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3846 Palisade WayCITY OF EAGAN Addition Cedar Grove #8 Owner Street Lot 10 Blk P 3l16 ad8 WaV Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK -4, 1970 12 .OO .OO 2 * SEWER LATERAL a? 1974 1 . 10 307.82 WATERMAIN * WATER LATERAL 1974 1 5 WATER AREA 3-?4 1977 1E10.00 10•66 LS STORM SEW TRK .?c STORM SEW LAT 1974 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 230.00 6437 -20-77 BUILDING PER, sa,c 475.00 6437 6-2A-77 PARK ---- Receipt MECHANICAL PERM17 Permit No. - CITY OF EAGAN Fee ' •' '? Pill in numbered spaces S/C ' Type or Prinr legibly Tot ;._ 1. Date 2, InstallationCost r?'• 3. Job Address "'? - ,•=? '=-ie A-it10 Blk. / Tract _ -? 4. Owner .? t:..:an :.eronsiv - 5. Contractor ;u G. C' -. Phone ??5-6867 6. Address '??::x??i??iriH..ura?,yt ,',,+?3'; . ___., . -- , U• 7. City • ,ls• 8. Building Type: Residential 0 9. Work Description: New O ? State ;' " T' Commercial ? Add ? Alter ? 2ip 7''407 Institutional O ? Repair ? . ? ? • ,, • -;.,T 10. Describe :i"plP-Ce heftt rnmb wit_`? Fuel TVPe :zictna forced ai:. 11 No, 1 Eoui ment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to wmply with all ordinances and codes governing this type of work. Signed : for ` Rough Finel ? Inspections: Date Insp. Date _f /" l Insp. ?i.? This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 4,L., 4"'. ? ? ?/ 9?3 y &, "q-.. - /.a -ao 43 , CITY OF EAGdN ' 3745 Pi(ot Knob Rond Eagon, Minnesota 55122 Pbone: 454-8100 PERMIT Na ??2 Date: ==-1gt2st 5i 1977 Receipt No.• •c.?9 7El 5ingfe Site Address: '? ''`'-a•~' ?~' Residential Lot 81ock 4 Sub/Sec. _ ` ,-, £3 Name ''1uI Byers =II ? 3 Address 1793t) Itdl}' Faf.", O y _ Phone: Name I'rer'. Voqt & Co. ? $ g Address 3260 Gcrhrsm Ave. So. C s 4 City p l.s. 55 2G Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes ond City of Eagan Ordinances. New/Alter.l Repoir Cost of Installation :'. ??. 00 Permit Fee Surcharge Total , . " done in accordance with all opplicable State of Building Official f . CITY OF EAGAN ` 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454•8100 TsxN r PERMIT Date: 'uly 27, 1977 Site Address: -,`'`°6 Pa3isade Way Lot ' 81ock Sub/Sec. Name i'dul Fiyers III ? C ddress City _ Phone: ? Name t,ichfielCl Plumbing Co. ;;r15 W. 77)1 St. Address e 0 V •??_cf",f1E•lr! ?i5d23 ?ity _ Phone: This Permit is issued on the express condition that all work shall be Minnesoto Statutes and City of Eagan Ordinances. No. Receipt No.: '??"''C=1 5ingle I Residentiol ?j Multi Res., Comm./Ind. I New /Alter./ Repair ?(1-W Cost of Installation 20.00 Permit Fee Surcharge .50 Total 20.50 done in accordance with all applicable State of Building Officiol CITY OF EAGAN 3795 Pilot Knob Rood Eogan, MN 55122 N2 4379 PHONE: 454-8100 BUILDING PERMIT )379000. Receipt # 6437 Te be used for . {';, .!,• d At C. .:._ r . Date _.. . J i Sit Lot Parcel # - 0? Name `usan Ceronsky W Z Address 0 r;+., ck.,.,e p' Name k'AI_ 2 r9 1; : ?? Address - F'ath ? r,*., 'cil' . ati,,,,e 435-8467 Nome , Address I hereby acknowledge thot I have reod this application ond state that the information is correct and agree to comply with oll applicoble State of Minnesota Statutes ond City of Eagun Ordinances. Signature of Permittee ' - A Building Permit is issued to: all work shall be done in accordance with ull applicable State of Mir Building Officiul Biock Sec/Sub. CG 8 Erect p.; Alter ? Repair ? Enlorge ? Move ? Demolish ? Grode ? Occupancy - Zoning Fire Zone - Type of Const. # Stories - Front Depth ft. ft. Feea Assessment _ Water & Sew. Police Fire Eng. Plonner Council 61dg. Off. - APC Permit _ 5urcharge Plan check SAC y ? ? • Water Conn. Water Meter Total ?' i • L't on the express condition ThaY iesota Stotutes und City of Eagan Ordinonces. PamM # Date Imd prwlltM Plumbing -Z 7 - ? 7 _Mechonical INSPECTIONS DATE INSP. Rouph-In Final Footings Dote i?up. Date Inap. Foundation _ Plumbing ?') V frome/ins. Mechaniwl - )=) Fincl - -F- f Remarks: ? ??yC ? /'CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-19f PHONE:454•8100 BUILDING PERMIT To be used tor REP'AIR ('li'IRE:; Est. Value $2410W I" Eagan, MN 55121 I ri ri '.~,?1) Date Site Address 3.?:,46 rAi, t j1;:1't: +:AX Lot 1 i; Block 4 Sec/Sub.L i.1JAK C:iCW t; TiE Parcel No. oc Name = Address 38" pAJ ? City CA"14 . o Name : AUL R ?'Y"gRS o? Address 2916 GLACIplt C3 City 50'RNuYIi.1.E Phone ? 0ls--4b12 ?- Q yVj W Name F W ?g Address `W City Phone 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. Signature ofPermittee PALi'?. Y. L+ t'R5 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official - OFFI CE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (ACtuaq Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. .19'(. APPROVALS FEES Engr./Assess. Permit .113.00 12• 0^ Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL _ `? 1' Permit No. Parmit Holder Date Telaphone ? Plumbing H.V.A.C. Electric erD Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. lP Deck Ftg. Deck Final Well Pr. Disp. ?crrtr oF EAGAN SEWER SERYICE PERMIT 3795 Pilof Knob Rood PERMIT NO.: Eagon, MN 55142 DATE: Zoning; ` No. of Units: Owner. ; I7 i Address: Site Address• ?' Plumber. ?.-'.. - P. T1 ; - . 1 agree to eomply wifh !he City of Eagan . . Connection Churge: Ord1°O°COS' Acwunt DeposiY: Permit Fee: Surcharge; BY Mi Ch sc. arges: Date of Insp.: Total: Insp.:- ------ Date Poid: _ Site Address: ? ^ •,r-; Plumber. __ ' : •t,• ,- Meter No.: Connection Charge: Size: A D ccount eposit: Reader No.: Permit Fee: ( egree to eomph, with Nro City of Eagon $urcharge: Ordinaeces. Misc. Charges: Total: BY Dote Poid: Dote of Insp.: I nsp.: ihis request voitl I Z 2410 - 9`3 T? V• ? O ?410 C/ 18 months trom ? A 219?9 4-?6) g y. ??Cf't& 640ue 8'*A Renuest Oate Fire No. Houph-ii Insuection Required? ??eadY Now ? Will NotilY InsPec- 12-6-?3 ?Yes ?y' ?rvo lor When Peatly ry Licensed Elecvical Contractor I hereby requast insVection oi ebove ? Owner electrical work fnstalled at Slreet Address, eox or Route No. City 3846 Pa.Zi.bade lUay Eagavt ecuon u. Township Name or No. RnnBe No. Cnunty Oeeupent (PflINT) Phone No. Power SupD??er ' Address Elec[rical ConVactor (Company N?imel ConlracYOr's License No. Ea?.tan E2ec.t4,ic Ca. 040079-4 7IMailing Atldress IContracmr or Owner Makinp InstailatioN 6525 E. 170th Sz., P)L,i.on. Lafze MN 55372 Au orized Sienature IConvacto Owner Making Installationl Phone Number ' ' aa7-za9o MINNESOTA STATE 00AND OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grie9s-Midwey BIdB• - Room N•191 BE ACCEPTEO BV THE STATE BOAHD UNLESS PflOPEN INSPECTION FEE IS 1821 University Ave., St. Paul. MN 55106 Phone (6121 297-2111 ENCLOSED. nuonths E 391471/io4 e/! Request Dale 9 _ ? Fire No.? Rouph-in InsVeGion Pe4urted? ?fleaAY Now???...eee,,, ?Will Notlty InsPec- _/? ? ?es ?NO Lo, When fteady LicenseG Eleclrical Conlrnctor I heraby request inspaction ot ebove Owner electrical work installed at Sveat Address, eox or Roate No. Ciry F ?S ? ectron o. Townshi Name or No. Range County ??e 729- Occupant(PPINT) Phone No. ? /f-s 2- Power Supplier Adarcss L ElecUical Cnnvac[or (Company N2me) Contrector's License No. 6GY7L! C_ ? d 07 do 3 MailinB AdJress ICOn[rector or Owner Makine Instailationl .;L Authorizetl Sig ture lConVactor Owner Makin Installationl Phone Number a-3 s? MINNESOTA STATE BOAPD OF ELECTf ITV THIS INSPECTION FEQU[ST WILL NOT Griggs-Midwey Bldg. - Room N-197 BE ACCEPTED BY THE STATE BOARO 1827 Universitv Ave.. St Peul. MN 55104 UNLESS PROPEfl INSPECTION FEE IS o.,._., rc.?r - ..o.... ENCLOSED. W/67S REQUEST POR ELECTRICAL INSPECTION Se-ooooi-os ?j See insGUCtions lor completine this lorm on baek of yellow coDV. Ilr ?- E 39147 "X" Below Work Covered by This Request Nas Fd<I Reo. Tvoe o1 Buiitline Apoliancea WiraE Equipment WireA Home Range 7emporary Service Duplax - Water Heater Liyhtiny Fiztures Apt BuilAing Dryer Electric HeaLn Commercial Bldy. Fumace Si!o UnluNder InAustrial Bldg. Air Conditioner Bulk Milk Tenk fdrm O?her pe, y Jher ISn?Tr,(fyl t .r SUCCifY Othcr OlhLr Compute /nspection Fee Below N Fee ServiceEnhanceSize h Fee Feaders/5obfeeders N Fea Circuits 0 to 200 qm s 0[0 30 Am s 0 tn 30 Am s A6ove 200 qmps 31 to 100 Amps 31 to 100 Am , Swimming Pool Atwve 100__Am s Above 100_amn T ransformers Irrigation &wms • Partial.Other Fee Signs Special Inspection g s0 T Nemarks 3ro OTALPf? Z/._Oi / floueh-in r Dnte I???? 1. uhe Elecviwl ?a)•00 Insoactoq hereby certily Nel fhe above Final pte ' 'nspection M1as been ??.16 ? meda. mla reUUast vold 18 months irom *03538006* REQUEST FOR ELECTRICAL INSPECTION / 5 ? Minnesota State 8oard of Electricity 1821 University Ave., Rm/. 'S- 28, St Paul, MN 55104 Phone (612) 642-0800 ^ c?? 3/(?' - ?=> Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgm}. pther: Dryer Range Elec. Heat emp. Service "X" abwe fhe work covered by this request. Errter remarks in fhis space antl on Me back o/ the white copy onry. C.T. Metering for A.C. & water heater. Ca/culate In;oection FeE - This lnspecfion Fequest wi!l rrof be accCpfetl without the corYect /2e: Other Fee # Service Entrance Sire Fee x Circuits/Faeders Fee Mobile Home Park Stall O to 200 Amps 1 0 to 100 Amps 15 . Q Sheet LtgJTraffic Sig. Above 200_Amps Abov VQO_Amps Transformer/Generator INSPECTOR'S USE ONLY ?.?( TOTAL Sign/Outline Ltg. Xfmr. ?' d? 20.50 Alarm/Remote Control ? ? SWimflling POOI I hereby certify that l inspe tl ?he eledr ' slallation AescriG;tl herein on ihe tlates statetl Irrigation Boom Rouqh-In Date S ecial Ins ection p p , Investigative Fee F al o? 3 THIS INSTALLATION MAY BE ORDERED DIS ECTED IF T C TED WITHIN 18 MONTH . OFFICE USE ONLY This request wid 18 monihs irom valitlalion tlate printetl in this box 353-8Q0 ?6 ?ssAt,-12- ??,23/9 7 ///??? / I l/D( ?? PLEASE PRINT OR TYPE ?. Repuesl Date Rwyh-in inscectqn requiretl? p Yes o Inspaction OOier TFan Raugh-In: ? Peatly Now 0 W II Call 6- 6- 9 7 (VOU musl call Ihe inspector wM1en reatly) Date Reatly: I, [N licensed wn[racbr ? owner herehy request inspection of the above electriCal work at: .bb Address (Slree6 Box. or Foute No.) City Zip Cotle 3846 Palisade Way Eagan Section No. T nship Name or No. Ronge No. Fire No Counry Dakota Occuperit Phore No. Tim Miller 687-0849 PowEr Supplier AEdress Dakota Electric Farmington Elec[rical Contractor (Company Name) ConVactor License No. Master LicNa (Plant Elect-0nly) Roehning Electric CAO 1557 Meilirra Address (COntractor or Owrier Performing InsLillation) 14811 Endicott ay Apple Valle 55124 Aulha ' natu?e (GOMractor o rier Per rmtng Inftillation) PMre No. ey? 423-4328 E9-Op0ptA41 fi/95 I STp7E BOARDIfD YP - SEE INSIRUCfIONS ON BACK OF YELLOW COPY P. R. W6LSHONS, Preeldent . ? DAKOTA COUNTY ABSTRACT CO. HASTINGS PROFESSIONAL BUILDING 1250 Highway 55 Hastings, Minnesota 55033 Phone 437-5600 L. L. THYEN, Vlce Preaident Please send me a Pending Assessment Search on each of the following tracts of land: Lot 18, Block 5, Ceda Grove No.7 4060 Magnetite Point, Eagan, Minnesota AND Lot 10, Block 4, Cedar Grove No. 8 3846 Palisade Way, Eagan, Minnesota. Enclosed please find check for $10.00 to cover costs. Thank you, Rosie ci i-.?z9-7?1 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 I 15559 ??!! ,/ d BUILDING PERMIT PHONE: 454-8100 Receipt u "?` d Tobeusedfor REPAIR (FIRE) EstValue $24,000 Date SEPT 6 ,1983- SiteAddress 3846 PALISADE WAY Lot 10 elock 4 5ec/Sub.CEDAR GROVE 8TH Parcel No a Name MR & MRS WILLIAM RAMSEY ? Address 3846 PALISADE WAY o City EAGAN phane 452-1470 o Name PAUL K BYERS oa Address 2916 GLACIER CT u? City SURNSVILLE Phone 894-4412 Name City I hereby ecknowletlge that I hav read this aOPlication and state that the information is correct nm ith all applicable State of Minnesola Statutes antl O dina es. Signature of Permitte A Building Permit is issued to:_PAUL K YERS__ on the express contlition that al I work shal I be done in accordance with all applicable State of Minnesota StaNtes and Ciry of Eagan Ordinances. BuildingOlficial ?4t+_ka_I-The.. OFFICE USE ONLY On Slte Sewage - Occupancy MWCC System _ Zoning On Site Well - (ACtual) Const City Water _ (Allowable) PRV Required _ # ol Stories Boos[er Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 218.00 Planner SurCharge 12.00 Council Plan Review Bldg. Off. SA0. City Variance SAC,MWCC . _ ? Water Conn. Water Meter ? Road Unit Treatment P1 Parks Z30.00 TOTAL 61? . CITY OF EAGAN " 3795 Pilot Knob Rood Eagan, MN 55152 N2 4379 ? PXONE: 4448100 Receipt # BUILDING PERMIT APPLICATION $37 000 6437 __ . , To be uaed for Sing. Fem Dwlg, d Att. Garg. Date Jutte 20, 1977 Site Address 3846 Palisade Way Erect ?X Occupancy I 10 Bl k L 4 CG 8 Alter ? S /S b Zoning Rl oc or- --- ec u . Repair ? Fire Zone _ Parcel # Enlarge ? Type of Const. - -?_ ? w Name $1158II Ceronsky Move ? # STOries Z 0 Addreu Demolish ? Front ft. -.. 6rode fl Depth ft. ? NamYaul K Hyers 111 Avvr"01+ o0 r' JAddi:ss 17930 Ita?y Pnth _ Assessment_ "? r:«., Lekvilie. pti,,,,e 435-8467 Woter85ew. Name I hereby acknowledge that I have the information is correct and c $tate of Minnesoto Stotutes oa9 Signature of Permittee/' / A Building Permit is issued to: __ all work sholl be done in rcorda Building Official ??. this appl Police - Fire Eng. Planner - Council _ ond state that gldg. Off. _ all applicable APC ionces. Faec . Permit lUB.UU i Surcharge 18.50 ?i Plan check Isnc 475.00 ware. conn. 230.00 Water Meter 60.00 I Torol 891.50 , -V I K Byets III on the express condition that StoM of Minnewta Statutes and City of Eagon Ordinances. ?/6,)5ketm?t iSSu ed /n 197z bti7' b°mm (?{(,?-1T1C<? ?S(?`C52? tJ?"l.C?f?. rH GG-'?'? lVAf hwilf' tunrl l97> ?J<rmf ? H.?79. -? EAGAN TOWNSHIP ` BUILDING PERMIT N° 2929 ? , ownei ?? ----..5..<.???-:: ........._ .......... .------- .-------------------------- ........... ? Addresa (preseni) ......z4 --------- 4_?.. ...°--. Buildar Addresa DESCRIPTION Eagen Tomnship Town Hall Date .._.7 2-- Stories To Be Used Fo: Mut Dapih Heighi' Eaf. Cosf Permit Fee Remarks d r ?? 5 LOGATION ( / 7-S naamon or T7ae! ,35?7 _S 1 Thu permii doea not aulhorize the use of sfraels, roada, alleps or sidewalks nor does i2 give the owner or hit egen! the xigh! !o creale any sifuazion which is a nuisanea or which presenis a hezard fo the healih, eefeiy, convanieeee and general welfare !o anpoae in the communiip. THIS PERMIT MU5T BE KEPT ON '[.HE PREMISE WHILE THE WORK IS IN PAOGAESS, ' This u !o cerfifp. ffial .... ....... ............. _._...._......_...r?` .:...... ??..,..dr ""'._ • upon • .has permisaion io ereet a---.-_/-%.- .. ¢'" .-_" the above described premise eubjeei !o the provisions of the Suilding Ordinance for Eegan. -'--'... Thip ado ad April 11, 1955. ----------- -rr.f..?-.??" ------ --- .......... ?---- ------ - ° -- ........... .. Per ......-------- ?f,t ..- --=?---?-?.-----.°---° ............ bfl8i man a 1" n ard ? Suildiny Inapeclos ? This request void 18 months from 7 G-? Date of this Request P 1931 I, as ? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Addres or Rout o. ?????? City? ? SecUon -?aTownship ? Range County D4(107`X • Which is occupied 6y Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call El `jfJ?al Power Supplier Y07)i C0, 61E Z{' Address 4) Electrical Contractor- ?IQ.S`Tj,Q EIF,C.T?Qi C Contractor's License No. ? Mailing Address Authorized Signature or ownar maKmg inu insiauauon7 ? Phone No. O ?SS?s eking This Instellatlon) ? Minnesota Scate Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ' REQ4IESt-fOR ELECTRICAL INSPECTION f CHECK BELOW WORK COVERED BY THIS REQUEST ?0703e p 19% 31 Type of Building New dd. Rep. Check pppliances Wired F Check Equipment Wired Fm Home ? ? Range Temporary Wiring El' Duplex ? ? 0 Water Heater Lighting Fiatures ? Apt. Bldg. ' ? ? ? Dryer ?/ Electric Heating ? Commeicial Bldg. ? ? ? Fuinace .l? Silo UNoader ? [ndusfrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List List p ehers? p eiers Other ? ? ? H H COMPUTE INSPECTION FEE BELOW Secvice Enhance Size: # Fee Feedexs&Subfeeders: # Fee C'vcuits: # Fce 0 to 100 Am s. 0 to 30 Am res 0 l0 30 Am etes 101 to 200 Amps. 31 to 100 Am ies ?, 31 to 100 Am eres Above 200?mps. Above - AqS? s. . Gi. A6ove 100 Amps. Transformers Remote n I Ciic: ' `" Paztial or other fee Signs Speciall?l'ectio4?? \-' " Minimumfee55.00 Remazks TOTAL FEE I, the Electrical Inspector, hereby ce r a iat a?vein?spon has been made LfV .v (Rough-in) Date - - (Final) Date?i, a4" 73 This request void 18 months from O f3 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-o< `' Sea inshuc[ions 10r complBtin9 lhi5 forT on back ol vallow copy. ./?y/?? ?91 Q`? (? ""X"' Below Work Covered by This Request ?R HA Bao? -?7vpe ot Builtling AOPli ancea WineA EQUiumen[ Wired Home Range Tampnrary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heztin Commercial Bldg. Furnace Silo UnloaJer Industrial BIAy. Air Conditioner Bidk Milk Tank Falm OthPi peoN Nther ISUeriivl 1?er pecify Ot er Oihur ompute lnspection Fee Below A Fee ServiceEntrancaSiza d Fne Fextlers/SUbfeednrs ? Fne Circui[s 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s A6ove 20D qm py 31 to 100 qmps 31 to 100 Am s Swimming Pool A6ove 100-Amps Above 100_Amps Transiormers irrigation Bonms Pdrtial.'Other Fee Signs Speciallnspectlon r $ Remarks _ 10.50 I, •w Rough-in Date I, th rical InsOector, hereby cartify that fhe above Final ;?,pection hes been [rf ( meda. rei..e,.??.a? ??in ie mnntnx tram 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ??? ? New Construdion Reauirements RemodeVReoair Reauirements Office Use Onlv 3 regislered site surveys showing sq. ft ot lot, sq. fl of house; and all roofed areas 2 copies of plan Cert af Survey Recd. _ Y _ N (20% maximum lot coverage allowed) lsetofEnergyCalwlationsforheatedadditions TreeP25PIanReal - _Y- _N, 2 copies of plan showing beam & window s¢es; poured fiund desgn, etc. 1 site survey for additions & decks Tree Pres Required,' - _ Y _ N 7 sel o( Energy Calculations Addltian - indkafe if on-sife sepfic system On-site Sepdc System _ Y _ N 3 copies of Tree Preservatlon Plan tt lat platted after 717/93 R'un Jo'st Debil Options selection sheet (buildings wflh 3 or less units) Construction Cost o I qq?' Date ? /5gPE/ as ? Site Address V?I (?1? IInit/Ste # Description of Work ? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner lfja'( ? ?--e_U't" S Ck Telephane # (,Qs I) The Home Depot A.H.S. Inc. Contractor 3200 Cobb Galleria Pkwy. Address Atlanta, GA 30339 c'ty State 763-542-8826 _ Telephone # ( ) License #20268257 F COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catezorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (d su6mission type) Submitted Submitled • Energy Envelope Calculations Submitted Have you previousiy constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 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 an in the case of work which requires a review and approval of pl s. % ? -- -. ,- 14 , f0? d?SG? ,/'A,-- Applic 's Printed Name Applicant's ignature '?? Installed Siding and Windows LIMITED POWER OF ATTORNEY cO uN i Y Or coss STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sa1es loca±ed at 660 Mendelssohn Avenue Nerth, Goiden 4'vlley, MIN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said aftorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Powe: of AYterney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the executiou hereof. Further, the powe:s comreyed by this Limited Power of Attorney may be revoked by Principal at any time 6y express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. Lr? WI'?NESS WHRREOF this Limited Power of:4ttorr,ey is executed this 21st day of May, 2003 David . Katz S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003. Notary P ic in for the State of eorgia b4y Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and instafled by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toil free (800) 79-DEPOT Dat2 e :_ u N G l`} BUILDZ[IG PERyiIT PPPLICFTT091 007? Igl LOT ? U BLOCY. AilDI:I04 c(_' bA(>' (:512U iJ [ Pr1ItCEL & SEC'i'IOt9 1JUi9IIER iF Ui1PT,1lTTEll ADllRESS OF PARCEL A? [.1 S A1,C ? l+? Y 'I,Oi41IiTG ?OCCUPAMCY ? USE? ESTL'"iAiED COST 2 SQ ? 0S'7s1ER S 1.15 xl N C E 2O (J5 K i TELEPHOI?IE N0. COi'STRTCTOR A? U l? Y? l5 i F RS S?C ??PHOPIE :?0. y- ? 5 - A YC? allDREss 1?530 /?r?Lv _P/ar?f LAkEUi ccF rdotet Include site planF building plans, and energy calculations t•rith this applicatio2'+i - ' Signed OFFICE U5E ott vALvnTzota_ .3 1-2 p o o ? sac YMM3 CU?NEC'i7IO"' [IRTER tYEE'ER BJILDIPIG PF,P14IT FEE SURCiiAP.GE Fi:R PL41' CE:P:.CSC FIZZ PAAIL DEDIClTTO?? FEE O'Z'8'r'.R TOTF•,L* ?7?•m /.. DO cl-C) l6R orgl! ? APPROVALS; ASSESS1+IE',?3T C:.ERK BDILDIi3G DSPT. P9LICE DEPT. *.:7ATER E£EWER DEPT. FIIL..DL'PT. PF1R.K DEPT. - - ? ? - -' - -- - S . : I - - -- -- -- - ? -?--? - -?-= ? ?- - ? - I . ; ? ? i ; I , -o - I - - - -f - ---?- I --, ? 50? -;-. ? -? C??td -- f NSKYt -r-- ? ? ? -?- _}.-- _... ?-. ---? - - - - -?- - - - -- - ---? - - . ?--- ? ; i ? ? ? ? i ? - - - -'?- + = ±- - - - ? -- - Fi a,sa+ F[ce2 o tra 2Ai rB. - - - -- -- ? I t -? -? I I F STR& 344 ,Aac.vrE ? - 1 ---7 ET T I - I I ?--f I ? ? - 1-r-r- I I. ? _ _ - ? : i i I I ' O I . I i I`Z?Grr ___ , I I -,._. ,. I «S? Q9ck'?? 3 . 0' O+' ' b•-_ I ? li I ? i I ? ? ? --1- ? ? l ! I To R?aN r oc w ?Y ? i I ? . i -7'-- -?-_ I , ?_? ' ? , i ? - ? ? a - - ?ACisRaE I -+- - -+--;--- cAJA: Y ?- ? - - - - ? --? - - - ' ?- --? - - - ? , ? - ?..? ??-L ;- t - - --? -r ; I - -- ; ?- - - -, - - ? I -1- + ' -- -' -? - - -1-- -? ' ? _?. } I - - 'r - --?-} - . - -- - ? 1 - - - -? - - t ? i , r ? , , z1u 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN9TE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLDWED ONCE BUILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL r i INCLUDE 2 SETS OF ARCHITECTURAL & S TRUCTURAL PLANSf 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CITLCULATIONS ` To Be Used For: Valuat ion: 2?(foo0 Date: i Site Address S't? c OFFICE USE ONLY ? Lot IC) Block Z{ On site sewage Occupancy ?7H MWCC system Zoning Parcel/Sub GEDqR GROVE 2 ADrhW On site well Actual Const n City water Allowable Owner ??.r?VS ?1?%? I?J?v?nS?'1? • PRV required _ If of stories Booster Pump _ Length Address Depth S.F. Total City/Zip Code -r' Footprint S.F. Phone `L?z ' I`4 7 o APPROVALS FEES Contraetor Engr/Assess Permit "00 ?? ? C Planner Surcharge /? . Do Address 7G I? .f2C?ri+1 aV? Council Plan Review ? (( ' Bldg. Off. 9/1 SAC, City 7 City/Zip Code I)ki ?hSV W ? S%? 33 Variance SAC, MWCC Water Conn Phone `? ???'-{ ?{ ? L Water Meter Road Unit Areh./Engr. Treatment P1 Parks Address Copies TOTAL ° City/Zip Code Phone 11 Gher?-'c - ?'aid CITY OF EAGAN 3795 Pilot Knob Road Eagan, NIN 55122 DATE: ...,-,t:?•,5.,?. ,. , 1_977 881:a±a hbsti•zn Co. 57, SPECIAL A,SSESSMF:NT SEARCH ;iasrq??s. '`.'<. :'r:;'; RE: I. Att?nt:i.or. : nc?si c oY. i?'? ?lac'•: 4 Cedar ?rnvc =?" 1!; 1{:7117 ?(-,? (? Enclosed herein is the search which you requested'fi9?delo?1'thePatiove described property: Kind oF Improvement Runs. Beginning . Origiiial:Amt. ':.$alsnce:Due . „o.;.. I further certify that according to the records of said offiee, the following improvementa are contemplated or pending after having been approved, and are nouv in the process of planning or completion. Kind o£ Improvement Approx, date of completion Approximate Cost WAIVER: Neither the City of Eagan nor its employees guarantees the aceuracy of the above information vuhich was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration £or the supplying of the indicated information in the above form, and for a11 other consideration of ary 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 Auditor at Hastings, Minnesota 55033. Very truly yours, Pu?m:;^'oer=_: - f'.scess^?ent :^.lcr.1:; raz SPECIAL A55ESSIviENT DEPARTMENT 88-982 y OF 3930 PILOT KNOB ROAD. P.O. BOX 27199 ET 1072 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 Special Assessment search Date : 11-21-88 Requested By: Re:10-14707-100-04 L10 B4 Cedar Grove #8 Northti,est Title & Escrow Corp. " ?"-- - VIC ELLISON mav? nHornns Ecrw DAVID K. GUSTAFSON PPMEL4 McCREA iHEODORE WACHTER Council Mombers 7HOM0.S HEOGES GryAdminisimbi EUGENEVAN OVERBEKE Clry Clark 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 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 Enqineerinq 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 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 usinq 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 IONE OAK iREE. .. THE SYMBOI OF STRENGTH AND GROWfH IN OUR COMMUNIIY li=iANSACTICIN ID: F:768 SPEC;7:flL ASSE55MCPJ7"5 SF'LC I F;I_ AE3 ;ESSMEM1ITS a12:Af'tCH S UI°IMAFY F'RC+F'ERTY I.D. l" ODAYS DATE=: 11/21/88 ----SPECTAL FLAGS---- 1-?-•3 1 0--16707- i UU-G4 ______.__-------------•--------._ S.A.Bk ASSL:S!ihlEhJl" L)FSLFt. ..__.- YIz ----...- YFiS .---__..._. f-'tATE _._.._.._____-.- 1'flT(-1L -----------__ ANIV.F'F':2N. I -'AYOFF C;OMMENT 100125 aAN SW TRk: 69 25 £i.OG'/, 125.00 .VV .00 CLOaED 100222 S/W L 5M "f ;:; 5 8,00"/. 1539.10 .00 .00 CL05ED 10033i7 WATCR AhEA 76 15 8.00"/. 164.00 .CKt ,041 CLDSED SUMMAF;Y 01= ACTIVF" .00 ClU ,00 THIS YLAI=i`S TCII" P8<I .00 CITY USE ONLY LOT IO BL '\ RECEIPT #: ?/ g? 74d-- SliBD. C D?(},Y C9?Y??I Q ? ? A RECEIPT DATE: le /-'? 7 f7 / 1999 M£CHANICAL PERMIT (}tESIDENTiAL) 3 g. 5 3 1 C17'Y OP E4fiAN S$SO P1LOT HNOB iiD _ EABRN MN 55122 10-25-99 (651)661-4675 Date: Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 fuDDiTivivAL SO IbT BTiI 6.00 • Gas outlets (minimum of one required @S3.00 ea.) /11 ,?c? • 3tate Surcharge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New X Fumace x Replacement Air exchanger, i.e. Vanee system, etc. Remiiider: Ca11681-4675 far inspections. Repair _ Other Air conditioning Other $ 30.00 State Sur arge: .50 Total: $30.50 3846 Palisade Wap SITE ADDRESS: Tim Miller 651-687-0849 OVti'NER NAME: PHONE #: I\STnLLERNAME: *+idland 11eat+ng PHONE#: 612_869- 1 STREET.4DDRESS: 6442 Penn Ave So CI"LY Richfield JS. EORSIS BLDAIECH PEftY11T (RES) - 1999 STATE: MN Zip: 55423 ?4410?el k?s? SIGNATURE ITTEE . RESIDENTIAL BUILDING ' Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConslNdion Reouiremenls RemodeVReoavReuuiremenis 3 registered site surveys shawing sq, k. of lot sq, R of house; and all roofed areas -2 copies of plan (20% maximum bt covarage allowed) t set of Eneigy Calalaliore for heated addNOns 2 copies of plan showing heam 8 windax sizes; poured found desgn, etc. --i site survey for addiGons 8 decks 1 set of Energy Calculations AdtlPo'on -indicafe ifon-site seph'c system 3 copies of Tree Preservation Plan d lot platted affer 717l93 Rim Joist Detail Optlons selection sheet (61dgs wiN 3 or less uni6 Telephone #( Date 1 / ILA! 03 SiteAddress g?i\L*jQ???? Constructioo Cost s apooo• op Unit/S[e # Description of Workr?' YICt ? Multi-Family Bldg _ Ya N Fireptace(s) _ 0_ 1X_ 2 ProperTyOwner Telephone#dgsli )a,S'97Nt.P Contractor Address State City Zip Tetephone # ( ) 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 (J submission rype) Submitted Submitted • Energy Envelope Calculations Su6mitted Licensed Plumber Mechanical Contractor Sewer/Water Contrvctor Telephone #( C).o 0 ?3 Office Use OnN CeR oF Survey Recd _ Tree Pres Plao Recd jq+ wvm- Tree Pres Not Reqd _ On-sRe Sep6c System Telephone #( i. J.. i I hereby apply for a Residential Building Perxnit and acknowledge that the informa?tion is c f te and accurate; that the work will be in conformance with the ordinances and codes of the City?af=Eagan.:and the Statei of IvN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start wrthout 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. 1.at c,jl? &-,, ApplicanYs Printed Name 4ppcant's i a ure OFFICE USE ONLY Sub Types ? 01 Founda6on ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ;R 18 Deck ? 23 Porch(screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 LowerLevei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N O 25 Miscellaneous Work Types ? ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ;9L 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 ? 34 ReplaCement •Demolition (Entire Bldg) - Gi ve PCA handout to applicant Valuation O t '00 MC/ES S ccupancy em ys Census Code Zoning = City Water SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bidgs Length Fire Sprinklered _ Type of Const Width _ Footings (new bldg) ? Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation . ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 E#. Alt - SF ? 36 Mu1ti Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Re[aining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total ? /?i(L ?2l Uv t? ?/ 70 _ 9 IS - - I ; I ? I ? `}Z ??c?Nr oF w y' ? r i ? i I CqB i (p 3 ? zg' 2004 RESIDENITAL BIIII.DING PERMIT APPLICATION City Of Eagan • 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 N If so, 25% plan review New Conshuction Reauirements RemotleVFteoair Reouirements {'i'ce: 3 registered site surveys showing sq. ft of lot, sq. ft ot Muse; and all roofed areas 2 copies of plan cdT?' (20% maximum lot coverage albwed) 1 sel ot Energy CakulaGons for heated addNOns - re Pfait?2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addBbns 8 decks T e Re`qu W??" i set of Eneigy Calculations Add'?ion - irrdkafe if onsde sepfic system ? 3 copies of Tree Preserva6on Plan i( lot platted atter 717193 Rim Joist Defeil Optlons selection sheet (61dgs w'rfh 3 or less uniGs Date?,-?5 / ? / Site Address Zso- ConstructionCost 114I010. D0 IInit/Ste # Description of Work ?fj Multi-Family Bldg _ Y? N ? Fireplace(s) _ 0_ 1 _ 2 Property Owner ,/,/ 2t ?elephone # ([p,7! ) Contractor &G ('l aeT ? Address 919 Z State / V / ? uV U City Zip Telephone #( 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 (4 su6mission type) ? Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plvmber Mechanical Contractor Sewer/Water Contractor ,?'> 0 Telephone #( ? Telephone #( II Telephone #( I hereby apply far a Residential Building Permit and acknowledge that the information is complete and a"ccurate; 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 approved plan in the case of work which requires a review and approval ofplans. C??sy" Yvla,?cr Applicant's Printed e Applicant's Signature Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Ls Suite RESIDENT OWNER TYPE OF WORK CONTRACTOR Energy Code Category (1 submission type) Sewer Water Contractor: x Applican `s Tinted Name City of Eaall Name: Address City Zip: Applicant is: Description of work: Construction Cost: Name: Address: City: Phone: Owner Cc ontractor Minnesota Rules 7670 Category 1 Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted Contact Person: x State: Phone: Phone: Phone: icant's Signature pt4( L7ff Permit Permit Fee: Date Received: Staff: ti Phone: Z Multi Family Building: (Yes No Licensq. fir/ ip: J I 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: Mechanical Contractor: CS Minnesota Rules 7672 New Energy Code Worksheet Submitted 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. 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 work will be in accordance with the approved plan in the case of work which requires a review and apval :f plans. Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3846 Palisade Way Lot: 10 Block: 4 Addition: Cedar Grove 8th PID:10- 16707 - 100 -04 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 PERMIT City of Eaan e- Windows/Doors Construction Type: Windows/Doors-New/Replacement 434- Occupancy: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Owner: Lawrence D Deutsch 3846 Palisade Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA078757 07/12/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA109586 Date Issued:03/20/2013 Permit Category:ePermit Site Address: 3846 Palisade Way Lot:10 Block: 4 Addition: Cedar Grove 8th PID:10-16707-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Paulette M Murphy 3846 Palisade Way Eagan MN 55122--171 (651) 450-7291 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117211 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 3846 Palisade Way Lot:10 Block: 4 Addition: Cedar Grove 8th PID:10-16707-04-100 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 . Ann Spreeman 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 - Paulette M Murphy 3846 Palisade Way Eagan MN 55122--171 (651) 450-7291 Minnesota Window Siding 8609 Lyndale Ave S #207 Bloomington MN 55420 (952) 888-9904 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149165 Date Issued:05/09/2018 Permit Category:ePermit Site Address: 3846 Palisade Way Lot:10 Block: 4 Addition: Cedar Grove 8th PID:10-16707-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paulette M Murphy 3846 Palisade Way Eagan MN 55122--171 Schwantes Heating 6080 Oren Ave N Stillwater MN 55082 (651) 439-3331 Applicant/Permitee: Signature Issued By: Signature CITY OF SAINT PAULI HEATING SYSTEM TEST REPORT Department of Safety & Inspections (Use a separate form for each appliance) Fire Safety Inspection Division 375 Jackson Street Suite 220 RECEIVED Saint Paul,MN 55101-1806 _ Revised 07/2014 JUL 2 p 1018 (P)651-266-8989 (F)651-266-8951 )/� 11 T _i it- .,/‘. -- ADDRESS: •• b Cz41�k��/�C/ vvCf ) & 1 airli OWNER: IM — 0 . dpi7 Type of Heat: ❑Gravity Air ,Forced Air ❑Gravity Hot Water ❑Forced Hot Water Steam ■ Unit Heater ■S•ace Heater •Other: Type of Fuel: m •Oil III Other: Gas Desi•n Conversion Make of Burner: riTT' Make: Model: LAIR sTZaenifsif.: Model: Serial: 1 Max BTU Ra inn MEL., 1✓/ Make of Furnace: Equipment Ventin. T j•e: ■Atmos•heric di Induced Fan U Other: Total BTU input of all vented gas appliances per chimney: Type of Chimney: ❑Masonry ❑Class B ❑Other: Type of Liner: ❑None ❑Metal ❑Clay Tile Vent Connector Material: ❑Type-C ❑Type-B Combustion Air Supply Required? ❑Yes ❑No Installed? ❑Yes ❑No Safety& Operating Control Tests: _ Yes _No Fuel Analysis/Flue Gas Analysis: Yes No Pilot/Flame Safeguard Operating Properly Vents properly without spillage Limit(s) Operating Properly Flame stays inside/Doesn't roll out Operator(s) Operating Properly Burner lights smoothly Low Water Cut-off Operating Properly All Controls Operating Properly Combustion Analysis Visual Inspection _Yes No Stack Temperature Oxygen Oa, F/Net Fuel Piping System—Okay? 91 o Vent Systems: Draft hood, Connector, © Vent Chimney—Okay? Carbon Dioxide 7►ob /o Heating Unit—Okay? Carbon Monoxide 5 PPM Look At The Total Heating System Before You Leave: Yes No Does the system operate safely and properly? COMMENTS: ----I M Name of Licensed won, � dress ���� ne � .---� Contractor Ur �' 1 4694;1 Person Doing the Test ( tint). 6latti Signature: Certificate of Com•:tenc from the Ci of Saint Paul for A.•ro rials Fuel: aw.„, :.,.. ,:,, ,.,„—ii, ::::,..k: 4,:iiii,;;,, el,,' :4444