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