4055 Blackhawk Rd CITY OF EAGAN Remarks
Addition Lot 12 Blk 9 Parcel 11 166013' 120 09
Owner Street 1770 E. Bluestone Drive State Eagan, MN 66122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 58.18 2.08 28 Paid
• SEWER LATERAL 1971 20
WATERMAIN
* WATER LATERAL tf'z._ 1971 l 615.00 80.75 20 Paid
WATER AREA
* STORM SEW TRK 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 260.00 2734 9-1-70
BUILDING PER.
SAC 200.00 2734 9-1-70
PARK
TOWN OF FAGAN
3795 Pilot Knob Road 48
St. Paul, Minn. 55111
Cedar Grove Construction Co,
PERMIT NO.:
7343 Concord Blvd. E., So. St. Paul heating
The Board of Supervisors hereby grants to
Cedar Grove Constfuction 4055 BlackhaVk Road
of a
September I.970
Permit for: (Owner) at
20.00 1st September 0
pursuant to application dated
Fee Paid: Dated this day of 19
-V Building Inspector
TOWN OF EAGAN
3795 Pilot Knob Road
St. Paul, Minn. 55111
PERMIT NO.: 53
The Board of Supervisors hereby grants to Cedar Grove Construction Co.
of 7343 Concord Blvd. E., So. St. Paul a plumbing
Permit for: (Owner) Cedar Grove Construction at 4055 Blackhawk. Read
pursuant to application dated September It_1970 _
Fee Paid: 20.00 Dated thislst day of S,-ptember , 197---A
Building Inspector
PLEASE DETACH BEFORE DEPOSITING CHECK
DESCRIPTION 'DATE INVOICE NO. INVOICE AMOUNT DEDUCTIONS TOTAL
12-9-7 1/19/70
Water & Sewer
Principal 1,615.00
1970 Interest 90.44
1971 Interest 129.20
1,834.64
97 q4
CEDAR GROVE CONSTRUCTION CO.
i
r
EAGAN TOWNSHIP
BUILDING PERMIT X? 2305
Owner .~5' Eagan Township
Address (present) .,AL..... '•--:....0 ~ Town Hall
Builder
Date ...W..../ 7
Address
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cost 'Permit Fee Remarks
U LOCATION
Street, Road or other Description of Location I Lot Block Addition or Tract
101~1 2--
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 af C,. permission to erect a.. upon
the above described premise subject to the provisions of the Building Ordinance for Eagan ow.... dopted April 11,
1955.
r Per
Chairma of Tnwn Boar Building Inspector
MECHA CAL (MIDENMAL)
Ptrndt Applkatlo
City Of Eskp
3830- t Knob Road, Eaton Ma 55122.
Tetephaat # 651-6754%75 VrAX # 651-675-5614
Please wampl~ for: ,.5~ FattuiFY gs s t
Tow%obmw and sre requi¢ ftt " .
SUeAddrew V~ J Es~ Unfit F
der Tdopbow # E 7 l ~C
!
Gtr
A-/ 10
N
city
Ste - zip etept # E (p ( r p..'
IU 4 b ' { CbE3? Chf}CT "
state 5 wv
t by l f&,& Res d=tW MecNvicxt P d adw daft infamAuott is cc3iWkft a#. a $tC; *t tha Wo ,
be in C;" tSS-8 dmcfl 8i$f the / o "dlgAli RACj elG C ; l iAt =&"tAW 0& # Zvi Ib
rfz ~
k as ap&fti" for a pmA and wo* is not to smart vn a t; that tip' wcrr~ will be in accordanc$
PbA in f xoqu►ires a view and oval of p
- Am&imts Nmi Name pg ie is Signature
F
r , f _
MECRANK.
r
11 nombob Rand, Eagagtt m1k 55 2'3 z ~
WgAoko #651-675-' 675 FAX # 6514,75,.x. 7
Pkw corrrpWte ft, cane v*VmWustriai buildi
multi-f ly burgs VbM WPW*W p PA nq*id f e
Daft
!
Site Addtc fluff #
Test Name (it appWaWti) . krevlextc,Teaarat NaMe
PrV rty tamer s t >
C"tract"
ty,
Mate Tdopbom
#
The App ik ant b Owner contrsctm Other '
Wait Type ,
Now construction Un unto Talk ` Imstem R va
interior lmprc»em+artt Caall lbr ir►"%on dWhV ~ "*WM"V*l Oftwrlc
Prooftsed Piping
NaWro of W C6:
Pow" Fce mm ~e # )
fact value S x .01% $ Permit Upeffliit fg* is R ter less, adtt S.SiI ~ Stye SW
If pass fat is ov4r $11,000, am $.50 pet,$I,0M Permit Fee
` Tot" Fee
I hem apply f4 s d ial MecY ical Permit and acknowkdp, that tiie it #w matioxi is complete and saw**; #W the w
will be in cunformnde with the ordinances and codes of the City of Ea and with die Nlecb aCal mss; that I undoaf t is'
not a pmrit, but oray`im applies n. for a permit, and work is not to start without a it-, flat the work will be in'accoldotre,*ith
the approval ply in the case of work vd +ch require4 a review and a provsd of plm*.
. ►licwws Frinw Narfte. Ag~plicaxtt's She
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Ausust 25. 1970 Number: 473 / 7____ ~
Billing Name: Cedar Grove Const_ .o. Site Address: 4055 Blackhawk Road
Owner: Same Billing Address 7343 Concord Blvd. E._
South St. Paul, Minn.
