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3795 Blackhawk Ridge Pl S MI & WATER PERMIT OFFICE USE ONLY OF EAGGAN METER # PERMIT DAZE 2I1 /6 24 Puot Knob Rd. 1122I3 EAW, MN 55122-1897 CHIP # PERMIT # hjETER SIZE B.P. RECEIPT # C 62913 s ASUE DATE B.P. RECEIPT DATE 2/13/90 ©A 3795~BLACKHAWK' RIDGE PL PRV _ BOOSTER PUMP SITE 14t, WESS ? /7 ZL PERMIT REQUESTED L(ylA4L`F' OCK SEC/SUE~.~v SEWER /I~ WATER -TA "AL SS: COMM/IND RESIDi NTIAL CITY,STATE G-S' A ~ ZIZA/ 71R:r V64` x NEW _ EXISTING' PHONE: Lawn Sprinkler Meters are to be IrIlec' Ahead of Domesti 'Meters on WSter.LI ADDRESS: ~,4 c Credit L NOT be CITY; STA e✓ ZtPs- ' PHONE: - 17 ~rj rr AGR TO OMPL Y CWqF PINVOEft- EAGAN ORDINANCES ' ADDRESS: CTY, STATE ZIP r ` PONE: SIGNATURE WHEN METER iii6gli P OM ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-SM FOR` INSPEC71O FO =STC7 1 PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT. 1. ClTTOP ~AGA 4 3830 PIt 3 y S ROAD EAGAN, MINNESOTA 55122 wJ DATE y r*,o vnFfom AMOUNT $ C) o & - DOLLARS ,oo 0 CASH HECK Foa &W- FUND OBJECT AMOUNT f Thank o 1 98 Wht--Par- Copy venoms-POSwns Co'2 py 4. Yank--Fite GRpy, PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN `mot 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: P NE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New'- - ` Name z . Mult. Add-on ~o Address"' Comm. Repair lea C city r Other r Phone FEES Name RES. HVAC 0-100 M BTU -$24.00 3 Address ' ADDITIONAL 50 M BTU - 6.00 p City 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 Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES 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: SIGNATURE OF PERMITTEE f S/C: TOTAL: FOR: CITY OF EAGAN INSPEC'T'ION RECORD CITY OF EAGA►N' PERMIT TYPE:' ~ 1.II ~ ~f~ 3830 Pilot Knob Road Permit Plumber: 0 4 8 S f Eagan,.Minnesota 55123 Date Issued: f I (612) 681-4675 SITE ADDRESS: I APPLICANT: ~ ' I+i! 11 tat+t~,;p; f ; :4fs HI -Acf~ It M4 I?3fi)Iif:_ t.;0N'iI INC 6 + ' H I r# t: k lI I4WI; 0 I I:) fi I: ° N f O _ 6 'I 1 33 PERMIT SUBTYPE: TYPE OF WORK: F ~#t;1C t5 I N',I)I. A I I 11N FOU414 :t.M P1_H f I NAI RF14 WtI:XSi ;~1°V A1•ATV, 1.1I'.RMI If, Alif IIVgtIik170 FOR ANY PI11MI'lI 6 OR I`1..F("1'141 A) WOkk MON tuba. pw4k*mow auto q PL ++f • HVA C ELECTM f EL ECMC kupufton Data b". comanm f G r F*ut k+ P#arniertg G J iwl."All ` r r Rntd Hig• !X - .2 f Orse Tit 9 y/i Fk* Pltbg 1 I d i cow. mew EngrA%n Mg. RnW Deck Fig Deck RnW WeH Pr. Disp.; CITY OF EAGAt[!` 17513 3830 Pilot Knob Road, P.Q. Box 21-198, Eagan, MN 55121 PHONE: 454-8100 BMDING f^+ /y "IT Receipt # To be used for SF DWG/GAR Est. Value $126,60` Date FEB 13 -11990 Site Address 3795 BLACKHAWK RIDGE PL Lot, 21 Block 2 Sec/Sub.BLACKRAWK RIDGE OFFICE USE ONLY Parcel No. ND Occupancy R-1 FEES Zoning PD R-1 F Name G ROLL CUSTOM HMS (Actual) Const V-N-N Bldg. Permit 731.00 Address 14355 CIMARRON AVE (Allowable) VN 63.00 Surcharge City ~S> OUNT Phone 423-6100 # of Stories Length $ Pfau Review 47 S . 00 1 'Name Depth 441 SAC, City 100.0 • 0 S.F. . Total SAC, MCWGC, 600 - 00 City Phone S.F. Footprints 62- 5 On Site Sewage Water Conn Name On Site Well MWCC System XCC Water Meter 90- 30.00 Address City Phone City Water Acct, Deposit PRV Required RR S/W Permit 30 •.00 I 'hereby acknowlege that I have read this application and state that Booster Pump S/W Surcharge • 50 'r Wormiltion is correct and agree ly ith icable of Minnesota Statutes and City of g Ordin Treatment Pi _ Signature of Permitee APPROVALS Road Unit A Building Permit is ' sued to: RRQLL CUSTf~ /11(S Planner Park Ded. an the express condition that all work shall be done in a' ordance with all Council _ t `applicable State of Minnesotan Statutes and City of Eag Ordinances. Bldg. Off. Copies Building Official „~I~ ►1 Q1 11117 Variance TOTAL 3 2 351 /U PIT" Do* insp. Comma% s 3 ~3 ROOM ~ Z FWW r I MV. RW Pffig. . Mew Plbg. Inspector - Notify f""ic n-dw Mg. F ad ~d NO Ftg. DdK* Final WON Ft. oisp. 1 ~ ~w a«; =rte CITY OF EAGAN A+ - 4. 175 13 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PETiMIT Receipt # ~ To be used for 5F D!WG/CAR Est. Value $126+OA8 Date FEB 13 1990 Site Address 3795 BLACKHAWK RIDGE PL Lot 21 Block Sec/Sub. MIDGE OFFICE USE ONLY . Parcel No. ZND Occupancy E^3 M--1 FEES Zoning PD 0-1 W Name CARROLL CUSTOM DOMES (Actual) Const V'-t~ Bldg. Permit 731. C?p o Address 14355 CIP1RR t0N AVE (Allowable) V` Surcharge 63.00 City ROSEMOUNT Phone 423-6100 # of Stories Length 1581 Plan Review 475.00+ z~ Name SA;? 44' Depth SAC, City 100+00 Address S.F. Total SAC, MCWCC 600* City Phone S.F. Footprints ~ On Site Sewage Water Conn 625•C3C3 ww Name On Site Well Water Meter 9C}x Address MWCC System XX 30 00 Acct. Deposit cw City Phone City Water XX 300 y PRV Required XX S/W Permit0• I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge .50 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 252.00 Signature of Permitee APPROVALS Road Unit 355.00 ABuilding Permit is issued to: CARROLL CUSITA ROMES Planner Park Ded. i n the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oft. - Copies Variance TOTAL 3,351.50 Building Official 1 Permit No. Permit Holder Date Telephone # VYATER SEWER PLUMBING ELECTRIC s yr' cl s Inspection ! Date Insp. Comments Footings I c` 4 Foundation Framing , y Roofing Rough Plbg. l.,' S :7 1e ` G' `l Rough Htg. Isul. 3 27 Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final ~„2 Deck Ftg. Deck Final Well Pr. Disp. i ,f d Trrfsf trade of (Orruvaury Citp of (lagan arvarbm l of 181dlDing inopprumt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following.• Use Classification SF DW/GAR Bldg. Permit No. 17513 Occupancy Type MAN Zoning District ED/ Type Const. Owner of Budding CA . Ci1ST. HM Address 14355 CTMQ~ M AVE.,) MXJPiT Building dress 3795 RID( o' lity 1121, ' 2, tf ~ 2ND rG~/ 32! 19% Date: ;yam Buildin OBicial t POST IN A CONSPICUOUS PLACE r SEWER & WATER,PERMIT OFFICE USE ONLY CITY OF EAGAN METER # 5 70 ~ PERMIT DATE 2/16190 3830 Pilot Knob Rd. CHIP # 02o(o S PERMIT # 11228 Eagan, MN 55122-1897 METER SIZE ~C3C' k B.P. RECEIPT C 6298 ISSUE DATE r L1' T-6 B.P. RECEIPT DATE 2/13/90 DATE ~:J 3795 BLACKRAWKKRIDGE PL pRV BOOSTER PUMP SITE ADDR158S VS_ PERMIT REQUESTED LOT,~L~BLOCK c` ,_.SEC/SUBC _ A4,-J,1 X SEWER WATER - TAPS APPLICANT: C4 YZA ADDRESS: COMM/IND! RESIDENTIAL CITY, STATE S' t ZZIV ZIP,:~ NEW EXISTING PHONE: Lawn Sprinklaer Meters are to be Installed PLUMBER: C Ahead of Domestic Meters on Water Li 'OV ADDRESS: S Credit NOT be a duck CITY, STATE ZIP -0j7 PHONE: AGR TO OMPL TH CI OF OWNER: AZ EAGAN OR ORDINANCES ADDRESS: y CITY, STATE ZIP j. PHONE: SIGNATUR4WHNIETER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4544220 FOR INSPECTIONS. FOR STORM SEWER PARMIT/S, CONMCT EWINEERING DEPT. ~i A In1 DATE: 2/16/90 RV. 3793 BLACKRAWK RIDGE PLACE, L21, 82, BLACKRAWK RIDGE 2nd xx ! I Vour Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasorp: {,I i Your ewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. REQUIRED BY LAW. CONTACT COMMUNII'Y DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 2/16/90 R~e 3795 BLACKRAWK RIDGE PLACE, L21. B2, BLACKHAWK RIDGE 2nd t xx our Sewer & Water Permit for the above property has been completed. It will be held at the ublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasonj: Your ewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 0- 7-381 ,,]6 n I ReCtest to Fire No. Rough-In,lnspect+on Required Inspecti n Other Th n Rough-In 1 (You must call inspector when ready) 5 Ready Now I Notify Inspector 9 es 0 No Date Read /1 I icensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No. City 3775 RzVC6- =49.4A) Section No. Township Name or No. Range No. County Occupa;"I NT) Phone No. ~g Power upplier Address E&;M ontractor (Company Name) Contractor's License No. //M E c;c?p c C4 1-5' Mailing Address (Co, for or Owner king Installati Authorized at ontracto er Maki* )nstallation} Phone Number kr_ MINNESOTA STATE F TRICITY HIS INSPECTION REQUEST WILL NOT Griggs-Midway 2 U rve s y Ave., St Paul, 128 BE ACCEPTED ENLESS ~5104 11111111111111111111111111111111111111111111111111 Y THE ENCOSED OP R N Phone (612) 642.0800 SPECTIONBO E IDS 010-7- 3 IVJ REQUEST FOR ELECTRICAL INSPECTION Ea-00001- s See instructions for completing this form on back of yellow copy n d~ / G+ Gs / 7 / "X° Below Work Covered by This Request New Add Rep. ype of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders F Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTA X. Irrigation Booms, Special Inspection Alarm/Communication THIS INSTALLATION MAY BE DRD RFD DISCONNECTED IF NOT Other Fee COMPLETED WIT HI MON 1, the Electrical inspector, hereby Rough-in , j Dater yj certify that the above inspection has r ` tI d been made. Final cafe 10 fl ✓i r' OFFICE USE ONLY Y#; } This request void 18 months from Reques Date re No. Rough-in Inspection i * Required? ❑ Ready Now ❑ Will Notify Inspector ❑ Yes ❑ No When Ready? I licensed contractor ❑ owner hereby request inspection of above electrical work at: Jores~(St~xrRout No.) a city V~A~ja ~ i~- C 44 Sectio N TNamNo. JRan o County a t(P T kj~ Phon No. , Power Su i Address j 6 1 Electri a Contractor (Company Name) C raptor's License No. Mailing Address (Contractor or Owner Making Installation) V 1 71 6A ~ Authorized Signature (Contractor/Owner Making Installation) lPhorfe umber r' MINNESOT E 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. - ' - -1 1 4 9 !R..dy Re t Date tio❑ Now ill Notify Inspector 4 , Q es El No When Ready? I Esi Icensed contractor El owner hereby request inspection of above electrical work at: Job ,A ss See ox or Route City Section No. ownship Name or No. Range No. County Oc nt (PRINT] Phone No. 5-3 /L-/F~1 2 - itt --5 Power u ie Address ~ t Electri a Contractor (Company Name) Contractor's License No. XedS ra for or Owner aking Installation) (Contra tor/ wner a' in g Installation) Pho a Number MINNES A TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. /s0 REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 / ► ions for completing this form on back of yellow copy. --.6% J X' Below Work Covered by This Request ew Aqd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: a Compute Inspection Fee Below: # Other Fee # Se rvice Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 10 Amps Signs Inspector's use Only: TOTAL Irrigation Booms Q, S~ 15 pecial Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final oat _ y CI~y been made. 14 OFFICE USE ONLY This request void 18 months from PERMIT 3 Y CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 8 5 6 (612) 681-4675 Date Issued: 11/18/94 SITE ADDRESS: 3795 BLACKHAWK RIDGE PL LOT: 21 BLOCK: 2 BLACKHAWK RIDGE 2ND P.I.N.: 10-14401--210-02 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION Construction Type V-N REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge .50 Total Fee $35.50 CONTRACTOR: - Applicant ST. LIC. OWNER: SAWHORSE CONST INC 15330352 0002382 WILLIAMS PAUL 4740 42ND AVE N 3795 BLACKHAWK RIDGE PL ROBBINSDALE MN 55422 EAGAN MN 55122 (612) 533-0352 (612)454-1615 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 Mn. Statutes and City of Eagan Ordinances. n Rj,A APPLICANT/PERMITEE SIGNATURE ISSU D 13 1 I ATURE. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 4 8 5 6 Eagan, Minnesota 55123 Date Issued: 11/18/94 (612) 681-4675 SITE ADDRESS: LOT: 21 BLOCK : 2 APPLICANT: 3795 BLACKHAWK RIDGE PL SAWHORSE CONST INC BLACKHAWK RIDGE 2ND (612) 533-0352 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK I~ ~ • CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 981-4575 SINGLE & MULTI-FAMILY sets of plans, 3 registered si s j6.vV eys, copy energy talcs. 1 5 1994 COMMERCIAL 2 sets of architectural & struct specifications, 1 copy of energy ca cs. 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 once permit. is issued. own Date S Cr Valuation of work l Site Address: 7`~S L At.,- STREET .f SUITE B Tenant Name: (commercial only) LOT _ BLOCK _ SUBD. P.1. D. Descri tion of w;rk: The applicant is: ❑ Owner 'Contractor ❑ Other (Dwribe) Name ~U.1.~ wti5 VA,-1L t,y--AJL " Phone 4s4-- t Property CAST FIRST Owner Address S c.~~--.a.~,~►~G.. ~l..t STREET STE city a4~ State Zip; Company Phone Contractor Address 2.'° A-) 4& License 7 Exp. City State Zip T'- Company Phone Architect/ Engineer Name Registration Address City Stater Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as been approve I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable tats of Minnesota Statutes and City of Fagan Ordinances. Signature of Applicant: OFFICE USE ONLY i'k pf' BUILDING PERMIT TYPE Q 01 Foundation 0 06 Duplex 11 l it.1L # 16 Bas' ement Finish 0 02 SF Dwg. 0 07 4-Pl ex 0 12 Multi,';-Misc. a 17 'Swim Pool D 43 SF Addition 0 08 8-Plex 0 13 Garage/Accessory 0 18 Comm. /Ind. 04 F Porch 009 12-Plea 0 14 Fireplace 0 19 C ./Ind Misc. dS SF Misc. 0 '10 Multi. Addl. E3 15 Deck E3 24 Public Facility 21 Msct11 aneaus WORK TYPE 31 New X33 Alterations E3 35 Tenant Finish Q 37 `olfth I~? 32'Addition 0 34 Repair C! 36 Move GENERAL INFORMATION Coast. (Actual) N Basement sq. ft. 14WCC System ({Allowable) k I$t Fl sq. ft. City Water UK uccupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Eire Sprinkler tonnggth On-site well Census Code llepth On-site sewage SAC Coda Census Bldg APPRGV.A~ Census t1nit PIAnnin Building Assessments Engineering Variance, REQUIRED INSPECTIONS 13 Site C3 Footing 0 Framing 'Insulation 0 Wallboard AFinal D Draintile E3 Fireplace' Perri t ` Fee wtu~tia $ Surcharge Plan Review License MCC SAC City SAC Water Conn. Water Meter Acct- Deposit S/W Permit S/W Surcha Treatment Road unit Park Ded. Trafls Dad. Copies Other Total: SAC 96 SAC Units -WB9-BUILDING PERMIT APPLICATION CITY OF EAGAN I SINGLE FAMILY DWELLINGS ~TLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - A STRUCTURAL PLANS i SET OF ENERGY CALCS. CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS OF UNITS •OTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE VBICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. F E 8 C 8 RECD To Be Used For: S(y, Valuation: Date: Site Address 32?y 5' „OFFICE ME ONLY 0044 Lot a-L Block Occupancy R 3 M-I FEES Zoning FD R- I Parcel/Sub, Actual Const Bldg. Permit Allowable Surcharge a00 Owner # of stories Plan Review q r) ',00 Length B SAC, City 100,00 Address Depth 4 SAC, MWCC 1,0 0,00 S.F. Total Water Conn Oo City/Zip Code Footprint S.F._ Water Meter D D~ Acct. Deposit 30,00 Phone On site sewage S/W Permit _ 30,00, 1119 On site well S/W Surcharge 50 Contractor `gin ~l~ ~rfi~ d MWCC System Treatment Pl. Z62, po City water &7- Road Unit A&T.00 Address f` k 3LI-S- c, 11n z<i? ew) PRV required : Park Ded. _ Booster Pump Copies City/Zip Code epzo~~11/s~s` SUBTOTAL APPROVALS Penalty ~i Phone 2621- l /00 Planner TOTAL Council / Arch./Engr. Bldg. Off. Z. Variance Address 31LIL,!,(~,¢,~C City/Zip Code Z,-~16,Lx~l ~ scS'/~~2 Phone # ~~`j 4 VA L LA_ ~rAR p,~E" Z y X ~ I Z. Z o 2 X 1 C~ C ~ C0 (0x~ti= vyl°f s X r7 731 •00-+ 0 L) 47D• ~ 2, x};32. 50+ Np Loor~.. 3, 351 -5 D 14 + G3•00+ 2,032-50+ 3, 351 - 50*+ 1.2 57 21 yy r 2422 Enterprise Drive * PIONSMA Mendota Heights, MN 55120 Deng meet- ng - (612) 681-1914 Certificate of Survey for:_ GIRROLL CUSTCam IhML3 NORM ~b• 591 ~ s~ to 41 n 15p,12 I ~ z I tl ~ ~ L ,ib to . ~ _ ~ J " S C _ z Q w~ \ p z p~ry~ W ~i RWio. o2b•r'7r ~ \n , - F• jk * ,v ij/ •S / y / 1 ~ I J r } , w. v....«~...~.:~7.. fem. ««n ,a........ g `.;',:7 i 1..'~ f i A a"t ~G,'.s E,e n. ~.:."•S .Y~..,. ,a t 9001O Denotes evAn Elevalion 4jD VATICAN ,060-01 Denotes rodeof Qevatlbn U~nvfes Ura►p L.°wesFoor Elevation 8Y/•GT na 'Ufa 1 Ecrsemenf lip ofnBlock aeva f i on 819 , 6 Denotes Drain flow Arrows Gcrra a Slab 4levation Denof es monument o Deno es Ot rsef Nub Bearin s shown are assumed SuNe* d to Easements of ' Ikord L OT21 Back/ 2 BL A C914A W W RID G1 2ND ADD. DAKOTA COUNTY I hereby certify that this is a true and correct representation of a survey of the boundaries of the above scrihed In d a of the location of all buildings, thereon, end all visible encroachment!, if any, from or on said land. As surveyed by me, Is day of~A.D. 19 5?. i Sc Ole . inch. 401we ~ 7VOZ nnPrnr P. SIKIC14 (_.S. rrFG. NO. 14!19) n ..IP to ""'W,i x_, ,„.-11 > v a `M.T 112 1/ ~RtilM'kFA^"*` r MINNESOTA STATE ENERGY CODE CALCULATIONS' _ BASED OH CHAPTER 5 OF THE ? j MODEL ENERGY CODE - 1983 EDITION Adoption Effective 171784 Owner_ Lam,[ l / 1~ Phone • Date' SIti Address r Contractor Phone Building Classification: Type AI (Single Family t: Duplex)' Type A2(Residential) NOTE: Complete pages 3 and 4 first. (3 stories or ess (Other) . (Over 3 stories) GENERAL•INFORMATION 1. building Perimeter Cam` ~Tw ft. 2. Wail height (ground to eave) N ft. 2 3• 1. x 2. (above) gross wall area (,PAR iz-ft. 4. Building dimensions (L) - X (W)_ ft.2 roof floor area 5. Square foot area of rim joist -'Floor ,joist: size (2 x -1 ) /fl? X Pcrimet r = Rim o 1st area = ! Z-I 64 ft2 2 6. Doors - Area • thickness ~in.~ U factor d ( s r 47 Type of Construct on Perimeter ft. Manufacturer Total door's perimeter ft. 8, windows: Manufacturer ~lUr7r _ t°~- State approved U factor TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 EACH UNITS 9. total ft.2 Glass_ 71~54, 7,,y5 10. Fireplace area: Width X•height ffi X = Ft.2 It. Exposed foundation: Height X Perimeter ►~~~1 X Ft,2 COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CbWk C O KJOOR RODE LING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. NM BU L! NGS DIM 12;` Framing. area = lAX of gross wall area. 13. Gross wall area ~ 4i~;e 7 ft. Window area A -7~ ' ft.2 U windows = + f•F' U x A = ` Rim Joist area A 64- ft.2 U rim ,foist = 1 U x A = ip+ Door area A 1~ p ft. U door area l U x A = ~CD a M.• q tote area A _4zlo ft.2 U V dkLf _ .47 U x A = 1 ~7~ Exposed foundation A 110ILP ft.2 U foundation = +14 U x A Framing area A ZU__(M2iY5 ft-2 U framing area = i t ?25 U x A = 2191 t Net wall area A_ ~ jl + 7 ft. U wall = i U 3 U x A ' (138) .TOTAL . U x A = i 14. Gross wall area i 0.11 (A-1 single family & duplex = allowable U x A/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 stories) A BTUN Must be larger thar: x U Code • I1_______ = t. ~ I ' Z-1 ---OF. 138 above 15._ Ceiling framing area (Af) equals 10% of ceiling area or the, same as) 15A. 'Gross ceiling area = (L) _ x (W) ft., 158 Joist area (Af) = 100 ceiling area = d (G ft. 2 156. Net ceiling area (Ac) (15A - 158) _Q+~~ ft.2 U ceiling x A c= Sri- xD~G7 U framing x A f= d x____ (j1 =4 150. TOTAL•U x A T 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x 0.033 (4-2 other residential). . x 0.06 (other) A (15A1 BUN Must be larger than •150 (above) x !~(odehA F (or the same as) MOTE: Use U and A values.obtained from pages 1,-3 and 4.'' tERTifiCATION: I hereby certify that i have calculated the "U" factors and "R" values herein ana that the building here described melts or exceeds the State of Minnesota Energy .Conservation Act. Date ST'gnature ' wA.... ~ I , I 1 .-f ~ ~ M . .p r ypl ~,Mptyvr.w•.w.IwW+.+ ..~'f• ..I. ~9~xCCrfi28~~ 1411.2. >((444 44 s JOY OZ ZOYM Zip ` r ct 1 f 240406 BLACRHAWK RIDGE 2ND ADDITION PRESSURE REDUCING VALVE AGREEMENT This Agreement, made and entered into the C2- day of by and between the CITY OF EAGAN, a municipality of the State of Minnesota, (hereinafter called the City), and the owner identified herein. The term "Owner" as used herein refers to: Paul S. Williams and Karla B. A. Williams whose address is 3795 Blackhawk Ridge Place, Eagan, Minnesota 55123. WHEREAS, a plat known as BLACKHAWK RIDGE 2ND ADDITION, located within the City, has been filed with the County Recorder; and WHEREAS, the Owner agrees to notify any proposed potential buyers of Lot 21, Block 2, Blackhawk Ridge 2nd Addition that said lot is in a high water pressure zone and a pressure reducing valve shall be installed in the home as the elevation is below 875 feet. All costs shall be the responsibility of the owner and shall be installed to prevent damage due to high water pressure. NOW, THEREFORE, the City and Owner agree as follows: 1. Recording. This agreement shall be recorded with the Dakota County Recorder so as to provide notice to any future owners of Lot 21, Block 2, Blackhawk Ridge 2nd Addition. The Owner shall provide and execute any and all documents necessary to implement the recording of this agreement. 2. Notice. The recording of this document shall constitute notice to any future owners of Lot 21, Block 2, Blackhawk Ridge 2nd Addition that the lot is in a high water pressure zone and that a pressure reducing valve shall be installed in the home as the elevation is below 875 feet. All costs shall be the responsibility of the Owner and shall be installed to prevent damage due to high water pressure. 3. Validity. If any portion, section, subsection, sentence, clause, paragraph or phrase of this agreement is for any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this Contract. 4. Binding Agreement. The parties mutually recognize and agree that all terms and conditions of this recordable agreement shall run with the land herein described and shall be binding upon the heirs, successors, administrators and assigns of the owners referenced in this Contract. IN WITNESS WHEREOF, we have hereunto set our hands. CITY OF E A OWNER: (Dat • i Thomas A. E P UL S. ILLIAMS Its: Mayor O t Attest J. VanOverbeke KARLA B. A. WILLIAMS Its: erk i i STATE OF MINNESOTA ) .i ) ss. COUNTY OF DAKOTA ) On this 6EZ1Y day of 199R, before me a Notary Public within and for said County, personally appeared THOMAS A. EGAN and E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed on behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. M^"•`~ ~ 1. L7'i,~;~.,:;,-",;?~!~ 4Ntar, ublic . STATE OF MINNESOTA ) ) ss. COUNTY OF L~4Ko7 ) T 4e foregoing instrument was acknowledged before me this day of Ya.L~v , 1990, by PAUL S. WILLIAMS and KARLA B. A. WILLIAMS, husband and wife. =r NORMA J. GRANT!-9AM ~ a . r1= NOTAPY PUP.L1C-M2NNES0TA DAKOTA COUNTY t . ~ti~~-r-~~'• Notary Pub c My Comm. Expires Ptar. 29, 1995- THIS THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX & SHELDON, P.A. 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD/RSDf c e- i 240406 Filed C~ Ina-ex. Read ~ .(CT r ODC MDC OFFICE OF THE REGISTRAR OF OFFICE OF THE COUNTY TITLES - DAKOTA COUNTY, MN. RECORDER-DAKOTA COUNTY, MN. CERTIFIED THAT THE WITHIN INSTRUMENT WAS FILED IN THIS CERTIFIED THAT THE WITHIN OFFICE ON AND AT INSTRUMENT WAS FILED FOR RECORD IN THIS OFFICE ON AND AT APR 5 10 49 AN `91 240406 DOC. NO. CERTIFICATOO. VOLUME DOC. NO JAMES N. DOLAN JAMES N. POt)NN, COUNTY REo RDER REGISTRAR OF TITLES DEPUT❑Y ~ FEE BY DEPUTY CASH HECKZCHARGE ❑ FEE ,a CHARGE WHOM CASH REFUND CA CHECK DO NOT REMOVE CHARGE CHARGE WHOM REFUND Sate rf 1)nnneso#a, County of Dakota c , fzed ~u a true and c:°~:---t copy E~ v~iZ of oxu final on file and of rcc rd in ~ + d ! 2 E S my office thus d---y ef~ 199/ JAMES ~r*,"I-AM Reg! ;arof Titles y a 1 BY L; Deputy L CO NTIN UEO DOCUMENT KIND OF DATE OF REGISTRATION DATE OF INSTRUMENT NUMDEP INSTRUMENT MONTH DAY YEAR HOUR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR A. M. P.M. I I 1 i VOLUME Two Hundred rAGE 112` ~rJ ~I 8 7082 - Paul S. Williams etal OWNER JAMES N. DOLAN Registrar of Titles COUNTY OF DAKOTA STATE OF MINNESOTA VALUABLE DOCUMENT DO NOT DESTROY 99175 9uso,ss Records Corp. 1 Volume No. erti Bate of T*Itle OWNER'S DUPLICATE CERTIFICATE Certificate No. 8 7 0 8 2 229782 Document No. District Court No. i Transfer from No. 8 6 4 8 9 Originally registered the 18th day of Aprl I9 59 Volume Forty page 59 State of Minnesota„) SS Comity of Dakota. J,_~/Xc iL Co ee~YCJ, l~cc% Paul S. Williams and Karla B. A. Williams 3795 Blackhawk Ridge P1. ofthe City of Eagan County of Dakota and State of Minnesota are oozy the ownerS of an estate, to wit. fee simple as joint tenants of and in the following described land situated in the County of Dahota and State of Minnesota, to wit: That part of Lot Twenty-one (21), Block Two (2) in BLACKHAWK RIDGE 2ND ADDITION, according to the recorded plat thereof, lying north of the south line of Government Lot 1, Section 16, Township 27, Range 23. Subject to the encumbrances, liens and interest noted by the memorial underwritten or endorsed hereon; and subject to the following rights or encumbrances subsisting, as provided in Laws 1905, Chapter 305, Section 24, namely: I. Liens, claims, or rights arising under the laws or the Constitution of the United States, which the statutes of this state cannot require to appear of record; 2. Any real property tax or special assessment for which a sale of the land has not been had at the date of the certificate of title; 3. Any lease for a period of not exceeding three years, when there is actual occupation of the premises under the lease; 4. All rights in public highways upon the land; 5. Such right of appeal or right to appear and contest the application as is allowed by law; 6. The rights of any person in possession under deed or contract for deed from the owner of the certificate of title; 7. Any outstanding mechanics lien rights which may exist under sections 514.01 to 514.17. That the said Paul S. Williams is of the age of 31 years, is married to Karla B. A. Williams and is tinder no disability. That the said Karla B. A. Williams is of the age of 32 years, is married to Paul S. Williams and is under no disability. / t , ciy"te91 W/leireo~ i have hereunto subscribed my name and affixed the seat of my office. This 6th day of June 19 90 JAMES N. DOLAN Registrar of Titles In and for the County of Dahota and State of Minnesota. (Seal) JA p~4 MEMORIAL r`_ of Estates, Easements or Charges on the Land described in the Certi.ficatc of Title hereto attached. DOCUMENT RIND Of DATE OF REGISTRATION DATE DF INST RUMENT NUMBER INSTRUMENT MONTH DAY YEAR HOUR MONTH oar YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR 215904 Declaration of Pr to tiv Covenants (an other 1 nds) The Public May 17 198 3 4 27 18 - James N. Dolan 203946 Conservatio Jun 2 1938 3:20 5 23 '8 - City of Eagan Easement (25' ons rva ion a sem t-Se Do aid other ands) James N. Dolan 2297831 Mortgage June 6 199 4 5 23 190 $187,445 00 Margaretten & Company Inc. James N. Dolan 233357 Assign.Mtge Sept. 1 1990 12:2 7 1 190 - Heartland Federal Savings and 229783 Loan Association James N. Dolan 240406 Pressure Re ucin Va ve Agree, By and Between City of Eagan al Apr. 5 1991 10:4 4 2 191 - Paul S. Williams & Karla B. A. Williams James N. Dolan r : :..:-v: ::^:Oii:•}N:}}::::.: m:.: ti•:•:}}}: •:h:.?p:?:6:4}}:.. x::: nvw.v •.v::.:.::.::::::...:. T .i::? { . $n;$$$3i:::{:?y _$i$:t:}i$iJ::i$$ji::$:i:.v' $$::::{<::}~$$$T$:•$iii$$$$:•$$:i:i$$:?}:$$:SY$33$::$.''. i$>} $`:::::v.:::2:::i':::::::: ii::{;:S?::}v$:•.:.: 1--lill"..,44. v::.:v:::... w: ?::4::v;•:{::.~r.{?:4;{{.}:G;.}:4:4;•}?:v}:L:4}}::4:4:?}:4:4}}}}:{:::xi}iv:•}:i?{{{n:~•:{}i}•::•?$j$1:33$j$$:: . r iiv~$ ivA. '+C . 'z4 { •rr}r i> k ..R 3 v .v. {ygf~yp:FQ,.,.,:~t„...:: .:?S •{....f.....v.:::::::::: w: ..........:.v.•:.v:::::: i'v4•~::$?: x..... .v.: ...::::}::;..akF~Iflf,~..~,.,v~~,~.• ...............v..::v...::: n.: •.w:::. 4v::::::::,.,~.,.,.,.,~.;..::.:::::: ••:v: :vy...w:.:w: •.v::::: }..~..•::•:v::.: •v{n"•v. •'4:[ r.e n:::::::::::::::::::::::.. is n:. n.. :n........... ....:.v.w....::.•r...: :i::v::::::::::::.•.v::::rv::n•.•:'{•~::: r.•.vw:::::::::::: +.v: ..x: .tv?n•..::::::::::.:v::: x::. ~.•.v:::.{•}: r.•.ry~r.•:. 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.006 BATH TUB 3.00 ' O 0 LAVATORY ~V_ 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum - 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • DaLCty. uc. 20.00 U. a under cont. 3.00 TIONS • 20.00 0?6 WATER TURN AROUND 20.00 STATE SURCHARGE .50 0 TOTAL: 0 SITE ADDRESS: S Ila, Z/1) 1, c, oo/. G' OWNER NAME- Gfi2 > /1z INSTALLER: E G ADDRESS: CITY: alai STATE: ZIP CODE: I~ PHONE 7' le SIGNATURE OF PERMITTE nv:. ~:::.v.:v ::w::;.iCf~ :..::.:......:.v.:v:.v:::::::::::;:::::::::.v::.......::::::::.:.v:::::::::::.:::::::::::.::::::: n:v:; w:::; x{•:.4x;. n ....::v:::::: nv:::: :.::::::::.v.v.....• :;.na......::::v.:r::.v:.::;v:.:v.v.::v:.:::::::::v: h{;;;;t;'?;::v:::v •.v::4:.v; ••v:::,.....,,........ 4.:: v:: . r.x:::lA•: ............:..v:... v::.:::::..,v: :w:::::::::::::::::::::::::; nv; n... .•..J; }JJ.. v•:::.......:. ..,WJ}v.::•>::JvvvJJ ;:;{;;JVJ} •:4:• t nv:: ..::.:::::::::::::::n~:::............r.........................................., r..............., .....:........n...+..........?v... n.........w;t4:+.}::.... ...C.S{S SS{+..: v+ir..::.Y}J;4:{{.••;?riS{n'i. .......:........v.......nvnv:::::::; n•::.w::::::::: wnw.v:;::. v,•:,v•n• ..v.: x::::: r.•::v: vv: S.:ti•Yr^...: n...... ............n.:nv:::::::::::::: •r:.}}J:;^: JJJ;G;n:o;•;}y}:;• .}:4JJ;•}::::::::::::::::::.....::::::: }:::.y: x::::::w... v::.4:v}•v.h•,<::i::it:>i?'v::i`•i::i::?:ii•{"+ }}:•i4:;r::^:?4:v: ?iiYJv}J:•}:;t;{A;•Y:4S:4;S4:•¢:•v4:4J••;>.:?y S$Y:>. }i::::5:::jy;>.#>.:y';;;: ~ iiYi::i::i~:i:':}:::J:}:'r':?i;:ij;t:y:i}j::C:;.:;iii:}r: ii>i::iiiiii: i::i:>:$}::ii::ii:iiij$i$;i}.Ji:•i}:{.??:,. ......:........v...n.n...nn:..........:::::. .......+•YJ:•;YV•}}}:::}>J}}Y:J: i::: n:::::::.,•:::: •J`.... ;.:•a.;S<i;::;•;;:+::J:.,. n:v::::::::::.:: ••::::.....n........::.......:::::n•::,vJ:::::::::•;}:{•}:v:}::::::.•r..:::::::::: Y}::::::................ .n...:..., v: w: •}::}}~{:{4}:;v4:;:}:4;?.n:{:m:: ::•.v+. ...n..n:JJJ:4i:v::.v:.:v:::n~:::.v:.:::::::v::::::~:{•.v:::?4:{<{<:ti{;~ v:........}:{{{~i:'•;;t<{{?{. . . .w::.v::::::::::::::::::::: w::::; .;nJ;.}}:.:.. .....:nv; :...:v::::.v::.:::v :.::::::.v: •::::.v:..v:::::: Ji}J:n:•Y::.}':::::::::::: n. v...... ~ i+ vv v v::...... y.....:: •r:...... ,w w::::::: v::::.v:: v::. • {:v: • w: v x::::::::.: •::.Sv. .......tix...v:.v:::.,,.,.v..w;+r:. v.....}}}:t•}:•:ti•}i:•}:•}:4:•J....v.........v........ r..:.... }n ...x.......r...n.....:1.......:.... n..........:::::::::. 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF ' FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT Use BLUE or BLACK Ink or Office Use 400 j Permit qQ U 6 9 (Ion I ® a City of EaV ~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date:`- 2(- Zlz~ € ( Site Address: [ (3~ ~I 4-t-0 !C- 1 06 C PL Unit Name: STEVE F-12-DELICH Phone: RESIDENT / OWNER Address/City/Zip: 3~aS &&KOA-WY- 2t0C-i ?LAC E7AE-A- 1 Applicant is: _2~_ Owner Contractor TYPE OF WORK Description of work: 4_ - LpF Construction Cost: Multi-Family Building: (Yes / No )C ) Company 1~. 1-k i_Snill Cool c, f-etsCfloJ Contact: Jv '--I II` t~ t-2S-r-,i CONTRACTOR Address: 534Y) CL-DA 2w Ut- D Cl- City: W+4 L f7F fJEA~ Tw ~ State: M/--_1 Zip; SS f l o Phone: US;_( 20U~;' 2'1 I Lc License 060( ->91Qb2 Lead Certificate Does this project require Lead Remediation? ❑ Yes I!No (see Page 3 for additional information) If no, please explain: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o lans x ~~J S'1 tJ IlLZS0~ x J Applicant's Printed Name App ' ant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use I I Permit 0 3M I I City of Eajan I I 3830 Pilot Knob Road Permit Fee: ~G I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 staff: - - - - - - - - - - - - - - - 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: -7 Site Address: I~S 1 ►'Vl Cw) /IXC~Q CL Tenant: a Suitef RESIDENT / OWNER Name: U@ °n- 1~~ e\a Phone: Address/ City/ Zip: N,, Anderson's Residential Heating & A/C License Ac 1628 County Hwy 10, #34 CONTRACTOR City: St Spring Lake Park, _Ms N 55432 Contact: A r lb'w` ` Email: e P tp~nC/tS- New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL CO y 11-RC-11.41L _nn NeW C,0nis uC 0r infenor Imnrovernent PERMIT TYPE r << aa- Gas Exterior H\./AC Unit sss.4-.- rQ.. .e. ......._e «.d-. a.. e... :....a «.a... ~ u..a. ua a.ue... u~x v. e v u -n2: a - raocut of und-raroun utalitius. www.gopherstateonecall.org 41' City of aaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: ,0-71/ OPermit Fee: �171) Date Received: r9 —9- J 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 2/19/13 Site Address: 3795 Blackhawk Ridge Place, Eagan, MN 55122 Tenant: Breta Ebeling Suite #: Name: Same Phone: 612-986-5453 Address / City / Zip: Name: K&S Htg, A/C & Plbg LLC License #: 0153 Address: 4205 Hwy 14 W City: Rochester State: MN Zip: 55901 Phone: 507-282-4328 Contact: Heidi Brown Email: bhrown@ksheating.com New x Replacement Additional Alteration Demolition Description of work: x RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank (_ Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) =$60.00 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) *If the project valuation is over $1 million, please call for Surcharge = $ Permit Fee = $ 5.00 Surcharge* = $ TOTAL FEE 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. x Rick Keehn Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114234 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 3795 Blackhawk Ridge Pl Lot:21 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-210 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Luanne Yang 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 - Breta Ebeling 3795 Blackhawk Ridge Pl Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA124729 Date Issued:07/09/2014 Permit Category:ePermit Site Address: 3795 Blackhawk Ridge Pl Lot:21 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-210 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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. Jason Larson 25 S Sutton Lake Blvd Jordan, MN 55352 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087 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 - Breta Ebeling 3795 Blackhawk Ridge Pl Eagan MN 55122 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature