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3941 Blackhawk Rd C j ~ CITY OF EAGAN PERMIT 380 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 031583 (612) 681-4675 Date Issued: 03/12/98 SITE ADDRESS: 3941 BLACKHAWK RD LOT: 54 BLOCK: 6 CEDAR GROVE #6 P.I.N.: 10-16705--540-06 DESCRIPTION: (SIDING) Building Permit Type SF (MISC.) Building Wurk Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: i FEE SUMMARY: VALUATION $11,000 Base Fee- 174.75 Surcharge 5.50 Total Fee $180.25 ~I CONTRACTOR: OWNER: Applicant SUgRISE REMODELERS INC 18666650 JUNGERS DAN 6609 18TH AVE S 3941 BLACKHAWK RD RIdHFIELD MN 55423 EAGAN MN 55122 (612) 865--6650 i I hereby acknowledge that L 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. APPLICAN PER EE SIGNATURE/ ISSUED 131. S ATU E i i y~ 3~ l + ~ J fl y '~.'1{•.::!/.:~?~!::~~:a~:~{+:J1~i~`:1{'/!~?~`: ~i 7~?~/,•9;:'{•::~::~'~•'.ryi:!Z~:;f4?:+ii~;:'f::~.:~.~t`:~;~,i`:~!~X.~`i{+ K'; TERMINAL, NOg 3 Es OVUM 0 1T.NC WO 900i 3941 BLCXHMK RD 04.75 -1 394-1. PD i Total Receipt Amount;! 120. W-,.; s .3WN LEER 1% Mir.-i'MYNN J 4 s tr.t t ; J.~l s %:'.%:•J.•;L yH•s. 1 6 }t;:~ ~ 4 s r:?:t:~~' ~'~f.:.!:`, `i' t w I J`, - . i ill. - - i(~~'i A2 s}fo;.. _ ~ s .1i , ts' ! ~ s! 'Al, ~i .•j~i ! ~ s . i; f} 1 .F~s r INSPECTION RECORD t 01 Ncl G F EAGAN PERMIT TYPE: Pilot Knob Road ; hermit Number: 0 ,31 t`k tt 14 Eagan, Minnesota 55122-1897 Date Issued: 43/1 ;1119" (612) 681-4675 SM ADDR S: . N . 10- 106- APPLICANT: 10T f-~ 4 tOf:K~ 6 94711 6LACK" W, t'1 S141F?C* P#'Ate Vt.V TWC: :_tK "+a~y eft@`' 46 PEI ITSUBTYPE: TYPE OF WORK: F Ott At..If t ATI0H 14 (SC, CAL AR I PTION t Nii x 14 r: I d ' y < t Y Permit No. Permit Holder Daft ELECTRC PLUMBWG FVAC dts ttiger Claw b"4L Comments 1:001MM FOUND FRAMING PLC, K43ING ~ PLOG ' TEST ROUGH "EATM GAS Sim t TEST i a INSUL GYP BOARD r, FIREPLACE N FIREPLACE AIR TEST j FINAL PLSG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Sew & wtr permits and wtr & Sew Conn. pd . On - Addition Cedar Grove #6 Lot 54 _131k 6 Parcel 10 16705 540 06 Owner 't<- Street 39.1.1 Blackhawk Rd. state Bagan,NN 55122 &9-a Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 107- ign 106.07 in Paid STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1 0 1472.00 20 Paid WATERMAIN i- WATER LATERAL 1970 20 WATER AREA STORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200.00 1323 4-18-69 BUILDING PER. SAC 200.00 1323 -1 PARK EAGAN TOWNSHIP BUILDING PERMIT N° 1983 Owner . ~ Eagan Township Address (present) ;t!_. ~'1 ..................L- Town Hall Builder Date .d~..'~ Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location II Lot Block Addition or Tract This permit does not authorize the use of streets, roads, alleys or 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. This is 3o certify, that ''r permission to erect a pon has 4 -yam the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955 J Per Chairman of Tnwn $oa Building Inspector THE SPRING COMPANY DETACH AND RETAIN THIS STATEMENT THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW. CLOSING DISBURSEMENT - IF NOT CORRECT PLEASE NOTIFY 'US PROMPTLY.. NO RECEIPT DESIRED. - DELUXE - FARM WVO-3 V-7 BL 5195 S Metz/Paggen 3941 Blackhawk Road Special Assessment Search $5.00 CC CITY of EAGAN N°- 3703 BUILDING PERMIT 3795 Pilot Knob Road Eagan Minnesota 55122 Address (present) .........1 . 454-8100 Builder Date ......2.::: ~ . 5 Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location ` Lot Block -Addition or Tract This permit does not authorize the use of streets, roads, alleys or 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 ~3PT i THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that 4........... 4; ` .....................has permission to erect e...~ - ~ .......U.................................. ..upon the above described premise subject to e provisions of all applicable Ordinances for the City of Eagan. 7 Per Mayor Building Inspector 3F. -J 998 BUILDING PZRhUT APPLICATION ("88M U~ Crff OF SAGM 8830 MOT M109 "222 881-"75 S nqWmed ass aunreys ♦ 2 copies of On Z ocpdes of plan O,ca,,de begin 8 taktdow Sku'poured td. d*Wp. etc.) ♦ 2 oft surreys 4W $ decks) . WWqy t ernew . ♦ coWuMAm for NNW additW* ♦ 9 oopb" of tree pntswrWm pin It bt p after TH1b3t regtrad:.....Yet No DATE: , &JILL CONSTRUCTION O+US'i'; MCRiPT14N O WORK. i VI ` STREET ADDRESS: 1 lU LOT: BLOCK: SUSD./P.I.D. Name: ef5 Pbc -4-7 L LA- PROPERTY bass tic ~11VI~tER Street Address: State: City A zip: v Company: + Phone* CQNTRACTOR Sheet Address: ~ To Li # zi. City Star P r ARCHITECT/ INTER Company: Phone I Name: tion I. Street Address: 'j City Star: 8wrr & water tsed pkmt w (row cawhctbn only): PwWty lea wtan dress dw9 OW lot dwnge is reaquested once pant* is issued. I it +y adumAodge fleet 1 two read this ap and slate V* the irtfortrtat M is called arts! t wffPlY wttt all toppWO Stye of Mh-awft aSU t *s wed Cat of Eagan Ortii wines. Signattur+s of Appiicartt: OFFICE UN ONLY Cookow of Survey Re camecl Yep No Tom Presservadan Plant R earved Yeas No Not Required 4N OFFICE USE ONLY 80LDING PERMIT TYPE 0 01 Foundation 0 06 Duplex d 11 Apt./Lodging . D 16 easement Finish 1102 SF Dwelling 0 07 4-plex 0 12 Multi Repair/Rem. 0 17 Swim Pool 03 SF Addition 13 08 "lex Cl 13 Garage lAccessory © 20 Public Facility D 04 SF Porch D 09 12-plex 0 14 Fireplaces 0 21 Miscellaneous U 0 SF Misc. 4 10 _,,,,-plex 0 15 Dock WORK TYPE Q- 31 Niew 0,33 Alterations D 36 Move 0 32 34 Repair 0 37 Demolition GENERAL INFORMATION i first (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft.City Water UBC Occupancy sq. ft. Fire SprinkWW sq. ft. PRV Zoning r 11 of Stories sq. ft. Booster Pump Length, sq. ft. Census: Code. Depth, Footprint sq. ft. SAC Code Gnus Bldg Census Unit APPROVALS Planning Building Engineering _ Variances Permit Fee Valuation: S Surcharge Plan Review License MCNYS AC City SAC Wit' Conn. Wad Meter Acct: Deposit SNV Permit S Surcharge Treatment P1. Pads De d. Trek Ded. tJther copies Taft. % SAC SAC Emits . Date UNf~ x~ Metz/Paggen THE SPRING COMPANY Shirley 4285 Sheridan Avenue South Minneapolis, 11N 55410 Re: Address 3941 Blackhawk Road MptzjpAgnsn Gentlemen: Tie request the following information pertaining; to pending and/or special assess- ments: All that tract or parcel of land lying and being in Dakota County, Minnesota, described as follows: Lot 54, Block 6, Cedar Grove 6 16705 - 540-06 10 This is to certify that I have examined the records in the office of the City of Eagan 9 Dakota County, Minnesota, and find that the above described tract or parcel of land has the following improvements: Main trunk sewer Street sprinkling Garbage collection Lateral sewer Street grading Tarring streets Storm sewer Curb and gutter Street paving Water main Alley grading Alley paving Sidewalk I further certify that according to the records of said office, the following as- sessments appear unpaid: KIND OF ORIGINAL TOTAL AMOUNT 1NPAID,SUB- IMPROVEMENT RUNS BEGINNING VIOTP-1T SEQUENT TO" CURRENT YEAR I further certify that according to the records of said office the following im- provements are contemplated or pending after having been approved and are now in the process of planning or completion: KIND OF APPROXIMATE DATE APPROXIMATE COST IMPROVEMENT OF COMPLETION OF IMPROVEMENT U61 ~ City of Haan Signature Phone No. EAGF:N TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: Number: 261 Billing Name: Site Address: ,.,Yz 3,-,W , ~ Owner: rG Billing Address G Plumber: Location of Connection Meter Size ;Y Connection Chg, 20.00 Meter No. ~,y y~-a Permit Fee 7.50 Meter Reading Meter Dep. Meter Sealed: Yes- Add11 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence f' 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 the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Mpnesota. By: 4 Please notify the above office when ready for inspection and connection. I EAGAN TOWNSHIP X795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:__ NUMBER 833 flWNEP.:~ Address' PLUMBER TYPE OF PIPE a&d ZIX2~~ DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections: Connection Charge 200.00 Permit Fee 7.50 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 Please notify when ready for inspection and connection and before any portion of the work is covered. MASTER CARD LOCATION - C-61,2 OWNER / re e, A;;~ ILI, "OOE STRUCTURE AND /Df P ~~5 LAND USED AS ~ LJT -T ~ Issued To Permit No. Issued Contractor Owner BUILDING J PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING ooello~ SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: l_ COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION I CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ❑ NO EVIDENCE OF NON-COMPLIANCE ❑ NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. a ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ❑ COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ❑ NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ❑ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIFICATION-1 certify that( have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: I I I I as PERMIT City of Eagan Permit Type:Building Permit Number:EA118308 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 3941 Blackhawk Rd Lot:54 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-540 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 - Timothy R Moe 3941 Blackhawk Rd Eagan MN 55122 Corbin Exteriors Llc 1115 Southview Blvd South St Paul MN 55075 (651) 760-3116 Applicant/Permitee: Signature Issued By: Signature AIC 1/o5,Aj r I For Office Use r e I Permit#: E AG N Permit Fee: 8 2018 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections�a cityoreagan.col 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/6/18 Site Address: 3941 Blackhawk Rd. Unit#: Name: Tim Moe Phone: 612-704-7843 Resident/ ' 3941 Blackhawk Rd., Eagan, MN 55122 owner; Address/City/Zip: Applicant is: Owner x Contractor Type 111/0IW Description of work: 3 window insert replacements, existing openings Construction Cost: 2,606 Multi-Family Building:(Yes /No ) Company: Budget Exteriors Contact: Sarah Contractor Address: 8017 Nicollet Ave S. city: Bloomington State: MN Zip: 55420 Phone: 952-887-1613 Email: sarahw@budgetexteriors.com Lead Certificate#: NAT-22128-2 License#: BC006564 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be ilublia inlannation. Portions of the mat be ctessit1ed as no ublic if °.: •vide r=ii1c ins that wssuW:; It the Cis to eonci 'e they+ •' acre tnidenta orals = You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gonnerstateonecail_<�rg I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and 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. Sarah Walt x j Applicant's Printed Name Applicant's Signature