Plumber: Stein, Inc. 55075
Location of Connection Meter Size Connection Chg.260.00,,pd 9/1/70
Meter No. Permit Fee 10.00 pd 9/1/70
Meter Reading Meter Dep.
Meter Sealed: Yes- Add'l Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence ry,v
Multiple No. Units
Commercial
Industrial By:
Other 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: Cedar Grove Construction, CCgAPA:L---
Please notify the above office when ready for inspection and connection.
L - - -
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: August 2`5, 1970 NUMBER 626
(Lot 12, Block 9, C. G. #7)
OWNER: Cedar Grove ~Const, Co. Address 4055 Blackhg k Road
PLUMBER Stein, Inc. TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No, of units
xxx
Location of Connections: Connection Charge 200.00 pd_9/1[70
Permit Fee 10;00 pd 9/l/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 Tocroship, Dakota County, Minnesota
By Cedar Grove Construction, Co.
Please notify when ready for inspection and connection and before any portion
of the work is covered.
ASSESSMENTS: Assessments are proposed to be levied against the benefited
properties. A preliminary assessment roll is included at the back of this re-
port in Appendix B. These assessments will be spread over a period of time as
determined by the City Council at the public hearing. The interest rates will
be based upon the latest bond sale at the time of the final assessment hearing.
AREA TO BE INCLUDED:
construction Area Assessment Area
SE 1/4, Section 20 SE 1/4, Section 20
Parcel 011-75 Parcel 011-75
Parcel 040-75 Parcel 040-75
Parcel 010-77 Parcel 030-77
Parcel 030-77 Parcel 040-77
Parcel 040-77 Parcel 010-78
Parcel 010-78 Parcel 020-78
Parcel 020-78 Parcel 030-78
Parcel 030-78 Parcel 030-79
Parcel 030-79 Parcel 040-79
Parcel 040-79 Parcel 050-79
Parcel 050-79 Parcel 070-79
Parcel 070-79 Parcel 010-80
Parcel 010-80 Blackhawk Plaza
Blackhawk Plaza Lot 1, Block 1
Lot 1, Block 1 Art Rahn First Addition
Outlot A Lot 14, Block 1
Art Rahn First Addition Lot 15, Block 1
Lot 1, Block 1 Hillandale No. 1
Lot 14, Block 1 Lot 1, Block 2
Lot 15, Block 1 Lot 1, Block 1
Hillandale 1st Addition Blackhawk Woods
Lot 1, Block 2 Lot 1, Block 1
Lot 1, Block 1 Lot 2, Block 1
Hillandale 2nd Addition Lot 3, Block 1
Outlot A io _ g7
Blackhawk Woods
Lot 1, Block 1 1 ~C
Lot 2, Block 1 ® l.,
Lot 3, Block 1 /
Cedar Grove No, 7
Lot 12, Block 7
Lot 13, Block 7
Lot 14, Block 7
Lot 14, Block 8 ~
Lot 15, Block 8
I of 12 Block 9-4
`
Lot 13, Block 9
Page 5.
1260
MASTER CARD
LOCATION a e
•
OWNER (Q, C~} YD ~v G f1
STRUCTURE AND
LAND USED AS ot4jo-J11
Issued To
Permit No. Issued Contractor II Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL I
73 1
ELECTRICAL
HEATING .
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING 9• . 2 SEPTIC f
FOUNDATION CESSPOOL
FRAMING 7„•~ TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ti•70P
WELL I
SANITARY SEWER A
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
❑ OBSERVED. EVIDENCE OF NON-COMPLIANCE ❑ NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
D ACCEPTABLE SUBSTITUTIONS OR COMPLETION OF CERTAIN IMPROVEMENTS
DEVIATIONS. ❑ WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
❑ NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
❑ REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTIFICATION-1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
F-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
i
23
Date:
PLEASE CALL JASON AT 763-443-0830 WHEN READY
City of Eaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 11 t 1 1G
LI
Permit Fee: L D '65
Date Received: _I o-.:9,9
I-✓
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
10-29-2013 Site Address: 4055 Blackhawk Road Unit #:
Name: Chuck Busse
Resident/
Owner Address / City / Zip: 4055 Blackhawk Road, Eagan 55122
Type of Work
Contractor
Phone:
Applicant is: Owner X Contractor
Description of work: Reroof house with 30 year architectural shingles
Construction Cost: 5,500 Multi -Family Building: (Yes / No
company: Residential & Commercial Exteriors Inc. contact: Jason Kempel
Address: 16040 St. Andrews Lane NW city: Ramsey
State: MN Zip: 55303
Phone:
763-443-0830
License # BC 671962 Lead Certificate # R -I-43639-13-00551
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:
Mechanical Contractor:
Phone:
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 Cali 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.00pherstateonecall.orq
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 States Ridldinn c^.r,da mulct ho rnmpleted within 180
days of permit issuance.
x Jason Kempel x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169729
Date Issued:06/08/2021
Permit Category:ePermit
Site Address: 4055 Blackhawk Rd
Lot:12 Block: 9 Addition: Cedar Grove 7th
PID:10-16706-09-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Cynthia Marie Busse
4055 Blackhawk Rd
Eagan MN 55122
(651) 442-0625
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature