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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