4049 Blackhawk RdEAGAN TOWNSHIP
BUILDING PERMIT
Owner
Address (present) .. -/
Builder ..................... --•-----...----••-----------..__...-•----
Address .................................................................................-............
DESCRIPTION
N° 2198
Eagan Township
Town Hall
Date ----•-. ..............................
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Description of Location I Lot I Block I 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 to certify, that.. ............................................................. has permission to erect _....... _` ------------------- _upon
the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11,
1055
Per ?u. -• .................
Chairm of Tnwn Board Buildin Inspector
49.,
TOWN OF EAGAN
3795 Pilot Knob Rcad
St. Paul, Minn. 55111
PERMIT NO.: 3
The Board of Supervisors hereby grants to Ge ?;?at Orov., C struction Co.
ir, ,?, s. C s i .zn
mf 7143 Concord ? ?vd. , i. , St'. ' t. Paula 1 e..t
Permit for: (Owner) at 1771 F. Pluo !?to:zo Drive, 15-8-7
pursuant to application dated Fee Paid: 2c Dated this 3' et day of ?`,?rch , 19 .
Building Inspector
s
TOWN OF EAGAN
3795 Pilot Knob Rcad
St. Paul, Minn. 55111
PERMIT NO.: 4
The Board of Supervisors hereby grants to Cedar Grove Construction Co.
of 7343 Concord Blvd. E.. So. St. Paul a
Permit for: (Owner) at 1771.-E. Bluestone L)rive 15-8-7
pursuant to application datedf
Fee Paid: 2rO. tin _ Dated this 31st day of March , 193Q •
_ Building Inspector ! _ .
s?
Si
DATE/ RECEIVED FROMAMOUNT
i2ECEIPT
2883
TOWNSHIP OF EAGAN
Dakota County
3795 PILOT KNOB ROAD
ST. PAUL, MINNESOTA 55111
170) E rrii E E
IN (LD DD ou
OCT 2 01970 Thank Y
OFFICE OFFICE OF THE
E CLERK
KNUTSON CONSTRUCTION CO.
BY
ccGJ
STATEMENT OF SPECIAL ASSESSMENTS
TOWN OF EAGAN
3795 PILOT KNOB ROAD
ST. PAUL, MINNESOTA 55111
9?1a?
CONTROL
NUMBER
001887
STATEMENT
PLEASE RETURN WITH PAYMENT
THIS IS A STATEMENT OF SPECIAL ASSESSMENTS AGAINST YOUR PROPERTY. YOU HAVE THE PRIVILEGE OF PAYING
THE TOTAL AMOUNT AS SHOWN (SEE BOX 5) WITHIN 30 DAYS WITHOUT INTEREST OR THE TOTAL AMOUNT WILL BE CERTIFIED
TO DAKOTA COUNTY AUDITOR AT HASTINGS IN ANNUAL INSTALLMENTS AND APPEAR ON YOUR TAX STATEMENT.
THE COUNCIL OF THE TOWN OF EAGAN HAS CONFIRMED THE ASSESSMENT FOR (SEE BOX 1) WHICH IS NOW DUE
AND PAYABLE. IF THE ENTIRE ASSESSMENT IS PAID ON OR BEFORE DUE DATE (SEE BOX 2) THE SAME CAN BE PAID WITHOUT
INTEREST. IF THE ENTIRE ASSESSMENT IS NOT PAID ON OR 7 FORE THE ABOVE DATE, THEN THE ASSESSMENT MAY BE PAID
IN ANNUAL INSTALLMENTS (SEE BOX 3) WITH INTEREST AT ON THE UNPAID BALANCE PROVIDED; HOWEVER, THAT THE
FIRST INSTALLMENT SHALL BE WITH INTEREST AT S% FROM THE DATE OF THE COUNCIL'S CONFIRMATION OF THIS ASSESS-
MENT WHICH IS (SEE BOX 4) TO DECEMBER 31, OF THAT YEAR. THE LAW PROVIDES THAT UNPAID ASSESSMENTS BECOME A
LIEN AGAINST THE PROPERTY.
P U R P O S E FOR W H I C H S P E C I A L ASSESSMENT I S L E V I E D
Stree mprovement. 1971 (1)
NAME AND ADDRESS DATE DUE NO. OF YEARS ASSESSMENT DATE
Cedar Grove Construction November 1, 1970 (2) (3)
10
October I-
IQ70 (4 )
ADDITION FRONTAGE PER FOOT A UNT
7343 E. Concord Blvd. Cedar G
1175-5
7 (5)
LOT NO. LOCK NO. PARCEL NO. PROJECT NO. A
SO.St.Paul Minnesota
15
8
c3381
25 PLEASE
ABOVE P
Y
A M O U N T
I KNUTSON MORTGAGE
AND FINANCIAL CORPORATION
TRUST ACCOUNT
MINNEAPOLIS, MINN. 55401
10-
DETACH AND RETAIN THIS STATEMENT
THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW.
IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. NO RECEIPT DESIRED.
INVOICE DEDUCTIONS
NET AMOUNT
DATE NUMBER DESCRIPTION AMOUNT PARTICULARS AMOUNT
16-70 70 5041 Sp. Assessments 1, 175. 57
15/81CG7
Berg, William #1324
/mt
KNUTSON MORTGAGE
AND FINANCIAL CORPORATION
MORTGAGE CLEARING ACCOUNT
MINNEAPOLIS, MINN. 55401
M.
8-14-70 70 1305
DETACH AND RETAIN THIS STATEMENT
THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW.
IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. NO RECEIPT DESIRED.
Sp. Assessments - Sewer & Water Laterals
15/8/7
Berg, William #13249
1,705.44
1191
/mt
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
" t12) 661-4675
SITE ADDRESS:
PERMIT TYPE: B U I L D I N G
Permit Number: 032163
Date Issued: 06/03/98
4049 BLACKHAWK RD
LOT: 15 BLOCK: 8
CEDAR GROVE #7
P.I.N.: 10-16706-150-08
1
1 DESCRIPTION:
INTALL GAS INSERT
Building Permit Type FIREPLACE
Building Work Type ADDITION
Census Code 434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge Total Fee $50.50
I+VIVIrALFIUri: rr. .. `. ` .UWNLK:
HEAT-N-GLO FIREPLACES 18900758 0002960 OLSON OLE
3850 W HWY 13 4049 BLACKHAWK RD
RNSVILLE MN 55337 EAGAN MN
(612) 890-0758 (612)454-3406
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.
LL
APPLICANT/PERMITEE SIGNATURE
I
f)no Pwd, "
ISSUED BY. SI NATURE
3'x(63
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 FIREPLACE PERMIT APPLICATION
681-4675
DATE: PPERMIT FEE:. $50.50
DESCRIPTION OF WORK: Construct new fireplace Alterations to existing
Install gas insert only Install as line only
Other
JOB ADDRESS: LL I ac , k ?..I. Q a (
LOT: BLOCK: SUBDIVISIONT/P.T.D. #:-)
APPLICANT (circle one only): OWNER CONTRACTOR
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.
Name: c(? t? 01 Phone #: [ Sal ????p
PROPERTY Last First
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Signature:
Street Address:
Company: F?re St
Signature:
Street Address:_ _
City Company: , fLws?
Signature:
Street Address:
License # State: -zip:, __
City I _? State: Zip:
wlz
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
?t,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
REMARKS:
FEE SUMMARY:
3.04
1:19
,197 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
• 3 registered site surveys
• 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
• 1 energy calculations
• 3 copies of tree preservation plan if lot platted after 7/1/93
required: _Yes _ No
DATE: (/Q' e -17 Cc
• 2 copies of plan
• 2 site surveys (exterior additions & decks)
• 1 energy calculations for heated additions
COST: /70?
&c A -?o!
DESCRIPTION OF WORK: -X9-YOT-LM
STREET ADDRESS: ?/Olq 4 lwhiki6? /v G 4 )l fAz
7
LOT / BLOCK O SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: !'I X11 l! Phone* V?
LAST / I - ? bi1 cYlsr { t -
Street Add
City: State: _ Zip:
Company: rtf?l 6?4 Phone #: 6
Street Address: G U C? (yd I
` 0 6
City: &A );?4 State: zip:
ARCHITECT/ Company:
ENGINEER
Phone #:
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licer.ned plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
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.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace n 21 Miscellaneous
o 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main leve l sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee , D 0 Valuation: $ 'Q / -?O D
Surcharge . 8 S
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: S41 ?
_
% SAC
SAC Units
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: &)v Z ? NUMBER 565
OWNER: Address
PLUMBE ? TYPE OF PIPE
DESCRIPTION OF BUILDING
Industrial} Commercial Residential I Multiple Dwelling , No. of units
xx
Location of Connections:
Connection Charge 200.00 pd 3/17/70
Permit Fee 10.00 Pd 3/17/70
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 & , 6
Please notify when ready for inspection and connection and before a y portion
of the work is covered.
MUNICIPALITY OF: Egan Township
RE: William David Berg, 15/8 Cedar Grove No. 7
Enclosed please find check in the amount of 1,705.44 , for
payment of special assessments on the property described above.
Please refer to our file no. D13505 when returning receipt.
Thank you,
MIDWEST TITLE GUARANTEE COMPANY
ir?: ti et
By Donna Klotz
2000 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Now CAW= RWM
) bred site surveys showing sq. ft. of lot, sq. ft. of house
and g l roofed areas (20% ma durum lot coveroae allowed)
> 2 copies of plans (show beam & window sizes; poured find. design; etc.)
I set of energy cdcuiations
3 copies of tree preservation plan If lot platted after 7/1/93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
q
LOT: BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
. 0
CONTRACTOR
ARCHITECT/
ENGINEER
(RESIDENTIAL)
73
#- )OO6S5
2 copies of plan
1 set of energy cdculatl ns for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST: 12 •5 ?3
Name: ?Sd yl W , l l a n1 Phone #:6,5-1- '1S '`f - 3
Last / First /
Street Address: `Y O /9 034--/4444 City State: Zip: )--
Company: liex? Jet,, a 1J D Phone #: /-) 7a / - 6, 6, -1(area code)
Street Address: 3 7 o Jn e ?? ,? .e £ . License # 2 / 7 Exp.
City r' /ice C State: m I Zip: s s 47" D
Company: Name:
Telephone #: ( )
Street Address: Registration #:
City
State:
Zip:
Sewer/water licensed plumber (if Installing sewer/water: Phone #: ( }
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:
Ceecates of Survey Received
Tree Preservation Plan Received
OFFICE USE ONLY
Yes No
Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 1 0-plex PIbg Y or - N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)* ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
? 31 Ext. Alt - ufti
? 33 Ext. Alt
? 36 Mufti
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
•
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies •
Total:
SAC Units
% SAC
ININSPECTION'RE
CITY OF EAP€'R` TY
-3W Not Knob Permit Pdu bor: ? it a
f.8W, Minr t 122-1897 Date Issued:
#$12) 681-6
Ess: APPU:A .
LDTt Tt' CLOCK r a
4B49 BL.AC.KHAUt( RD HEAT-$-GL t'1R PL1
CEDAR .GROVE #7 (6121 s l-075$ ;
U1 tom: TYPE Of WO(.:
DESCRIPTION INTAL 'Blot
?v1s_xa
FINAL
Er - M?iL
Permit Holder Date Tiapftorne
PLUMBING
HVAC
tnspecdw Date Insp. Comments
FOOTWGS
FOUND
FRAMING
ROOFING,
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE p ?r
J
! f !t
'CGfR '
FIREPLACE
AIR TEST x
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897, Date Issued:
(612) 681-4675
SITE ADDRESS: t, Of - 1. S "I tat` tt APPLICANT:
4049 ?. r... t tt . k o ? ? > t FO tif.:
CEPAR t Rt) : ITH 12 6 ,? 1
PE I T1 PE: TYPE OF WORK: t r P A T R
f`J
1
P t€ No., Parnilt Hemet' Date Ttlep#one #
ELECTRIC
PLUMSM
M'AC
iffs"Ovelft Date I p• comments
FO0T#M
FOUND
FRAMING ROOFING
PL G
PLt
AIFI TEST
HEAT
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIRG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMTR.I.
BSMT FINAL
DECK FTG
DECK FINAL
Use BLUE or BLACK Ink
r
For Office Use 2 I
t, J~ I
~ Permit I
City of Eap
I Permit Fee: lO I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: '
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 1
I 1
tt~~ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "l 13 (3 Site Address: 0 Lf C1 Gct ' a/d\ Unit
Name: "Filez 8O t~ Phone: b 51- ~24
Resident/ v
Owner Address I City I Zip: l 66d D
Applicant is: Owner J Contractor
Type of Work Description of work: ht(.1..) r r✓'t
~
Construction Cost: 00 Multi-Family Building: (Yes No )
Company: 1"5V-rq/K,c.,P Lb 041 Yltc~w~cS Contact: JC l6 p21JIiyk_
'ice
Address: co 15 5 City: > Ce.o pp
l.i.
Contractor
State: t~ Zip: ~o 20 Phone: (2(2-. 1 % If 5
License Lead Certificate PO
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.golDherstateonecall.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 approved plan in the case of work which requires a review and approval of plans.
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.
X (l
_ Acant's Printed Name Applica s Sig a ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160599
Date Issued:03/25/2020
Permit Category:ePermit
Site Address: 4049 Blackhawk Rd
Lot:15 Block: 8 Addition: Cedar Grove 7th
PID:10-16706-08-150
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Theodore & Dawn Daley
1662 Oakbrooke Cir
Eagan MN 55122
(651) 528-2828
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature