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4001 Blackhawk Rd Cl 'EAGM 'WAT9R SOVICE PONT 3795 Pilot Knob Road PERMIT NO.: 2130 'Eagoo, MN 55122 DATE: 4/27, 77 Zoning: T? L No. of Units: 1 Owner: Harell ConsttuatiO CO; Address: Site Address: 4001 PlaCkhawk Rd. L14 r7 CC 7 Plumber: Thompson Plumbing Co. Meter No.: Connection charge. .Z £3. Q~ ; Size: Aunt Deposit: } Redder No.: Permit Fee: 10.. 1 ogee to comply with the City of Began Surcharge. t#+r Mmem Misc. Charges.- Total: By Date Paid: Date of insp.: Insp.: ►N SEWER SERVICE PERMIT Q;70F L4"4 $95 Pilot Knob Road PERMIT NO.: 2885 Eagan, MW 3IM2 DATE: 4/27/77 oohing: No. of Units: Owner: Maroll. Mnstruction Co. Address: Site Address: dIZt3:! >31arCka;lwk FA. T,14 37 CG 7 Plumber:;s~ P1t~tthino fb, 4/25/77 005740 100.00 Pd t "roe to ,may w *h the City of Eagan Connection Charge: 375,00 Gtdir eos. Account Deposit: Permit Pee: - 10.00 bill*,' Surcharge: y' X23 By Misc. Charges: Date of Insp.: Total: Insp.. Date Paid:, CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4283 PHONE: 454-8100 BUILDING PERMIT $31. t o. Receipt # TObe used for _ Sinn. Fact- 1ltda. t~ Care, - Datn-~pr31~r. 261, 19 77 Site Address 40$ 131arktta34• Erect [?j Occupancy Lot 14 Block 7 Sec/Sub. CG 7 Alter ❑ Zoning _ i Parcel # Repair ❑ Fire Zone Enlarge., ❑ Type of Const. ~ W Name izxplI "all St Move ❑ # Stories zz Address Demolish ❑ Front ft• Grade E] Depth ft. City Phone 0 Name ~~arel1, Construction uction Co. Approvals Fees Address 10800 Lyndale Ave. So*_ Suite 18JAssessment Permit _ § Ci Phone _ Water & Sew. Surcharge Police Plan check ,~v„w Name Fire SAC . 17 5, 09 X- Address Eng. Water Conn ` W City Phone - Planner Water Meter Council hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with a.'1 applicable APC Total 5T State of Minnesota Statutes and City of Eagan Ordinances. - Signature of Permittee r A Building Permit is issued tort t i f+teaf . I"n, _ on the express condition that all work shall be done.1h accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 4. r- A Permit Dote Issued Per mittee Plumbing fin' - 7 - a t Mechanical -PSI t;v 7 INSPECTIONS DATE INSP. Rough-in Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical ` Final Remarks: CITY Of EAGAN a 3M P01t K** R06td ` • Eagad, Mi,cj WATpR Sorgp lE PERMIT k Wo: 065019 - dune 27 1977 ~r - - Rsce+pt - - T Date: - Single R"i dentioi 4001 BlaCkhaWk F~aad Site Address:. t ^ t 1r { Multi Res x ~t>t1_,rr find. - a Lat - - Block Sub/Sec. nlter?x~ian Robert J. Schloesser New/Alter-/ReP+ir r Y Tame - 4001 BlaCl~hWk od - - Cost of Installation d R,a c Address T - 5.00 ER$ Phone: Permit Fee - - - City .50 Comers soft Water Co. - Surcharge - ~ Y ` Nome t~ 3801 C&&i$t~rnii t St. A3. E s Address 5w5.0 1 w tpla. 55421 Phone: Total - ` - _ - 5th City - - < - CWJ This Permit :is issued on° the express n O d nerxtceshat all work shall be die in auordance with Of' eppl Minnesota Statutes and City of Eaga JBuiiditig p€fFci~ot ;ttiud. airs Pl%t 16" ~,i. lltag~►r~, ;>k~gtesvt~a; ~~i i ~2 - Mom- f454-&4 HEATING I KhVT No, ` May 9, 1977 458 $ Dote: Retei~t this.: Single Site Address: 4001 B1aCkha`tk ltaad t side~tsal d ' - Lot 14 Mock 7 Sob/Sec. CG7' {vir~it~ t2ees Corr>~./trict. t hton a l+farell ( nstzuc io.n new - - New/Atter./Repsir - k Address 10800 Lyndale Ave. So. Cost of Inoollation Ci Mp18' Phow Permit Fee 20.00 Name Ray N. Welter Heating oo,. s0 Surcharge Address 4637 Chico Ave. Cit IPis. 55407 Phone: 20-50 y y _ Total - This Permit is issued on the express condition that all work shall be done in accordance with all applicable State &f l rwvesota Statutes and City of Eagan Ordinances: Building Official pax CITY OF EA"H- 3795 Pilot Knob Read Eagan, Minnesota 55M Phone: 4'54-8100 PLUMBING $tQ PERMIT April 27,- 1977 OS?40 134te. Receipt Nc+.- 4001 $13ckharrk Single. ~-Rd, Sfte Addresii*, - Residential 1 , Lot 14 Mock 7_ Sub/Sec. _ CG 7 Multf Res., Comm;/thd. Name Marell Construction 0o. new flew/Alter:/RMoir MOO lyndale Ave. So. Address Cost of Installation City Bloomington . - Phane Permit Fee 20.00 Name "1080SCm ; 1Mbing GCt. SO bill' Surcharge S li 12201 Mirnuetonha Address v Minnetonka 20.50 City _ Phone: Total This Permit is issued on the express condition that -qll work shall be done in accordance with all applicoble Stati pfi Wrinesoto Statutes erW City of Eagan oDrdinan M. Building Official: a a 47, k 3795 P ;OT KNOB ROAD " EAGAN, MtNNE OTA 55.92; DATE lw `7-z- _ 'AMOUNT F - - & o,"1?PLLAItB ~ too s:- 3 CA14 1 P-CJ4ECK F r~~f' ~ ~ { r ~ FU-fdii -C(}D E. - }1MOU NT: , - .r ° - / a MprUT ON "CORD ks f o l ! CITY OF EAGA, PERMIT T ' TYPE: 383 4 Pilot Knob Road Permit Number: o Wigan; Minnota 55123 Sato Issued: (612) 68i-4675 SITE A REAS: ` ! t t H i ac APPLICANT: 4001 141 F&(J }it t, Rb PERMIT SUBTYPE: TYPE OF WORK: kv, OA IV ~ ~ ¢ ~ _ CITY OF EAGAN Remarks Addition CEDAR GROVE #7 Lot 14 Blk 7 Parcel 11 16600 140 07 Owner Street 4001 Blackhawk Read State Eagan, MN 55122 Improvement Date' Amount Annual Years Payment Receipt Date STREET SURF, 1971 117 5.57 117.58 10 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1970 58.18 2.08 28 Paid * SEWER LATERAL 1971 20 WATERMAIN * WATER LATERAL , 1971 1,615.00 80.75 20 Paid WATER AREA tV 1977 1 fit). on 10.66 15 149.34 A004310 6-27-77 * STORM SEW TRK ( 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC ~175, 00 _67662 PARK EAGAN TOWNSHIP BUILDING PERMIT N° 2927 Owner .....0..... f~"" Eagan Township Address (present) .,...:.._._v. Town Hall Builder i - ~-9- 7 Date Z Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost 'Permit Fee Remarks 9e, ~ .1 BSo10 ao Sly, LOCATION r.~a Street, Road or other Description of Location ` Lot Block Addition or Tract 3, 1(, i3of/t/ ? This permit does not authorise 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 TFiE PRE ISE WHILE THE WORK IS IN PROGRESS. This is to certify, that.... ` -c .has permission to erect a..: Z `le upon the above described premise subject to the provisions of the Building Ordinance for Eagan T wnship a pied April 11, 1933. .............I .........v.! Per Building P I, CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N? 4283 PHONE: 454-8100 BUILDING PERMIT APPLICATION $31,000. Receipt # To be used for Sinz. ram Dwle. d Garg. Date April 26, 1977 Site Address 4()0l AJ arkhawk Erect ® Occupancy T Lot 14 Block 7 Sec/Sub. CG 7 Alter ❑ Zoning R1 Parcel # Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. V W Name Marpll ConG* Move ❑ Stories Z Address Demolish ❑ Front 58 ft. 0 City Phone Grade ❑ Depth ft. Name Marel l Construction Co. Approvals Fees o 9 3 _ o Address 10800 Lyndale Ave. So. Suite 181Assessment Permit uF City Phone Water & Sew. Surcharge 15.50 Police Plan check wW Name 475.00 Fire SAC u~ Address Eng. Water Conn. 230.00 aW City Phone Planner Water Meter Council _ 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 813.50 State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issu d to: on the express condition that all work shall be done . occordor h all applicable State of Minnesota Statutes and City of Eagan Ordinances. r Building Official PERMIT y CITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 0 2 213 4 (612) 681-4675 Date Issued: 10/01/93 SITE ADDRESS: 4001 BLACKHAWK RD LOT: 14 BLOCK: 7 CEDAR GROVE 7TH P.I.N.: 10-16706-140-07 DESCRIPTION: (ROOFING) Building Permit Type SF (MISC.) Building Work Type REPAIR REMARKS: FEE SUMMARY: VALUATION $1,300 Base Fee $31.00 Surcharge $.65 Lic. Search Fee 5.00 Total Fee $36.65 CONTRACTOR: - Applicant - ST- L I C. OWNER: ROBERTS RES REMODELING INC 18944148 0006885 ROCCO MARK 4456 CINNAMON RIDGE TR 4001 BLACKHAWK RD EAGAN MN 55122 EAGAN MN 55122 (612) 894-4148 (612)452-6713 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. APPLIOANTIPERMITEE SIGNATURE ISSUED . SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 022134 Eagan, Minnesota 55123 Date Issued: 10/01/93 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 14 BLOCK: 7 4001 BLACKHAWK RD ROBERTS RES REMODELING INC CEDAR GROVE 7TH (612) 894--4148 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR {DESCRIPTION (ROOFING) INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. FINAL F REACTIVATE CITY OF EA A PERMS 1993 BUILDING PERMIT APPLICATION 311 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy, talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy talcs. 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 i.s requested once permit is issued. Date Valuation of war /30 Site Address. ~Dat Q~'~< /w1c STREET SUITE 0 Tenant Name: (commercial only) LOT BLOCK _ SUBD. P . I . D . N Description of work: The applicant is: ❑ Owner Contractor ❑ Other W*scrlbe). Pvcc a ma k Phone 7/ Name Property LAST FIRST Owner Address MoD/ 7ek A STREET STE S City State Zi p Company Phone 54- Contractor Address C R4" y -C, License Exp. 19 City. State ~h 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. t1 Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 7.It.Be Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ •35 Tenant Finish 037 Demolish E3,32 Addition ❑ 34 Repair ❑ .36 Moue GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee walLa=i«n: S 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 Bed. Coppies Other Total: SAC % SAC Units q~q Dates BUILDIUG PEPMIT ArPLICATIO111 LO BLOCK ADDITION? & P PARCEL & SECTION 17U14BER IF Ui1PLATTED ADDRESS OF PARCEL 'f/ . 4 7-001171G OCCUPANCY USE X- x 'Q 7 raj LSTI"iATED COST C~~.Ti>E2 TELEPHOVE 1O. ADDRESS COL:TA. UAC`: OR TELEPHOtIZI; :10. ADDRESS Notes Include site plan, building plans, and energy calculations with this application Signed 07PICE USE VALTIATI01A SAC 11 EI-t CULVNECTIGO VIATER f YFTER~ BUILDING PEF'RIT FMIi' SURCHAP FEF PUMI CLECK FE PARK DEDImimT F! EE O'T HITER 'I'OTF~L* - - APPP,OVALS. ASSESrai Ml 11T CLERX BUILDING DEPT. POLICE DEPT.__ HATER & SEFJER DEPT. FIRE DEPT. PARK DEPT. I i~ Ms~n Vt'2e ~FSC 5'~tr U~URt1tAN 6875 t•nsn.nr Ho u5 ti t ( _ U: LNEtNINO t< - Minna~pp4s. M~nrrk~t~ y"31 South 0M m V-06510 -11 ' Cur! i M-IWW L V-Iml 0 ,SW T..ruy s J- d .Su- w • 1-.d Pt-.Oq 1101 CItM Rwtl 9umsvdM, Mmneaota 553]) Certificate of Survey l or ~ ~lE.vb~ 2'LAt/ ~1As/UyE,r/T.aEi r -9, , ss1 E i~ gRR~P~ c~ I IN N ~ ~ t Aq ",7 _50 ' ~ M s~r~usr ` j ~N I i O i 1 hereby certify that this is a true and correct representation of a surrey of the boundaries of the above • described land, and of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me thisjWQWdey Of_cQ',¢;M!/4C A. D. 19X. SUSURSAN ENGINEERING, INC. 4nyeneers Surve ors by le. A119 lee. S-.✓4 'e;'_5w_4 Use BLUE or BLACK Ink I For Office Use Permit City of EaEIncia l r Permit Fee: 3830 Pilot Knob Road I l Eagan MN 55122'~'`~ ; Date Received: ' Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 ; Staff- ; 2012 MECHANICAL PERMIT APPLICATION Date: Site Address: (Z-6 Tenant: L)Ian Suite M RESIDENT / OWNER Name: _t 1 1" 9 t E7d574h ne: t C'► Address / City / Zip: ~c)c (.t. t, ` Fck C ~-I 1-11 Name: license CONTRACTOR Address: 3451 W. Burnsville Parkway City: Suite 12 State: Z0igagv&_ 55 3 7 Phone: Cf-~Z. Contact: r Email New X Replacement Additional Alteration Demolition TYPE OF WORK Description of work: i o NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement PERMIT TYPE _K Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Feeds less than $10,010, surcharge is $ 5.00 - If the Permit Fee is ? $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE 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.gopherstateonecall.org 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 approovred' plan in the case of work which requires a review and approval of plans. Appf~t s Printed Name Applicants Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA114480 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 4001 Blackhawk Rd Lot:14 Block: 7 Addition: Cedar Grove 7th PID:10-16706-07-140 Use: Description: Sub Type:Residential Work Type:Alteration Description:Dryer Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Michael Freeman 4001 Blackhawk Road Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Michael J Freeman 4001 Blackhawk Rd Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115272 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 4001 Blackhawk Rd Lot:14 Block: 7 Addition: Cedar Grove 7th PID:10-16706-07-140 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 . Luanne Yang 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 - Michael J Freeman 4001 Blackhawk Rd Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA123039 Date Issued:05/28/2014 Permit Category:ePermit Site Address: 4001 Blackhawk Rd Lot:14 Block: 7 Addition: Cedar Grove 7th PID:10-16706-07-140 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 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 - Michael J Freeman 4001 Blackhawk Rd Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature