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3911 Blackhawk RdCITY OF EAGAN Remarks Sew & wtr, permits and Sew & wtr conn, pd. on -1h-69 Addition Cedar Grove #6 Lot 59 Blk 6 Parcel 10 16705 590 06 owner Street 3911 B13.Ckhawk Rd. State E&gari,rN 55122 Improvement Date Amount " Annual Years Payment Receipt Date STREETSURF. riD'L. 1971 1060.1 106.02 10 P'd S7REET RESTOR. GRADING SAN SEW TRUNK ? SEWER LATERAL 1_970 1472.00 20 Pa1d .. .... WA7ERMAIN g?- WATER LATERAL 1970 20 WATER AREA # STORM SEW TRK 1970 20 STORM SEW LA7 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200.00 1323 4-1$-69 BUILDING PER. sac 200.00 1323 -1 9 PARK EAGAN TOW N S H i P BUILDING PERMIT ????--r?- . --••-•---•--•---•-••---•.. . ---• • --••-•-••--••.••--••--...------'-.:......... --•-•------- Owne: Addresc (P:esen!) ?•'??3-- ?-•-?---•--- ----------•-•.....?et51.L,-?*? ? ? Buildez .......................... ............ ...................................................... ... Addresa ...... ................ -...... --._....... . ............ -............... ..................•---••- DESCRIPTION N° 1983 Eagan Township Town Hali DaYe -•-••--•-- --•---- .............. 5iories To Be Used For Froni - Depth Heighf - Est. Cost Permii Fee /.r, :..+•-e. ? - Aemarks - '° ? '!?"rti°LC``'" ` ? ? o ?'G o ``-° /o • ?,? .?..-s'" -G---?..?? ? . .r' LOCATION s:ree:, noaa oz o:ner uescn n oi i,ocanon ?:? ?-,?. -G ...c- 7? -1? .? - 6? .?-y -- ?? ? G ? - , _7 e- .-fj This permit does not suthorize the use of sfreets, roads, alleys or sidewalks nor does it give the owner or his agen2 !he right fo create any aituation which is a nuisance or which gresenis a hazard fo 2he heallh, safely, convenience and general welfare !o anyone in Yhe communiYp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. ? . This is !o certify, that-•-.?.r.-•'-- b----• --••---• ..............-._.._.._..---has permission to erecf a._?:_'?'?"`'??.?-•------•-••-• on P !he above described premise subject to !he provisions of the Building Ordinance for Eagan Township adopied April 11, Lot I Block I Addifion or Trac! 1955 ? -??--_--?- J ' per e .??.? .................... ...? -......._..... Ch _._C1 --c? .:,-- ---?----------?----Y?---. airman of Town Boa? $uilding Inspeclor ? Clt of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT Date: ? C5Y?;ite Address: V\ COC;.?.Iocf, Tenant: RESIDENT ! OWNER Name: `-{:Ec? '' Address / City / Zip: Applicant is: Qwner -? a:ontractor TYPE OF WORK Description of work: Construction Cost: ,- t,-- Multi- amily Buildi es / No ? CONTRACTOR , Name: ca -l:.?? `.,_. o"1 icense #: ,...? ? -< ? Addres ? ?,? e, City: ? StatW4iA--LZip: S?'??? Ph 90?? " ' e '°` ?)b - one: J Contact Person: -- a ? ?l ef-? 7 - CQMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master pian: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: r - - - - - - - - - - - - - - - - -+ I F`?.Affi?Y?s? ? ? Permit 7-D ? ? Permit Fee: ? ? Date Received: I ? I I Staff: ? I 1 ---------------- APPLICATION k ? Suite #: Phone: Phone: Phone: I herebp acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances anid codes of the City of Eagan; that I understand this is not a permit, but only an application fcar 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. c^ •r--? ? x /l x_ ? ??? •? ? f .?U "- ' ? !?''? ApplicanYs Printed,Name pl' nYs Signature ? t:Page 1 of 3 city oF eagan PATRICIA E. AWADA Mayor PAUL BAKKEN PEGGY C'.ARISON CYNDEE FIELDS MEG TILLEY Council Members THOMAS HEDGES Ciry Administrator Municipal Center. 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.ciryofeagan.com THE LONE OAKTREE The syrrtbol of strength and growrh in our community December 13, 2002 CATASTROPHE RESTORATION 2489 RICE ST #70 ROSEVILLE MN 55113 RE: REQUEST TO REFUND BUILDING PERMITS 54653 & 52201 TO WHOM IT MAY CONCERN: In response to your letter dated December 9, 2002 requesting a refund of building permit #54653 to reside the residence at 3911 Blackhawk Road, this permit is being cancelled. You will receive a refund of $89.25 under separate cover. A$SO.OQ handling fee applies to this refund and the $3.50 state surcharge is non-refundable. Building permit #52201 to reroof the residence at 3613 Tanglewood Court was previously refunded to you in August 2002. See enclosed copy of letter dated August 19, 2002. If you have any questions, please feel free to give me a call at 651-675-5671. Sincerely, ` jj2 'L nice D. Severson Office Supervisor cc: Dale Schoeppner, Chief Building Official On 12110/02, City of Eagan telephone numbers changed. For your information, listed below are our main department numbers: Municipal Center 651-675-6050 Administration 651-675-5001 Engineering 651-675-5646 Fire Department 651-675-5900 Maintenance 651-675-5300 Parks & Recreation 651-675-5500 Planning 651-675-5685 Police 651-675-5700 Protective Inspections 651-675-5675 Utility Billing 651-675-5030 CLAIM VOUCHER - REFUND REQUEST ? CITY OF EAGAN MAKE CHECK PAYABLE TO: CATASTROPHE RESTORATION 2489 RICE ST #70 ROSEVILLE MN 55113 LOCATION: 3911 BLACKHAWK RD RECEIPT #/DATE: 33471 8/22/02 REASON FOR REFUND: CONTRACTOR REQUEST PERMIT #: 54653 VALUATION: $7,000 TYPE OF REFUND: Plumbing Permit 9001.4087 $ Mechanical Pernut 9001.4088 $ Building Pernnit Fee 9001.4085 $ 89.25 Plan Review Fee 9001.4222 $ SAC (MC/WS) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 9001.4246 $ Water Connecrion 9220.3865 $ Sewer Permit 9220.4532 $ Water Permit 9220.4507 $ Account Deposit 9220.2252 $ Water Meter 9220.4509 $ Water Treatment 9220.4685 $ Surcharge 9001.2195 $ Overpayment 9001.2250 $ Curb Box Deposit Refund 9220.2253 $ Construction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 89.25 I declare under the penalties of law that this account, claim, or demand is just and tha t no part of it has been paid. SIGNATURE 12/13/02 DATE CRSI YOUR "PEACE OF MIND" GENERAL CONTRACTOR December 9, 2402 City of Eagan 3830 ?Pilot Knob Rd Eagan, MN 55122 Please cancel the following permit. The work will not be completed by CRSI. permit #EA054653 3911 Blackhawk Rd permit #EA052201 3613 Tanglewpod Ct MItlll@SOtB 2489 Rice Stseet, Suite 70 Roseville, MN 55113 651.734.9433 Lic. #20271061 Wisconsin 101 W. Edison Ave., Suite 247 Appleton, WI 54915 920.830.9631 Lic. #695024 IllinoisJNlissouri (St. Louis area) 94 Weldon Parkway Maryland Heights, MO 63043 314.521.0101 Lic. #151 If a refund is sent, please mail a check to the following address: CRSI 2489 Riee St, Suite 70 RQSeville, MN 55113 If you have any questions, please call Jaci at 651-734-9433. Thank you,. .... ?.? ?` ?? ? •? 5 ' ..........,.? Jaci Hauth CRSI STORM DAMAGE I ROOFING I SIDING I WINDOWS .. ., ., . . . . ., _ . . , . . , ??????FFION , REUM ?- ' P EA,???? ?? ?? Road i Pe?rrth Nuntw: ?WM, ? tO 55122-1897 Ltate tssted: #: Ol': 69 SCtt CK x PLACKH+?WK RD QR6lkfE #C _ ' TXPE: ?c 3 SL T } ' ? ? O N A 4 ws ?j r ? ?. . , x FRI Prrmifi Hckmr 00o Talophons # Pl.UMBlNG Hi#AC iar? t}ate lnsp. Commen#s Ft}Gt'lNGS FL?U[+v FRAAAit+}G ROOFIriiQ ? ROtlGM RlUPA81NG PIBG piR'fEST RpUGH HEATING GAS 34'C TES7 INSUt GYP BOARD FiREPLACE FIREPLACE A!R TEST FINAC PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IfiRIGATiON METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FfNAL s4?-5-3 -? CITY 0F EACAN 3830 PiLOT KNOB RD, EACAN MN 55122 a? 651-681-4675 New Conatruction ReaulremeMs s' • 3 registered s?e sunreys showing sq, ft. of lot, sq. ft. of house; and ali roofed areas (20% maximum lot co e alowed) • 2 copiss of plan showirAbeam & window sizes; poured found design, etc.) • 1 set of Energy C ' s • 3 copies of Tree Prese Pian if lot plalted after 711/93 . Rim Jast Detaii Opdons ' sheet (bklgs with 3 or less units) DATE SITE ADDRESS ?59 ? k TYPE OF WORK \- t-79> i APPLICANT C:atastrn?p- ,atinn SPrvi STREET ADDRESS 7489 Rirrs TELEPHONE # 651_734_qd?'I CE PHONE # PROPERTYOWNER RemodeUReoair Reauirements / ?? ? . ?? • 2 copies of ptan • 1 set of Energy Calculations for heated additions • t site survey for exterior additans & decks • Indicate'rf home Ierved by septic system for addiGons VALUATIOV Vo -7:S 5 S • 2-4ZD MULTI-FAMILY BLDG _ Y -IN FIREPLACE(S) L(?_a .,_ 1 _ 2 z lnr/ CITY-Rgsg,y.j,le. STATE _AWZI P 5!ij 13 FAX # &F 1 _il t2'2_l171 9_ TELEPHONE # .?Sl^y??' L# 1?? -----............. --............. -- _.---------------- ------------ ------ ---------------- COMPLETE THIS SECTI N ;??"NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNE TA RULES 767 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Resi ntial Ventilation Catego 1 Worksheet Submitted ` • New Energy Code Woricsheet Submitted • E rgy Envelope Calculations S mitted T ? D- Plumbing Contractor: Phone # Al1G 2 1 2002 Plumbing system includ s: ? Water Softener Lawn Sprinkler ? Fee: $90.0 Water Heater No. of R.I. Baths -- No. of BaChs Mechanical t Mechanical Sewer/Water RESIDENTIAL BUILDIWC PERMIT APPLICATION ? tlir Conditioning Heat Recovery System Phone # Phone # Fee: $70.40 ----------------------------------•--------------------------------------....?-------------------------------------------•- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanges, A ? Signature of OFFICE USE ONLY .?.. includes: Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY .. a w, ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscetlaneous 0 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move Bidg. 0 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* O 43 Reroof ? 46 Windowslaoors ? 34 Replacement *Demolition (Enttre Bldg onty) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) T Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water ? Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Sfizcco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insularion _ _ _ Retaiuiag Wall Approved By , Building Inspector Base Fee T Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant F'lumbing Permit Mechanical Permit License Search Copies Other Total FERMIT CITY OF EAGAN '3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: ? ?? ILDING Permit Number: 0 3 3 15 A Date Issued: 09/ 04/ 98 ? SITE ADDRESS: 3911 BLACKHAWK RD LOT"; 59 Bl,(lGK< 6 CEqAR GRqVE #6 P< I. N, 0 10-15705-590--06 DESCRIPTION: REMARKS: FEE SUMMARY: CONTRACTOR: - Ap plz cant -- ST. LIC. OWNER: WESTURN CEDAFt SUF'PLY 15410304 20014207 CARLSON I.EIF 705 N hIWY 169 3911 BL.HCKFiP+WK FtD I PLYMUUT"H MN 55441 EAGAN MN 55122 (612) 541-4207 (651)452-4130 reby ac.knawledge; that I haue read this app:tication and sts rmation is eor~reet anci agree ta comply with ail appli.cablr utes ancl City of Eaq:an 0rdinances> APPLICANT/PERMITEE SIGNATURE I ED BY: SI Convo. y• ? ? . . . . _ . . . . . . ,., . ? ?_ ? ¢ . . ? SvectA .. . . . . c ? + ? z* g ' . . . + . . , . . .. . . . . ? 5?: ' . ? 1 ,. . - K L.;ROU•,F+CT! . . . . ? . - ' . . .. - ` , k.- Company? r " ? Name? .. . . . . .. . - ?. - . . . . . . _ , . . . . . . :.,i, 77- p ? . - v` * t7M Vwc Address. . ,t 3 2, " .. . . . . . . . . . . , . , . ' . . . ? - ' .'.?" _ ... - ?n {w? ?i r7to. . .. .,? S s . - " - . .. . . . . r vNW **rMd OtadW {mW muftftatt 0*}: ?`? ?i???`?? V 'thong* is t"uosted•W" pwtr* is Mued, fhM l ftrve, read fts appkOn ani SUM #Wthe k*rrISWn in,awo*????`?? ? jji*efMnWMOft SWtt%s and CRy ot F,.agan OrOitmnm. >? # Sipnsttn ol Appbmt ? . IN mn. _? ? aFFWE u??ONLY ?? _.? `E?I?r+?li? esf +'fr"..,,sa?. t'b,.e,,atk,..e:a lt.oea ? -? t?1.. ? - ? , . .. .? - ? OFFICE USE ONIlY ..???? ??M T"E . - ? . . '. _ . ; . . . . . . - . ? 41q3 iIi 'Foundli?r{ ? 0 05 DuplYx 0? 11 ? ? ".? ? . 0<.. iS .. '.• Apt ; _ . -??? SF- DR'AM? 0. Q'F ?p?/? ? . 12 {?? M#?Y ? P . AUM. : (3, 17? ' . n-.p",?- . ' .. 0 03 "SF - ddMon il3 08 8-pbx 13 .• d . . L& Se. .. '? . ssmy .,- TRw 2ID: P ? . . 0 '? ? ?Po(ch ? ?? 12-plax 0 14 . , Fkepface . . . ! v .. ? ". 2t M 0 05 SF Wisc. 0 fiQ „,.„_-ptsx 0 15 tock WOM "!"1CPE < < . G ? . ?... , 31 Nor+v 0 33 A??m 0 36 Move "3 32 Addifion 0 34 Repair `C) 37 ???? ?EM #NF0ft11AATM cwwt (+Actw* easerrwm ??M &$nWM IVtain Wvel? sq. ft. ? .cfty ivvter ? ?LW Oc".upency ,. ,.,?..., ....M.. ?,...,:,.. .. sci, 'Pi? ?prkildor+??i. . ?. ?.? ,..?....?.. ?.. ,??.?.r. ?.?. Longth , ?..?.?+ ....., ? sq.1't: ??m Caft.. DOPM _ .,..., .?... FooVft sq, it. , ? ? ..? ip 1,w,,,, w4 ? e '!"VALS ? . Pftni itng $ulUGling. ? !?+rw? . ? ' • - - ?. ?y ? ' `?? ?? ?WPii?tt?.. _ ? . mit Fee ? - Vakabon. - $ , ? ? . . ? . . _ . . . . . , . . d - - ? ' . - - Sur mirge ? . ? -Plan RoYleW . ? . ? ? - - . . . ? . . . . . , _ . . . .. . : . . , _ .. . . - . . . . . . .. .. . . . , Ll1+ri.'Fm . . . ` . _ MCNVS SAC . - - . . . . .. Cky.SAC . .. . _ . . . . . . - . ' - . . ? '. • ?? Com• . . . ' . . . . .. AcO. D"ftk - . . . . . .. ? ' . _ . .. - . ? ? _ ? , aw Pet? - - - &W&wchw" . . . ' . - . ' . . . . . . . . . . ' . . ' ' . _ .. ' ??? ?? . . . , . . . .. . ? ? . ftwk Md. - . . - _ . . . , . ? . . . . . T, 9?b Md. - " ? ' . . . . ' . . . . . . ? , . 'thet. ? ? .. ? . ? , . . . . . . ? . . . : . . . . . ;copies . . , . . . . . . . . . . . . . T+tft1; % SA? "C Uft , ? 'i { r EACtN xowivsxap 3795 PiloC Knob RoAd St. Paul, Minnesota 55111 Telephone 454-5242 PERit?tT FOR WATER SERVICE CONNECTION : Date: Number: 265 . Billing Riame: Site Address: -101i, ,,. . y Owner ' ? s_.. c??? '[?.? -_? ? Zt? Billiag Address P lumber : tion of Connection Building is a: Residence___/_ tRultiple No. Units Commercial _.._...? Industrial Other Meter Siz ??, Conaection Chg. 2 0.00 ? Meter No.??i??? ' Permit Fee 7•50 Meter Readingd?Meter Dep. Meter Sealed: Yes- Add'1 Chg. NO Total Chg. Inspected by DaCe Remarks: Bq: Chfef Inspector In conaideration of the iasue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Towmshig, DakoCa County, Minnesota. sy: , Pl.ease aoCify the above o£fice when ready for inspection and connection. q . . EAGI,N TOI+INiHIP 3795 Pilot Knob Poad St, Paul, Minnesota 55111 Telephone 454•5242 PERMIT I'OR SErJ'gR SERVICE CflNNECTIOAi DATE:_??????`i'. 3$7 NYIMBER OWNEF44:;41?' ?(t? Addxess ? •? ,;?? sr,d ,=?? ?f ? ? ` , PLtIMBER --- J" L47'.,G 4,('e- TYPE OF PIPE e-1??-Y AESCRIPTION OF BUIIUING IndustrialI Commerciall Residential I Multiple Dwelling i No. of units Permit Fee 7•50 Zocation of Connections; Connection Charge 200s00 Stzeet Repairs Tota 1 inspected by: Daxe Remarks: $y Chief Tnspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accardance wit'h the ru3.es and regulations of Eagan Tocroship, Daltota Countq, Minneaota ? By sf ? Please notify when ready for iaspection and connectian and before any portion of the work is covered. PERMIT City of Eagan Permit Type:Building Permit Number:EA115644 Date Issued:09/27/2013 Permit Category:ePermit Site Address: 3911 Blackhawk Rd Lot:59 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-590 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Jeff Greenlun 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 - Leif A Carlson 3911 Blackhawk Rd Eagan MN 55122--173 Perfect Exteriors Of Mn Inc 321 1/2 Walnut St, POB 297 Monticello MN 55362 (763) 271-8700 Applicant/Permitee: Signature Issued By: Signature