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1509 Blackhawk Ridge Way CITY OF EAGAN N? 16716 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 'f BUILDING PERMIT Receipt To be us@d for SF DWG/GAR Est. Value $142,000 Date r~ 19 Site Address 1509 BLACKHAWK RIDGE WAY Lot 2 Block 1 Sec/Sub.BLACKHAWK RIDGE OFFICE USE ONLY Parcel No. Occupancy R-3 MM1 FEES Zoning RR1 W Name GOLDEN RULE CARPENTRY (Actual) Const V-N Bldg. Permit 786.00 o Address 4624 NINE MILE CREEK PKWY (Allowable) VVN Surcharge 71.00 City BLOOMINGTON Phone 835-6001 # of Stories 0 62 Plan Review 393.0 Length Zo Name SAME Depth 42' SAC, City 100.00 ua Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints On Site Sewage Water Conn 580.00 H W Name On Site Well Water Meter 90.00 =Z Address MWCC System XX a W City Phone City Water XX Acct. Deposit 30.00 PRV Required XX S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply wit all applicable State of Minnesota Statutes and City of Edinanc Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: GOLDEN RULE CARPENTRY 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 3,214.00 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Lot Block Sec/Sub. OFFICE USE ONLY Y Parcel No. Occupancy - FEES Zoning w Name (Actual) Const Bldg. Permit 3 Address (Allowable) o Surcharge City Phone # of Stories Plan Review Length Zp Name Depth SAC, City " pO Address S.F.Total oQ SAC, MCWCC City Phone S.F. Footprints - On Site Sewage Water Conn LOU W Name On Site Well Water Meter T9 Address MWCC System XZ 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 S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: 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 1 Permit No. Permit Holder Date Telephone # WATER s SEWER PLUMBING H.V.A.C.t ELECTRIC Inspection Date Insp. Comments Footings Ij Foundation Framing Roofing Rough Plbg. -7-w 'rip Rough Htg. ? ~7 Isul. Fireplace Final Htg. Final Plbg.-7 f l / ~D Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final 1 Deck Ftg. Deck Final Well Pr. Disp. JJ / / x /Gr.~~'t}'~t wrtifiratt of Mrruvanry Citp of eagan 1Br,par t mt of Iiuilbing 3napertim This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.- Use Classification "T, TIC= Bldg. Permit No. 16716 Occupancy Type QIM 1 Zoning District RI Type Const Owner of Building MM 1411L GAF' Address 4624 NM MM TK R W ' B Building Address 1509 1LACKWC RIDGE WAY Locality L2s B 1, MAMAW R1= .l Date: AUGUST 28. 1989 Building Offi r POST IN A CONSPICUOUS PLACE r r SEWER WATER PERIIAT OFFICE USE t>ItILY CITY OF EAGAN _ METER # YZ 70 147 REKNIT DATE 6/28/84 3830 Pilot Knob Rd. CHIP # l 3 g4 -3 WATER PERMIT # 10581 Eagan, MN 55122-1897 METER SIZE S B.P. RECEIPT C 2687 ISSUE DATE S!- _Z F g B.P. R ;CEIPT PATE 6/26/89 PRV BOOSTER' PUMP SITE ADDRESS PERMIT REQUESTED. LOT BLOCK __L..,~„SEC/SUB APPL14NT: Rate Cz~ -X SEWER N WATER -TAPS' ADDRESS: m . rye z t'~,~r~ COMMAND RESIDENTIAL ''CITY, STATE ( y . Lt ZIP 5.,5~472 PRUNE: NEW EXISTING PLUMBER: i C e ! ,ADDRESS:' 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDI N (p OWNER: t-~ t ; I F,- --m r+n ADDRESS: 32Z.O Evev-:mr-ce 'y-c StGNAT-UR W EN ERI UED CITY, STATE VZ7 ? +n,. Nt r. ZIP r:i Z L PHONE: 4<4 17 0 e`v yi' PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENQfINEE NG DEPT,,,APPLfCANT~ fAND PLUMBER WILL 13 OTtFIED WHEN PERMIT IS PROCESSED.v y ; DATE: 6/26/89 RE: 1509 B .A HAWK RIDGE WAi', L2, B1, BLACKHAWK RIDGE xx 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 PUELIC"WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sew & 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. DATE: 6128/89 RE:1509 BLACKHAWK RIDGE WAY, L29' B1, BLACKHAWK RIDGE xx 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 PUBLI~ VORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. i Your Sew( 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. il Let. 'L MOOS EATING TEST RECORD aC~e ADDRESS • Q)2 PT. FLOOR CITY Q UBURS OCCUPANT OWNER a" HEAT LOSS pA ENT H1 SOLD BY I~11~ INSTALLED BY r~ fr Electrical Work By er Go* Lino By TYPE OF HEAT GA FA ~HW STEAM SPACE HTR. UNIT HTR. OTHER ~ AS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model.- Serial Max, BTU Rating INPUT 96[3!3 MAKE OF FURNACE Model CONTROLS THERMOSTAT `~Heat Plug Vent Size valve tv KIND OF LINER SIZE NONE Limit Draft Hood __s ✓ Regularor Limit Setting o Filters Size Number Fan Setting i Chimney Location Inside ✓ Outside Pilot Type Chimney Construction Pilot Make ✓ . Pilot Model Smoke Bomb 10Z -Wiring Pilot Timing _F Draft Test Tog L.W. Cut Off - Door Pressure Lighting Inst. Pressure Percent CO Dote Tested Input CFH_-_ " Percent 0Z Company Testing atr~- Srock Temp. Percent CO a Nome of Tester _ ` Request Date Fire No. Rough-in Inspection Required? ❑ Ready Now ill Notify Inspector es O No When Ready? Ilicensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City ' Section No. Township Name or No. Range County Occupant (PRINT) Phone No. 00 / Pow upplier f/ CM S r JAe, a / (o ' X V Electrical Contractor (Company Name) Contractors License No. TP c f a Mailing Address (Contractor or Owner Making Installation). / 'Lva t a Authorized S' atu ntraot /Owner Making Installation) Phone Number ' it'30 - 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. ri1 rf,19 REQUEST FOR ELECTRICAL INSPECTION L'• EB-00001-07 87504 ► See insiructiens for completing this form on back of yellow copy. E "X" Below Work Covered by This Request New 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: A),,7('(f , ~y Compute Inspection Fee Below: ~C # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps R Transformers Above 200 Amps Gove -TM Amps Signs Inspector's Use Only: F TOTAL ff Irrigation Booms lG Special Inspection Alarm/Communication Other Fee ~ I, the Electrical Inspector, hereby Rough-in Dat certify that the above inspection has Final Da been made. OFFICE USE ONLY This request void 16 months from 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 © ~O d Telephone # 651-675-5675 FAX # 651-675-5694 j~ New Construction Requirements Remodel/Repair Requirements Offroe Use<Oi~Tu 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Aecd -Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y -.11. 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 ff on-site septic system On-site' Septic System _'Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost1)0 Site Address I C2 M_ 5) Q C LL in a 1 0 e U Unit/Ste # f~anan dOL Description of Work m6klkp, Qaviv_ c) balk-) Multi-Family Bldg - Y X N Fireplace(s) _ 0 X 1 - 2 Property Owner anni g- a)a 1,(hQSM I)~S11?Yjelephone # (0/ 7/ Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted I 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 1~1n~Lop? fl.3 OQ Telephone # ( ) Sewer/Water Contractor Telephone # ( ) AB y 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 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. NAAj*iex- Rte . ;'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 1"" 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex PlbgyY or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 4 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 4?0 G 0 Occupancy - 131 MCES System Census Code 4.3 Zoning _ City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const !y Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) 2 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 r Approved By: s Lt, 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 2004 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. E Bate ! Site Street Address J 5AQ A10C162a &CA-e- Vaq_ 4q~W / Unit Property Owner Telephone # ( f) ar e . Contractor Telephone # ( } Address City State. Zip The Applicant Is: owner Contractor -Other Alterations to existing dwelling 50.00 ,,Add fixtures to rooms, excluding water softener and water heater Septic System Abandonment Water Turnaround (add $121.00 if a 518" meter is required) ,rtOther: Water Softener Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ,,,,,_,_ new repair rebuild $ 30.00- State FRPSurcharge $ .50 5D 60 Total $ ' ' l hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete " and accurate; that the work will be in conformance frith 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. yff I'a pos So I. Applicant's Printed Name Applicant's Signature CI~'Y OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 0 4 (612) 681-4675 Date Issued: 05/26/95 SITE ADDRESS: 1509 BLACKHAWK RIDGE WAY LOT: 2 BLOCK: 1 BLACKHAWK RIDGE P.I.N.: 10--14400-020-01 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: VALUATION $1,200 Base Fee $30.00 Surcharge _ .549 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - FLEMMING PAUL 1509 BLACKHAWK RIDGE WAY EAGAN MN 55122 (612)931-2522 I hereby acknowledge that I have read Lhis application and state that the information is correct and agree to comply with all, applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATU11 ISSUED B * SIGNAVdKE' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 025604 Date Issued: 05/26/95 (612) 681-4675 SITEADDRESS:P.I.N.: 10-14400.020--01 APPLICANT: LOT: 2 BLOCK: 1 1509 BLACKHAWK RIDGE WAY FLEMMING PAUL BLACKHAWK RIDGE (612) 931-2522 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL I L CITY OF EAGAN 4(3 D 563830 PILOT KNOB RD - 53122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 5 681-4675 4 3 registered site Wxveys * 2 copies of plan 2 copies of plans (include boom & window sizes; pound fnd. design; etc.) t 2 site *nvp (e lot & decks) ♦ 1 energy cwicuMlons - ♦ 4 energy co for heated adds ♦ 3 copies of tree preservation plan N lot plotted after 7/1193 required: Yes ` No DATE: CONSTRUCTION COST. ? • y/Y4fYYYY~/w- 1 r M YIi1r YYYr.! DESCRIPTION OF WORK: G k j STREET ADDRESS: Z~- L T Z BLOCK SUBD./P.I.D. PROPERTY Name: 6'm Phone OWNER LAS,, Street Address, V-SbJ city: State: ,.A'„4._. Zip: 2-- CONTRACTOR Company: /Ps Phone Street Address: License City: State: Zip' ARCHITECT/ Company: Phone ENGINEER Name. Registration Street Address- City: State: Zip- Sewer It water licensed plumber: Penalty wh+rl:rt address change and lot change are requested once permit is issued. I hereby admowledge that I have read this application and state that the i byriation Is correct aid some to comply with all amble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY a Certificates of Survey Received Yes No I!4 Tree Preservation Plan Received Yes No w w w w r w w w w w s w w- OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation a 06 Duplex o 11 Apt./Lodging o 16 Basement Finish o 02 SF Dwelling a 07 4-plex o 12 Multi Repair/Rem. o 17 Swim Pool a 03 SF Addition a 08 8-plex o 13 Garage/Accessory o 20 Public Facility o 04 SF Porch o 09 12-plex a 14 Fireplace o .21 Miscellaneous a 05 SF Misc. a 10 plex X15 Deck WORD TYPE 061 New o 33 Alterations o 36 Move a 32 Addition a 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCMIS 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 Census Bldg „ z Census Unit APPROVALS Planning _ Building Engineering Variance Permit Fee Valuation: $ 60 Surcharge Plan Review License MCJWS SAC City SAC Water Conn, Water Meter Acct. Deposit i StW Permk SNV Surcharge Treatment P!. Road Unit Park Ded. Traits Ded. Other Copies Total: % SAC SAC Units 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 * engtn eering . (612) 681 1914 Certificate of Survey for:_ 'GoLpCN f~ULE CA2 pENTRY ~y "OPT" n V Izi 860.4s 16.45' ' / 3l / PRO PO ~.ED 1~GAQ. ~k 17R►v,~ q ~o3 36 0 5 reps 8 61, ~ /o r.~ n7 ' 7 to 8g-7 46" G~3,,39 z goo-o Denoles evWm Elevation /G. 4 = 77-79'33 PROPOSED HOUSE ELf NATIONS f 9000 Denoles prop d Elevation -iz=/o.oo Denoles Drama e Uli 1 / Easement ` / Lowest Floor Elevation = $(02.0 Denoles Oraina f e flow /(,-rows Top otlBlock Elevahon : 869.67 o Denoles monumeld Caro,,, glob aevafon °o(o$_o_` 8 earl*15 shown arQ a'ssu m ed 01 oril LOT 9 L., ri ROOF &ArOMWk , DAKo'rA COONTy1 A11NNESOTA SVR. ECE TO EASFMENTS OFRE'C09D 1 hereby certify that this survey, plan or report was pre ared by me or r!nder my direct supervision and that 1 ?m duly Registered Land Surveyor under the taws of the State of Minnesota. Dated this day of o g(Ofe0l , 5-17-9y o9o6J 5- 23-39,gT. E/er . G r Sca 1 C~ : 1 each = do + eel RORERT t3, stl<!6-1 L. - REG. No. 1 891 PERMIT T CITY OF EAGAN 3'830 mot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (651) 681-4675 Date Issued: SITE ADDRESS: DESCRIPTION: i I REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: -,.j.J. ~J APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGN TURE~ 1998 BUILDING PFJMT "PLiCATIO ~~t ~►8;~ ~ MO MOT KNOB RD - 55122 Mft 99990,08 4t'f'It OF MAG&N 661-4675 nts 3 tegistered site surveys ♦ 2 capi es elp►s++ i 2 copies of ohm (iecluk beam & window sties; pow ed fred. design, etc.) ♦ 2 oft survey's (exterior daeks) + 1 3 cope of trse preservation plan if lot pler►te~ effsx 7'11!93 etrsrgy tiorw f tasd#Nd idoa: ♦ required: _Y *s No DATE: CONSTRUCTION C , DESCRIPTION OF WORK: STREET ADDRESS: ISO_ 3 la LOT. BLOCK: 1 S,JSD.1P.I. # Phone Name: Ocmmfflo Midi Lass" -Vus PROPER Lau pirst OWNER Street Address: i. City State: zip: Carnparty. Horizon Exteriors - Hone CONTRACTOR 1333 Larc Industrial Blvd. Street Address:,, _ Burnsville, MN 55337 License # 000 1 , Q (612) 890-3900 City Sane« ARCHITECT/ ENGINEER company.. Phone Name: Registratipn_ Street Address: City State Zip: . SOW S water licensed plumber (new csnstr m*m or*): Penefty applies when MOMS chaN and lot change Is requested once perrrd is issued. I hweby acknowledge that I haw read this app#aion and state that the intnT aticn is correct and agree to comply with a M applk;&W State of Minnesota Statutes and City of Eagan Ordinances. Ir Signature of Appiicant OFFICE USE ONLY C ificates of Surrey Received Yes No V DEC 1 5 1 TO" Preservation Plan Received Yes No „ Not Regati 11 11 11; . U MY - k BUILDING PERMIT TYPE _0 01 Foundation 0 08 Duplex O '!1 Apt,1l.. Bing © i1 Ba 'r t Finish 02 SF Dwelling 'CJ 07 4-plex CI 12 Multi Reap fRern. 0, 17 Swim Pool 0 03 SF Addition 0 08 8-plex Q 13 Gara /A ry CI 20 Public Facility 0 04 SF Porch 0 09 12-pleat © 14 Fireplaces 0 21 M' ilaneo 0 05 SF Misc. 0 10 „-plex Q 15 Deck WORK TYPE CI 31 New ® 33 Alterations 0 36 Mane Ci 32 Addition )S~ 34 Repair D 37 Denv ition GENERAL INFORMATION Const. (Actual) Basement sq. ft, VMS System (Allowable) Main Wool sq., ft- City Water UBC Occupancy sq. ft. Dire 1413priniclored wing -sq. ft. #-of Stories sq. ft. - # ouster p Length sq. ft. Conan Code. Depth Foo4xW sq. ft. _ SAC C *d* Censue Census Unit APPROVALS Planning Building Engineering Variance ' Permit Fee Valuation: Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Motor Acct. Deposit Sw Permit SMJ Surcharge Treatment Pl. Park Pied. Trails Ded. Other copies Total: % SAC SAC Units 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 2 8 4 8 4 (612) 681-4675 Date Issued: 08/06/96 SITE ADDRESS: 1509 BLACKHAWK RIDGE WAY LOT. 2 BLOCK: 1 BLACKHAWK RIDGE P.I.N.: 10-14400-020-01 DESCRIPTION: (WOOD BURNING) Building Permit Type FIREPLACE Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 III CONTRACTOR: - A p p l i c a n t - OWNER: FIREPLACE CONST CO 19343602 FLEMMING PAUL 15117 SCENIC HEIGHTS RD 1509 BLACKHAWK RIDGE WAY EDEN PRAIRIE MN 55344 EAGAN MN (612) 934-3602 (612)688-8775 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. L Statutes and City of Eagan Ordinances. filly J ~ APPLICANT/PERMITEE SIGNATURE U D B f. SIG ATUR 3830 PILOT KNOB RD - 55122 J !tS464 CITY OF EAGAN 1995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: ONSTRUCT NEW FIREPLACE: OOD BURNING GAS INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: ROOM TO BE INSTALLED IN: :v + Q STREET ADDRESS: 16-07 e- s LOT BLOCK I SUBD.IP.I.D. APPLICANT: (circle one only) OWNER CON~BA=~ 4 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 Fagan Ordinances. PROPERTY Name: Vk t, .MA vtst Q!!2A Phone OWNER L"T rt~r Signature: Street Address: City: State: Zip: FIREPLACE Company: Ca yt +~e a 0b, Phone g 2 .2 9 09-- INSTALLER Signature: Street Address: 150 7 se en rQ l-t-*O& fo g,10 License =EZ Z& City: e-z(e n Pm 4 3C f e State: 62~2 Zip: GAS LINE Company: Phone INSTALLER Name: Signature: Street Address: City: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE D 14 Fireplace WORK TYPE a 31 New 0 33 Alterations * 32 Addition 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. I 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL -2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. !MULTIPLE DWELLINGS RENTAL UNITS ~ FOR SALE UNITS # OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER !LUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.- SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. fr -2- 0C 0 JMAY 1 9 1969 To Be Used For: Rats~i .Z, Valuation: Date% I rt Mi 6-7 Fite Address kaw~ 1c OFFICE USE ONLY Lot Z. Block Occupancy 3 /-J FEES Zoning - Parcel/Sub, Mb Akawek RLJO Actual Const Bldg. Permit Allowable Surcharge Owner # of stories Plan Review 3 Length &2,33 SAC, City /0'o Address 3 Z.Z 0 ~yl,,,R ~le•~ r• Depth 23 SAC, MWCC 5-25-- Depth Total Water Conn S o City/Zip Code _ ~r,.~,•~_, S r / LL Footprint S.F. Water Meter - V Acct. Deposit O Phone 4 4 (0< On site sewage S/W Permit ~J On site well S/W Surcharge MWCC System ✓ Treatment Pl. - z Contractor 40K a"Ag. City water Road Unit Address 4 L* W o-%4 MJ4 p~_ PRV required yc Park Ded. / Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone 815- Goo Planner TOTAL Council Arch./Engr. Vb( e t. Bldg. Off. IAJ Variance Address 431P5~ Mae, a:et`t Ltr,cte City/Zip Code K;^ htitr SST r2 On Inn Phone # 04 Z.-3 Q se ~a a ,la U u + -3 9 u + 1 =-96ffi•U~~ 2- 1 4 00 + 1 =.~e4•~lu+ i ! C EASEMENT FOR INGRESS AND EGRESS THIS INDENTURE made and entered into this day of 1988, by and between MERITOR DEVELOPMENT CORPORATION, as Grantor, and the CITY OF EAGAN, Dakota County, Minnesota, as Grantee. WITNESSETH WHEREAS, said Grantor is the owner of the tracts of land in the City of Eagan, Dakota County, Minnesota, legally described as follows: Outlot B, Blackhawk Ridge. The centerline of said 30.00 foot easement is described as follows: Commencing at the point of intersection of the south line of the Southwest Quarter of the Southeast Quarter of Section 16, Township 27, Range 23, of said Dakota County and the easterly line of said Outlot B; thence on an assumed bearing, N 9 degrees 47 minutes 33 seconds E, along said easterly -line a distance of 26.10 feet to the point of beginning of the centerline to be described; thence N 89 degrees 20 minutes 53 seconds W, parallel with said South line of the Southwest Quarter, a distance of 158.69 feet; thence N'66 degrees 34 minutes 21 seconds W a distance of 335.47 more or less to the easterly right-of-way line of Blackhawk Ridge Place as shown and recorded on the plat of Blackhawk Ridge and there terminating. The side lines of said easement are to be prolonged or shortened to terminate at the easterly line of said Outlot B and the easterly right-of-way line of said Blackhawk Ridge Place. NOW THEREFORE, the said Grantor in consideration of One ($1.00) Dollar and other good and valuable consideration to it paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for ingress and egress, together with the unrestricted right to improve the same, free and clear of all encumbrances, the above described tracts of land. The Grantor, for itself, its heirs, executors, administrators and assigns, does covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement, and does hereby grant and convey to the said City of Eagan all grasses, shrubs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. r The Grantor, for itself, its heirs, executors, administrators and assigns does hereby release the said City of Eagan, its successors and assigns, from all claims for any and all damages resulting to the lands through and across which the parcel of land hereby conveyed is located by reason of the location, grading, construction, maintenance, and use for ingress and egress over and upon the premises hereby conveyed and from the uses incident thereto, and the said City of Eagan shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to construct and maintain, upon the lands adjoining the parcel hereby conveyed, such portable snow fences during such months as weather conditions make necessary. All stumps and other debris resulting from the clearing of the right-of- way will be disposed of by Grantee by burning or otherwise, according to law. IN WITNESS WHEREOF, said Grantor has hereunto set its hand and seal the day and year first above written. MERITOR DE LOPMENT CORPORATION By: Its: V STATE OF MINNESOTA) ) ss. COUNTY OF ; ) On this day of 19460'Cl, before me a Notary Public within and for s id County personally appeared u . 11K_ 0001 to mehQ r5 pers nally known, who, being by me duly sworn that t -awe the i ~re5ident: "Al of the Corporation named in the foregoing instrument, and that the seal affixed to said instrument is the corporate seal of said corporation, and that said instrument was signed and scaled in behalf of said corporation by authority of its Board of Directors and said ~1(e Re-si rjey*u&&- acknowledged said instrument to be the free act and deed of the corporation. (S E A L) THIS DOCUMENT DRAFTED BY: ■ Hauge, Eide & Keller, P.A. FAYELIASON NOT- AHENNEMINNESOTA 1260 Yankee Doodle Road, #200 4z;p Town Centre Professional Bldg. HENNEPINCOUNTY My Commission Expires May 26, 1993 Eagan, MN 55123 (612) 456-9000 EXEMPT FROM STATE DEED TAX STAMPS I T PIONEER 2422 Enterprise Drive o=_ LANDSURveyoRS•CIVILENGINEERS Mendota Heights, MN 55120 engineering- LAND PLANNERS•LANDSCAPE ARCHITECTS * * (612) .681.1914 Certificate of Survey for: M69MOR OEvEIoRMEN7- 4 ~C h ~ LV N \ p ouTL- oT- mo ~N~E ~6~3S4 d Ilk> q t_ F Q ~ M SAME - M 1 p r,4 N- 0Z0'15,ZP"W 4-t-4M LINE of THE SW V4 OF THI: SE Y SEG 16P 4~F PZ 4 ,Q cF ~ IL z J J CIE U; I hereby certify that this survey, plan or report w$.c r aced by me rand under the laws of the State of Minnesota. Dated this/~ Y direct supervision and that 1 am duly Registered Land Surveyor. day of~i A.D. 19..4gL, - ~CQr'e : 1 inch_1QO~~ aff7 B. SIKICH L.S. nEr.. NO. t 891 MEMORIAL CONTIN UEO DOCUMENT RIND Of DATE OF REGISTRATION DATE OF INSTRUMENT NUMBER INSTRUMENT I y-,%Tn I I DAY YEAR HOUR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR A.M. P.M. 20839 Easement f r Ingres an Egre s Oct. 2 I S88 10 39 4 4 188 $1.00 City of Eagan James N. Dolan (S de D c.) I i VOLUME One hundred eighty PAGE 388 80598 Meritor Development Corporatio OWNER JAMES N. DOLAN ReyisFrur of Titles COUNTY OF DAKOTA STATE OF MINNESOTA i zo394~ 't'c~t~3s CONSERVATION EASEMENT THIS INSTRUMENT is made this day of , 1988, by and between MERITOR DEVELOPMENT CORPORATION, a Pennsylvania corporation ("Grantor"), and the CITY OF EAGAN, a Minnesota municipal corporation ("Grantee"). The Grantor, for good and valuable consideration paid by the Grantee, the receipt and sufficiency of which is hereby acknowledged, grants to the Grantee a permanent conservation easement, as that term is defined in this instrument, over, under and across the premises described in the attached Exhibit "A" ("Subject Property"). 1. Grantor, for itself, its heirs, successors and assigns, agrees that the following are prohibited, without prior written consent of the Grantee, on the Subject Property: A. Constructing, installing, storing or maintaining anything made by man, including but not limited to buildings, structures, fences, walkways, clothes line poles and playground equipment. .B. Parking of recreational vehicles. C. Vegetable gardens. D. at.>rage of firewood. E. Clear-cutting or removal of native vegetation. 2. Grantor, its heirs, successors and assigns, may establish and maintain a lawn in the conservation easement area, as well as other plant material which is approved in advance in writing by the Director of the Eagan Park Department. 1 3. Grantor, for itself, its heirs, successors and assigns, further grants the Grantee the right, after giving the owner or occupant reasonable notice, to enter upon the Subject Property at any time to enforce compliance with the terms of this instrument. 4. This Easement is supplementary to the platted drainage and utility easement and does not supersede or replace it. MERITOR DEVELOPMENT CORPORATION, CITY OF GAN >~D a Pennsy nia Corporation I / C. (rc By : By: It Ma or is Vi President By: is City lerk GRANTOR GRANTEE STATE OF MINNESOTA ) ss : COUNTY OF HENNEPIN ) The foregoing was acknowledged before me this 2- day of 1988, by Larry D. Frank, the Vice President of MERITOR DEVEL PMENT CORPORATION, a Pennsylvania corporation, on behalf of the corporation. Notar Public mnnnnn ■ FAY ELIASON STATE OFD,'MINNESOTA NOTARYPUBLIC-MINNESOTA ) ss : HENNEPIN COUNTY COUNTY OF DAKOTA ) My Commission Expires May 26, 1993 x ~ The foregoing was acknowledged before me this 2N day of CL V 1988, by Victor L. Ellison, Mayor, and E. J. J!~ VanOv~rbeke, City Clerk, of the City of Eagan, a Minnesota municipal corporation, on behalf of the corporation and pur want to the aut c it . MARILYN L WUCHERPFENNIT NOTARY PUBLIC - AiINNESOTA DAKOTA COUNTY No ary b11c My Commission Exp Feb 8, 1993 000- T THIS RR'(35MIENT WAS DRAFTED BY: HAUGE, EIDE & KELLER, P.A. 1260 Yankee Doodle Road, #200 Town Centre Professional Bldg. Eagan, MN 55123 (612) 456-9000 2 EXHIBIT "A" A 25.00 foot Conservation easement over that part of OUTLOT B, BLACKHAWK RIDGE according to the record plat thereof on file in the office of the County Recorder, Dakota County, Minnesota. The south, southerly, westerly and west line of said easement described as follows: Beginning at the Southwest corner of said OUTLOT B; thence on an assumed bearing S 60 degrees 06 minutes 01 seconds E along the southerly line of OUTLOT B a distance of 365.83 feet; thence S 1 degree 57 minutes 19 seconds E along the westerly line of OUTLOT B a distance of 176.49 feet; thence S 24 degrees 43 minutes 50 seconds W continuing along said westerly line a distance of 42.37 feet; thence S 89 degrees 34 minutes 28 seconds E along the southerly line of OUTLOT B a distance of 113.37 feet; thence S 67 degrees 10 minutes 58 seconds E continuing along said southerly line a distance of 369.32 feet; thence S 27 degrees 33 minutes 55 seconds E continuing along said southerly line a distance of 127.16 feet to the most southerly corner of OUTLOT B and there terminating. The northerly line of said easement will be prolonged or shortened to terminate at the East and the West lines of OUTLOT B. 3 'C 2422 Enterprise Drive PIONEER LAND SURVEYORS •CIVIL ENGINEERS Mendota Heights. MN 55120 * engineering- LAND PLANNERS •LANDSCAPE ARCHITECTS (612) 681-1914 Certificate of Survey for: I ' G" IT0R DEVELOPMENT" -~escr~ fro P Skefch o r m sl So~~h~ ~y c'orner 01 Oc17/.oT ~3 - A 25.00 foot Conservation easement over that part of OUTLOT Band-BED, BLACKHAWK RIDGE according to the record plat thereof on file in the office of the County Recorder, Dakota County, Minnesota. The 10,69 south, southerly, westerly and west line of said easement described as follows: Uiv /Zs h2~ Beginning at the Southwest corner of said / OUTLOT 8; thence on an assumed bearing S 60 degrees 0& minutes of seconds E along the 90xvly line of OUTLOT 8 a distance of 365.83 feet; thence S 1 degree 57 minutes 19 y\ seconds E along the westerly line of OUTLOT s; 8 a distance of 176.49 feet; thence S 24 degrees 43 minutes 50 seconds W continuing N along said westerly line a distance of 42.37 feet; thence S 89 degrees 34 minutes O o~ / ~o 28 seconds E along the southerly line of OUTLOT B a distance of 113.37 feet; thence S 67 degrees 10 minutes 58 seconds E continuing along said southerly line a distance of 369.32 feet; thence S 27 / degrees 33 minutes 55 seconds E continuing along said southerly line a distance of U 127.16 feet to the most southerly corner of OUTLOT B and there terminating. The JZ5 k northerly line of J .said easement \Q' _ M will be prolonged PV / N or shortened /7G 49 r R23 to terminate ~Zs \s~~y~•~gE s~~ at the Fa6+ / 3so y, it nd +h e. We,,F lines Widee-ly hne o{~ OURDT B Df OUTI-or B. vo / / gad' 0 S N~ 'toAner a f 00MOr 6 I hereby certify that this survey, plan or report was'pr pared by me r under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this 701 day of A.D. 19 9.0 Cale : 1 OD A;"ISIeY ROBERT B. SIKICH L.S. REG. NO. 14891 ~1. A ` Volume No. (ert*1f'1*Cate of I e . OWNER'S DUPLICATE CERTIFICATE Certificate No. 8 0 5 9 ? Document No. 203662 District Court No. Transfer from No. E 0 5 6 4 Originally registered the 18th day of April 19 59 Volume Forty paye 59 State of Alinnesota,l SS County of Dakota. .JiX6 t~ /o reX/lJ, /grit Meritor Development Corporation 3800 West 80th Street of the City of Bloomington County of Hennepin 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 Dakota and State of Minnesota, to wit: That part of Outlot B in BLACKHAWK RIDGE, according to the recorded plat thereof lying north of the south line of Government Lot 1, Section 16, Township 27, Range 23. Subiect 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 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 the XL'1XXXXXdW&XXXXXXXXXX"XYAX MXX0)A laws of the State of Pennsylvania. XIABXXXXXXXX)tltduJtd(XXXXXXXXXXXXXi(DMWX ii Xle&NJ Yl'ltereel? I have hereunto subscribed my name and affixed the seal of my office. this 16th day of June 19 88 JAMES N. DOLAN Registrar of Titles (Seal) In and for the County of Dakota and State of Minnesota. MEMORIAL ~~~AILZ.. li-J. of F,xtatex, /:axementa or Charges on the Land dexeribed in the Certif Cate of Title hereto attached DOCUMENT KIND Of DATE OF REGISTRATION DATE OF "INSTRUMENT NUMBER INSTRUMENT MONTH DAY YfAA "OUR MONTH DAY- YFAR AMOUNt RUNNING IN fAVORUF SIGNATURE OF REGISTRAR A.M. P.M. 63969 Utility Line Sept. 8 972 2 6 19 '72 $1.@0 Town of Eagan Easement 11 erpe ual Eas ments for anit ry ewer urpo es over part of above & other land) James J. Foutchis 124147 Right of Way lat o. 19-5 (Pa el 43B) Minnesota Department of Transpo tation Aug. 27 198 1 - - - - (Acc ss ont of on abov. & other land) James J. Foutchis 126524 W.D. Jai. 2 1913 3 1 14 18 $2,0(0, 00.00 (Subject to Access contr 1 on above & other lands) James N. Dolan 20394 Conservati n Ea eme t une. 2 I )B8 3:20 5 23 188 - City of Eagan James N. Dolan (a 2i.00 ft. c nser ation ea emen over )a it of above-See Doc.) (con inued) j * * 2422 Enterprise Drive PIONEER Mendota Heights, MN 55120 * engineering (912) 681-1914 Certificate of Survey for: GOWEN 9ULG CAFFCNI-W RFV1E.W E0 \ c3Y 1 > / a lo,o\ rL~ l~ all) -3f; ix~-' / OaoaoSE~ 1 iaAe. rirtIV~ /-n ~ib JA ----A; 'S'am ` o O /010 Mr~C 7. CS ~I '7i 13 i .r r 900.0 Denotes exislin Elevation d = 77'19.33•• f OPOSED NousE EcEyA oN ~i Tl S i • 900.0 Denotes roP,aid Elevation P /Lowest Floor flevalion $102.0 DerlOfeS Oralr?4 e l utili f Easement denotes Dratr7a e Flow yrrows Top vtet 8lock Elevation Nol Jol o Denotes monurrteill (jcrrO 4 5'lab Flevation = $(08.0 g earin s shown arrp assu fn ed i ~ Uu~kED LOT 2 , BLOC t , &Ae~NAWk PIC)GE DQKOTA CouNTy, MINNESOTA $UBJECJ' yU EASbMENTS OFRfCORD hereby certify that this survey, plan or report was pr ared by me or under my direct supervision and that 1 am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this-!~='- day of ` A.D. At✓~f~/ : 5 -19-89 9907 rnoyer/ &i'o ,NG _ Sca Je : zj`= +"e'el / , ci~ ROBERT B. SIKtCH L.S. REG. NO. 1 891 i f 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 0,6 C, ``E 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodei/Repair Requirements OFce U-,e O 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey R--rd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Re;ri _ y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree P res Required -Y - is 1 set of Energy Calculations Addition - indicate if on-site septic system On site Septic Sy stem 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 06 / 1,6 / N Construction Cost Site Address 1509 -&ICtC.KhQkWk 1R dGe/r, Unit/Ste # Description of Work °~Ci hr t (Y)G( re C ' , t l ybj ~le S _ Multi-Family Bldg _ Y 'A, N Fireplace(s) _ 0 _ 1 - 2 Property Owner CI'IY I~,~ t hf C 13=l(Y aSC-90 _ Telephone # (kl) 721 " 61 19 Contractor We5TM,(A( Koo-64-A I m Address ' g21-14 C'LI)'7 t' oad City'SaIrr" Qwt State I" y1(7Ti~, Zip 5~ 4 Telephone # (VD- 1) 25 I O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeo1y 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 # ( ) n Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the info n is cJ;19ALn curate; that the work will be in conformance with the ordinances and codes of the City Of Eagan and the S of MN Statutes; I understand this is not a permit, but only an application for a permit, Vi=~nrk is not to start ithout a permit; that the work will be in accordance with the approved plan in the case of work which requires a re iew and approval of plans. plic is Printed Name Ap licant' ignature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling 0 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 ❑ 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: E 3830 Pilot Knob Road Permit Number: ;~0484 Eagan, Minnesota 55122-1897 Date Issued: OC41 196 (612) 681-4675 ` SITEP t' .fit..: 10- 1 444 0 1 ADDRESS APPLICANT: f 1%4-114 PERMIT SUBTYPE: TYPE OF WORK: t°7ItFPLACt- N w t": c: t 1~ 1 ~ E:~~1 ~ W1~ cttl ~S1,t t~ H ~ Fill ) 11~.,3,EGTIC)N TYPE DATE INSPTR. INSPECTION TYPE DAT~- RO UGH- TINT fi INAC , Permit No. Pwn* Holder date T # ELECTRIC PLUMBING HVAC n date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE r l AIR TEST yj FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL` BSMT R.I. BSMT FINAL DECK FTG DECK FINAL C", OF. EAGAN INSfTCn0N`RtC0Rl)' F PERMIT TYP 14 It ! 1.1) t Nfi 3M Mot Knob As3d Permit NUM "r' 6 H A + E r,.R nn tda5122-1 97 Dante kssoed: (612) 681-4675 !lM AWRESS: . ; t 144001- 01 0-- t t APPt~t;~: k t 0 1 tf L t? a:' t. F3t,Al 1 IlAt4t, k1001, WA F't.t mmtN6 t"Mlt.. NtAo.,IIAW, PIMA WIT' ,;iB'TYPE: TYPE OF WORKS f?.E a F< HEW r s 'r3t)i'1tit1;` Y t N A t E t 3 tr~, y saa.~t ''yyta; ~ 41'xCdE S . ~ , :.i _ , . i r -'i^ ,?t'~.i`..'~ .ni R E .i "w Ps~rdt lM~t floidex r • "VAO FOUND FRAMNS ROOFNO i C" aw G" BOARD FWAMACE FWAN%ACE AM TEST fiFW. PLBq FML HM ORGAT TEST z V eMuu BSW R.l. Lv Nd7" 1 fib' - SSW FKAL } Jay DECK FM 1 tS -4 DECK FWL 7 4CFVOP~. o (,~t I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ¢ t t : f° t rt;; 3830 Pilot Knob Road Permit Number: 's Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 4 ITT oo o_ o o I SITE ADDRESS: - ,i: IT, a APPLICANT: 1 "A 1'It;'0.,~ k 1, PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. • TYPE DATE INSPI!,+ d 6dsii ~ zd , it i Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING y I ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 7~ ,"✓h~' .n,.s(:Aa3 .';SYV`r ..9?;,i:,'a ::n^~ero; ....n~..u,.!n-w" "A'1 ^^w - ~M"' y,~" _7,.. i HOU5 EATING PEST RECORD aDDIS PT. FLOOR CITY ~g 1BURS QCC PART QWNER. " QA E H* . ST. ' SOLD Ely Leo f( INSTALLED BY < Electrical Work Sv, Goo Line By f r 7E OF HEAT ~,GJ►FA HW STEAM -,'-SPACE HTR. UNIT HTR. > OTHER; S DESIGN CONVERSION MAI(f MAKE OF BURNER Mktrl: Q p r (5 Model 1 Max, BTU Rating INPUT STtC~ MAKE OF FURNACE Model CONTROLS L r TNf: frTAT Heat Plug vent { $ # (INQSOF LINE,1 SIZE NONE yd; -if Lrtni# ; M Draft Hood epvloror L Limit Setting r to _ Filters Size jL/RT t►umber . Fan'Setting ~ ( Chimr►ey Location Inside ~ outside Pilot Type Chimney Construction COO-,& 16 Pilot Moke Pilot. Model Smoke Bomb _ t„Wirinp Pilo, Timing Draft Test Yap L.W. Cut Off Door Pressure Lighting last. 99 Pressure Percent CO Dote Tested, _ Input .CFH_: Percent 02 Company Testing f~1f t' - Stack Temp, _Percent CO Nome of Tester ' r, ~CITY O EA ~1.3630 PILOT KNOB ROAD EAGAN, MINNESOTA AMOUNT $ ~ _ DOk,i..akA$ i G too` CASH XCHECK ` v19p' 'ZI f (D " AMOU i i Than ' O BY z C .687 p~+1osU~QCOPY BLDG: RIVtiT U. ~a~ Q g 'y 01`-3210 Bldg. Permit a 01'-3422 Plan. Check 01-3445 Surch.tAdm. 01-3446 SAC/Adm. 014155 Surcharge 75-3860 Road Unit 20'-2275 SAC 20-3865 Water Cann. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct: Dep. 20-3713 Water Permit 20;.3743 Sewer Permit 79-3866 Sewer Conn. 283855 Park Ded. i TOTAL D SEWER & WATER PERMIT OFFICE USE ONLY w, CITY OF EAGAN METER # PERMIT DATE 6124169 3830 Pilot Knob Rd: CHIP # WATER PERMIT # 10561 e Eagan, MN 5§122-1897 METER SIZE B.P. RECEIPT # 9 2087 ` ISSUE DATE B.P. RECEIPT DATE 6/26/119 YX PRV ` BOOSTER PUMP SITE ADDRESS I ► PERMIT REQUESTED LOT Z- LOCK EC/SUB t -)(-SEWER X WATER TAM APPLICANT: R.t ~.e C 2. nt.. ADDRESS: 4d7 4 1u ..a M1 , ~.r C r i- rT ~x.a~(~~,~~ - COMM/1ND ~ RESIDENTIAL C", STATE i7%-ft LA ZIP 6 . F'H©1 E: {~-GkL~I -~)C- NEW - EXISTING PLUI4SER: ism AADDRESS:- 14 110 'A :t 1 AGREE TO COMPLY WITH CITY OF a 4 VCITY, STATE , ' I ZIP 2.~ EAGAN ORDINANCES: { PHONE: '?T7 l a R. OWNER: Pa~4~ 1~~ xs E :ADDRESS: SIGNATURE WHEN METER ISSUED j -CITY, STATE ZIP I's f? z- PHONE: -L t" E ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT NG DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. iLl-1- Q11- _ PERMIT # A) ;`=F PLUMBING PERMIT RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ CONTRACT PRICE: PHONE: 454-8100 Site Address 150 Blackhawk Ridge WA BLDG. TYPE WORK DESCRIPTION Loth Block I Sec/Sub Blackha Ride Res. R New X Name Richfield Lumbi Co anv Mult Add-on m Address 805 W • 77 St. Comm. Repair C City Ri hf 1 d Phone 869-7517 Other NO. FIXTURES TOTAL Name O~h=en Rule -2 -Water Closet - $3.00 00 c Address 4624 Nina Mile Creek Pkw Bath Tubs - $3.00 - d p - City Bloomlrgton Phone 815-601 2-Lavatory - $3.00 _ T - ~ Shower'- $3:00 l Kitchen Sink - $3.00 FEES COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM - RESIDENTIAL FEE _$10.00 =Laundry Tray - $3.00 MINIMUM - COMMAND FEE - 20.00 1 Floor Drains - $1.50 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 -_Whirlpool Heater - $1.50 (ADD $.50 S/C IF PERMIT PRICE GOES 1 Gas Piping Outlets - $1.50 BEYOND $1,000.00) -Softener - $5.00 ' - ` Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATU OF PERMITTEE FEE;'; STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ' L U PERMIT # `w MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: 4, 3 9 . 0 0 PHONE: 454-8100 For Office Use Only: 1 509 Site Address ZC C w hxt i ' "L t? JA BLDG. TYPE WORK DESCRIPTION i Lot Block j --SectSub Res. x New x i Mult Add-on Name C€ ~~`hc°,t,t€ 7~t'» : ry Comm. Repair o Address 7402 f.1;' zhin~tcn Ave. c city E 11 P_ f2 14H Phone 9 4 1 1 0 4 4 Other FEES Name RES. HVAC 0-100 M BTU $2400 Address the _i~ .Lze. ld.x'LtJ` -ADDITIONAL 56-M BTU 6.00 - ` L 1 (RES. HVAC INCLUDES A/C ON NEW city „X> Ci C rr+ t Yip;0 Phone 83500 CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE Forced Air 9x C 0 0 M BTU jj24 . 0 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM $ STATE SURCHARGE PER PERMIT. ,r u - .50 (ADD $.50 Gas Piping Outlets # $ BEYOND $AI 0pp) PERMIT PRlOE"~aOES Other X24.00 FEE: .50 SIGN TARE OF PERMITTEEM S/C: TOTAL: FOR: CITY OF EAGAN r CITY OF EAGAN F t 681-4675 F DEPT. OF BUILDING INSPECTIONS t Correction Notice I have inspected this structure and these premises and have found the following violations of city codes: fso~ 3lG~o<~ Q 6Lk*,~,dkektl A)6-1 -TO 01,-)e AL -17,_ihAAA4 12 j~/~ a rczd A-e~2 gq When corrections have been made, please call 681-4675 for inspection. Date ._-17- q7 inspector City of, Eagan DO NOT REMOVE THIS TAG PERMIT City of Eagan Permit Type:Building Permit Number:EA117680 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 1509 Blackhawk Ridge Way Lot:2 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-020 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 . Luanne Yang Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christophe R Rassmussen 1509 Blackhawk Ridge Way Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature . P100 c , \N),'1 C.,L L(XL For Office Use /�(� %,,1 i� Permit#: ( 1t .QI Permit Fee: �1 EAGANJCEIVEDDate Received: 3'� 0 (S Cf 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 MAR Q 2018 Staff: buildinginspections(@citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/30/18 Site Address: 1509 Blackhawk Ridge Way Unit#: } = Chris and Shannon Rasmussen952-334-6775 Name: Phone: .,*:,,,ft4.tsj4:iVi 1509 Blackhawk Ridge Way Address/City/Zip: Applicant is: Owner X Contractor Description of work: Water damage repairs Construction Cost: 46,175.22 Multi-Family Building: (Yes /No ) Hi hmark James Gaulrapp Company: g Contact: Address: 8720 Eagle Creek Pkwy City: Savage f X53 State: MN Zip. 55378 Phone: 5072799355 Email: james.g@highmarkcos.com BC650510 NAT-F109872-2 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans pijir4uppoilffig documents that ie$ ��. o be public • afion� Pp f thein ® tion may be 4 classified asnon-public if youppro w o a specific reasons that would per di h City to 0o e ;:hat the. -dese = You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 - k is no 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 appro al o pl xJames Gaulrapp A A Applicant's Printed Name Applican Sig '.tu-e / o 9 6tett Gt 1 ... e. DO NOT WRITE BELOW THIS LINE /16'5-AS--- SUB SUB TYPES WV — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family — Garage — Porch(4-Season) _ Exterior Alteration (Multi) Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_,Plex — Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior — Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair — Egress Window _ Water Damage Retaining Wall 'Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation -§1 yev,/75. 2 i Occupancy 71p c— ( MCES System Plan Review Code Edition .ppyl 24oic SAC Units (25% 100% ) Zoning P 3> City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings '/ Length Fire Suppression Required Type of Construction V 5j Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required _ Footings(Addition) _ Final/No C.O. Required — Foundation HVAC_Gas Service Test Gas Line Air Test _ Roof: Ice &Water _Final Pool: Footings Air/Gas Tests Final Framing Drain Tile _ Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick T Insulation Windows — _ Sheathing Retaining Wall:_Footings_Backfill_Final _ Sheetrock Radon Control — — Fire Walls Fire Suppression:_Rough In Final — — Braced Walls Erosion Control Other: ?viewed By: / ' h?i97,K/yi9 , Building Inspector ESIDENTIAL FEES f Base Fee t%4 /7000--- Gil- 0,,5 em e/l Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158679 Date Issued:10/25/2019 Permit Category:ePermit Site Address: 1509 Blackhawk Ridge Way Lot:2 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christophe R Rassmussen 1509 Blackhawk Ridge Way Eagan MN 55122 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178825 Date Issued:09/06/2022 Permit Category:ePermit Site Address: 1509 Blackhawk Ridge Way Lot:2 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-020 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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: 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 - Christopher Rassmussen 1509 Blackhawk Ridge Way Saint Paul MN 55122--126 (952) 334-5400 Viking Contractors Llc 7760 France Ave S Edina MN 55435 (612) 567-5522 Applicant/Permitee: Signature Issued By: Signature