Loading...
3799 Blackhawk Ridge Pl ,r~ r SpE I N RECD" cwib,0No 041 s VAW, Miwwmta 55123 hawed: ~ 012) Ml-"75 lift 44C114C Kul # ~ITYYtt°fA# Wi`t' fl PE TYPE, Type ; 4r 0+""ti wow i f DMW Date SdYY PLUMOM NVAC ELWTRtC tk ELECTI ft"Wom mw kmp. COWdOWft foolro i;g Founftkm Ral"kv fto" PAN* Pftl PIM* r FMft o. fxee Tee FMW Pfg. P". InW*cW - Noft Phunt*r Cora mow 'i Dim* Pip tiecic Fired VVeM1 R Tatiftratr of (Orruponry Citp of (fagan arr humt of sua ttg jawertimt , 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 ca.uwmaau SF DWGTGAR Mg. Pem;t No. 513 O-dW-'9TYM I1/M1 PEMZOOingD.6a PD ~1 TYpe, VN o of Bu (ding 1* Ma STAIDT BROS OMW Al,,,. 785 SUNSET D-t. FAGAN BuM #,Add= 3799 &MAWK RID( PLA{E_.ry L20 ,~12; HLACKRAW RIDGE 2ND 7/31 /92 B / POST IN A CONSPICUOUS PLACE Address: 3799 ELAr_KRAW RIDGE pLAr*ot 20 Blk 2 Sec/Sub BLAE jpWK RIDGE 2ND These items were/were not complete at the time of the final inspection. _ Date: 7/31/92 Yes No Tngpectar* Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. RECYCLED PARER White - City copy Yellow - Resident copy Pink - Contractor copy Reque t Date Fire No. Rou h-In Inspection Required Inspection OtNher Than RWough-In F (You must call i pector when ready) ady ow ❑ ill NotifyLector lC s I s ❑ No Date Read I Eglicensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box Route No.) Cityrf 3 Section No. Township Name or No. Ra ge No. County //✓nJ vV ~ Occupant (PRINT Phone No. 7-4 ec /v 6c., J_ Power Su pher Address Electrical Contractor (Company Name) Contractor's License No. ing ddress (Contractor or Owner Making Installation) A oriz e (Contractor/Owner Making alla ion) Phone Number 1 1 f _ 1lli - MINNESOT STATE BOARD OF C n vesi ty A ve, St Paul, MN B 510q ITY THIS INSPECTION REQUEST WILL BE ACCEPTED T Griggs-Midway SS PROPER INSPECTION FEE is 82 gPhone U(612)642-0800 ENC +I +I REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 I r f > ~ i See instructions for completing this form on back of yellow copy. /f/.~1" ` X' Below Work Covered by This Request /J New Add Re Type 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. ~a4ven Ieve 4 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: r _ TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED PISIyONNECTED IF NOT Other Fee COMPLETED WITHIN 18 Vqf~NS. I, the Electrical Inspector, hereby Rough-in ~lQ certify that the above inspection has Final been made. J OFFICE USE ONLY This request void 18 months from PERMIT ~5 - CITY OF EAGAN PERMIT TYPE: I ~G 3830 Pilot Knob Road B U L Eagan, Minnesota 55123 Permit Number: 0 2 3 2 8 3 (612) 681-4675 Date Issued: 04/12/94 II j SITE ADDRESS: 3799 BLACKHAWK RIDGE PL LOT: 20 BLOCK: 2 BLACKHAWK RIDGE 2ND P.I.N.: 10-14401-200-02 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $30.00 COPY .50 Surcharge $.50 Total Fee $36.00 Lic. Search Fee $5.00 Subtotal $35.50 CONTRACTOR: A p p l i c a n t ST. L I C. OWNER: KRECH, TIMOTHY 14518671 0005080 JOHNSON DAVE 1003 15TH AVE N 3799 BLACKHAWK RIDGE PL S ST PAUL MN 55075 EAGAN MN (612) 451-8671 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. APP ANT/PER ITEE SIGNATURE I SUED 8~'. F31G ATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 3 2 8 3 Eagan, Minnesota 55123 Date Issued: 04/12/94 (612) 681-4675 SITE ADDRESS: LOT: 20 BLOCK: 2 APPLICANT: 3799 BLACKHAWK RIDGE PL KRECH, TIMOTHY BLACKHAWK RIDGE 2ND (612) 451-8671 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. 'iF00TINGS FINAL L a V IFY O R' S CERTIFICATE N4tTTEl_STAEDT EROS CONST Imo, qes _FtIDCE~ PLA u) 2 e9~ p~Gh pfi air (1=2 50.1 e9 o 9 Q 62 ~3T 898 Tx M 5 v, TO 65 .l DRIVEWAY `~!y5r 21.67 O x135Z5.~~ - ~ ' 850-6 x L, GARAGE ~ ~ t~ ~ N M 533` - M fi M _ 6.0 a '~4/, ~ r\ - 850.4 0 (D to / H U5Ep tc w t C~ i t r' E a 84 3. 1 378T O 848.31 t4.o 848.3 x847.7 r 1C. i LA LOS' 0 r 1 r; SCALE: I INCH = 30 FEET ~ I m ti Lu ; 0 6 1 p to > -ne s R. H*11, i D nc• ~o0mz PLANNERS / ENGINEERS /SURVEYORS I f I I I N ::500 W C7Y RD. 42 r BURNSVILLE, MN. 55337 + 612--890-6044 w PERMIT Control No. 0 4 1 8 ii CITY OF EAGAN PER1141,TTYPE: BUILDING 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 000513 (612) 681-4675 Date Issued: 05/12/92 SITE ADDRESS: 3799 BLACKHAWK RIDGE PL LOT: 20 BLOCK: 2 BLACKHAWK RIDGE 2ND DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction `type V-N Zoning PO R-1 Building Length 48 Building Width 51 REMARKS: C ' 23.-? PRV S & W CONTRACTOR - MCDONALD PLBG FEE SUMMARY: VALUATION $151,000 Base Fee $818.00 MISCELLANEOUS 11,610.50 Plan Review $531.70 Total Fee $3,735.70 Surcharge $75.50 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $2,125.20 CO~IIT ACTOR: Applicant ST. LI OWNER: `f ELSTAEDT BROTHERS 14569125 000344 MITTELSTAEDT BROS CONST 785 SUNSET DR 785 SUNSET DR EAGAN MN 55123 EAGAN MN 55123 (612) 456-9125 (612)456-9125 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. )DU 9s)-A I MX APPLICANT/PERMITEE SS NATURE UED BY: SIGNA URE INSPECTION RECORD Control No. 0 4 -18 CITY OF EAGAN PERMIT TYPE: BUILDING . . 3830 Pilot Knob Road Permit Number: 000513 Eagan, Minnesota 55123 Date Issued: 05/12/92 (612) 681-4675 SITE ADDRESS: LOT: 20 BLOCK: 2 APPLICANT: 3799 BLACKHAWK RIDGE PL MITTELSTAEDT BROTHERS BLACKHAWK RIDGE 2ND (612) 456-9125 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: PRV S & W CONTRACTOR - MCDONALD PLBG F _ 7 i INSPECTION RECORD OF.EAGiAN PERMIT TYPE: Pilot Knob Road Permit Number:' Eagan, Minnesota 55123 Date Issued: 0 4 / .t 9 4 (612) 681-4675 ADDRESS: APPLICANT: Dt At kt4AWK Wtfjtif~ P ! tHO1tiY t AV 4( HAWK 14 10tmtNt► 4 s t k161 t " SUBTYPE: TYPE OF WORK: :K HFW I INAt ro-ot t to ~ ~ a ~ , ~ , INSPECTION RtCORV C# Y EAGAN PERWt TYPE: "t l f u 0 t w4, 3Pilot Kt Road ~ Permit NtImber 4 , iii to 55122-1897 Date Issued: ' (812)601-4675 r T, r ADWESS: APPUCANT. ` 81,.Af VHAW#'. Rit)fii.' iy1, t r E t::} i`[ 1t3Cf `r Af,ACf(IJA K R106f 2ND T YP' TYPE OF WOIRKW a M t'I 1 { AI.1U0At ~.tJ~ t~RA1411*8 IN^3U t A r I0N t3(MR, 1'N p t'.80 r° IMAI j {i {'J f~~t~l .Y S .J `-F t+.l~ ~ i.•r-yly ~#j< •~~4;•~ ~ ~ 1 ~ ~ ~ a'k ~ ~ F ~a ~ ~ ~ ~ i ~ ~ s t 3 ~ ~ 1 1 ~f CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 13 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date l l c~ Valuation of work Z "S100 Site Address: STREET SUITE # Tenant Name: (commercial only) LOT - BLOCK SUBD. P.I.D. # i~ ✓J~, r ~"~ti~4,~'N~ 1 R; A;' Y~ is ~n,~Ju Description of work: C The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name 22 10 D 4ri v Phone Property LAST FIRST Owner Address 3'7 e0 b 14,kh.w 1K ~rdx,, j"/ STREET 11 STE # City State Mr> Zip Company '7)t;- Hr ec 4 13de Phone ~'S"/ Contractor Address 10o3 IS iA ✓ License #©ew Jr0 Exp. City State Al Zip di 47 25 Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all7applipabjR_ tate of Minnesota Statutes and City of Eagan Ordinances. / c Signature of Applicant: l_ OFFICE USE ONLY 4t 1. BUILDING PERMIT TYPE law li ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑'16 Basement Finish ❑ 02 SF Owg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 0 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ?til Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ .Site ® Footing ❑ Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee valuation: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies g~ r Other Total: SAC % SAC Units PERMS # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION MAY 681-4675 Red SINGLE & MULTI-FAMILY sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re guested once permit is issued. Date T-2- Valuation of work I&& Site Address:_ S7 qq A, KRzv~ ~,ll~•~ STREET STE I Tenant Name: LOT BLOCK SUBD. P.I.D. # Description of work: The applicant is: ❑ Owner 2 Contractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE S City State Zip Company ATom, ~2ro~ 6A_U-.9b: jd:~4 Phone Contractor Address ~'6 License #C9-0341/3 Exp. 9V City _ Eag~ State ly Zip 4' iz3 Architect/ Company - Phone Engineer Name Registration # Address City State Zip Sewer & wafer licensed plumber . , O Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: F - r BUILDING PERMIT TYPE, ❑ O1 Foundation E3 05 Apt. Bldg E3 09 Basement Finish ❑ 3 Pb i Fac. J9 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous ❑ 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE Ef 31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System Yes (Allowable) sy- 1,1 1st Fl. sq. ft. City Water Es. UBC Occupancy 9•3 M_; 2nd Fl. sq. ft. PRV Required YAFs Zoning Pp RSq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length _14 i9% On-site well Census Code /o/ Depth 51, On-site sewage SAC Code 01 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee a/8.00 v,Luntion: : 461,000- Surcharge '1 -Sd GARACsE; Plan Review 5-3/.'7o 31 X Z l 65l License z X Jo = ,20 MWCC SAC '?DO.oo 3 x3 xS = (3 City SAC /oo.ao - Water Conn. 0 5SM7 (066 l~,= !D 6S~ Water Meter 95, 00 y Z X1~5 ; I0so Acct. Deposit 3o.00 s""~ 11 , ss S/W Permit ©,po I It 3x - ~N S /W Surcharge 115-P 3 Treatment Pl. 30o, 0;:, y ` z 140 Road Unit 3,rb/a .09 3 x 3 x , $ _ b Park Ded. 9 S S. Trails Ded. 1301 Copies sr ~ofl2; Other t5sr1~_ Total: A n . - t 3a t X s3 (O$, 9:'3 ZN D F'Lcao rt I SAC % 100 Z 1 X 3~t = 8 l9 SAC Units I y)( )i Go Sx ' ss z 76Z-A 53= 501f 9 8G ■ i b61i9~ SURVEYOR'S CERTIFICATE MITTEL.STAEDT BROS. CONST, C/~~~Vy~, p ~A E Q~ 648.5+ --•~--50.1 's~ 2 244 > e9 n~~,k i rah 90-62 ~ b o J M R 9q$ T k e ~5 ~ tO~~ .pyb F?O FO CD DRIV Y 28.21 0.5x (0'z a I tt1 5~ 21,67 0 xg5T5.4 / GARAGE 'o o o pr) ►n PROPOSED 1 w HOUSE I 843, i 3787 I 648.3 X4.0 848. - 37, 87 7 x 847. N / 1 e J ~ rn LOT 20 ~qTi r /9~•~7~`N wry'.. 1 1 14 SCALE: I INCH = 30 FEET i W I ! . Ma!'! m 'A O ~ James R.H011, ~ nc, N a 0 zN MW p > I C) ° ° PLANNERS / ENGINEERS i SURVEYORS N ~ C} m , ~ ~ Vi tD ~ S S ` r N j j 2500 W. CTY. RD. 42 • BURNSOLLE, MN. 56337 + 612-690-6044 SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS, CONST, NOTE, 5U1L01NG OIM"IONS SHOWN ARE FOR HORIZONTAL a VERTICAL LOC- ATION OF STRUCTURE ONLY. SEE ARCHITECTUAL PLANS MR BUILDING 5 FOUNDATION DIMENSIONS. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOIL8 TO SUPPaRT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPO NSWIL tTY OF THE SURVEYOR. DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE 1 INCH - 30 FEET DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - d 52~. FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -$4S FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - SS",V• Z FEET WE HEREBY CERTIFY TO MITTELSTA EDT BROS. CON 5T. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 20 , BLOCK 21 BLACKHAWK RIDGE 2ND ADDITION, ACCORDING TO THE .RECORDED PLAT THEREOF,DAkOTA COUNTY, MINNESOTA. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS y30T H DAY OF APRIL 1992. PROPOSED GRADES SHOWN WERE SIGN J M S R. HILL, tNG. TAKEN FROM THE DEVELOPAIICNT PLAN FOR BLACKHAWK RIDGE 2ND AWTION PROW ED BY PIONEER ENGINEERING. B JOHN C, LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 cn I ~ M ° James R. Hill, inc. m Q m N m ~ ~ .p p v; ~ Z 0 c ° 7 °0° ~ m 7 ~ PLANNERS / ENGINEERS / SURVEYORS M z II I! W N Z O m ~ ~ 1 v' ~ ~ I 2500 W. CTY, RD. 42 9 BURNSVILL.E, MN. 55337 + 512-890-8044 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE OWNER SITE ADDRESS CONTRACTOR (c%VhZ. 11,1e, ADDRESS ''g'S~- DlL ~•9G. PHONE '!5 DETERMINE WORKING SQUARE FOOTAGE OF EACH 1. Total exposed wall area 3,5 L4?,,~ sq. ft. x •11 - ~1 2. Total roof/ceiling area y Q sq. ft. x •026 = Total exposed wall area above floor = 4- I a. Total wall window area _ 'f~, 3 b. Total door area c. Total sliding glass door area y g d. Total fireplace wall area p e. Total wall framing area (average 10%) 44 f. Total net wall area above floor g. Total rim joist area Total exposed foundation area - Q h. Total foundation window area i. Total net foundation area above grade 6 Determine "U" value of each wall segment. a._ N 2 X Ifull yrZ ~r7 4-~- b. 34, J X fluff to? = 2. 7 C. 42, q X 'lull i.j 2 !'7. 9 d. 0 X fluff D - O e. 3 54. a X "U" Ll „ Q. 9 f. 2 2'72 f X "u . o 3t q 8. g•~ ~'L X fluff p 13. 7 h. J Z, X llU" r 4 2_ ~~.0 i. g X llUol 07L, 3 . ...............................Total - L I if item #3 is the same as, or less than item 01, you have met the intent of SBC 6006 (c)2. -1- Page 2 of 2 , Total exposed roof/ceiling area ~t U12 J. Total skylight area a k. Total roof/ceiling framing area (average 102).. 1. Total net insulated roof/ceiling area f 5 3 Determine "U" value for each roof/ceiling segment. J. e) X fluff Q ON k. lD 2. 'S X fluff ,a 2. le X flute • D 2 i 4..o o ,,.Total If total of 04 is the same as, or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and 04 shall not be greater than the such of items #1 and #2. 1. ' + 2. 3. + 4. -2- PERMIT C OU 11 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUI' Jr';' 12 wt Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 10 rr` (612) 6811675 SITE ADDRESS: I_s._ l O IOCK , FLACKHAWK RIDGE 2ND P T, N 3U-11101 200-Y'' DESCRIPTION: III REMARKS: FEE SUMMARY: Base Fee i.i r! I I I° q Vie, a 4I t a 1 i , _ & (,I CONTRACTOR: A p p l i c a n t - I r , OWNER: 5 n S I' ! I I M N 5 5 0 f ~l - f1 5 tY7 N 1'1 I'~ ~1 .k. -)4b4-312'7 ~ i by c C k t I C7 v J .i e' i_i h - . ~._i t i1 i ~ . , i p p l i i.; c9 L o f l H a d slat" ti f . I_ i f i v i 11- , i l I I i +7 1 0 . A p p t. I r i i 1 t o t) f M" APPLICAJ, T/PE MIT SIGNATURE ISSUED BY I G T-URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: to -1 0 ~ N C. 3830 Pilot Knob Road Permit Number: 0 2 6 6 0 6 10/24/95 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 t; - 71 4 17 - 0r SITE ADDRESS: I ,a t~, APPLICANT: 20 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. liOI_.Gir 1N P LB(', I' .I. NAL ill 7 L CITY OF EAGAN PILOT KNOB D - 65122 1995 BUILDINGS PERMIT A PLICATION (RESIDENTIAL) 581-4675 ♦ 3 ra ered ass wxvays ♦ 2 Capin of plan ♦ 2 copies of pima (fie boom & wbrdow skes; poured *W. deem, etc.) ♦ 2 sire surveys (oaderiar addkiona & decks) ♦ 1 energy coicuiumms ♦ 1 energy calculatiom for bested addItiom ♦ 3 copies of tree pfaservation plan s W platted a8er 9/1w required:.,-,. Yes No © o DATE: _ zo - /4 ` CONSTRUCTION COST. DESCRIPTION OF WORK: Rscm -e m n e STREET ADDRESS: 7-~F 9 1814 c k A IA co6 -_e T C -c LOT BLOCK SUBD.IP.I.D. FL fit 41, PROPERTY Name:. Jo A ns o n AR it - Phone OWNER LOW f1w Street Address- 7 A c .4a {p City: Fas~ n State: Rn . Zip:. CONTRACTOR Company: 7-.,,;n r e c-h ab r J _e ,r Phone 7 S2:0 Street Address: /BD 3 S" v J f~_ _ N• License City Pawl state: An Zip•S^~ ARCHITECT/ Company: Phone ENGINEER r Name: Registration Street Address* City: State: zip* Sewer & water licensed plumber. Penalty applies when address change and W change are requested once permit is issued. 1 hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with ON applicable State of Minnesota Statutes and City of Erman Ordinances. Signature of Applicant: OFFICE USE ONLY R E C E WE Q Certificates of Survey Received Yes No O C T 16 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE a 01 Foundation a 06 Duplex a 11 Apt./Lodging 16 Basement Finish a 02 SF Dwelling a 07 4-piex a 12 Multi Repair/Rem. a 17 Swim Pool 0 03 SF Addition a 08 8-plex o 13 Garage/Accessory o 20 Public Facility o 04 SF Porch o 09 12-piex o 14 Fireplace a 21 Miscellaneous a 05 SF Misc. a 10 i plex a 15 Deck WORK TYPE a 31 New X33 Alterations a 36 Move a 32 Addition o 34• Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Boaster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC CodeD Census Bldg APPROVALS Census Unit Planning Building Engineering Variance er Permit Fee Valuation: $ SGT Surcharge Plan Review License MCNWS SAC City SAC Water Conn. Water Meter Acct. Deposit StW Permit SNV Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY USE ONLY L 4 , BL. _ RECEIPT S: SUBO. DATE., 1"5 Pl U 13ING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 . Plaim complete ibr: ► single family dwellings • townhomes and condos when permits are required for each unit FIXTURES EACH NO TOTAL Shaver 3.00 x; Water closet 3.00 x Bath Tina 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Fray 3.00 x Hat Tub/Spa 3.00 x= . Water Heater 3.00 x Flm train 3.00 Gas Piping Cutlet * minim m - 1 3.00 X Rough Cnings . 1.50 x Water Softener 5.00 x Privy Disposal * t skxa cty. ram 20.00 U.C. Sprinkler * home weer =st. 3.00 ~ Alter ns * to awng 20.00 VftW Turn Around 20.00 , STATE SURCHARGE St! TOTAI. SITE ADDRESS • 29 a f OVYWER NAME-0 Ln Qn -INSTALLER NAME J, aa r. C. s'rRET ADDTES: Sp r ecf CITY: Z Pa lc l ( STATE:_ ZIP. PHONE M. 012)- 0y, WNATWE OF fleRMITTEe 41 L BL 'f PLC ~1lT' ary OF EAGAN . 3030 PILOT KNO13 RD kGAN, MN, "122 (02) M447 Pl i► orr►plel► for. o c ornmwcieVwKWW W b ll+ . ► nmiti-family 1:01dings wherv sepwift pwnts or* a mquired for *aoh +t lift unit DATE: - COACT PACE: Xselw nIt7u OF WING: IS WAM ME'1 R REQUIRED? YES NO, IF $0, PLEASE PROVIDE THE FOLLOWING. WATER FLOW., GPM. ARE FLU$H TERS TO BE INSTAU ? YES - NO. FARAWA, T OVIOE T INFORMAT VOL SULT IN A DELAY OF METER MWA . VV11~.hyYyt t U} ~ '~iS'~'l A MET" f A i~~,1'URE L6. ~6l ER OSTW? , YES NO. p: s a.00 n* nw fte,tw 1% of cwtad ply, wftkftw is graMer. StMe srchaW of $.50 p *r - - 1,000 Ullmd fee du o. all CONTRACT PRICE x 1'10 STA' SURGMARGE TOTAL SITE ASS: TENAW NAME: S { E. # aV^*R>_II+ME: 11+I~T~f~R: C~ STATE: ZIP: E SIGNATURE: APPLICANT F pFf:= U ONLY METE SIZE: DATE: II~I~Tt t; 06/1,4/2016 00:09 FAX 121002 2006 RESIDENTIAL BUILDING PEiRmT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 551-675-5675 FAX # 651-675-5694 LEM& S UA onto too ' beams, jdsts cent of Survey Recd - Y N N" C0n10zgMBzW!E~ eregistared site avvey$ showing sq, t of K sq. ft of houBe; end de roofed areas 2 00@5 of W ~ haaw additlans Tree Pm Plan Recd FY _N. 3 imam lot ooh ak wed) 1 sat of "Y Ca di fios & Tree Pros Re** - 2 Y _N gopiss of plan showing beam & window poured found Limp. Gem. 1 dire survey for a It 0-ssife 8 de seFcks on4b Sgft Sy~ Y _N 1 Sat of ErneV Caloufetloea Adtf,lyon - ir~dPcete H oml~ system 3 copies of Troe preservation plan it lot plelled aW 7/1193 or less unih) Rim Joist Detail optima selection sheet (ba&W wft Minneg"co mechanical ventilation form q / 5 / 06 construction Cost Jam, U u 0 ° Date p Site Address (3 61 C K h W h l e P1. unit/Ste # ,f a F Description of Work re roL ~ I Multi-Family Bldg Y Ll N Fireplace(s) - 0 _ i 2 e 9 8 b j el hone # 12 ) 5 q-7 Lftoperty ner V I r1 C-e r 1 j T ep { 6 M i r, n e ~ficl B Ll I 0 n 11 cl tv z o l 5 5--7-7 ci 0 C 4 0 t 1fi Reari V7 -3 - -7 Zip s] 6 0 4 3 Telephone 507) 5 O l n r'1 e . fiat, BUILDING uCTI111G A NEW CONSTR X IF COMPLETE THIS AREA QNL esota ides 670 Catesto~ Minneso Rug Code Worksheet Energy Code Category , ftesldenw Ventilation category t wormnew New Enersy 0 subntIsslon type) Submitted Submitted Energy Envelope calculations submUted 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, dote and address of master plan: ! Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/water Contractor Telephone # ( 1 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 Eag nand the ot to start to of W. 1 without a Statutes; I understand this is not a permit, but only an application for a permit, and work is permit; that the work will be in accordance with the app ved plan in the case of work which requires a review and approval of plans. 11 ' rl ~SI UoRrn ERR 1 Applicant's Printed Name w A team's Signature 'RS IN4NGS -A VI L- D1 N 0 N IA (T I`jl ~l ~1 06/14/2016 00:08 FAX 2 001 Minnesota Building Contractors 80944 County Road 46 Hayward MN 56043-9718 (P) 507-373-7570 (F) 507-373-7611 MN License # 20175577 Tax ID 41-1941325 Date I / 5 U fo FAX Fax Number ( 6 5-1 6 -7 5- TO: J ~ FROM:e5i ree SUBJECT: Permit A- p p 1 C (L f-►. 0 r) NUMBER OF PAGES (Including Cover): 2 NOTES: PIfuse ch&rr)e perm,' -t f-e e to V "I a 47 b~ 53 5 & Exp. o w~tt,atn J f~- F er r ,-,eci. C0n-r. THANK YOU I I~es+ rep 6517735898 t FROM :SIA FAX NO. :6517735898 Sep. 05 2006 09:46AM P1 ~yI{ o DfY DATE (MM! , Y) • 1~' B :SIN' i~ 09/05/2006 • TTER OF INFORMATI N PRODUCER THIS CERTIFICATE IS ISSUED A5 A MATTER OF INFORMATION S CEAT<IFICATEIS~ISSU A Star Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2682 East County Rd E COMPANIES AFFOR13ING COVERAGE . white Bear Lake, MN 55110 COMPANY A WESTERN HERITAGE INOURED C9MPANY PARAGON POOL PATIO. INC. B OHIO CASUALTY COMPANY PO BOX 234 C OHIO CASUALTY WILLERNIE MN 55090 COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE: FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E XCLUSION$ AND CONDITIONS 01' SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POIJCY EFFECTIVE POLICY EXPIRATION LIMI79 LTR DATE (MM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY GENERAL AGGRFGATE $ 2,000,000 X COMMEAC-ALGENERAL LIABII_ITY PRODUCIS-COMP/OPAGG_ S 1,000,000 CLAIMS MADE Jl- OCCUR SCF1576452 11/15/2006 11/15/2007 PEI'ISONAL&ADVINJURY $ 1,000,000 _ OWNER'S & CONTRACTOR'S PROl' EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any ono flro) $ 50 , 000 _ MED EXP (Any one person) & 11000 B AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT $ 500 , 000 ALL OWNED AUTOB BAW52807429 1111512005 11/15/2006 BODILY INJURY $ X SCHEDULED AUTOS (fir person) X HIRED AUTOS BODILY INJURY y X NON-OWNED AUTOS (PeraccldenU - PROPERTY DAMAGE $ 13ARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACGDEN7 $ AGGREGATE $ . EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM 4 AGGREGATE S _ OTHER THAN UMBRELLA FORM _ $ C WORKERS COMPENSATION AND STATUTORY LIMITS _ EMPLOYERS' LIABILITY - - A 52807429 11/15/2005 11/15/2006 EACH ACCIDENT S 100.000 THE PROPRIETOR! INCI GISFJSE • POLICY UMI'I' $ 500 , 000 PARTNEFIBfEXCeCUTWE - J EXCL. DISEASE - EACH EMPI.OYEF $ 100 , 000 OFFICERS ARE: OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CITY OF EAGAN ~-SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TKE FAX# 651-67S-5694 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDFAVOR TO MAIL _IQ_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEPT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBU*kATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS ON REPRESENTATIVES. Au 0 REPRES DATIVE ---vj ~(-4- PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA104517 Date Issued: 05/25/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3799 Blackhawk Ridge Pi Lot: 20 Block: 2 Addition: Blackhawk Ridae 2nd PID: 10-14401-02-200 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Amp Volbp 2905 Garfield Ave S Minneapolis. MN 55408 612-827-4033 Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087 Valuation: 800.00 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Norblom Plumbing Vincent Lau 290 Garfield Ave S 3799 Blacldiawk Ridge Pl Minneapolis NIN 55408 Eagan MN 55122 (612) 827-4033 I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Ea-an Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature - Use BLUE or BLACK Ink r For Office Use Ina Permit#: City of EaRd 1 I Permit Fee: 3830 Pilot Knob Road ~7 I I Eagan MN 55122 Date Received: 1 -17 Phone: (651) 675-5675 ) I I Fax: (651) 675-5694 I Staff: I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Vi4,-e i vt ~ky;'xa h 4L4 Phone: RESIDENT / / OWNER Address / City / Zip: 3 799 G 4rck ti.-wk .01 Applicant is: Owner Contractor TYPE OF WORK Description of work: Q~+ ~V R b 4, Construction Cost: 7 ,-wo . PO Multi-Family Building: (Yes / No ) Company: Kt,vcye( Ce:cS lScrr J~/ev'S Contact: 0e 7~ rAl CONTRACTOR Address: 3"47 W ~~n S~. City: S."//0 '01aiAe State: 11.4- Zip: s-6ell Phone: -6 12 - -5fa - 3.2 JV - i )2-73/-6.2 License aZ OC 35' ©7 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information 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.oro 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 C44W flen pt x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE' BELOW THIS LINE f b7Z- SUB TYPES TM Gkc kk 4 wL X'-d Pt Foundation _ Fireplace _ Porch (3-Season) Storm Damage I Single Family _ G wage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES Now _ Interior Improvement _ Siding _ Demolish Building* V--.'Addition Move Building - Reroof - Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair - Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition 100 ? SAC Units - (25%100% Zoning P/D City Water Census Code Stories - Booster Pump # of Units Square Feet 31-// PRV # of Buildings Length / 7 Fire Sprinklers Type of Construction Width 2-3 REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) jj_ Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES 3~f / Q / J 5W r✓ Base Fee / 3Z Surcharge Plan Review ~G MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 i ast~ye, C Z 7 SUR1/ EYOR'S CERTIFICATE MITTEI,STAEDT BROS. CONST, . blt.,q CHAyyK 848.5 6o+~g` t =2 32"4411 9 0-62 DRIVEV^y ~ o ,~+:8~~.3) aRK r o } tip QD 28.21..` . a30.5x ~~j~~z r ~4J i , y5z S~ 0 21,670 x85U.-24821_ 850.6 11 tJ jl i _ N r /GARAGE .,1 Gt 6.0 0 M PROPOSED W t HOUSE I I 843.1 37.87 - 17,0 1 648.3 87 +x847.7 v ) 17~ EAGAN G•~ VIEWE B• "t,TIONS DIVISION LOT 20 t a 4,f 0) tg` ~ ~ J If SCALE: I INCH = 30 FEET N a MMm p ► m o James R. Hill, inc, -4 z G o z Q $ ~ -0 i N0 I PLANNERS / ENGINEERS / SURVEYORS N m ( Z i N 2500 W. CTY. RD. 42 • BURNSVILLE, Mtg. 56337,6 612-8$0-6044 PERMIT City of Eagan Permit Type:Building Permit Number:EA113789 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 3799 Blackhawk Ridge Pl Lot:20 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-200 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 - Vincent Lau 3799 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:Building Permit Number:EA119631 Date Issued:12/10/2013 Permit Category:ePermit Site Address: 3799 Blackhawk Ridge Pl Lot:20 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-200 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Vincent Lau 3799 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:Mechanical Permit Number:EA144320 Date Issued:07/20/2017 Permit Category:ePermit Site Address: 3799 Blackhawk Ridge Pl Lot:20 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Vincent Lau 3799 Blackhawk Ridge Pl Eagan MN 55122 (612) 816-1596 Air Comfort Heating & Air Conditioning 19170 Jasper Street NW Anoka MN 55303 (763) 753-6623 Applicant/Permitee: Signature Issued By: Signature • IVSD � y , C v --� For Office Uselir C $ t , E AG N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�citvofeagan.com L 2018 RESIDENTIAL pBUILDING PERMIT APPLICATION Date: rC/1..3./Zbrig Site Address: 37 / 9 B14e"`ILW/ctr/`t _�{e Pld( Unit#: Name: [At//114. 400.4. Phone: 1-57'25-0- /102 02 Resident/ 7I9 0�G'1 �1 oo /946 -.._. Owner Address/City/Zip: t t'- r Applicant is: Owner J Contractor Type of Work Description of work: if l it ei" Ier''t Ode � Construction Cost: JQ�� Multi-Family Building: (Yes /No X ) Company: iVt,ri I 57 y ��✓�'1��e1f'2 Contact: r(f1Verr(Oaf el/ Contractor Address: 617Selky �� City: 67 I. L/ State: p Mht zip: S 1 2 Phone: £5/.-2 7`1O mail: roe..ryl h 5reft) je).4.'41' �'f /72E/5,4 /A7 ' 2. 7t; of 2 ''� License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: fl") 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: Fire Suppression Contractor: Phone: NOTE Plans and supporting documentsfthat you submit are consdered to be public informs io"► orhOne of the information may bel classified as non-public if you provide,specific reasons that.would permit the City to:conclude:ha ,ey are.trade secrets,,,,� , .t ..; 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.citvofeagan.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.qopherstateonecall.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 platu4'iL r\vUert,(� Y &ke x Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 3 ekc/eh la i4id1e / . 14-1 79 SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) "z4 Single Family Garage Porch (4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation S 2( 61) •o.' Occupancy .fa-c-- l MCES System Plan Review Code Edition VT1A 2-91s SAC Units (25%_100% Y..)) Zoning PX) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings e ' Length Fire Suppression Required Type of Construction U f Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water Final �001:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick EFIS )0 Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: "Pi)m i 1il.(4 , Building Inspector RESIDENTIAL FEES Base Fee / V"( 59 - Surcharge 5P/j. s � $p . f fi Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147905 Date Issued:02/16/2018 Permit Category:ePermit Site Address: 3799 Blackhawk Ridge Pl Lot:20 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-200 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Vincent Lau 3799 Blackhawk Ridge Pl Eagan MN 55122 (952) 250-1802 Kelly Plumbing & Heating 1932 St Clair Ave St Paul MN 55105 (651) 699-1232 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147908 Date Issued:02/16/2018 Permit Category:ePermit Site Address: 3799 Blackhawk Ridge Pl Lot:20 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-200 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove 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 - Vincent Lau 3799 Blackhawk Ridge Pl Eagan MN 55122 (952) 250-1802 Kelly Plumbing & Heating 1932 St Clair Ave St Paul MN 55105 (651) 699-1232 Applicant/Permitee: Signature Issued By: Signature