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4024 Blackhawk Rd
CITY OF EAGAN~ $ o 3795 Pilot Knob Road Ill MN 55122 • PHONE: 454-8100 BUILDING PERMIT Receipt To bs used for BEDROOM ADDITION Est. Value_ $18,000 Date March 21 83 Site Address 4024 Blackhawk Road Erect XX Occupancy R-3 Lot 040 Block 75 Sec/Sub. Section 20 Alter Zoning R-1 ❑ Parcel # 10 02000 040 75 Repair ❑ Fire Zone NA Q! Name Eric W. Laveen Enlarge ❑ Type of Const. V W Move ❑ # Stories Address 4024 Blackhawk Road Demolish ❑ Length 14 b city Eagan 55122 Phone 454-2232 Grade ❑ Depth 24 Sq. Ft. Name Owner Approvals Fees , F of Address Assessment Permit ' 00 u~ City Phone Water & Sew. Surcharge 64*25 ~a Police Plan check rz Name Fire SAC NA X3 Address Eng. Water Conn. NA <W City Phone Planner Water Meter NA Council Road Unit NA 1 hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $201.75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: Eric W. Laveen on the express condition that all work shall be done in accordance with all applicable -State ofM innpsotp Statutes and City of Eagan Ordinances. Building Official rf j. t CITY OF EAGAN Include 2 sets of plans, l l~ 1 site plan w/elevations & BTJILDRG. PERMIT APPLICATION 1 set of energy calculations. To Be Used For Valuation 4 M, ®C) C) Date 31 /S-/8`3 Site Address: `1oz Gc~p~.~Ci~wlk ;g~cs0.~ OFFICE USE ONLY Lot 1 q D Block Sec. /Sub. S;2-4t~caA Z_-0 Erect Occupancy Parcel (D 0 Z0n 0 O q-0 7~3 Alter Zoning / Repair Fire Zone l Owner: RI, VJ L~ Enlarge of Const. Move# Stories - Address: S~S-V-' C Demolish Front /tI ft. City/Zip Code: L-b Grade Depth 2 ft. Phone Z Z3 2 APPROVALS FEES Contractor: S L - Assessments Permit -W' S C) Address: Water/Sewer Surcharge AO Police Plan Check to r( ( City/Zip Code: Fire SAC A- -Phone Eng. Water Conn. A) Planner Water Meter /1r Arch./Eng.: Council Road Unit -AI Bldg. Off. Address: APC City/Zip Code: Phone TOTAL -7 cZ r CITY OF EAGAN Remarks Addition Se tion 20 / Lot Blk Parcel 10 02000 040 75 Owner Street State S Improvement Date Amount Annual Years Pay nt Receipt Date STREET SURF. STREET RESTOR. p "114j,-91 1971 gl,6177. 1 1.7Q PAID 3 GRADING SAN SEW TRUNK 1'970 M10 00 $ . 80 2 PAID r- WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT ` C CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 335.00 24395 4-28-81 BUILDING PER. SAC 5215 Q f) ----PARK L- a _f- cam yr- Ze~r< l az) ~tt 7sa Qcz2F-~e~ /1_ t ~ • z. G.~- Oyu-.-f-~'~ 9 " r This request void (p'Z3 10 07-000 d`ya -75 3(o(Oq a 18 months from W 27 3 ao.dc Request Date Fire No. Rough-in Inspection Z3/ quired? Ready Now t~j~Will Notify. Inspec- es No .qor When Ready Licensed Electrical Contractor I hereby request inspection of above - IcKOwnty electrical work installed at: Street Address, Box or Route No. City Section No. Township Name or No. Range No. County 3Z Occupant (PRINT)" L Phone No. Z L K V Power Supplier Address ~`~i-o T~ ~ L Electri Contractor (Company Name) Contractor's License No. Mailing Address (Con ractor or Owner Makin In tailationl Authorized Signature (Contractor/Ow aking In ionl Phone Number ti~H -,2z3A MINNESOTA STATE BOARD OF ELECTRICITY THISINSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. This request void 1 16 18 months from a Request Date Fire No. Rough-in Inspection 4g l Required? Ready Now 11 Notify. Inspec %!{J♦) v es ONo ` Mr When Ready E] Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City 41 a bLAC-V-UVAN41)1Z- EA (.4 Section No. Township Name or No. Range No. County O 'upant (PRINT) Phone No. .1C- Lwe&&j ~r~wte e.. SLI- 2 32 Power Supplier Address Electrical Contractor (Company Name) C,ontractor's License No. Mailing Address (Contractor or Owner Making Installation) Authorized Signature ntractor/ Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00801 A i iJ L See instructions for completing this form on back of yellow copy. .lx.- lx. "-Below Work Covered by This Request 303 - N.A A Type of Building Appliances Wired Equipment. Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) Other Specify Other Other ompute Inspection Fee Below # Fee Service Entrance 4e# Fee Feeders/Subfeeders # Fee Circuits 0to200Amps 0to30Amps 0to30Amps Above 206 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial,`Other Fee Signs Special Inspection $ Remarks t., ) TOTAL FE 01 Rough-in f D to 1, the Elee ical / nspector, he y / certify that the above Final 1 Da e nspection has been This request void 18 months from REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 'See instructions for completing this form on back of yellow copy. ~r W27634 ""X"" Below AVork CSvered by This Request lpu - - Equipment Wired Ne Adb 11ep. Type of Building Appliances Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other Specify Other (Specify) Other Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /S ubfeeders # Fee Circuits 0to100Amps 0to30Amps 0to30Amps 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100 Am s Above i 00-Amps Transformers Remote Control Circ. 1 SO Partial/Other Fee Signs Special Inspection `o Remarks 3 T A! EE fnfmu..Yv". Rough-in ate rice! 4 ri I Inspector, hereby Final certify that the above inspection has been made. This request void t~ 18 months from This request void 18 months from [ - Request Date Fire No. Rough-in Inspection Required? TO Ready Now Q Will Notify Inspec- ❑yes 0N0 for When Ready Licensed Electrical Contractor I hereby request inspection of above wner electrical work installed at: Street Address, Box or Route No. City o,~~ 9:A ig 4 A ectlon No. Township Name or No. Range No. County Occupant (PRINT) G P one Nof.~ le- P_ L C Lk Vt e 5 7" 9~L g Pow Supplier Address DrAy_0 T; e I e Electrical Contractor (Company Name) Contractors License No. Mailing Address (Contractor or Owner Making Installation) Authorized Signature (Contractor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS l Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION « EB-00001-0 t e ~ See instructions for completing this form on back of yellow copy. D 6-6146 -X~: Belot$ Work Covered by This Request Novo Ar4d Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures a Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) t er Specify Other Other ompute Inspection Fee Below q Fee service Entrance Size to Fee Feeders/Subfeeders Y Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms Partial, Other F Signs Special Inspection ij ~r TOTA Rrrks 3 Ef.,_ h V ~t +-'s' (M (J Roug -in Date I the ElectricaI p spector, hereby certify that the above 01111,111111 Final 1. Dje f, pection has been 0 made. This request void 18 months from This request void 18 months from D 18882 Request Date Fire'No. Rough-in Inspection Required? Ready Now ❑ Will Notify Inspec- 9/28/87 ❑Yes ]MNo [or When Ready Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City "40 4 Blackhawk Rd. Eagan ection o. Township Name or No. Range No. County ' Dakota Occupant (PRINT) Phone No. Eric Laveen 895-9500 Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Hilite Electric, Inc. 040445 Mailing Address (Contractor or Owner Making Installation) 1 3 Shawriep- oad Ea an Au Ke ignatur (C ra tdr~ w r M in9 Installation) Phone Number } S Tim Phillips 452-1565 MINNESOTA STATE BOARD OF ELECTRIC Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave., St, Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION V7 EB-00001-06 See- instructions for completing this form on back of yellow copy. w -7 D 1.8 g g ` ""1(Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Healing Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) Other Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits 15.00 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial-"Other Fee Signs Special Inspection S Remarks 18000 15.50 TO ~J 'jo Rough-in Date I E rical Inspector, hereby certify that the above Final Date ~ inspection has been 6-lzf7 made. This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 ND 4342 PHONE- 454-8100 BUILDING PERMIT APPLICATION $15,000. Receipt To be used for Addn to home Date Jut* 2, 19771 Site Address 4024 Blackhawk Rd. Erect ❑ Occupancy Lot - Block Sec/Sub. Sec. 20 Alter (k Zoning RJ Parcel # 10 02000 040 75 Repair ❑ Fire Zone _ Eric W LWFSM Enlarge ❑ Type of Const. Name Move ❑ # Stories 3 Address 4024 Blackhawk Rd. Demolish ❑ Front ft. o ❑ City Phone 454-2232 Grade Depth 24 ft. Ce. Name Same Approvals Fees 0 ou Address Assessment Permit 48.00 _ t' City Phone Water & Sew. Surcharge 7.10 Police Plan check _ t W Name Fire SAC u(D Address Eng. Water Conn. City Phone Planner Water Meter Council I hereby acknowledge that I have read this ap tion and state that Bldg. Off. the information is correct and agree to com y th all applicable 55.50 State of Minnesota Statutes it ofd E rdinances. APC Total Signature of Permitte@~\ r A Building Permit is issued to: Eric W. Lavan on the express condition that all work shall be done in cordon w' II applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official c l__ ~c c ~ CITY OF EAGAN N p ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N ' 1 PHONE: 454-8100 BUILDING PERMIT Receipt # C~ t g 8 6 To be used for GARAGE Est. Value $7,000 Date AUGUST 27 Site Address 4024 BLACKHAWK RD Erect iX Occupancy Ml Lot 4 Block 75 Sec/Sub. SECT 20 Remodel ❑ Zoning RI Parcel No. Repair ❑ Type of Const. Vn Addition ❑ No. Stories Name ERIC LOVEEN Move 11 Length 24 W Demolish 11 Depth 24 o Address SAME Int. Impr. ❑ Sq. Ft. City Phone 454-2232 Install ❑ o Name SAME Approvals Fees Q .4 Address Assessment Permit $ 6 2 .5 0 City Phone Water & Sew. Surcharge 3.50 Police Plan Review LU z Name Fire SAC a Address Eng. Water Conn. W a City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the Bldg. Off. 8/20/8 Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and C' f Eagan Or in nc s. APC Parks Var. Date Copies Signature of Permittee Total $66.00 A Building Permit is issued to: ERIC LOVEEN on the express condition that all work shall be done in accordance with all applicable S/ufte of Minnesota Sta d City of Eagan Ordinances. Building Official" Y,~ CITY OF EAGAN N°_ 14350 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ADDITION Est. Value $28,000 Date OCTOBER 26 19 87 Sft Address 4024 BLACKHAWK ROAD OFFICE USE ONLY Lot 4 Block 75 Sec/Sub. SECT. 20 On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const w Name ERIC LAVEEN City Water (Allowable) Z Address SAME PRV Required # of Stories City Phone 895-9500 (W) Booster Pump Length Depth o Name GREG CONWAY CONST S.F. Total oQ Address 1327 MARTHALER LN FootprintS.F. "-C City W. ST. PAU 1Phone 457-5431 ~ APPROVALS FEES 214.10 w ¢ Engr./Assess. Permit Q01 is w Name z z. Address Planner Surcharge 14.00 Council Plan Review -L03--Q5 a w City Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and ag a to comply with all applicable State of Water Conn. Minnesota Statutes and Citypf Eagan Ord%[~y}$es. lI Water Meter Signature of Permittee LRoad Unit A Building Permit is issued to: ' GREG CONWAY ONST Treatment Pt on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Sitotutes and City Eagan Ordinances. $335.15 Building Official ~y TOTAL PERMIT 'RO5J735 i CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 027103 ` (612) 681-4675 Date Issued: 03/05/96 SITE ADDRESS: 4024 BLACKHAWK RD LOT: 4 BLOCK: 75 SECTION 20 P.I.N.: 10-02000-040--75 DESCRIPTION: SIDING/SOFFIT/FASCIA Building Permit Type SF (MISC.) Building Work Type REPAIR Census `Code 434 ALT. RESIDENTIAL I REMARKS: FEE SUMMARY: VALUATION $4,000 Base Fee $87.25 Surcharge 2.00 Total Fee $89.25 CONTRACTOR: A p p l i c a n t ST - d*NER: PANELCRAFT OF MN INC 17216628 0002,179 LAVEEN ERIC 3118 SNELLING AVE S 4024 BLACKHAWK RD MINNEAPOLIS MN 55406 EAGAN MN 55122 (612) 721-6628 (612)454-9285 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn Statutes and City of Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE ISSUED By. SI ATU INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 027103 Eagan, Minnesota 55122-1897 Date Issued: 03/05/96 (612) 681-4675 SITE ADDRESS: LOT- _ 4 -BLOCK: APPLICANT: 4024 BLACKHAWK RD PANELCRAFT OF MN INC SECTION 20 (612) 721--6628 PERMIT SUBTMYPE>) TYPE OF WORK: R E P A I R DESCRIPTION SIDING/SOFFIT/FAS INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FINAL F CITY OF EAGAN ' 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Reguirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 1 tree preservation plan if lot platted after 7/1/93 required: _Yes _ No 3,-3 rr~~ DATE: a I a a I C)~ CONSTRUCTION COST: W. DESCRIPTION OF WORK: i d ( ncC ~ So r F I f--S60, STREET ADDRESS: B Ja-cK o C~~ K ~?Oao~ LOT BLOCK SUBD./P.I.D. Jur' PROPERTY Name: Lay e n ~5r G Phone `75 a ~S OWNER LAST FIRST Street Address- 1-102-14 8/0-C hOcvK oa.C - City: Ca an State: mfO Zip: CONTRACTOR Company:T~elcra-F-" -oF "Al` Phone Sab Street Address: 31197-Snell * n A 's ' License -7q city. t --M h n e- O-PO ,5 , /yl rL? 575Z40(10 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address' City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No i OFFICE USE ONLY r. BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi (Misc.) ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 Multi (additional) ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. _ Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. _ Booster Pump Length sq. ft. _ Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ .3:30000 Surcharge Plan Review License MC/WS SAC C;ty SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ' 2 % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 3 6 9 6 (612) 681-4675 Date Issued: 05/23/94 SITE ADDRESS: 4024 BLACKHAWK RD LOT: 4 BLOCK: 75 SECTION 20 P.I.N.: 10-02000--040-75 DESCRIPTION: (GAS) Building Permit Type FIREPLACE Building Work Type NEW b REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - A p p l i c a n t - ST. L I C. OWNER: FIRESIDE CORNER INC 16331042 0001068 KOCH-LAVEEN KATE 2700 N FAIRVIEW 4024 BLACKHAWK RD ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 F I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE 6SUI-ED : SIG RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 3 6 9 6 Eagan, Minnesota 55123 Date Issued: 05/23/94 (612) 681-4675 SITE ADDRESS: LOT: 4 BLOCK: 75 APPLICANT: 4024 BLACKHAWK RD FIRESIDE CORNER INC SECTION 20 (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION TYPE DATE INSPTR. • ROUGH--IN FINAL F L CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION .681-467S SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs.. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ?Sl~ / r Site Address: a t~ STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. t O P . I . D . # Descri tion of work; e The applicant is: ❑ Owner a Contractor ❑ Other coescribe) Name L) 110~ Phone Property LAST FIRST Owner Address 4 V STREET STE # city f4f State Zip Company Phone Contractor Address License # 0/ag Exp. city ~U i~1SU ~ /le State zip ~ Company Phone Architect! Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber . Processing time,, for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applic: a State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ►V~ OFFICE USES Orqu AlpBUILDINGi. PERMIT TYPE © 01 Foundation Q 06 Duplex E3 11 Apt4tofting, Q 16 Basement Finish D 02 Sf Dwg. O 07 4-Plex 0 12 'Multi. Nisc. 0 I7' Swim Pool E3 03 SF Addition 0 48 8-flex 0 13 Garage/Accessory Q 18 Comm./Ind. E3 04 SF Porch 0 09 12-P1ex 0 14 Fireplace 0 I9 C /Intl.' misc. E3 05 SF disc. 0 10 Multi. Acid' 1. 0 15 Deck 0 , 2D Publ tr. Faci1 ity 13 21 Miscellaneous WORK TYPE 0 31 New 13 33 Alterations 0 35 Tenant Finish 0 37 Demolish '13 32 Addition ❑ 34 Repair 0 36 Move 4 ENERAL INFORMATION Const. (Actual) Basement sq. ft. CC System (Allowable) 1st ~F1. sq. ft. ,Water UBC Occupancy 2nd Fl. sq. ft. CIRty9equired Zoning Sq. Ft. total booster Pump # of Stories Footprint Sq. ft. Fire Sprink er length On-site well Consus Code Depth On-site sewage SAiC We APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O.Site 13 Footing C3 Framing 0 Insulation 0 Wallboard 0 Final 0 Oraintile Q Fireplace Now= Permit Fee V%tafti: $ Surcharge .Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. 'trails Ded. Copies Other Total: SAC SAC Units { PERMIT j SITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: 8 U.1 L I) a N G Eagan, Minnesota 55122-1897 Permit Number: 03361.4 (612) 681-4675 Date Issued: ,f t~ g g f3 SITE ADDRESS: 4024 c I__ACKHAWK RD LOT. 4 81-OCK; 75 SECTION 20 P < I , N e . 10--02000-040-75 DESCRIPTION: REROOF" Pu i. l d i,nla PPr,m.i t "Type>. STORM DAMAGE E1~aitdi.nq IAorf.- Type REPAIR Cen{_f C.od;c, 4314 ALT. RESIDENTIAL ~ REMARKS: FEE SUMMARY: i i i I I CONTRACTOR: _ A p p l i c a n t _ S T a L I C e OWNER: .JOHNNY ON THE SPOT CGNST 15453944 20138533 LAVEE.N ERIC 15112 GALAXIE AVE 4024 BLACKHAWK RD APPLE VALLEY MN 55124 EAGAN MN 551.23 (612) 545-3944 (651)454-9285 1 hereby ?C4C1lOl.J).ti''C~C~6 thi3t; T havc,! gad thlia, 1~)(.i~1(:i?r"LCn ?3nd tat.te that th,, information ici~ cc~rr c.t and ~igree to Comta:Ly l-1, ap)p1icmb],e State of fyin, k ;ta #tjfP5 an rJ i_t:y t I a gctrf 0r l'1:in ric. Q-w~' APPLICANT/PERMITEE SIGNATURE S UED Y: SIGNATURE r 1998 BUILDING PERMIT APPLICATION j I2 tr OF ZACiRit U30 PUAn KNOB ID • 65122 681-4676 3 m rod sirs surveys ♦ 2 of p 4 , 2 copies of plan Mdudie Ewreaa s tir r attar; pounrd fad. deeign; M) # 2 3ft 4 deft) 1 MOW camas d 1 wwgy ins 10 ♦ 3 copies of tree pataw4dw pion 9 W platted after 711193 u+tuA~ Yes No DATE: +COWTRUCr ON COST; I SCRIPTION OF WORK: U ` - r- t a c W A 1-14 u:~,~ez #.ET ADDRESS: - 2 / c LOT- BLOCK: SUBDJP.I.D. Name: ~'7 PROPERTY LM Funs OWNER Street Address: 2 j~ G t~ city fi State;'T Zip: Company: Z7 ak, CONTRACTOR Street Address: /S1/2 6,r<~,'.a License Z 0 city a <,4 State;'1, zip: ;~3' 12J ARCHITECT/ E TNEER company: Phone Name: Registration* Street Address: city Stye: Zip: _ w & water licensed plrrrw (new coral h Per4kyww a 20 and i t c moo is requested once pem* is hued. I st y.eckrmwiedge twit I give read this application and a #W the irionrtation It correct and agree 10 con" ail "Oew Sbft of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant 71 OFFICE USE ONLY w Corfiftaleszof Survey Received Yes No Off y Yt Preservation Plan Received Yes No Not Req CffWE USE ONLY ]BUILDING PERAMT 'T'Y'PE © 01 Founfttion 0 06 Duplex 0 11 Apt. ng 0 16 Ba ment Finish D 02 SF Dwelling D 07 4-plex 0 12 Multi R !ak +e m. cl17 siwrn Pool 0 03 SF Addition O 08 g-pl+ex 0 13 G Ai ory 0 20 Public Facility 0 04 SF Porch O 09 12-plex 0 14 Fireplace 0 21 Miscellaneou 0 45 SF Misc. 0 14 , •piex 0 15 Deck WORK TYPE 0 31 N" 0 33 motions 0 38 Move Q X32 Addition © 34 Repair O 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNYS S'ysterrt (Allowable) Main level sq. ft. city WSW UBC Occupancy sq. ft. Fire Sprinkl+ersd..... Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code., I Depth Footprint sq. ft. CW& census Census Unit APPROVALS Planning Building Engineering varier" Permit Fee Valuation: $ SurCharge Plan Review - License MC"./lfVS S City SAC Water Conn. Water Meter Acct., deposit SNV Permit SNV Surcharge TreatnIont PL Pate Dad. Trails Ded. Other Copies . 7011611. ` % SACS : s > x SAC Units r PLEASE SIGN THE ORIGINAL COPY AND RETURN TO CITY HALL. Special Assessment De rtment WAIVER GF HEF.. 11G RrQUF,OT FOF. UTILITY IV1PR0VEb=T1S IA.'n hereby request of the City Council, City of Eagan, M--i nesota, utility irproxrements on and over property ou'nGd by L"BA 3 rs follows: (Mer..t ,on type of improvement, e.g. water, sanitary sewer, etc-) LATERAL BENEFIT FROM SEWER AND WATER Parcel # 10 02000 040 75 a die location of said utility improvements shall be generally ss Water lateral 330 feet at $12.00 front foot = $3960.00 1475.00 Credit for Stubbing 2485.00 Sewer Lateral 330 feet at $14.30 front foot = 11-1719.00 Spread for 10 years at 8% interest -T7204.00 Total assessment I/PI. hereby waive notice of any and all hearings necessary for the installation of said improvements and further consent to any ac.,ce:~:?~r>'s necessa.=ily levied by the City of Eagan for such improvements. I/t-:e further agree to grant to the City of Eagan any easem nts sary for the installation of such improvements. It is further understood that this request shall be reviewed by the City Council of The City of Eagan or its agent and I/we will be given reasonable notice as to whether this request is possible under present: utility planning as to timing, location, etc. October 2 1981 Dated: Signature Address _ accepted by Date _ City of Eagan Request referred to City Administrator: Date copies: 1. City Administrator 2. Applicant R §d . ~ i f-13 ~ E F~~ EAGAN EXCAVATING COMPANY DATE t 776 Golden Meadow Road EAGAN, MINNESOTA 55123 NUMBER Phone 454-5447 14i 3-~ a. _ r r , » x 417Y Irk" ip L Y3-- TERMS: '7c fv a c PLEASE OETACN AND RETURN WITH YOUR REMITTANCE S DATE CHARGES AND CREDITS BALANCE BALANCE FORWARD ~ ~ ~ E~•31 ~ C Z,.,L~..IZ4 Qo PAY THIS LAST COAMOU LUMNT EAGAN EXCAVATING COMPANY N L L3 Date: /'Z17 7 BUILDI TG PM4IT APPLICATIO`T LOT BLOCK ADDITION & SECTION HU14BER IF UFIPLATTED OF r~Y~uEL OCCUPm.'TCY J USE :_D _OST 1 - O r r 31 ar►~ C c 1n1. L AV S Z ~.1 TELEPHONE NO. z 2.3,E (bo~,~ M1112RTC C? TELEPHONE PTO. F DD RESS Note° Include site Plana building plans, and energy calculations with th application Signed OFFICE USE 1ALUATIOU UILDING PER1,IIT FEE 7RCNP.RGE FEE nL (Ui CKBCK FEE" PARK DEDICATION FEE T "-S7S$ fT% 3T CLERK BUILDING DEPT. POLICE DEPT. ,'=FR & SM-MR. DEPT. FIRE, DEPT.- PARK DEPT. 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN : NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 6'aJJc~'L=- Valuation: Date: kDr Site Address ~410 2.4-) fat I~eK W,Q WY.,'4 OFFICE USE ONLY Lot Block Erect Occupancy cj 0 Remodel ~ Zoning Parcel/Sub Irl Repair Type of Const Addition # of Stories Owner R tc. L 6y 6 iiaJ Move Length Demolish Depth Address _ ~,,.•,~5' Int.Impr. Sq Ft Install City/Zip Code Phone A)Vy - APPROVALS FEES Contractor Assessments Permit Water/Sewer Surcharge , Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment P1 Arch./Engr. APC Parks Variance Copies. Address TOTAL City/Zip Code Phone # c NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ,T -VOT ,ld 14 1 014" TB '.y Yr ..,Ci.~ low ' e • ^Y Vii` 4•~~ t , • ~j LL loo 19, ior ~ ~ r•ti 'l '!1 , j )t~ '4. ~ ' "'r• 1 i - t^ t, 1.rVi r rr qft 14 1011 r6 01 14 opt 40 AV, / ' ~ / ;,~~'"r• 'C t D • ' ~ f • ~l.3SpLtCf~1 - (`~V1C~ '~.1.~ 00 loo, . 1 Y ' • y i t 1 t~ ~ TIM, 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY ~WELLINGS INCLUDE 2 SETSiOF PLANTS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ADD T/ N RECO OCT 19 W7 .To Be Used For: Valuation: ZS4L C 2 Date: Site Add(r,ess ~-~-1 Q~L~CIt►~pW OFFICE USE ONLY Lot l~ Block On Site Sewage Occupancy MWCC System Zoning K-~ Parcel/Sub On Site Well Type of Const ~,L City Water (Actual) V-N Owner (Allowable) V- h1 # of Stories Address J101 -1 (~,L6,-V-1)iA Length Depth Z.N City/Zip Code S~ 1 ZZ, S.F. Total Footprint S.F. Phone llaw.E J-) 54 92-t S Waax 89~ 9 p ~ APPROVALS FEES Contractor ~ZFG Co~.+wD'1+~5 Assessments Permit 21 , I D Water/Sewer Surcharge DD Address i 32.? "NiLl"qNLE,o. Lt.,, Police Plan Review 10910.6' Fire SAC, City City/Zip Code - ~GuL 5))K Engr SAC, MWCC Planner Water Conn Phone 7- ) Council Water Meter Bldg Off ~7~ 101 23 Road Unit Arch. /Engr. ~o,aiJn ~►,,>~~45dJ APC Treatment Pl Variance Parks Address 3002-< icy a ~v Copies ' TOTAL --i City/Zip Code ti1.PLg S5y Phone # 2 6 - 3 7 C5 • t 898008 SPECIAL ASSESSMENT POLICY 86-3 CITY OF EAGAN ASSESS14ENT AGREEMENT UNDEVELOPED/AGRICULTURAL ZONING PROJECT NO (S) . q g THIS AGREEMENT dated this .Sty" day of -TLIL~1 , 1989, between the CIF EAGAN,cIled City) , and a e Err T^i ~vC"een.,husband & wife(Called Owner) Of _.....4R2_?a_Roaci_ _ Eaaan MN : a•?dress; ; WHEREAS, the City proposes to assess the following described premises in Dakota County, Minnesota, owned by Owner: (legal description) * Parcel 10-02000-040-75 (See Exhibit A attached hereto and incorporated herein by reference) for the following improvements pursuant to City Project(s) 488 Blackhawk Road - Street & Storm Sewer WHEREAS, assessments would normally be based upon the total frontage area of, said premises; and/or WHEREAS, the present use of said property is homestead for a single use; and WHEREAS, the highest and best use of the property may be at a different zoning, higher density or more intense use than presently exists; hir)ta TII Q{ n/1~?F t+~~n ~`npi A--Linn cf 4-1~~a . al a. «r. ►aw~r v•• va•.. •itu+•c~~Gi•wi€~:9 herein, the parties agree as follows: 1. The City agrees to assess said property for the Project and purposes described above at its present singular use, in accordance with Special Assessment Policy No. 86-3. 2. The Owner agrees for himself, his heirs, executors, administrators, successors, and assigns, that if the actual use of said property is changed in the future to a use or zoning category which is greater than its present use, the City may reassess or levy a supplemental assessment at such time based on the assessable units (frontage and/or area) postponed under this referenced prof-ect at the appropriate zoning classification assessment rates, according to City policy, in effect at such future time. 3. a. The Owner for himself, his heirs, executors, administrators, successors, and assigns waives any and all objections to the City's right to reassess the property in conjunction with the Project if the actual use and/or the zoning for the property is changed. Further, the Owner waives any and all objections to the present assessments agreed to herein and to the proceedings related thereto. b. By executing this Agreement, the owner does not waive the burden of the City to establish the benefit received by the property under the Project at the time of the change in use or 4. The undersigned hereby agree that this agreement may be recorded with the Dakota County Recorder and that the Owner shall execute any and all documents necessary to implement the recording of this agreement including the delivery of the Owner's Duplicate Certificate of Title to the affected lands if necessary. 5. The undersigned agrees that this agreement shall run with the affected land and binds the heirs, successors and assigns of such land. 6. The undersigned heirs, successors and assigns of such land, includes all of the person, firms or corporation that hold an interest in the assessed land described above, including the fee title owners, contract for deed vendees or vendors or holders of any other interest under contract for deed, option or otherwise. 7. Other conditions: NoN C The undersigned have read and understand the above agreement and hereby ;:)1r1i:u il%ii~S ivl:$ `-0 it iTi all raspep-S.s► OWNER: CITY OF EAgAN ,-r 4p By By: Its: Mayor BY: Attest: Its: Cl By: APPROVED: Public Works Department Its: 7- -2- STATE OF MINNESOTA) COUNTY Ofi~fl~ ss. On this LLLqV-day of , 198v, before me a Notary Public within and for said Coun j *S-ona lly appeared VICTOR L. ELLISON and E. J. VanOVERBERE to me ly kno wn, who being each by me duly sworn, each did say that they are respectively the mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that th k' a! 9 99 and said Mayor and Clerk ackaLath nowledged said instrument to be the free act and deed of said municipality. .°w~;;.; MARILYN L WLExp.Feb ENNIG NOTARY PU?LIESOTA 71 DAKOTA NTY My Commission 8, 19M N ary Public STATE OF MINNESOTA) COUNTY OF ) ss. ) On this - day of 1988, before me a Notary Public within and for said County, personally appeared and to me personally known, who being each by me duly sworn, each did ray that they are respectively the and 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 sealed in behalf of said co.pora`ion b aut horicy of its Board of Directors and said - acknowledged said instrument to be theaf ree act and deed of the corporation. Notary Public -3- i t'r ' s STATE OF MINNESOTA) C ) ss. OUNTY OF On this day of Notary Public within and for said County, personally appeared personally known, who, being each by me duly sworn to be to me tne of the Partnership named in the foregoing instrument, and thatrth erseal affixed to said instrument is the seal of said partnership and that said instrument was signed and sealed or. beh?ll f :.f said by sN d _ =u~ ~r~ersiiip and and they acknowledged said instrument to be the free act and deed of the Partnership. Notary Public . STATE OF MINNESOTA) ss. COUNTY OF,) The fore i,nq instrument was acknowledged before me this 1 by Eric W. Laveen & Katherine .v,och-Laveen, husband and wife. MARILYN L WISRERPFENIM ONOTARY PUBLIC - MINNESOTA DAKOTA COUNTY N ary Public MY Y Commission Expo Feb, & Ion pool I THIS INSTRUMENT WAS DRAFTED BY: McMENOMY & SEVERSON, P.A. 7300 West 147th Street P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 MGrYRD 206-5892 EXEMPT FROM STATE DEED TAX -4-- EXHIBIT A That part of the Southeast Quarter, commencing at the Northeast corner, west on the north line 831.82 feet south 0 degrees, 20 minutes, 26 seconds east 390 feet to the south line Taconite Trail and that part of beginning west on the south line Taconite Trail 523.25 feet to the centerline of Blackhawk Road south 2 degrees, 06 minutes, 16 seconds west on the centerline of the road 155.55 feet curve south on centerline of the road 176.30 feet north 89 degrees 39 minutes 34 seconds east 532.91 feet to 1NT line bear south 0 degrees 20 minutes 26 seconds east from beginning north 0 degrees 20 minutes 26 seconds west 331.66 feet to the ;point of beginning, subject to street easement Ci`;y of Tac:an over, cite west 4U feet, Section 20, Township 27, Ragne 23. t qq~ I~ OFFICE OF THE COUNTY RECORDER-DAKOTA COUNTY, MN. CERTIFIED THAT THE WITHIN INSTRUMENT WAS FILED FOR RECORD IN THIS OFFICE ON AND AT Auc 9 55 AN 109 DOC. NO 898008 JAMES N N COUNTY REORDER DEPUTYEE~ CASH ❑ CHECK CHARGE ❑ CHARGE WHOM REFUND DO NOT REMOVE McMENOMY & SEVERSON A PROFESSIONAL ASSOCIATION ATTORNEYS AT LAW EDWARD B. McMENOMY VkEPLY TO: PAUL J. STIER LARRY S. SEVERSON* 7300 WEST 147TH STREET PATRICK W. STEWART JAMES F. SHELDON P.O. BOX 24329 KEVIN P. CARROLL J. PATRICK WILCOX* APPLE VALLEY, MINNESOTA 55124 KENNETH R. HALL TERENCE P. DURKIN TELEFAX NUMBER 432-3780 SCOTT D. JOHNSTONt MICHAEL G. DOUGHERTY (612) 432-3136 JOSEPH P. EARLEY REID J. HANSEN MARY L. GOLIKE MICHAEL E. MOLENDA** ❑ REPLY TO: MICHAEL C. McCANN *ALSO LICENSED IN IOWA 14450 SOUTH ROBERT TRAIL OF COUNSEL: **ALSO LICENSED IN WISCONSIN ROSEMOUNT, MINNESOTA 55068 JOHN E. VUKELICH tAISO LICENSED IN NEBRASKA (612) 4231155 August 22, 1989 Mr. Gene VanOverbeke Eagan City Clerk 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 RE: Project No. 488/Blackhawk Road - Levine Special Assessment Policy 86-3 Our File No.: 206-5892 (OOE) Dear Gene: In connection with the above matter, I enclose original recorded Special Assessment Policy 86-3 (Levine) - Document Number 898008 for the official City records. if you should have a question, please feel free to contact me. Thank you for your consideration and cooperation in this matter. ~V, truly yours, McM OMY & SEVERSON, P.A. P' Roxann Duffy Legal Assistant RSD/djk Enclosure DAKOTA COUNTY NAME ! DESCRIPTION AND DELINQUENT TAX RECORD PROPERTY DESCRIPTION JUDGMENT SCHOOL PARCEL IDENTIFICATION W SIC t.OT I YEAR OIST P T LOT BLK SUBDIVISION: DISTRICT S 196 C-Oi Section 20 Twn 2 R ge 3 Eagan =f7 TRANSFER DATE TRANSFER / LAST GRANTEE Pt of SE 1/4 C NE or 8 79 D C Eric N L veen on N line 831.82 Ft D 20M 26S E 390 Ft to li e Eric W. Layeen _ Taconite Tr & pt of eg on S line Taconi e 4 9 85 83563 Eric W & Katherine L 523.25 Ft to C/L B1 kh k Rd S 2D 06M 16S o C/ R 155.55 Ft cur S n C L 176.30 Ft N 89D 9M 4S 532.91 Ft to int li b S OD 20M 26S E from eg OD 20M 26S W 331.66 t Pt of beg 20 27 23 L b~ s r Esrp,O T 'TO ~fo ~fi over - ~ a Cyo-75` 1t ` STREET EASEMENT<'DEED THIS INDENTURE, made and entered into this y of L_ Y 1987, by and between ERIC W. LAVEEN and KATHERINE LAVEEN, usband and wife, as Grantors and the CITY OF EAGAN, Dakota County, State of Minnesota, as Grantee. WITNESSETH WHEREAS, said Grantors in consideration of One ($1.00) Dollar and other good and valuable consideration to them paid by Grantee, receipt whereof is hereby acknowledged, hereby convey, warrant and dedicate to said Grantee, its successors and assigns, for street purposes, together with the unrestricted right to improve the same, a permanent easement over the West 40.00 feet and a temporary construction easement over the West 70.00 feet of the following described parcel: That part of the Southeast Quarter of Section 20, Township 27, Range 23, Dakota County, Minnesota described as follows: Commencing at the northeast corner of said Southeast Quarter; thence South 89 degrees 39 minutes 34 seconds West (assumed bearing) along the north line thereof a distance of 831.82 feet; thence South 00 degrees 20 minutes 26 seconds East a distance of 390.00 feet to the south line of Taconite Trail as located in the plat of Oak Ridge Acres First Addition, as on file and of record in the office of the County Recorder, Dakota County, Xt. Minnesota, and the point of beginning; thence South 89 degrees 39 minutes 34 seconds West along the south line of Taconite Trail a distance of 523.25 feet, more or less, to the east line of the plat of Cedar Grove No. 7, as on file and of record in the office of the County Recorder, Dakota County, Minnesota, `R t said east line also being the centerline of Blackhawk Road; thence South 02 degrees 06 minutes 16 seconds West along said r centerline and plat line a distance of 155.55 feet; thence continuing southerly along said centerline and plat line and _ along a tangential curve concave to the east, central angle of 02 degrees 55 minutes 35 seconds, radius of 3451.73 feet, a distance of 176.30 feet; thence North 89 degrees 39 minutes 34 seconds East, not tangent, parallel with the north line of said Southwest Quarter a distance of 532.91 feet, more or less, to its intersection with a line bearing South 00 degrees 20 minutes 26 seconds East from the point of beginning; thence North 00 degrees 20 minutes 26 seconds West a distance of 331.66 feet to the point of beginning. Said temporary construction easement to expire June 1, 1989. Together with the right to lay, maintain, operate and repair utility lines over and through said tract, free and clear of all encumbrances, except for restrictions, reservations and easements of record, if any. And said Grantors, for themselves, their heirs, executors, administrators and assigns do 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 do hereby grant and convey to the said City of Eagan all grasses, shrubs, trees and natural growth now existing on said lands L;or that may be hereafter planted or grown thereon. And the said Grantors, for themselves, their heirs, executors, .'.'administrators and assigns do hereby release the said City of Eagan, O'its successors and assigns, from all claims for any and all damages resulting to the premises hereby conveyed by reason of the location, grading, construction maintenance and use of a public street over and upon, the removal of materials from the premises hereby conveyed and from the uses incident thereto; it being understood said release .shall not apply to any damage to any property abutting the premises conveyed hereunder arising because of the use of the premises aco,nveyed hereunder by the Grantee; and 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 said Grantors, for themselves, their heirs, executors, administrators and assigns do hereby waive the right to any and all notice for the removal of trees or hedges within the limits of the above described highway under the provisions of Section 160.22 Minnesota Statutes Annotated or otherwise and hereby expressly waives any claim for damages on account thereof. IN WITNESS WHEREOF, said Grantors have hereunto set their hands and seals the day and year first above writ Eric W. Laveen 0, A QA Jf LV, e~,, ather ine1,Laveen STATE OF MINNESOTA) /t'ccA ) ss. COUNTY OF DAKOTA ) On this /3r-., day of 1987, before me, a Notary Public within and for said County, personally appeared ERIC W. LAVEEN and KATHERINE LAVEEN, husband and wife to me known to be the persons described in, and who executed foregoing instrument, and acknowledged that they executed the s e a the' free act and deed. Notary Public THIS DOCUMENT DRAFTED BY: HAUGE, EIDE & KELLER, P.A. M OAV.a ftr.i.ow.GVA otMV~U0b►.1irw 1260 Yankee Doodle Road, #200 rboewwwio•momJ*A"a Town Centre Professional Bldg. Eagan, MN 55123 (612) 456-9000 EXEMPT FROM STATE DEED TAX STAMPS I yy~ 4 _ t ~ P.T.= 25+03.19 EXISTING RO/- BLACKHAWK RC Lul z 0 ` Lt! 16 13 ~ 11 U) I > O Q w Q m I 15 14 12 ' 20'R I 20'R -1 20'.R - eet - SE----.._. _ ' - - - 22 . SEQ. 1----1 - 2~a►PS -----~i4 _-_-i_--_- 1-?_ iz.a7' 26 0 to 1.33' 33' 22.67' M O 7' FOAM. RAJ,'. - SE - - - - SE,• - - SE - -SE SE - - - - - .30~ TENO EASE, Ex ROM - - - - - - - - - NEW R.O.W. LINE I STREET C STREET CURVE DATA CURVE DATA 1 A =3' 24' 44" 3°19' 08" O R =3357.27' R= ~ T =1000..0000' 040-75 T= 100.00' L =199.94' L= 199.94' I D =1.70662 D= 1.65991 + P,C.=23+12.25 PC.= 23 +08.85 EQUATION PT. = 25 +08.79 P.T.=25+12.25 = 25+08.79 GEOMETRIC DETAILS RIGHT OF 1 h- Sy Cate 'HAt R6 RAN *AS ?a3 3T (R l\CER YT j-ia~~ _ v •l j.' O.?ECT AHp THAT 1 AY A 011T ?U~,AL PiOFT-IMQ1AL 1 h V 0*12' 141114RCR 14U Ti( U6 Cf 111 STAX ~ IaME50tA. cAE 7-7-97 accHa 1348/ Q .u~C/ X s~iw ~o?,bolo G t city of aagan 3830 PILOT KNOB ROAD VIC ELLISON EAGAN, MINNESOTA 55122-1897 Mayor PHONE: (612) 454-8100 THOMAS ST AS FAX: (612) 454-8363 DAVID ON PAMELA McCRcCREA THEODORE WACHTER June 13 , 1989 Council Members THOMAS HEDGES City Administrator EUGENE VAN OVERBEKE City Clerk ERIC & KATHERINE LAVEEN 4024 BLACKHAWK RD EAGAN MN 55122 Re: Project 488, Blackhawk Road - Final Assessment Adjustment ftiocel 10-02000-040-75 Dear Mr. & Mrs. Laveen: Enclosed you will find a notice of the proposed final assessment hearing scheduled for July 5, 1989, pertaining to the assessment of the costs associated with the above-referenced project to your property. You will note that the total obligation of your property is approximately $6,550.77. If the enclosed agreement is executed and returned to the City of Eagan prior to the Council meeting of July 5, it will be reduced to $1,984.00 with the difference being postponed until some future date when, and if, you should ever subdivide or further develop your property to a more intense use than presently exists. This agreement will be recorded at Dakota County with your property so that all future purchasers know of that potential future financial obligation should they choose to use it for some other purpose than its present use. If you have any questions pertaining to the proposed assessments or the agreement necessary to receive this proposed reduction, please feel free to contact me at your convenience. Sincerely, Thomas A. Colbert, P.E. Director of Public Works cc: Deanna Kivi, Special Assessment Clerk Enclosure ~~__THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer r NOTICE OF ASSESSMENT HEARING PROJECT 488 - BLACKHAWK ROAD CITY OF EAGAN DAKOTA COUNTY, MINNESOTA NOTICE IS HEREBY GIVEN, that the City Council of the City of Eagan, Dakota County, Minnesota, will meet at the Eagan Municipal Center located at 3830 Pilot Knob Road, in said City on July 5, 1988, at 7:00 p.m. to consider the proposed assessment of storm sewer, street and trailway improvements relating to Improvement Project No. 488 in the following described area: The southeast quarter of Section 20 - Parcel Nos. 010-78, 020-78, 030-78, 030-79, 040-79, 050-791 070-79, 040-75, 030-77, 040-77 and 011-75; AND Lots 1 through 3, Block It BLACKHAWK WOODS; AND Lots 1 through 7, Block 1, BLACKHAWK PLAZA; AND Lots 14 and 15, Block 1, ART RAHN ADDITION; AND Lot 1, Block 1 (50 units) AND Lot It Block 2, (50 units), BILLANDALE NO. 1. The area proposed to be assessed is all property described above, all as more fully and particularly described in the assessment roll on file with the City Clerk in his office, which roll is open to public inspection. The total amount of the proposed assessment is $181,842.74. Written or oral objections will be considered at the public hearing. No appeal may be taken as to the amount of any assessment unless a written objection, signed by the affected property owner, is filed with the City Clerk prior to the hearing or presented to the presiding officer at the meeting. An owner may appeal an assessment to district court pursuant to M.S.A. 5429.081 by serving notice of the appeal upon the Mayor or Clerk of the City of Eagan within thirty (30) days after the adoption of the assessment and filing such notice CITY OF EAGAN NOTICE OF SPECIAL ASSESSMENT Project #10P488 June 14, 1989 The EAGAN CITY COUNCIL will meet on the 5th day of July, 1989, at the Eagan Municipal Center, 3830 Pilot Knob Road, Eagan MN, to approve and adopt the listed special assessments against the following described property: 10-02000-040-75 ERIC W & KATHERINE LAVEEN 4024 BLACKHAWK RD EAGAN MN 55122 The special assessments are: TOTAL ANNUAL FIRST YEAR FIRST YEAR TYPE OF IMPROVEMENT S A # PRINCIPAL PRINCIPAL INTEREST INSTALLMENTS STORM SEWER TRUNK 1870 0.00 0.00 0.00 0.00 STORM SEWER LATERAL 1871 0.00 0.00 0.00 0.00 LAT BENEFIT ST SWR TRNK 1872 0.00 0.00 0.00 0.00 STREET 1873 6550.77 655.08 835.22 1490.30 TRAIL 1874 0.00 0.00 0.00 0.00 TOTAL 6,550.77 655.08 835.22 1,490.30 You may pay any portion of these special assessments within thirty (30) days, spec- ifically on or before the 4th day of August, 1989, without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, but prior to October 16, 1989 interest will be charged from July 5, 1989 to December 31, 1989. After October 16, 1989 the first years installments cannot be prepaid and it includes interest from July 5, 1989 to December 31, 1990. Any unpaid portion will be collected in annual installments of principal and interest for the next 10 YEARS on your future property tax statements which will be issued through the Dakota County Auditor's office. The annual installments include interest at the rate of 9 PER CENT per year on the unpaid balance. i Notice of Special Assessment Page - 2 - The proposed assessment roll is on file with the City Clerk. The assessments related to this project total $181,843 and the area is as follows: The Southeast Quarter of Section 20 including the following unplatted parcels 10- 02000-010-78; 020-78; 030-78; 030-79; 040-79; 050-79; 070-79; 040-75; 030-77; 040-77; and 011-75; AND Lots 1 thru 3, Block 1 Blackhawk Moods; Lots 1 thru 7. Block 1 Blackhawk Plaza; Lots 14 and 15, Block 1 Art Rahn Addition; Lot 1 of Block 1 and Lot 1 of Block 2, Hillandale Addition in City of Eagan, County of Dakota, Minnesota. Written or oral objections will be considered; no appeal may be taken as to the amount of any assessment unless a signed, written objection is filed with the Clerk vrior to the hearing or presented to the vresiding officer at the hearing. An appeal to district court may be made by serving notice upon the Mayor or Clerk of the City within 30 days after adoption of the assessment and filing such notice with the district court within ten days after service upon the Mayor or Clerk. The City has a Senior Citizen deferment ordinance based on income and homestead status. Details are available by calling the Assessment Department, 454-8100. Please note that you will receive additional notice on this matter only if the amount due is amended. If you have any questions about this statement, please call Special Assessments at the City of Eagan (454-8100). City of Eagan 3830 Pilot Knob Road Eagan, Minnesota 55122 ~eOnna.- r ,QXHIBIT 1 SPECIAL ASSESSMENT POLICY 86-3 CITY OF EAGAN ASSESSMENT AGREEMENT UNDEVELOPED/AGRICULTURAL ZONING PROJECT NO(S). `!g THIS AGREEMENT dated this s*~ day of .SvLI , 1989, between the CITY OF EAGAN, (called City), and Eric & K thleen Lave.._,en (Called Owner) of r , 4024 Bl ackhawk Road, Eagan MN (address) ; WHEREAS, the City proposes to assess the following described premises in Dakota County, Minnesota, owned by Owner: (legal description) * Parcel 10-02000-040-75 for the following improvements pursuant to City Project(s) 488 : Blackhawk Road - Street & Storm SeWCg WHEREAS, assessments would normally be based upon the total frontage area of, said premises; and/or WHEREAS, the present use of said property is homestead for a single use; and WHEREAS, the highest and best use of the property may be at a different zoning, higher density or more intense use than presently exists; NOW, THEREFORE, upon consideration of the mutual covenants herein, the parties agree as follows: 1. The City agrees to assess said property for the Project and purposes described above at its present singular use, in accordance with Special Assessment Policy No. 86-3. 2. The Owner agrees for himself, his heirs, executors, administrators, successors, and assigns, that if the actual use of said property is changed in the future to a use or zoning category which is greater than its present use, the City may reassess or levy a supplemental assessment at such time based on the assessable units (frontage and/or area) postponed under this referenced prof-ect at the appropriate zoning classification assessment rates, according to City policy, in effect at such future time. 3. a. The Owner for himself, his heirs, executors, administrators, successors, and assigns waives any and all objections to the City's right to reassess the property in conjunction with the Project if the actual use and/or the zoning for the property is changed. Further, the owner waives any and all objections to the present assessments agreed to herein and to the proceedings related thereto. b. By executing this Agreement, the Owner does not waive the burden of the City to establish the benefit received by the property under the Project at the time of the change in use or zoning. 4. The undersigned hereby agree that this agreement may be recorded with the Dakota County Recorder and that the owner shall execute any and all documents necessary to implement the recording of this agreement including the delivery of the owner's Duplicate Certificate of Title to the affected lands if necessary. 5. The undersigned agrees that this agreement shall run with the affected land and binds the heirs, successors and assigns of such land. 6. The undersigned heirs, successors and assigns of such land, includes all of the person, firms or corporation that hold an interest in the-assessed land described above, including the fee title owners, contract for deed vendees or vendors or holders of any other interest under contract for deed, option or otherwise. 7. Other conditions: None c The undersigned have read and understand the above agreement and hereby bind themselves to it in all respects. OWNER: CITY OF EA A; 7 BY; By: Its- M yor BY: ~W Attest: Its: Cl By: APPROVED: Public Works Department Its: -2- STATE OF MINNESOTA) ) ss. COUNTY OF 42LC"~~ On this LLZW-day of 1980(~ within and for said Coun ' 9p before me a Notary Public appear VICTOR E J. VanOVERBERE to me ers allyaknownt whoebeing each.byLmeSdulynd sworn, each did say that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed in behalf of said municipality by authority of its City Council and said mayor and Clerk acknowledged said instrument to be the free act and deed or said municipality. MARIiYN L WUCNERPFENNIG ! NOT.AgY PUCUC - MINNESOTA MDAKOTA COUNTY Public FS' y Commission Exp Feb 8, IM ~ y I f STATE OF MINNESOTA) ) ss. COUNTY OF ) On this day of , 1988, before me a Notary Public within and for said County, personally appeared and to me personally known, who being each by me duly sworn, each did say that they are respectively the and 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 sealed in behalf of said corporation by authority of its Board of Directors and said - acknowledged said instrument to be theafree act and deed of the corporation. Notary Public -3- f r t STATE OF MINNESOTA) COUNTY OF ) ss. ) Onthis _dayof Notary Public within and for said County, ' ally bef ore me a and personally appeared to e personally known, who, being each by me duly sworn to be partners of the Partnership named in the foregoing instrument, and that the seal affixed to said instrument is the seal of said said instrument was signed and sealed on behalf of tsaidhPartnership p by said and and they acknowledged said instrument to be the free act and deed of the Partnership. Notary Public STATE OF MINNESOTA) . S8. COUNTY OF ' The fore ing instrument was acknowledged before me this f, I I by i MARILYN L WUCOMPFERN <'~!NOTARY PUBLIC - MINNESOTA DAKOTA COUNTY N ary Public My Commission Exp. Feb_ & Ion THIS INSTRUMENT WAS DRAFTED BY: McMENOMY & SEVERSON, P. A. 7300 West 147th Street P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 MGD EXEMPT FROM STATE DEED TAX -4- PLEASE SIGN AND RETURN ORIGINAL TO CITY HALL. Assessme Departure yn~~y~ X24.. ~L~- WA M2. OF Iff:FZZING, REQUEST FOR UTILITY IVIrROVEMENTS IA."a hereby request of the City Council, City of Eagan, M.-Lnttne. cta, utility inprove ents on and over property ozMed by me/V3 «s (Ment cn type of improvement, e.g. water, sanitary seuMr, etc.) LATERAL BENEFIT FROM SEWER AND WATER (4024 Blackhawk Road} _ f:• i~ 'lice location of said utility improvements shall be generally as Assessed 100 feet of actual frontage. Parccto-n-t_> --02 0; M 10 years at 10% interest actual assessment $1155.00 Water Lat at $ 12.00 front foot = $1200.00 Sewer lat at $ 14.30 front foot = $1430.00 TOTAL 2630 - credit for stubbing $1475.00 1/1-Ia hereby waive notice of any and all hearings necessary Car tYe installation of said improvements and further consent to any necessa-zily levied by the City of Eagan for such improvements. IA-:e further agrae to grant to the City of Eagan any easements n-z nary for the installation of such improvements. It is further understood that this request shall be reviewed by the City Council of The City of Eagan or its agent and I/We will be given reamnable notice as to whether this request is possible under present utility planning as to timing, loeat , e Dated: October 10, 1981 Signature Address /f Regaest accepted b Date /0 -'92 C-ty of Eagan Request referred to City Administrator: Date Copies: 1. City Administrator 2. Applicant 707R-- 9 14 0 132.00 132.00 132.00 132.00 131 3 hJK 1 X059 30.0 o 53 Ay N87°53'44'Wm 10 ° m 010-75 020-75 o E _ W ZD Q " l ° V c%j 60.0 ~ 60.0 t m t t - 117.95 N 130.0 O g l 2 3 14\ N.89°38 43 N.87°53'44 W U w f in o m as pf) P I: Z n ? ° i t a 12 CD O Dg \ - j O- O - - ------264- - - °0 a N i; U $ 3I v ~E Q 113.08 13 n I 1 i 92.0 N.89°39'34'E. 351.97_ - 1 132.00 132.00 13200 132.00 13~ 443.97 - - 692.26 5 89°39 34'W - - TRAIL ~0 TACONITE m m TRAIL 88.89 88.89 88.89 110,67 ,o 1354.C6 N.89°3934,E. 200 3 EAST 592.42 2- - 796.72 ° ° -N y1a2 a' e. I I 12 13 -cl 14 o M O OD C\j N 067.75 z y~~Q Z c°v N. 39'34E. ~9 Q $ WEST 88.89 88.89 88.89 104.91 ~JOs N 150 r 92.31 92.31 92.31 x 065- 75 1 o Q H - Q~w. 3 501'. ° S14°45 10A8 , p :N o 040-75 N 5.89°39' 34'W 18 15°41 W S 18 17 16 °O 15 z ~ n n 1)o M 1 0 Y~ p v p ' 32.31 92.31 92.31 100.50 d a - & M S As0°29'2r'r" e 8 W ~0 066.75 a N.89°334 E 489.11 _ 30.0 N DRIVE 30.0 88.89 88.89 88.89 fOQO Q m a -ah 070-75 N 01 Y" ti rp~ ° EST 528 0 3 to 4h40.00 144.95 143.06 240 w !a --`4.Q0 N89°3934E. 328.00 i S.89°3934°W. ~ p -to 9 10 I I le) -0 12~ eo2a,zd I m 1 ~s`' F _ °y01 N 'bN N.89°39~3eE. N po p Z ~j 4_ A5.03 o p, 1 z ro M z fc I B&89 88,89 8889 101.65 c i = o ~ HA W N.8°3934'E. Y 1 m co i 062-75 aNN O 2 I Ol NN 3 1 d m I at w 0 ~N 15 14 " c°v 13 ° Q N N. e9° 3934"eo S 3 ° n1 W N 1 9 M d Lr) M ~aW 145.03 \ z ~ n S.89°57' 18°W. 324.56 Q col 284.55 511.68 N.89°57' 18"E. 50.01 88.89 86.89 88.89 103.71 50 602,68 POSSIBLE OVERLAP AS PART OF 064-75 PER TAX DESCRIPTION --589° 718"W. 1360.23-- 1 707.54 1 M I I EAST 250 POSSIBLE; OVERLAP 259.87 WES d . N.89°39 3 4"E. 429.16 IT LANE 37461 50.01`, - ~r N S. 89°39 34 W. 429.62 = 33 50 r 1 + Y ► w , J, ` ' .1 {rte t 1' \,JP1 _ ~+,✓"J r H lot f Ar. 1 .r , r' ~ vie 4 Pe ~,1. . 'r a 1 V7 \V' 1,0 it ► ' T 16 b A4 11 , ~ 1 Ij ' 1 1'~ ..►a4 rf~ r~ 1 X01,°;* r~'~ 61 ) ( letooe ;Poe ~1 ~ ~ ~i t~ ~ ~ rl 1 Sr ~ r ~r 1r. ~ ~ ~ 1 ~ ~ Y• ~ t tir i A ~'V ''1' 4.1~,i i,~(,~~~ ~,•I,f ~jt l"`I '.n j•; ,.f 5~ ~r~ i ! I►; a ry '~►-vp X 1 14 11 10, C !~K,b ~r ! ti ' ,r ~L S , , , ~R~,j 'N' / r 1i ~,l V~jr✓1.1 a ~.;,~w L / a,i / i r'~ l1 r~ I ` 1 r'' y I ,r '((+a• I r ~r~ .r: ~i„~ 1 l p'ry' `rte ~ ~ ~ I ~ ~f~ ' ~ +J.,•y " ~ 'I ~ ~ 1 Y t ! r I i 10, . ~ it , . y y, „ f ' , oor r Ito It 1~~y, I p ,'1 I 'j, • ~'.LW~Lt4~ 1~~ I~. ~i i~l ~1 1~~' ~,h ~~1 r~ Z: ~ Her ~ ~ ~ t ~ R ~ ~ / 1 •t r 2 rN, r f 1, `y ,r . ~ 'p ~ n al" '1 ~ , ( ~ l ' 1, • a ~ iii . / ' ~ ~ , ' ~yqV I ' 1 ra l t~ ~ ~ ~ / y ~j' it M1r~ l~ ~r ~1;. y~r 1,x,1 1 a . 1• i 1; r ~I,, r~. l y..~";,,,,r J d }9,~,~, It Y ~1 f ~i~~~Yr 11~ ~,w`~~~~~;~' l ~w9 ,k~~~►A1q ( 1~ i~r A (rl! ,~I: 1~ ~1!✓r r'!r~•~1,.1 4 11M , r + 1 ! i{Y Al v' 1~ ~ 'Llfir I v v~ "l r' w , I► ~ ~ I~.~r^""' • 1 ..i.~...,..~~, r ~~w I-A 17 r' .4, . +M I 11 av t„ r ~ r~~ 'ail ~ ~ 1 • 11 '~1~14~ ~h 1, ~ r 1 .r i r" ~ ~ '~1 1 ~ r ~ ' CITY OFEAGAN SERVtCE-P X795 mot ` Keols Road ' . PERWT NO n ',reran. MN 51,23,_ DATE: - - on$ng. X"" " No. of Units: 1 - T Site Address ls~y'E3-( 7m- YPlumber' Meter, No.: 99 `Connection charge: _ . 00 pa L Size: f Account Deposit; ,Reeder No, 3t~C 7u5 Permit'fee: 3 agree to campig~wl~fi *0 of.la~geen SurC}ag®~ f?rali~aace~ Misc.. Charges: ~ Dd Total: _+Q>' Date Paid. z- ~ cto of y 1? Jnsp ` r `,CITY of GAMI` ihM SERVICE EM k 3"S Not Knob Read PERMlT NO. 4 7 7 ago*, MN 55122:-. OAT& Address _ bite- Address y°t^ PYC31`a 1C3:t~('. t`tt~t;l) 75 1 bgree to Comply with the Cif1r of Etrgaa Conneetian -Charge: 1<? tilJrdinances A&dunt Deposit:. lerrdit Fee: ht? 13f1°. nr~ ' l 1 c. Cho r s- 4 b9t8 of Irasp. Total: f trlsp . _ _ Dote. Paid: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: it u t 1 1►1 N ci 96 3830 Pilot Knob Road Permit Number: + A` r Eagan, Minnesota 55123 DWe Issued: f- / 2 3 /94 (612) 681=4675 tin ADDRESS: ki l,{: APPLICANT: . 40:'4 f4 AC;Y:1JAW kit INC. St- i 1511.0 C ' 0'I") hJ:3 1042 PERMIT SUBTYPE: TYPE OF WORK:. i `1 t Po" PAL yskpbww • S /W PLUMOM HVAC KSOTFAC b"Psomm Date kop. camu"Oro Rough PPlb9- Rough • .ate' • wq*m f 7, 6 a56 FkiN Htg. Ornt Test Fiat! Plbg. Pbg. Inspector - N o ty Pkmtw Cant. Meter EnWJPtan Bklg. Final Deck Fly. Derck Fine) WON Pr. Dom. PERW TYPE;, PiiCr# Knob Rood Pe rmit Num r; 81 ripen, Minnesota 55122-1897 Lade issued: (612) 6814675 k ' APPLICANT; LOT) 0 11, 0C K 7% ~l~~'4 1 KMAW34 tit JOHNNY ON THE SPOT COMST 2* (612) 646-3944 SU B / T PE: TYPE V iJf1: DESCRIPTION ROPOOF - _ ,'r c 1l -~17J~ f4~ I S y~~ Permit tCter 1 Telephone # PLUMBING .H VAC 1 timpeom Date Wisp. Comments FOOTINGS FOUND FRAMING ROOFINfa . ROUGH VV PLUMBING PLSG AIR TEST ROUGH HEATING VC 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 INSPECTION RECORD } CITY OF EAGAN PERMIT TYP-: 113 3830 Pilot Knob Road Permit Number: Eagan; Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: t Of ~ 4~ HLO C V u APPLICANT: 40:!4 Rt.A f1Alots= R0 PANFt„CRA► t OF ON INC SE_tE1I014 tf, 'f at .14 6c.x.' PERMIT SUBTYPE: TYPE OF WORK: 'fit t M TSC t#trPAIR t 7YPE DATE INSPTR. INSPECTION TYPE DATE C;, Permit No. Perms! Hohler DOW Tewphone # ELECTRIC PLUMBING HVAC Dote bap. Comments FOOTINGS FOUND FF~P~kFING ROOFING ROUGH FL G j t PLBG AIR TEST i ROUGH HEATING k GAS SVC TEST 1 INSUL GYP BOARD FIREPLACE FIREPLA AIR TEST FINAL PLBG FINAL HTG ORSAT TEST g BLDG FINAL qF- BSMT R.I. v BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN I 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 a 12523 PHONE: 454-8100 I BUILDING PERMIT Receipt # l To be used for GARAGE Est. Value $7,000 Date AUGUST 27 , 19 86 4024 SLAG KIIAWK RD Erect CK Occupancy Ill Site Address + Lot 4 Block 7-5 Sec/Sub. SECT 20 Remodel ❑ Zoning RI Parcel No. Repair ❑ Type of Const. V-A Addition ❑ No. Stories W Name ERIE; LOVEEN Move ❑ Length 24 3 Address Demolish 11 Depth 94SAME Ins Impr. 11 Sq. Phone 454-2232 Install all Ft. ❑ Approvals Fees o Name SAME 0 4 Address Assessment Permit 62 + 50 City Phone Water & Sew. Surcharge 0 Police Plan Review w W Name Fire SAC k t: z Address Eng. Water Conn. a I City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that I have read this application and state that the Bldg. Off. 820d Tr. PI. F information is correct and agree to comply with all applicable State of Minnesota Statutes and Cily of Eagan Ordinances. APC Parks Var. Date Copies- x ;.ate Signature of Permitteep-t Total 6+0(Y A Building Permit is issued to: ERIC LOVEEN on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes.and City of Eagan Ordinances. Building Official` 4 ' Permit No. Permit Holler Date Telephone # Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments FFOUndaton Framing Rooting r Rough Pibg. k Rough Htg. Y maul. Fireplace Final Htg. Final Pibg. ' Bldg. Final Can. Dec. Deck Fig. Deck Frmg. Well Pr. Disp. CITY OF $AAA ' 3795 Pilot Knob Rood ltgoin, Att $8122 43,42 PHONE: +45"1181 'WILDING PERMIT ~-5 Receipt . 4' Aden to -home J 774P be used for pate r t Site Address 4024 ,Jackhawk Rd. Erect ❑ Qccupancy Lot Block - Sec/Sub. Sec. 20 Alter [2 Zoning Parcel r'i €~wf?~G C}4o _e Re # - pair ❑ Fire Zone _ W Name Eric 1 Enlarge ❑ Type of Const. _ '!lam Move ❑ # Stories x z k. ~ Address 4024 B ackhawk d Demolish Front ft; City Eagan Phone 454-2232- Grade ❑ Depth ft. a Name t±8ete_ Approvals Foos Z ,04u( u Address - Assessment Permit ~ Ci Phone Water & Sew. Surcharge ? : r+f Police Plan check F,Z Name Fire SAC U(D Address Eng. Water Conn. ¢W Ci Phone Planner Water Meter Council I hereby acknowledge that I have read this applic tion and state that Bldg. Oft. the information is correct and agree to com y th all applicable * . State of Minnesota Statutes cfi City of•~ E rdinonces. APC Total Signature of. Permitted A Building Permit is issued to; Eric W. Lav en on, the express coridetian #hot all work shall be done in accordance with all applicable State of Minnesota Statutes and'City:of Eagan Ordinances. Building Official t _ _ I Permit #p Date Issued Permittee Plumbing Mechanical i INSPECTIONS DATE INSP. Rough-in Find Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final ~a Remarks: .it~A+* ~~zc~ A ye` `C1 CITY Of WAX~ 3 8795 Pilot Knob Road toge*, )SAN 55123 {V PHONE: 45+14100 BUILDING PERMIT Receipt # To be wed for BEDR0011 .ADDITION Est. Volue$181000 Date :`Arch 21 19_§3 Site Address 4024 Blackhawk Road Erect XX Occupancy R-3 Lot 040 Black 75 Sec/Sub. Section 20 Alter R-1 ❑ Zoning Parcel 10 02000 040 75 Repair ❑ Fire Zone NA Eric W. Laveen Enlarge ❑ Type of Const. V ~ Nome Move ❑ # Stories Address 4024 Blackhat"tlc Road Demolish ❑ Length 14 b Ci Eagan 55122 Phone 454-2232 Grade ❑ Depth 24 Sq. Ft. Approvals Fees °C Name Owner 0 O~ Address Assessment Permit 128.50 v city Phone Water $ Sew. Surcharge 9.00 Police Plan check 64.25 W Nome Fire SAC NA. 1z Address Eng. Water Conn. NA <W city Phone Planner Water Meter Council Road Unit NA I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $201.75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee Eric W. Laveen A Building Permit is issued to: l on the express condition that all work :half be done in accordance with all app lira tote of Min Statutes onfl'CitY ► of Eagan Ordinances. Building, Official t Permit No. Permit Holder Misc. Permit No. Holder Plumbing 35 A&C' b_Z -ZIP H.V.A•C Well Water Disp. Sewes Electric W Z'71o3~ Qr a/4~t` ~23 k Inspection Date Insp. Other Footings Foundation J Framing Rough Pibg. • Rough HVA Insulation Final Pibg. Final HVAC Final Water Describe Location: Weil Sewes . pr, pisp. 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 ` t. OFFICE USE ONLY Lot Block See/Sub. E " On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const w Name City Water (Allowable) W PRV Required * of Stories 3 Address ° City Phone Booster Pump Length Depth ' ` S.F:Total. °C Name o . o Address"' ` Footprint S.F. o F City i . " `Phone a. ~ . ~ } APPROVALS FEES Engr./Assess. Permit - WW Z Name Planner Surcharge _ i. Address a w city Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that 1 have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: 0', AY " Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official Permit No. Permit Holder Dots Telephone Plumbing H.V.A.C. Electric, ate Softener j inspection Date Insp. Comments Footings I Footings II I Foundation Framing Roofing r ' s,~ L'• ~fs~'.t J - , Rough Pibg. Ai4 el,01AIG- Rough Htg. Isui. Fireplace Final "Htg. Final Pibg. a a Bldg. Final r*. G Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. I CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ T 41 r7 °C'.1 & _DOLLARS f00 CASH CHECK ,,r~,r ,.f FOR ;/^'e- FUND CODE "AM NT i Ems..... e". J f Thank You ' White-Payers Copy Yellow-Posting Copy Pink"Fite Copy PERMIT City of Eagan Permit Type: Mechanical Permit Number: EA107150 Date Issued: 09/27/2012 of 3 a R Permit Category: ePermit Site Address: 4024 Blackhawk Rd Lot: 004 Block: 075 Addition: Section 20 PID: 10-02000-75-040 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Joy Post 1408 NORTHLAND DRIVE Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Sedgwick Heating & Air Conditioning Eric W Laveen 1408 Northland Drive, Suite 310 13701 Danville Ct W Mendota Heights MN 55120 Rosemount MN 55068 (952) 881-9000 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 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.-3 D7 1408 NORTHLAND DRIVE, SUITE 310 •/M,ENND-OT`A HEIGHTS, MN 55120 (952) 881-9000 TEST RECORD ADDRESS 40-4 CITY LEy„,'~~ OCCUPANT OWNER M SOLD BY PAN"( INSTALLED BY r 5 MAKE 4)0,w S ' " " - & MODEL AQ S Lt 4 t D D 7 b SERIAL NO. ~4~7` l 11-218 Zu`' INPUT THERMOSTAT 62tC v VENT SIZE VALVE -6t l 4 i! TYPE OF LINER LIMIT a9" LINER SIZE LIMIT SETTING l'% V FILTERS: SIZE I c/xv:~-x ~n1 NUMBER FAN SETTING`- WIRING PILOT TYPE TEST TAG Y14 IGNITION MODEL S LIGHTING INST. PILOT TIMING m ! 2 Q _ l DATE TESTED o) PRESSURE PERCENT CO, 11 INPUT CFH` PERCENT O2 • COMPANY TESTING C STACK TEMP. 1 ( Q PERCENT CO O NAME OF TESTER FORM 235 (REV. 10/10) FORM DISTRIBUTION: WHITE COPY.- JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type:Building Permit Number:EA118765 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 4024 Blackhawk Rd Lot:004 Block: 075 Addition: Section 20 PID:10-02000-75-040 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 . Lisa Nyberg 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 - Hjalmar Nathan 4024 Blackhawk Rd Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature