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3929 Blackhawk Rd CITY F EAGAN Remarks Sew & w-tr permits 2-6-69 Addition Cedar Grove ##6 Lot 56 Blk 6 Parcel 10 16705 560 06 Rd. state Eagan,IT 55122 Owner Street 3929 Blackhawk 'EA Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 1 1060.1 106.02 10 Paid STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL -j 197o 1472.00 20 Paid WATERMAIN WATER LATERAL 1970 20 WATER AREA STORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200„00 1203 2-4-69 BUILDING PER. SAC 200.00 1203 PARK i 7 l ~ So y G f Request Dat Fire No. Rough-in Inspection Required? CJ ReadYNow Will Notify Inspector (rl When Ready? Yes 0 El es E9'Flo 1 licensed contractor D owner hereby request inspection of above electrical work at: Job Address ~ (Street, Box or R [0., t-V Cit 'Vn Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Ecj - cohan Power Supplier Address 5p Electrical Contractor (Company Name Contractor's License No. pro C r ('I g ~ fi(G 4 33 Mailing Address ( o ractor r Owner Making Install t* Authorize ture (ContractorfOwner Makin Installation) Phone Number -7 -7-7 5105S MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 10. See instructions for completing this form on back of yellow copy. X" Below Work Covered by This Request New Aj5[ epf Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1(11~ 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms 5 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS, I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final - bate been made. , A_ OFFICE USE ONLY This request void 18 months from EAGAN TOWNSHIP BUILDING PERMIT N° 1943 ~.4.:_%a-._ Eagan Township Owner Address (present) .yt. Town Hall Builder Date _ '.~.1.~ l.................... Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location I Lot Block Addition or Tract This permit does not authorize the use of streets, roads, alleys or 1 sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. - . - upon This is to certify, that C < .c _ ..has permission to Ordinance = - . n ownship adopted April 11, the above described premise subject to the provisions of the Building nance for 1955. . Per Chairman of Tnwn Board Building Inspector t_5 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN / 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 0 O~ New Construction Requirements RemodelfRepair Reauiremonta V • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house: and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) • t set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations Indicate if home served by septic system for additions • 3 copies of Tree Preservation Pian if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION SITE ADDRESS l Z l l~~~C1~ 1~~ 219 MULTI-FAMILY BLDG -Y N TYPE OF WORK 191 Lf ~1- L 6,1`..l 1141 CfZ ( FIREPLACE(S) 0 ~1 _ 2 APPLICANT ~3l~2~S//fGG S T,- fCI ICY*2 64G•fL; STREET ADDRESS /Z Cev c-,Ica IS 0 Y ~ CITY02,&#SUr(- 4' STATE -*l ZIP 5 (PS` TELEPHONE #~~2~'!f 7 CELL PHONE # FAX # PROPERTY OWNER;~ffE~ it TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOT.1 RULES 7670 CA"I'EGORY I _ MINNESOTA RULES 7672. (•d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener I.abvn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: fir Conditioning Fee: Heat Recovery System n Sewer/Water Contractor: Phone r. gnn7 I C 4 J I hereby acknowledge that I have read this application, state that the inf matio rrect, r mply with all applicable State of Minnesota Statutes and City of Eagan Or ' es. r. Signature of Appllcan --°----M~a_.»M~_ OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex O 13 16-piex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ piex ❑ 09 07-piex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-piex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or ` N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 lnt Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - 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) - Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone _ Fireplace , R.I. -Air Test -Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total / LOT: BLOCK: fi SUBD./P.I.D C d ay- 6r e 6TH, *V~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN l i~ 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements RemodellRepair Requirements ➢ 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations ➢ 3 copies of tree preservation plan if lot platted after 7/1/93 ➢ Rim Joist Detail Options selection sheet (buildings with 3 or less units) DATE: /~~3dfDU CONSTRUCTION COST: ?.~y DESCRIPTION OF WORK: • ticiaA 4 &eS:oiC 3 s ees If multi-family bldg., how many units? STREETADDRESS: ~ 121 1 IOt,&-"i±C f;.d Name: C-_ Phone S-Z ~ZYD PROPERTY Last First OWNER Street Address: a City gaol State: f~1~1 Zip: C. 12- qZVT5*42 2- Company: dtr ' - ~tl ek-o Phone ~ (area code) CONTRACTOR Street Address: 7 ~a L ~S /~C.p _ License # Exp. ale l city State: -*AK Zip: SX Y5013 ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration city State: Zip: Sewer/water licensed plumber (if installing sewer/waterPhone M 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 Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-piex ❑ 11 10-piex ❑ 19- Lower Level ❑ 24 Storm Damage ❑ 06 04-plex . ❑ 12 12-plex Plbg__Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 32 Addition ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 34 Replacement ❑ 38 Demolish (Interior) * Demolition (Entire Bldg only) permit - 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 INSPECTIONS REQUIRED Footings: New Bldg Insulation _ Windows new/replacement - Footings: Deck _ Final/C.O. _ Siding _ Footings: Addition _ Final/No C.O. _ Stucco/Stone Foundation Fireplace: _ r.i. ` air test _ final Roof. ` ice & water final Framing Pool: _ ftgs , air/gas tests _ final APPROVALS Planning Building Engineering Variance - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: . Y EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: Number: 216 Billing Name: Site Address:;.S 'U ( 4121Az"u4,,,, Owner: Billing Address Plumber: Location of Connection Meter Size " j- - Connection Chg. 200.00 pd Meter No..w':r _ :_.M - f a Permit Free 7.50 Dd Meter Reading,.. Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: p Residence Multiple No. Units Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tle proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Please notify the above office when ready for inspection and connection. I r EAG114 TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Teidphone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: NUMBER 335 OWNER Address 1 3 cl .j 2 PLUMBER TYPE OF PIPE ter`} DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Charge 200.00 pd Permit Fee 7.50 Pd Street Repairs Total 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 the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By f Please notify when ready for inspection and connection and before any portion of the work is covered. June 23 1969 Dakota County Treasurer . Hastings, Minnesota I . Dear sir: 'This letter is to: inform you that the special assessments treat are one the following. parcel of land have been paid at this. office! Lot, 56, ~Bloc,k 6, cedar Grove No. 6 y 'could you please mark your records accordingly. Sincerely, (rirs. } Alyce,` Bolke Clerk, F_.agah, Township AB:ag 44 1. PERMIT City of Eagan Permit Type:Building Permit Number:EA113892 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 3929 Blackhawk Rd Lot:56 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-560 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 - Sherry R Cohen 3929 Blackhawk Rd Eagan MN 55122 Perfect Exteriors Of Mn Inc 321 1/2 Walnut St, POB 297 Monticello MN 55362 (763) 271-8700 Applicant/Permitee: Signature Issued By: Signature