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3800 Blackhawk Ridge Pl
CITY OF EAGAN N0201 5 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 /j 1 ~ , / BUILDING PERMIT Receipt # ~ To be used for SF DWG/GAR Est. Value $133,000 Date FEB 26 1 g 92 Site Address •3800 BLACKHAWK RIDGE PL OFFICE USE ONLY Lot 12 Block 2 Sec/Sub. BLACKHAWK RIDGE FEES Parcel No. 2ND Occupancy R-3 M-1 755.00 Zoning PD_R-- 1 Bldg. Permit Name COMPASS HOMES INC (Actual) Const -Y--N Surcharge 66.50 W Address 449 OLIVER AVE S (Allowable) -Y--N Plan Review 491.0 0 # of Stories 0 C4 MINNEAPOLIS MN Zip 55405 Length --642 License 5.00 Phone 374-5446 Depth -32-1 SAC, City 100.00 cc Name SAME S.F. Total SAC, MCWCC 700.00 S.F. Footprints 012 r. Address On Site Sewage Water Conn 675.00 Ci4 Zip On Site Well - Water Meter 95.00 MWCC System M 0 Acct. Deposit -30.0 O Phone 8 License # 0002023 City Water PRV Required- S/W Permit 30.00 1 hereby acknowlege that 1 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 Ea an Ordinances Treatment PI 300.00 t Si nature of PermiteeAPPROVALS 0 9 Road Unit 380.0 A Building Permit is issued to: COMPASS HOMES INC Planner Park Ded. on 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. Off. - Copies Building Official U4 Gt~.~ Variance TOTAL 3,628.00 wa*f cate of ccatpancv with of Of agan ~~axtmeut o~ ~ui[biug ~u~~ectiou - This Certificate issued pursuant to the requirements 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: SF DI G/CAR 012% 20155 use Classi5cation Bldg. Permit No. Occupancy Type R.iJM1 Zoning District PD` R1 Type Const. VN Owner of Budding OWAMHSI W Address 44q OLIVER AVE S, M" _ RIME PLEB L , , Bui1 Address Locality f Date: 11/30/92 Building Official' POST IN A CONSPICUOUS PLACE Address : 3800 BLACIMM RIDGE PLACELot 12 Blk 2 Sec/Sub BLA MM RIDGE 2ND These items were/were not complete at the time of the final inspection. pate: 11/30/92 Yes No Tnapertor. Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry E/ Permanent driveway Permanent gas Sod/seeded grass h 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. qX9 EECVLlEO ENE11 White - City copy Yellow - Resident copy Pink.- Contractor copy i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 BUILDING PERkAIT Receipt # r` SF, Ot~J~'rAR To be used for ~ Est. Value $133,000 Date B 26 11992 Site Address' -3800 BLACKRAWK R1 DOE PL 9LA~Cr,11AWK RIDGE OFFICE USE ONLY Lot • Bock Sec/Sub, FEES Parcel No. INTO Occupancy R--3 M'^ f VD. R-1 Bldg. Permit 755.00 Zoning Name O4t;PASS NOMS I (Actual) Const V-N Surcharge 66.50 UJI Address 449 OLIVER AVE S (Allowable) ~ Man Review 491.0Q City MINNEAPOLIS N Zip 5540 # of Stories License 5 p 00 5 Length 64° . Phone 374.-5446 Depth 52° 1.00.00 SAC, City j Name SAPS S.F. Total SAC, MCWCC 700.00 0 S.F. Footprints Address On Site Sewage Water Conn ~5+ Cltj/ Zip On Site Well Water Meter 95.4 MWCC System Phone Acct. Deposit O City Water U Vcef1Se#130020x3 PRV Required X_ S/WPermit 3E1+OG s 1 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 300„€~Q ; Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 390. A Building Permit is issued to: COMPASS h1 crs i Nc Planner - - Park Ded. on 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. Off. - Copies Building Official Variance TOTAL" Permit No. Permit Holder Date Telephone # PLUMBING WAC Its ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I L~4 Foundation Framing j ) Roofing Rough Plbg.~~ Rough Htg. .2! Q Isul. y Zt Z U Fireplace y Zi Z Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter ` Engr./Plan Bldg. Final lL ~J 61 Z Deck Ftg. Deck Final Well Pc. Disp. SEWER & WATER PERMIT "OFFICE USE ONLY MX OF EAGrAN' 3l~ 02/28/92 ! 3$30. Not Knob Rd. METER # PERMIT DATE Eagan, (EIN 551 22-1$$7,,CHIP # 03i~s ~ ocs PERMIT # 12574 MEi R SIZE S 5'e l) r , j B.P. RECEIPT # ~3 DATE $ 26s 199 ISSUE DATE t2- ` B.P. RECEIPT DATE X12 27 92 $ PRV --'BOOSTER PUMP SITE ADDRESS. 3800; BLACKHAWK RIDGE PL ~ PERMIT REQUESTED LOT 12 BLOgK 2 SEC/SUt3 BLACKiATiC kI}3C 2113 SEWER WATER _ SAPS APPLICANT: x; ADDRESS: COMM/IND x RESIDENTIAL CITY, STATE ZIP X NW EXISTING PHONE: PLYMOtiI " PL Lawn Sl*inkler Meters are to be installed ,PLUMBER: BG Ahead ofi.,Domestrc Meters on Water Line. ADDRESS: 9290 ZACHARY LN Credit WILL NOT be given for Deduct Meters. CITY, STATE MAPLE GROVE A3N ZIP 55369 i '.PHONE: 493--2474 ~•"^b' I AGREE TO-COMPLY WI CITY OF 'OWNER: COMPASS HOMES INC EAGAN RDIN NCE ADDRESS: 449 OLMR AVE 3 J CITY, STATE XIMMUCI .IS MN ZIP 55405 - PR NE: " 374-5446 SIGN E WHEN METER ISSUED ASE ALLOW TW WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS: FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. f SEINER & WATER PERMIT OFFICE USE ONLY CITY`°OF P-XG' AN METER # PERMIT DATE 0128/92 3830 Pilot Knob Rd. 12574 Eagan, MN 55122-1,897 CHIP # PERMIT # METER SIZE B.P. RECEIPT # ; r 1 DATEEB 26. 1992 ISSUE DATE B.P. RECEIPT DATE 0212 792 PRV BOOSTER PUMP SITE ADDRESS 3800 BLACKIIAWK RIDGE PL P1. REQUESTED LOT 12 BLOCK 2 SEC/SUB BLACKtiAWK RIDGE 2ND X SEWER WATER TAPS APPLICANT: ADDRESS: COMM/IND -X- RESIDENTIAL CITY, STATE ZIP X NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: PLYMOUTH PLBG Ahead of Domestic Meters on Water Line. ADDRESS: 9290 ZACHARY LN Credit WILL NOT be given for Deduct Meters. I CITY, STATE MAPLE GROVE NN ZIP 55369 493-2474 PHONE: f I AGREE TO COMPLY WITA CITY OF OWNER: COMPASS HOMES INC EAGAN ORDINANCES ADDRESS: 449 OLIVER AVE: S CITY, STATE MINNEAPams mm ZIP 55405 PHONE: 374-5446 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM, SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: FEB 28, 1992 RE: 3800 BLACKHAWK RIDGE PL (COMPASS HOMES INC) X_ Your 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 reasons: Your Sewer & 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. s- 1~ f-~ Request Da(e Fire Rough-in Inspection a / 1 Requir ❑ Ready Now ill Notify Inspector 41 es G No When Ready? I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job ~{ldr ss (OStreet, Box pLRI ute No.) 1:~folae, City r Section No. Township Ce or No. Range o. Coun ~ L z ~ 6 % b 4 . I - Occ anI (PRINT) Phone No. 37 -5u Power Suppli v Address a qy)a Ele tri IC I onrac or (Comp KyName) Contract 's Licens i aC Ma11046' ra r or Owner Makin Installati n) 41INSDEI~gSIAIE Sure ( ontract r/ner Making In allation) Pho a Number BOARD OF EL T ICITY 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. EB-OOODt-OS REQUEST FOR ELECTRICAL INSPECTION "e ► See instructions for completing this form on back of yellow copy.. ' V S' 3.7 X" Below Work Covered by This Request r v fi !F~ New dd Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial 11-furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size F e # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps I-OD to 100 Amps .Q Transformers Above 200 Amps v 100 Amps ,e) ill Signs Inspector's Use Only: / , TOTAL S Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON HS. 1, the Electrical Inspector, hereby Rough-in 4 { Oat certify that the above inspection has Final Y> been made. OFFICE USE ONLY This request void 18 months from 1998 BUILDING PERMIT APPLICATION ( NTIAL) „ J. CrrY or . 3830 T X1110Il< ItD - 55122 f 3 regislared aft surveys ♦ 2 of pin 2 copies of plans (inchxle beam & window sins, pourer! *W. design: eta.) ♦ 2 see surveys (exterior additions & docks) 1 wwrgy caioulatians # 1 energy calculations for heated addWons 3 copies of tns preservation plan V lot piatEe+d after 711193 required. Yes No DATE: CONSTRUCTION {COST: T[ON OF WORK: ~13Gr TR E' J4C0 SS: 1 1,1c LOT.. BLOCK: SUOD./P.I.D. Name: _ '11111111111W Phone PROPERTY Last First OWNER Street Address: City _ i sty: v _ Zip: 1 Compar►y:_Q► t ~Tl+ ` P3ae# CONTR~►CTOR ct Street Address Lkense # city <~u► k-u- lie State: Zip: ARCHI c / MINM Company: Phone Name: Registration s: Street Address: City State: Zila Sower & water licensed plumber (now construction only): Penakty applies when midms d wig, and lot change is requested once permit is issuer!. -I hereby acknowledge that I have read this application and state that the information I$ correct and agree to vrith all appficabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: MM1W I OFFICE USE ONLY Certificates of Survey Received Yes No- Tme Preservation Plan Received Yes No Not Reua x , OFFICE USE ONLY ~ ~ BUILDING PERMIT TYPE 0 01 Foundation d 06 Duplex 0 11 Apt./Lodging 16 Basement Finish 02 SF Dwelling 0 07 4-piex D 12 Multi Repair/Rem. E3 17 Swine Pool 0 03 SF Addition 13 08 8-plex E3 13 Garage /Ac, Qry1:! 0 Public Facility M 04 SF Parch D 09 12-plex 0 14 Fireplace Cl 21 Miscellaneous 0 05 SF Misc. 10 _•plex E3 15 Deck WORK TYPE 0 31 New 33 Alterations © 36, Move 0 32 Addition © 34 Repair Q 37 Demolition GENERAL INFORMATION inst. (Actual) „Basement sq. ft. MCIWS System (Allowable) Main level sq. ft. City later U SC Occupancy sq. tt. Fire Sprini red Zoning aq. 'ft. PRV Of Stories sq. ft. Booster Pump :Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code c3 Censut Bldg Census Unit APPROVALS Planning Building Engir"Hwng "Variance Permit Fee Valuation. $ Surcharge Plan Review License MC/WS SAC - ; ^ City SAC Water Conn. Water Meter Acct: Deposit S1W Permit SAN Surcharge Treatment Pi. Park Ded, Traits Devi. Other ~ r w 4e~ Copies Total: °h SAC . SAC, Units •4• i J:-.S-v1•.,[e 1 3:- I: •iu• ,1:• ir- i i f CITY OF EAGAN CASHIER: 0 r001.) PATFY 09/04/98 TIME: 0805W 1210 9001 3800 50 00 555 900t 3800 BL4:KHS*( RD O&C Total Rerpint AmounP~ 50 #W? TV MANY•,i! w `i .l l i d 1 3 1~ 1' f la.no i tt v a< : 1• t - 1 - ~ s•.~: •a:-1: PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 9 9 6 (612) 681-4675 Date Issued: 0 9! 0 3/ 9 8 SITE ADDRESS: 3800 BLACKHAWK RIDGE PL LOT; 12 BLOCK: 2 BLACKHAWK RIDGE 2ND P.I.N.. 10-14401--120-02 DESCRIPTION: Bull- ding Permit Type BASEMENT FINISH Buildi_ny Work Type ALTERATION Cenwus Code 434 ALT. RESIDENTIAL I i REM#S:REU.IEWED BY BILL. ADAMS. SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445--2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: Base Fee $50.00 Surcharge 50 Total. Fee $50.50 F t~`f'~ TiTA _ Applicant ST. LIC. OWNER: INC 1.8049454 00+0811.1 GORING MARK 1.0908 203RD ST W 3800 BLACKHAWK RIDGE PL LAKEVILLE MN 55044 EAGAN MN 551.22 (6,12) 804-9454 (651)456--5631 I hereby acknot,.11,edge that I have read this application and state that the information is correct and agree to comply with all applicable StaLe of- Mn. Statute,,; and City of Fagan Ordinances. APPLICANT/PERMIT (GNAT RE I S ED BY: SIGNATURE CITY USE ONLY L l~ BL A 4 RECEIPT / ,~o o h ~ SUBD. --71 RECEIPT DATE: ` 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x _ 3 _ Water Closet 3.00 x Bath Tub 3.00 x - Lavatory 3.00 x 7 Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 X = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = ' ' . 'oft * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL O-"" 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 its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: b O ~v j~ OWNER NAME: INSTALLER NAME: t/f"rVl ?~i'(~/ p ci h c., TELEPHONE* STREET ADDRESS:: a" O PC) "1~T G C P L--11-0 CITY: STATE: ZIP: A/ SIGNATURE OF PERMITTEE nn CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 V ` L~~- BL CITY OF EAGAN CITY USE ONLY LUMBING PERMIT SUBD. (612) 681-4675 RECEIPT # Uf~ ~ DATE--L- To RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 3 / i f q LAVATORY 3.00 lZ- OWNER NAME: ( ~}i' / KITCHEN SINK 3.00 I LAUNDRY TRAY 3.00 3 SITE ADDRESS: 3$00 ~lQ v/u~lL 'l, HOT TUB/SPA 3.00 3- .WATER HEATER 3.00 3 / FLOOR DRAIN 3.00 3 ~jo ~ GAS PIPING OUT. INSTALLER: .Y told G (MINIMUM - 1) 3.00 rJ X111 / ROUGH OPENINGS 1.50 Al . $O ADDRESS: OTHER WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U . G . SPRINKLER 3.00 W. TURNAROUND 15.00 PHONE STATE SURCHARGE .50 SIGNA E OF PERMITTEE TOTAL: 4' X COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ;rl# DATE : /O Itri1AL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 Lb, x~ OF 1 PER PERMIT OWNER NAME : 1,T SUBTOTAL: STATE SURCHARGE: 50 SITE ADDRESS: ~~~~CI,(`<-~{t'l.t_i_ 41 LOT: BLOCK oZ SUBD. r n~ TOTAL: $ . INSTALLER: - 2,t C c ADDRESS: _r~',~- SIGNATURE OF PERMIT CITY: 1C A-1r' r ZIP: ~Y_3 PHONE 4- 4, QIMEA1'T PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR J n 1 1 m n E.i L Dn U R G :J n $ a , 0/~:3 •J 0Cn -v It' PERMIT t FEE. F PEMIT iD ~ `Zi..ca PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN 4- 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of 3 t^e istered site surveys, 1 copy of ever plans, 9 pY 9Y calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is re guested once permit is issued. Date Valuation of work / 161, 00d Site Location:___ 3,9C16 STREET STE # Tenant Name: LOT _1 BLOCK SUBD. - 61!f H14 P.I.D. # 2evig /O / t l ZG~ Z Description of work: cF ,siA/Cc_ F/,3 r?7 ~ c-Y D L~ELC~tiiG rrlGi~&C f/rm The applicant is: ❑ Owner /Contractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company C O A,-n ,-,-i 65 /1", d;F- s 141('- Phone l - 59 ~ Contractor Address ~t4 0 1 ~L I;z-- .4-y- -S License # City ~~iN~/ ,~►,~'~~~s State IVIIAIn1~".s(r~Zip S~~C Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber VtrV77 ~ 54 ~44Processing time for sewer & water permits is two days once area has 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 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE .Ef 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural ❑ 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE .f 90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy 0_3 M-1 Basement sq. ft. MWCC System YES Zoning ll> R-1 1st F1. sq. ft. City Water -YES;_ Const. (Actual) V-N 2nd F1. sq. ft. PRV Required YE-5 (Allowable) y-N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code lol Depth Sz' On-site sewage SAC Code 01 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace valuation: $ 13 3, 000 Permit Fee ~155.oa 6rAVZA6E. Surcharge 44.50 z kz. y 5z8 Plan Review y 9 I, o 0 License S.oo ~Zx!O ' 9 ZZO 145 x " 15= Ii' zzro MWCC SAC Ti oo, 0 0 SS."T : y $ City SAC 00 bxi Z.:: 7i Water Conn. 675,00 ) 6 XZU= 316H Water Meter 95, o o C6x U= Zoe - Road Unit 3Go,0,0 (06~~ X cu = 9256 Treatment P1. 3:00,00 I sT FLan►2 ltd- 4n,4-t w+• Dep. on "srstT 66 y Park-Bed . s1 w Perms o, oo Z ~c / y Te=a 4S-Bed . s/w sic. , so 1 ~i2 x 30 < <lS Copies aUx28 = Other 13g6xs3 = X3,935 2 N c~ ~wovl . Total : R~4 x3a = 7zo x 53 = 3~ ,16 13 Z, 6!/ SAC % 100 SAC Units iru►nn ww i ' architectural consultants inc. "03 03T. 1. t, OSUO,MN. 6036! MI. (WV-4t4•9772 FLXTERIQR ENVELOPE AVERAGE "U" COMPUTATION Plan *v Date= Owner Contractor• _ EMUC. -a N T/,22'<1 A Site Address:- PHONE I)TOTAL EXPOSED WALL AREA sq.ft,ifulll ' 2) TOTAL EXPOSED ROOF/CEILING AREA O sq. ft. x IU'~6 WALL AREA CALCULATIONS: TOTAL WINDOW AREA ' sq.ft.zU~~- _ Z'•~ GLAZED TOTAL DOOR AREA ~L sq.ft.x"U"'V~ TOTAL GLASS DOOR AREA 40, sq.ftx"U"-'47- GLAZED TOTAL FIREPLACE WALL AREA 20 sq.ft.x"U" )1-V = 41 a TOTAL WALL FRAMING AREA ZZs sq.ft•xoU" 'd 2-0.~ NET INSULATED WALL AREA 7-0091 sq.ft.x"U" 201j = G. TOTAL RIM JOIST AREA Zf3 7 sq,ft.x"U" - ' = I) TOTAL FOUNDATION AREA (EXPOSED) - 96361 sq.ft.x"U" 2.,1 TOTAL FOUNDATION WINDOW AREA sq.fl.z"U3) TOTA z If item 3 is the some as, or less than Item 1, you have met the intent of 2 MCAR 1.16008 A and 0. ROOF/CEILING CALCULATIONS, TOTAL SKYLIGHT AREA sq.ft.x"U" - TOTAL ROOF/CPEILING FRAMING AREA 144 Aq,N.x'U"ie.7jG=a>1") NET INSULATED ROOF CEILING AREA I Z96 3 4.ft.xU 4) TOTAL . ! If item 4 is the some as,or less than Item 2, you have met the intent of 2 MCAR 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope System method, the sum of Items I and 2 shall be greater than the Sum of items 3 and 4. 1) +2) _ 3) +4) 1 hereby certify that the building here described meets or exceeds State of e Energy Conservation Act. (signed) CITY OF EAGAN CASHIER: JS TERMINAL NO: 032 DATE: i.2/20/99 TIM17 a 1'3:1 1.52 ID NAME"„ AZTEC ROOFING AND CONST 321.0 9001. 3800 BLACKHANK 167.25 ?i.;.5.9001. 3800 I-LACKHA14" 4.50 Total, Receipt Amount-. .1. 71.75 Chi 1.21.388 USER ID: JAN i 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF SAGAN 3830 PILOT KNOB RD - 55122 t lj ~(5 9p~ 851-681-4I•r75 1• ) 'Do NjX Construction Rea Be > 3 registered site surneys showing sq. ft. of lot, sq. ft, of house 2 copies of plan and gj roofed areas (20% maxknum tot koveraae wed) 1 sel of energy calculations for heated additions D 2 copies of plans (show beam & window sizes: poured fnd. design: etc.) i atie survey for exWW additions 3 decia; > 1 set of energy calculations > 3 copies of tr preservation plan I lot platted after 7/1/93 DATE: 427/1 J9 3 CONSTRUCTION COST: g~~ao DESCRIPTION OF WORK:` STREET ADDRESS: ~3 ~►`-~e°'J~` P14 LOT l BLOCK: SUED./P.I.D. G. C Ql ~n 4-$r~ Name: C 2 e-i n Phone PROPERTY LadT, g wst n OWNER Pt A- Address P °4 cc city' State•~ zip: Company: L4 c- Phone / 2- S3`~5 ' DO S~4 (area code) CONTRACTOR Street Address: i i 'r 3 ` license # d, lh~d - Em-city stow: /n r" gyp: . S SS's 7 ARCHITECT/ ENGINEER Company: Name: Telephone 0 area code ( ) Stree. Address: Registration City State: Zip: Sewer & water licensed plumber Ueauked m construdgn only): Perjatly applies when address change and lot change Is requested once pemJt Is Issued. I hereby acknowledge that t have read this application, state that the information Is correct, and agree to comply with all appticabi Stale of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE PLY= Certificates of Survey'Received Yes No Tree Preservation Plan Received Yes No _ . Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 PorcWAddn. (4-sea. 0 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Sofrds/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34, Repair !:7 38 Demolist ;Interior) Cl 42 F.,..;oof * Give PCA handout tc applicant for de, iolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee j Valuation: $ Surcharge Plan Review License M%aJ City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge r Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units SAC Volume No. te of • er i *f* Ica OWNER'S DUPLICATE CERTIFICATE Certificate No. 8 3 8 6 2 Document No. 215905 District Court No. 7'ransfer froo? No. 8 0 5 9 8 Originalli registered the 18th da of April 19 59 Volume Forty page 56 y Stzi.te, of Minnesota,(Ss County of Dakota. •~~id ca to ccjrCG, lfcre Meritor Development Corporation O 605 West Travelers Trail of the City of Burnsville County of Dakota and State of Minnesota is now the owner of an estate, to wit: fee simple of and in the fo//oaring described land situated in the County of Dahota and State of Minnesota, to wit: That part of Lot Twelve (12), Block Two (2), in BLACKHA14K 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: 1. 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 tease; 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' Meritor Development Corporation is a corporation organized and existing under XXMytM ~tXXXXXXXXX gx~C x)<>v~Xr~MU the laws of the State of Pennsylvania. xqK VXXXXXXXXXJA~ pxXXXXXXXX)jn~xbN~r J. pit have j~~rreunto subscribed my name and axed the seal of nay office this f ft of May 19 8A JAMES N. DOLAN Registrar of Titles In and for the County of Dahota and State of Minnesota. (Seal) AIE310RIAL J_OY::. 14 1.%. of Estates, Easements or Charges on the Land described in the Certificate of Title hereto attached, DOCUMENT KING Of DATE OF REGISTRATION DATE OF INSTRUMENT NUMBER INSTRUMENT MONTH DAY YEAR A.M. HOUR P.M. MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR . 215904 Declaration if Protective oven nts nd other land l May 17 198 3:00 4 27 '89 - The Public James N. Dolan 63969 tility Line Sept 8 1972 2 6 19 '72 $1.00 Town of Eagan Easement Perpe ual Eas ment for anit ry ewer purpo es and other lands) James N.Dolan 208395 Easement for Ingre s and E ress Oct. 12 1988 10:39 4 4 188 $1.00 City of Eagan James N. Dolan (and th r la ids) 239209 Pressure R ducin Valve gree ent (and th r Ian s) Between City of Eagan and Fe 6 19)1 10:46 12 7 '9 - Meritor Development Corporati n James N. Dolan II Voigt & Associates, Inc. STRUCTURAL ENGINEERING SERVICES 4635 NICOLS RD. SUITE 204 EAGAN, MN 55122 - PH. (651) 686-7727 FAX. (651) 686-8883 March 28, 2002 Mr. Jeff Wheeler City of Eagan - Building inspections 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Wheeler: To follow up our discussion this morning on the telephone, I would like to submit this letter stating our involvement with the project at 3800 Black Hawk Ridge Place in Eagan, MN. The contract that we had was with the homeowner (Mr. Darrin Ciaschini) and included the removal of a basement column, the installation of new steel beams, and an opening in the load-bearing wall of the home. The project also contained foundation wall underpinning ( wall reinforcing in which we were never involved with. After preliminary design work was done, which included CAD drawings and structural notes, the homeowner wanted to cancel his contract. The preliminary drawings and notes were given to the homeowner and have not been returned. In good faith and customer service, we returned his house drawings and forfeited our entire fee. Our concern is that our preliminary drawings and notes will be used for construction. We would like to state for the record that there has been no fee paid, the drawings are preliminary, and we would like to be absolved of any involvement or liability for the project. Thank you for your cooperation in " this matter. Sincerely, Al Malecha, PE Paw Paul Voigt, PE Enclosures: none I~ APR „ 7-1 INSPECT U0, ; i. st OF ► f0g; IM Not Kroh Road ` pem* *jTrv*r., p/Wy{ Date I ued , } i*$ LOT r BLOCK n Crf NT: i'tF LNlCKHAWK, I•t100E PL RR±'I~"~Ia...GitA5 ANC; 2"D .2) 004 , R ~ Of,-O~ - ~ M TN l~LI 7UL r _t Y XIS i PLAN REVIE44EO BY Slit ADAMS, 3trARATE PER*IT RVOIRED FnR ANY P'LumaZ.wa woa a x ~ y CAtU 44f~-:;I+44* RPnAtRPOtNA ri C `t"RICA1 f'CR"IT AND IN14PECTIO"s. + . Y j P*nn t Hokktr Dame Telephone # PLUMBING ~ 'Iv7 HVAG tnspwtcn DMe Insp. Comments FOOTINGS FOUND FRAMING ROOFING ~K7 ROUGH PLUMBING if PLBG AIR TEST ROUGH ` HEATING GAS SVC TEST INSUL I u[+ I GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG TOESTT BLDG FINAL j~. py. ~ga DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CASH RECEIPT CITY OF EAGAI, 3830 PILOT KNOB ROAD w~ EAGAN, MINNESOTA 55122 -7 DATE 19 RECENEO - d FROM AMOUNT I & DOLLARS 100 ❑ CASHJ CHECK FM 1r` j, J ra FUND OBJECT AMOUNT J i 3 r ,J t 'Thank Ytu BY A t 7 4 6 white-payer G(o y Yellow-,Posfi g Copy h Established in 1962 LOT SURVEYS COMPANY, INC. IN OIC NO 31119 LAND SURVEYORS SCALE W = 20' o Denotes Iron Monument . REGISTERED UNDER LAWS OF STATE OF MINNESOTA C) Denotes Wood Nub Set 7601- 73rd Avenue North 560.8093 For Excavation Only COMPASS BUILDERS Minneapolis, Minnesota 55428 x000.0 Denotes Existing Elevation ccoo Denotes Proposed Elevation ppp E- Denotes Surface Drainage ~SZ•7 Proposed Top of Block / 8SD•$ Proposed Garage Floor v' e44.7 Proposed Lowest Floor Type of Building - 840, ~ / ~~~1.~aSE'~►1Gi1 T lT a~,~o~7" ►iyl~ zoz NO, S 0 ~ ~ ~ des ~~-pin P P 7 ~ o ti 7 Q" G \\o O .Q V , 01 190 Lot 12, Block 2, BLACKHAWK RIDGE 2ND ADDITION The only aaeerrnnts shoam are from plats of record or information provided by client. # c V% hereby certify that this is a true and comsct representation of a survey of the boundaries of the show described land and the location of all buildings and via. Ibis enar0achm0nts, if any, from or on said land. Signed - Surwyedbyusthlat 17th day of February t9 92 ;Kyrnond A. Prasch Minn. Req. No. 6743 Use BLUE or BLACK Ink For Office Use I ii I Permit#: 1 City of Eajan ; 60 Permit Fee: u~ 3830 Pilot Knob Road I / I Eagan MN 55122 1 Date Received: I~`! d/L~> I Phone: (651) 675-5675 ; j Fax: (651) 675-5694 I - - - - - - - - - - - 1 2013 RESIDENTIAL PLUMBING I,PERMIT APPLICATION Date: ) 3 Site Address: Moo IS c f `e L,) I- Tenant: II Suite Resident/Owner Name: ~ ell X ~Cci Phone: -aza, Zl6 41 Address / City / Zip: C Name: i . i tuq l,, -IP ) C.( License r`n t ( Contractor Address: E~~3 ~ ~ ice: f ~ f Alenue-city: 0'2;6 o State: r-Y `'N Zip: - ~ .3 62 Phone: ~ ✓ ! ° "I I-- 16 /o Contact: 6 1 YV1 L1k VV4ko lYN Email: </n e 'c 1 1, c' 'l) GYI~~`5 Type of Work New '4- Replacement _ Repair _ Rebuild T Modify Space _ Work in R.O.W. Description of work: I' Izd f ~6 - Pr( - i c{M, RESIDENTIAL Water Heater Water Softener Permit Type Lawn Irrigation C_ RPZ PVB) Add Plumbing Fixtures l_ Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 06 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 t e work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 0 x M ax,-u Applicant's Pri ted Name Applicant's Sig ature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In ___Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA127222 Date Issued:09/24/2014 Permit Category:ePermit Site Address: 3800 Blackhawk Ridge Pl Lot:12 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Luis Herrera 3800 Blackhawk Ridge Pl Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature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ity of Eagan Permit Type:Building Permit Number:EA161814 Date Issued:06/12/2020 Permit Category:ePermit Site Address: 3800 Blackhawk Ridge Pl Lot:12 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Luis Herrera 3800 Blackhawk Ridge Pl Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163578 Date Issued:09/04/2020 Permit Category:ePermit Site Address: 3800 Blackhawk Ridge Pl Lot:12 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Luis Herrera 3800 Blackhawk Ridge Pl Eagan MN 55122 (612) 968-6272 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature