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4007 Blackhawk Rd CITY or, SEWER S99VICEPERMIT 3795 Pilot Knoh. Rind ~ PERMIT NO.: Eagan, MN 55122 DATE: Zoning: 722 No. of Units: Owner: e t It C"mrt. -M- Address: Site Address: 400.7 -Plmekb am* tom. TJ- R7 CG 7 Plurnber: 2/2B/77 #,3 5365 100.00 pd agree'fo-oow0y with the City of Eagan Connection Charge: 37S.00 Pd Ordingntee. Account beposit:. Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY QF,EA"N WATER SERVICE PERMIT 379S-PHot kftb Raad PERMIT NO.: Eagan,. MN 55122 DATE: Zoning:' I No. of Units: Owrlef: _ Address: Site Address: 00 BIACkh+ Mk__ t 3 _i _Z ;Pj"r: Meter 'f4.: Connection Charge: 220,00 Pd Size: Account Deposit: Reader iNo.: Permit Fee: _ 1 egre®:to-&am* with Nye City of Eagan Surcharge: Ordiwandes. Misc. Charges: , Total: By Date Paid: .Date oF. w-,p,: Insp.. r wzy-:_,',~ CASH RECt#P r CITY F "EA N. X;A 3795 RELOT KNOB RQAD ~ EAdV, NI~IE54TA51 -i AMOUNT VoK, E] cksfi y _cops..." f 27 f .a ` ` ` CITY EAGAN 3795 PUot Knob Road Eagan, MN $5122 Na 4 2 2 6 PHONE: 454-8100 BUILDING PERMIT $33tOOO Receipt # ` Sing. Fafn 'twig, t~. Gaxg. To be used for Date Feb' 2$ , 19 ' 77 Site Address 4007 blackhawk Rd. " Erect ] Occupancy 'R 1 Lot 13 Block 7 Sec/Sub. -x;1";._7 Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. V, a Name Marel1 COnSt. CO. Move f- 3 10$t3Q m dale Ave. So. ❑ # Stories Address. Demolish Q Front ft. 0 City _Bloomington Phone Grade ❑ Depth ft. Name_ Harp I CcmSt- Ca-I Approvals. Fees 0 ' Qv Address 10800 i:~rt3dale Ave. S• Assessment Permit _ uF B I I Phone Water & Sew. Surcharge 16.50 City Police Plan check - Name Fire SAC 475.00 uz Address Eng. Water Conn. -94-00 W 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 809 50 State of Minnesota Statutes and City of E6gon Ordina~Kes. APC Total Signature of Permittee A Building Permit" is issued to; on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official a --F * - s^ r Permit Date Issued Pennittee Plumbing 'Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date , Insp.Dote Insp. Foundation Plumbing Frame/ins. Mechanical Final Remarks: 017"x. ~f EAW4 3795 pilot Knob Rand Eagan, Mionesoto 55122 Phone: 454-8100 PtMeING PERMIT No. 78 Date: March 21 1977, Receipt No.: _,SU +amak~+t 41 #ttd _ Single Site Address: 4407 $18ckhay+ik Pd. _ Residential x { Lot 13 Block 7- Sub/Sec. ~G 7 Multi Res., Comm./Ind. Name Hirell 0011st- 06. New/Alter./Repair. Address Cast of Installation city BlOOMingtvn Phone: Permit Fee 20.00 Name ' VLOW 1 Pltuubi nc1 Cb Surcharge . 50 Address V qty MMj Il! i Phone: 1~ota1 _ 2E?. S4iillex This Permit is 'issued on the .express condition that all work shall be done in, accordance with off applicable State cif Minnesota Statutes. and city of, Eagan Ordirmnces.' Building .€3ffieiol~C~ 3745 Pilot 'Knob Road Eagca : Minnesota 55122 Phone. 454-0100 867 3 ,867 HEATING P1ERMtT' No. ' March 24, 1977 05522 Date: - Receipt No., 4007 Bla►ckhawk Road Single Site Address: Residential ~ ;k. Lot 13 Block 7 Sub/Sec. CC 7 Multi Res., Crnnrrr./kW. Marell 0onstruction 00. new - New/Alter./Repair e Address 10800 Lyndale Ave. 6o. Rm 124 Cost of Instatfation City B1OC i e tc>ri 20.00 Phone. 'Permit Fee RIKy W. Welter fleatinq . .50 Ncpne Surcharge _ Address 407. ACago live. v Minneapolis 20.50 City Phone: Total This P&rrnit is issued 'on the. express :condition that all work shall be done in accordance with all applicable Stafe-;Of Minnesota Statutes and 'Citjr of #*rt Ordinances. Building 0l`llcial _ x Receipt --r MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee r; Fill in numbered spaces SIC Type or Print legibly Tot. r' 1. Date 2. Installation Cost 3. Job Address Lot - % Blk. 7 Tract 4. Owner 5. Contractor Phone/ " 6. Address 7. City State f Zip 8. Building Type: Residential] Commercial ❑ Institutional ❑ i 9. Work Description: New Add [3 Alter ❑ Repair ❑ 10. Describe 'Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other k Air Cond. _ Mfg. Gas, Piping Outlets i 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved- CITY OF EAGAN 454-8100 Receipt 24351 MECHANICAL PERMIT Permit No. _ 2,175 CITY OF EAGAN Fee f> Fill in numbered spices S/C *7 1 t Type or Print legibly Tot. 4, l 1. Date 2. Installation Cost _ r 3. Job Address --7 t~Blk. i Tract 4. Owner x=11 ' ~~.c_ u i C 5. Contractor Ayn,;Z~ Phone 6. Address > ~-x n^~ 7. City t< Gt F^ State Zip i j 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New M Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets V 12. 1 hereby certify that the above information is true and correct, and I agree to comply w' a,11 o~dinan 4ces angjodes governing this type of work. ' ,Signed : k s 1 t , 1 ((n.,~.'✓ for 1 a Rough Fin I Inspections: Date insp. Date ?6 Insp. This is your perMit when numbers and approved. Approved iTY OF EAGAN 464.310 i CITY OF EAGAN Remarks Addition CEMR GROVE #7 Lot 13 Rik 7 Parcel 1,1- .16600 3 30 97 Owner Street 4007 Blackhawk Road State_agAn. PIN 51511122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, (3 1- 1971 1.175.57 117. 5A 10 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1970 5$.18 2.08 28 Paid * SEWER LATERAL 1971 WATERMAIN * WATER LATERAL 111- 1971 1,615.00 80.75 91111 Paid WATER AREA 110 1977 160-00 10-66 149.34 A004301 6-27-77 * STORM SEW TRK 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 220.00 5365 2-28-77 BUILDING PER. 2 sac 475.00 5 2-28-77 PARK EAGAN TOWNSHIP N? 292'7 BUILDING PERMIT Owner Eagan Township Address (present) Town Hall Builder i Address Date DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cost 'Permit Fee Remarks iJ LOCATION c • r Street, Road or other Description of Location f Lot Block Addition or Tract ! 3, b 5~ Cc cs ` /3//i 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 PRE ISE WHILE THE WORK IS IN PROGRESS. This is to certify, that 4~ . ;.has permission to erect a..~.i t Upon the above described premise subject to the provisions of the Building Ordinance for Eagan T wnship ad pied April 11, 1955. ooA Per 9........" ~Q Building Inspector CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4226 PHONE: 454-8100 BUILDING PERMIT APPLICATION $33,000 Receipt # To be used for Sing. Fam Mg. W. Garg. Date Feb. 28, 19 77 Site Address 4007 Blaekhawk Rd. Erect t Occupancy I Lot _..1.3_- Block 7Sec/Sub. -CG-7- Alter ❑ Zoning R1 Parcel # Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. V Name Marel 1 Cons t. Co. Move ❑ # Stories 3 Address 10800 Lyndale Ave. So. Demolish ❑ Front ft. City Bloomington Phone Grade ❑ Depth ft. Approvals Fees O Name ma-ell ronst.-Co. ou Address 10800 Lyndale Aye_ S. Assessment Permit 98.00 _ UI- city Bloomington Phone Water & Sew. Surcharge 16.50 Police Plan check W Name Fire SAC 47 5.00 T3 Address. Eng. Water Conn. 220.00 ¢W city Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. ogee to comply with all applicable $09.50 the information is correct aYic State of Minnesota Statuteity o gon Ordina es. APC Total _ ture of Permittee Signa A Building Permit is issued to: Lc t L" on the express condition that all work shall be done in ordonce wi op State of Minnesota Statutes and City of Eagan Ordinances. Building Official G'ti BU?'''=)Zr,11G PEPMIT R.PPLIC.A{I011 r rn 7' n r ADD rIA"-V'-"A- & ^aLC's'id_1 ?'.~il~?)r'? I M.IT'TATTED (T /16L .i::1~: _~dCCJ>;na} Ci'- USE TiS`.iIt'oJi'"20 C(';;;i 0 7 TELEPI."o" ;.E izO . CO?:l s`c.-'c 'CI.P. TELEPHOPIi, 1117 . tlat.~ Iuclu.lir2 s .te plan, building plans, and energy calculations 1.,-ith this anoli.catirn Signed OFFICE USE VALUi1TI0: ~ SAC t`,'ii.~. i,:.l CJi.u.lunl.t.: 1.~.^il ../C ' 1,4TER METER C T+J:C.I,DIitG F!?R-.`9' I "'•E 67 1 6 ' S-11TT HAI? E PEA PI'lil CY.12ICK FEE PAPM DT DicATm:.i I`EE r.TSI•sIZ APP1.0 2%T,S ASSESS ~ZNT CLEF.I.Z BUILDING DEPT. POLICE DEPT. T7T,TER & FrTvTV R D:JFT . FIRE DEPT. PARK DEPT. 1 C~ t V ~ Mi'n Ott" 784 6066 4 uauraaAw 6875 N.W-Y No 65 N E ~ _ M~nneapobi Mnrnewta 5543: C]114 afwaawtwo =ANC. _ South Othcev 8906510 d 4 Mi. ,poi 6nganrK~nq • .S.a Twow Land Sw-y, g • Lord Pi-nu ( 1101 Cliff Rued BU-1s 0te, Ml-"Wtg 55337 3 Certificate of Survey for /~7,~d~/~t' 0 L~~ir/oT~ 5 _SE% 1-eo.✓ ~/.r/rvlE.+lT l Z- 7-1-1 ~ I Lo r-ice I o t ~ X87 S3 -~uJ { { I \ /30 ,Q~ r I 1 ~ Q~ Q 8 8' lot 6 /l/87 ° ~3 ~4~ '6CJ SOT /3 B,IDC~ 7 CE~~~~,~1/E ~f/D 7 1 hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildin~s~^►hereon, and all visible encroachments, if any, from or on said land. As surveyed by me tfiis~' _~oy of.~i'✓c!C -A. D. 197 . SUBURBAN ENGINEERING, INC. Engineers Surve~ors by DAK 544 i ZONING - NOTIFICATION OF INTENT Foster Family Homes Day.Care Homes TO: {y fqA c- (unicipality or Political Sub-Division) 9S A (o-F.-~GG~ alo f~-~ (Street Address) E CQ e toy ZT t Z'l-. Cit '(State) (Zip) FROM:Dakota County Social Services _ 357 9th Avenue North So. St. Paul, MN 55075 APPLICANT: et (Name) 4-00:2 acts fzc"fA (Street) (Ci ) State) (Zip) Number of Natural Children under 18 in home: 0p 2 3 4 (c rcle number) Number of Foster-Children-included in license: 1 2 3 4 5 6 7 circle number) Number of Natural Preschool Children in Home: 0 D 2 3 4 5 (circle number) Number of Day Care Children included in license: 0 1 2 3G4 5 6 7 8 9 10 (circle number) DATE OF NOTIFICATION: - 451-6426 Business Offices 4'54-3800 . w Sales Office ' 7343 CONCORD BLVD. EAST, • SOUTH ST. PAUL, MINNESOTA 55075 December 29, 1972 Village of Eagan 3795 Pilot Knob Rd. St.,Paul, Minn. 55111 Attn: Lorna Dear Lorna, As per our phone conversation of yesturday with Alice Bolke enclosed find our checks covering building permits on our 172 plan and water and sewer permits for the properties listed below: Cedar Grove No. 7 Bldg. Permit W & S Block 3 Lot 2 l Z> @ 66 Block 5 Lot 13 nd 16 ..00 @ 21.00 Block 7 Lot 13 and 14 Cedar Grove No. 8 . (Block' 1 Lot l k \ Block 2 Lot 1 through 6 8 through 11 Block 3 Lot 6 through 12 Block 4 Lot 1 and 2 4 through 16 y Block 5 Lot 2, 3, 5'and 7 Block 6 Lot 15 through 18'and 21 Block 7 Lot 1 and 3 Block 9 Lot 5' 6 7 and 11 r 13 Block 10 Lot 1, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, i4, 15, 179 18 and 24 y;N r. Sincerely, i J anne Johnston 1 ~ JJ/hs Encl. C Alldrlc Community Fuildrr 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address`? Unit # t _ f Property Owner Telephone # (r) Contractor O'CONNOR ONE HOUR Street Address 1904 VERMILLION STREET City HASTINGS, MN 55033 State Telephone# Bond Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement New air exchanger air conditioner heat pump other ` State Surcharge S .50 {?t"1 = ~ , Total $ s I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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' Applicant' Printed Name Apply nfs nature PERMIT City of Eagan Permit Type:Building Permit Number:EA117033 Date Issued:10/14/2013 Permit Category:ePermit Site Address: 4007 Blackhawk Rd Lot:13 Block: 7 Addition: Cedar Grove 7th PID:10-16706-07-130 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Robert Antonsen 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 - Mark A Peters 4007 Blackhawk Rd Eagan MN 55122 Antonsen Construction Inc 411 marie Ave Ste B South St Paul MN 55075 (651) 340-1791 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA142144 Date Issued:04/17/2017 Permit Category:ePermit Site Address: 4007 Blackhawk Rd Lot:13 Block: 7 Addition: Cedar Grove 7th PID:10-16706-07-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Jerry V Petersen 4007 Blackhawk Rd Eagan MN 55122 (507) 450-6467 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142145 Date Issued:04/17/2017 Permit Category:ePermit Site Address: 4007 Blackhawk Rd Lot:13 Block: 7 Addition: Cedar Grove 7th PID:10-16706-07-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Jerry V Petersen 4007 Blackhawk Rd Eagan MN 55122 (507) 450-6467 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature