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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