1742 Palisade CirCITY OF EAGAN Fiemarks
Addition CEDAR C'ROVE #10 Lot 7 Bik 1 Parcel 10 16709 070 Ol
Owner C!_F(_:'i.:. lOYf tX Street 1742 PallBade CirCle State EdgSn, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 85.50 3.42 25 Paid
* SEWERLATERAL 1973 2,107.68 140.51 15 Paid
WATERMAIN D 1971 284.45 14.22 20 Paid
* WATER LATERAL 1973 15
WATER AREA
* STORM SEW TRK 1974 356.00 71.20 5 Paid
STORM SEW lAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 280.00 5214 1-4-72
BUILDING PER.
5AC 240.00
PARK
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesoto 55122
Phone: 454-8100
Date:
PIumL'X'
B-24-79
PERMIT
1742 P2ilisade Q&rcLe
Site Address:
Lot Block
r . "tAVpT:
Name
c Address
3
O
,EQlr7S'
Sub/Sec. _-
1742 Palisede Csrcle
F.ran
4 5- 20 n9
No.
1442
Receipt No.: '-
Single I
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repoir. Cost of installation
- `i ()
City Phone: Permit Fee
r'L':]e?stlA , ?(!
` Nome ?S Surcharge
?°?, Address y
e
V :,11c'r?':7 .°= s., r., ? ?7 •, - .
City Phone: Total
This Permit is issued on the express condition thot oli work shall be done in atcordunce with all opplicoble State of
Minnesota Statutes and City of Eagan Ordinonces.
Building Official %
EAGAN TOWNSHIP
BUILDING PERMIT
?- -
owna: . -Lf.?.... ?;..K....-..._....._4?,:..:,.. ::.............
Addrets (Present) --..,e?...._... h'_.:........................................... _...
Builder ............................................................... ..................... ........ .---
Addreis
DESCAIPTION
?o
Eagan Township
Town Hall
2535
. . j
.?,•/.: ?_.?
Dale "---°`-----'--.......
Slories To Be Used Fos Froni Deplh Heighf Eai. Cosf l Petmi! Fee Ramarks
? _t'4 ? 90 ? ? :6 /
c
.
i ,??--t-
,-
..
i
' LOCATION Cft -- C4-!fr'-??-` ,c ?. L;ar-?-c i.?/
Sireel. Road ar olher Descslpllon ot Localion Lo! ek Addition or Srac! ?
? / , l'IV ta- ? C?.?.:2._?_ ?.•__ /°
This permii does not aufhorise the use bf sirae2s, roadt, alleys or sidewelka nor does it qive the owner or hSs agent
the sighfto creafe anp situation which is a nuisaace os whieh presenis a hazard !o the healih, aefefy, eonvenienee and
ganeral maliase !o anyoae in the eommunity.
THIS PERMIT MUST BE KEPT O THE PREMISE WHILE THE WORK IS IN PAOGAESS.
z
This ia fo cerlify. 2haf.uF.-t.,: ..:_'-.-_.`.-':::._ ........has permission 2o arecf
............. 7 . ............. mpon
the above described premise eubjec! !o the p:ovisiona of the Building Ordinenae fos Eagen Township adopSed April 11,
1955.
? •
_ ....................... .
................................ . ......._.--. Per ..........
.......................................
/. ----Chairman of Tnwn Board ..............?........Buildinp Impaclor
RESIDENTIAL
BUILDING PERMIT APPLICATION
? ? ? ? ? CITY OP EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Constructian Recuiremanb
• 7 regisrerea site surveys showirg sq. k. of Ict. sq. ft. of house: an0 all roofed areas
(20°'o maximum lot cove2ge allowed)
• 2 copies of plan showing beam 8 window sizes; poured found tlesign, etc.)
• 1 set of Eneryy Calculations
• 9 copies of Tree Preservalbn Plan if lot platted aRer 71153
• Rim Joist Delaii Oplions selection sheet (61dgs wNh 3 or less units)
DATE a- 17 - o a
SITE ADDRESS I`-T ? P'l 17S ,L" C(r MULTI-FAMILY BLDG _ Y ? N
TYPE OF WORK 190J\, Q& $,,4' 11J2 -ATS4 ?_ °L StG{..t,.h .C.S, PIREPLACE(S) _ 0 _ 1_ 2
APPLICANT??J? CA
STREET
Nqs??
TELEPHONE #
PROPERTYOWN
CELL PHONE #
FAX #
TELEPH06 45 043(o
---------------------------------------------------------------------------------
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ N[[NNE:SO'1':\ RULES 7670 C.\"CLGORl" 1 MIVNCSO"t':\ KI"LLti 7672
(V submission type) . Residential Ventilalion Category 1 Worksheet Submitted • New Ener9Y Code N/orksheet Submitte7
• Energy Envelope CaIwlaUOns Submitted I
Plumbing Contractor:
Plumbing systcm includes:
Mechanical Contractor:
Mcch:miril sy,tcm includes:
Sewer/Water Confractor:
_ Water Softener
Wacer Heater _
No. oC Aaths
Air Con(liuoning
Hcat Rccovcn• Scstcm
_ PElO[1C #
C,awm Sprinkler
No. of R.I. Baths
Phone # n±
- U
S'
Phone #
Fee: 590.00
Pce: S7J).O?O
--... --- • ° ------------------------------------°-------------------- • ---------------- °------------------- ° °.----------
I hereby acknowledge that I have read this application, state t t e informati orrect, and ogree to comply
with all applicable State of Minnesota Statutes and City of Ea rdinance . f
Slgnature of Ap?Ntien
--------- ---------- ------- _______- ---•---'----------------------°°-----------------°°--------°--------°---------'---
----------Y---•--------~OF'EICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upaated a/02
. .?_
RemodeUReoair Recuirements
. 2 copies of plan
• 1 sel o( Ereryy Calculations for heated addilions
• 1 Site Survey lor extenor addiGOns 8 deck5
• Indicate if home served by septic system for additions
VALUATION ? ?? 4-7 • 9 0
OFFICE USE ONLY li
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
N6r. of Units
Nbr. of Bidgs
Type of Const
? 07 05-plex ? 13 16-plex ? 24 Pool I,I ?
? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ?
? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4seI a.) ?
? 10 08-plex ? 18 Deck ? 23 Porch (screened) ?
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ?i
? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish (Interior) II' ? 44
-? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 37 Demolish (Bidg)' O 43 Reroof ' I1 ? 46
•Demolition (Entire Bldg only) • Give PCA handout to applicant
Ili
_ Occupancy MC/ES System
_ Zoning City Water
_ Stories Boosten?Pump
_ Sq. Ft PRV II
_ Length Fire Sprinklered
W idth 11
30 Accessory Bldg
31 Ext. AI[ - Multi
33 Ext. Alt - SF
36 Multi
Siding
Fire Repair
W indows/Doors
- . , REQUIRED INSPECTIONS b ,
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) FinaUVo C.O. I,
_ Footings (addition) _ Plumbmg
Foundaeon HVAC
Drain Tile Other ?
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AivGas Trsts _ Final
_ Framing Siding Stucco Sron
_ Fireplace _ R.I. Air Test i
Final Windows (new/replacement)
_ [nsula[ion _ Retaitting Wall I
Approved By , Building inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & 5urcharge
Treatment Pfant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
MASTER CARD
?
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING
I
-?
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLWG I
SANITARY SEWER
OTHER I
OTHER -
•
•
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION i CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEAl1NG
GAS INSTALLATION
L 2 ? ^ DEPTH
WELL
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER A •
--- /) ??i
f ^ ?)?
. ..
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REqUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CERTI FICATION -I certify that I have carefully inspected the above in which 1 haVe no intarest present or prospective, and that I have reported herein
all signiticant conditions obsarved to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
mena for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILDING INSPECTOR
DATE
COMMENTS:
CO!? 23
G. A. Stov ,p ?
. " % k?uz 1G7DJ
- - - - - -- Eagan, _i • 55122
?-- - -- #
_ ..... . May. 15, _1978 ,. Rk
Mr. Thomas Ae3ges, City Adminiatrator
3795,.Pilot Knob _
^,agan', Minn. 55122
Dear. Mr. HedEes: - --
We three neighbors have a common problem and we tieiieve the City of Eagan could -
completely alleviate it with a_very minimal espenae to the City.
We are, Jim Plantenberg, G. A. Stoven and Ed Lyona oceupying the residencea of
- 1746',?`1742 and 1738 Palisade Cirele respectively: Plantenberg has water and
completely soaked ground in a portion of his baek yard almost conatantly. 8toven
-- has the same condition only worse with an extremely active aump pwnP and a aeverelq -
wet baek yard. Lyons has an,equally serious aituation as he has gone to the expenae
-of haoing a aecond set of draim-tile installed on the outaide of hia foundation. -
This ia in addition to the drain tile he has beneath his basement Ploor. The Eagan
--- sewer,-is at the rear of hia lot. 3toven-has apent-a-very minimum--of $500.00 en- -
deavbring to hold the water out. He has inatalled glasa bloek in a12 of his base-
---ment windows,-as well as, having_his yard.around -the-houae built up to hold out the
water.
- - - -+ - - - - -
Om more than one occasion the City oP Eagan have brought pumpa down to our placea
_to-keep us from_being completely_inundated,..which has.happened twice.
_I amjl ot aware of the money Plantenberg_has spent_.for a similar problem. We are
willing to bring in a ditchwiteh, dig a ditch, install aome pea gravel and a 4"
perforated flexibl_e_pipe that will lead from_Plantenbergs' yard through Stoven'a
and Lyons' yard to your sewer at the East edge of Lyons' yard. Mr. Rosene aaid
the City_of Eagan would lower their sewer basin to accommodate our water.
i
We have one small problem, being that none of us are engineers, we will need the
- expertise of Eagan'a Public-Worke Department to lay out the courae-the pipe will-
follow, ae well aa, the depth the digger should go.
- ` - - - _. _.. _. . . _. .
We had a line on a manuel ditehwiteh, which turned out to be a 12" cable machine
and ;being that we-need-a 4" unit,_.this unit-is.of no use.to us. Pr.eaently, we do_..
not Yiave a 4" manuel ditchwitch. Doea Eagan have one we eould use?
We three are willing to buy the perforated 4" flexible pipe, we well as, the
neceasary pea gravel and dig the'diteh, lay the,,pipe and replace the sod. We
feel the City oP Eagan has an obligation to furni.sh ua with the engineering and
aurv,eying and a 4"__ditenwitch. Aft'er all,__this is_far cheaper than aending a_ _
crew and large pwnps to keep us Prom being inundated.
-- - __..il_l- --
We w await yaur favorable reaponse.
G. A. Stoven Por
? Jim Plantenberg and Ed ]Lyons
?
---
- --- --' --- - ---- - --- --??_.. v??
7
--- ------ - 6 8 --- - --- - -_ --
----
- - - -?= -- _ . -`' - -??F?`V E(? - ? - -- -- - - - - -
; : ? M,4Y i q 1978 ...
- --,,- ----- --- o - - - - - -..
c? I Z'ti
- - -- -? -- ---- -- --- __ _. - -
y t.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERFIIT FOR SEWER SERVICE CONNECTION
DATE: December 30, 1971 NUMBER 933
OWNER: Cedar Grove Construction lddress 1742 Palisade Circle 7-1-10
PLUMBER Stein Plumbing TYPE OF PIPE Cast Iron
DESCRIPTION OF BUIIIIING
Industria2l Comttercial+ Reaidentiai ` Multiple Dwelling ` No, of units
Location of Connectiana:
Connection Charge 240.00 pd 1/3/72
Permit Fee 10.00 d 1 2
.50 pd 1/3/72 s/c
Street Repairs
Total
Tnspected by:
Date
Remarka•
By.
Chief Inspector
In consideration of the issue aad delivery to me of the above permit, I
hereby agree Co do the proposed work in accordaace with the rules and
regulationa of Eagan Toc•mship, Dakota County, Minaeaota
Ced r Grove Cons uctip n Compaqy
By,? ? _,,., a. ? ?vc,cJC?/
Please notify when ready for inapectioa and counection and bafore any portioa
of the work is covered.
EAGlsN 7YIWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNECTION
Date: December 30_ 1971
Meter Size$? Connection Chg.200.00 pd 1
A7et i N ?? - Permit Fee 10.00 12
Billing Name:.Cedar Grove Constructio Site Address: 7767 va1tiQarja c;reta 7-1-10
Owner: XBRIIQXgBHMXM Cedar GrQve constBilliag r`ddress 9343 r.opr,pyd u1ogi _ F_
Plumber: Stein PlumbinQ Comnany
Meter Reading_ iMeter Dep.
Meter Sealed: Yea_ lAdd'1 Chg,
rro Ixorei cng.
Building is a:
Residence X=
IRultiple Ho. Uni
Commercial
Ixtdustria 1
Other
Inspected by
Date
Remarka:
Number• 772
??- •? - ,I?. ? .'r
;i!JALLU P!lEi?„i,
By:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do Lhe proposed work in accordance with the rulea and
regulations of Eagan Township, Dakota County, Minnesota.
Ce,dq?ar Grove Construc/t?' n Comp ny
By: /??[-diirirev ? .?5/a_? _.?
/3/72
Please aotify the above office when ready for iaspection aud connecCioa.
2004 RESIDENTIAL BiJIELDING PERMIT APPLICATION
City Of Eagan .
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
S 77 o.06
New ConsW ction Reauiremenls RanodellReoair Reaulremen5
3 registered si[e surveys shaving sq. ft. of bt, sq. ft of house; and II rooted areas 2 copies of plan
(20% mazimum bt coverage allowed) 1 set of Energy Caiculetans for heated additions
2 copies of plan showing beam & windax sizes; poured found design, etc. 1 site survey for addi5ons & dedcs
7setofEnergyCalwlations AddiG'on-indkafelfonsifeseptksystem ..,. . . .
3 copies of Tree Preservation Plan'rf lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs wifh 3 or less unfts
Date ? / ? / • Construction Cost lp ? -f ? • d U
Site Address p
UniUSte #
Description of Work l(7 GC.? ? ? Q JY11 w.????
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Pro
ert
Owner a' Tele
hone #(?
?J?)
p
y p
p
?
Contractor ,
Address -] City
State /
Zip ??ji t4 Telephone # l01)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Itules 7670 Cateeorv 1 _ Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 su6missiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you p
fee applies.
JUN 2 S 2004
Licensed Plumber
Mechanical
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Pernrit 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 the State of MN
Statutes; 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. ?
in Eagan with a similar plan2
J b\1 ATLLH ARa S o M
ApplicanYs 'nted Name Applicant's 3 e
OFFICE U5E ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool I, ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaiebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ?i
? 06 04-plex ? 12 12-plex Plbg_v or_ nl ? 25 Miscellaneous I
Work Types i;
'
?I
? 31 New ? 35 Inl Improvement ? 38 Demolish Interior 0 44 Siding
? 32-Addition ? 36 Move Building ? 42 Demolish Foundation 0 45
I Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof O 46 WindowslDoors
? 34 Replacement "Oemolition (Entire Bldg ) - Giva PCA handout to applicant I
Valuation Occupancy MCES System I
Census Code Zoning City Water I
SAC Units Stories Booster Pump ,
# of Units Sq. Ft. PRV ;
# of Bldgs Length Fire Sprinklered ,
Type of Const Width
REQUIRED INSPECTIONS i `
_ Footings (new bldg) _ Final/C.O. ,
_ Footings (deck) _ FinsUNo C.O. r
_ Footings (addition) _ Plumbing
_ Foundation HVAC ?
Drain Tile Othet i
Roof
Ice & W ater Final Air/Gas Tests
Ftgs
Pool Final
_
_ Framing _ _
_
Siding _ Stucco _ Stone j_ Br ick
_ Fireplace _ R.I. . Air Test Final Windows ?
_ Insulation _ Retaining Wall
Approved By: , Building Inspectar
Base Fee
Surcharge j
Plan Review
MGES SAC ?
City SAC ?
Utility Connection Charge
I
S&W Permit & Surcharge ?
Treatment Plant '
License Search ?
Copies ?
Other I
Total ?
I
r„7J j 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
v . City Of Eagan
" 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?
New ConsW ction Reauiremeng RercwdeNteoair Reauirements OfAte 4Tte Oniv
3 registered site surveys showirig sq. f4 of lot, sq. R of house; and all roofed areas 2 mpies M plan Ced of Survey Recd Y? _ N
(20% maximum btcoverage allowad) 7 set of Energy Calculalions for heated addltions Tgrce PreS"PIaR?ecd Y 1?
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNons 8 decks e Pres,{te'ijyiretl r„'?a;?Y? ' N
7 set of Energy CaIcuWGOns ?f ,W?„ Ad "an - indicate d onsite sepfic system Q2sde
3 mpes of Tree Preservatlon Plan if lot platted afler 711/93 `"4"? n I I
(1 f1 p? 1? 7j?1Z -04 -.?7?
Rim Joist Datail Opfions selection sheet (bldgs with 3 or less units t/
?[ i? i ? N
Date ?/ 27
/? ? . _ Co
Coustruc?tion st Q O a ?"?'
SiteAddress J,04dt CckG UniUSte #
Description of Work RC Q C?e kj S IAJ CW u- I r'
Multi-Family Bldg _ Y N Fireplace(s) 0_ 1 _ 2
Property Owner Yu G G S Telephone #(djZ ) Z 7 S - 5'0 Z/
Contractor
Address 4100 EXCELSIOR BLV . Cit3'
Sta[e ST• LOUIS PARK, MN ip16 Telephone #( 6/z, ) 8'L 3 80 ?
COMPLETE THIS
Energy Code Category
(4 submission type)
Have you previousiy
fee applies.
Licensed Plumber
Mechanical
Sewer/Water
ONLY IF
Ventilation Category 1 Worksheet
Envelope Calculations Submitted
a building in Eagan with a similar pian? _ Y
If so, 25% plan review
J ..
J_
I hereby apply for a Residential Building Permit and acknowledge that the infvrnation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the C?-`ity'of Eaga`ri and"the State of MN
Statutes; 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.
ApplicanYs Printed Name Applic 's Signature
Telephone # (
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
?
?rz - z ya - 777I
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16•plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ??i 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (En[ire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Br ick
R.I.
Fireplace Air Test Final _ Windows i
_
_
_
Insulation _ _ Rehining Wall
Approved 8y:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
,CLA
ROOFIlVG AND
REMODELLYG
Excellence Abocr and Belond
4100 Excelsior 81vd.
St. touis Park. MN 55416
Date 3- 1 Z- o4
RE: Permit Refund
To Whom It May Concern:
?J/, =
r.,. 2?J4 //,1
?
?? _ ?U11
I am requesting a refund on the ermit for the following job address:
17?2 A./is.'.? C,;C . A3o6 ,::was epwFoleg, 5` ? pa..M.f w4.s
applied and paid for .... on this job address. Please send the refund check to:
Sela Roofing & Remodeling, Inc., 4100 Excelsior Boulevard, St. Louis Park, MN
55416. Thank you for your prompt attention to this matter.
Respectfully,
Liz McElhinney
Permit Manager
?j•? ? , ?: ,?
. ??
? Sela RoofinF and Remudefing, Inc.
. 4 100 Excelsiur BI41. St Louis Park, MN 55-416
, 6I2 823-8046(11pIs.) 657-04a-Si62 (S[_Pau1) 612-823-10'8 (FAX)
' - v'isit us at wzvwselaservices.eom
SWe nf V1inne9o[a Liccnse ID =0IN)(00
_ • ' 4 ryn ?
2005 RESIDENTIAL MECHANICAL PERNIIT APPLICATION 3a
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when peimits are required for each unit ?ate j a O s
P"
it #
U
7 Li ?
'
n
Site Address I
-
Propcr[y Owner r Telephone #
Contractor Ae"q LI ? A 1. ? ?- lr?'C_ -
.
? r
StreetAddress jJ, ]-S3 N/,/? Y?So. City
State /4A 7V Zip 5-9-2 3 7 Telephone #(ft?2) 7?I? '`-? 20G
Bond#: S-tYD S 6 7 Eapires: 944/0 4k'
The Applicaot is _ Owner ?c. Contractor _ Other
Add-on or alteration to eaisting dwelling unit $ 30.00
? furnace _Additional KReplacement ^ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ 50
Total $ 3D"Sp
I hereby apply for a Residential Mectianical Permi[ and acknowledge tha[ the information is complete and accurate; that the work will
be in confonnance witb the ordinances and codes of [he City of Eagan and with the Mechanical Codes; Ikiat I undetstand this is not a
permit, but only an application for a permit, and work is not to s[art without a peanit; that the work will be in accordance with the
apprwed plan in the case of work which requires a review and approval of plans.
I d ? ^T G ? : '? -1 I
A +'%y c-I L` / I-i r c ?.L-!n G j i
Appli ant's Printed Name Appl? Signature r T? ,
?s{?v IA"''""' .
2005 CONIAMRCIAL MECHANICAL PERMIT APPLICAT30N
City Of Eagan ?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
J
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
?
Property Owner Telephone # ( )
? .
Contractor I ?
StreM Address City I
State Zip Telephone # ( )
Bond #• Eapires:
I
,
The App6cant is _ Owner
Contractor
Other I ,
_
_
?
Work Type I
_ New Construction _ Underground Tank _ Install _Remov ,e •"see below
_ Interior Improvement _ Install Piping _Processed _Gas ,
Nature of Work: ?
"*When installing/removing underground tank, call for inspection by Fire Marshal and P lumbing lnspector
PCIYIIit FCCS: $70.50 Underground tank ins[allationhemoval
$50.50 Mrnimum (inciudes State Surcharge)
OC
Contract Value $ x I% _$ Perneit Fee
$ I' State Surctiarge
If nermit fce is les
If pEIluit fee is ma
is $.50 for ev ? thao $1,000, add $.50
re than $1,000, surcharge
ery $1,000 owed
$ ? Total Fee
I herehy apply for a Commercial Mectianical 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 Mechazrical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start withwt a permit; that the work will be in accordance with
ihe approved plan in the case of work which requires a review and apprwal of plans. 1
ApplicanYs Primed Name
Approved By:
Required Inspections: _ U.G. _ R.I.
Applicant's SignaNre
? Inspector Date:
Air Tes[ Cras Service Test Infloor
Final
??q ?- ' 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Kuob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Conshuction Reouirements
3 registe2d site suNeys showirg sq. ft. of lot, sq. ft. of house; and all roofetl areas
(20 % maximum lot coverage aliowed)
2 copies o( plan showing heam & window sizes; poured found design, etc.
1 set of Energy Calculatbns
3 copies o( Tree Preservation Plan if lot platted after 711/93
Rim Joisl Detail Options selection sheet (buildiigs with 3 or less units)
Minnegasco mechanical ventilation form
RemodellReoair Reouiremen[s
2 copies of plan showing footings, beams, joisis
1 set oi Energy Calculations for heated addilions
1 site survey for additions & decks
Add'Rion - indkafe iFon-sAe septic system
# -?-o.r-v
Oflice Use Onlv
Cert ofSurveyRecd _Y._N
TreePresPlaqRecd _YN,
T2e PresRequired YN
OnsiteSepticSystem , _Y _N
Date
Site Address 7 y 2 Construction Cos t" ? i{l y.
-r
UnidSte #
Description of Work IC2wx9,
Multi-Family Bldg _
Y_ N ?
Fireplace(s) _ 0 _ 1 _ 2
Property Owner J o ? a- l ?c {'?t S ? ??'ec Telephone #( ?V 5"' ?-(
Contractor ?L-- ? "s
e
Addl'CSS ()
stste 14wy ?j Clty {>-r_NSµ,L?G
zip rs ?__-Tclvpllmne 0) v sY - 360 0
E? L
2G0 5
COMPLETE THIS AREA ONLY IF CONSTIiU"CTING A NEW BUILDING
- MinnesoYa Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ven[ilation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submilted
In the last 12 months, has the City of Eagon issued a permit for a similor plan based on a master pianB
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( )
Sewer/Water Contractor Telephone # (
I hereby apply for a Residential Building 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 the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wark is not to start without a
permit that the work will be in accordance with the approve ',plan " the case of work which requires a review and
approval of plans.
CV,
ApplicanY's Printed Name
ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
p 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 68 06-ptex ? 16 Firepface ? 21 Porch (3-seaJ ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
p 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgaze6o) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof 9'46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to appiicant
D85Cription: WaterDamage_Yes
Valuation
Plan Review
Census Code
SAC Units
# of Units
# of Bidgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Roundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
100% or 25%
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheeri'ock
_ FinallC.O.
_ Final/No C.O.
HVAC
Other
_ Pool FYgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Srick
_ Windows
_ Retaining Wall
Building Inspector