3804 Blackhawk Ridge Pl
-r
. f Ate
r
This Certificate issued pO suant`to the requiremrwnts of the I;W fait rr # l trtg;,C~de
certifying that at the time of issuance 66 struoure, was in compliance with the.vtgrious
ordinfwes of the City rre$ulatr`ng building construction or use. For the following: l
Use C1255if gVIO BDdg Permit rr4. q42
: _
Owner of
Address Y_...
POST IN A CONSPICUOUS PLACE
x
i
INSPECTION RECORD ;
~~ffY OF EAGAN PERMIT TYRE;
3830 Pilot Knob Road Permit Number:
5.agarr,, Minnesota 55122-1897 Date Issued: ;t.
(612) 681-4675
~ , S TE-AD~3RESS: O t fit APPLICANT-.,
IR 04 1-ACVHA14 0106 Pt. t'fRV0p*A4Cr aoft1, ~ "SPA
BLACYCHAWk 131-3440
' PERMIT SUBTYPE: TYPE OF WORK:
' a x G,a7-`t 6 F ti~ AC
REMARI(St `A. fir` V PERMIT UQttIR FOR t.£°C`t"RICAt., 14,001c,
~LEGTRIC
PL"
FINAL
Ott Daft
Ciq►I~
FQOTING$ J/.
Fouko
FRAM 04G
ROOFINGS
. ROOM
PUJfdlSM
'i PLlaC+
r. AIR TEST
t*AT G
G" m
TEST
INSM
GYP SOARD
.
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBGi
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FILIAL
J
INSPECTION Ran. 0733'
v4-7--clW00;EAQM PERUff TM:
MW P#t 1 b P4& d Pem* Numb w.
Ea qs! , Mkwmotei 65123 Date 4sued: T# # "i
cs~~~,~f-4675
PE: TM ()f,W(Nft
3 YY h-
' ~ t~ ,.1 pia Pern~t ~ !
t S+1N -
PLUIAIMNQ
w
MAC,
dip
orospl~ Dab Mo. commwo
I
CV ~.a eC raro,r . dtoGt`~
Frofft
r
r,
; c• '~~19 /r' -25 S
k~ t 9 /8 h s 1
'E Fins) Mlg ! !S'
Frog Test
Fine1 P,*
Ptbij. .0074
COW. AAsler t
i
6110• F"
Deck Ftg.
Deck Finat
WeW
Pr. DIW.
Address 3804 BLAaG wK lug PLA-E Zip 5512 2
Lot !1i Blk 2 Sub BT Ami wK RID( 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: l / j ~ Yes No Inspector: PI-e
Final grade (6" from siding) L
Permanent steps (garage) V1,
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.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Request Date Fire No. Rough-in Inspection
4VI Required? ❑ Ready Now 111 Notify Inspector
❑ Yes o When Ready?
I/censed contractor El owner hereby request inspection of above electrical work at:
Job Address (Street, Box or city
Section No. Township Name or No. Range No. Cc
Occu anI (PRIN Phone No.
r S5~-'3
Power Supplier Address p
ectncai contractor (Company Name) Contractor's License No.
Mailing Address (Contractor or Owner along Installation)
'381o SI1 v ~~tcj Author d Signature (C tractor/Owner Making I tai ation) Nurr,Ler q, £
Ff jresJJ-S
MINNESOTA STATE BOARD OF ELECTRICIT THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 9`~ ~'E. EB-00001-08 J 4 2 6 4 , See instructions for completing this form on back of yellow copy.
/
X" Below Work Covered by This Request
ew Add' 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:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fe Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps ove 1 Amps
Signs Inspector's Use Only: TOTA
Irrigation Booms G
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
ther Fee ALXC(f, S b COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final Date
been made. - y y
OFFICE USE ONLY
This request void 18 months from
X00966
Sari F//
Request Date~~ ire No. Rough-in Inspection
8 ~ Required? d Ready Now~7iii-Pbtity Inspector
No When Ready?
1*~tieansed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route N City
Section No. Township Name or No. Range No. County
J*k_~14
Occupant (PRINT) ~ Phone No.
Q~
(rte C M G 5 'Jr^ ~l t -3
Power Supplier Address
4<p(~ I-vf ~cvz~cr Cb v> L~~MIn~G`7b
EI ctncal Contractor (Company Name) Contractor's License No.
(~GTI~ LCFrI oZto CJ
Mailing Address (Contractor or Owner Making Installati n)
Authon ed Signature (C tractor,'Owner Making Install tion) Pne N tuber
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION g fEB-000[-
/ ► See instructions for completing this form on back of yellow copy K00966 `VhBelow Work Covered by This Request `
ew Add 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:
ZX7~ t
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Amp;*11"e
Above-100 Amps
Signs inspector's Use Only; TOT Sd
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED' DISCONNECTED IF NOT
Other Fee jt COMPLETED WITHIN 1 NTH
I, the Electrical Inspector, hereby Rough-in ! Date
certify that the above inspection has Final f
been made. " ° ? e
OFFICE USE ONLY
This request void 18 months from
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~D 05
n
Site Street Address 'D~aC~hCA l~,S K ~clc}e Unit #
Property Owner l CoLb 1 Telephone # (b~ l) cz 10
H.P. PIPEWORKS
( )
Contractor SSM DODD MAD Telephone #
Address EAGAN, MN 55123 City State Zip
I'm r 11
The Applicant is: _ Owner Contractor -Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
Septic System Abandonment
Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener I Water Heater $ 15.00
_ new replacement
Lawn Irrigation ^RPZ _PVB new -,repair ^rebuild $ 30.00
State Surcharge $ .50
Total ' $
hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Printed Name Applicant's Signature
PERMIT k m Control No, 0733
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 000942
(612) 681-4675 Date Issued: 07/01/92
SITE ADDRESS:
3804 BLACKHAWK RIDGE PL
LOT: 13 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 PD R-1
Building Length 65
Building Width 39
Building stories 2
I
REMARKS: C C) { (p
PRV S & W CONTRACTOR -
I
FEE SUMMARY
VALUATION $147,000
Base Fee $804.00 MISCELLANEOUS $1,610.50
Plan Review $522.60 Total Fee $3,710.60
Surcharge $73.50
SAC $700.00
SAC % 100
SAC Units 1
Subtotal $2,100.10
I
li CONTRACTOR: - Applicant - ST. LICOWNER:
LAPIERRE CUST HOMES 14549383 0002647 LAPIERRE CUSTOM HOMES
P 0 BOX 1049 P 0 BOX 1049
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 454-9383 (612)454-9383
TT
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.
I
13 P
MINIATURE
APPLI T/PERMITEE SIGNAT RE ISSUED Y.
I
PERMIT # CITY OF EAGAN _34 f1 10, ` 0
REACTIVA-I E ^ 1992 BUILDING PERMIT APPLICATION
681-4675 OR 2 4 REcv
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
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 ermit is issued.
Date Valuation of work
Site Address:
STREET SUITE R
Tenant Name: (commercial only)
LOT 1.3 BLOCK SUBD. P.I.D. 0
Description of work:
The applicant is: ❑ Owner ❑ Contractor ❑ Other CDescrlbe)
Name /I/1 . e t c s Phone_ ` ' 6
Property LAST °
FIRST
Owner Address C
STREET STE
City State zip S-33 Company tr
Phone
Contractor Address License # Exp.
City State Zip
Company ✓ 'I'l Phone
Architect/
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 all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY . 4
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. C7 07 4-Flex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Conan./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm,/Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 1 Z 75 MWCC System (Allowable) V /IV Fl sq. ft. 72- 2r City Water
UBC Occupancy ~4_3 01 2nd Fl. sq. ft. 7-1 PRV Required
k
Zoning -I Sq. Ft. total Booster Pump
# of Stories z Footprint Sq. ft. Fire Sprinkler
Length S On-site well Census Code
Depth 39,3h~ On-site sewage SAC Code o/
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
® Site (7 Footing ® Framing ® Insulation
❑ Wallboard ® Final ❑ Draintile ❑ Fireplace
Permit Fee valuation: coo
Surcharge
Plan Review
License 71
MWCC SAC
City SAC lZ qS fiG8 86200
Water Conn.
Water Meter
Acct. Deposit
S /W Permit 't v-3 3
J
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Co ies
2
o
Other
Total: ?o k a
SAC 96
SAC Units
V6 3 93
i
j ► .
h} 2422 Enterprise Drive
~C Mendota Heights, MN 55120
* PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914•FOx 681-9488
engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast
Blaine, MN 55434
* * a(. * 11(612) 783-1880•Fax 783-1883
Certificate of Survey for: LaP Terre Custom Homes. Inc.
House Address: Blackhawk Ridge Place, Dakota, MN
\
\
\
N
\ S yj. 9 63.34 2
S4 !ti
0
12 \
' 13
lb'`' eys,~ l 14
8`l7, it x ~ /
X994- 549.7- /
rO/ `f3 /
fV s r
\ \ \oD gjy3 wgtkpUTS'sf 'soo ~3 ,Ory
S NT b 8~\ Q'
\ S
y` 9 C0 ,DR
\ 650.3 / \ 9 a s 9'y
C'v
o e3 / /
16 C14
O
\ \ Q Ss r \ 44y ~~BS
V
19. S Seroi~ \ \ \ yr 'BSS 3
\ Cl ~\)OS 71 /ry
0
i \ /V 4 854.1
rr \ 61 , 6
\ )
X 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
X 9DD.D Denotes Proposed Elevation Lowest Floor Elevation: 848.15
- - - Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction Top of Block Elevation: 856.26
-o-- Denotes Monument Garage Slab Elevation: 855.93
---9 Denotes Offset Hub Bearings shown are assumed
LOT 13, BLOCK 2 BLACKHAWK RIDGE
DAKOTA COUNTY, MINNESOTA 2ND ADDITION
I hereby certify that this survey, plan or report was prepared by m-~~r~ under my direct supervision and that I am duty Registered Land Surveyor
under the laws of the State of Minnesota. Dated this _.1C~1_ day of ~-e' A.D. 1927.
Scale: lfich _ 3 01, ROBER : 51 I L.S. REG. NO. 14891 -BB I F03-91 92100.02
'~li ?'?1!}.';a'"•,1W ;•f{;ff_.:tt ,~,..i; t; :,i~: r.,r:, :i!'J~' 7~. y, it%'`It
CITY OF EAGAN
1,1. .y.'1:., `.f~`;.F ;s.. r`~.. ..r. ,i. i~•ii".t •i~s..t'~~..~~... ._.t. ~..l
125
W0 TIM 934 whilKHM Rly;
i t a.. 1.'v. r.l
41 PERMIT
Y, t CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date Issued:
SITE ADDRESS:
DESCRIPTION:
REMARKS:
FEE SUMMARY:
CONTRACTOR: OWNER:
e
PP4I MITEE SIGNATURE EY. S GNAT E
01 A 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) / q
3 G~ CITY OF EAGAN / (3 + °Z S
3830 PILOT KNOB RD - 55122
681-4675
New Construction Recuirements RemWel/Reoair Reouirements
# 3 registered site surveys # 2 copies of plan
# 2 copies of plans (include beam & window sizes; poured fnd. design. etc.) # 2 site surveys (exterior additions & decks)
# 1 energy calculations # 1 energy calculations for heated additions
3 copies of tree preservation plan if lot platted after 711/93
required: _Yes _ No
DATE: CONSTRUCTION COST. I'r
DESCRIPTION OF WORK: l yy,~PvA L i ~u 4 s w -Too 4-
STREET ADDRESS: 2290q ►a V, V-A Lj4
l l--
LOT BLOCK Z- SUBD./P.I.D. g!41JL42~,~
PROPERTY Name: Phone 74Z-3~
OWNER VWST
Street Address: q ff t~!f- C-
City: _ ~lj & sV-) State: VV Zip: 5S IZZ.
CONTRACTOR Company: I ► d ~t- ~WL Phone 'A ] - ~LO
Street Address: /glb A)60D D A L,ti. DO- License 4~4ja17-V
City. (/On o]301, State: IU ~j Zip: ~S1
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and a to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging o 16 Basement Finish
n 02 SF Dwelling o 07 4-plex ❑ 12 Multi Repair/Rem. 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex n 13 Garage/Accessory o 20 Public Facility
❑ 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Miscellaneous
a 05 SF Misc. a 10 _-plex ❑ 15 Deck
WORK TYPE
X 31 New o 33 Alterations o 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 Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code 01
Census Bldg I
Census Unit 0
APPROVALS
Planning Building 4--Iv\_ Engineering Variance
Permit Fee Valuation: $ V3-c--X, OV1
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
GPOOL NAME OF HOMEOWNER: CA►IILL
SWIMMIN -
_
INSTALLATION~;~~,~,~ 5-r) 1
ZZ
._~.w~~ i~ 14
PHONE:
HOUSE
Nor
r
EAGAN
t
o
CONTRACTOR: REVIEWED
PERFORMANCE POOL & SPA ! By 1890 WOODDALE DRIVE DATE __._.~.GI.f
WOODBURY, MN 55125 BUILDING INSPECT IONS DEPT.
(612) 731-3440 (JERRY T.) - VE spy,3
l +r
CITY OF EAGAN
I./3 B MECHANICAL PERMIT RECEIPT # /0
SUBD.~,~ (612) 681-4675 DATE v
RESIDENTIAL -
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER. LAPIERRE CUSTOM HOMES FEES
SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00
3804 B 1 k CONSTRUCTION ONLY)
INSTALLER: JUDKINS HTG. & AIR COND. , INC HVAC: 0-100 M BTU 24.00. ,
PHONE (612) 423-5757 ADDITIONAL, 50 M BTU 6.00
ADDRESS: 15185 Carousel Way GAS OUTLETS - MINIMUM 1 q $3 EA. a 12.00
CITY: Rosemount MN. ZIP: 55068 SURCHARGE: $ .50
SIGNATURE: TOTAI;. $ 36.50
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI'INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 "FOR EACH
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00
OWNER: TOTAL: $
SITE ADDRESS:
TENANT:
SUITE
INSTALLER:
ADDRESS:
CITY.. ZIP:
PHONE CITY SIGNATURE:
SIGNATURE.
L/J~- BL CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT O ~a
SUBD. G (612) 681-4675 RECEIPT
DATE
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 XX REPAIR/ADD ON 15.00
ADD ON ( SHOWER 3.00 -3,o O
REPAIR WATER CLOSET 3.00 cl.0 O
BATH TUB 3.00 3-60
LAVATORY 3.00 `c'
OWNER NAME: e'r'r e S~'a* r~•.ad KITCHEN SINK 3.00 i-3• ob
1 LAUNDRY TRAY 3.00 7, 0 o
SITE ADDRESS: 3 ~ 0 L4 c -c1c w,,~ k. HOT TUB/SPA 3.00
o
, WATER HEATER 3.00 '75 -
FLOOR DRAIN 3.00
MATTHEW DANIELS, INC. GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00 a 0
15185 CAROUSEL WAY _.Z ROUGH OPENINGS 1.50
ADDRESS: OTHER j
WATER SOFTENER 5.00
CITY: ZIP: 55068 PRIVATE DISP. 15.00
423-3730 , _ U.G. SPRINKLER 3.00
PHONE W. TURNAROUND 15.00
STATE SURCHARGE .50
l (~l o o i
SIGNA E OF PERMITTEE TOTAL: $
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY I
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. j
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
Volume No.
Ie
Certif
a T*tl
sae
OWNER'S DUPLICATE CERTIFICATE
Certificate No. 8 3 8 6 3 Document No. 2159015 District Court No.
Transfer frotT, No. 8 0 5 g 8 Originally registered (tic 18th day of April 19 59
I'OIUn)e Forty page 59
Stz-,t ce of milinesota,(SS
County of Dakota. •~~c ~l ~c ce.rClyl, //ic/ Meritor Development Corporation
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
following described land situated in the County of Dahota and Stare of Minnesota, to wit:
That part of Lot Thirteen (13), Block Two (2),
in BI_ACKHAWK 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 Meritor Development Corporation is a corporation organized and existing under XXkTX OXX#hfX0XXXXXXXXX S£RX
XWXKWXXX the laws of the State of Pennsylvania. XXSZOXXXXXXXXO1"X "XXXXXXXXXXXXX~lR4tOn/,
n ffeyned1 X11e.7reo 1 have hereunto subscribed my name and affixed the seal of my once,
this l7th day of May 19 89
JAMES N. DOLAN
Registrar of Titles (Seal)
In and for the County of Dakota and State of Minnesota.
31E310 RIAL ,nrAE N u", ,N
of Estates, Easements or Charges on the Land described in the, Certificate of Title hereto attached.
DOCUMENT KIND OF DATE OF REGISTRATION DATE OF INSTRUMENT
NUMBER INSTRUMENT MONTH DAY YEAR HOUR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR
A.M. R.M.
215904 Declaration If Pro ec ive oven nts (and o he land l
Ma 17 198 3:00 4 27 '89 - The Public James N. Dolan
63969 tility Line Sept 8 972 2 6 19 '72 $1.00 Town of Eagan
Easement erpe ual Eas ments 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 the la ids)
239209 Pressure R ducin Valve gree ent (and th r Ian s) Between City of Eagan and
Fe 6 1931 10:46 12 7 19 - Meritor Development Corporati n James N. Dolan
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118153
Date Issued:10/29/2013
Permit Category:ePermit
Site Address: 3804 Blackhawk Ridge Pl
Lot:13 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Viktar Skirukha
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 -
William R Cahill
3804 Blackhawk Ridge Pl
Eagan MN 55122
Smart Builders Inc
7001 Garland Ln N
Maple Grove MN 55311
(763) 691-5021
Applicant/Permitee: Signature Issued By: Signature