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4195 Blackhawk RdINSP'ECTION :RECORD CITY OF EAGAN PERMIT TYPE: `:. 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date lssueci: 01 /'Z3/46 . (612) 681-4675 sITE ADDRESS: APPLICANT: 4 :1 9f? t: t. ? ( ? ?? AW F? t) r) 0 % c, 0 ::? 0 ? ?? t A r, 4 PER"Mt?Tf?S?UB?T?Y?F' TYPE OF WORK: RFPAVR 1, P I I€3N R+???I"o I 1 1 ???INAt. Permit No. 1'Wnt}t Nolder Dates EI.ECTRiC . Pt.UM#?ItVG NVAC w6pscoon iete insp. Ccunmerrls F{7O7'INGS FflUAtl7 FRAMI!'!$ " ROOFIING llQ? ? ???G PLBG ??R TEST _ ROUGH HEAi'tiYCi GAS SVC TEST WSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST ` FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ..,Y ..,.. C#T7( 0 EAGAN 3830 Pilot 14nob Rpad, P.O. Box 21 •199, Eagan, MN 55121 ,?y? PHONE: 454-81 t?. ??? 1 BUILDING PERMIt Receipt To be used for ?ssmr Est. Value $1r50 Date OCIVM 17 ^,f? * ...? ? ' . $'rte Address 410$ ^;- tot B16ck ? Sec/Sub. 33MOV 20 Rarcel Na. oc Name omtf ? Address '?1'?'? "1N1'L?Ck ? Gity _;"-" Phone 04!!W2 +??411111V? p hla(T12- We*#-X„Mtl3 Too ?? Addre85 1317 ? City 441101114 Phone ???433 idame Address City Phone I IeEeby aeknowledge that I have read this application and state that the : in#armatian is cotrect and agree to comply with ail applicabie State of ' Mir;r+esota Statutes and City of Eagan Ordinences: SignBture ofi Permittee ? A Bu'tiding Permit is issued to: on the express condition that alFwork shall be done in aecordance with all apoftable State of Minnesota Statutes and City of Eagan Ordinances. ??aildi?tg C?fficia! ?s ? x..? . ?,.n ? -? =? ? - ?w,l? ??.>?d ???s.?.._?,.?,W v ? ??•??? - - QFFICE USE ONLY Qn Site Sevrage Occupar+cy MWCC System Zorring On Site Wetl (Actual) Corrat City Water (Atlowabie) PRV Required # of Sttsr'res Booster Pump Length Depth S.F. Total Footprirer s.F, APPROVI?LS Engr./Ass6ss. Planner Gouncil Bidg. Off. Variance FEES Permit Suretiarge Plan Review SRC, City 8AC, h4WCG Water Gonn. Water AAeter Raad Urtii Treatment P1 Parks TOTAL . ?.?..? ? ? • a? ? ,,. ???.?? Osre»it Mo. Permit 1lolder [xeta TaJaphona ?k #'IumDing H.V.A.C. Electric ?Or Softener Inspection Date insp. Comments Faotings t Footings 11 Foundation Framing 4Q& Roofing Rough Pibg: Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Finai ? Cert. Occ. Temp. LP Deck Ftg. DeCk Final Well Pr. Clisp. ?rit..,,? t . . . ., . ? #'f-RMtY-IF ? fl ?4 0 ' -{? 4 . . ? ? A M? i ? L VT MOO Q .`f+' ?°?`f .? 4` J?n . ',.??. ?.., ???_?: _ OtiJ: .G°Fe. ? _ M4i+t." ? . . ; _.VQmin. ? ?.? .....- .•_.;._.?' r ??+s? A,o Phone _, -" RES. PLBG. QNi.Y -- GOMP1.E'9'lE THE fC?? " ' t t!#iES trtt). RX ; Water Closei - $3.0€) ?.., ..?. C Name, .4?A :?'.?.._.c`,? 2 BaCh b? - ?+3.(}U ? ?-C?? ? ? 0 Lavatory 3A ?ity Phone £y sh R ?`r°44 Shower - $ - 0 Kitchen Senk - •C}t? = FEES Urina4/Bicfet - $3. ? f1Nt? F15E - t% UF CONTRACT FEE ., laundry Tray - ffi3. '-- ?> ° UOS -- CCA»M.RATE APPLiES T.. F?oor Ctrains - $1.54 -?-----? OURt & 0 - FiES. RATE APPL1ES Water Heater - $1.50 -y ? . f*V;DENTtAL F€E - $i2.{90 WMirtpttxol ;- $3.00 ? , w 1QA4Ci FEE _ $20;00 Gas Ripj:$0 s: ??? ?E w. n .So' 4f, fffIM{? ?ICE {? ? q.. '?E?C? ?:'? . ., ?•?d , s ? ?- ?? ??fl{#4?l'S ??.? ? ?' C 4 Y v >. FM CASWRECEtPT ? ClTY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNES07A 55122 DAT?-_._ ? ...,'" 19 f RSCE7VED FROM . , . =C . . _ ? .*AMOUNT $ ? GASH & DOLLARS 100 Q' CHECK ?O-d "O D- 7q FOR FUND , -:; Thank You ? a Y s?- White-PaYers CoPY Yeliow-Posting Copy ' Pink-File CopY .. t=?J . . . F CODE A?M?O_UNi' - ...J "?L.,,.. ... xy ?T er ze? }4G('w9k,li!tT f" No' ?L?$VE3? ? t?BT#41t??, ? t 'Ocite"?;PaFd '77? k 4 ? ? xe p.. . ....f ?+? _.. . . ?£s. i.. s . . . . . _ . _ - :'..J MF-le?-'(VYCI ? '.r ?aa? ??1?i' 1 ? CATE L : t o 6f 0n;ts. d ,.??tl{+t9;?'C .? - ?-.??..??.}?i ? C ?7`C_?? # : ? a„;y • ? . ..,? - , ' • ? - S?te fltldress' ?Sl?'* ? l C?Ci.`.`.p,w?i: iQ4?.' , .::. °agree`4a oompir tviFh tke Ciey af `Eagdn Connection Charge ?`?` ?• {??# ``? 0??ncaeeffi. Accouri# bepoSi? PeFrtr'rt Fee. ? Surchor9e. T IV(isc: Chdrges: .,. ....,. .. . . . . . _ . _. ? -_" _ ' "" " __ . . . ?.? , _ ... .. .,. CITY OF EAGAN Remarks Addition Section 20 Loc sik Parcel 10 02000 050 79 Owner ?-?IPCf,.1 `? -?WV1`f., bi 'r,LLStreet State Fr°a :J, r iii,, ? ?Q _71-Q ? Improvement Date Amount Annual Years Payment Receipt Date , STREET SURF. STW? RE$TOR. GRADi SAN SEW TRUNK 1968 100. 00 3. 33 30 3, ?. SEWER LATERAL t -- WATERMAIN 9 2 ' WATER LATERAL WATER AREA r?x 977 M$209.00 13.93 15 WATER S B 10.00 20 , 0 t- STORM SEW TRK , STORM SEW LAT , CURB & GUTTER SIDEWALK STREET LIGHT WATER CQNN. 335-00 23 9 5 4 BUILDING PER. SAC 11 i? PARK This re uest void 18 mont s irom E 4 6 0 6 0 219 ? :?-ti Re.quew Date ?I + ? ?? Fire No. Rough- n InspecCion Requ d? Yes ? No ?ReadY Now ill Notify Inspec- tes When AeadY Licensed Etectrical Contractor ! hereby rsqaest inspoctian vi abYVe slectrical work installed At: treet ress,B x-or Route No. - v»v `f I 84.AC.1CH,4t,c1J' FA6 AA) ecUOn o. _ ownship ame or o. ange No. County 40 ft Krt? Occupant (PRINT) Phone No. n Q i S4 Power Suppli r Address Electrical Contractor (Company Name) Contractor's Ucense No. C1/R 1 .3 T1 .4 A),so " F_z.r-'c,? 9 Mailing Address (Contractor or Owner MakinB Instailation) I ;7•2 a 1 Me Vi9 -A C / rC' ?.' lfA 1 AG /4, Authorized Si9nature ontr ctor/Owner Making Installation) Phone Number ? ,2 -6l? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. ^ Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTR{CAL INSPECTlON ?. E13-00001-06 - I0 See instructions for compieting this form on back o1 Vellow copy. e E -4 6 96 0 "X" Below Work Covered by This Request Ad Rep- --"iYpe ot Buifding Apoliancea Wired EquiVment Wired Home Range Terriporary Service Duplex Water Heater Liyhtin,y Fixtures Api. Building Dryer Efectric Neatin Commercia! Bidg. Fumace Silo Unloader Industrial Bidg. ir Conditioner Bulk Milk Tank Farm Otner Svecify H FAQ, 1 Other (snec,fy) t.r Suecify Ot er Other ompute lnspecUOn Fee Below # Fee ServiceEntranceSize q Fee FeadersfSubfeeders # Fee Circuits 1 41.00 U to 200 Am s 0 to 30 Am s . 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above t00?Amps Above 1QO_Ami?s Transformers Irrigation 6ooms Partial 0ther Fe Signs 5peciai Inspection S TOTAI ?r'V'_ Rerrv?rks /ji-? ? lfi Rough-in , the Etectrical r ? inspector, hereby ? ? crtify that the above ? Final i11e nspection has been i ? ?? made. ? This request void 18 months from a ,: ? EAGAN TOV!/NSH I P 240 fi BUI LDING PERMI¦ ( Y- ? Owner --?- --------?_? --------------- , / ?= t Address (present) • ------.--------- - -??? :??-1.?-.------- Builder .----•-----•-----f--------------- ---------------- ------------•---- ---------- --- Address ----- ----------------------------- ------------------------------------------------------ DESCRIPTIOPT Eagan Township Town Hall Dat-?--= --?------?-=•- •?------• ? 5tories To Be Used For Front Depth Heighf- '- _ Est. Cost -- ---- Pesmit Fee -- - Remarks ?0 j I 4XI- .?- ?"d o 050 79 !TD LOCATIOI3 " Street, Road/gi other Description of Location I Lot Block Addiiion or Traci -- - ----- ?,, I ??..?? Secron -20 r°.? This permiies not auihorize the use fof streets, roads, alleys or sidewalks nor does it give the owner ar his agent !he right !o ate any situation which is a nuisance oa which presenis a hazasd to the health, safety, convenience and general welfare to anyone in Yhe comm ity. THIS PERMIT MUST AG?T TH??t M WHILE THE WOFiK IS IN PROG This is to certify, that --•---?'?- 3- --- •- ------ ---------- has permission to erect a..... -- 6--------------•-• --------------------------upon !he above descr' ?preihe pr ions of the Building Ordinance for Eagan Tow adopted April 11, 1955. °---•--•-----••- - -- ----- - ----------------- -- -- --------------------- Per --- ------------------------------------•---------•--•-•----•------------------.....__......-- ` Chairman o€ T Board Buiiding InspecYor Cl i Y OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15729 FOO N F • 454-8100 BUILDING PERMIT ''?' Receipt# To be used for BASEMENT Est. Value $1, 500 Date OCTOBER 17 ,19 88 Site Address 4195 BLACKHAWK RD Lot 5 Block 79 Sec/Sub. SECTION 20 Parcel No. W Name Leroy Groff ; Address 4195 Blackhawk Rd 0 City Ean Phone 454-8892 456-8097 o Name_ Wood-N-Nail, Inc ? Q Address 1317 Hwv 169 ? City Champlin Phone 427-2433 "W Name wW ? Address Q W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable St te of Minnesota Statutes and Cit of Eagan Ordinances Signature of Permittee A Building Permit is issued to: W00D-N-NA1L,Z1YC----_ 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__?azi-1X+_?????----------- ? OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVAIS FEES Engr./Assess. _ Permit 34.00 Planner Surcharge 1.On Council _ Pian Review Bldg. Off. _ SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks _ TOTAL 35.00 i CASH RECE{PT CiTY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 D A T E 19 ` RECEIVEn FROM ?_,_`..' l. 1 •C,,.J "r"?• AMOUNT s & DOLLARS ioo n CASH t:j_?CHECK ,? -t-- „ FOR -?,:l? K `Y/l_?t ?'?., iC.-GT'.`?/ ??f.??7? FUND CODB AMOUNT 'SyI.J .._ .., :. . =? ^ , - T 7 Thank You . B Y - r• ,? .-r , ,: ,. White-Payera CopY Yellow-Posting Copy Pink-File Copy EAGA:N tOWNSHIP BUILDING PERMIT -??i'`c'`? •- -• v?,???t..'`? •--- -- - --- ......... Owner - ??:?--- •--?•- - .... • ---. . -••----- Address (presen!) .. .... ? .Ik ... w.. Builder ._........ Z - ----•--....... Address •-............ --- DESCRIPTION N° 2105 Eagan Township Town Hall Date ---- •-• ---...-----° ....... ................. Siories To Be Used For Fron3 Depth Heigh! Esi. Cost Permi! Fee Remarks ,?+?-'?r•'+..-t-- " " LOCATION Sireei, Road or other Description of Locafion I Lo3 I Block f Addition or Tract This permi2 does not auihosize the use of streels, roads, alleys or sidewalks nor does it give the owner or his agent the righi io create any si2uation which is a nuisance or which presenYs a hazard to the health, safeiy, convenieace and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT O THE PFtEMISE WHILE THE WORK IS IN PROGRESS. This is !o certify, ihai..... :.__....... ._ _ has pesmission to ezecY a ........... .......... ......... .. p_.._.___._-upon the above described premise subjeci t ihe provisions of the Building Ordinance for Eaan T?aao sga A pril 11. 1955. 4-4 ? ,7,nwn ' .....•----•-••-•--• ..... - •f-. . . . ............. Per .----•-------•---••----.:t'<'/..... ?p an of Board Buildin Ins ec3or ? 'd Mwg? ? T .? CITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: p . I . N . : 10-02000-050-79 DESCRIPTION: REMARKS: ' FEE SUMMARY: ? euxLoING 028352 07/23/96 CONTRACTOR: ` APP1????t - ST• LIC °OWNER: RQSCq 1423 1814 0004144 GRpFF LEq 14710 l7ELFT AVE 4J 4195 BI.ACKHAWK f2p ROSEMpUiUI" MN 55068 EAGAN MN (612) 423-1814 1hereby acknowledge that l : haue read tha?? applie?tio'n artd state that 'th•e a.r?formatzon - a,s' carrect artd agree ta ccarnply with a].l aRPI,icable State af Mn. Statutes and City crf Eagan qrdinances. APPLICANT/PERMITEE SIGNATURE PERMIT PERMIT TYPE: Permit Number: Date Issued: 4195 BLACKHAWK Rp LnT: 5 Bk.qCK: 79 SECTION 20 (RnaFxNG/sInxrrG) Perm.it Type STORht qAh9AGE 4ork 7ype REPAIR d?"`= 434 ALT. RESIpENTIAL ? ? , , I I I I SSUED BY:?N URE ?- 96 BUILDING PERMIT APPLICATION (RES{DENTIAL) CITY OF EAGAN 3830 PILOT KNOB Ra - 55122 681-4675 RemodeUReoair Reauirements ? 3 repistered aite surveys ? 2 copies of plan ? Z copies of plana (indude beam b window slzes; poured W. design; etcJ ? 2 site surveys (exterior additions & decks) ? 1 energy calcuiations ? 1 energy calcuiations for heated additions ? 9 copiea of t?ee preservation pian it bt platted after 7h/93 requircd: _Yea ^ No DATE: .-7CONSTRUCTION COST: ? ?- DESCRiPT14N OF WORK: Company: ,, ;? o ? cq,?? ? Phone #: STREET ADDRESS: LOT BLOCK ? SUBD./P,I.D. #: . PROPERTY Name: Le O PMone #: OWNER Street Address• 7L? C4 ? 4 olc- /L" City: State: h? Zip• ??....f.. fZ? CONTRACTOR ARCHITECT! ENGiNEER Street Address: License #- ?IZ `l 41 City: State: h Company: Name: G ?'i_ ., T Phone #: Registration #* Street Address- City: State: Zip: Sewer 8 water licensed piumber: Penalty appiies 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 cbrrect and agree to compiy with all applicabie State af Minnesota Statutes and City of Eagasi Ordinances. Signature of Appficant: OFFICE USE ONLY Certificates ot Survey Received Yes Tree Preservation Plan Received Yes No No BUiLDING PERMIT TYPE 0 01 Foundation o 06 Duplex 0 02 SF Dweliing ? 07 4-plex a 03 SF Addition a 08 8-plex a 04 SF Porch o 09 12-plex a 05 SF Misc. 0 10 _-plex WORK TYPE 0 39 'New o 33 Alterations 0 32 Addition ?34 Repair GENERAL iNFORMATlON Const. (Actual) (AtlowaWe) UBC Occupancy Zoning # of Stories Length Oepth APPROVALS OFFICE USE ONLY .,. ? 11 Apt./Lodging o 16 Basement Finish 0 12 Multi Repair/Rem. ? 17 Swim Pool a 13 Garage/Accessory o 20 Public Facility 0 14 Fireplace rjd, 21 Miscelianeous 0 15 Deck ? 36 Move 0 37 Demolition Basement sq. ft. MCNVS System Main isvel sq. ft. City Water sq. ft. Fire Sprinklered sq, ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code Census Bidg Census Unit Planning Buitding Engineering Variance ' Permit Fee Valuation: $ Surcfiarge Plan Review ticense MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit ' S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other , Capies Total: °Io SAC SAC Units 1 k v 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ? l SINGLE FAMILY DWELLINGS ? . ' 161Zq INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS? IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ' MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS enmmpprrar INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 2Si-r+ r-i r- %Sfi To Be Used r or • Site Address y/ l?.S & STRUCTIIRAL PLANS, SET OF ENERGY CALCULATIONS 15,00 ??$? 0 c'? i 3 Valuation: Date: , ...A - OFFICE USE ONLY Lot ?-ff Block 7 / Parcel/Sub . ? .?,e (Lo a J? Owner Address City/Zip Code Phone 45? ' ?0 < Contractor pp? - .-4A` ( Address ?3 f 7 /`7 ?-cJZ (07AIP City/Zip Code n) ?S3lV Phone 4a 7 -,-), ?z3 _ Areh./Engr. Address City/Zip Code On site sewage MWCC system On site well City water PRV required Booster Pump APPROVALS Oecupancy Zoning Aetual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Engr/Assess Permit Planner Surcharge Council Plan Review Bldg. Off. lo 14 SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 3 C? /. ?"' (!U t . * ?? y ?^j ,r^ { .. .... ,..... . . .. • ;..._,, , ; ?A.: ; .. . . . ...: .......... .. .'•.;:??:i?:;`.:::;;?•';% :T;,- ? , ,. :: ?..:::' ?`-. ; ? . ... ?...: -?? ._. :: ', c..! .. ; ._ ? ..... _ ..... e ? . : .... i i :•.••.:, : 'e ?t: j i ?i "? S ?i .?. .. .. ... . : ? .:... .. .. .. .. .... .. _._____'_- • ? ? . ..?.. i.. ... ?? .:,,? , :, v :: .. .. ......_.....:_.,._. i ?? 'i.: i.. .....'?'tiij...•?'.1? .:aj... ?. i... . .?... .. .. .. . .., , +..: .:.t. i' : ? ...: :..: :.... ?...i :..: . ? i....: ': ? . .... .... .... . . .. YR . ...... . .....:.. .... .......... .....?....•_ .. ? i..? :y+ ? _ ? {...? '•.r !,.? '?.r i..'.». !. `: ; ' i..? 3 f i ?:: :?'..ei'i%..?I • . . , s ?...... -? .... ? e..., i :_:? r :..y. .. . ? i ..... . i )..ii..?f• j {!'}?'F?.- {`:.1 ? ..: ..... ?. ?.....: . . . . - . . . . .. . . . . .?.... . ... .. .'{.i. i 100001 -... „?».... y.. ... . . i..:.,,. .,.5. ... .:1 1?..: .?._ ,: `,.?,: i_: :: ... .. ... ?. ? .. .. .. .:F... ??' . ?...; 't ? . ?... ?;; ?, ,..?i 445.90 ............. .... . ?...: _ : . i.... _... ?...: t..!. ?.. i j i 'r, . .. 445.90 .? :•.,;?? :?. :i ? , . i'• j .. . .. : ? i.. , . ..., : : . . . .,_ .....::. . ? j.; . ?:.;. . :...? _..,...?;` - . .. .. .... .. .. .. ';i"' 'i'i i ,'`?'.. °?k 100106 . .; ?. ? ... .si"'' . ?. ... .._'t?'''? .. .... ... ., ..;... ... ?..., ;.. . ,.. ? ,: ? ; :: ? . ; ?. a?...y?,:::.:.. ._tjt..., . ? '??. n..t?.' .00 . .._: ?':: ?..?? ?..: ;:A. ;..,- ... 70 ... _ .... . .. .. .. 200.00 10033B ......... :.. i;iji.{ ? {..: ?..;. .. A..:j... .... .; ..,F ''..•Ir j . . . .ri..:.i...??..: : I'e ?i 209.00 A. .... . : . ? ., `...., . . :... ?... . : ?.,. .,. ? . 100444 ; ? ... .: ...i ....?3., .?. .... . i' ..t .. ?.??..?7.. 1750.39 .00 es?.i. ?..: ? ......1..: i ? . , !. ir\.i 131 .i. .„..;... ...:. ?.::. .?. '?'..? .. .:?_'..'':.?.,:...::? . .... i j }...' . . ? [ : i.. .00 .... ??..J . ': 5.... i..: y. . ? Y 100606 .. .. . .. 1056.00 .... ... , .. .: .., ..: ti..:... :? :... ??...3.}.,...?,..,: .... j_; ? !... ?.? ....: j . ? . j.J?... ?1.FE 1 : :. : ?•?•., ?? : :.:, : t .. :._? . . i.: ;.. : . : .... :...?i•-' r?; 1'?. .:. .. . . .... ?...: .. . ... . .. . . . . . ...: '•..' ?. % `•_? .? _ .. . .t 3247.00 3247.00 3247.00 . ..... . . ? .. .. . . ;.... : s_.?f... . . ?.. .e'! . ; .?:..:?..}.:..? ..?.. .?:. ?._. ; . : , .... „ ..., i_.:3...: i ,..:-. ?i'?:'ip.:i?'",. ?'i ...::... :..a s,d + ; _ : .. .. _ .. .. ?. .. .. :. . a. .. ? _<S•, ? . .. ..: .: ....__?. .::. ....:.... . . '= !_.: ?:.i?j::;` .;y.:•:..?: ' .... _. . ? . ... .... . . ;.`j."; i::t . _ . .,. .. .. .. ....,: ?,i . ..: I. i4•i?? y4::: .... .... i?: . ii`,; . . .,. £.. ..,. s. ?.... ?_..?...,.s.?...._ ..'`•r' ; . 1`.._ =.•i ?r?'?`?,.Cf ?- ?V"'•C_ ? .' +?"-.P?......; 3247. 3 2 4 7. 0 lt _(. ? ' . ...: ,..., . ,....;.,. ... ?...: .._ . ?...y ?... .: :... : ... ........,... .... _ ? . .... ,.. .r.. q ?..i;:i'.+,........, ,..?.?ii?? (... i :C?'s :::i?. . f (j_ ,- r ? ;• . y l ,? ?( L-'Y =' J \ .c- ? ?. , .. r'`. ? . _. ?--?c?- r' ? l. , --- r ?/ ? ;...,i ....:....:...:?...:. , :.: :-::....,...._,... ............C.::?..; ;::??:•:.: ...., , ...., :... :...x . ';, ?•. ?? . : c_}L......p ..i .:....? - . :..! ? :..: : ?.. ... . ... . ...; .,.?, ?.. .. .. r?., .. ?....?,..i , :....i : .. ' . .....:....;i...`?' .. i?i? .........:...e i i ?..:? :....v..: :. - ?5.... . ......_::....?.... ? ?I . . .... .........t...'?. .._.. . ........ .. .. . :....... :•, y::..., .,.._. ...... , r, i . . ,. ..;...... ... ... . ? ?. ..:..i j e F rv•l t : ? 5.::.:..< : .... ?? . ..? .. ......,.. ,'...1: ........... v...P....: ?..:.?.f..:.:.... ?... 3 j...j:..?i...,i ............ . . . .. . . ..... .. i..? .: ,. ?..; ?.... ; . . • ? ....: ?... ....;...;:? ?,......w ?...i..i... ?..........8... . .. I ,4 j ?S t'z,() ??? ?? wAWSP. c,F WMrr13 RrQUF.ST FOF. L`TILITY 71t4'ROVEMENTS 2/'wn hcrFby request of the City Council, City of Eagan, b_'?-±.,ze:.cta, utility irprovet!iFnts on and over pzcperty ot.-aed by mQl??3 C-13 (Ner..t::en tyre cf impYOVemesit, e.g. water, Eanitary seUM-r, etc. ) LATERAL BENEFIT FROM TRUNK WATF MATN _ Vae locati,)n of s-aid utility improvements shatl be qenerv.131 ps TZA-;.f*'. SEM-ON 20"Parce2, 1E3 02t300 ID5t3 79 (4195 Blackhawk Road, 55122) 88 feet at $12.00 fron foot = $1056,00 10 years at 11% interest I/1-7--- hereby waive notice of any and all hearings necessa..-y Car tYs iastalla.ti.on of said 1-npxovc*.nents and further oonsex?t to F11y dc.??:3:y:'-a:>•s neccsaa--rily lex•ied by the City oi Fagzn for such improvementS. I/c-:e furthey agroe ta gzant to the City of Eagan any easem;,its _^.•?..?::- sary for the installation of such impmvements. It is further understood that this request shall be reviewe3 Y+y the City Coi:acil of The City of Eagan or its aqent and I/We will be g:ivsn ream.iable notice as to whether this request is possfble uncler p*e-ccni util,ity plar.ning as to timing, location, etc. Dated: March 31, 1981 Sig:iatuYe F,ciclre ss \ RPQ1eSt accepted Date 3? C.-Ity of Eagan Request referred to City Administrator: Date Gopies: 1. City Acbainistrator 2. Applicant , u5v- 7 9 ...* STREET EASEMENT DEED THIS INDENTURE, made and entered into this _Z??day of 1987, by and between LEROY M. GROFF and SHERRIE GROFF, husband and wife, as Grantors and the CITY OF EAGAN, Dakota County, State of Minnesota, as Grantee, WITNESSETH WHEREAS, said Grantors in consideration of One ($1.00) Dollar and other good and valuable consideration to them paid by Grantee, receipt whereof is hereby acknowledged, hereby convey, warrant and dedicate to said Grantee, its successors and assigns, for street purposes, together with the unrestricted right to improve the same, the following described tracts of land, together with the right to lay, maintain, operate and repair utility lines over and through said above tract, free and clear of all encumbrances, except for restrictions, reservations and easements of record, if any: A 50.00 foot permanent easement and a 60.00 foot temporary construction easement over that part of the Southwest Quarter of the Southeast Quarter of Section 20, Township 27, Range 23, Dakota County, Minnesota, the easterly line of said easements is described as follows: Comznencing at the southwest corner of said Southwest Quarter of the Southeast Quarter; thence South 89 degrees 40 minutes 22 seconds East (assumed bearing) along the south line thereof a distance of 244.00 feet to the point of beginning of the Iine to be described; thence North 7 degrees 19 minutes 38 seconds East a distance of 103.63 feet; thence northeasterly 256.89 feet along a tangential curve concave to the southeast, radius of 678.80 feet and a central angle of 21 degrees 41 minutes 00 seconds and said line there terminating. Which lies within the following described parcel: Beginning on the west line of the Southeast Quart er of Section n 20, Township 27, Range 23, 178 feet North of the southwest r.orner of said Southeast Quarter; thence continuing North along i the west line of said Southeast Quarter of Section 20 a distance af 85 feet; thence East and parallel to the south line of said Southeast Quarter, a distance of 295.5 feet to the centerline of y t:own road as now laid out and traveled; thence southwesterly 90.55 feet along said town road to a point that is 178 feet north and 264.5 feet east of the southwest c orner of said Southeast Quarter of Section 20; thence West and pa rallel to the , south line of said Southeast Quarter a distance of 264.5 feet to t:he point of beginning. Said temporary construction easement to expire June 1, 1989. ? ? ;.. And said Grantors, for themselves, their heirs, executors, administrators and assigns do covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement and do hereby grant and convey to the said City of Eagan all grasses, shrubs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. And the said Grantors, for themselves, their heirs, executors, administrators and assigns do hereby release the said City of Eagan, its successors and assigns, from all claims for any and all damages resulting to the premises hereby conveyed by reason of the location, grading, construction, maintenance, and use of a public street over and upon, the removal of materials from the premises hereby conveyed and from the uses incident thereto; it being understood said release shall not apply to any damage to any property abutting the premises conveyed hereunder arising because of the use of the premises conveyed hereunder by the Grantee; and said City of Eagan shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed. And the said Grantors, for administrators and assigns do notice for the removal of trees above described highway under Minnesota Statutes Annotated waives any claim for damages on themselves, their heirs, executors, hereby waive the right to any and all or hedges within the limits of the the provisions of Sectidn 160.22 or otherwise and hereby expressly account thereof. IN WITNESS WHEREOF, said Grantors have hereunto set their hands and seals the day and year first above written. LeRoy . Groff Sherrie Groff , • r r, STATE OF MINNESOTA) SS . 616UIVTY OF DAKOTA ) . ? _ On this /y'day of 1987 ; within and for said County, personally ;? SHERRIE GROFF, husband and wife to 'Z". descr ibed in, and who executed the •°:;?acknowledqed that they executed the sa ? ? No ary THIS DOCUMENT DRAFTED BY: HAUGE, EIDE & KELLER, P.A. 1260 Yankee Doodle Road, #200 Town Centre Professional Bldg. Eagan, MN 55123 (b12) 456-9000 , before me, a Notary Public appeared LEROY M. GROFF and me known to be the persons foregoing instrument, and s their free act and deed. ZL? Public ?;A\IlD G. KELLER PUuIIC - MINNESOTA COUiVTY ?,..•? h7y Can;niss+on cxp July 13. 1989 EXEMPT FROM STATE DEED TAX STAMPS Bl 030-79 040-79 N. NEW R.O.W. LII ? 79 Q 060-79 050- ? ? ? R.O.W. Z 0070-79 ? R.O.W. LINE ? / . ? ?.- . ?.. ?- ? Ftt''`? .. ;TR ETI i eak: ?E?" ? - j SURVEY ?R.O.W.) NEW R.O.W. LINE A Ex. R.O. W. \\ ? ? 010-8 \ ? 4 \ ? `?---SOUTH LINE SEC. 20, T27, R23 GI RIGHT ?. ROSENE, ANDERUK k I W-vur cnc'r* n„Ar na nµ .u ? ?SSOCIATES, INC. t987 °"??'?"9f11p1M"""'"01'` _ OKKiPS/+RW'LLR UGO! DL U6 t oAn 7-7-G7 ?:• ??,,. ? . ?? !2`7?,VTEA (L- SURVE nT 4 • - -- - - :.. -' • - _._ ._..?.. • ??? __ ?S ?• _' ' ? ..?? 2 ? 11• ? 10' TEHf EASE 15-R SURVEY CURVE DATA ? STREET /, = 21° 41' 00" CURVE DATA R = 678.80' T = 130.00' A = 27029 28 L= 256. 89 R = 531.44' D = 8.44075 T= 130 00? P. C. = I + 03.63 . P. T. = 3+60.52 L = 254.99' D = 10.7812 ° P.C.=0+50.50 P.T. = 3+10.50 ? .,.. -.. . . 7777,77 ?_.?.... ? ? ? " . . . .. "?t' _ r ? - - • ? i.. r ? _ _. ......_. _...._.?. ,. a...??..r..??.....++? a.,.r+.?r--a4?.?..,.4wGC?..?.., w?....r.?..??....-i?Ta..+..ira.?i.n-.. . ....?-. .L_?v_?..: u...?.?......?m.?.? _.?ary.. ...?_? _...i.>..<_...?. ,. - ' .,....,TA .•n? IILrrv weiul: / nFC[_RIPTION AND DEIINQUENT TAX RECORD ARCEl1DEN , vr?.? tIFICATION T BLK 79 ! v . .-. ........ . . - - - - - SUBDIVISION: EAGAN TC1ih5HIP I ??' OSTRICT 19FU W S TpAN SFEy D ATF- YqqNSFER # LAST GRANTEE MILTON b FRANCES 6ROFF 12 3 82 64110 LeRo & Sherrie Groff WD L PROPERTY DESCRIPTION 3[G W7 MM SECTIQN 20 tNN T R NGE 23 ?T OF SE 1/4 COM 178 FT ?F SN COR N 85 F E 95. FT TO CEN TN RO li 0 CE 90.55 FT TO PT 2 4.5 FT QF BEG W 264..5 F 20 a2? 23 ? l ?. ?. ? 94? - 4yd - ------------ ? // (fVL ? I I ? Permit #: I I ? PermitFee: I ? ? Date Received: ? I ' i Staff:- _ --- ? .? 2008 RESIDENTIAL BIJiLDiNG PERMiT APPLICAT EP 2 9 2008 `? P?ate: Az C.?A Site bddress: Tenant: 1/j Suite RESIDENT / OWNER Name: ?Phone; S:t ? Address / City / Zip: f5 ? ?/ Applicant is: Owner ?eOntractor TYPE OF WORK Description of work: Construction Cost: Muiti-Family Building: (Yes / No ? License #: / V? 00? ' k?- N CONTRACTOR ame: # ?IDING C0. Address: . City: KU0HI1JCM.WswA State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUtLDING _ Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet !• New Energy Code Worksheet Category Submitted Submitted (4 SubmissiOn type) • Energy Envelope Calculations 5ubmitted 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: Mechanica{ Contractor: Phone: Sewer & Water Contractor: Phone: iU47"ER Plans and suppvrt1ng a?acuments fho# you submit are oansidered #o be perbCic,informiR,Uoh; Por#ians vf t?re i»fv?m?tiori in?y be i?/ass?fied as ncn: public if,you provide specific reasoas thatwriuld perm?? the ?rty to ° <conclude.thatthe are trade secrets ,. 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 perrnit, and work is nat to start without a permit; that the work wili be in accordance with the approved plan in the case of work which requires a review and appro i of plans. ' ? ? Applicant's Printed Name Applic Ys Signatur ?_? ?i' Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111824 Date Issued:07/12/2013 Permit Category:ePermit Site Address: 4195 Blackhawk Rd Lot:005 Block: 079 Addition: Section 20 PID:10-02000-79-050 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Leroy Groff 4195 Blackhawk Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116788 Date Issued:10/10/2013 Permit Category:ePermit Site Address: 4195 Blackhawk Rd Lot:005 Block: 079 Addition: Section 20 PID:10-02000-79-050 Use: Description: Sub Type:Reroof & Siding 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Leroy Groff 4195 Blackhawk Rd Eagan MN 55122 Smart Exteriors Llc 332 River Woods Lane Burnsville MN 55337 (952) 451-4200 Applicant/Permitee: Signature Issued By: Signature ��v��l ��perties nc. � � � Burnsville Heights Business Center 11975 Portland Ave.So., Suite 138 Burnsville, Minnesota 55337 (952)890-5400 . Dctober 17, 2014 Mr. &Mrs. Leroy Groff via: Certified IVIaiT 4195 Blackhawk Road Eagan, MN 55121 Dear Mr. and Mrs. Groff, Please find enclosed a copy of the fully executed Temporary Construction License and Landscaping Agreement between Diffley Square Partners, LLP, and you. � We appreciate your cooperation throughout this process. , Please let us know if you have any further questions. Sincerely, DIFFLEY SQUARE PARTNERS,LLP ' '���L % .�rz�% ��,��.�'%�._-s' I ' `' / Lisa A. Turbes Property Manager Enclosure cc: Mike Ridley, City Planner- City of Eagan Tony Gleekel, Esq. Bruce Carison  !" #$%&'()'*+*, -./$%'"&0-1D3$2>$,+ -./$%'53/4-.16789:B9 <*%-'!==3->1?7@?A@B?7: -./$%'#*%-+(.&1--./$% C$%-'6>>.-==1''97PA''D2*GQN*LQ'>''  ""7$%&' (("LV*++,,- ((:.&,-(!" 134 5"6"!"""6LV6"7"( 89. <-=G.$0%$(,1 :;<(=>?. A,-+Q9T4B9O-9B;&,-(=>?. AB'(=>?. @.?%2&. 4.9&B,?,- =Q(B(DB.(A,-+Q9T4B9 O.-9;9(O+. )#)(6(Z&&;?2-&> ^-,-0 :P;2B.(R.. 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T(612)337-6100 F(612)339-6591 S I E G E L YOUR 100 Washington Ave S I Suite 1300 Minneapolis, MN 55401 siegelbrill.com BRILL PA BUSINESS siegelbrill.com ATTORNEYS AT LAW MATTERS December 23, 2014 Via U.S. Mail & E-Mail Michael G. Dougherty Michael J. Ridley Dougherty Molenda City Planner - City of Eagan 7300 W. 147th Street City Hall Suite 600 3830 Pilot Knob Road Apple Valley, MN 55124 Eagan, MN 55122 RE: Diffley Square—Landscaping Condition Satisfaction Gentlemen: The purpose of this letter is to advise you that all of the landscaping has been completed pursuant to the terms and conditions of the Temporary Construction License and Landscaping Agreements for 4165 Blackhawk Road, 4185 Blackhawk Road and 4195 Blackhawk Road (collectively referred to as the "Agreements"). Now that Diffley Square Partners has completed the landscaping pursuant to the Agreements, Diffley Square Partners, pursuant to Mike Dougherty's letter dated September 19, 2014, have fully and unequivocally satisfied the landscaping condition associated with the plat approval of January 4, 1985 for the Diffley Square Partners' property commonly known as Diffley Square. Therefore, there are no further obligations to be satisfied or performed regarding the condition. Happy Holidays. Very truly yours, Anthon J. Gleekel (612) 337-6127 I Direct tonygleekel@siegelbrill.com cc: Margaret Linvill Smith (via email) Lisa Turbes (via email) Ae 31V0 SNOsIA38 roN � HdJ. V10S3NNIN NVOV3 x - AB°3N33H3 n O m . . . 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