3897 Blackhawk Rd
Use BLUE or BLACK Ink
1 ForOfficeUse
I
C• ~tV of Eaed ~Permitu Permit Fee:
3830 Pilot Knob Road
`y
Eagan MN 55122 j Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q-36-/oSite Address: 2 1 6 [a_ c ch of k 12-1)
Tenant: ice`- I i`~ tiGlcl Suite
RESIDENT / OWNER Name: Phone: Y'~_6 2 34 6)
Address / City / Zip: 4t_u1 ic_ /Z 0
Applicant is: Owner 4Contractor A
TYPE OF WORK Description of work:. 9f r4_ e- c-e- Al-L CX4 t S
Construction Cost: J 2. 0 Multi-Family Building: (Yes / No X)
c
CONTRACTOR Name: l i Ado 4, DoOrLicense
Address: 313 Sb City:
y
State: Zip: 6T `V 2- Phone: IJ Z 3 3 v
Contact: alN't I( 6 -15 Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 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
accordancee with the approved pplan/ in the case of work which requires a review and approval of plans.
x " J 6 L f'^~"► (fit ~2 _
~ x
Applicant's Printed Name Iicant's Signature
Page 1 of 2
CITY OF EAGAN Remarks Sew & wtr permits and wtr & sew c orm p on 7-31-69
Addition Cedar Grove #6 Lot 61 Blk 6 Parcel 10 16705 610 06
Owner. Street 3897 Blackhawk Rd. State Eagan,MLV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. (oZ 1971 1060.1 106.02 10 Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK
x SEWER LATERAL 1970 1472.00 20 Paid
WATERMAIN
WATER LATERAL 1970 20
WATER AREA
STORM SEW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 210.00 160 ..7-31.-69
PER.
SAC 200.00 1609 7 ---3-1 -6
PARK
I
EAGAN TOWNSHIP
BUILDING PERMIT N° 2471
Owner J Eagan Township
Address(present) Town Hall
Builder
Date
Address /
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Description of Location I Lot Block Addition or Traci
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...? .....:.z__ :____-_-_-_::_._.:___......_.___..has permission to erect a...~t..__: ?......:.5......... - -...upon
the above described premise subject to the provisions of the Building Ordinance for Eagan 'Township adopted April 11,
1955.
---y'"° .:>._..----.._,t..z........ -r 'a-------- Per ---•--------•..r....._..z .............t-
Chairman of Tnwn Board Building Inspector
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122'
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address Unit #
Property Owner 6 X61 e# (qJ~( ) H V d' d' a6
Contractor Bumsyille Heating & A/C LLC
12481 Rhode Island Ave. So.
Street Address Savage, MN 55378-1122 City
State Zip Telephone # (L~ 5d )P;
Bond Ll ~,.SC3~'Z ~~a~ Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional -Replacement
_ air exchanger
_ air conditioner New ~7Replacement
other 6000-U 1 7C ,t-/) ~DG~rC ~
.S0
State Surcharge
L
Total ~
O V
2004,
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete "an the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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
appr ed plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank - Install -Remove **see below
Interior Improvement - Install Piping -Processed -Gas
Nature of Work:
**When installinglremoving underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Mirimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee.
• If permit fee is $1,000 or less, add $.50 $ State Surcharge
If ermit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name Applicant's Signature
Approved By: Inspector Date:
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: July 30, 1969 Number: 313
Billing Name: Cedar Grove Const. Co. Site Address: 3897 Blackhawk Road 61-6-6
Owner: Cedar Grove Const. Co. Billing Address 7343 Concord Blvd, E.
Plumber; Stein, Inc
Location of Connection Meter Size Connection Chg. 210.00 pd. 7/31/69
Meter No. Permit Fee 7.50 Pd. 7/31/69
Meter Reading Meter Dep.
Meter Sealed: Yes- Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence
Multiple No. Units
Commercial
Industrial By;
Chief Inspector
Other
- -
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, Mi esota. oo"I
By: lac
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 SEWER SERVICE CONNECTION
DATE: July 30, 1969 NUMBER 444
OWNER:Cedar Grove Const. Co. Address 3897 Blackhawk Road 61-6-6
PLUMBER Stein, Inc. TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
XX
Location of Connections: Connection Charge 200.00 paid 7/31/69
Permit Fee 7.50 paid 7/31/69
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
Please notify when ready for inspection and connection and before any portion
of the work is covered.
RESIDENTIAL MECHANICAL
Perm ft Application
Cfty Of Eag
383& Not:Kut6Road, Eagan 55122
Tcl%*ou 651-675-M!5
for: Singh Partly k 3" ' Townbmu wd Cabdos when pen is are wyire 3 far each um
rho
e
~T$lh 0
Site
ldrm
Pill TdMboft
i
moft end Ave. $o' C#y
Zip
tow lDqOs Ex*es 19
3 -OX
3 A t is O 4w Coff"dor . t3tber r.
s AN ~ ~ 2044
aw 0cmd t-jew Refit ment sy O*W
r-
S~
T►1
R'
br
f tlwmby y fora Resi&*ti Mac ► eal Penm and acknowledge that the mfonnatioa is com*eft,Od WVOO a1c
r I!t coOa ►awith the ocdhwam and codas of the City of n and with too Mtchmcal C s„tit U a Ai t
w~ t
but =lyva icuum fem.a penmi , wid'work is not to s*d witllow a pmmt; *at to wte wiu W i* =wAmw
, Tim ' - c case ref work . hich requires a review and qVroval o plasma.
AM icanfs PiiuW Name limf s poltw
W :
~ bOC-RAWAL,
3830 PRO Knob, Road, Ex9sn MR $5122
Ti one # 651--475-5675
Plow mmiebe for iavindualrw buildings
scpw*e
it ti-family band #s wt
pesodta are requi ft a NmRing unit
Daft
Site Shvet Address Tlu f #
Te t N y(itapplie") P vi<o T e"* tit
)
Pr+u
~ tl
Street-Address , City
ZIP Ttbpbone # 4 ~
Bond : Expl :
'1'1 owner Connor
Work Type
liar+t scion 1nat N t rove Uride nd Tat*
Intl wW lmpli e~me t schedule kopecum or removel'of tent
Pssod Piping
Noe OWow:
Ptrwit Fee wma$dgM Fee Qualudw StM Soft e)
Contract value $ x 1°l0 $ permit Fee
• If ps lam is S1,OW or ho, add $.SA $ Std Strrcl*arge ;
ifp+ermit fte is over $I'm,am Sm per
$t i flau t Fee
$ Taut Fee
T , bej~ apply for- a Co e2 Mccl m iral permit and acknowledge limt the in omation is eonVlete and =Xulft *0 the "rk
c c; that 3 is
viM bi in c onf with the or#linances and codes of :the City of Papu and with" #w l odumical
a pmt, bA only an apFbcatka for a pert, and work, is slnt.to sWt vi# xf a'p t, "t tlic work wili be in =Avitb
approved plan is the case of work which requires :a,rqv*w and approval of plow-
ApplicatWs Pdftd Nam Applicant's Signature
Approved By. lnspectw Date:
CHICAGO TITLE INSlJP;NCE Edina, MN 55435
4820 West 77th Street Phone: 835-3100
t; /-l" i
TO: L" AGl_N DA 1 I' 4• / 1. r~uDRESS 3t-'i5~ . "r' ti ...L AC.*R1--Ihil,J4..'
FROM: ri()NNP,
FILE NO.: M4•4-1.45
FINE NA:•;E: 'GRAN 14-IE.()z:ORE'. J. DIS: 10 PLAT: 16705 610 06
COUNTY : DAKO ri PLEASE CI.I 'r: TO SEE IF '11PEFE ARE ANY
LEVIED/PENDING ASSESSMENTS
ABSTRACT _ _ TORREN~d ~
L};GAL DESCRZP'Tlulli:
L01' 61., I:LaOC:K 6, CI:ED('iR (31'ROVE: ADDITION 6
i
PLEASE FUR.":IS!a THE FOLLO',IIN C3 J;_,F:VIE,D ASSESSME JT I 'F'OR! ATIONJ ON THE ABOVE
D;SCRIBFD PROPERTY:
Tyle Cf Improverr,ent valance Due
NONE
PLEASE FURNISH THE FOLLOWING :'f;VL`I2vC~ ASSESS:,L',"7TS THAT ARE ESTI:,!ATED AT
THIS TIi,iE
NONE
ALSO REQUESTING ANY ASSESSMEN"'S CERTII' IED TG THE AUDITORS AT THIS TIME.
AND INTEREST:
SignedDate : April 28, 1978
ASSESSMENT LERK
City of Eagan
AMOUNT OF UNPAID WATER DILL, `F ANY: $ l~
4P
7978
s
J
Use BLUE or BLACK Ink
I For Office Use I
I Permit
non
EaEd
1#1~ City of
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 staff;
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / Site Address: ~ / , f
Tenant: ( oe Suite
RESIDENT / OWNER Name: Phone: 6JZ- S 12- ~Syd
R ~
Address / City / Zip:
Applicant is: Owner Contractor
f ~Jl. ~1✓?cG~
TYPE OF WORK Description of work: 22!!L( ON
Construction Cost: ~i Multi-Family Building: (Yes No
CONTRACTOR Name: 04In License ca)Yr,) 7
Address: 7l3% a l' Y sti . City: 4 c t ~x w/
State: /),I YV Zip: II V Z Phone:
Contact: 51- et Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Xm- X.
App cant's Printed Name Applicant's-Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115059
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 3897 Blackhawk Rd
Lot:61 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-610
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Ben Hilde
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Randyl Reed
3897 Blackhawk Rd
Eagan MN 55122
Millersberg Construction
208 County Rd 1
Dundas MN 55019
(612) 839-6783
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165718
Date Issued:11/17/2020
Permit Category:ePermit
Site Address: 3897 Blackhawk Rd
Lot:61 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-610
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Randyl Reed
3897 Blackhawk Rd
Saint Paul MN 55122--173
(612) 597-7388
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature