAye area A l~ ft. U 'WOO" Exposed foundation A I 0-5-1 (40 ft.2 U foundation i I U x A a Z. F Framing area A~ ~D Z~~ft.2 U framing area = 1 U x A = Net wall area A 1 ~1 ft. U wall = / d~3 U x A. (13B), TOTAL . . . . . . . . U x A = 'r s 4. Gross wall area x 0.11 (A-1 single family & duplex = allowable U x A/Code (13. above) i x 0.23 (A-2 other residential) x .23 (Other buildings) , x .28 (Over 3 stories) ' BTUH Must be larger than A ~6tY'T I' X U Code !1 = , 0 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area or the. same ash i lSA. Gross ceiling area (L) x (W) ft.2 15B Joist area (Af) = 10% ceiling area = Z ft.. 2 15C. Net ceiling area (Ac) (15A - 15B) _ /Aet ft. Uceiling xAcu 0 7, 3 _x 005 = 71 4z, U framing x A f= 7 D Z~ x Z = Z I 15D. TOTAL'U x A 16. Ceiling area (1 CA) 0.026 A single family & duplex - code allowable U x A x 0.033 (.R-2 other residential)- x 0.06 (other) ? BpH Must be larger than •150 (above) A f 15A1 Z'2 x c~e)= / J F (or the same as) NOTE: Use U and A values obtained from pages 1,-3 and 4.*. CERTIFICATION: I hereby certify that ('have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. ' Date Signature 2. I o x (I n)=o,o. , Zd~o~► I ~ /Z 7- zz>,cgv ZU~(q~v ~ ~ XS:. ~~o I ~~o ~ 33X ~ = 33, o ZoYvc) = 11X7= 77,0 I -ZoX - I v-oy -l8,D Sxr_ I~~ I it 2 ' Z~X = 1 sx3 = ~Z~ I ~"X~ ° r~UIZG Wow ~ 3~xI =.~o 2~►vi 4mc) ~p ► z , d ~lZ,o i #UU o7•y t[feat for aall s`~ N A011 a ` lUalll U 'A w lnauLatlon Sl1aatiiing 'Z p(o o 3 • outbids ale [Lim 1- R IOUL ~3,a3 I inalda~alr Ulm ~ •6g S1UU . • vall tom' StCYloll • lutatlvr • Ad stud (to") Rao 1'.28 311aathing 9lding ~ •~~S' out$WIN air [llm.. • 0.10tAL • . .Iln uALt. Ina Lda air IL lm na .69 . SCCllull intatLur Mall • 1~- LutuLatkau .(hall U w • r-'-~ ~ Sl~~avting ' . ' "r~ fac t a i l of w a l l~n t i n g Extarlrir air [llm' R ;l ' It tUML • 1 8111 lilt lit fur air [Lira na i6g . Jutsf lnautatLnn (•~~~j ' r-. ly inch, au[t• wuud I1~1.8U Illlm ' ` U•R• • eheathing ' ZOG Joist) t=r -a t txtatlor uall torattng Extat for air film Its ' • R IN AL . t Interior air [1lm R's .6l1 ' lnauLatlon .~-•W c~ Eounda • J tlon I xB ' IFd.l.) U • Extatlat air Ulm E31`014d Black ~s1 • tt yr"s il i, ~~~~~a• OT FRAHINQ Nc CEIEIIIQ • 0.61 Air Film 0.61 ~w,bb Insulation `I1'',Ct7 • r 'i--T Jo I s t , CeIIIng 1 ' i _ • • 0,61 Air film O,dl ' l Total n • •n-L 3 U » .b-2z.. FIAT 110OF On C,i , nnl c 1.illa . `f ~ Ffl,lllIIIA'• CEI1.IIlq Inside air film 0.61 ' Cellln • Jn I ! E ~nsul~ lo~l . • it elms • Moor decking . • tnsuletIa , Built-up rout Outside air fljm U. 7 • .Total n t low Inflltrativn .5 cfm/1 meal foot of crack ' Identlal door Inflitratlan 0.5 cfm/square foot or door and mllilmum Cade•requirement ' -resldentlal door Inflltration 11.0 cfm/lineal foot of crack ' 12" concrete block no Insulation ;47-H 2.1 IV concrete block insulated cores 3.8 ' IZ llglit-+elalit block .32 n 3.1 ' 12" 1 Ightwelght block Insulated- cores » .12 R 8.3 .11,919 glass a 1.17;. Hltii storm mIndow'.54 ' fouble glass .55 ' triple glass - .41 I exterior- Hails and ceilings must have a vapor barrier (0.10 perm mix.). por barrier must be on the Inside (Heate(I sldo) of wil11. Uor barriers of the polyetllelene thin film hav9'110 A valu0. ' . UNDERGRG;UND SPRINKLER SYSTEM PLUMBING PERMIT Date: Receipt # f Qz6 11 Date z7j-/bf Permit # 5 Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). *<'Residential developments: Fee to be determined by building inspections department. May require payment of water permit umb' g WFit' WAC, and water treatment plant fees. (Address to be sprinklered) Installer Name: Phone Street Address: 7 23 /~~~~~c~ City, State, Zip: Owner Name:' Street Address: Phone Irrigation Contractor: Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply w' all applicable City of Eagan Ordinances cc: Engineering Department (commercial only) PLUMBING PERMIT DATE: 5/31/91 (U.G. SPRINKLER) RECEIPT: 101614 SITE ADDRESS 1528 BLACKHAWK RIDGE COURT Unit # Permit # 5 L 5 B 2 Sect./Sub. BLAKCHAWK RIDGE PLUMBER: r r 869-7521 RRIGATION CONTRACTOR: UNDERGROUND WATERWORKS INSPECTION DATE INSPECTOR OTHER 895-8016 FRAMING _ 12- V l G6 e e ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG. FINAL PLBG. UNIT FINAL CERVOCC INSPECTION DATE INSPECTOR COMMENTS PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA113594 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 1528 Blackhawk Ridge Ct Lot:5 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-050 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. Danielle Leonard 505 Randolph Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 Novitsky 1528 Blackhawk Ridge Ct Eagan MN 55122 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use I I Q' I 1 Permit fEajan My of I 1 Pe rmit Fee: 05. S 1 3830 Pilot Knob Road I 1 1 Date Received: e 1,_ 113 I Eagan MN 55122 1 I Phone: (651) 675-5675 1 Fax: (651) 675-5694 I Staff: L----------------~ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 15;? & C i ciG Cr Unit Name: M i C. I'1 0-c- K Phone: Resident! Owner Address/ City/ Zip: 15o'22) 81nr_k~~ w T a i a ~R Applicant is: Owner Contractor Type of Work Description of work R@4F 9 Construction Cost: o4 L4 0(.0. 6,5 Multi-Family Building: (Yes / No X-) I Company: E**0-1-e. C QL;M S/erdiCGS Contact: -8rillneq _Ta1912dv7 _ yL Contractor g Address: ci3tj 01rphriwell ✓iye City: f3r 6 State: M ~4_ Zip: 55114 Phone: ~l a - ~ ~ 5 - 19o?O 1 License 5," (,O 37.3o / Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 8ui If" ~Ffer 1978 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.gopherstateonecall.orQ. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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 r~fl,-~GU N4Rpa n x Applicant's Prin .d Name Applicant's Sig ure Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139968 Date Issued:11/16/2016 Permit Category:ePermit Site Address: 1528 Blackhawk Ridge Ct Lot:5 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-050 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 Novitsky 1528 Blackhawk Ridge Ct Eagan MN 55122 (651) 687-9555 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinainspectionstaicihrofeaaan.c om Date; flECEJVE SEP 25 2019 6 LY. r For Office Use Permit* Permit Fee: 0744.5r Date Received: Staff: /o-/ da bl 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit#: 1 -iii:.- Owner �� `' Name: Michael Novitsky Phone: 651-210-3210 Address 1 City !Zip: 1528 Blackhawk Ridge Court Eagan 55122 Applicant is: ✓ Owner Contractor Type of Work - Description of work: Updating and enlarging existing deck. Construction Cost $4200 Multi -Family Building: (Yes / No ✓ ) Contractor ' Company: Contact Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes 1 No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE. Plans and syppotf/fg documents that you.submlt are coobsidered to be publiclnformaiiotf, Portions of the information maybe 'classified as'non publkirYou Provide spec" masons that would penr+lf the City to cbncludethat they .ar tt €, stets. . ; You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www,citvofeaaan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DiG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.000herstateonecall.orct I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and • des 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 art without - ; it; tha the •rk will be in accordance with the approved plan In the case of work which requires a review and approval • tans. x Michael Novitsky Applicant's ignature Applicant's Printed Name DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of_Plex WORK TYPES New Addition Alteration _ Replace Retaining Wall DESCRIPTION Valuation t, Occupancy Plan Review Code Edition (25%_ 100%\t\) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing _30 Minutes 1 Hour _ Fireplace Garage Deck Lower Level /5d r M/adc%de__ Kikeif C/ _ Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement Move Building Fire Repair Repair Siding Reroof Windows _ Egress Window Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior _ Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant CES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick EFIS Windows Retaining Wall: ` Footings _ Backfill _ Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL (,enc P ,t‘,) ff-171 14521 Page 2 of 3 CERTIFICATE OF SI,JRVEY FOR at,,T-L .1-kr)b'L�5 KURTH SURVEYING INC. (MEREST CERTIFY THAT THIS 9URVEY.PLAN,OR REPORT WAS PREPARED 4002 JEFFERSON STREET N.E. SY ME OR UNDER MY DI CT SUPERVIS AND THAT I AM A DULY COLUMBIA HEIGHTS MINNESOTA 33421 --AEQISTERED LAND VE UN R THE STATE OF MINNESOTA. 612.7D9-9769 DATE @� '2. !e8 ` S- SCALE I=■ MINNESOTA RE TION NO. 14,1 t3 . PROPOSED O■IRbN MONUMENT FOUND • GRADES BEARINGS ARE ON AN ASSUMED DATUM • GARAGE SLAB ' at.%.1 •• 60 D SPIKE SET a`� ,L�� 1„)= SPOT. ELEVATION TOP OF BLOCK• ( )• PROPOSED ELEV. • BASEMENT FLOOR' $,..."'`..:...0 ---+• DRAINAGE ARROW 1� a,g,./ %,:,:)..:17 1 6 -AcK. ��t�W K tpc.dl e`as ` ( s\\ s\ C.,ovRT1 d Go. c`,c.es,.� 1 km °0 00 4.p 0 �o.e / Lo-r 5, &oCK 2.., o soZ .g 3 • s/� 1i5LNCk«E-.W K 1Ktycic,, o / 0 CO01.11-`1kl.. von . '>j )ik' / oti,, / - `'► - ___ X84( .-/ 1,41A /7:7: d R UL. zO.. N 0 _ / �7 7 i I /de; It.o • I fr•;I/ "‘ i •I , `J� .�/ f sI iZ5 1 5 5 J I 11'/ t / r. /�O rr , so PRop, � N �INcy� �=b ` / `16.0'_ ��_ '� is K��St_ 11 I .9 //1. � I 3 •15 ►. : .e,AP.i. . /1 3 (i . / , . * / .e% vi ' 4,) . - C40\--d-I (<>I*? 41)&11f0--. 4, / 1 , :.:;.;-.:,. 175 �� �•, -- ommoOmm Z' �+~ r aft ��-.t�--_. ... � �. _ - ... , r . we2-176 A.,4 LI;:.............._9/27/":"---- f ,.t.. . 1'.... 1..:_.... ;.I. l_..i't.j T. • P.R.V. REQUIRED PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174691 Date Issued:02/14/2022 Permit Category:ePermit Site Address: 1528 Blackhawk Ridge Ct Lot:5 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-050 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 & Emilia Novitsky 1528 Blackhawk Ridge Ct Eagan MN 55122--125 (651) 210-3210 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature