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3741 Blackhawk Rd :11 CITY OF EAGAN Remarks Addition Blackhawk Acres Addn. Lot 5 Blk 1 Parcel 10 11 300 050 00 Owner t : -street 3741 B1aCkhawk Rd. State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date 58.50 10 Paid STREET SURF. 1971 It STREET RESTOR. GRADING SAN SEW TRUNK qo 1968 100.00 30 Paid 3SEWER LATERAL 1 1 20 WATERMAIN WATER LATERAL 1971 1 0.00 77.50 20 Paid WATER AREA STORM SEW TRK 1983 530.00 35.33 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 1806 10-13-09 BUILDING PER. SAC 200.00 39 1 -23-7 PARK 6442) Penn Avenue South a Phone: 869.3213 ADDRESS y~ ~~q~~? Gt `J APT. Fl ft CITY UBURB. , OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By. TYPE OF HEAT GA FA --HW STEAM SPACE HTR UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE n ri-Ac- MAKE OF BURNER i~ Model / ! l Z Model Serial d Max. BTU Rating INPUT MAKE OF FURNACE k Model CONTROLS THERMOST T 8 /Q V C_ ' -g Plug Vent Size - i Volvo Pr, Pyi Q w KIND OF LINER SIZE_ NONE l 1, U Limit w Draft Hood Regulator Limit Setting u, Filters Size Number Fan Setting /U Chimney Location Inside Outside Pilot Type Chimney Construction a k- fce Pilot Make Pilot Mock G+~ Smoke Bomb Wiring 0 g Pilot Timing a 1 S~ Draft - rl - D __.._._t.._ Tea Tog L.W. Cut Off Dow Pressurs Lighting Inst. Pressure Percent CO.- Date Tested 8,7 Input CFN Cf Percent OZ _ Company Testing Stock Teinp. 9~ Percent CO cis do Name of Tester Form 235 This request void 8 months from ! t t_ I tlt 0502 Request Date,- Fire No. Rough-in Inspection E] Regwred? [Ready Now,y W.',Il Notifv. Inspec-3 Y es No-'~- tt When Ready Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner - - electrical work.Anstalled at: Street Address, Box or Route No. City I ;a4~ 4e '4/c LG/ Qif' Section No. Township Name or No. Range No. Cour D ! Oc nt (;~e ) P o e No. ~GS a- ~Z_C <+5.2 -'2G Z Power Supplier Address ElL Ica Contractor Compa me) C.3s License No. '~4 Mai n d ess (Contr ctor r Making Instailati ) Au ze Sign re L n ctor Owner Making Instal tioni P)ifyte, I~u~ber -tom =~-=>i-. MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St, Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTIONw EB-ooool-os See instructions for completing this form on back of yellow copy. ~y W n, 02 ► Below Work Covered by This Request 31 ( t- New Add yep, type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) ther Specify) Other Specify Other e Compute Inspection Fee Below a Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee ci cuits 0to100Am s 0to30Amps 0to30Amps 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100_Am s Above 100_..Amps Transformers Remote Control Circ. Part iai:'Other Fee Signs pecial Inspection R ar s TOT FEE ! e9Q ~s 0, 30 A~ Rough-in l the Electrical ♦ -inspector. hereby certify that the above Final Date inspection has been made. r This request void - 18 months from EAGAN TOWNSHIP 393 BUILDING PERMIT _ - - Eagan Township - Owner l Address (present 1.. 4.~ Town Hall a ,,QQ Builder - ~ Date Address f - - r DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Stree ad, r /ekther Description of Location Lot l;lock Addition or Tract E This mit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the r ht 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 WTo PREMISE WHILE THE WORK IS IN PROG SS. This is f certify, that'______-__-has permission to erect a--- - •-----•---.upon the abo descr' ra pr of the Building Ordinance for Eagan ship adopted April 11, 1955. -°Per - Chairrd Building Inspector PERMIT lkct -~--7 C' CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L DIN Eagan, Minnesota 55123 Permit Number: 020819 (612) 681-4675 Date Issued: 04/29/93 II SITE ADDRESS: 3741 BLACKHAWK RD LOT: 5 BLOCK: BLACKHAWK ACRES P.I.N.: 10-14300-050-00 DESCRIPTION: SOFFIT & FASCIA Building Permit Type SF (MISC.) Building Work Type REPAIR REMARKS: FEE SUMMARY: VALUATION $4,000 Base Fee $63.00 Surcharge 2.00 Total Fee $65.00 CONTRACTOR: - Applicant - ST. LIC. OWNER: AMERICAN REMODELING INC 15530020 0002406 SALECK LINDA 3700 ANNAPOLIS LN 3741 BLACKHAWK RD PLYMOUTH MN 55447 EAGAN MN 55122 (612) 553-0020 (612)452-1050 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. APPLICA ITEE SIGNATURE ISSUED Y: IGNAT RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 020819 Eagan, Minnesota 55123 Date Issued: 04/29/93 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 5 BLOCK: 3741 BLACKHAWK RD AMERICAN REMODELING INC BLACKHAWK ACRES (612) 553-0020 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DESCRIPTION SOFFIT & FASCIA INSPECTION TYPE DATE INSPTR. INSPECTION TYPE • FINAL REACT I VAT; _ CITY OF EAGAN PEDri I #10q 1993 BUILDING PERMIT APPLICATION . 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Val uati o of work Q~ Site Address. STREET SUITE 0 Tenant Name: (commercial only) LOT BLOCK SUBD. P.I.D. # Description of work: - e6le4 ~/a'57 ~ The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name ~~e, ~C~ccCcz Phone Property LAST FIRST Owner Address STREET STE 9 City C1_~-~---- State i ih_4,C Zip Company 19-leela-le eclae~ x _ Phone OD2© Contractor Addres,// -Ino -Al /X License # Exp. City ~~G~Du~Ge State Zip7 Company Phone Architect/ Engineer Name Registration Address _ City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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 BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 6 fist Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site .0 Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee 49 00 VaLwtion: $ ' Surcharge O Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: O SAC % SAC Units PERMIT CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: I Eltgar , Mnnesota 55122-1897 Permit Number: 033206 (612) 681-4675 Date Issued: 09/09/98 SITE ADDRESS: 3741 BLACKHAWK RD LOT. 50 BLOCK. BLACKHAWK ACRES P . T . N 10-14300050--00 DESCRIPTION: REROOF/STORM DAMAGE FU ilding.Permit Type STORM DAMAGE Building Work Type REPAIR CensLas Code 434 ALT, RESIDENTIAL REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant ST. LIC. OWNER: HAUSE J.G. CONSTRUCTION 14390189 5350 SALECK ROBERT 3369 OAKGREEN AVE N 3741 BLACKHAWK RD STILLWATER MN 55082 EAGAN MN 55122 (612) 439--01.89 (651) C hereby aeknowtedge that 1 have react t-ha.c application and state that the inf ormation is correct and agree to comply ,,)it;h all applic,~ble Stage of Mn. Statutes and City of Eagan C)r di.rlane . L APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATUR 1998 MDUM ER P!PLI ATION M MEN'TLALj OF FAQ .3830 PMM 04 RU - SSLV 9 re9bload ' aft swvop ! 2 cyopies at pl&n 2 coom of pftft (k )dude bom & wkftw akas, pt -tnd. de$%w talc.) # 2 adte swv"s (v to or addiC*m &AoOw# ! 1 rang a rt t yen mcowumlom for 3 + of m pa r vsa+ kon plan-If kat pww all 7111193 mqukw:......: Y" DATE. C TRUMON COST, DESCR{PT OF WORK: Z . ea~ S ADDRESS: ILOTI Name. SA. i : PROPERTY low Fast OWNER y Street Addrew: City State- Commy, 6, Phooe #f: 6/31 -D6 CONTRACTOR Street Aft ess: License # City t e ✓ N.,,... zip: ARCHIMT/ INFER eot~y: Name: Street Ate: City state: : ' s"w wow ftwow *ffiw ( amftm:bm 01*y . ftfu* SPPK" when Od**" ft" 1 hemby WuXmftdp #*'I t" mo # 118 f ioC1 is ed Wd, 111 "4* ao *Pfto She of Aaiicau OPME USE MY TM Prft*tVft'on Mw R . Y" No ! i4 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation- 0 06 Duplex 0 11 Apt./Lodging ❑ 16 Basement Finish 13 02 S ling 0,07 4-piex 13 12 Mufti Repair n. 0 17 :Swim Pool 0 43 6 P edition 0 08 8-plex D 13 Gar A " 13 20 Public Facility 04. SF Porch '009 12-plex D 14 Fireplace 0 2'1 Miscellaneous 0 SF Misc. D 10 -plex 0 15 Deck WORK TYPE 0 ,31 Now Cl 33 Alterations CI 36 Move 0,32 Addition 034 Repair 0 37 Dem€ l 1 RAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS Systenn ~ (Allowable) Main level sq. ft. City Water U6C Occupancy sq. fE.. Fire Sprinklered zon ing sq. ft. PRV # Of Stories sq. ft. Buster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Cade `,Ceram adg Ciensus, Unit APPROVALS, Engineering Variance Manning Building' Permit Fee Valuation: S Surcharge Plant Review License MC NVS SAC City SAC Water Conn. Water Meter Acct Deposit S/ errni! S1W Surcharge firestment Pl. Park Ded: Trails D ed. Other C Total: % SAC SAC; Units r PERMIT CITY OF EAGAN j 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 4 9 6 (612) 681-4675 Date Issued: 07/221/97 SITE ADDRESS: 3741 BLACKHAWK RD LOT: 5 BLOCK: BLACKHAWK ACRES P.I.N.: 10--14300-050-00 DESCRIPTION: (CAS INSERT ONLY) Building Permit Type FIREPLACE Building Work Type NEW Census Code 434 ALT. RESIDENTIAL i REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge _ ..50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. L I C OWNER: FIRESIDE CORNER-INC 16332561 2009091 SALECK ROBERT 21700 N FAIRVIEW AVE 3741 BLACKHAWK RD ROSEVILLE MN 55113-0847 EAGAN MN 55122 (612) 633-2561 (612)452-1050 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. ~L Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED Sr. SIGNATURE CITY OF EAGAN , 3830 PILOT KNOB RD - 55122 1"7 FIREPLACE PERMIT APPLICATION 681-4675 3W9 DATE. PERMIT FEE, DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE AM&T1=TO EX STIXG , . INSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY OTHER: (~7 o / STREET ADDRESS: A LOT. BLOCK SUBD.IP.I.D. I#: APPLICANT: (circle one only) OWNER CONTRACT I Eby 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. .Tb wr U c~cs Phone I O ~LL~C`C..«.. © PROPERTY Name: 't OWNER Signature: ' Suet Address: 371-1 L~... A City: Gl IO State: Zip: FIREPLACE Company: Phone INSTALLER Signature: StreetA dress38'ja License City`~.i V1 L ..J' State: AVr zips GAS LINE Company: Phone INSTALLER Name: Signature: Sheet Address: City: State: zip, 46 OMCE USE ONLY RT3"ING PERMff 'T'YPE I l 0 14 Fireplace j WORK TYPE I i , 0 31 New 0 33 Alterations 0 32 Addition 0 34 Repair GENERAL INFORMATION Census Cole. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. i i " CITY OF EAGAN 8795 Pilot Knob Road Eagan, MN 55122 Q 7431 PHONE; 454-8100 3 BUILDING PERMIT Receipt # To be used for POOL & FENCE Est. Value $10,000 Date August 9 119 _ Al Site Address 3741 Blackhawk Road Erect Occupancy Lot 5 Block 1 Sec/Sub.Rlackhawk Acres Alter ❑ Zoning 1 Parcel # 10 24300 050 00 Repair E] Fire Zone NA Enlarge ❑ Type of Const. oe Name Alice Salpk Move ❑ # Stories 3 Address 3741 Blackhawk Road Demolish ❑ Length 33 ° city Eagan 55122 Phone 452-1050 Grade ❑ Depth 21 Sq. Ft. Name o Pacific Pool & Patio Approvals fees ou Address 6922 55th St. No. Assessment Permit 80.50 u Cit No. St. Paul phone 770-1313 Water & Sew. Surcharge 5.00 Police Plan check t- L% FW Name Tim Txwl-pr Fire SAC ~z Address Same as Pacific Pool Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 5n State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Paci is Pool atio on the express condition that all work shall be done in accordance wit all applicab S too innesota Statutes and City of Eagan Ordinances. E~ Building Official R CITY OF EAGAN Include 2 sets of plans, -2't 1 site plan w/elevations & B ING P APPLICATION 1 set of energy calculations. To Be Used For'~,c~r~~i)~~ ~tion Date / Site Address : OFFICE USE O99Y Lot Block Sec./Sub. ~lac~l~~Erect _ Occupancy Parcel 1 t q 3 0 a O S0 © d Alter Zoning Repair Fire Zone rA Owner: Enlarge Type of Const. Move 3 7~` ~c Deem # Stories Address: Demolish Front ft. City/Zip Code: Grade Depth ft. Phone APPROVALS FEES Contractor: / / Assessments Permit Address : Water/Sewer Surcharge Police Plan Check City/Zip Cade: Ab, 577 hj~~/Cp Fire SAC Phone Eng. Water Conn. Planner Water Meter Arch./Eng.: Council Road Unit Bldg. Off. Address: 10 APC City/Zip Code: Phone 70 431-7 TOTAL I r EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: Oct. 13, 1969 Number: 368 - Billing Name: Mel Severson Site Address: 3741 Blackhawk Rd. Owner: Billing Address Plumber: Wenzel Plbg. & Htg. Location of Connection Meter Size Connection Chg.1230,.00 Pd. 10/13 Meter No. Permit Fee 7.50 Pd. 10/20 r Meter Reading Meter Dep. 15.00 Pd. 10/13 ~ tc j~.l/c q Meter Sealed: Yes Add'1 Chg. NO Total Chg. AP52~5n G 1 Inspected by GDate Building is a: Remarks: Residence X 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 t1v proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Wenzel Plbg. & Htg. Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: October 14, 1969 Number: ~6$ Billing Name: Mel Severson Site Address: 37+1 B14ckhawk Road Owner: Mel Severson Billing Address Plumber: Wenzel Plumbing & Heating, Inc. Location of Connection Meter Size Connection Chg. 230.00 pd 10/14/69 Acct. Dep. 15-00 pd 10/14/69 Meter No.Permit Fee Meter Reading Meter Dep. Meter Sealed: Yes_ Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence xx 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: Wenzel Plumbing & Heating Inc. 1955 Shawnee Road, St. Paul 55111 Please notify the above office when ready for inspection and connection. 14~ "1 4 .;.JF f1 1 Y',` 'N f1 ( .e.?l^' X F 1 Tt _ F _ 3795 pilot Knob Road r` f St.: Paul", ASinnesota 55111 Gtr } Telephone 454-524 - , , d,• - - PWJI FOR-DATER L7Ei IC WVNlYih4 IO Dates 04'Fo 1ks 1Ql59 der: 'L ' ` SiteBill Name ~ ~ ~.f Site. Address: ~F1 vikemawk R iYY.MIr Ri MIN MME A 11 ~ 1, r F tJ rs nr~► 111$ng Address Ali" x $*at ut~, +u r L6tati66 of Connection meter sized Cc 40h Chg. . 10/14/69 jwto 15 00 pd p, i~6g N~eter :No, Pers~: 'Fee Meter Reading r ter Dep. deter Sealed: Yee Add,' 1 M94 90 ......r..r. total chg. } Inspected by T Date Rufld.fng to at Remarks. Multi l@ :1('o. units ~ Industrial ether. Chief Inspectflr ra•, rf L In consIderatton of the issue and delivery to "tee of theabove rriAt, I hereby-agrees to do t1v proposed work in accordance with the'iales and r+~gulat oine of Ragan :Township, Dakota County, :Mintxeeata. se - - - - - Bye. = 5 li.~ I 141 RI 1 y1Y IYY IMYY {iY I A ~~*~t~ ' ; is- Pleas notify ''the above office when ready for rpect40 end' do act . r,. , L:t "A i r r u7 rg'~ a ' Y b~rl Y ti~ Y >:;r f as r s,ioC.tF ~ai.1•.• 4r 4I -'t"p.a+v q , .•r w ..•,wl~ TI i t - - "`tiY ~_~H taw - ~F•. X' - i s~:.' r 1 L ANY r Xrtcr^Y AX _yr AW, ills .y~ a ~ ~ ti'`~ t ~ ~J n r s ~ r ~ ~ r~ L ~ y::-."~1, s .f re r~'G : a t.:^ -,y i~.iir~.C` Y +R~ '~'•S': Y • 'lJ 1 r~y, ~ s Zr, 'i + _ ~ - •~~'Y~S Rt.~ .?':Y'+4 J~':,+1;,_ ~ +Y '.G.l'LS F/ t'~i~'~ ~('n*:{n.., tfS ~f! "!'..':'~'~1:. 4h t t t. r ~i t a.;u-'-? " ,y~~, s--:x.JKs~S s .i.'~r 'n, fit:. ,1 ✓ i``~~,+3C ty jw~ f ' T. HM _ ',y rN- 't'Y ",:74 T'~.4~,1 •r,~.. Y: k'~ L 7,i//. it + ~'..~~~4 {x ~ - 1 ' Ylr ~~r~ ° _ar ~ r • k,v r . ~ 7 x,,~~ww.~ k~ t'1~ ~ ~r., tF ~t pa.~r+~ Jr-•y~i,•~y r c ~~P 1 ~r, . Y ~;G~~ r: 7~ y r G 44rt~ x,? 4 y ~ - 4~ asT~ ~ y t v3" T 4 Not . .G sly r EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: Number• Billing Name: Site Address: Owner: Billing Address Plumber: Location of Connection Meter Size Connection Chg. Meter No. Permit Fee Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence tqultiple 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 tle proposed work in accordance with the rules and regulations of Eagan Tovmship, Dakota County, Minnesota. By: Please notify the above office when ready for inspection and connection. xpl DATE. wa PE,RMiT JRESMENTIAL) IMP CCtY t?tr Ei4,C3A i A 3830 , Ot KW)8 RD EAOAN, 55#2$ ( f 6#i4A75 * sin s water Ck _ 3.00 x Both Tub .3.00 x t L&VMWY ~ 3.00 _ Kitchen 3.01--x It lJon" Tlay 3,00 ;t M'Tub/Spe 3,00 x WSW itdr 3.00 x Mor Drain 3.00 x fting " 3.00 x 1.50 x ~ . softe"at Dlk~" G . 55;00 Inew; rtrbiis d U.G. h c r Wit,' 3400 e+ations * b~► 20.00_ Water ` Tum Ar id 20.00 STATE Mi E TOTAL SITE jkt)I)MW. O - NAW'; Cif Y.T ZIP. ~.•.-•-»••w......... PHONE - Qnlice USE ONLY L & RED `Pi SUBO. t . 1 Pal PEA - ~Gt Ott. l~CN; 'JON 1*122, -mu*-Un* &jftW r sepw4ftpmft arena Wrad~ for "ch t ur~t. !]ATE: CONTRACT E' V1M TfPE: MW COMSTRU+CTtt)J+i AW N Aft t SCfUPMN OF WORK 18 1 WMMR REOMED? YES -W o. 3,YF+t~R. +1 L .C lMNt3: 140 tom: ARE FLUMOMETERS 7t3 J~►L~ YES WA 'LOW J Ply :t E "1' PRO"* T ittA►T t S 3i.' ' A DRAY <3 "t 8 *ME. FOR i ALL YOU W MTALLWj A MeM , A fUWRE U:t3. 8PRMtt'€! t SYMM? as -u, Pm M.00 rnmm m fto or i% d w"*w price, wild is . VVOW, 1rW'd . of t $1,00 cif. antoe due on am pwmb. STATE WACt HOE TOTAL UM AWR TS*NT NWE: STE. # i'R ffAl1 E: ADWE CITY: S-tA* MR Pl Eft:. , t. St 14A"1 J E PP AW OPME USE OMY W"M S2E: DATE: MISPECTt I - EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: October 21, 1969 NUMBER 508 OWNER: Mel Severson Address 3741 Blackhawk Rd. PLUMBER TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units x Location of Connections: Connection Charge not paid Permit Fee 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 Wenzel Plbg. & Htg. Please notify when ready for inspection and connection and before any portion of the work is covered. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: &ust 28` 1971NUMBER 853 (this should have been taken out in June OWNER: Dale Miller Address 3741 Blackhawk Road, Eagan 55122 PLUMBER Wenzel Plumbing & Heating TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units xxxx Location of Connections: Connection Charge 200.00 pd 8/11/71. Permit Fee 10.00 pd 8/23/71 (These charges should have beenpaid June, 1971) Street Repairs Total Inspected bar: 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 Wenzel Plumbing Heating INc. 1955 Shawnee Road, Eagan 55122 Please notify when ready for inspection and connection and before any portion of the work is covered. I EAGAN TOWNSHIP DAKOTA COUNTY, MINNESOTA I/,We hereby request of the Township of Eagan permission as follows:. 1. To connect the sanitary sewer service line from my residence/ cessere#a1 building at l tfl to the sanitary sewer lateral located 2. 3. It is understood that I/we will not hook up and use the service until I/we have paid to Eagan the necessary connection fee for such hookup. It is further understood that in the event that I/we do hook up and use said sanitary sewer service before paying the required connection fees, that I/we will be required to pay the Township a sum in addition to the connection fee of I/we also understand that I/we will also be required to pay to the Township in addition to the fees required above the normal inspection fee for each inspection by the Eagan utilit espartment. Dated: ~ Signed: SATURDAY J U N E S M T W T F S 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 J U N E 1 9 6 9 29 30 i' 179 - SATURDAY, JUNE 28 - 196 SUNDAY MAY JULY S M T W T F S S M T W T F S 1 2 3 1 2 3 4 5 4 5 6 7 8 9 10 6 7 8 9 10.1112 11 12 13 14 15 16 17 2 9 13 14 15 16 17 18 19 18 19 20 21 22 23 24 20 21 22 23 24 25 26 25 26 27 28 29 30 31 27 28 29 30 31 JUNE 1969 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 I ~ ` I I i I I I I ,r ~ ,~ti.. ~ ~ _.y,,.__.,,_ - i ~ _ _ y.~ ~ ~ rr DATE _ INVOICE NUMBER AMOUNT OF INVOICES I TOTAL AMOUNT WITHHOLDING STATE G RO55 ~ TAX INC. TAX HOSP. NET EARNINGS PERA PAY _D E000TI_ON_S TOWNSHIP OF EAGAN PLEASE DETACH BEFORE CASHING "''HIS IS A STATEMENT OF PAYMENT AND EARNINGS AND DEDUCTIONS DATE RECEIVED FROM DESCRIPTION AMOUNT RECEIPT TOWNSHIP OF EAGAN 3981 Dakoto County 3745 PILOT KNOB ROAD ST. PAUL, MINNESOTA 55111 Thonk You OFFICE OF THE CLERK BY l~~i ' _ city of eagan MEMO MEMO TO: COMMUNITY DEVELOPMENT STAFF FROM: ERIK SLETTEDAHL, PLANNING INTERN DATE: MAY 10, 1995 SUBJECT: ZONING CORRECTION FOR BLACK HAWK ACRES: R-3 TO R-1 CORRECTION A call was received from a resident at 3733 Blackhawk Road inquireing about the zoning and allowable expansion of their property. The resident was told their property was curretly zoned R-3 (townhouse), although a single-family home now exists. Any expansion to the existing home would not be allowed due to the ordinance pertaining to non-conforming structures. The resident was very concerned because the home was on the market for sale and he claimed the zoning would effect the re-sale value of his home. The resident was told Staff would reseach the zoning history of this property for any possible errors. In 1971, the area to the south and west of Blackhawk Acres was rezoned from R-1 to R-4 (townhouse, now R-3 by current definition), however, the area of single family homes along the West side of Blackhawk Road was not included in this rezoning. It appears that a line error in the subsequent zoning map update caused this area of single-family homes to be rezoned R-4 (townhouse, now R-3 by current definition). The following parcels should be designated as R-1 (single-family) on any future zoning map updates or descriptions: -Lot 1, Blackhawk Acres -Lot 2 " -Lot 3, " -Lot 4, -Lot 5, " -062-00 Blackhawk Acres -061-00 Blackhawk Acres -10-01700-010-81 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: r- ~ 3630 Pilot Knob Road Permit Number: 0304 6 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ' SITE ADDRESS: ~ ~ b t. Q c r ~ APPLICANT: 3741 t.ACKHAW 00 florst `r COR"I IR 114 PERMIT SUBTYPE: TYPE OF WORK: F.Xfk Pt..AC FINAt r~ h ` ti rt Ss Wt ti { t , { w $*Mt Hbkk baw Tlwe a b # - PLUMNO too"" commqntsFOUND FPAMM Y' AIR TEST " W-ATM GAG M Terr OWSOARO FOOMACE AIR MAL HTO IDAoff WAG Fw& BMT R.L HECK Fro COX FtlrlAL IPA C . ON RECD WY OF EAGAN PERMrr TYPE tt.l} a r 0 1 Pi 3830 Pilot Knob Road Permit Number 0 ' 08 t 03 Eftgan, Minnesota 55123 ~ Bate Issued: ri 4 / (612} 681-4675 SITE ADDRESS: APPLICANT: t itr,h `t. E3LAC.KHAIJt' €~,t~ AM gt ~toA~ VEMO t"t.1"6 .1NC' PERMIT SUBTYPE: TYPE OF WORK: REPATO 0 F IF IT f ASE' 1A j a ~ C - - PLARAwis M lorom" ma bmw Como"" F" ft cwlwt m ROW Fft - "0* mwttw C*wt maw ill~lA 0" FbW •~p1 ft. owp. LOT WY OF EAGAN PERMlT TYPE: ~A) I 3830 Pilot Knob Road Permit Number. 01 Z 706 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 'E ADDRESS. APPLICANT: t'01 If-, a P 1, Or,C 3741 BLACKHAlti4K RD 1.4 CONSt'ftUCITOM BLACI(HAWK At:R t- VNEWff SUBTYPE: TYPE, OF WORK: t I tr l"1'.IIt3t~ Fit=ROOF S TORN 0A#AA1 a@,~INct w ,t w 1 i i Permit Molder Date T PLUMSM HvAdc _ inspocuo", Date 1"p. Comments OOTIMIS FOUND FRAMING ROOFING ROUGH h PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL it DOMESTIC METER IRRIGATION { METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST j BSMT R.I. BSMT FINAL DECK FTG DECK FINAL L 7,77 1 Dopy: Qtifire s 1\- Pa s 3 Copy: Municipailty X1 { 4 Copy-.:Customer 4 l_ nnesota Paaka Pro du is Company 6922 55th St. North 9913 Lyndale Ave. Sao. 4321 68th Ave. No. a 1f~ a North St. Paul, ANN 55109 Bloomington, MN 55420 Brooklyn Ctr., &M 7770-1C)1313 1 819 560.6442 . CREW CHIEF r Equipment Needed ACCOUNT NUMBER ~ POOL SIZE (7J Back hoe 13 Bob Cat /i f . A`" © Cat - - 0 Truck ME - - - _ - - ;dr', -r 0 Snow-Fence ❑ STREET Inspections Contract cm~ I % sTATE zr~ El Walls 10 Footing 0 806re Backfill 4 O Other Diagram pool site In relation to house,.garage, propertyjne, and wiims. ~ f y , ~r } Af~ j - r, ~a keation of otter arf heater by Elevation frortt#oca rrrarked`'A" how type and location of slide if i indicate deep end by (X). k Does Customer wish to retain any or alI .dirt-from pool i ocation fo disposal of dirt: excavation: f It any obstructions be encountered sash as trees, t' . fic Pool & Patio recommends that`.. r clothes poles or power/phone lines eta: (As soon as possible following pool constf blmy ' 1. Rain gutters adjacent to pool. _ 2_ Retaining wall where diagramed f► 3. Runoff control ordrainfield * ' * CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING She damage may be done to the yard and/or driveway entering and leaving the yard during construction: tntial Customer assumes responsibility for`electrical wiring and grounding of the pool (including permit if required). Initial Cuorrnter assumes responsibility for the gas installation of heater if applicable (including hermit if required): Initial if debris, structures, or substance foreign to normal soli should be encountered while excavating which requires abr>ol , handling and/or disposing -Customer shall assume responsibility if any extra costs are incurred. Intial If you wish to change: filter position, slope of land, or anything else stated In this outline, plesse call our office 770-19U.' Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any Cam;; that are not authorized by the office will tae Odd at a staiadard rate - no exceptions. Pacific Representative Signature r toyer Signature / ' s vir:l::1~'•ii'.Si '.i; •.S::i...tr ~.ie:;:l•vf:•~ 1,.. ...::I: :E:! 1 I f } 1 t.:...YY 'S1... tv' TIM & 1D o NAME; ALLIED FIRESIDE lNC 010 900f 371-1 to). CK) 55 900i 370 : 01,50 Tola! Receipt Anwanto 113. Is) All *W*,¢„°.a: •.t: y:.a: -f:.w..a: a; .t::E: a; ,p: : ty.I::~,.;:.t :':!:'d: M-l CITY OF EAGAN 3"S Pilot Knob Road Eagan, MN 55122 f" PHONE: 454-8100 ' BUILDING PERMIT Receipt # To be used for F't; 01, } '?C'_: Est. Valu lue Date t:u crs t s t c~ 19 ? ' ~w rrrwrrrr_~r ■ ~rr~i~r~ wrw~.~ Site Address 3 7A.1 r" .3 " Erect p Occupancy Lot Block Alter ❑ Zoning -z Parcel 5 ~ ^ T # Repair ❑ Fire Zone Enlarge ❑ Type of Const. a Name ~ r~ 2 S;L' P'- - Move # Stories Au z ',A _ Flan}c Address Demolish ❑ Length 3a b city `Phone Grade ❑ Depth Sq. Ft. a Name rc~? Approvals Fees A J. 0 Address}`'S':}t Assessment Permit r ` F City Phone 7 t 9*- T Water & Sew. Surcharge Police Plan check wW Nome Tr c: t}r Fire SAC Address Sal a~~ 11'4 *ic Tr,>a~1 Eng. Water Conn. i"Z' city Phone Planner Water Meter Council Road !Unit I hereby acknowledge that I have read this application and stoic that Bldg. Off. the information is correct and agree to comply with all applicable. APC Total State of Minnesota Statutes and City of Eagan Ordinances. i Signature of Permittee A Building Permit is issued to. n9 "on the express condition that all work shall be done in accordance with all applicable State of A9innesoto Statutes and City of Eagan Ordinances. Building Official a Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. well Water Disp. Sewer Electric w 34502 CtnNdE a $°-14 4Z Inspection Date Insp. Other Footings F Foundation Framing Rough Plbg. Rough HVA Insulation Final Pibg. Final HVAC Final p~ i Water Describe location: well Sewer Pr. Disp. ~1`l PER T MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: ; ' PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot fz Block Spec/Sub Res. __/1 New j Name n Mult. Add-on Comm. Repair Addres S City Phone Other ~~7-- FEES ` Name RES. HVAC 0-100 M BTU -$24.00 W Address ADDITIONAL - 50 M BTU 6.0p p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Aire M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES i Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS 12.00 MINIMUM COMMERCIAL FEE - ' 20.00 Air Cond. M BTU STATE SURCHARGEPER PERMIT - .50 Vern. :CFM (ADt)r?. W S1C IF'PeRM}T^PRICE GOES Gas Piping Outlets # BEYOND.~1,000) - Other $ _ FEE: f / r S/C: • 5~0 SG URE P Ill TOTAL: FOR: CITY OF EAGAN /o?• So Use SLUE or BLACK Ink / ~ L f For Office Use ' 7) City of ~Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 * Date Received: r Phone. (651) 675-5675 i Staff: j Fax: (651)675=6694 I `---T__--....-__~ ~J x201 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address 31-1// h 0 K /4 W /Q Unit _..r Naitte Phone: ~J r L J RESIDENT t~ OWNER Address a City I Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work t t a' Construction Cost Mufti-Family Building: es / N -ompany, " z_t`) _ ),~t-4- e Contact,, `M : , _Z1 C CONTRACTOR ;Address: ttty State. Zip: _ Phone: _ License # Lead Certificate t~~ If the oroject is exempt from lead certification, please explain why. (see Page 3 for additional information) COCA°LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, ha 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: ~ f Licensed Plumber: Phone: r Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE- Plaits and sunnortina documents that you submit are considered in be nublic information... 1roriiflnsof the information maybe' classified as non-public if your provide specificreasons 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 `or protection against underground utility ttdamage, Call 48 hours ry before you intend to dig to receive locates of underground utilities: 1I Prl~ I hereby acknowledge that thisi information is complete and accurate; that the work wit in f'rmanee with the ordinances and Codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and wo kc not to s#a t without a perrttIt; that the work will be in accordance with the approved plan in the case of work which requires a review and a proval ofd ans. Exterior work authorized by a building pormit issued in accordance with the Minneso to Buildiry Code rn ompaeted within 180 days of permit issuance.] X.' e A X Applicant's Printed me ' Applicant's Signa~ t Page 1 of 3 i 1 44j, t i , PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176827 Date Issued:06/02/2022 Permit Category:ePermit Site Address: 3741 Blackhawk Rd Lot:5 Block: 0 Addition: Blackhawk Acres PID:10-14300-00-050 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: 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 - Dennis & Mary Broge 3741 Blackhawk Rd Eagan MN 55122 One Hour Heating & Air 15191 Boulder Ct Rosemount MN 55068 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature