3845 Palisade Way
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CITY OF EAGAN Remarks Sew conn. pd. 12-29-72 wtr conn, pd. 5-2-73 Additio'!? Cedar Grove #8 Lot 2 Blk 2 Parcel 10 1 b707 020 02
Owner 3845 Pal1S3d8 W2y state Eagan,MN 55122
.? Sh UD rr.l ±.4'1 cJ,c ,
Improvement ate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK L 970 . . a,j,d
SEWER LATERAL Z, 1-974 1539.10 0.82 P2.1d
WATERMAIN
WATER LATERAL 197
WATER AREA
? STORM SEW TRK
.? STORM SEW LAT ? S
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 7892
BUILDIMG PER.
sac . -1-?3
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(651) 681-4675
SITE ADDRESS: - ;, i ,
.. ,.1.. S„
PERMIT SUBTYPE:
INSPECTION RECORD
PERINIT TYPE:
Permit Number:
7 Date Issued:
APPLICANT:
TYPE OF WORK:
11E ';1 N I F' i 1014
F
L
V!-Me'llzi:S: CtlTNNEYfF'lUF Iqkl>;1 4ar IiVS;P Fe:IEl:l EiFF+Iht;' i',1NCC•A9 tN1;. ..
Permit Holder Dete Telephone 8
SEWE
WATER
PLUMBING
HVAC
Inspection Oate Insp. Comments
FOOTINGS .
FOUtJD
FRAMING
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ,
?S
FIREPLACE
AIR TEST
FINAL PLHG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPE(:TION RE(:UKD
CITY OF EAGAN PERMIT TYPE: I 1 1) 1 "ti
3830 Pilot Knob Road Permit Number: 4
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: ,: APPLICANT:
firII unY , . ? ? r tJi??llJ ? ?; t ?? ? r??, , ??
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. . ..
?
? ?? - - - _ _ -- -
Permit Holder Dete Telephone N
SEWER/
WATER
PLUMBING
HVAC
Inspection DeM Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL.
GYPBOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCnvirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
YILLAGE OF.EAOAN SEWER SERVICE 3PERMIT
37932+elot Nneb Road PERMI'.?' Np,9?t??,_
Eagon, MN 55122 DATE: 1??
ZoNng: R-1 - No. of Units: -
owner: Cedar Grove Construction
Address: - _I ?-' r
Site Addi
Plumber:
1 agras to eemply wlth the Villaye of Eaqan
Ordinaneo.
Hy:
Date of Insp.:
Insp.:
Connection Charge: 260,00 pd 512/7
Account Deposlt:
Permit Fee: 10.00 pd 12/29/72
Surchazge: .50 pd 12/29/72
Misc. Chazges:
Total:
Date Patd: -
13a, OvA,t a-a - r
= VILLAGE OF EAGAN C'
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 343
The Oillage of Eagan hereby grants to Cedur Grove Conatruction
of 7343 Goncord Blvd. E.,. So. St.. Pml
a HEATIN(} Permit for: (Owner) eane
3845 Pati.eade way 2-2-8, 3865 Palisade Pain -, 1721 oo ane venue -,
at 3881'Rtverton Avenue 1644-8, pursuant to application dated 4I30I73
Fee Paid: $An_nn dated this 2nd day of May , 19 73 .
2.00 s/c
Building Inspector
Mechanical Permits:
Bid Total:
-5
iD /? JC 7 ac)Zj a?
VILLAGE 0'r' EAGAN
3795 Pilot Knob Road
Eagan, ptinnesota 55122
PERi4IT NO.: 332
The Village o£ Eagan hereby grants to Cedar Grove Co¢tstruction Co.
of __ 7343 Concord Blvd. E. So 3t paul '
a PL1MINU Permit for: (Owner) aaaie
5 Palisede Wqy 2-2-89 3865-palteade--Porn -2 ; 1-72-i-Coohrene Averue-$- _
at3M?Avtne_16 ? pursuant to application dated )4/30/73
Fee Paid:$g0_oo dated this 2Z?L_ day of
2.00 a/c
Building Inspector .
Mechanical Permits:
t3id Total;
EAGAN TOWNSHIP
BUILDING PERMIT
owoa: .......?..-- ..............
Addreu (Paesen!) .,'t°-...::.?-._?.....°--......................
Builder
Address ....
N° 3002
Eagaa Township
Town F[all
ne:e ..,-&'.-...k...-:7 :..................
To Se Used For -Froni
- Deplh Heigh7 Esf. Cos! armft Fee Remarke
/?..Z_ ?,._..-e...-..-t---,-:.. sc-•-o [
? 3. ? s !-c?
''/
This permif does aot authorise the vae of elzeelc, roads, alleys or sidewalks aor doea it give the owaer ox hia ageaf
the sighlto creale anp silualioa whiah is e auisanea oz which presents a hazard !o the health, eafelq, coavenieaee and
general welfare !o anpoae in the eommunify.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS. ,
Thia is 2o cerlifY, =bai.... `. ...... ...................has Paemisaioa !o ..ef-s.. _.._upoa
..... ............
the above described premise aubjeci !o the provisions of the Suilding Ordinance foz Eagan Township adopled Apri! 31,
1955. ?I
............................. ....... ? ....-°- -...._..--?................ Per ..--------°--•----..:?':'.?.._.._?....:.._ ...
_ ...............
...........' Building Iaepector 'e3
e-
de&0Cl1 EiIEd cJ1"lde74 / I G?:.7:t-Y
EAGAN TOWNSHIP
BUILDING PERMIT
Owner _.......l?C?.".`?-,-(/???-°?(?•--.
Addrecs (Presen2) -......._.rb'"`'......... ?---.:.:..
Suilde: ....
Address
DESCRIPTION
.
N° 2928
Eagan Townahip
Toan Hall
Dals -/..?-- '_?"'-3 ' 7 Z--
....._....._".....----.
Sto:iest To Se Used For Fron! Depfh Heigh! Eaf. Cost Fse
ermit Remazks
iv 9?-Y7 Kti..Q-,ytJ
0 .?.?','0'••"'
=?'i' ?' p
i0.?f /c?-?.
" !G ',- S/G.
LOCATION /7 -/4' SJ
sxree:, noaa or omer uescripnon oz i,ocanon I Loi ? nioer Atldi2ion or Tsaef
y ??..C-a.?,.y?_s•-..-i a.
.3
This permit does nof authorise the use o1 aireels, soads, alleps or sidewalks nor doea ft give the owaas or hfs agent
the tigh! !o oreate eap siluafion wh3ch is a nuisaace or which presenis a hazard fo the 6ea1f6, safelp, eoavanianea end
qeaeral welfare !o anpoaa in the eommunifp.
THIS PERMIT MUST BE KEPT ON THE PRE,pMISE ?W-HILE THE WORK IS IN PROG/p??rg S.
This is !o cerlifY, thaf?x:Yr.rs.... ..--_hupermisaioa !o erect a.:-![`:?::.-.?.?...._: ..._..:
^? . ...... .._upoa
the above described peemise subjae! !o the provleions of the Bnilding Ordinance for Eagaa Tod'aship ado !ed April 11,
1855.
.......................
?. ---??-?-:--?--....... Par .......... ........_....r.?t---........0.-?:............... .-%......................
---
?3 Buildiny Impaclor _6
22589 „2
qeQUest oate
J Q Pire rvo. ougn-in Inspeclion
Reawr
?'
? Reatly Now , ill Notify Inspeclor j
When P
atl
?
? No y
e
I icensed conirector ? owner hereby request inspection ot above electrical work at
JoD Atltlress (Slreet, Bov ar Rame No.)
,+tivE
uE Ciry
EAG?anJ
Section No. TownsM1ip Name or No. Range No. Coun
s(?A/lOTR
Occupanl(PRINT) Phone No.
4<ra- 9SY
Power
?Suppl r G
Atldress
Eleclrical Conttactor (GOmpany Name)
- T/•S?L ?LECTy2/? ?.c?f.. Gontraclor5 License No.
3 9'?3'0? ?/
Melllnq Atltlress (ConVactor or Ownar Making Installafion)
,0. o. ? a.3
Aumorizetl Signet re (GOnhamor/Ownar abng mstellati Phone Number
4l
MIN A STATE BOAHO F ELECTRICITY THIS INSPEQION FEOUEST WILL NOT
Grl -Mitlwey BIOg. - Haom S-173 BE ACCEPTED 8Y THE STATE BOARD
1621 llniveralry Ave., SL Peul, MN 55106 UNLE55 PROPER MSPEGTION FEE IS
Plwna(612)66]-0800 ENCLOSEO.
?ja,19a REDUEST FOR ELECTRICAL INSPECTION
b- See instmctions lor mmpleting this form onlack ol yellQw copy
@ ?25 8 g "X" Below Work Covered by This Request
EB 00o,
?
9a'i!v O
ew Rtltl FR.Uii ? AppliencesWiretl EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Ap[. Builtling Dryer Other (Specify)
CommJlndustrial Furnace
Farm Air Conditioner
Other (sPeciTy) ConVactor5 Remarks: SIXl
C!?/77 W
Compute /nspecfian Fee Below:
8 OtM1er Fee # ServiceEntrenceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps _ / 0 to 700 Amps
Transformers Above 200 _ Amps A ove 100 _ Amps
SIgOS Inspector5 Use Only: T AL
Irrigation Booms ?
Special Inspection O
fD
Alarm/Communication • I
THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS. ?
I, ihe Electrical Inspector, hereby
tif
th
t th
b
i
i Rough-in
?
cer
y
a
e a
ove
nspect
on has
been made. Final Dete? ??
OFFICE USE ONLY
's requesl voi0 18 months fmm
- ? PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
E1 u't L 0,r N G
Eagan, Minnesota 55 7 22-1 897 Permit Number. 0 3 415 59
(651) 681-4675 Date Issued: ?[? 2/ 2 2 f y 3
SITE ADDRESS:
Fel_eN e: 1.0 -16707-0 241,-0 2
aaiis p ni_ [_;A our: wrav
LO r. 2 tsLncK ? z
cr.ora,a Gszn,,,,= Itr,
DESCRIPTION:
7".0o & REStO(JF
,.
y,Ylditk?"''.I'er'mit: fy pe
C'truilda.nq W10?,`k 1'vpe
?.
,ksr7sus GorJe '
t
,
)
1
S"fURM OIdMAC7k
REPAIR
434 ML1".. Rfc.`3IDEiVTIFlL
' : t - ? .....?
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Apnlic.ant -- st'., t.lc. OWNER:
BEISSEL 6J7:I+1DOW & SIUZNf; Crl 14516835 0606453 MURRY '1"Tir!
153 i'_ 1'HOIHpSOfd AVE "?: Sq5 PALISAIJE I,JRY
b,l ;sT FF;UI., nIR! 557.15 E(dGAR? M Pd 55123
(612) 461.-6835 l65:I.i
I herkby ac.lznaw.Lad4e thaT. ;C hove t^€acr WNa.s applS.cntion and sCaCe that the
int-c7rrnation is eorrect and a4r?=.Q ta ramply wJ i:ii a11 acsrilicablp 5it.ste c,"r Mn.
tii:ati}tes ancl {;i,f.y ofEaqan Ordinancc;s. . .
?
I APPLICANT/PEFiMITEE SIGNATURE
Qj3SUED BY: SIGNATURE
?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
/ (651) 681-4675
New Construction Reauirements RemodeUReoair Reauirements I
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 wpies of tree praservation plan N lot platted aRer 711l93
required: _ Yes _ No
DATE: z - Z Z /
f - '/0
DESCRIPTION OF WORK: E' ?Ov -
? 2 copies of plan
• 7 site surveys (exterior additions & Cecks)
? 1 anergy calculations Por heated addRions
CONSTRUCTION COST:
l' W-?
STREET ADDRESS: 3 7-7?
LOT: -'?- BLOCK: ?- SUBD./P.I.D. #: ( 9-? G ?-U V L 'cS'
,/?,/? r?
Name: ?LJ I?-/? V Phone #:
PROPERTY - 1-azt ? First
OWNER
Street Address3 S/1 d '/
U!/? Y
? ? /
City /7?it/ State: /?Ti/ Zip:
Company: ge/ $Sf' ? 01H/d6jw ? 5?-`Ibr4 Phone #: 5
CONTRACTOR
Street Address: License #?Exp.
City State: Zip: 5?57?r
ARCHITECT/
ENGINEER Company: Phone
Name: Registration #:
Street
City
State:
Zip:
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
Penalty applies when address
to comply with all applicable
- Not Required
FEB 2 2 1999
OFFICE USE ONLY
I
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 8-plex
O 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Suroharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
?
11
Apt./Lodging ? I
16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
0 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering .
Valuation:
Census Code I
SAC Code
Census Units `
Census Bidg
MC/ES System City Water
Booster Pump
PRV
Fire Sprinklered
Varia
% SAC
SAC Units
MASTER CARD
LOCATION
STRUCTURE AND
LAND USED AS I? 2 7i
Permif
No.
Issued Isaued To
Con}rac}or Owner
BUILDING
I
-
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
I
SANITARY SEWER
OTHER (? ?/Q. ?J I
OTHER I
Items Approved
(Inifial)
Date
Remarks
Distance From Well
PGOTING J%11. 73 SEPTIC _
FOUNDATION r-
2 *- CESSPOOL
FRAMING . TILE FIELD FT.
FINAL
ELECTRICAL I
H6qTING
GAS INSTALLATION pEPTH
OF WELL
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER rn. 12 ,?,( ] ?
f / ?
-
Violations Nofed
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
GONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
O ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
a COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED 8Y CONDITIONS BEYOND
CONTROL.
BED AS FOlLOWS:
? REINSPECTION REQUIRED
REINSPEGTION REVEALED
DATE OF REINSPECTION
CERTI FICATION -1 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 [o be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
1-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
COMMENTS:
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 5/2/73 (12/29/72)
AIumber: 1192
Billiag Name• ?edti: 3rove Const:c•a'::.u : Site Address• )`' "3
Owner: s a?na
Plumber• 3tei_;,.l,
Location of
Billing Address 3845 Palisade WaY
Meter No. lPermit Fee 29,r72
Meter Reading MeCer Dep.
Meter Sealed; Yes_ IAdd'1 Chg.
NO iTotal Chg.
Building is a:
Residence x?L
I4ultiple No, Unita
Commercia 1
Industrial
Other
Inspected by
Date
Remarka:
$25.00 RE-ItJSPECTION FEE FOR
IMPROPERLY INSTALLED METERS.
Bq:
Chief Inspector
In consideration of the isaue and delivery to me of the above permit, I
herehy agree to do ttm propoaed work in accordance with the rules and
regalations of Eagan Townahip, Dakota County, Mianesota.
By:
;;te9:n's
Please aoCify the above office when reedy for inspection and connection.
.,(?YF3Si )F:A?UIn5X.4CYF?t?F M)FF:?:%Y.h??f:i1:..?f.i?,S:.Sr)KA(hYk?A?;SX?m i'iKY? ?(?.
C'..Li'V i.)F Iiri:af;AN
r.;nSr,:rr-.r- 8 r•-:FasIr!Ai._ Nov 78e;
l?fi(FZN 1.1./24/9:3 '?:CN.E:r 0ai_"W23
IDe
>.ArnF::e FiI..L.IE:U F:I:r'IEEi1_:DE INr';
^ai!:i.i) 9001 3845 f'(-ti..:CSAI'f:: 50..00
205 9001 2e45 PAE..ISnDE 0„5rl
rCii;a= ReC.etp'I; AC:pt1t}'I)L 50.50
C4ii:19967:1.
Uli;ER i.D^ NANC'J
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE:
PermitNumber: BW.T.LDZNC
N
Date Issued: 3q1??
11I24(98
SITE ADDRESS:
f'.I.N.: 10-16707-020-02
3845 PALZSADE WAY
1..01': 2 HL.OCKc 2
CEDAR GRLIVF #S
DESCRIPTION:
,--, vAS iNsERr nNLv
Bu;a'fd:,ieririit Tvpa FiftEf'LACE.
B?kildi.ng Wo3s,k -iype IhLTE,RATZOiV
IGEnSUS Gode ,434 All-. RESSDENTTAL
f ,
? t?4 d Y z A t t t P a:. P? b 21=?
?i??
REMARKS:
cwzmnievlFiuE Musr Bt :rwsPEcrFn 8r:F70RE cnMc?A 1-1 .NCi.
FEE SUMMARY:
sase Fee R50.00
Sur'cFrarqc
T o t a 1 F e p
CONTRACTOR: - aPplicant - 5T. i.zt;, OWNER:
FTftE5I0E CORN#?Fi ?LNC 1G331P?A2 280 9?d97.1 MURRY TIM
2700 N FATRVii:W fl1lE 3846 PflLISADE WAY
RQSEVIL1_F MN 55113 EAGAN MiV 55122
(612) 633-1042 (65].)683-0089
I
F hcroby acknowlecige thai: I Yiave reaci this applicaCion antl' stis?te Chat the
intorrriatican is correct ond aq1'se ta cq-mpl,a wAttr a:1,l apd].icats],E State crfi Mn.
:3tatutes and r;tv of Eaqan Ord3:nancrs.
APPLICANT/PERMITEE SIGNATURE
?UED BY: SIGNATURE -
-1
1,?b -`?D
C ICITY OF EAGAN
3830 PILOT KNOB RD - 55122
1998 FIREpLACE PERMIT APPLICATION
681-4675
DATE: PERMIT FEE: $50.50
DESCRIPT'ION OF WORK: Construct new fireplace _ Alterations to existing
Install ess insert onlv _ Install eaa line onlv
Other
JOB ADDRESS:
LOT: ? BLOCK:. --a SUBDMSIONlP.I.D. #: ? Q d1 r,??_ ? ?U U -e -- ";
APPLICANT (c'vcle one only): OWNER
I hereby acknowledge that I have read this application and state that the information is coaect
and agree to comply with all applicable State of Minnesota Stahrtes and City of Eagan
Ordinances.
Name: {'?Urlnlj '7Phone#:
PROPERTY Last F'vst
OWNER `
Street Address: -S?S'? I! C G7dP!.(l?+( (
City ECC fJ rA ?I State: Zip:
Company: Ry\e t L d 1^ ? Ita P7 idG Phane #:
FIItEPLACE ? ?
INSTALLER Signature:
Street Address: 5C? S(`?License # -XaQ
City U G YytSf9 0(? State: Zip: -M=3?7
GAS LINE
INSTALLER
StreM
'L 3 i998 ? I
NOV
i?
OFFICE USE ONLY
BLTILDING PERNIIT TYPE
O 14 Fireplace
WORK TYPE
O 31 New ? 33 Alurations
O 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing
VILLAGE OF EAGAN SEWER SERVICE P RMIT
PU
3795 otJC �
n Road PERMI� { 33
Eagan, MN 55122 DATE: /2
Zoning: R-1 No. of Units: 1
Owner: Cedar Grove Construction
Address:
Site Address: 2-24 .d 3t145 Palisade WT
Plumber: Stein t 8
I agree to comply with the Village of Eagan Connection Charge: 260.00 pd 5/2/
Ordinances. Account Deposit:
Permit Fee: 1 0.00 pd 12/29/72
Surcharge: .50 pd 12/29/72
By: Misc. Charges:
Date of Insp.: j i • 'f 3 Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
For Office Use
# L i~
Permit
City of Ea an I
Permit Fee:
3830 Pilot Knob Road l !
Eagan MN 55122 { Date Received:
Phone: (651) 675-5675 1 !
Fax: (651) 675-5694 1 Staff: i
i i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _1tZ~1 _6Site Address: 2LU (off -.--Unit
Name: f Phone: LZ! 2-6 377 -7
Resident! Q
Owner Address 1 City / Zip: ► a~ iyi ✓a
Applicant is, Owner _7Contractor
Type of Work Description of work:
Construction Cost410 L<t. (Multi-Family Building: (Yes No
Company. Contact:
t
Contractor Address: _ tae $ $ ? t City: ca _Lt
State' Zip:' Phone: t 7
License L4 2- Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 they are trade secrets.
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.
~z r~?s
1 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
Fagan: 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.
Exterior work authorized by a building permit issued in accordance with tho Minnesota State Building Coyle must be completed within 180
days of permit issuan
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Appiicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115586
Date Issued:09/27/2013
Permit Category:ePermit
Site Address: 3845 Palisade Way
Lot:2 Block: 2 Addition: Cedar Grove 8th
PID:10-16707-02-020
Use:
Description:
Sub Type:Reroof & Siding
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.
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 -
Timothy C Murry
3845 Palisade Way
Eagan MN 55122
(651) 983-8528
Minnesota Window Siding
8609 Lyndale Ave S #207
Bloomington MN 55420
(952) 888-9904
Applicant/Permitee: Signature Issued By: Signature