3807 Blackhawk Ridge PlCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3807 Blackhawk Ridge P1
Lot: 18 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10- 14401 - 180 -02
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments:
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
PERMIT
City of Eaan
4/30/08 Notification letter sent regarding expired permit pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Philip L Osterlund
3807 Blackhawk Ridge P1
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA080775
10/30/2007
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3807 Blackhawk Ridge P1
Lot: 18 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10- 14401 - 180 -02
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Quesetions regarding elec
445 -2840
Ashley Orman
410 W Lake St
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
PERMIT
City of Eaan
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
cal permit r equirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Philip L Osterlund
3807 Blackhawk Ridge P1
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA090190
07/14/2009
ePermit
cal Inspector, (952)
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
wemlieQte of cccnvaitC4
Wit4 Df ?Q?nli
Z"axtmeut af Sufti" ???rcction -
This Certificate issued pursuant to the requirements of the rlniform Building Code
certifying thal at the iime of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Usc Classificarion: SF DWG Bldg. Peradt No. 20735
O-vP-CY TYPe ?,? Zoning District
J
Owner of Building
IP f BEAUUMM -
BwUUng Atklress I,oca)ity
? .%
?
?/?/ 16/q3
e3? Dace:
Building OtTicial
POST IN A CONSPICUOUS PLACE
Address 3807 HLAMHAWiz RID(E pLA„rE
Zip 5512 2
Lof • 1s Blk 2 Sub m.?.?awrz rr)(7, 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 06 16 93 Yes No Inspector: `
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.
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 pate
5 J 0 4/ 9 3 ire No. Rough•in Inspection
Required?
eady Now X Will Notify Inspector
R
d
?
Wh
Yes ? No ea
y
en
?C licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
3807 Blackhawk Ridge Place Eagan
Section No. Tow?ship Name or No. Range No. County
Dakota
Qccupant(PRlNT) -
StephAn Homes Phone No.
681-9777
Power Supplier
Dakota Electric Address
4300 W. 220th St. Farmington
Electrical Contrector (Company Name) Contractor's License No.
Joos Electric Co. AM01895
Mailing Address (Conhactor or Owner Making Installation)
2104 Great Oaks Drive, Burnsville, MN 55337
Authorized Signature (GontractorrOwner Making Ins Phone [? 31-4/ 5S
?f.
MINNESOTA STATE BOAqD OF ELECTRICITY L1..,- THIS INSPECTION FEQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEP7ED BY THE STATE BOAFiD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642•0800 'ENCLOSED.
- -' - -_ _ _ -
REGtUEST FOR ELECTRICAL INSPECTION es-ooooi•as
? See instrur.,rions f ycompleting this form on back ot yellow copy.
n ?.?z ,"l,=`-? 6043 `'X" Below Work Covered by This Request ??;?:d `
ew Add Rep. TypeotBuilding AppliancesWired EquipmentWired
X Home X Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other -(Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 18.1 1 10 to to0 s
Transformers Above 200 Amps 00 Amps
SignS Inspector's Use Only:
Irrigation Booms ) 765
. 50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHfN 18 MONTHS.
I, the Electrical Inspector, hereby Rough•in oace
l
certify that the above inspection has
been made. Final
? Date `9,-4
l
OFFiCE USE ONLY
This request void 18 months hom .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10--14401-180-02
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3807 BLACKNAWK RIDGE PL
LOT: 18 BL.pCK: 2
BLACKHAWK RIpGE 2ND
Bu:iIdie r m i t T ype
Bui]:dirtg WoeOrk Type
UBC qCCUpancg%-:.
Canstruc`ti.on , Ty'p,e
Zon,ing
Builciing Length
Builciineg Wic1th
5F qWG
NEW
R-3 M-1
V id
R-1 PD
73
45
?
? ? ? L YN?71?3
020735
04/27/93
? ee
_ a m ? .? .
REMARKS:
REcErP-r # s&w CQNTRACTOR - WENZEL MECN pRv
FEE SUMMARY:
4+Atl.UATIbN
Base Fee
Plan Revisw
Surcharge
SAG
SAC ?
SAG Units
Lic. Search Fee
5ubtatal
$713.00
$463.45
$60.5Vi
$750.0fd
100
i
$5.0@
$1, 991. 95
$121,000
M I S C F E E 5 _?1 7_
7'otal Fee $3, 7'36e 45
CONTRACTOR: -- Applieant - 5T. LIC e OWNER:
srEPH--aN woMEs 16819777 0e01452 srEPH-AN HOMEs
1754 DRAKE DR 1754 qF2AKE ClR
EAGAPd Mhf 55122 EF#GAN MN 55122
(sa.z) 681-9777 (612)681-9777
I I, hereby aeknawledge that I have r+ead this application aCtd state that the
irtf crrmat. n is carrect- ancl ac?ree to camp?.y with al,l applicat?Ie State o'? P4n.
L Statutes and C y of Eagan flyd.inarrces. ?
? l
?
APPLICANT/PERMITEE S?IGNATU'RE ISSUED Y: IG ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: L oT: IS gLpCK; 2 APPLICANT:
3807 BL.ACKHAWK RIDGE PL STEPN--AN HOMES
BLACKHRWK ftIpGE ZND (612) 681-9777
PERMIT SUBTYPE: TYPE OF WORK:
sF nwG
NEw
BUILpING
020735
0A/27/'93
INSPECTION
FqpTING .A •
FRAMINC .ATE INSPTR.
INSULATIt?N FINAL
FIREPL,ACE
REMARK5: RECEIPT #
5&W CON7RACTqR - WENZEL MEGH
PRV
F
L
REACTIVATE _ ?? IEE C EE D CITY OF EAGAN
PERMI7 1993 BUILDING PERMtT APPLICATION `
? . 3
APR 2 0 1993 681-4675
_____________ ?--
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAI 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 Val uati on of
i te Address: 77? ? 0 ? ?/?r? (?
,
STREET SUITE #
Tenant Name: (commercial only)
LOT -2-? BLOCK -2- SUBD. Ky h_6"'r h /P" 't 2 ? P . I . D . 0 '
Descri tion of work: 2-si-cl,
The appl i cant i s: 0 Owner Contractor ? Other (oescr;be)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE ?
City State Zip
Company Phone fl' S?27
1
C011t1'eCtOC 5? ?
Address V ????d"1?.-- License # IV5 Exp. ??3 7
/i1--
City State Z i p
Company 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 appli,c-?-b.le State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant:
?
OFFICE USE ONLY
BUILDtNG PERMIT TYPE O OI Foundation ? 06 Duplex ? 11 Apt./Lodging
Er 02 SF Dwg. ? 01 4-Plex O 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex O 13 Garage/Rccessory
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace
O 05 SF Misc. E3 10 Multi. Add'1. [3 15 Deck
WORK Tlf PE
IW31 New O 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
' R
O 16 Basement Finish
O 17 Swim Pool
O 18 Conm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
Const. (Actual ) Y_ Iq Basement sq. ft. MWCC System as
(Allowable)
UBC O
?? lst F1. sq. ft.
d F1
ft
2 City Water
PRY Required
??s
?
ccupancy f
1 n
. sq.
.
Zoning Sq. Ft. total Booster Pump
#? of Stories Footprint Sq. ft. Fire Sprinkler
Length r7 .4 On-site well Census Code
AC C
d 14>1
Depth g-S On-site sewage o
e
S
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
O Footing
0 Final
O Framing
O Draintile
0 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
c; ty sae
Water Conn.
Water Meter
Acct. Deposit
S/W PQrmit
S/W Surcharge
Treatment Pl.
Itoad Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % I Q?
SAC Units
Yaluation: ?ST rL?2; i ?
*A9Atrtc*, 12X21
.':
F6"7F'=
ISq?
ayka4z '9 x2c )(0
9WtZY
2 °
--
7k3 =? x
r 7 8 9 x .6'?v??
I ? ?"`?Z
?, r)
7
13z??t?= ??;??
1.543 X 15=
? .
Z
_ = !-,
710 F'a1 APF,' 14 '97 13:51
Y
? ,,•?''''r r
? ? ??? :
Q'
. .???
nSZ, i9 "'?
?r SS33
s ?? ? `. ?•9C
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4uj ? ? .
a d ? ,? ?? d\? ?, C 1
3
. ?r??, s
d„
1 h'a = o
SS 1 7 • - '
? r / ? w??. .° , \ ? ? ?
CzX
$,+ dF
0941a !. ?r
< UTI,C! A6?' AND
T Y A SE'A
r ?
/ 04 Ar 'r
?rV
?
.
L?0 -r 18 , S L o Ck 2 ? ?NURI?G DEPT
glACIOMWN RlDGE
I2N? ?a017`/ON NORTH
PAKO TA C dl,IN7Y? . 5CALE /'.. 3 0 r
MlNNE SorA AJ.L 8FAR1NGS A55tIMEP ?
o PE NOT155 /KaN Nt0 NtJ14EN7' ''C?p H?..cyc.+Gr- ?1.. P>S'T.3
?A??M??..1'T' ?? 849 ,-z. ? ¦v? 6????
I hereby certify that this survey was prepared by me ox
? under my direct supervision and that Z am a du1 Re
Zand Surveyoz? under the Laws of the Sta'?e o?' Mi.nnesota?ered
, Date :?,1
...?.?. ,.?
-I,eRo;T . Bohlen
LOT SD'APLY CaLCtL2IT !CR 3LZSZDtXTZ7lL
aQILDtI10 u2T !?! CfT2
? OpLRTY LteA ._ ?
?
DaLe Ot ins7eys
ij'IIt D • R•qisterod Land turv*ycr aiqnatute and oo?psny
0" , aui'ldir,q Psrmit 1lpplieant.
8?D Q Ugal aeseziption
D l"' 0 • 11ddress
tr D 0 • North arrow and bar aeai• •
8?'O G • Iiouse typ: (rambier, valkout, split tr/o, split antry,
Iookout, ?tc.) '
ODirectional drsiniqs arrova r3t?2? •2ope/qra03ant t.
SM • Proposod/existinq oev*r and water ssrvioss
? G • 6treet name
0 0 • Dzivevay
nLrvAric?•B sY_?3
? D D • iewer serviee
D • Lot eorners
D?`,0 0 • Top of eurb at the drivtvay
D? D 0 • Elevations of any txistinq adjscont bomas
? D 00 - 6azaqe ilcar
Fzrst flccr
te fl D • Lovest •xposed elevation (valkout/wir?dov)
Er"t ?D ? Property eorners
Frcnt and rear of bome •t the loundation
P9MZNG AREAB tii &Rfllieable)
n ?? • Fasement line .
O D' 0 • N?+'L .
HWL , •
Pond 1! desiqr,ation .
? D Zaerqency Ovsrilov Zlevation
Dir?xSioxs •
? 0 • Lot lines ,
? 0 • Ri9ht-ot-vay and stre&t vidtxi (to baak ot Cu=b)
?0 0 • Proposed bome dimensions incluQinq any propossa e*cks,
overhanq: qreatez tAan 21, porchts, ettc. (i.s. ail
structures reqvirinq pora?anent icotinqr)
? L1 0 • Show all aa:ements oi seeord and any City utilitiss vit.bin
thos: •asemcnts
? D 0 • Setbacks ot pzoposed strueture and setback oi adjactnt
*xistinq homes
?D • Retainin a = irtmtnts, 1f an
• Revieve d • ?-?
.
. _
Ycrxd?cE SzzE cxLCv?TYOx WoRxs?r e
? ?
?
.?_?..-
SZTE
PHONE
ur,nTTMc CoN'TRACTOR ?LF U _r-
GE2'RF: , CONTRAGTaR OR
-A.,j
?PHONE?(??ro - ?OOCALCL-?.A`?IONS PREpP,RBD BY ,L?{.,?,.) ...--
The basic informatifon below, must be ascertiai.ned 'from the plar3s for the $tructuXe ta.be
builz..
;, Sr, feet of exposed wall area above ;rad? 1>,?? ?'7S . x
tJS ? x 90 degrees.
2. Sa,. feet oL exposed window area x??R ?x
9o deqrees.
3. Sa. feet o£ e>:posed dooz azea -3 ??- XU? ?- X
9'o degzees.
" .
. D? .
q. Su,. fEet of ceil;nq area _ 'x"U x sa
5. 5q. *eet of basement floor axea 2 BTU/sq. fL.
6. Sq. fcet of basement wa11 area below grade ZILZ X '
3 8'I'CTlsq. ft.
7. L?n, ft. of i.nfiltration xor windoWs ,??3, k? x{.5} x (1.085) x 90 degrees.
R. 1-in. ft. of infi.ltratzon for doors (1.25)
x( I..o85) x 90 degrees•
.??
g, r.j;j, ft. of infiltration foz slidinq qla55 doors X
(.75) x (1.085) x 010 degrees. 10. A1?owance for kitchen and bath E«ns:
? j ky,tchen fans @ 600 BTU ea.
x J?_ bath fans C 200 BTU ea.
1:.. -A`_owance for fzreplaces: # 1?9r,_ 1.300 B`PU ea.
17. To:.al 6TU loss for all above ztems
13. Rdd for combusti.on air (SBC 7722) (.401) a tlet loss above,
x(12.5) x (.075) x 90 degrees.
14. Add lznz 12 and line 13.
15, ttaximuin xncrease a1loWable by 58C 6 7 is line 14 x 115%.
Output size of turn shal.l tween line 14 and line 15.
ppplicant Siqnature
/ ,
?•-.-
?
? ,3 p3?•o0
4;74T7. 5-/
?,
%/?.. -4z/ ^
?? ??? e2-
?_?Q;O=?a
d
?10
?^P
FLEASE GOMPLETE FOR SINGLE FAMILY DWELI.INGS. AISO, F4R T+OWNH+DMES-AND
C(?ND4S WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
X NEW C4NSTRUCTION
ADD•ON A/C
ADD-QN FURNACE
]}A'F'E April 28, 1993
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS CIUTLETS (MINIMUM 1@ $3.00 EACH) 3.00
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00
STATE SURCHARGE .SO
TOTAL
27.50
?
SIT'E ADDRESS' 3807 Blackhawk Ridge Pl.ace
OWNER NAME: Steph-An xomes TELEpHUNE #: 681-9777
INSTALLER' Kleve Heating & Air Conditioning, Inc,
ADDRFSS' 13075 Pioneer Trail
Cj'j'y. Eden Prairie STATE: MN ZIP C(?DE: 55347
TEL.EPHONE #: 941-42 7 1
IGNA7"URE OF FERMITTEE
1993 MECHANICAL PERMIT (RESIDEN7'I4,L)
CITY OF EAGAN
3$30 PIL4T KNOB RD
EAGAN MN 55122
(612) 6814675
?
1993 MECHANICAL PERMIT (COAD+IERCIAL)
CTTY 4F EAGAN.
3830 PILOT KNUB RD
EAGAN MN 55122
{612} 681-4675 FLEASE COMPLETE FOR ALL COMMF,RCIAUINDUSTRIAL BCJII.DINGS. AL54 COMPI.ETE
FOR AFARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WIiEN SEPARATE
PERMTTS ARE NOT REQUII2ED FOR EACH DWELLiNG UNIT.
I9ATE: CONTRAG'T PRICE: $
NEW BUILDINCr
INTERIOR IMPROVEMENT
W4RK DESCRIPTION:
FEES
1% QF :,:FEE $
::.: ? ?D
PROCESSED PIFING: $25.00
MINIIVIUM FEE: $25.00
STATE SURCHARGE $30 FOR EACH $1,000 C?F FEE.
?...: ?.,::...... A...
TlJTAL $
SITE ADDRESS:
OWNER NAME: TELEPH4NE #:
TENANT NAME: (nMPROVEivtErrrs orii,Y)
INSTALLER:
ADDRESS:
CITY: STATE: Z1P CODE:
TELEPHONE #:
SIGNATURE 4F PERMITTEE CITY INSPECTOR
? ? -- -- -----
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOVVNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR E,ACH UNIT.
N4. FIXTtTRES EACH
SHOWER 3.00 3100
WATER CLOSET 3.00 0
BATH TLJB 3.Qil
LAVATORY 3.00 Ao d
KITCHEN SINK 3.00 3100
? LAUNDRY TRAY 3.00 3,O_,D
HOT TUB/SPA 3•00
WATER HEATER 3.00
00
3 3 DD
r O
FLOOR DRAIN .
GAS PIPING OUTLET minimum - i 3.00
_ 3-DO
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • DaiLccy. uc. 15.00
U.G. SPRINKLER • eome under consi. 3.00
ALTERATIONS • co ooscing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
TOTAL:
.5p
11;7,od
SITE ADDRESS: 6 6' 0
j'b-,jah OWNER NAME: _-'1t2
INSTALLER:
ADDRESS: 4Z? CITY: ? STATE: ZIP CODE:
PH4NE #: /a
4u,t? > (,
S GNATURE OF ERMITTEE
1993 PLUMBING FE:RMIT (RESIDE:N1'IAL)
CITY OF EAGAN
3830 PII.OT KNO$ RD
EAGAN MN SS122
(612) 6814675
1993 PLUMBING PE;RMIT (CONZMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUP?.DINGS VVHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNiT.
NEW CONSTRUCTION
ADD ON ,
REPAIR
WORK DESCRIPT'ION:
CON1'RACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF ..: .. ..?::::.. ?!?rt FEE.
MINIMUM FEE: $ 25.00 :..::
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SIT'E ADDRESS:
TENANT NAME: ° STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE #:
FOR:
CTTY OF EAGAN
APPLICANT
ry?? 2005 RESIDENTIAL MECHANICAL PEItMIT APPLICATION
?` ?'C1"` City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhames/condos when permits are reGuired for each unit
?? .? .
Mte ;2-
Sit
Add
R07-7 Unit #
e
ress
P'rnperty Owner 144f4/'1 UJI Ck Te[ephone #
' Contracto.r -
Street Addr§% City
410 WEST LAKE STREET
State MIfif?trAP9t,1S,-M.?1-55408 Zip
Teiephone # {
)
612-824-2656
Bond #: Expires:
?
The Appticant is Owner
Contractor Other
Add-on or alteration to existing dwelting unit $ 30.00
furnace _Additionai _ Replacement
? air exchanger
air canditioner _New `Repiaeement
other
State Surcharge $ •50
T
t
l ? $
o
a
I hereby apply for a Residential Mechanical Permit and acknowiedge that the information is complete and aceiarate; that the vcork wil
be in conformance with the ordinances and codes of the City of Eagan and tivith the Me Codes; that I unterstand this is tlot i
permit, but only an application for a perrnit, and worYc is not to st rth a permit; t e ork wiit -be in aceardanee vvith 1im
appro e plan in the case of rk which requires a review and app val of
Applicant's Print Name Appli nt' Signature 1 (} ZOQS
0 CT 3
Date / i
Site Stre+et Address Uni# #
Teitant Name (if applicaWe) Previuus Tenant Name
Property Owner Telegbaat # ( )
C4I1tFiCtOC
Street Address
5??ti Zip
!
Baad #• Expires:
The Applicaat is Owner Contractor Qther
Work Type
New Cons#ruetion ? Underground Tank ____ frrstalf Remove **,seer below
Fnterior Improvement _ Install Piping _ Processed _Cas ?,.
Mature of Wark: °
'lffhen tnstallingteemvvlag underground tank' C8/t fv1' irtSpeCtfOn by FiT6t M8rsha/altd PlwlEbing 1Plspectot'
PtlPmit Fees: S70.39 Underground tank instaltationlremovai
SsDSO il?in (includes3tate SurcFiarge)
or
Contraet Value $ x 1% _ $ Penniffese
• Ifpe mit fee is $1,800 ar less, atld $.50 ? $ S#ate Suncharge
If ge rmit fee is over 51,000, add $.50 for
every $1,000 erni fee $ T?il Fee,
1 herreby apply Tor a Cammercia! Mechanieal Permit and acknowlcdge that ths iaformation is completee mul accurate, ihat the uork
witt be' in conformance with the ordinances and codes af the City of Eagan and with the Ivlechanicat Codes, #zat I unclersfond_th I is is
not a permit, but only an applicatifln far a permit, and work is not to start without a permit; ttrat the work will be in acevrd?nce with.
the approved plan in the c.ase, of wark which requires a review and approval of plans.
Applicant's Frinted Name AAPlicant's SignaWe
Approved By: , Inspector Date:
7,,?-Iz L
2007 RESIDENTIAL PLUMBING PERmiT aPPUCariorv
CITY OF EAGAN
3830 PfLOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
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Site Street Address 14,?
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Property Owner ( A Telephone # ( )
Contractor 0 ' ,"?fi f--) ???? Telephone # 41?w
Address City L)?.?r.t?;V? ? ?jv Stat?r Zip
.
The Applicant is: Owner )(Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are insfalling onlv a water softener andlor water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other.
_ Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge nR $ .50
JUN 0 42(l
Total ?-
1 nereby apply tor 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 o?e reviewed a approved.
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Applicant's Printed ame Applica 's Signatur
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113788
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 3807 Blackhawk Ridge Pl
Lot:18 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-180
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 -
Philip L Osterlund
3807 Blackhawk Ridge Pl
Eagan MN 55122
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176098
Date Issued:05/02/2022
Permit Category:ePermit
Site Address: 3807 Blackhawk Ridge Pl
Lot:18 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-180
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Philip L & Helen M Osterlund
3807 Blackhawk Ridge Pl
Eagan MN 55122
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177786
Date Issued:07/18/2022
Permit Category:ePermit
Site Address: 3807 Blackhawk Ridge Pl
Lot:18 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-180
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Philip L & Helen M Osterlund
3807 Blackhawk Ridge Pl
Eagan MN 55122
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179714
Date Issued:10/19/2022
Permit Category:ePermit
Site Address: 3807 Blackhawk Ridge Pl
Lot:18 Block: 2 Addition: Blackhawk Ridge 2nd
PID:10-14401-02-180
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Philip L & Helen M Osterlund
3807 Blackhawk Ridge Pl
Eagan MN 55122
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature