3857 Palisade Pt .,..; 4'"
PERMIT #
MECHANICAL PERMIT
"
3830 PIL RECEIPT #
CITY OF EAGAN ?- d
1-1
OT KNOB ROAD
EAGAN
'?1
MN 55122
TE
CONTRACT PRICE ,
,
cs
DA
:
1
PHONE: 454-9100
Site Address ? ? 0, BLDG. TYPE WORK DESCRIPTION
LotBlock Sec/Sub ?
I
? _ ?-• R?
New
?
m Name e- "rr c. __ '. i : C-
Mult Add-on
Address Comm. Repair
c Ciiy kf'a c, 00, "1 Phone ?- s Other
Name ? k FEES
RES
HVA
? .
C 0-100 M BTU -$24.00
Address ADDITIONAL 50 M BTU - 6
00
3
o City Phone .
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
G
AS OUTLEfS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air OM BTU /oZ APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heater
M BTU MINIMUM RESIDEN7IAL fEE - ALL ADD-ON 8-
REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent STATE SURCHARGE PER PERMIT - .50
. CFM $ (ADD $.50 SiC IF PERMIT PRICE GOES
Gas Piping Outlets #
Oth ? BEYOND $1,400)
er
FEE:
S/C: S P I E
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks Sew COriri & WtY' COri2] pd. Ori
Addition Cedar Grove #a Lot 4 Blk 2
Owner(lr?` ?h Street 3857 Palisade Way S
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK I ZS' 1970 125.00 5.00 2 Paid
*SEWER LATERAL 2'LZ, 1974 139.10 Pai
WATERMAIN
# WATER LATERAL 1
WATER AREA
it STORM SEW TRK
# STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 00.00 7668 3-2 -73
BUILDING PER.
sac 260.00 3-28-73
?
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, 1'iinnesota 55122
PERMIT NO.:
The Village of Eagan hereby grants to
Of 734] ni,... --w3 n'1 i L+ + t.
a _ -4i&kW*;W Permit for: (pwner) ?
at3841 Rivertan ;1'2-6. 3857 Palieade Pt ?i-2-8? 387t.P sad way 10-2-8, 3856
?u?3sff;32.?4?C?o?il4 ?8e? '--947; ?4-.__
Fee Paid; .,g,_ dated this day of ?
28th 44ra+eh ? 9?_._
3.00 u/c
Buildinij-Enspectc:??
Piechanical Permits:
L:ia rotal:
A i b /G 7C ? U4) c? .a-
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
?
PE1?d4IT N0. e_ 312
The Uillage of Eagan hereby grants to
of
a vrUpguan Permit £or: (Owner) gaue ?
a -a-2-???857 Pallsade PL. 1?-2-8t
3U7a--Falieade?rla3?l.p-2?? W67L?
' ation dated '3/27? -
Fee Paid: 412p.UQ dated this 28,b day of Niarch , 19 73
3.00 s/c
Building Inspeci:or'--'-
Mschanical Permits:
t3id Total:
Unh(_
?
` EAGAN TOWNSHIP `
BUILDING PERMIT 2928
Owner ------- _!? . _ ? ._f. ' .. ? ..-.. r .-._'--c ?<-r?-eJl
_ ,_.__.....'. ------- Eagan Toivnahip
Addreas (Preseni) .... -------- ?....:....?Y.,cat.*.r.?------------- Town Hall
Builder ._-......_.......
Address .... ....... ?-------- '................
Date : 73 - ............
DESCRIPTION
6toiesi To Be Used Foz Fron! Depih Heigh! Esi. Cos! Parmit Fee Remaxks
, ?? .3-?Y ?' ?C •- 5/?
5lreel. Roed or oihez Descriplion oi Localion I Lo! B1ock -- Addition or Tzae!
This pesmii does noi auihoriae the use of streels, roads, alleys or eidewalks nor does it give the owner or hia agent
the righf to areate anp siYUafion w6ieh is a nuisaace or which presenis a hazard !o the healih, safety, eonvenianca and
general walfare !o anpone in the communilp.
THIS YERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGS.
Thia ia io cerlify. !hal...__--hsspermission !o ezeet a..-?-....-:??.^:
.._upoa
the abora descri6ed premise subjeef !o the provisions of the Building Ordinenee tor Eagan To nship ado fed April 11,
1955.
-?:!?f!..: ........... lc( ................ ...
------ _ .:.... ....... Per
y... ? _ ......... .........
.
C • ?j Building " ImpeeSor ...
-/;
VILlAOE OF EAGAN SEWER SERYIGE PERMIT
3795 Pilpt Knob ftoad PERMIT NO.: 12914
Eugon, MN 55142 nnTE: 1 21/29 72 3 Z. ?a
Zoning: R-1 No. of Units: 1
Own
Addt
Site
Plumber: Stein's
I a9res ro comply wifh the Vilhye of Eogan
Ordinoncaa.
By:
Connection Charge: 26n°oc) Pd 31
Account Deposil0o00 d 12/29 72
Permit Fee:
Surchazge: • 0 Pd 12/29 72
Misc. Chazges:
Date of Insp.: Total:
Inep.:
Date Paid:
62432?
Request Date Fire No. FougAin Inspeclbn
RepuireE7
?leatlY Now ? Will Notiy Inspet[or
?Yes No WhenReatlyT
IWcensed cornractor ? owner hereby request inspection of above electrical xrork at:
.bb Ntltlreu (Sireet. Box or Route No.)
4 C'alu}e, `D('
-3198 Ciry
,
Section No. Townsnip Name ar No. Range W.
1 C
1 4o-,
OEtu 1 ?PRMT)
M,y,A Plione No.
684-430b
Power Supplier MEress
ICa'kt aec'Fr tc ASsnJ q360 aw'!h $} l0 F-arrnl 'WV
EIttM1¢al C
nbacbr (
o
Co
m
p
a
ny N
a
m
e) Cor?lra or4 Li
ce
ns
e No.
?
'?
J
p
q
?
?
?
,
_
?
1
1???' ?NUY 111Cf ?CT/?C, n
(
?
?"1.7? -4
Malling Atlaress (COntracto? or Owner Insfallatun)
s
a?
DkU ss ai
a Qad
? «?
Aufior¢ aleie?Gomracta er MaMing Installahon PhoneNUmbar
$a-34R
NINNESOTA STATE BOARO OF EIECTRICffY "THIS INSPECTION REQUEST WILL NOT
6rlqy.1116daey Bltlg. - Noom 5173 BE ACCEPTED BV THE STATE BOMO
1821 UnlvanMy 11ve., St Geul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
PMne (610) 612-0800 ' ENCLOSED. .
3/?5(/51 0REQUESToPOROEP ECTRI?CAIbINSPEC?TION copy
? 624,32 "X" 8e/ow Work Covered by This Request
ee-oooo,-oe
/DOSC.50
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Wa[er Heater Eleciric Heating
Apt. 8uilding Dryer Other (Speciiy)
Comm./Industrial ' Fumace
Farm Air Conditioner
Olher (specity) ConVacrorS RePoaBS:
Insiaq DER o?-?enk u?ale? haocFa? 8?s??
ComAute lnspecfion Fee Below:
# Other Fee # Service Emrance Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps D to 10 Amps
Transformers Above 200 _ Amps bove 10 _ Amps
Si9fIS Inspector5 Use Only: TOTAL
^'
Irrigation Booms ? ? ?q
I.S.ti V
Special inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspecror, hereby Rough-in
certify that the above inspection has
been made. Finai
OFFICE USE ONLY
ThiS RQU¢Sf VOId 18 TOl1(M16 bOlll
oF eagan
3830 PILOT KN08 ROAD, P.O. BOX 21199 Orde r# AT 9862 VIC ELLISON
EAGAN, MINNESOiA 55121 Mqror
PHONE: (612) 454-8700
Specfal Assessmeat Search iHOMnS EGAN
DAVIDK.GUSTAFSON
PAMEUl McCRFA
7HEODORE WACHTER
D8t0! March 31, 1988 CouricliMemben
nionnns HEOCEs
.. . CIN PqmlNSiwtoi
Requested $lf; Re: 1 0-1 6 7 0 7-040-OZ -_ El1GENEVANOVEReEI(E
L4 B2_.Cedar GrQVe #8 ? cmaark
First Security Title, Inc.
On the attached form is the City's response to your search
request on the identified property. The information includes the
oriqinal amount of the assessments and the payoff amounts of the
assessments on the parcel. In addition, pending assessments are
included for improvement projects that have been ordered to be
installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
WAIVER/DISCLAIMERC
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and using information on
the attached form and for all other consideration of any nature
whatsoever, any claim against the City or its employees rising
therefrom is hereby expressly denied. Pending assessments cannot
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
Very truly yours,
SPECIAL ASSESSMENTS
Attachment
THE LONE OAK TREE. ..THE SVMBOI OF STRENGTH AND GROWfH IN OUR COMMUNITV
TRAIUS,=aCfiuP.i Iii2 F:703 81=1='CTflI._ ASSF'SSI°IE.PJT3
SI'ECTi;L ASf-,E:S'a`Mf.::NTS S'L-"AItCH SUf'IMFaRY
Pr-:i=iPi_r-;rv I.D. "I"UGAYS ll61"fL-;,: 03I31f88 ---SF'k:CI!-`d_ F'LF1GS_._._.__
1-:2-5--'6-S..fr-7'-i3-9- 1•,'t
1??-16:?ii7-G40-?:?;'
_-,== _ __--_.:__=: __:_-::_ =
= = A?lf= ?
...;, A. #
F1S;,F_SSI`IL::IV i
lii:-:3CR.
YP;
YRt; F«l'i E
1"0"C'AL F1NN.
1-'R.ti N. _ .... _ :
F'F;YiJH F L'L'll°II°ILI'.I T
100125 sAN sw rRi:: 69 25 S. ou•-, 125. on .00 .00 cLoUr_D
10022"2 Sibd t_ SM T 7" 5 E3.00"/. 1539.10 .00 .00 CLCi'iE.U
SUI`71°WRY OF AI_ i' T VL. .00 .00 .00
THTS YEFsf-i'S "(U7 F'<<T „Ci(i
F're-,.=.;,_; F'i qir 1=2 (Fleader 1=orm) or F°7 (Restart Fi76(3)
oF
3830 PILOT KNOB ROAD. P.O. BOX 21799
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
Date: MaLy 20, 1987
Reauested bv:
Cliicago Title Insurance Co
8000 Rovm Line Avenue
Bloomington MN 55438
Re:.-c&far Grove #8
10-16707-040-02
On the attached form is the City's response to your search request
on the identified property. The information includes the original
amount of the assessments and the payoff amounts of the assessments
an the parcel. In addition, pending assessments are included for
improvement projects khat have been ordered to be installed by the
City Council as they may affeet this parcel.
The City's policy is to levy assessments based upon the current
zoning or existing use of the parcel (whichever is higher) as
reflected in the above assessments. if, and when, the parcel is
rezoned or developed to a higher use, a condition of development
approval will require that this parcel assume any additional
assessment obligations that have not been previously paid for
existing public improvements. The City Engineering Division can
provide further clarification of this policy if you desire.
WAIVER/DISCLAIMER:
Neither the City of Eagan nor its employees guarantees the accuracy
or completeness of the information provided which was requested by
the person or persons indicated. 1VOr does the City or its employees
assume any liability for the correctness Chereof. In consideration
of receiving and using informati.on on the attached form and for all
other consideration of any nature whatsoever, any claim against the
City or its employees rising therefrom is hereby expressly denied.
Pending assessments cannot be paid until levied. Levied assessments
can be paid to the CITY OF EAGAN.
Very truly yours,
SPECIAL ASSESSMENTS
n
BFA BLOM9UIST
Niwor
nionnws Ec-Arv
1MM1ES A. SMftH
VIC ELLISON
1HEODORE WACHTER
Special Assessment Search CourollMemben
THOAAAS HEDGES
. Cify Adminiihatw
EU6ENE VAN OVERBEKE
crcv aak
Attachment
iHE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN
TRANSACTION ID: R768 SF'ECIAL ASSF_SSMENTB
SF'ECIAL flBSESSMENTS SEARCH SUPIMARY
PPOFERTY I.D. TODRYS DfiTE: 05/20l87 ---SFECIAL FLAGS"----
TL
Y0-16707-040-p2
---------------
S.A.# A5SE6SMENT DESCP.YR YrS RATE 707AL AfViV.F'RIN. RFdYQFF?WGOMMEN7
SUMMARY OF RCTIVE .00 .00 .00
:?r?r+e+?r?i THIS YEAR'S TOT P&I •00
Fress Fi or Fc iNeader- FormJ or F7 (restart R768?
MASTER CARD
.ir
OWNER
STRUCTURE
LAND USED ASD /D 7of-
Permit
No.
Issued
- Issued To-
Contractor Owner
I
BUILDING _
?? 2? ? s• 7?? I
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRiCAL
HEATING
GAS INSTALLING
SANITARY SEWER J '4y
OTHER b/
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
`OOTING .y t 7 g SEPTIC
FOUNDATION
FRAMWG
? CESSPOOI
TILE FIELD FT.
FINAL
ELECTRICAL i
!
HEATING
2,31 DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLl1MBWG ? W-- 93
WELL
i
$ANITARY SEWER
Violations Nofed
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVBNT OF OBSERVED VIOLATIONS
PERMIT NO,
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECTION
? ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. Bl11LDER WILL COMPLY
WITHOUT DELAY.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
17EMIZFD AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
REI
DATE OF REINSPECTION
CERTI FICATION - I certify that 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 be at variance with ordinances of the Town of Eagan, approved plans and spacifications, and any specific require-
ments for off-site improvements relating to the property inspected.
ri ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
IONW 23
.
Er+cAx sowrrsxir
3795 Pilot Rnob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PERNII T FOR WATER SERVICE CONNECTION
Date:3/28/73 (12/29/72) Number: 1145
-se --o-
Billing Name•Cedar Grove Construction Cogite Address• -2-" 3857 Palisade Point
Owaer• same
Plumber: Stein's
Location of Connection
NO I Total Chg.
By:
Sta n's
Building is a:
Residence xc
liultiple So. Units
Commercial
Industrial
Other
3/28/73
Meter No, iMeter Permit Fee 10.00 d 12/29/72
Meter Reading Dep. .0 pd 12/29/72
Meter Sealed: Yes_ `Add'1 Chg.
Inspected by
Date
Remarks:
Billing Address
$25.00 RUf;SPErTiON FEE FOR
IMpROPERLY INSTALLED METERS.
By:
Chief inspector
In consideration of the iseue and delivery to me of the above permit, I
herehy agree to do tke proposed work in accordance with the rules and
regulatioas of Eagaa Township, Dakota County, Minnesota.
Please notify the above office when ready for inspecCion and connection.
CitV OF
3795 PILOT KNOB ROAO, P.O. BOX 21199 BEA BLOts9Ui5T
EAGAPI. MiNNESOTA 55127 Mayv
PHONE: (612) 454$100 THOMAS EGAN
JAMES A. SMITH
JERf7Y THOMRS
THEODORE wACHiER
DaTe : 7-1_83 ?m"t Mem?.,
- iHOMAS HEDGES
Cily Atlminislrotp
EUGENE VAN OVEFBEKE
Cny CIeM
SPECIAL ASSESSMENT SEARCH
UNIVERSAL TITLE INS CO RE: L4 B2 Cedar Grove N8
14500 BURNHAVEN DR STE 159 3857 Falisade Pt
BURNSVILLE MN 55337 A14-03008
Enclosed herein is the search which you requested made on the above described property.
Kind of Improvement Runs Seginning Original Amoimt Balance Due
NONE
0
I further certi£y that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved, and are noia in the process
of planning or completion. I
Kind of Improvement Approximate date of Completion Approsimate cost
NONE
0
WAIVGR:
Neitlier the City of Eagan nor its employees guarantees the accuracy af the a6ove in-
formation which was requested by the person or persons indicated. Nor docs the City
or its employees assume any liaUility for the correctness thereaf. In consideration
for the supplying of the indicated information in the a6ove form, and £or all other
consideration of any nature whatsoever, any ciaim ngainst the City or its employees
rising thcre from is Iiereby expressly waived. Levied assessments to be paid to the
County Treasurer at Hastings, M. 55033
Very truly you?
?
\ THE LONE OAK TREE. ..THE SYM80L AND GROWTH IN OUR COMMUNITY
OF
3795 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN. MINNESOTA 55721
PHONE: (612) 454-8100
DATE: NovemUes 4, 1983
Chicago Title Insurance Ccmpaiy
4820 [+Iest 77th Street SPECIAL ASSESSMENT SEARCH
Ectina, IMSI 55435
BEP, BLOM9UIST
P.bvar
THOMASEGAN
JAMES A. SMITH
JERRV THOMAS
THEODORE VdACHiER
Counol Mertroers
THOMAS HEDGES
Ciry AamOisrroror
EUGENE VAN OVERBEKE
City GBrY
RE: Cedar Grove #8, Lot 4, Block 2
3857 Palisade Point, 'agan, "'1D7 55122
Parcel # 10 16707 040 02
Enclosed herein is the search which you requested made on the above described property.
Kind of Improvement Runs Beginning Original Amount Balance Que
NONE
I further certify that according to the records of said office, the foilowing improve-
ments are contemplated ox pending after having been approved, and are now in the process
of planning or completion. I
Kind of Improvement Approximate date of Completion Approsimate cost
NONE
WAIVER:
Neithcr the City of Eagan nor its employees guarantees the accuracy of the above in-
formation which was requested by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness thercof. In consideration
for the supplying of the indicated information in the aUove form, and for all other
consideration of any nature whatsoever, any claim against the City or its employees
rising there from is hereby expressly waived. Levied assessments to be paid to the
County Treasurer at Hastings, hQV. 55033
Very truly you s,
12
\ THE LONE OAK TREE. ..THE SYMBOL AND GROWTH IN OUR COMMUNITY
cst
on
oF ea
y
g
3830 PILOT KNOB ROAD, P.O. BOX 21199 . BEn BLOtVt9uIsi
EAGAN, MINNESOTA 55721 Mwa
PHONE: (612) 454-6100 7FK)MAS EGAN
JAMES A. SMITH
THOMAS
J
DATE: February 24, 1986 iH
EODORE WACHTER
. Cauncil Memders
THOMAS HEDGES
Cily ACmirelrator
EUGENE VAN OVERBENE
- ECIAL A5SE55MENT SEARCH CiryClerk
Universal Title Insurance Co r-?_? -- --
?
14031 Burnhaven Drive RE: ;Cedar Grove-#8<-:
Burnsville NEd 55337 - cIat-4-Block 2 J
3857 Palisacle Way
Enclosed herein is the search which you requested made on the above descrihed property.
Kind of ImprovAment YPa=,, Seginning Original Amount Balance Due
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved and are now in the process
of planning or completion.
Kind of Improvement Approximate Date of Completion Auproximate Cost
NONE
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the above infor-
mation which was requested by the person or persons indicated. Nor does the City or it
employees assume any liability for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for all other consideratic
of any nature whatsoever, any claim against the City or its employees xising therefram
is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN,
3830 Pilot Knob Road, P. 0. Bpic 21199, Eagan, MN 55121.
Very truly yours,
SPECIAL ASSESSMENT DIVISION
THE LONE OAK 7pFF n+c cvnnani nF cTOCnir-ru etin r_onurtu iN 0110 rnnnnni iNirv ,
? 5 LPI -1
2006 RESIDENTIAL BUILDING rERMiT nrrLicaTioN
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuctbn Requirements
3 registered site surveys showing sq. (L of bt sq. ft of house; and all motetl areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set ot Energy CalculaGons
3 copies of Tree Preservation Plan'rf lot platted after 711193
Rim Joist Detal Options selection sheet (buildings with 3 orless units)
Minnegasco mechaniplventilationfortn
RemodeVReoairReauiremenis 2 copies of plan showing fooiings, beams, joists
1 set of Energy Calalations for heated additions
i site survey for addiUons & decks
Add'rfion - indicate i(on-sHe septic system
er,.,ij
-1e .00
d? n1
C?af ' 'RebL w ? ?
?,?.??Y N
QCI'SAG?Pr ?'5...?f??LD???,?.vEM
(D -te
Date ?/?? /
Site Address 0 ?
S7 Construction Cos y 3 a n
! e,
p(? ) ! 5 d d9 O?b' VII-4- Unit/S[e #
Descrip[ion of Work
Multi-Family Bldg _ X L iN? Fireplace(s) ?0 _ 1 _ 2
Property Owner Q LL,fy ?e- h;P ? c-e K I_ Telephone #(G S93
Contractor T f? t) U I 5 U?, S?/-
Address 4 :1 7
State Ls?s L, 7 L.l/A,-r City E4
Zip $ S 0:;?3 Telephone #(31 )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Su6mitted
. Energy Envelope Calculations Submitted
In the last 12 months, has ihe 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 Contractor
Telepho ?
Te?ephozi (?AY)?n?F
Telephone # ( )I
I herehy apply for a Residential Suilding 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 5tate 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 Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 AI[eration
X 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Poal ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 08-plex A 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - G ive PCA handout to applicant
DeSCr'ipYiOn: Water Damage _ Yes
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Census Code ?r,j1/
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# of Units ?
# of Bldgs
Type of Const ?
Occupancy R -3 MCES System
Zoning CityWater
Stories - Booster Pump
Sq. Ft. 23 PRV
Length / "/ Fire Sprinklered
Width /5
Footings (new bldg)
? Faotings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Au Test _ Final
Insularion
Approved By:
Base Fee (/ v
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
? FinallNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Rebining Wall
Building Inspector
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2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomesicondos when permits are required for each unit
36.csD
Date - _2 / ? / 0& .
r
Site Address ?S71 P Unit #
Pro
Owner
t 'QY?? e Telephone # ( 4v)
per
y
Contractur STANDARD HEATING &AIR CONDITIONING
4
Street Address MINNEAPOLIS, PAN 55408
612 824 2656 City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit . $ 30.00
?
furnace _Additional _Replacement _ New
air exchanger
? n
? air conditioner
heat pump
other
State Surcharge $ 50
Total $
I here6y apply for a Residential 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
perm? but only an application for a permit, and work is not to start witho it; that the be in acwrdance with the
appr d plan in the case of hich requires a review and approval plans
Applicant's Printed Name Applicant' ig ture
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110933
Date Issued:06/04/2013
Permit Category:ePermit
Site Address: 3857 Palisade Pt
Lot:4 Block: 2 Addition: Cedar Grove 8th
PID:10-16707-02-040
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Dan Clough
3880 Willowwood St
Prior Lake, MN 55372
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kelly A Lehr
3857 Palisade Pt
Eagan MN 55122
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447-5761
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118770
Date Issued:11/07/2013
Permit Category:ePermit
Site Address: 3857 Palisade Pt
Lot:4 Block: 2 Addition: Cedar Grove 8th
PID:10-16707-02-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kelly A Lehr
3857 Palisade Pt
Eagan MN 55122
(612) 236-6841
Legacy Building Company Of St Cloud Inc
14848 Kral Rd
Minnetonka MN 55345
(320) 290-4333
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161305
Date Issued:05/18/2020
Permit Category:ePermit
Site Address: 3857 Palisade Pt
Lot:4 Block: 2 Addition: Cedar Grove 8th
PID:10-16707-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Kelly A Lehr
3857 Palisade Pt
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176995
Date Issued:06/10/2022
Permit Category:ePermit
Site Address: 3857 Palisade Pt
Lot:4 Block: 2 Addition: Cedar Grove 8th
PID:10-16707-02-040
Use:
Description:
Sub Type:Single Fam
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee $59.00 0801.4087
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 -
Kelly A Lehr
3857 Palisade Pt
Eagan MN 55122
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
