3940 Blackhawk CirCITY OF EAGAN Remarks WtY' COriri, pd.. Ori $-16-72
Addition Cedar Grove #8 Lot 9 eik 9 Parcel 10 16707 090 09
Owner? : t i%'. jti L; -Vn street 3940 Blackhawk 'Circle State EaganpMN 55122
(wiRlrt '! ,, ,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Zr? 1970 125.00 5.00 25 Paid
# SEWER LATERAL Z2-2-, 197 1 39-10 Pa1d
WATERMAIN
# WATER LATERAL 197
WATER AREA
? STORM SEW TRK
# STORM SEW LAT 1974 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 6269 -B-16-72
BUILDING PER.
sac 260 0o 62 -1 -72
PARK
s - A
?- /-u
ToTv?N or EAcAN
3795 Pilot Knob P.oad
Eagan, 1+linnesota 55121
PERMxT N0. 251
The Board of Supervisors hereby grants to Cedsr Gravs CtnlBtre,tetioA Ca.
af U143_Concoxd 81wd. Ean. SouCh St. Yau1 55075
a ryy Permit £or: (Owner) Samg
1717 Manticallo Avs. 4-6•8, 3998 Rivarton Ava. 8•5-8l 4080 Halite tmm 92-5-79 IBSs
?i '1'Aeonita Tr___il 11-1•7 e4039 Limoaitl, pursuant to appl.ication dated
1.ana 12•2•7, 3940 Btaclshawk Circl# 9•9•8$ 17E39 Sertsll Ave. 2-8•86 1710 lbnticalto Av-8.
814172 & $111/72 li-p-g
Fee pakd: 816a.00 Aated this 16th day of Augu*t , 19 72.
4.00 s/c
Bui'!ding Inspector
_, " •
TpWN 0F RAGAN
3795 Pilot Knob P,oad
Eagan, Minnesota 55121
PERMIT N0. ?
The Board of Supervisors hereby grants Co Cadu QroYe Coalfftl0t#O* Cp,
o f_7AA3 Cottcort! Blvd. ;ast. 8auC6 St. P#WtI, M 3" !7L
? W "T Ic: Permit for: (4wn.er)_ _ jg"
1717 Moaticslio Ave. 4•6•8p 3998 Rivartoa Ave.8-3•8,4Q8C HaIite iou 32•5*7@ i833
at -• umnits. ,_,.pursuant to appl3.cation dated
LAna 12-2-79 3940 BlackkLhwk Citrcls 9»9?S, 1709 Baarteil d?re. 2•8•80 1710 llooeia?rtlo ?ire.
? 11•?•tl
Fee Paid: Dated this _IAXIL dap ?? ?VM , 19j2L..
4.QD alC
$uildiag Inspector
EAGAN TOWN S H 1 P
BUILDING PERMIT
4 ?
oWne! ......
.................. ...... ......................... .-...`-°--z------------ .
---
Address (Presen!) .;,.4 ......... 04.1-t..:.... vc?A.? ---• .................•-
Builder .....-•--------•-•••-•••••-•••• ................•••----._...------••••-..
..-••-•--•••••------ --•
Addresa _... --•-• ..................•••-------..........•-••-•...••••..........._...........•-•----•-
DE5CRIPTION
N° 2803
Eagan Township
Town Hall
Date -•--?1-` ?-? '-.? Z_
.. . •• ......................
52osiea To Be Used For Fron2 Depth Heighf Est. Cos! Permi2 Fee Ramarks
-?-
'? ?" • -
/
LOCATION 6ay•T-D Sireet, Road or other Description of
?.? l.y? ,`? . ???b ?(<i.<•,t.,? - - -
i.01. Block Addilion or T:ac!
.? s u
?-- ? ? =u«. .L
This permi! does aot suthorise the use of streets, roads, elleys or sidewalks nor does it give the ovvner or hia aqen!
the right to create aap situation which is a auisance or which p=esenls a hasard !o the healih, safetp, eonvanience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON TH?cE., PREMISE WHILE THE WORK IS IN PROGRES .
This is to certify, ihai...?.--••••-••----._.haspermission to ereet a•--..?_:-_
. ...upon
the ahove described premise subject to the provisions of the Building Ordinance for Eagan ownship ... .dopie ........ ..
d April 11,
1955.
...------•---••••-••--•---......•• ••••••••• ................ •-••••-•-----•--•-
:. ?.- :............ Per ---•-----•-••
-• .... ..............••----.........------•••-
, Chtirmaa ot Tnwn Board ? BuildiaQ Inapector
y " 2
lj a c?a?_. ??< ? .l?3
/Wv
? DAKOTA COUNTY ABSTRACT CO.
1250 Highway 55
HASTINGS, MINNESOTA 55033
437-5600
Enclosed is a check for $5.00 please send a Pending assessment search
on: Lot g Block g Cedar Grove No.8.
)r„ -tk r?
Thanks
4? W
Anna 0? 9?9
9
. QFFlCE U5E C'iNLY
BUILDING PERMIT TYPE
0 09 FourxJation 0 06 4-piex O 11 10-plex E3 /Q Firepiace 0 21 Porch (3-sea.)
0 02 SF awelling 0 07 5-plex 0 12 12-plex C3 17 Gsmp t] 22 PavtVAddn. (4-ow.
0 03 1 of _ plex 0 08 &plex 13 13 16-plex ? 1$ Dect C] 23 Porch (scrsored)
0 04 2-plex . 13 09 7-plex 0 14 Apartmenta 0 19 Lower Leve! 13 24 S#orm Damage .
Cl 05 3-plex O 10 8-plex 0 15 Lodging 0 20 Pool 0 25 Miscelmvcws
VYORK TYPE
D 31 New ? 35 Tenant Impr 0 39 Gas E.ine On1y D 43 Sidin4fScffita/Fascia
032 Addi#ion 0 36 Mo?e Bkfg. ? 40 Gas lnsect 0 44 111rndawsl1)om
0 33 Alteration 0 37 Demolish Bldg." 0 41 Wood Stove O 45 Fire Repalr
D 34 Repair 0 38 Demolisrr (tnteriar) 0 42 Reroofi
' Give PCA handout to appflcant for demolition permft
m =( :i--4 JJ 4 1: 4L81.;.111A t L•1z I
Const. (Actual) gasemerrt sq. ft. Census Code ?
{Allowable} Main Wvel sq. ft. ? 3AG Cvde ?
UBC Occupancy sq. ft. Plo. vf EJnits ?
Zorting ? sal. ft. No. of Btdgs
# af Stories sq. ft. MCIES System
l.erigth_ sq. ft. ? City 1Nater
wicjth Footprint sq. ft. ? Booster Pump
PRV ?
Fire Sprinklerect
APPROVALS
Planning Building
Copies
Totat: °! °( . ?--?a
SAC Un'r#s
% SAC
' 1999 BUlLDINC PERMIT APPLICATlON (RESIDENTf L)
CnY oF eAcM ?is,
?
3s30 PILOr KNos Na - 55122
, a51-07-4e75 9_ r t,_ ? 7
> 3 ryistrrrri sft swvsnrs dmowMp sq. N. d lof, s4 N. ai tk?uset
and QJE roafed areas (M maximurn laf caveraere alFawed)
> Z coples of plortt (shaw Boarn i wlndow:fm: poured End. de:igw. eia.)
> 1 set of areW ccdcualbam
D 3 copEes d irK presemalbn phm M iol ple#Md alw 7j1/93
DATE: z / f
.. . , ?.
oEscRumoN oF woRL'
7 topie: of plan
1:el ot eneW calcukdions ta Ieafed adcJMOns
1sft turvet? for exletMot oOdKoru & decln
C4NSTRUCTiON COST:
STlECT ADORESS: 3
Lf,,o (o o r c? C)
+ `t?° i??..
L4T: ? BLOCK: I SUBD./FJ.a. #: Qf o
NQme: Dob ? l -7?i
RROPERTY LC"t Ift! .
C)VYNER Street Addrass: ? ?? ? BlA? hAw?
Phom ?: / fj-- qSa- 6 ?c?l _
?:
CHy Shite: ft?j ,,,,,, Zip:
Compony: Dw44-AgEoc ?? Ph.
(oroa code) ?
coNTRAcTOR 2
Street Adcreas:7-3 ?J AA)A) Llcense # '30_., Em, ?
City Lo(?.? Ljo/:z Stc?e; I i?? Iip: ?„ ?
ARCHITECT{
ENGINEER Camparty: Name.
TNephnne #: area +code ( ) - -- - --
Slredt Address: legishahori
Cify Sfa#s: Ifp:
Sewar i wa#er liceeftad plunttw (Eaauked ior now corudrucfion onlv?;
Penally appllos wtee+ address chvnge and Io1 thatge k raquested am* permit ft tnued.
7aVa abl
I hereby acknowiedWe fhnf 1 have raad thls appNcatlon, date ttd ft1e NauniMion is c rid agrse ta CoZ
-Sate of Nilnneaob SfafuMa ond C?y ot Eagan OrdNrances.
.
S?eature ot Applkanl: - - -? ,_ aFFIc
E usE oNLv .
Cerdkates of Survey Received Yes ! No
' SEP l 3 1999
Tree Preservation Rlan Received Yes No Nat Required
1999 BUILDINC PERMtT APPLICATtClN (RES#aEN?iAL)
- - ? - crrir or- MGM
? ? 3830 PrLvr ?os rta - 53122
657-681-4675
m 3 registered sft :urvOys showhV sq. il. cf lot, u1. i#. of hous*
nnd 1 roofed ar*as [20fo maximwm k>t caveraM allowedl
3 Z coplea of plans (shorr beam i winrlow stm: poured fad. doftt etc.)
a 1 set of emw caki"oria
A 9 copies of tree prasenaftn plan V M picMed dter 7J1 143
DATE:
- ?
DESCRIP'fION QF W4RK:
STRgE7 ADQRESS:
s eopks a plan
1 se1 af anerW catcufalions far heatest addtlinns
1 dle wwey for eularW cdelMlM S dacka
LGT ? BLOCK: -3? SUBD./P.I.D.
Name: Do6,n l
PROPERW
OWNER BjAc?6LA
Streef Address• r
CHY E6aL2 Stai'e'.
PhQne #:
Campany: ???c ? l 1'7 ,?S(1C. ? Phane ?? 81- as-0
(area code)
cowrfwcroR street Address: .7?3 ? AA)A) ?QUr--? uc? # ? C? 3 d
--Ev. ?
ctty f7d4,j P/-09,/q. Yip:
ARCH ITfCI'/ ENGINEER Campany: Hnme:
Telephone #: a?rrea code ( )
Stredi Address: Rogia#raHan #:
Cffy _ State• 7ip:
3ew?ar & wcder Ncensed plumber (recuir*d frxaarv eonsteueftn onhrl:
penalty aPPlies when dddress thange and la# change is requested ance permN is isgued.
r -
? hareby acknowleclge that t have read ihis applicotbn, stcsfie thaf the intomrwHon is torr? a?r? io?ly wlth aY
4#ate of Minnes?a Stefutes and City of Cagan QrdMances. ? ff
Signature ot Appacmyt:
OFFICE USE QMLY
L< ? ' ? {
Certifica#es of Survey Received C/ Yes No
, . ,.
<
.... _. .. _ r
Tree Preservaiion Plen Received ,,,,,_,,,, . Yes No Nat Requijid
_ I t3FFiCE USE ONLY
BUILDING PERMiT TYPE
[] 01 Foundatian p 06 4ptex 0 11 10-piex Q 16 Fireplace Ci 27 Parch (3Wsea.)
0 02 SF Dwelling O 07 5-plex 0 12 12-piex 0 17 Gacage 0 22 ParWAddn. {4-sea.
0' 03 1 of i piex [3 08 6-plex C] 13 9 6-pEex ,
0 18 Dock 0 23 Pardh (screened)
E] 04 2-plex. ? 09 7-plex CI 14 Apartments C! 19 Lawer Level C] 24 Storm Damage
0 85 3-plex O 10 &plex 0 15 Ladging C] ZO Poal 0 25 Miscellanews
IiVORK TYPE
,* 31 New 13 35 Tenant tmpr C! 39 Gas Lins Only 0 43 Siding/SaM#slFascia
0 32 Addition 0 36 Move Bldg. ?40 Gas insert 0 44 WindowslDoors
0 33 Alteratican 13 37 Demalish B{dg * O 41 Waod Stave E3 45 Fire Repair
Ci 34 Repair 13 38 Demolish (Interior) 0 42 Reroof
* Give PGA handout to appfican# far demolftion permit
GENERAL INFORMATION
Consf. (Actual) Baserrerrt sq. if. Census Code
(Allowable) Main levei sq. ft. SAC Code
?
UBG Qccupancy sq. ft. No. of Un€ts
Zoning ? sq. ft. ? No. o# Bidgs
# of Stories sq: ft. MG/ES System
Length, sq. ft. iCity Wster ?
Widttt Footprint sq. ft. ? Boqster Peimp ?
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engineering Variance
Pennft Fee
Surcharge I b . C3 ? ---
._
Plan Review
tieense
. :
_ MC/E5 SAC . .
,.,: ..., . .
City SAC
1Nater Cann.
' -
Water Meter . ,.
.
Acct. Qeposit ,
SI1N Permft .. ,
.
S/W Surcharge
Treatment P!.
Park Qed..
,
t
Trails aed. _ . . ?
Cther , r
?
Copies ,
Tatak
SAC Units
°!a SAC
o ?
cm??
?. . ?
?
f
, ,... . ,
o,? 3
?
?
. ? l . . ... . . , . _ ?
;
WJ
aofd o ;
?? ?11s
?- _
? a
• .
ie ¢a6-,;ammd nEWEi PROouC20SA-1 i%Ofta•7 to^.!:?7o Mc "mmF V?? o,v? rn )Ta.mJW*ou FAtE,da m-"
«
LOCATION
MASTER CARD
OWNER f????
wr
STRUCTURE AND
LAND USED AS
?
Fermit
No.
lssved fssued Ta
Contractor Owner
BUILDING
PLUMBING Adri 449-
CESSPOOL - SEPTlC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER i
i
OTHER
QTFiER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
FdUNDA710N ? !v zl- CESSPOOL
FRAMING TlLE FIELD FT.
FINAL
ELECTRlCAL pEPTii
HE.471NG ? 111-13 OF WELL
GAS INSTALLAT(QN I
SEPTIC TANK ?
CESSPOOL
DRAfNFIELD
PLUMBIIVG /1 l3' z
wEu
SANITARY SEWER
CdMMENTS:
Violations Nated
on Back
.
ti
COMPLIANCE INSPECTION REPORTS
TQ BE USED aN1Y [H BVENT OF 065ERYED VIOLAT[ONS
PEiiMlT IVO.
CONDITIONS QF CON5TRUC71pN AT THIS INSPECTION
? iV0 EViDENCE OF NON-COMPLIANCE
085ERVEQ.
? ACCEPTABLE SUBSTITUTlOA{5 OR
DEVlA710N5.
pATE OF INSPEGTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHQUT pELAY.
ITEMIZED AfJD DESCRIBEp AS F4LLOWS:
? REINSPECTION REQUIRED
REtiJSPEtTIO?J REVfALED
? NON-COMPLIANCE. BUILDER DOES IV4T
{NTEND TO EQMPLY.
? COMPLETIQN OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS 6EYOND
COiVTROL.
DATE OF REINSPECi'ION
CERTI FIC,4TION - i certify the# I have carefully inspected the a6ove in which I have no interest present or prospective, and that 1 have reported herein
all significant conditions oL•served to be at variance with ardinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site impravements relating to the property inspected.
1:1 ALt IMPROVEMENTS /ICCEPTABLY COMPLETED
9UILDING [NSPECTOR
COMMENTS:
DATE
23
,
?
City of Eagan
3795 Pilot Knob Road
Eagan, MN 55122
Date: October 11, 1979
Dakata c4unty Abstract Co.
1250 Iiighway #55 SPECIAL ASSESSIME,J'1' SEAFCH
tiastings, b%. 55033 RE: Lat 9, Black 9, Cedar Grove #8
Attn: Anna 3940 Blaskhawk Circle, Fagan, MN. 55122
Parcel #10 16707 090 Q9
Enclosed herein is the search which you requested made on the adove described
property:
Kin o Ir.:provement Runs 8eginning Original Ar.,ount Balance Due
NONE
I further certify that according to the records of said office, the following
improvements are conternplated or pending after having been approved, and are now
in the process of planning or comp2etion.
Kin o Improvement approximate date o Coripletion Agproximate Cost _
NONE
WAIVER:
Neither the City of Eagan nor its empToyees guarantees the accuracy of the aboJe
information which was requesteri by the person or persons indicated. Nor does
the City of its er.rployees assume any liability for the correctness thereof.
In cansideration for the supplying of the indicated information in the abave
form, and for all other consideration of any nature whatsoever, any c2aia
against the City of its employees rising there from is hereby expressly waived.
Levied assessments to be paid to the County Auditor at Hastir?gs, l4innesota 55033.
Very truly yours,
SPECIAL ASSESSMENT DEPARTMENT
I
fA -' z
EAGAN TOWNSHIP
3795 PiloC Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PER141T FUR WATER SERVICE CONNFCTION
Date• ??
1 Al ( l e;oL Number: 6
.- LA f?
Billing Name: F CC-N Site Address [/
Nk G
Owrter: Billing Address a
- -
- \`
Plumber
A-Z)
1A
?? ?l!?V)Z?
;
Y
r
Locatioa of Connection Meter Siz e_ Coanectioa Chg4W,.apR1_g/16 !72
NO I Total Chg.
Building is a:
Residence__XS?
Multi.ple ? Ho. Units
Commercial
IndusCrial
Other
Meter No. Permit Fee 14`00 8d 8/16172
Meter Readiag iMeter Dep. '50 pd 8/16/72 s/c
MeCer Sealed: Yes lAdd'1 Chg.
Inspected by
Date
Remarks:
By:
Chief inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tlm proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Mi.nneso .
?
?
By: 1 ?
, -,
Please noCify the above office when ready for inspecCion and connection.
EAGAPT TOWNSHIP
3795 Pilot Knob Road
5t. Paul, Minnesota 55111
Telephone 454•5242
PERKIT FOR SEWER SERVICE COlaN8CTiON
DATE:_ ? IJ4 I-/,:).. Ni)M$ER incr%
QWNER• N ?Address
PLUMBER UOF PIPE
DESCRIPTION OF BUIIDLNG
Industriall Commercial( Resideatial I Multiple Dwelling I No. of uniCs
Location of Connections:
Conaection Chaxge 260.00 nd?8/16/72
Permit Fee ]n.pp id 8116172
.50 pd 8/16/72 s!c
SCreet Repairs
Tota 1
Inspected by:
Date
Remarks:
Bq
Chief InspecCor
In consideration of the issue an,d delivery eo sne of the above perm3.t, I
hereby agree to do the proposed work ia accordance with the ruies and
regulations of Eagan Toc•mship, Dakota-Countiy, Minnesata
LD
Please notify when ready for iaspection and canrcection aad before any portion
of the werk is covered.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107026
Date Issued:09/24/2012
Permit Category:ePermit
Site Address: 3940 Blackhawk Cir
Lot:9 Block: 9 Addition: Cedar Grove 8th
PID:10-16707-09-090
Use:
Description:
Sub Type:e - Water Heater
Work Type:New
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:deb larson
8815 209th st
Lakeville, mn 55044
952-469-6999
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gerald E Dubrall
3940 Blackhawk Cir
Eagan MN 55122
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116581
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 3940 Blackhawk Cir
Lot:9 Block: 9 Addition: Cedar Grove 8th
PID:10-16707-09-090
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Gerald E Dubrall
3940 Blackhawk Cir
Eagan MN 55122
(651) 276-1061
Ryan Windows & Siding
Box 5937
Rochester MN 55903
(507) 281-6363
Applicant/Permitee: Signature Issued By: Signature