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3811 Blackhawk Ridge Pl PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA079113 Eagan, MN 55122 . Date Issued: 08/02/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3811 Blackhawk Ridge Pl Lot: 17 Block: 2 Addition: Blackhawk Ridge 2nd PID 10-14401-170-02 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Repair Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Pictures are not acceptable in lieu of inspections. Melinda James 4100 Excelsior Blvd Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Sela Roofing Remodeling Charles E Wick 4100 Excelsior Blvd 3811 Blackhawk Ridge PI St. Louis Park MN 55416 Eagan MN 55122 (612) 823-8046 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. Applicant/Permitee: Signature Issued By: Signature INSPECTION RECORD, mf' aF EAGAN PERMIT TYPE: fi I $ r I U 10 r, 3830 Pilot Knob Road Permit Number: 2:? 14 9 Eagan, Minnesota 55123 Date Issued: 1:~ (612) 681-4675 'tTL CRESS: 1 f► t m r t+: tc .rv APPLICANT: _tt [s[ACh-HAW#: R106I: I.1 1 H4AI.F.N is1,0 f"ItitP1-.4(t-- S 131, A Y,14 A W k, 14 t c, U. P1 CI (F.> 1 `3 ~1 b1 ~ x F; PERMIT TYPE: TYPE OP WORK: F-TRI::Pt ACU NI^W t. D ATE !NSPTR. INSPECTION TYPE rJ tJ# id { V1 N At. " ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Y 1 ~ o CITY OF EAGAN No 19 6 7 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 02 BUILDING PERMIT PHONE: 454-8100 Receipt # To be used for SF DWG/GAR Est. Value $113,000 Date SEPTEMBER 12 tg 91 Site Address 3811 BLACKHAWK RIDGE PLACE Lot 1.7 Block 2 Sec/Sub. BLACKHAWK RIDGE OFFICE USE ONLY Parcel No. 2ND Occupancy R-3 , FEES Zoning PD R- 1 1 W Name CARROLL CUSTOM HOMES (Actual) Const VnL_ Bldg. Permit 685.00 o Address 14355 CIMARRON AVE (Allowable) Vn- Surcharge 56.50 City ROSEMOUNT Phone 423-6100 # of Stories - 445.00 Length 64 Plan Review ZF Name SAME Depth 51- SAC, City 100.00 (°J<0 Address S.F. Total SAC, MCWCC 650.00 City Phone S.F. Footprints - On Site Sewage Water Conn 660.00 V U' J On Site Well Water Meter 95.00 Fw RN Address MWCC System XX- 30.00 ¢ z Acct. Deposit a W City Phone City Water XX-- PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge • 50 information is correct and agree t comply with all applicable State of 276.00 Minnesota Statutes and City of g n Ordi c Treatment PI Signature of Permitee APPROVALS Road Unit 370.00 A Building Permit i issued to: ARROLL CUSTOM HOMES Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Stat ' s and City of Eagan rdinances. Bldg. Off. Copies *3,398-00 Building Official Variance TOTAL REAM'VATED FOR DEC" 09/17/92 ~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDINGVEBMIT, Receipt # To be used for Sr' DWG/C*" Est. Value ~I I3~S Date SEMMMIL 12 19 $1 Site Address 3811 BLACICHAWK RIDGE PLACE / Lot 17 Block ZSec/Sub. B AMHAWK R' G OFFICE USE ONLY Parcel No. NU Occupancy R'-3± H-1 FEES ~ Name -CARROLL CUM" HMS Zoning P0 s~ w (Actual) Const VtL.-. Bldg. Permit f ~V! o Address 14355 CI-MRRON AVE (Allowable) V"_ Surcharge City ALOSEMDt UT Phone 423-6100 # of Stories Length 64 Plan Review`s Z0 Name SAME Depth SAC, City X00. Address S.F. Total SAC, MCWCC 650.00 City Phone S.F. Footprints F On Site Sewage - Water Conn `c Name w On Site Well ,,.w Water Meter OR Address MWCC System XX _ 30,00 a z Acct. Deposit am City Phone City Water _ PRV Required S/W Permit' I hereby acknowlege that I have read this application and state that the Booster Pump M information is correct and agree to comply with all applicable State of SNV Surcharge Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276 x,00 Signature of Permitee+ APPROVALS 370.00 Road Unit A Building Permit is issued to: Z.'lMLL CU Tom ROWS 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. Copies Bldg. Off. Building Official Variance TOTAL Permit No. Permit Holder Date Telephone # WPTER >lG SEWER ~ PLUMBING ELECTRIC Inspection Date Insp. Comments Footings I 7 Foundation 2.3-~;l Framing Rooting Rough Plbg. Rough Htg. 1 /C 3 C Isul. yfl Fireplace Final Htg. A3' Orstat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final rp A Deck Ftg./a~ zo- Deck Final r~ Well Pr. Disp. ~Citp of Cagan arpartatmt of %dbwg 3wr - . This Certificate issued pursuant to the requirements of Section 306 of the Uniform BuMng ` 1 Code certifying that at the time of issuance this structure was in compliance with the Parious ordinances of the City regulating building construction or use. For the fo(lowing.• Use classification SP DOGAR awg. ~trn;t No. 19675 E w Occupancy Type 1 Zo District - PD/R1 Owner pt' Budding'~a ajS-w Address 14355 s BW7di.'.,Address3811 Ng-w" RPM PLACE,_,,_ L17, 82, NAMUM Building Official POST IN A CONSPICUOUS PLACE . r. % ,4d+lress : 3811 BIAMAWK RIDGE PLAC&ot 17 Blk 2 Sec/Sub M A qiAWK RIDGE 2ND These items were/were not complete at the time of the final inspection. 11/25/1 Yes No 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. & HEMLEO PAPER White - City copy Yellow - Resident copy Pink.- Contractor copy DATE: SEP 16, 1991 RE: 3811 BLACKHAWK RIDGE PL ,(CARROLL CUSTOM HOMES) X Your SewerWater Permit for the above property has been completed. It will be held at the Public Wov"I s 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 LOAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 4LIq, Request Date Fire No. Rough-in Inspec ion t _(1 , ed? ❑ Ready Now Notify Inspector s r- No When Ready? I If ensed contractor D owner hereby request inspection of above electrical work at: ` J b Address (Street. Box or Route No. City Section No. Township Name or No. ~nge No. County ~j Occupant (PRINT) Phone No. cL,~-rb\ ~3-~-® ran cY~S 2_3 Power Supplier Addres to Electrical Contractor (Company Name) Contractor's License No. S J~ C_ p c_ A. cyl. n C, o4C_I Mailing Address (Contractor or Owner Making Installation) Authorized Signature [Contractor, Making Installation) P e Number :Griggs NE T STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Mi ay Bldg. -Room 5-173 8E ACCEPTED BY 7HE STATE BOARD U ' ersity Ave., St. Paul. MN 55104 - UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 1 REQUEST FOR ELECTRICAL INSPECTION ES-00001-08 -2 + bp~ See instructions for completing this form on back of yellow copy. _4 .33U ,X,7191 x, Below Work Covered by This Request ew Add Rep. TypeofBuilding 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 Fee # Circ its/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 708- ps o Transformers Above 200 Amps 2 100 Amps Signs Inspector's Use Only: c OTAL ~..~.y Irrigation Booms "72 Special Inspection (G,` Alarm/Communication THIS INSTALLATION MAY BE O ;CONNECTED IF NOT Other Fee •~a COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in r Date/G certify that the above inspection has Final c been made. j,2,. OFFICE USE ONLY This request void 18 months from 2006 RESIDENTIAL BUILDING PERMIT APPLICATION Ud City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 p~( tJew Construction Reourrements Remodel/Repair Requirements 2116 se Orly 3 ragistered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd - Y _ N (20% maximum, lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd - Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system on-site Septic System Y N s copies of Tree Preservation Plan if lot platted after 7/1/93 - - P.im Jost Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form t Date Constr 'on Cost Site Address 38 t' Unit/Ste # Description of Work yam, Multi-Family Bldg _ Y Fireplace(s) 0 2 Property Owner ~ j ~ t. Telephone # 4 I ~ Window Concepts of MN, Inc. Contractor 990 Lone Oak Road-Suite #114 61~41 Eagan, Minnesota 55121 Address 1-888-712-1733 City State License #20163493 www.windowconceptsmn.com p Telephone # S! ` U ° COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Cade Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 (v submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted 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, date and address of master plan: Licensed Plumber Telephone # ( ) tvlechanical Contractor Telephone # ( ) Sewer,/Water Contractor Telephone # ( ) 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 Eagan and the State of N N Statutes; 1 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 approva a f plans, Applicant's Printed Name Applicant's Signature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan r-7 0 C) 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y - N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System - Y - N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date p~ I - nt° Construction Cos Site Address ~J 1~ ) ~C Yl / t ic CL Unit/Ste # Description of Work (D t^ eGfi ~L ✓1 Q S ~T s? 1,g Coq s i Vl, Multi-Family Bldg - Y N Fireplace(s) - 0 1 - 2 Property Owner iih ,e 1. t y C lL Telephone # Contractor {GV J U ~LC-5 t &.c Address F-,qS 6. L.4- r City N to Lq e5 State Zip 5G Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv I _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y , N If so, 25% plan review fee applies. ) Licensed Plumber Telephone Mechanical Contractor Telephone # D FP -n~ Sewer/Water Contractor Telephone # OR 1'4_ I hereby apply for a Residential Building Permit and acknowledge that the info Am, is =4k, curate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. W, , / / 4 rvi, jo, 6rec-,K-e Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of ^ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types I ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water - Final _ Pool _ Ftgs _ Air/Gas Tests -Final - Framing _ Siding _ Stucco , Stone _ Brick - Fireplace _ R.I. -Air Test -Final _ Windows - Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT - OTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 0 2 2 4 9 (612) 681-4675 Date Issued: 12/20/93 SITE ADDRESS: 3811 BL.ACKhiAWK RIDGE Pt. ~,4I!~~ 1- LOT: 17 BLOCK: 2 BLACKHAWK RIDGE 2ND 61~~3 P . I . N 10--14401-170-02 DESCRIPTION: (OAS) Bui.idi_nq Permit; Type FIREPLACE Building kh1 rk Type NEW i REMARKS: FEE SUMMARY Base Fee $25.00 Surcharge ~.._...w,..___._ Total Fee $25.50 CONTRACTOR: _ Applicant S1. LIC. OWNER: HEAT--N-GLO FIREPLACES 18900758 0002960 MERRETT TOM 3850 W HWY 1.3 3811 BLACKHAWK RIDGE PL BURNSVILLE MN 55337 EAGAN MN 55122 (612) 890-0758 I hereby acknowledge t.hat 1 have read YhiF3 appli.r,,at:i.on and l hat' the information Js correct and agree to comply with all app:lir.~nlc of Mn. Statutes and City of Eagan Ordinances it APPLICANT/PERMITEE SIGNATURE ISSUED BY SIG ATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 2 7 4 9 Eagan, Minnesota 55123 Date issued: 12/20/93 (612) 681-4675 SITE ADDRESS: LOT: 17 B L O C K e 2 APPLICANT: 3811 BLACKHAWK RIDGE PL HEAT-N--GLO FIREPLACES BLACKHAWK RIDGE 2ND (612) 890-0758 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION DATE INSPTR. INSPECTION DATE INSPTR. 'ROUGH-IN FINAL REACTIVATE CITY OF. EAGAN PERMIT-# 1993 BUILDING PERMIT APPLICATION . 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I 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 Valuation of work Site Address:' pke'-O-- STREET SUITE 0 Tenant Name: (commercial only) LOT_ BLOCK SUBD. Y.I.D. ,Description of work: t i od _V, Q a 2j]" The applicant is: ❑ Owner Contractor ❑ Other coescrIIe). Name ~l~~-~'' l~r11 Phone Property LAST FIRS f Owner Address 1( ac (p1.14_ I'~C ~Ik(' STREET STE 9 City -~al&l State 1W f-) Zip Phone 9a D Company --R- Contractor Address AW W License Exp. City 1'> f L''Ltt__ State zip Company Phone Architect/ Engineer Name - Registration # Address City State Zip Sewer & water licensed plumber Processing time for roved'. sewer & water permits is two days once area has been app 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: C OFFICE USE ONLY 4 . • Z BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging Ch,JA0$asn finish ❑ 02 SF Dwg. ❑ 01 4-Plex ❑ 12 Multi. Misc. --13 0 Swim-P' ~ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ I9 Comm./Ind. Misc. D 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 31 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. It. MWCC System (Allowable) 1st F1. sq: ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee vatwcion: S 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. Mies er Total: SAC % SAC Units PERMIT # CITY OF EAGAN REACTIVATE 1992 BUILDING PERMIT APPLICATION 681-4675 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 nest is made or lot change is requested once permit is issued. Date, Valuation of work Site Address: ra -.fir, ate " ' - 'AlL 411 STREET SUITE # Tenant Name: (commercial only) LOT A BL!~~_ SUBD. -~,.P,a 'h,',)A p 4, j1 P . I . D . # Description of work: 1_.Iv•. ~l tzl~ The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name )MGT 4' Phone3~ 01~ Property LAST FIRST vj Owner Address, e STREET STE # City r..G~ State Zip Company Q-Dl r6\1-1~a'y' Phone H~ Contractor Address NUl:-~. License # Exp. City State Y\N,-N"- Zip . Ls 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 ~6-X-em ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: i OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging` ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 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'1. 'x'15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE J 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFnA 'AAT41,! Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy R-3 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 Depth On-site sewage _ SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site Footing ❑ Framing ❑ Insulation ❑ Wallboard I Final ❑ Draintile ❑ Fireplace Permit Fee Vatuation: Surcharge Plan Review License MWCC SAC City SAC Water Conn. 'dater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units tttttl, CA,eeocc Cvs~rc~ f/u► 97 110 X374 . NCaI CEAINC CONSUL T1140 iN0 NfEAx PLANNE RS and AND iUAYEYO!}i IE COMPANY, INC$ IUUU EAST 14811 BTREETt UURNSVILLE t MINNE607A 66Jlt PN 431, fUUO Certificate of Survey e-g a! De 5 c r ipt LOT 7, B~oc~e z, acgc,~ygw/e ,e%a ©AAO•7-Ao v, Ld4&0;'44 :ZW7Y, AOFIWNE.SOT~J. CU6-D DENOTES EXISTING ELEVATION (B-5-7,z-) DENOTES PROPOSED, ELEVATION INDICATES DIRECTION OF SURFACE DRAINA 857_50 =FINISHED GARAGE FLOOR ELEVATION 849.79 = BASEMENT FLOOR ELEVATION 85183 ,a TOP OF BLOCK ELEVATION BG4CKhG9~'YK SCALE V =1w R/D6E 'br, r OIACE _ o SE7,%CK L /A/C 857,2., `R 1 ~ ~ ~ 00 "v 7,50 8, o.o0 1----2z'QO 57 07 \ N"'9 " BH/° 41.57 \ k"7- ,e_ L X42 0 ~ \LV \ Cg2. j \ G 1 1~ ~ \ L 4-- s8. \ D/Z4/1VA6E .~vD ~O~ 417/L17Y 645eMC/VT \ NQ N \ ..i / ism 41 " Q3o.o, (830.0 I hereby certify Ilat this Is a true and cotteet teptesetttatlon of a tract of land as shown and desctlbed bet•on. As ptepated by *me on this 'Z'sTday o1 Auev57 Minn, tips. No. t im sunzim T UCA}I 9STS OF PANS` I SETS OF PLANS ~ SIB'S OF 'AACHITE i' R IST RD SITE SMVSYS REGISTE D. SITE SUR YS - S~UC~L Pws t ' S$ .0 GY° . CALCULA' IONS (CHECK WITH BLDG. DM.) I - so OF #"rE i P"I C&x lWa . 1 SET OF ENUCY CsLCMATICNS 1: SNVI(W ERGT C" CtF SAL. I3I2'IS OF FM, SAIS VNITS 104" C AMI WM: TYFM OF P ZT IS RZMZ'ED, MM NOT PIS. UP BY ' T W Of MONTH IN VUICH, R WEST It HAW. LOT0MME IS "AMMSTED ONCE PWIT IS tSSUED. AIM"SES : 'FYJR comm =s - oa0amCu wwm MUsT t Stslt 7`$ ASS IS E2, MAN= )ULLAY, AMM Q= AM Is lw= Mmsim Tim fm smm vA Ta PEtt ?s Is €3 a!! s wa A mmiT 'N" BUM C00 , 'PUMIT' T S- 40W UCUM PIMER r As'Usid Four.: . ~ Zow Valuation: ,ss' tst° Aat o: Site Ad teas ' fli t 6 iC t 3, OC?0 sl R a;aap~ y Bids.: ~onittg Sut~at~ i!asraa3!$ult , w A'Ctual Const_,r, , . Pl etn ltcui Allowable , City' . . # of stories SAC, Length y i om, ~ . llt±+sas Depth :Watar tez`; _ S.F. Total b"i t ~ .Y iP 9rdtw F66t print. 1S . F. qt /Z c On site se Tx*atleixC on xiite vol caa ttaECtor C" W,4 xwcc System F 31ard*. r City water Trill- IWA. Booster Pump 5 3. aty/Up codas „ t C&4&&&&. =92 Lot d 4 ~e~ air VAA44t _ council Aveh. /Zn$;r, Bldg. Off A,> I/ Asa city/Up Cod* ~ ~ 'tom S"e>r/Water Licsnsed Contr. agrees that ail ta`k shall be In waorda * with ~Jmu~" _ s ' Cunt: ~.ctor) -all appl# *bl:e State of M3xmasota Statutes and City of `Rapn~OrUnaneos,_ A l.l4 `rl ow GARAGE " . - . 2 _ Q4 03 4p f 2 o O Ire CA~eeOcc Cv~;x~1 N~ , RODE CON01. iPIQ ~6Nt3 NEEAS ' ENGINCUING ptf1Nl is and ANO iUAV(yons COMPflNY, INC. IUUU EAST 146111 8TRCETs UURNSVII. L i MINNED07A 6633t PH 43403DUO Certificate of grvey I e 9 a 1 D e s c r i p t : G07 17, #Z46C- 2,, ae 44e,04l1X oPIZ15;6~ 2iV.D 44917-1,0 .0,4,x©7W amw7 , ,wmlvo9s5,o 'W. C.s~ • 3) DENOTES EXISTING ELEVATION' (e5T Z) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINA 857, 50 FINISHED GARAGE FLOOR ELEVATION 84'9.79 ~ BASEMENT FLOOR ELEVATION 857.83 a TOP OF BLOCK ELEVATION ,BL4eA 44WK SCALE e r - 40' r RIDGE ' F~•9CE~ ta,, z; -,61.p q ApAr FRONT Btlllr IMG a 'b 94764Ck-' G /NE t0 m /6 61r sp 7,54) ap 1 / ~ i~~/ rs~g ~ • `r:~ 22.1`3 ~ lip~ ti~ ~'V / ~ o.oo ~--_.._-y-22-•piO<8S'7+°~ ~ N...9 I=Owo 49.5) 7C41 , Cgs ~ 1 ~ ~ t 6~o~O G7 S,g . h `Q NO DR.411VA6E 4 W l1771-17Y EQSEM,EiVT z f% c Ulm / ~tl I ~2?+dt I Hereby cerilly that this is a true acid caortecst tepiesetitatiati of a ttuct of land as showti acid descilbed heroon. As pieptated by the otr title ~ Z1 s-rday 01 AUbyrzz X1,9 9 . Milli), Reg. 140. .w &ME- •t. .a EXTERIOR ENVELOPE AVERAGE "U"'COMPUTATION SITE ADDRESS COMPACTOR DATE ~ ~ PHONE a~) • ~ Determine working square footage of each. 1. Total exposed wall area , sq. ft. X «°=r _ a. Total roof,/coiling area sq. £t. X~ A. Total wall window area. B. Total door area C. Total sliding glass door area D. Total fireplace wall area 8. Total w4ll framing area (average 10%)........... r. 'Total Rim joist area..........». ~F Gi- Total Net wall area above floor................ Total exposed foundation area It. Total foundation window area I.• Total net foundation area above grade........... 2 ~c Determine "U" value of each wall segment. *7 X fluff d. X "v«, a' e. ~w 6w/ X Y" , X ««U«« g. h. -7 X fruit X fluff 607 3 .....Total If item #3 is the same as, or less than itcm #1, you have :net the intent of SBC 6006(c)2. I Total exposed roof/ceiling area ! C F-a j. Total skylight area k. Total roof/ceiling framing area (average 10s},..... 1. Total net insulated roof/ceiling area.... } Determine "U" value far each roof/ceiling segment. J. X "Us" X "U" 4 .....................................Total. If total of #4 is the same as, or less than #2, 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 #4 shall not be greater than the sum of items #1 and #2. 1. + 2. I ' 3. + 4. I •A' % WALL SM" TIONS 1VM" Use 15%, of opaque wall area for frame construction Construction R-Value 1. Znta o ' ~►,~1 2. 3. ~5. S inches soft wood -45) 4. 22lie ALswim. =2 SASic 6. Exterior air film = 0.17 WALL Total FIG. #1 TOPVIEW OF FRAPIE WALL 1. Interior air film 0.68 012 3. 4c F E -1- - - - 5. W k m e hm!z 6. Exterior air•film 0.17 FIG. #2 ~~,yt) Total '2., i , 4o , 6441 4 40 1. Interior air film 0.68 i"""~ 2. Fes a._ t ILL • GR L i ..w....~........ 4. 1 ~ • d-61 rj 5eral 5. ~t•.ti 4a laws' •411 r 6. Exterior air film 0.17 Total • -71 r lC4 1. Interior air film 0.68 2. ~ t t . Ica WALL ' ct' • '0' 4. u r'~nd C .r lb fi 6. Exterior air film 0.17 . Total E' , a7c r. SLAB ON GRADE ' . FIG. #4 ?IG. ' #3 - F -~7 • ` NOTE: Indicate type, "R" value, death and placement of insulation. ROOF /CEILING Construction (Use for Item L) R-Value 1. Interior air film 0.61 2. w~ t7 3. as . 4. Exterior air film-(still)- vMErrr tl1 Total 45, az I ~ 'L-(D CLG. FRAMING(Use for Item K) .Vented Heat flaw 41 up 1, Interior Air film, 0.61 2 • ~ 4e R ~ Ccb _M 2 3„ Inches soft wood 4 FIG. #5 1s,4,. Inches insul above framing 1 . Z41> . . , ' ' 5. Air Film 0.61 1. Interior air film 0.61 i 2. i 3. 4. Exterior air film (still) 0.61 rS~ L G Total Heat flow up ; vented FIG. #6 3 1, Inside air film 0.61 +••!'f'`:• S. Outside air film 0• ~~ts • a Total . 1 2 ~ NO~I-V~1TP1} ' Note: Use. additional she4ts if more €:paca i3 )Iacded for dotails and calculations. Heat flow up Ptr..a CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # C] g""PA " DATE : Igs` PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & r 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 n ( / OWNER NAME: OF 1 PER PERMIT SUBTOTAL: $2L~ ~O La SITE ADDRESS: STATE SURCHARGE: .50 LOT : BLOCK 2 SUBD.7 INSTALLER: ~jcC /LA&xZ ADDRESS: !I SIGNATURE F PERMI EE CITY: ZIP: PHONE IFIIALISTKZ 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 SITE ADDRESS: EACH $1;000 OF PERMIT FEE. 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 FOR CITYUSE ONLY - 3830 PILOT KNOB ROAD EAGAN, 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT 1'I.CJMBxNG PER. MZT DATE:. ItSIDEN2IAL` PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS`" & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST X ADD-ON MINIMUM 15.00 ADD ON 1 SHOWER 3.00 3-00 REPAIR a WATER CLOSET 3.00 (0,00 BATHTUB 3.00 3 • p O LAVATORY 3.00 a a OWNER NAME: ~_6_'rr0 I KITCHEN SINK 3.00 3._.0 LAUNDRY TRAY 3.00 3_a SITE ADDRESS:-S'91% ~ HOT TUB/SPA 3.00 WATER HEATER 3.00 3..00 LOT:~9 BLOCK -Q*,_ SUBD. CQ n7i FLOOR DRAIN 3.00 *Q GAS PIPING OUT. 3.00 ' INSTALLER: S (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 5 ADDRESS: l S k b 5 Cwrou~S e.1 t►.~ L-j OTHER WATER SOFTENER 5.00 CITY: :Rc~ ZIP: Ss 0 (v 1% _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 O PHONE a 3 ' 3-) SUBTOTAL $ 4-°-' $0 ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: $ COMMERCIAIINDUSTRIAI PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH .DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ - ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN a CASH RECEIPT CITY OF EAGAN N 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , DATE 4 RECEWO FROM c), AMOUNT $ 1 & ,oo DOLLARS O CASH 1-01`CHECK r FUND OBJECT AMOUNT E Thank You BY 15352 Yelbw-P bng~ Pink-File Copy SEWER & WATER PERMIT OFFICE USE ONLY CITY bP'/IcaAN h METER # PERMIT DATE 3$30 Pilot Knob d. CHIP # PERMIT # 2212 Eagan, MN 55122-1 ee" METER SIZE B.P. RECEIPT:# C 13352 DATE ISSUE DATE B.P. RECEIPT DATE 91=9I _ PRV -BOOSTER PUMP ' 3811 RLAC[0 RIDGE PLACE SITE ADBRES PERMIT REQUESTED LOT 17; BLOCK' SEC/SUB BLAIr.'KHAWK RIDGE 2ND X SEWERX WATER TAPS g APPLICANT: CA OLL CUSTOM HOMES ADDRESS: 14355 CIMARRON AVE COMM/IND Xx RESIDENTIAL CITY, STATE ROSEMOUNT ZIP 55b768 XX NEW EXISTING I PHONE: 423-~57 (X) MATTHEW DANIELS Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic. Meters on Water Line.. # ADDRESS: 15185 CAROUSEL WAY Credit WILL NOT be 9iven.f.r Deduct Meters. " +fSF1k4UUtI1"I: 3505 CITY, STATE ZIP PHONE 423»-3734 ` f AGR E TO COMP Y WITH Ct`~Y OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP a PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM . SEWER PERMITS, CONTACT ENGINEERING DEPT. ,;a 'F EWE & ATER PERMMT r, s OI' F# E` U$ Y CiTY ~ E..GAN METE FtEfi~ulIT DATE 0-91161911 383 (fPilot Knob Rd. MN 55122-1$977 a CHIP" PERMIT # J 7 ~r U.,. . METERSIZ B.P. RECEIPT # 5~ 153 S DATE 9/12/91 ISSU}AT&al-Z BP.RtfIPTDATE c91l91 PRV BOOSTER PUMP SITE ADDRESS 3$1.1 RLACKHAWK' RME FLAwf PERMIT REQUESTED LOT 17 BLOCK 2. SEC/SUB '3LAu!HAWK RIDGE 2ND - XX SEWER XX WATER, _TAPS APPLICANT: CtA"OLL CUSTOM HOMES 11'r. ADDRESS: I Q55 0114-ARRON ASE - COMMIIND ESIDENTtf ROSEtHOUNT .5506$ CITY, STATE ZfP XX NEW EXISTING. PHONE: 423-6100 A TTHEb3 DANIELS Lawn Sprinkler Meters `are ; to be, Installed 'L'lffVlBER: T Ahead of Domestic fiAeterg on Water. Line.= r edt t Mier . k CJI RESS: 15L85 CAROUSED SAY f, Credit W NOT be given f_Q rosy MOUNT 506$ CIS, STATE _ ZIP'' 'P'HONE:. 423-37317 :-'AGR E O CO WITHY OWNER'. EAGAN AbMESS STATE ZIP r N IGNAT E W METER ISSUED ! - yam! PLE~iC6iLLOVIi TWO WORKIN ~?A4 FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT If For Of c;e Use Eapn C11 16 0f Permit#: 3830 Pilot Knob Road I Permit Fee. C/ Eagan MN 55122 Date ReceiveAUG 2 4 2009 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I - - - - - - - - - - - - - - - - - 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: \ \(X;~~,~ P Tenant: Suite RESIDENT / OWNER Name: ( V~ c Ik,A A~t one: 199 (4 t Address / City / Zip: Applicant is: Owner ontractor TYPE OF WORK Description of work:' C 6 onstruction Cost: ~7 ® Multi-Family ui ing. es ! o CONTRACTOR Name: Address: "t Ln 101, cl ia~ City: State: ip: Phone: ontact'Person: I Pj COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting` documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are `trade secrets. 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. r X Jo x Applicant's Panted Name Ap n s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109593 Date Issued:03/21/2013 Permit Category:ePermit Site Address: 3811 Blackhawk Ridge Pl Lot:17 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-170 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. Crystal Cochran 7588 Washington Ave S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles E Wick 3811 Blackhawk Ridge Pl Eagan MN 55122 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114554 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 3811 Blackhawk Ridge Pl Lot:17 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-170 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 . William Krech 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 - Charles E Wick 3811 Blackhawk Ridge Pl Eagan MN 55122 (651) 755-4805 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119756 Date Issued:12/17/2013 Permit Category:ePermit Site Address: 3811 Blackhawk Ridge Pl Lot:17 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-170 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 - Charles E Wick 3811 Blackhawk Ridge Pl Eagan MN 55122 (651) 755-4805 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146382 Date Issued:10/23/2017 Permit Category:ePermit Site Address: 3811 Blackhawk Ridge Pl Lot:17 Block: 2 Addition: Blackhawk Ridge 2nd PID:10-14401-02-170 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: 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 - Charles E Wick 3811 Blackhawk Ridge Pl Eagan MN 55122 (651) 755-4805 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature