3858 Palisade WayCITY OF EAGAN Remarks
Addition Cedar Grove' #f. Loc $ Blk 4 Parcel 10 16707 O80 Ol?
Owner ?j' ??f/ ` ?treet 38r 78 Pal1S3de waJ' State Eagan,MN 551?22
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STR E ET R ESTOR.
GRADING
SAN SEW TRUNK ifa ?57 1970 125,00 C.bo 25 Pa1d
.=c SEWER LATERAL 1974 1 ,OO 307.82 P31C1
WATEFMAIN
• WATER LATEFAL 1 ?_?
WATER AREA
)CL' STORM SEW TRK
.j? STORM SEW LAT 19
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 262, 9471 11-16-73
BUILDING PER.
sac 260.00 9471 11-1 -73
PARK
CITY OF EAGAN
Addition C'edar Grove Remarks
Lot a Rlk
4 Parcel 10 167
07 080 c4
Owner -x•?'? s` ? treet 3a58 P311Sade W3y Siate Eagan,rIN 5 5T22
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK !Z 1970 125.00 5.00 25 P31d
# SEWER LATERAL ZZ 1974 1539.00 0.82 PaiCj.
WATERMAIN
* WATER LATERAL 1974
WATER AREA
jl?- STORM SEW TRK
.# STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 262.54 9471 11 -16-73
BUILOING PER.
sac 2.00 9471 11-1 -?3
PARK
. CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PFi ONE: 454-81 UO
BUILDING PERMIT Receipt #
Ts ea u¦.a fe. vaiLIp $6800 rk,?P ?
Site Address
Lot `}
Parcel No. -
W Name
Z Address ; 7 i • !. . .
g City T A(; 7':1`
Name
!l-)
C'sty
Name _
Address
City -
Erect 11'
N? 919 3
L- 1
! l: /
20 ?o fi4
Alter ? Zoning
Repoir ? Fire Zone
Enlorge ? Type of Cortst.
Move ? # Stories
Permit •. "?' • _•"
I Surchorge
I Plon check
? SAC
Water Conn.
Water Mefer
Rood Unit
Demolish ? Length
Asseument _
Water & Sew.
Police
Fira
Enp.
Plonner
Council
I hereby acknowledge thot I have reod fhis application and state that Bldg. Off. _
rhe informotion Is correct and ogree to wmply with all applicable hPC
Stote of Ntinnesota Stotutes ond Cit of Ea an Ordinances
Y 9 . J Totci , .
Signature of Permittea I ;, C I
?? I Tr.
.
/1 Building Permit is issued to: _ on the express condition lhnr
ell work sholl be done in occor4once with?oll opplicoblQ Stote of Minnesoto $totutes ond City of Eayan Ordinances.
Building Officiat
`-1
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing 4 5-0-7 ho?'(?vi
?
H.V.A.C.
Well
Water
Disp.
Sewer
Eleetric
Inapection Date Inap. Other
Faotings
Foundation
Freming
Rouyh P16g.
1
Rough HVAC
Insulation
Final Plbg.
Final HVAC
Final
Weter De9cribe Lacation: .
well
Sewer ?
Pr. D'np.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Frll in numbered spaces S/C
Type or Print legib/y
TOt. -L)
1. Date 2. Instailation Cost
? Dr}R GRor?i
3. Job Address FjjLSA;>,' KoVXj_41k. 61 Tract 'loe
4. Owner
5. Contractor Phone - ?
6. Address
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New ?
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
DAKOTA COUNTY ABSTRACT CO.
127 East Second Street
, HASTINGS, MINNESOTA 55033
•' 437-5600 June 26, 1975
Please send us a Pending Assessnents search on the following:
Lot 8, Block 4, Cedar Grove No. 8
Property Address:
3858 Palisade 1V1ay, Eagan.
Enclosed please find a check for $3.00 to cover costs.
v
2iank you.,
Jeanette
C' '°
?.. -
Speed Lettvr.
From
Subject
-rb.ae??ccm MESSAGE Date
a
&Ee
Signed ?
REPLY
/ILLAOE OF EAOAN
3795 iilot Knob Roqid
cayan. MN 55122 -
?oning: R-1
:)wner: --C-edar G
?kddrees:
3ite Addi
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.: 1412
DATE: 12/29/72
No. of Unite: 1
' aqrw to aomply wifh The Vflkqo of Eayan Connection Chazge: 260.00 pd
Ndi^O^c„• Account Depoeit:
Permst Fee: 10.00 pd 2 2977T
Surchazge: • 0 pd 12 29 72
9y:
:)ate of Inep.:
:nep.: -
Miec. Chazges:
Total:
Date Paid:
_.. .......? . .. ... ..
,; ." . -. . Od6inel -Berve on Occupant -whlte . ' I
. . . . . ............ . .:-..,:r-.
. ,. Duplieote-Oamer . .-:....- . _yellow
"•'a' , D&PARTMENT OF AGRICULTURE T"p1``°`.-T° °` aiea wlth -arcen '
St.tement of Coab
Qu.A. - Filed wlth Weed Inspeclor-pink
INSPECI'OR'S NOTICE TO 3ERVE ON OCCUPANT3, OWNERB, AGENTS, OR PUBLIC OFFICIAL3 IN
CHARGE OF WEED INFESTED LAND3
comNrY oF DAl?O'1'A . ,. . 9TATID OF NINNE80TA
. -.' Hy Authmity o[ Minpesote StaWtee, 1974, -Chapter IB, NMice ia hercby given
To Mr. P. O 3aSO PIILISADE NAY Minaswn
occ.,p.nt
To Mr. BLYIAT 8DSi/1RD J8105HN P. o. 308 PALISAN pAY et?u¢ssou
Owner W deetroy or eradleate withi???l?.' ' a=ys from the date below given, all noxrious weede herein mentioned, Ixated !n ,
and upoo the followin$ deecribed Iand and in euch manner m herein directed: snNm oF wZBns; irdISA" 12" HIQi fllMINANCB ; 75.02 `
How w Destroy or.Zradleate MDfM di A SdHEDl11.E0 BASIS 1PTl.L X6SP 9" ATN NEBDB '!b 1dIlHIlP
AHQUI1180 iBIwT tRImmG ARDffi7D SHlUBS AND WILDIIRQS SHD= ALSO B8 DOtIB .
Lsnd DeioMDqoa:. BaDfllvL1o* 2 of Becdon20_. TwP.-s-?? Ranp =s OS Lot No. a '
Sloek 4 : YaatdDallp of BAM. Y1nnasota. .
Dated rht• YT day af Jtl1Y lY 82
i??u?G?-
J WWY ?Y ? ? ?
? `W . ?? . . . . • . (Tvro. riaWaiw11V. Coants or gua)
Lr- ? - S
VILLAGE ON F.AGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERNIIT NO.o 436
The Village of Eagan hereby grants to Cedar Grove Constrnction tb.
of 7743 Ooneor8 Blvd. E., So. 5t. Paul
a HElTy;3g Permit for: (Owsera$ sflme
3858 Palisade way, 3852 Palisade Way, 1741 Coohrane Ave., 3999 vetton Ave.
at g_g_g, 9_4-8, 2-1-10, 1-10-$,pursuant to application dated 11/14/93 ,
Fee Paid: g80.00 dated this 15th day o£ Nov. ? 19 73 ,
2.00 s/c
Building Inspector
Nfechanical Permits:
i3id Total;
'3
?- Z!-
VILT,AGE Or' EAGAN
3795 Pilot Ynob Hoad
Eagan, Minnesota 55122
PE170IT IQO.: 411
The Village of Eagan hereby grants to Cedar Grove Construction Co.
of 7343 Concerd Elvd., e„ 5outh St. Paul
a PLliMBI:iG Permit £or: (Owner) s,ine
395AB Palisade Way, 3352 Palisade 4aay, 1741 4ochrane Ave., 3999 verton Ave.
atL_q_< 0_4-g 2-1-10 1-10-4 pursuant to application dated 11/14/73
Fee Paid: 22p,p0 dated this 15th day o£ November ? 19 73 ,
2.00 s/c
Buildirir., Inspectox•
liechanical Permits:
Lid 'i'oi;c1l;
.,
CITY OF EAGAN
. ' BUILDING PERMST APPLICATIOAI
Zb Be Used For 50 44R / N sruu: a7? Valuation /.r $'? p
Include 2 sets of plans,
1 Certificate o£ Survey &
1 set of_ energy cal.cul.ations.
(oZl4/ g l?
Date -?
-
site Addx'ess:
-3 j 8' ,g L/ S yj PE
bv 4y+ I
oFFICE uSE oNLY
Itot Cl slorac ? sec./sub. C_¢j Erect ?C occupaacy R-3
Parcel #: 7Q7 - G?6 d -?Y
'
ir
Repa Fire Zone
Raner: i N T F N Sf' Enlarge _ Zype of Const. Q
6 Nbve # Stories
Acldress: yi? P/t L/ 5,4 Dr lv q x Demolish Front --- ft.
i
i Grade Depth - ft.
C
ty/Z
p Code: rQ y,uN M/N,t/
Phone # : APPRDV11iS FEFS
Contractor: ?
/ j/: rT. s y 5aL kP sys /Na.i
r??wt Assesmenu
Pexmit
(02. `'°
Address: 7S 3 t?
/z:
/i'O Water/Sewer Surcharge 3, -
; ,
, Police Plan Check
City/Zip Code: k?6p/y,y / 5 H_F/ G N75 5i//cFire SAC
Phone #:
zrlS 3 •? 7?/ b EnJ. Water Conn. -
_ Planner Water Meter -
Arch /Eng.: Council Road Unit -
Bldg. Off.
1lddress: APC
City/Zip Code:
Phone #: 717PAL 6 6
j¢{?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N? 9193
PHONE: 4548100 2
i
BUIIDINCr PERMIT ece
pt #
Te M uwd ier SOLAR INSTALL Est. Value $6800 pO1e JUNE 20 1 q 84
3858
SiteAdgress PALISADE WAY R3
Erect [? Occuponcy
Lot b Block 4
V 8 R1
Sec/Sub CED GR Alter p Zonirg
.
PercelNo. lO-IF7 0 7 -OHO-O4 Repoir ? FireZone
Enlcrge ? Type of Consf. V
a Name ELVIN JENSEN Move ? # Stories
Z Address 3858 PALISADE WAY pemolish ? Length_
? City EAGAN phone Grode ? Depth Sq. Ft.-
? RITE WAY SOLAR SYSTEMS INC Avn'ovab _Fee,
=F Name
oU Addreu E CTY RD D
V? CitY VADNAIS HT?hone 483-6790
Name _
Address
City _
Phone
I hereby acknowledge that I hove read ihis applicotion and state that
the informotion is correct and ogree to comply with all aD0licable
State of Minnewto Statutes and City of Eogan Ordinances.
$ipnoture of Permittee
A Building Pertnif Is issued to: RITE
nll work shall be done in occo onee wit oll
Buildin0 Officiol e
Asussment -
Woter & Sew.
Police ?
Fire
Eny.
Planner -
Council -
Bldg. Off. _
APC
Permit a o c.? u
Surchorge 3.50
Plon check
SAC
Woter Cvnn.
Water Meter
Road Unir
Totas. - -lS 11V? nn tha express wndition thm
Statutea and City of Eogan Ordinonces.
? -? - EAGAN TOWNSHIP
BUILDING PERMIT
.....__._..........._....._.._ ...
owne: .?:.'-:-..°.:..._.`=:.t`:_.?-`..--.----......
Address (Preceni) ...... 5,( ....... ..:t:e .....:?? S. -
' - - ? -----..._' .............-
Suilder ........ _.._.--------- ......._..._..... ............._........------_..._......_...
Addzeas ....... ........................ ............................... .------------------ .
N° 31'73
Eagan Townahip
Sown Hall
Dale
5tories To
Be Used For _ Front Deplh Heigh! Est.
Cosi ermii Fee Aemarlu
Z
• ,
/ / y Y
? 5 '. ?4
TION We e'
5ireel. Aoad or other Descriplion of Location 1 Lo! J Blaelc J._ _ Addifion or Traci
: j ? P . . ?
' .?
Thia parmit does not auihorise the use ot sireeri, roads, alleys or sidewalks noz does it give the owner or his agenf
the right 2o creafe anq sifuatioa whieh is a nuisance or mhieh presenis a haaard !o ihe healSh, safeip, eonvenienee and
general welfare !o anyone in the eommunity.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS 2N PROGRESS. .
1?-
This isSo cerlifp. !hal._0.:.<._rf_:?:......._`..":' - ,-'r
....:..:...-'--------- _--...haspermisaioa So ereet a_.._?Sc?tr_._ -=--.-e ..,
... .... ......................'-'- . -------- .ypoe
the abova deseribed premise subjeci fo the provisiom of the Building Ordinence for Eagan Township adopSed April 31,
1955.
................................ .... . . ?-c- ......... Per ....... _.
.. ? .._..__..........'_ ... ...........'._".....:...?".._..
Chairman of TAwn?Boerd <7 4' Buildinp Impee2o .....................
aiL-i n at oitf, 1-4 c 6- +qls?
? EAGAN TOWNSHIP `
BUILDING PERMIT N? 2929
rF , -
Ownes . .._..1.!-c!`:-' .r. _
. ._ ........................-... __...__...-----.....
Eagan Towas6ip
Address (Preceni) ......:.. -4'-------- :4-.c°...................... Town Hall
Suilder .....
Address .._-
DESCRIPTION
Date .....?.rt-._ ?9- 7_ z-
----------------
SSOries To Se Used For Fron! Dapih HeighS Esi. Cos! P F
ermi! e Remazka
i7i s ?
LOCATION ( / 3-S {: -
or
w?
31` 7 S
This permii does not aulhorise the use ot slreeSs, roede, alleys or eidewalkc nor daes it give the owner or his egent
the riqh! !o ezeale any aituafion which is a auisanea or whieh presents a hmard !o the heallh, safetp, eoavsalenee and
ganaral weliare !o anyone in the communify.
THIS PERMIT MUST BE KEPT ON E PREMISE WHILE THE WORK IS IN PROGRESS.
.
Thb is !o eerfifp, that--.°C!-?`.-.^.`.?f.'--....._............ f?'-':°cr.haspermission to esec! ....... --.4..........._'. .. ..._-- ......
. upoa
the above deacribed premise subject !a the provieiona oi the Building Ordinance for Eagan T?hip ado ed April 11.
/n
1955.
_....._-'- -"?•`'e•-=-?...?!.?..... Per .------......---.._.......
fj_;!..__?.
!.'h91 me'?'n oI' avn ?rd ? Huildiny Inspacfor ?
REOUEST FOR ELECTRICAL INSPECTION E&00001.08
?
J.6183 Sea instmclions lor completing ihis form on Oeck ol yellow copy
g?
_'X'?&low Work Covered by This Request N.l
ew Atld Rep. TypeofBUiltling AppliencesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Waler Heater Eledric Heating
Apt Building Dryer Other.(Specify)
Comm./IndusUial Furnace pea me er
farm Air Conditioner
Other (syecity) ConVacrorS Remarks:
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEnlrenCaSize Fee # Circuits/Feeders Fee
Swimming Pool D l0 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
Signs Iinwecror§ uu ony: TOTpL
Irriqation eooms
Special Inspection
Aiarm/Communication THIS INSTALLATION MAV BE OROERED OISCONNECTED IF NOT
Other Fae COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough,in oare
certify that the above inspection has
been made. F;nai r oa ?D
OFFIGE USE ONLY
mis reauesl voio 10 momns imm
I( 6 8 3 /o?88d'
?ag ??--,?? ?ZGL ?? ? S o0
Request Date 1 7,re No. Rough-in Inspectron
Requiretl?
Ready Now ? WIII Notity Inspecla
9-18-92 nyes )tNO WhenReeay?
Ik licensed coniractor O owner hereby request inspedion of above electrical work aC
Job Ftltlress IStreet. Box or Route No.) Ciry
3858 Palisade Way Eagan
Seclion No. Townsnip Name w No.
Rarge No.
Counry
I Dakota
Occupant IPRINT) Phme No.
Elvin Jenson
Power Suppiier Atlaress
Dakota Electric Farmington
ElecMCalConVactorlCOnpany Neme) ConVacWr$ license No.
Roehning Electric CAO 1557
Maibng Aearess ICOnhactor or Owner Making Inslallationj
14811 Endicott Way Apple Valley, Mn. 55124
Aul ae0 naNre ?Comractori er Making stalla4onj Phone Number
423-4328
MINNESOTA STqTE BOAHD OF EI.ECTHICITV THIS INSPECTION REOUEST WILL NOT
Grlgga-NlEway BWp. - Roem 5-173 6E ACGEPTED BVTHE STATE BOARD
1821 Unlvnelty Ava., SI. Vaul. MN 55104 UNLE55 PPOPEP INSPECTION FEE IS
Ghane (612) 642-0BOp ENCLOSED.
?[??? 2005 RESIDENTIAL BUII,DING PERNII'T APPLICATION
lJj ? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons6uction Reauiremenls RemodeVReoatr Reaui2meMS Office Use OnN
3 regislered site surveys shmviig sq. R of bt, sq. R of house; and II roofed areas 2 copies of plan CeA of Survey Recd Y_ N
(20°h maximum lot coverege allowed) 1 set of Enargy CelculaCans for heated additions Trea Pres Pian Recd Y_ N.
2 copies of plan showing beam 6 window s¢es; poured fouM desgn, elc. 7 site survey for addifwns 8 decks Tree Pres Required Y_ N
lsetofEnargyCalculations Addftlon-indicetei/arskesep6csysfem On-sIteSepUcSystein _Y _N
3 copies o1 Trae Preservation Plan if lot platted after 7/1193
Rim Joist Detad Opllons selection sheet (buadiigs wifh 3 or less unils)
?
Date
Site Address
Canstruction Cost ?7
UniUSte #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 ot 1 _ 2
Property Owner k? Telephone #((AL) 73D "12-7 Z
Contractor ' l.1'-k.?
Address 38-W u.).
State
Zip W3 ?? City63 'UIu6
Telephone #(v. ) n3 - a ) J;6
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitled
Have you previously 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 app4Appli plan ' e e o or which requires a review and
approval of plans. \
ApplicanYs Printed Name ant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition O 36 Move Building ? 42 Demolish Foundaiion ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entlre Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Totai
REQUIRED INSPECTIONS
Final/C.O.
FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Building Inspector
.. ' '(vEal ?. '(.? ,.t? ?lao ` I
2005 DENTIAL BUILDING PIItMI'f APPLICATION •? GUPc.? d
City Of Eagan p D
3830 Pilot Knob Road, Eagan MN 55122 ?
Telephone # 651-675-5675 FAX # 651-675-5694 6 -_7?p`lS
New ConsWction Reauirements RemadellFienair Reauirements OR`¢e Use OnN
3 registered sile wrveys showirg sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y
(20°h maxlmum lot coverage allowed) 1 set of Energy Calalations for heated add'Nons No Tree Pres Plan Recd_Y "Ff
2 copies of pian shawing beam &window shes; poured found design, etc. 1 site survey for addillons & decks r!o T2e P2s Requlred _Y "F
i set of Eneqy Calculalions Adddlon - indicate BonsRe septlc system On3ite SepBC System _ Y _--Ir
3 copies of Tree Preservaflon Plan if lol platted after 711193
Run Joist DelalOptions seledion sheet (buldings wiVi 3 or less uniLa)
Date 7_ / /9 / o?GY7s
Site Address 3,F-S-c? / ?l?5?90?
ao
Constructioo Cost /SOO
/it//9/ UniUSte #
Description of Work T ivo - EG,??-lSS ?//vQdLU-S
Multi-Family Bldg _ Y X N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner TELF ?'YJ/ L L.S Telephone #(?%1) 7SO -,/a 7a
Contractor
Address
State CiTy
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _
• Residential Ventilation Category 1 Worksheet
(4 submissiontype) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
_ N If s o°? review
Have you previously constructed a building in Eagan with a similar plan? _ Y
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 plan in the case of work which requires a review and
approval of plans.
iA60iy-S
pplicant's Printed Name
Yic ' ignature
Sub Types
OFFICE USE ONLY
i- -
? 01 Foundation 13 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
!1- 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
(
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. All - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Impravement ? 38 Demolish Interior O 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - G ive PCA handout to applicant
Valuation ( 9 Lt ap Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
RooF Ice & Water Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIREDINSPECTIONS
FinallC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Smcco _ Stone _ Brick
W indows
Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
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?
ir 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION fb •50
?ek CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
657-675-5675
Please complete for modifications to existing residential dwellings.
Date 7_ I loo 1 0700o-
Site Street Address /?9L/SA,OE GvA% Unit #
Property Owner Telephone #(&Z) 7JO Va 7a
Contractor /Y?R Tefephone # ( )
Address City State Zip
The Applicant is: X Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This tee includes putting in a water softener andlor water
heater at the same time. !f vou are installina onrv a wafer softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 518" meter is required) Vz,,rY [lniE
?Other: oAeG// 1i1' .(QATiy,Puoir/ Toj[f 7 A9rNTuB
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB ? _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. ?J
^ /: /1 ..4 ` I / _ '--? ,
Applicant'ePrinfed gaine ` Appli?dnY?(g?ure
/
? I 'l g q RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New ConsWctian Reouirements
3 registe2d site surveys showing sq, fl, of lot, sq. ft. of house; and all roofad areas
(20%maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calalations
3 copies of Tree P2servation Plan if lot platted aRer 711193
Rim Joisf Depil Optlons seledion sheet (bldgs with 3 or less uniLs
RemodeVFteoair ReauiremenGS Office Use OnN
2 copies of plan CeR of Survey Recd _ Y_ N
1 setof Energy Calculations for heated addi6ons Tree Pres PWn Recd _Y _ N
1 site survey for additions & decks Tree Pres Reqd _Y _ N
Addifion - irrdicate i/onsRe sepNc system On-site Septlc System _ Y_ N
Jpj.?.?,;k? ?ee -? ?i I b : ? h
/Construction Cost ? q06.00
Date
to
_
_
Site Address u) UniUSte #
?
'
? ? ? ? "
J
Description of Work
???
LDy (?-?i
? Li.?-C-?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner )^ Telephone#(?p??)
?
Contractor
Address City
State Zip ? b D? Telephone #(?j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential VenGiation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Teiephone #
Telephone #(
----- -- -• p? ?n???o,
? ? nr- t o 200^ '
I hereby apply for a Residential Building Permit and acknowledge that the informa'fl bn 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 pernut, 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 whicti, requires a review and
approval of plans.
3p? RZcH Wson/
Applicant's Pinted Name Applicant's Si tur
OFFICE USE ONLY
Su6 Types
? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porcli (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •DemollUon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O. '
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Fnimdation HVAC
_ Drain Tile Other
RooF _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final '
_ Framin8 Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&NJ Psrmit & Surr:harge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
+ -
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
p.].IV.:\1(A-157C4;-030__04
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
a Fs t•3 ?=i L J. S„0 ? b! Il'r'
LOT. S F LOCI<: 9
I: fi lJ Ft ii (i i: i lVi': fi T i'i
BUILC7IiJC
?t1 :.' r) rl 2
[72J1s/9's
DESCRIPTION:
'n?] "c+r.imit: Ty sa?
Build,i.riqWork 7ype
? UBC Qccupancy .
`
SF (i?ISfe)
REF'A7?ft
R-3
REMARKS:
tPLACr' PflTI'0 ?OOR, SAS'iFS, iRJ..'o 501-?I1?, & FRSCLf?
FEE SUMMARY:
vrii.ur- rror (6 ao
RaSe { ee `::12Ei.&1?ti
r,?ti?i
?
rqUest f6 finar?ce
c1?1-. zlzb143
CONTRACTOR: .- r-ti;? p Y i c ?:? n t- r> r . i. 1 cOWNER:
TW T,N CITY STilfthi SflSF1 CCl 15465150 0003040JEi4SEN ELVIId
10 'r3:?6 ONEEPJPiftlER ft0 3 8'Sa 'ALI:SAOE WAY
M 11VN?_.7(I D!KH i1id `.35305 EAf:;AIV hIM
(01l?) b4£S-8 1G0 (612)452-3576
i .._.__ _.._._ . . . . .. . . ._..
I heraby acknowledge that i have reod this application and ctata th?it thF
in1'o-mai:,ion :1.5 corrert einr1 agiee to corriply with a'lt av)p11cal3i.e :;T,at:e r,i' Mil.
Stacutea and City af Fagan Orclinanccas.
?I
?Mld fi'eirl I 1?x
APPLICANT/PERMITEE SIGNATURE ISSUED Y: IGNATURE
RESIDENTIAL
' BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
--1,
im _-) ILD 1 651-681-4675
New Conetruction Reauiremante
• 3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coveroge allowed)
• 2 copies of plan showing beam & window s¢es; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot plaHed after 7/1193
• Rim Jo'st Detail Options selection sheet (bldgs with 3 or less units)
DATE CJ4
SITE ADDRESS ?? `?U ?Q I 1
TYPE OF WORK
APPLICANT
STREET ADDRESS :?LI,J_O l T1 \\1_\U\ \\
TELEPHONE #U??S S?-q?K?CELL PHONE #
rW 14 QCaTATE M N ZIP -<ZEIL3-
FAX #
PROPERTYOWNER OU ('1 l 361??q TELEPHONE# ASQ_i?6
-------------- C-O--M--P-L-E-T-E-T-H-I-S--S-E-CTION COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATLGORY 1 MINNESOTA RLJLES 7672
(4 submission type) • Residential VenGlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Su6mitted
Plumbing Contractor: ____
Plumbing system uicludes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
MULTI-FAMILY BLDG _Y )?&
FIREPLACE(S) _ 0 _ 7 _ 2
Phone
Fee: $90A0
? ?u`s ?
I 15 2002 ?
1 ree: $ 0
--------------------°----°----------------------°--------------
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
46 Signature of Applicant
OFFICE USE ONLY
_ Waler Softener _
_ Water Heater _
No. of Balhs
_ Phonc #
Lawn Sprinlder
No. of R.I. Baths
Air Condilioning
Heat Recovery Systcm
1 _?- ?s- 9--s
RemodellReoalr Reauirements
• 2 copies of plan
• 1 set of Energy CaIwlaUons for healed addiGOns
• 1 sAe survey kr erzlerior additrons & decks
• Indicate'rfhameservedbysepticsystemforadditions
?y? vD
VALUATION SvU.J
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
M1. _ .
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Ptbg_Y or_ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 6ct. Alt - SF OW.
? 36 Multi
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning _ City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Foorings (new bldg) Final/C.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plunibing
_ Foundafion HVpC
_ Drain Tile Other
RooF _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
0
-a992-BUILDING PERMIT APPLICATION
J QUl CITY OF EAGAN
4'isl.go
cV64 t-3
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWEWNGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF _UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS .OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WNEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE OR LOT CHANGE IS REQUESTED ONCE PEFMAIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DE5IGNATE WHICH
ADDRESS IS DE RED. NO C NGES WILL BE ALLOWED ONCE BUILDING !'ERMIT IS ISSUED.
p ' j'??h.`-t'r7
To Be Used For.? , Valuation: Oate:
v
Site Address
rr? n? ?w vLot ? Block ?
Occupancy
Parcel/Sub Zoning
Actual Const
Owner Allowable
. # of stories
Address ' 6 Length
Depth
City/Zip S.F. Total
Phone Footprint S.F.
On-site sewage
Coritractor TyyIN CITY STORM SASI-1, INC. On-site well
10825 GFE N , LHI MWCCi SyStBm
AddrB55 MINNETONKA, M\ Ciry water
. ' PRV
City/Zip Booster Pump
Qhone ,?ra? - 2976, License 0&??D APPROVALS
Planner
Council
Arch./Engr. Bidg. Off.
Variance
Address
City/Zip Code
Phone #
Bldg Permit
Surcharge
Plan Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
FEES
Sewer/WaterLicensedContr. . Processingtime
for sewer/water permits is two ays once area as en approve .
agrees that all work shall be done in acxordance wfth
-- (signature rmittee --- ---- - - _
sll applicable State of Minnesota Statutes and City of Eagan Ordinances. °
REACT?VATE _ -• „ CITY OF EAGAN
PERMiT # 1993 BUILDING PERMIT APPLICATION
_ 681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work
Site Address: 3858 PqLISADE WAY
STREET SUITE /
Tenant Name: (commercial only)
IAT BIACK SIIBD. P.I.D. *
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other coes«see>
Name Phone
Property uST FIRST
Owner
Address
STREET STE !t
City State ZiP
Company 1wIN CiT? STtNeM SASHzNC, Phone
Contractor Address License # 3091 Exp.
City State Zip
Company Phone
ArchitecU
Englneer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
carrect and agree to comply with all applicable State of Minnesota Statutes and City af
Eagan Ordinances.
Lof Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 Sf Dwg.
? 03 Sf Addition
O 04 SF Porch
111 05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
V 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
O 35 Tenant Finish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning Sq. Ft. total
W of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
? 16 Basement Finish
'E3 17 Swim Pool
? 18 Comm./Ind.
E3 19 Comn./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
REQUIRED INSPECTIONS RE-Rqc6 /OA-170 400?Q, SASAIES,T/P/M, 50F'P175, FASuq
? Site
0 Wallboard
0 Footing
A Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Cann.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
12 `, oo I v.tuat;m: S I i. DoD
s.sa
SAC %
SAC Units
CLAIPI VOUCHER - RETUAID RCQUEST
CITY OF EAGAN
CLAI?tANI TW N I Y TORM SASH 0 --
ADDRESS 10825 GREENBRIER RD
MINNETONKA MN-55305
Location 3858 PA•I ADE WAY
L8. B4. CEDAR GROVE 8TH
Receipt No./Date CR 001939/FEB 19. 1993
Reasen fez Refund BUILDING PERMIT CANCELLED
7}•pe of Refund Electrical Permit 01-3211 $
Plumbing Fermit 01-3212 $
?techanical Permit 01-7213 $
Suzcharge 01-2155 S
Water Connection Permit 20-3713 S
.3/?/q 3 ? Sewer Connection Permit 20-3743 ,$
Accoun[ Deposit 20-2252 . S
Utility Account Over-Payment 20-2250 S
OL}1CL: RIf7i.DING PERMIT s ?31_50
S
20TAL $ 131.50
7 declare under the penalties of law that this account, claim or demand is just and
that no part of it has been naid.
"IIl1l}'1jil'n _.t'I ttCp'nPATISA , W/96/91
S gn ture Date
CTTY OF EAGAN
L ? B MECHANICAL PERMIT
SUBD. (612) 6514675
RESIDIIVI7AL
RECEIPT# 169?216'5
DATE a-?' 92
5
PLEASE COMPI.ETE UPPER PORTION ONLY FOR SIlVGLE FAMII Y DR'ELLINGS. ALSO, COMPLEl'E FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERhIITS ARE REQUIRED FOR EACH DWELLING UNTP.
OWNER: FEES
STl'E ADDRFSS:
3858 Pqlisade Way ADD ON/REMODEL (EERISTING
CONSTRUCfION ONLI) $ 15•00
INSTALLER: FREDRICKSON HEATING & A.C., INC. HVAC: 0.100 M BTU 24.00
PHONE #: 452-2775 ppDITIONAL 50 M BTU 6.00
ADDRFSS: 3650 Kennebec Dr.,#101 GAS OUTLE,TS -11IINIMi7M i@ $3 EA.
CITY: Eagan ZIP: 55122 SURCHARG& $ .50
SIGNATURE: TOTAL: $15. 50
v Replace ex sting furnace add A.C.
COMDZIItCIAL ? R??
J
PLEASE COMPLEl'E THIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUILDINGS. ALSO COMYLETE FOR
APARTMENf BUILDINGS 0:1 OTHER M`JLTI-FAhIILY BIIILDT.1vGC .WHEN SEPARATE PERMITS ARE PIOT REQUIRED FOR
EACH DR'ELLING UNTf.
WORK DESCRIPTION:
CONTRACf PRICE: I FEFS
1% OF CONTRACI' FEE. ?
STATE SURCHARGE LS $.50 FOR EACH
S1,000 OF PERMTf FEE. $
PROCFSSED PIPING • 525.00 r
hIINIMUM FEE - $u.00
I$
=:t m
SI1'E ADDRFSS:
TENANT:
SUI7'E #:
INSTALI.ER:
ADDRESS:
CTI'Y:
PHONE #:
SIGNATURE
TOTAL: 1 $
ZIP:
CITY SIGNATURE:
-) ?
MASTER CARD
STRUCTUR: AND
LAND USED AS
-?-
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING - ,
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER 14
OTHER I
ApproveCl
Items (Initial) Date Remarks Distance From Well
FOOTING ??•'? ?.. 1 SEPTIC
fOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PIUMBING
WELL
SANITARY SEWER ?-,
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPIIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WIIL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REIhSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected tha abwe in which I have no interes[ present or prospective, and thet I heve reported herein
all significant conditions o6served to he at variance with ordinances of the Town of Eagan, approved plans and specifications, end any cpacific require-
ments for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPEGTOR DATE
? sa
DISCOLSURE STATEN.ENT `'
Compllance. The purpose of this-statement is to disclose Lo the buyer
the eztent to whlch thls s.ystem meets the stsnAards foP solar systema
set forth Sn the state Bu13dSna coAe.
This system /subsystem/covponent meet s or exceeds the standards set
for*,h at State Buildine Cdr?e 2 NCAA ss 1.I6106 and 1.1616107.
"DesiRn life of solar system.with normal
malntenance as described by manufacturer. 20 Yra.
Transport suhsystem 20 .vrs.
Storaae subsystem 20 Yra,
Control suAsystem- 20 vra
DesiRn life of subsystems anA components with
normal maintenance as describe9 tiy manufecturer 20 vrs.
CalculateM !'e.c]lity;, heating consumption (pQ) q5 0. 0 G 0
Calculated' service hot water consumption U,Il.. {r ] 0 00
CalculaLeA facility coollnR consumption N/A
Other calculateo far.ility energy consumption 1C/A
asmay be offset b,y?z solar e nergy system
. ?g /3
CalcuiateA sclar contrlbution to space heating consumptiu
, CALCULAT:^ SCLAR rGNTRIAUTION 1^0 TOTAL CONSUMPTION
?
Prepared fort ?"L//P/ y-C.?./
V
3 s 5? P4 Ll
r,° 6 A i? A< ; YA!
rc / a 2
*SOLAR AIR 4 ? M Itvr AJR SYSTEMS,
ENSORUSING W 114 PANELS
,
A BLOwER COUTROLIER
BAGK SIDE OF SOLAR COLLECTOaS 3 MOTOR
hLl 8`
? STARTING ColLARS
SOLAR AIR HAhDLE yyARM
SOLAR
? ?rlRNl r'?R THERMO57AT
rv;cr??
< COOL ? COOL
8. FLF,,( ?
? I
- r PuMP
? CHECK I FILTER
0
I I
?
I ? L - _ _ _ _ - _ -
NII?INV VAL!/E
TD TNE HOUSC
?
. ? r .- x. ... PREHEAT DOMES7IG ?
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I 10-81
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EAGAN TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minaeaota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 11/1 5/-7 -A_ Number: 1346
Billing Name:Cedar Grove Construction CoSite Addreas:-k.=R-$-
Owner• same
Plumber• Stein's
Coanectioa
Meter
Billing Address 3858 Palisade way
Meter No. Permit Feer]0_nn rd 12/99/72
Meter Reading Meter Dep. •50 pd 12/29/72
Meter Seaied: Yes_ lAdd'1 Chg.
NO i1bta1 Chg.
Building is a:
xx
Residence
14ultiple xo.
Commercial
Istdustrial
Other
Hy:
Chief Inspector
In consideration of the iseue and delivery to me of the above permit, I
hereby agree to do tte proposed work ia accordance with the rules and
regulations of Sagan Township, Dakota County, Minnesota.
By:
Stein's
Inspected by
Date
Remarks:
units$25_00 IRP'!S."-c(7I01Nf Frz rOZ
Ia s, t.
Please notify the above office when ready for inspection and coanection.
HAIIGE, SMITH. EIDE tRC HELI.ER. P. A.
ATTORNEYS AT lAW CECARVILLE PROFESSIOHAL BUILDING
3808 SIBLEY MEMORIAL NIGHWAY
EAGAN I3T. PAUU. MINNE60TA 55I22
PAUL H. NAUGE
BRAGLEY SMITH
KEVIN W. EIDE
DAVID G. KBLLER
July 16, 1982
Artu Coos 612
T[L[rxoN[ 434-4224
Mr. Jim McGuffee
EAGAN PARK DEPARTMENT
3501 Coachman Road
Eagan, MN 55122
Re: Elvin Edward .Tensen, Jr., residence
3858 Palisade Way
Eagan, MN
Dear Sim:
I am aware that you have received several complaints with regards to the condition
of Mr. Jensen's property. Specifically, Mr. Johnstone of 3864 Palisade Way has
contacted us with regards to this continuing prohlem. I understand that you had
previously investigated Mr. Jensen's property to determine whether there was a
violation of ordinance and at that time found that the yard was cut so that no
notice was issued.
I have subsequently discnssed this matter on several occasions with Mr. Johnstone
and Doug Reid and on July 7, 1982, Mr. Reid again investigated the property and
at that time found that there were weeds in excess of the one-foot limitation
imposed by Eagan Ordinance No. 75. Therefore, I would request that you issue
a notice to Mr. Jensen that a nuisactce exists as described in Eagan Ordinance
Section 75.02. I would further request that you investigate the pronerty after
the ten-day time period provided in the notice to determine whether the weeds
have been cut. In addition, I would appreciate your checking on Mr. .Iensen's
property from time to.time over the next several months.
It is our intention to cite Mr. Sensen for violation of Eagan Ordinance 75 if
there is a failure to comply with the time requirements of the Weed Ordinance
notice or if there continues to be a violation of the requirements of the
ordinance, regardless of whether the weeds are cut each time a notice is issued.
I thank you for your assistance in this matter and would appreciate your
keeping me advised regarding it.
Very truly yours,
> 7-
evin ta.Eiae
Prosecuting Attorney - City of Eagan
skk
MEMO TO: PAUL HAUGE, CITY A'1"PORNEY
FROM: DOUG REID, ASSISTANT BUZLDING OFFICIAL AND FIRE MARSHAL 4-le
DATE: JUNE 24, 1982
SUBJECT: ELUIN-EDWARD JENSEN, JR. RESIDENCE - 3858 PALISADE WAY, EAGAN
IAT 8, BIACK 4, CEDAR GRdVE BTF[ ADDZTION - CONDITION OF YARD
In the past few weeks the City of Eagan Weed,Znspector, Jim McGuffee, received
a complaint from neighbora about the tall grass at the above address. The day
Mr. McGUffee looked at the yazd the grass was cut, so no notice was sent.
On Monday, June 21, 1982 I received a complaint from Mr. John Stone at 3864
Palisade Way (I,ot 7, Block 9, Cedar Grove 8th Addition), who wae upset with the
condition of the yard behind Mr. Jensen's garage. Mr. Jensen had piled hia grass
clippings behind the garaqe. Mr. Stone doean't like the appearance of it and
believes it is a health hazard.
I would appreciate it if your office would review this complaint and return any
findiags to Mr. Thomas Hedges, City Administrator, for his guidance.
Enclosed are some pictures of the Elvin Jensen, Jr. restdence for your review.
CC: Zbm Hedqes
Jim McGuPfee
Parcel File
DMR/bai
Cii;y of Eagan
W95 Pilot Knob Roa.d
nagrin, i+iN 55122
Date: Jime 27p 19', 5
SPGC?aL ASSESS2'JDYT SENRCH
RE:
Lot ,4 B1k 4 CG 8 3858 Palisade
:):J;ota County .41;itrrict Co. ]ll 16707 080 04
lil E. Scrund :;1.
iYWe ?e•sr?': w??' c=; ,y-ou req,zested made or, the aLove describe3
properCy:
".ind of Irr?rrr,vame-r.t }tuns i:egir.ning OriE>inal Amt. Balance Due
paid
I furt,her ce^tify that according to the records of said office, the follo:ainZ
i:r.pr,overrent, are contemnlated or Panding after having been approved, and are ncw
in t.:e prccesss of pl.:nning or ?onplnticn.
?iind of Is:prcveme:•:t k;:arcx, date of completion App.o::i:cate eost
?un rA
k?:i I :r-:F? :
iVeiti.er the Ci_ty cf isagai: nor its einployees giiarantees the aouuracy of the above
inPormation wbirh :,ms rNquested by the person or persons indicated. Nor does
the City or it;, a;r; ]iabilii:y for the correctness thc-reof.
In con;;ideratiea f,,r, the of the iiidicated informaticn in the abave
fcr.^, and for a11 ot';cr ..?_n>;ideratinr, of any nature vr"atsoever, any claim
agrinst the City ef '_ts e:r-,lerees ris±n; therefrort is hereby expressly waived.
Levied as?-,essr.errts tc be ;aid +o the Ccvnty Auditor at Hastings, I'•?innesota jjOj?.
Very trttly yours,
i
SF?:CIEL !1 j:3:i»PiI's[?T DEPeiR_'.liN:
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA112650
Date Issued:08/21/2013
Permit Category:ePermit
Site Address: 3858 Palisade Way
Lot:8 Block: 4 Addition: Cedar Grove 8th
PID:10-16707-04-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Jolene Mehle
17484 Goodland Path
Lakeville, MN 55044
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Stephen P Grimm
3858 Palisade Way
Eagan MN 55122
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink.
For Office Use
/
Permit #: 105-DS
/0(41
Permit Fee: /c0 D S
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
J
1/ ! Site Address: 3 e L✓A'K Unit #:
Resident/
Owner
Name: r.yT‘,•t �'����'�- 5 ji.>e• £ip v✓tsvi Phone: 4:5-4,33'/ 75,
Address / City / Zip: 3W4. tQ,Iies/eel ��, � A4 - 5-57/2Z._
Applicant is:
Owner y Contractor
Type of Work
Description of work: h !` 14 4
Construction Cost:
Multi -Family Building: (Yes / NoJ )
Company: -34 G2ls✓l.✓t �,,,5,1, LL G
Address:
Contact: -145'0,-/ 6r#L024 7 2 z
3•Te-
City: /.,&a .r ia„ yv ,/fjar eX
State: /14,V Zip: vim 5 O 5- � Phone: G 5--/ ze
License #: SZ CSC, 6 74"
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x � ,� Q. 6e�i,1 ?of
Applicant's Printed Name
x =---
Ap ant's Signa ure
Page 1 of 3