1745 Palisade CirCITY OF EAGAN
Addition CEDAR GROVE #10 Lot 11 81k 1 Parcel 70 16709 110 (11
owner Kcx'fl,\ F.. `, T-)Pii, G-fYpJCI' Street 1745 Palisade Circle state Ea4an, MN 55122
Improvement Date Amount Annual Vears PaVment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 $5.50 3.42 25 . Paid
+M SEWER LATERAL 1973 2,107.68 140.51 15 '. Pdid
wareAanairv 1972 284.45 14.22 20 Paid
* WATER LATERAL 1973 ZS
WATER AflEA
STORM SEW TRK 1974 356.00 71.24 5 Paid
STORM SEW LAT
CURB & Gl1TTER
SIDEWALK
STREET LIGHT
WATER CONN. 280.00 5214 1-4-72
BUILDING PER.
sac 240.00
PARK
DAKOTA COUN7Y ABSTRACT CO.
` 1 . 7250 Highway 55
HASTINGS, MINNESOTA 55033
437-5600
Enclosed is a check for $5• 00 please send a Pending assessment on:
Lot 11 Block 1 Cedar Grove No.10
1745 Palisale Circle,Eagan
Thanks
Anna
I
" EAGAN TOWNSHIP
BUILDING PERMIT
oWn.: - .-Lc•••W' -................
Address (Presenl) ..... Az....._LL'-':..:I`---:..C................ .............
Builder ............._............-------........-----._..............._............_........---...
Addresn ........... ............................... .............. ......................................
DESCAIPTION
11T° 2535
Eagan Township
Town Hall.
,
De1e -'---` ............... ...... `--.....----......
Siories To Be Used For Fsoni Depth Heighl Es1. Cos! Permi! Fee Remarks
?
E.z
U ' LOCATION C.(d-- >-e " -° `?" /'>/
Streei, Road or ofher Descsipiton o! Loee2ion I Lo! oak Addition or T:aei
This permii does not auihorise the use bf slreeta, roads, alleys or s:dewalke nor does it give the awner or his ageni
the riqhito creale any situafion whieh is a nuisaace ar whieh presenis a hazard !o the healih, safelp, convenience aad
general melfare fo anqone in the eommunifp. .
THIS PERMIT MUST BE I[EPT OTI THE PRgMISE WHILE THE WORK IS IN PROGAESS. ,
?
A- • 4 o?,?.???? ? ......-- -° P
??'... ...... C . ...... i--.._..- . ? ---.'..has permission 2o ereci • ax??... ?n
This . ?s !o ee=lifp, '-'--
'4=-.- `.r -. ,,t""""•......--.''""',y.
the above desaribed premisa subjeei !o the provisiona of the Building Ordinenea for Eagan Townthip adopiad April 11,
1955. ??q ? ...- -....
..' ... .........'---. Per ---...._...... ............. ..N?-^_'?.t- ?
...................... ...... -'-'^ ?::........
.. ..-"'-.. . - .."'-? _'.....Q"..._P'-.......-'--".......
........... ?
Chairman of Tnwn Board ? Huitdin Ine eefor
CITY USE ONLY
L BL _L RECEIPT #:
SUBD. ( ?.?!nnr ,9? /O ? DATE:_5b??
7995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
3.00 x =
Water Heater 3.00 x =
oor rain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkl2r * home under const. 3.00 =
Afterations " to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
i OYAL
SITE ADDRESS: I TROti'ER KEITH ?
1745 PRL I SRL1E C 1 RrIE
1 ERGRP4 . `S 121
OWNER NAME:? H 452-3066 W
INSTALLER
STREET ADI
CITY:
PHONE #: (
STATE: ZIP:
OFFICE USE ONLY
L BL
SUBD.
RECEIPT
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: w all commercial/industrial buildings.
? multi-family buildings when separate permits are ?43
unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAI
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED i
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF ME
WILL YOU BE INSTALLING A METER FOR A FUTl1RE U.G. SPRINKLER ;
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1°h
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
(11AMFR NARAF-
11.ICTA11 CO. . .
Alll'1QFCC•
01 1i1 elMV!1 d.S!', ,....
cirv: sr,are:
:.?/?- . ??N.?-• . •4. . .
PHONE# SIGNATURE:
OFFICE USE ONLY
for each dweiling
YES _ NO.
ISSUANCE.
_ YES _ NO.
af $.50 per
ZIP:
APPLICANT
METER SIZE: " DATE: INSPECTOR:
MASTER CARD
• LOCATION
OWNER
?
?
Z- /0
STRUCTURE AND
LAND USED AS JPAJ .
Permif
No.
Issued Issued To
Conirador Owner
BUILDING
PLUMBING _zs? s ? gr??,•
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I I
u
•
Items Appraved
(Initial)
Date
Remarks
Distance From Well
FGOTING
i SEPTIC
FOUNDATION ^
/v
f1?J 71 CESSPOOL
FFAMING -
TILE FIELD FT.
FINAL
EI_ECTRICAL
HE.4TING DEPTH
OF WELL
GAS INSTALIATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS.
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
085ERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED 9Y CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION - I certify thet I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site imprwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
DATE
•
.gffi?. :3
EAGLjN TOWNSHIP
3795 Pi1ot Knob Road
SL. Paul, Minnesota 55I11
Telephone 454-5242
PERMIT FOR S&IER SERVICE CONNECTION
DATS: Decemher 30. 1971 NOP4B&R 937
OWNER:Cedar Grove Construction Address 1745 Palisade Circle 11-1-10
PLUMBER Stein Plumbing Company TYPE OF EIPE Cast Iron
DESCRIPTION OF BUIIAING
Industrial Commercial Reaidential Multiple Dwelling No. of uaits
X
Location of Connectiona:
Connectioa Charge 240.00 pt 1/3/72 .
Permit Fee 10.00 pd 7/3/72
72 s/c
SCreet Repairs
ToCal
Inspected bq:
Date
Remarks•
By
Chief Inspector
In cansideration of the issue atpd delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toc•mship, Dakota County, Minnesota
CEDA GROVE CONSTRU TION COMPA
Please notify when ready for inapection and connecCion and before any portion
of the work is covered.
EAGFSd TOWNSHIP
3795 Pilot Knob Road
St. Paul, MianesoCa 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: December 30, 1971 Number: 776
Billing Name: Cedar Grove Construction Site Address: 1745 Palisade Circle 11-1-10
OwneY:Cedar Grove Construction Company Billing F.ddress 7343 Concord Blvd. E.
Pltmber: Stein Plumbing Company
Connection
Meter Siz Connection Chg.280,p0.pd 1/3/72
9--:P
ter NocaldnLoi Permit Fee 10.00 pd 1/3/72
.? pc 3/72 s/c
Meter Reading _ Meter Dep.
Meter Sealed: YeslAdd'1 Chg.
NO iTotal Chg.
Suilding is a:
Residence XY
Multiple Ko.
Commercial
Industrial
Other
Inspected hy
Date
Remarks:
''25.00 R, !r;c:i=LC i -^ FGF
IcjfOPthLY !i,!;TALLcD
By:
Chief Inspector
In cons3deration 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, Dalcota County, Minnesota.
BY: CEDAR GROVE CONSTRUCTION COMPANY
?,c
Please notify the above office when ready for inspection asul connectiou.
s y?
!
City of
County of
-tl
METRO TITLE CORPORATION
207 MIDWEST FEDERAL BUILDING
SAINT PAUL. MINNESOTA 55101
TELEPHONE (812) 222•1775
Subject: Pending Assessments 11?
We are hereby requesting as of 9'-)`R"'77
to determine whether there are any pending assessments not certified to
the office of the County Auditor pertaining to the following described
property; and-or special assessments.
i;? / ! 13
10 16709 110 01
1745 Palisade Circle
Assessed in the name of: ???.?
Property Address: I7`? ?G.r,v.?,c•-t??.c?-C? ?
The following improvements are contemplated or pending after having
been approved, and are now in process, or completion.
Nature of Approximate Date Approximate Cost
Improvement of Completion of Improvement
NONE
Ann GoerA? AcaeccmPqt Clnr
Cleik
Charge of $5.00 PAID
fR£P2£1E12ELl2? LRctiiJE25, JLEL£'lYt1t2'LRYLC£ C_0Zr204RfLOYL
;_.„y of Eagan
3795 Pilot Kno6 Road
Eagan, Minnesota 55123
v"('' Mareh 3, 1975
SPCGIE,L P,SSESSMENT SEARCH
hE: Lot 11 61k 1 CC 10
Chicago Title Ins. Co,
4320 1. 77th ;t, LO 16709 110 01
I?dina, Minn 55435 1745 Palisade Or,
Enc'_osed herein is the search which you requested made on the above described
nropcrty°
ICinTof Improvemcnt Runs Beginning priginal Amt. Salance Due
Storm Sew Lat 5 yrs 1974 356.00 213.60
San Sew Main 25 yrs 1970 85.50 64.98
San Sew Lat, d[dat Lat 15 yrs 1973 2107.68 1686,15
4'ater Main 20 yrs 1971 284,45 213.35
I fcrther ccrtify that according to the records of said office, the following
imnroaements are contemp2ated cr pending after having been approved, an3 are now in
tlie process of plannir.g or completion.
i:imi oi zmProvest?nt
none
P,pprox, date oi conpietion App:c:ciraate cost
Wr'.ISi l:F', t
tieither t!;-2 cf L.agan nor its emplcyr-.es guarantee.s the accuracy of r;ie abo-e
infcrmation cahich a;as request,?d Ly tue person or persons indica[ed. P:or doeS t',ie
or it- empieyees assume any :iability for the correctness thereof. In cen-
si3::rr±iou fo: the supplyiitg o[ the indicated information in the above forr;, ar:d
For a!1 other coasideration of any nature whatsoever,
any claim against the ';;1:%y
or its empioyees risi:;.g therefro:r, is hereby expressly waived.
I,evied a_ssessmcnts to be paid to the County Auditor at Hastings, Minnesota 55033.
Pery truly yours,
.`.PL?C,1. A.S?e,`S`Sn7L;NT vEl'_`ATyENT
., ..
REQUEST FOR ASSESSMENTS SEARCH
T0: Eagan DATE: 2-25-75
FROM: Vicki
FILE NUMBER: 32849
F1LE NAME: Nelson
COUNTY: Dakota
ABSTRACT / / TORRENS / /
LEGAL DESCRIPTION: SEE ATTACHED
Lot 11, B1. 1 Cedar Grove No. 10 -
ADDRESS: 1745 Palisade Circle
?
DIS: PLAT: UPARCEL:
CHECK ENCHOSED FOR $ 3.00
SEE ATTACHED
SEE BELOW
NONE
PLEASE fURNISH THE FOLLOWING ASSESSMENT INFORMATION ON THE ABOUE DESCRIBED PROPERTY:
TYPE OF IMPROVEMENT E3ALANCE DUE ORIGINAL AMOUNT
ALSO REQUESTING ANY ASSESSP1ENTS CERTIFIED TO THE AUDITORS AT THIS TIP1E, AND INTEREST
ESTIMATED PENDIN.r, ASSESSMENTS:
SIGNED
DATED:
City of Eagan
3795 Pilot Knob Road
Eagan, MJ 55122
Date: Jan 4, 1980
Da#o33,Cd&nC* 1ysft&aT Goove 100
1250 I!ithway SS SPECIAL ASSEST•tE;lT SEARCH
Iiastings, btN 55033 RE: Lot 11, t3lock 1, Cedar Grove 10
Atin: Anna 1745 Palisale Circle, Eagan, D1N 55122
Parcel #10 15709 m00 01
Enciosed herein is the search which you requested made on the above described
property:
Kin o I^provemen' Runs Beginning Original ,?r.:ount Balance Due
None
I further certify that according to the records of said office, the following
improvements are contempiated or pending after having been approved, and are now
in the process of planning or completion.
Kin o Improvement Approximate date o Corrpletion Aoproximate Cost
Mone
WAIVE•R:
Neither the City of Eagan nor its employees guarantees the accuracy of the abo•re
information which was requested by the person or persons indicated. Nor does
the City of its enployees assume any liability for the correctness thereof.
In consideration for the supplying of the indicated information in the above
form, and for all other consideration of any nature whatsoever, any claia
against the City of its employees rising there from is hereby expressly waived.
Levied assessments to be paid to the County Auditor at Hastings, t4innesota 55033.
Very truly yours,
SPECIAL ASSESS6fENf DEPARTiMENT
?A-A\P\
2006 RESIDENTIAL BUILDING rERMrr arrLicnTioN
City Of Eagan
"l 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX #F 651-675-5694
. NewCq?shudion Reouirem?Ls
regist?ed si(e surveys shaxiry7 sq. ft oflW, sq. ft of house; and all roofed areas
",(20%mazimum lot coverage allowed)
2 apies of pan shouring beam 8 window sizes; poured found design, eta
' 1 sel of Energy Calwla6ons
3 coqcs of Tree Preservatian Plan if lot platted after 711/93
Rim Jds[Detail:Options sdedion sheet (6uildingswifh 3 or less units)
Minncgasco mechanical ven[ilation form
RemodeVReoair Reauiremenis
2 wpies of plan showing footings, beams, joisis
i set of Enargy Calculatlons for heated additions
1 site survey kr additions 8 decks
Addi6on -indicafe ilon-srte septic sysfam
4$qq 27?'
_. N
'*xa'
iSYhl-
?k6?@? Wr6 ? Y ` IY
?
Date onstruction Cost ? Irdo d
C
/
Site Address SA
T ? UoiUSte #
Description of Work e- - S'•k
Mu1H-Family Bldg _ Y>< N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner l
e: cY- 2 C-L.
Telephonett(bSr)
Contractor Gmat Lakes Window 8 Siding
Address 1050 Glenda nve
Aonle Vflle?_ MM kR124
City
State ?' ?? ?"??? i9621891 Telephooe # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Categorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In the last 12 monihs, has the CiTy of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
Telephone #(
Telephone #(
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 ardinances and codes of the City of Fagan and the State of MN
Statutes; I understand this is not a permit, but only
permit; that the work will be in accordance with the
approv f plans.
)12-+4?? L6??
an application for a permit, and work is not to start without a
avnroved-paan i e c f work which requires a review and
Appli-cant's Printed Name
TO; Craig
RE;TROYERS
PERMIT # 74719
1745 Palisade Circle
Egan MN
REPLACENIENT WINDOW
FROM: Crreat Lakes Window & Siding
Bruce
DEAR CRAIG:
We spoke before on the issue of the Troyer's lower level window that we saw as being in
a storage room and that the H/O saw as a future bedroom. On the attached drawing you
will see that the actual opening has been reduced by 2" on all sides and that the window
as was did not meet egress per code (we revisited the home and remeasured the original
frame size and worked backward from there to gain our measurements.)
The Troyer's have not paid there outstanding balance as of 12-13-06 and we have placed
a lien on their progeRy.
I am trying to find a way out of this and was wondering if the reduction of 2" will be
acceptable to your office to call this a legal below grade egress unit. We did place a
smoke detector in the space in order to speed the completion of this matter.
Please call me at 651-398-2928
Thank you in advance for your time and consideration
Bruce Kilander
Great Lakes Window & Siding Co.
Inl Ilfl
?? ?? DEC 1 3 2006 U
WqV ?y0b
?Q,??w ???'•=???:,Q,
?------?.
tl3
a
`b1D a`
G\U
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in?;de
Z.G?a.v '1v ?o1a`?
,ea g,?s
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???A\ S;aeS
City of
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 1 t
.��
Permit Fee: (120
Date Received: 1 I I L3
Staff:
i
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 7/9/13 Site Address: 1745 Palisade Circle
Tenant: Suite #:
Reside ItlOwner
Name: Keith & Beth Troyer
Address/City/Zip: Same Eagan, MN 55122
Phone: 651-452-5026
Name: K&S Heating, Air Conditioning & Plumbing License #: 0153
Address: 4205 Hwy 14 W City: Rochester
State: MN Zip: 55901
Phone: 507-282-4328
Contact: Heidi Brown Email: hbrown@ksheating.com
New Replacement Additional Alteration
Demolition
Description of work:
:oof mounted
Please contac
d ground,mounted mechanical equipment is
the Mechanical Inspector for information on
RESIDENTIAL
X Fumace
X Air Conditioner
Air Exchanger
Heat Pump
Other
quired to be screener'
rmitted screening met(
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
_$ 60.00
J
TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge)
*If the project valuation is over $1 million, please call for Surcharge
= $ Permit Fee
= $ 5.00 Surcharge*
= $ TOTAL FEE
CALL BEFORE YOU DIG. Cali 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.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x Rick Keehn
Applicant's Printed Name
x /vih
Applicant's Signature
FOR OFFICE USE"'
equirerl Inspection
Underground
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118242
Date Issued:10/29/2013
Permit Category:ePermit
Site Address: 1745 Palisade Cir
Lot:11 Block: 1 Addition: Cedar Grove 10th
PID:10-16709-01-110
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Amanda Peters
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 -
Keith E Troyer
1745 Palisade Cir
Eagan MN 55122
Jns Builders Llc
2325 Endicott Street
St. Paul MN 55114
(651) 646-0221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126375
Date Issued:08/22/2014
Permit Category:ePermit
Site Address: 1745 Palisade Cir
Lot:11 Block: 1 Addition: Cedar Grove 10th
PID:10-16709-01-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
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 -
Keith E Troyer
1745 Palisade Cir
Eagan MN 55122
Jns Builders Llc
2325 Endicott Street
St. Paul MN 55114
(651) 646-0221
Applicant/Permitee: Signature Issued By: Signature
61
)IV
-C r
For Office Use // I l'
�,� t � i� ::::: f
E AGA N
rc
: -
�1 f)
L
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ENV E f
Date Received:/
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-569 Staff: FA4-
buildinginspectionst cityofeacian.com DEC 2 0 2019 J
2019 RESIDENTIAL BUI ' = I APPLICATION
Date: 1 73 /GI Site Address: ) "I 1O I ISA C,ra-C Unit#:
Name: YJC� 76)y �� Phone: 6 c7 C/sd• C--0-7(0
} 04.1111W0 "•,q$$p Address/City/Zip: f-7- 9 i G��i S 4 of f ( !ri, 4 ! f 7.a/1 i /U 53-7 2
r Applicant is: ) Owner Contractor
r Description of work: )+LLy n fis rY1 ad ( I C e w 1/1
Construction Cost?"'��, V 00 Multi-Family Building:(Yes I No a(
� r w
r Company: Contact:
i�; r
Address: City:
�
State: Zip: Phone: Email:
;l License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Q% •
h /h N �.r G GoH% Y/v71, p0/4,7% /.� 7
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:
Fire Suppression Contractor: Phone: 4,
wer s. 7 rx j s.?" Q°t r' �d' "' .•�'y'k uy t�
classified>'lis tion4t4bi ` +u p Ovide peci c.,reasons that permit,the C to co a 'ethii:ini4rifide4eckel
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only•an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Q( (7.'
Applicant's Printed Name d Applicant's Signature AA"d)
/ ----7 V ---) A/I' ild6 -°/', ('/(2-
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
y- Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Ak Alteration Fire Repair Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 3� Occupancy ,Y)z ^/ MCES System
Plan Review `/ Code Edition /;)-- SAC Units
(25%_100% //) Zoning %2 "f City Water
Census Code L/5N Stories Booster Pump
#of Units / Square Feet PRV '"
#of Buildings / Length — Fire Suppression Required
Type of Construction ,j Width "'
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill # HVAC_Service Test Gas Line Air Test Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock _ Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
I
Reviewed By: C V , Building Inspector
RESIDENTIAL FEE `r
Base Fee �� /3,, � �hG/`��' � � �' �� 1
Surcharge
Plan Review O 7 -
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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