3864 Palisade Way
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CITY OF EAGAN
Addition Cedar Grove #8
Street
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK ZS 1970 12 .QQ .00 2 Paid
SEWER LATERAL 197 1 39. 10 307 . 10 pa,j,d
WATERMAIN
?. WATER LATERAL 97
WATER AREA
J(- STORM SEW TRK
.#. STORM SEW LAT 1974 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 00-00 8508 7-12_73
BUILDING PER.
sAC 260.00 8508 7-12-73
PARK
CITY OF EAGAN
3795 Nler Keob Road Eo9an, MN 551n _.a 8203
PHONE: 464-8100
BUILDfNG PERMIT Receipt
Te M wed fer STORAGE SHOP Est. Volue $400•00 pote MOA July 1
Site Addreu 3864 Palieade Wav
Lot 7_ Bloek /A_ Sec/Sub. Cedar Grove 8th
pa,al # 10 16707 070 04
W Name _
; llddross
b r_
p Noma _
?
u? Address
I hereby acknowtedge that I have
the informotion Is torcect and c
5tote of Minnesofa Stotutes and
Slpnoturc of Permittee
O Y1 W.
/1 8uilding Permit Is issued to:
ell work shall be done in ocoordance with all
Erect gR Occuponcy R-3
Alter p Zoniny R-1
Repoir ? Firo Zone iIA
Enlarpe ? Type of Const. V
Move ? # Stories
Demoliah p Length °
Grode ? Depth 10-Sq. Ft.
Approvols Faes
Assessment Permit 1'- • J"
Water 3 Sew. SurchQrye • 5d
PoHce Plan check
Fire SAC
Eng. Water Conn.
Plonner Water Meter
Council Rood Unit
Bldg. Off,
APC Total v 1• O
on the express condition thni
sota Statutes and City ot Eopon Qrdinantes.
Bulldinp Official
Pe?mit No. Permit Hoidsr Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sower
Eleetrlc
Inspection Date Insp. Other
Footinys ?
Foundatfon
Framinp
Rough Pibq.
Rough HVA
Inwlation ?
Final Plbg.
Final HVAC
Final
Wmr Dfturibe Location:
Vilell
Sewer ?
Pr. Disp. ' •
ey
2
DATE
Site
Lot.
GITY -VF EAGAN PERMIT # _
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PHONE 454-8100 DATE: ?
? .........
? Address?j? ?(L[S-.Q1d ??a1
? CRy M'S?'Ag,n,,?,-??, ? Phone
zi Add
? city
TYPE OF WORK
K = Forced-Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Pi in Outlets #
P 9 ?
Other
CommJlnd. Contract Price x 1% $
PERMIT FEE:
S/C:
TOTAL:
Res. New Const.
Muft. Add-0n
Comm. Repair
? p?
Other '(vs
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A!C ON NEW
? CONSTRUCTION)
TOWNHOUSE & CONDOS - RES
RATE APPLIES
.
MINIIWUM RESIDENTIAL FEE - ALL ADD-ON &
- REMODELS (INCLUDES GAS PIPING) - 12.00
GAS OUTLETS (MINIMUM -1 PER PERMIT-_
NE
ONST
1
50
A
.)
.
IMC
E
:
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
50 S/C PER EACH $1000
00 OF PERMIT FEE)
ADD $
(
.
.
SI ATUR P E
FOR: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
h r' A t I
? tflrll: r;N'1IJ1 tl 1 11
PERMIT SUBTYPE:
1IYF, t.lAY
0 ; 0 0 4
t+l t?r?t -. il
APPLICANT:
1;1.11 Ft f?? {d i hl 1!4 t
ft?l,'1 .'t .1 li I
TYPE OF WORK:
?111i:r i (1 E N6
0.11 l: ? ;
ww.1 fi im
t,1a Al}
I~k 4.iitit
fIF'.1 ltll' I 1I?N
INSPECTION D• • D•
PermR No. Psrmk Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Comments
FOO77NGS
FpUND
FRAMING
ROOFING
d?.
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
SEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
(? qqU 3830 PILOT KNOB RD - 55122
651_68,.4673 1
NewConstruclion Reouirements
• 3 registered ske surveys shawing sq. $. of lot, sq. tt. of house; antl all roofed areas
(200h mazimum lol coverage allowed)
. 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 setof Energy Calculations
• 3 copies oi Tree Preservalion Plan i( lot platted afler 711N3
• Rim Joist Detail Options selection sheet (41dgs with 3 or less units)
DATE Vc2 rI I o
JOB SITE
-J PAls mae_ V)
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _
PROPERTYOWNER W >L-L-''A-6A • V061
$l S1i}04
TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2
APPUCANT et'M?6_eL-- ?6ZC7. PHONE# ??? ? ? ? ?S ?
ADDRESS teg73 -7*40"'z QLA-Cta- ZIPCODE s 5 ' "sf
PAGER # N I f'r CELL PHONE #P\JJyv FAX #VS4 7 11-1 E4 6 3 O
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RLJLES 7670 CATEGORY 1 p ?2 n
(check one) - Residential Ventilation Category 1 Worksheet Sub i@ ?^
- Energy Envelope Calculations Suhmitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted gv v ?kll ?
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Conhactor:
Mechanical Svstem Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Rece' ed _ Not Required _
Updated 1101
RemodellReoairReouirements jZvj oi
• 2 copies of plan
• 1 set of Energy Calculations for heated adtlitions IL
. 1sitesurveyforexterioradditions&decks nrh
. Indicate if home served 6y septic system for additions
VALUATION
551
Phone #:
Lawn Sprinkler
No, of R.I. Baths
Water Softener
Water Heater
_ No. of Baths
Air Conditioning
_ Heat Recovery System
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
O 22 PorchlAddn. (4-sea.)
?J 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
?v 31 New ? 35 Int Improvement ? 38 Demolish (Interior) El 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation p e!e- Occupancy X-3 MC/ES System
Census Code C/ Zoning ? City Water
SAC Units Stories ? Booster Pump
Nbr. of Units Sq. Ft. aa 5 PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (newbldg)
Footings(deck) FinaUNo C.O.
?7J Footings (addition) Plumbing
? Foundation
Drain Tile
Roof Ice & Water Final Other
? Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By /?-J , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
SG IQ,6 G K;
?
3 75U ?
FinaUC.O.
?
HVAC
YILLAGE OF EAOAN
3795 Pilo.KnoGRo3d V
Eagan, MN 55142
Zoning: R-1
owner: Cedar Grove Constr
Addresa: .?
Site AddreSs: 4 3864 P
Plumber: Steln 1 S
SEWER SERVICE PERMIT
PERMIT NO.: 1376
DATE: 12/29/72 (7/13/73)
Na. of Unite: 1
_ __ ^_
I ogros eo eomplY with fhe Villa9e e4 Eagan Connectfon Chazge: 260.00 pd 7/13/
Ordinuncn. Account Deposit:
pd 29 2
Permit Fee: e 0 pd 12 29 72
Surchazge:
BY; Misa Chazges:
Date af Insp.: Total:
Insp.: Date Paid:
vzLLnt;E or r:AGnrr
3795 Pilot Knob N,oad
Sagan, Piinnesota 55122
PERI4IT N0. 379
The 4illage of Eagan hereby grants to r,ta r..o.e r. arructi= Co.
Of7343 (!nnr_pxd Blvd. Saet. South St. Peul 55075
a wueTTntc Permit £or: (Owner) game
3f67 Palisade Waq 9-2-8, 1749 Sartall Ave. 5-9-8, 1745 Deercrood Dr. 11-1 .
0mWm ga 8$plication dated 71yl73
a 3864 vaiiaAds ay 7-4-8- 39 #A
Fee Paid: $1 nn_o0 dated this13th day of July ,19 73
2.50 s/c
Building Inspector
Niechanical Permits;
.6id 'Potal: c?-
2 -,.26 0?.
VILLAUE OF' r;AGtiN
3795 Pilot Knob ttoad
Eagan, Iviinnesota 55122
PBRi4IiT N0. 363
The Oillage of Eagan hereby grants to Cedar Grove Construction Co. ?
of 7343 Concord Bivd. Eset, So. St. Paul
a PLUMBING Permit for; (Owner) Same
at3864 Palisade Way 7-4-9, 3954 FAMq0eWt-*?§*plication dated 7/9/73 ,
Fee Paid: 3100nn dated this jjth day o£ Juiy
2.50 s/c
Bui ding Inspector
Niechanical Permits;
tiid Total;
?ZtC4ncA1 -ql?el vnctP- )~q CG.-P? g
- ? EAGAN TOWNSHIP `
BUILDING PERMIT N? 2929
Ownei ------ ...°.::'.`--------- ------------ '---------- ----------- Eegan Township
Address (Preseni) ...._.-------------------- - Town Hall
Suilder __....
Addrass ......
DESCAIPTION
...............................
.
Storiea To Ba Vsed For Fron! Depih Heigh! Esl. Cosf Llerrmt Fee Aemarke
?
5, ?.
S2reei, Road or
..x: r"),Q: s AGCII10n or T7at!
7 ?
ThiF permii does not auiLorize the use of alraela, roads, alleps or sidewalks nor does if give the owner or bts aqant
the righlSo creale anp situation which is a nuisence or which presenffi a hazard fo the healih, safely, eonvenienea and
ganeral welfare !o anyone in the communitp.
THIS PERMIT MUST BE KEPT ON THE P`RE MISE WHILE THE WORK IS IN PAOGRESS.
Thie ie !o earfify, thal-.-_=--------------------------bas permisaion !o erect a..... ?.9...:..-'-°'- d?
. .. ............ ....'°'- npoa
the above deacri6ed premise subjec! So iheprovis3ona of the $uilding Ordinance fos Eagan T?hip ado ad April 11.
1955.
?----------- ?'°`-?.tis_.??--(„-?--?---- Per ......................... ?-?.......... ..._----- ...............'--'-'---
l."h'S3' me?n oFT wn ard ? Bvildiny Inapector -°'°°°-
LOCATION ( / %-s
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex ............. ?-?-?-?...-'--<'__--.
Address (Presen!) '_..........................
Builder .........
Addsesa
DESCBIPTION
N° 30'79
Eagan Towmhip
Town Heil
ae:......-.-...?c ?- 73
.. ...........................
5lories To Be Used Foz Fron! Depth Heighf Esl. Cos! Permif Fee Remaska
?-Ey •?---?'G'`.?-?.-? (?8"°T' ?3 J ? lc.?
LOCATION o"'b
as
(!•,b- d
This permit does not aulhoxise 36e use of nlreeis, roads, alleps or sidediAYks lnor does it give the ownas or hIs egent
ffie righ! !o creale enp sifuation wh[ch is a nuiaenee or which presenls a haaard !o the healih, safely, conveaienee and
general welfare 1o anpone in the communify.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. r_
This is !o cerfify, ihal..... .'..:_? ........_................. hespermission !o erect a.-_-_....... ._........_?....._-----..... _upoa
the above described premise subjee! !o the provisions of the Building Ordinaace for Eagan Township adopled April ll,
1955.
........................ ......-!.l.:.--°?-- °°•°------•--?----..... . Per ----'------......--------°----•--?-............
. ..... .. .....--•-°------°------'
Chairman of nwn Board Building Inspeclos
??/?'j/-^? REQUEST FOR ELECTRICAL INSPECTION
ll? Sae inslmcuons far rqmpletmy fils form on beck oi yellow copy.
1714019 ".1" Below Work Covered by This Request
EB-0000108
I? ti
ew Add Rep. TypeofBUiltling AppliancesWired EquipmeniWiretl
Home
` IRanqe Temporary Service
Dupiex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Speciry)
I Comm.'Industrial Fumace
r j- 1Farm Air Gonditioner _
? IIp}her (suecily) - Gonlrecror5 yRe/marks{
/ (i44 ~A ,i
Compute Inspection Fee Below:
# j Other ? Fee # ServiceEnhanceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers I Above 200 _ Amps Ab 100 _ Amps
1 5igns___ _
Irtigation Booms inspecmrs Use Oniy / TOTAL ?.yV
(? ?
? Speciallnspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
-
I, the Electricat Inspecior, hereby Ro°9n-'"
?a?e
certify that the above inspection has
been made. F,oai 0 1
?
OFFICE USE ONLY
Tbis reqoest vaitl 18 moniM1S Imm
/r7/9 /`1/
/1 I S '75 f
i
?p 71405?? ? ?'? 1?
IlRepuesl Ca'e IFira Np. Pough-in InspecUOn
e uiretlP ?JReeOy Now C' Will Notily Inspector
I QYes No ? When Reatly?
i?
?--
I I?y,licensed contractor J owner hereby request inspection of above elec[rical work at:
_ il`__ _--
Jab Aatlrass IStreeL B. ar Route No I Ciry
3 dT? uI .? ? ?-_ ?!J -
Section No i iTOwnship Name oi No. Range No. Counry
i ?
L-_
EOccupanl(PRINT) Ppon2 N0.
? G,)rq U D!? 7 ?/b? `'t
--- -?-{ -------------T ----- --
Power SuaPlier1 V lAtltlress??
? l?')OLs ? _.
?Elennc?ctor IGOmpany Namei ? Convacmrs License No.
"_. - __
-_ ?J Q
-L-4?» L,
6 '
IMeiimg naaress iCOmlacb( or Owner Making Installatiory -
?- / 2? ?--"l13?- L I -- -- -- -
Phone Numbar
?Author¢ed ra ICOnVactor? ner Mak losmilation,
??-?.?.a-..?- - -- ----?b Y 9 - 6 ?c '7
MINNESOTA STATIZOARD Oi ELECTRICITY
Griggs-Mitlwey Bltlg. - Room 5413
1821 Univercity 4ve.. SL Vaul. MN 55104
Phone (612) 663-0800
THIS MSPECTION qEOUESt WILL NOT
BE ACCEPTED BY THE STATE BOAFD
UNLESS PilOPER INSPECTION FEE IS
ENGlOSEO
CITY OF EAGAN
? ?.
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
7b Be Used For Valuation ??'O U Date
Site Pddress Z38611 /A?s9oe C.?.9r4 OFFICE USE Y
Lot l sloc7c 'l sec./sub• C£GroUt ?Erect ? OccuPanc3' 3
Parcel #: 0 70 6q Alter Zoning ?
Repair Fire Zone
Owner: ? o N??j on.e IIzlaxge _ 7'ype of Const.
386y ,q isg/?e r'1D"e # stories
Address: Demolish _ Front g ft.
City/Zip Code: Grade Depth /Q ft.
Phone # : ?,g
APPROVAI.S
rnn+ractnr: ? ??? ?Tav?" ASSeSmritS Per[[dt 7 ?
?i
Address:
City/Zip CAde:
Phone #:
Arch./Ehq..
Address:
City/Zip Cale:
Phone #=
[9ater/Sewer Surcharge
Police Plan Check
Fire SAC
Eng.
Planner
Cotincil
Bldg. Off.
APC
/?? ?0 A__Y-
Water Conn.
Water Meter
Road Unit
'IOTAL -??f /'-? `CpO
,VF
' 9795 PtI cirY oF E?aaH
M K
b Re
MN SS7'll'
dE ?7o
lr -pc? r?
0J
ne
a
agan, • OFi
' PHONE: 451-8100
BUILDING PERMIT Receipt g ?
_
To bs wed fer STORAGE SHOP Est. Volue $400.00 pO1e ?I? July 1 19 83
Site Address 3864 Palisade Wav E
r Occu
n R-3
rec
)a pa
cy
Lot _7- Block 4_ Sec/Sub. Ced ar Grove 8th Alter ? Zoning R-1
10 16707 070 04
l
P Repoir ? Fire Zone NA
#
orce
Enlarye ? Type of Const. V
m John W. Stone, Sr.
Name Move O .$ Srories
z ^ddress 3864 Palisade Way Demolish ? Length$_
Ci Eagan 55122 PhoM 454-5028 Grode ? DepthlQ_Sq. Ft._
? Owner apvro.als Fee.
o Name
ut Address
Assessment
Pertnit 11.5
Woter 8 Sew. Surchorge • 50
Ci Phone
Police Plun check
°C Nume
Fw
Fire
SAC
Address Eng. Woter Conn.
i W Ci Phone Planner Water Meter
^ Councll Rood Unit
I hereby aCknowledge fhot I hove reod is a licotion te t f Bldg. Off,
fhe informotion Is cortect anQ a re o piy 'th appli le $12.00
State of Minnewta Stotute S
C' of! agon ?nces. APC Totol
%
Sipnoture of Permittee
? o n . tone, .
A Building Pertnie is issued
. on tha express cordition Ihm
oll work sholl be done in ardance with ull -plicoble Stot of Minnewta Statutes ond City of Eagnn Ordinoncea.
Building Officiol
• ,
-- - ---- ---' ,
r,-- ---
?:
-- TI _ ;---
?
- -- .`---?- - - --
_ .. i ?
I
----------- -- ?? /6 h ?
--------- -
- - . .._ 4
_..
-----
;.. _ __ - ---- - _ _ _ _ t --- -- -----
- --- - - I
--
--
----
-
--
_-- ---- - --
?
L01 MECHANICAL (RESIDENTIAL)
Permit Application 'SD
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Pamily Dwellings
Townhomes and Condos when permits are required for each unit
Dete ? / I 1_ ? 03
SiteAddress 31 64 ?a,?l?c1FJt.° w8? Unit#
Property Owner Wfflia1M VoQT Telephone #
Contractor 16W G0*4r4
SMeet Address Ia'KC)G HW Y!-S? City
State MIdIY?°5??1 zip Telephone# (']b j)3838383
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
? furnace replacement
air exchanger
? air conditioner
other
State Surcharge $ .50
Total
1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 wRrk which requires a review and approval of plans. /n
Applicant's PrixiYkd Name ApplicanYs S' ture
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complcte for: commcrcial/industrial buildings
multi-family buildings when separate pertnils are not required for each dwelling uni[
Date
Site Address Uoit #
Tenant Name (if applicable) Previous Tenaot Name i
Property Owner i
Telephone # ( )
Contractor
Strcet Address City
State Zip Telephone k ( )
The Applicant is _ Owner _ Contractor _ Other '
Work Type
Newconstruction UndergroundTank _Install _Remove '
Interior Improvement Call for inspection du ring installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimnm Fee (includes swte Surciiarge) I
Contract Value $ x 1% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per I
$1,000 Permit Fee
$ Total Fee
1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinaoces and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is
?ot a permit, but only an application For a permit, and work is not to start without a permit; that the work wilt be in accordance with
the approved pian in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspec[or Date:
RESIDENTIAL
?C)2? ? BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55922 f
651•681•4675
New Canstructian Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. R. of hoase; and all roofed areas
(20°k maximum lot coverage allowed)
. 2 copies of plan showing 6eam 8 window s¢es; poured found desgn, elc.)
• 7 set of Energy CaIcWa6ons
• 3 copies af Tree Preservation Plan if lot piatted aRer 111193
. Rim Joist Defail Optlons selection sheet (61dgs wiU 3 or le5s units)
DATE (2)- -z CA - o Z
_ Water Softener
_ Water Heater
_ No. of Baths
SITEADDRESS 3??o`-I ?a llSco? -MULTI-FAMILYBLOG _Y _N
TYPEOf WORK A_e_.ro ? t6a .c.x ? 4cPT_ FIREPLACE(S) _ 0_ 1 2
SELA ROOFING & REMODELIIV?G
APPLICANT 4100 EXCELSIOR 3LVa.
ST. LOUfS PARK, MN 55416
STREET ADDRESS op Woo 1015Q CITY STATE,ZIP
TELEPHONE #Q2`WZ3'Z0 '-((0 CELL PHONE # FAX #
PROPERTY OWNER TELEPHONE#
------------------'------------°------------------------------------------------°------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ yIINNESOTA RULES 7670 CATEGORY 1 MINNESO'l'A RULES 7672
(v' submission type) • Residen[ial Ventilation Category t Workshee[ Submitted • New Energy Code Workshee[ 5u6mitted
• Energy Envelope Calculations 5ubmitted Plumbing Conhactor: ___
Plumbirg system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
rlir Conditioning
_ Heat Recovery SysCem
Phone #
Phone #
---------° ---• --------------°---------° °------°--------------°---------°---------
I hereby acknowledge ihat I have read this application, state that ihe information
with all appiicable State of Minnesota Statutes and City of Eagan Ordnances.
?
SignaTure ot Applicant
Fee: $90.00
and agree to comply
OFFICE USE ONLY
RemodellReoair Reuuiremenls
• 2 copies of plan
• i set of Eneigy CafCUtations for heated addiAOns
• 1 sitesurveyforexleriaraddilians8decks
• Indicate if home served by seplic system tor additions
?G-1 ?z ` ?
VALUATION
Phone #
_ Iawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY ?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 61dg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-seaJ ? 31 Ext. Alt-MWti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ii ? ,33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Misceflaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ' Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Oemolish (Bldg)` ? 43 Reroof ?'. 46 . WindowslDoors
? 34 Replacement *Demolition (En6re 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 u
Nbr. of Bldgs Length Ffre Sprinklered
Type of Const Width ,
REQUIRED INSPECTIONS
_ Foorings (new bldg) FinaVC.O. I
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Piwnbing
Foundation HVAC '
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
, Framitig _ Siding Stucw Stone
` Fireplace _ R.I. _ A'u Test _ Final _ Windows (new/raplacement)
_ Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review '
MC/ES SAC "
City SAC
W ater Supply & Storage '
S&W Permit & Surcharge ?
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies '
Other
Total
? i
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025593
05/16/95
SITE ADDRESS:p•I•N.: 1e-167e7-e7e-e4
LOT: 7 BLOCK:
3864 PALISADE WflY
CEDflR GROVE 8TH
PERMIT SUBTYPE:
SF (MISC.)
APPLICANT:
4
SULflBREN INC
(612) 721-7711
TYPE OF WORK:
REPAIR
DESCRIPTZON REROOF
INSPECTION
FRAMING D. .
ROUGH IN PLBG .A
OUGH IN HT6 FINAL
I- _ J
PERMIT
r CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
Permit Number:
Date Issued: '/
? U?` 11l ?
guzLorNs
0 2 5 5 9 3
05 /1 6/95
51TE ADDRESS:
3864 PflLISADE WAY
Lq7: 7 BLpCKs 4
CEOAR GROVE 8TH
P.I.N.: 10-16707-070-04
DESCRIPTION:
_ R E R 0 0 F
S?i?'],t#i?tykf?,ermit Type SF (MT5C.)
ob 11 d`ing` LJt r,k.q TYPe RE
?: - PAIR
• £ x : ;,i?.
y
c
?a „?? P ce
?? I cl:i 0 x, mi ?? '?
G s a
.s? Isiw.
REMARKS
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Tatal Fee
$54.00
$1.50
$55.50
$9,960
CONTRACTOR: - qpplicant - 5T. I.IC. OWNER:
SULABREN INC 17217711 0004105 5ULABREN INC
3207 CEDAR S 3207 CEDAR S
MSMNERPOLIS MN 55407 MINNEAPOLSS MN 55407
(612) 721-7711 (612)721-7711
. . ., . .._ 4 -- .v. u
. ..
r -. . ? .,
I hereby a-clCn=owYedge tktat"T haus'reac4 this,.aplp 1-10 ati;an 44 d sv?te`'tY?at
in`Forma;?bn i? e reet -aYi;d? agree to ???s1y s?3m? ?1Y appIxc?b?.e ?tia?e gf` Mfl
` StAtut??? wid C L-f y of V a9an^ Ordinanoes.
?.,... ;f,<< . .w . .. . , ., . _. _
.
ISSU BY: SIGNATURE
' CITY OF fAGAN ? S S•??
5 3830 PILOT KNOB RD - 55132 _?
7995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
687-4675
New Construetion Reauiremenfs RemodeVReoair Reauirements
? 3 regislered silo surveys ? 2 eopies oT plan
? 2 copies of plans (inUude beam & window sixes; poured Ind. design; etc.) ? 2 sile surveys (exterior addRions 8 tlecks)
? 1 eneigy calculations ? t energy akuletions tor hested adtlitlona
? 3 copiea of tree preservaGOn plan ii lot plattetl after 717/99
required: _ Yex No p?
DATE: 07 ?f ?o -19i:? ? CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: , _,j, v
LOT ? BLOCK ?
?fi\
C? ,, n ? ? n
SUBD./P.I.D.
PROPERTY
OWNER
r-
CONTRACTOR
Phone #: q!w-/9'v
.an _ e
Street Address-
Ciry: state: ? zip:
Company: Phone #: 7?-22l f
Street Address: z;207-e-Qv? Sin. License #-
City: State: Zip•
ARCHITECTI Company:
ENGINEER
Name:
Phone #•
Registration #•
Street Address,
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this appliaation and state that
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certifiptes of Survey Received _ Yes _ No
Penally applies when address change and lot
and agree to comply with all
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
a 02 SF Dwelling ? 07 4plex
0 03 SF Addition o 08 8-ptex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 10 = plex
WORK TYPE
0 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Oxupancy
Zoning
# of Storiss
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ? 16
? 12 Multi RepaiNRem. ? 17
? 13 Garage/Accessory ? 20
? 14 Fireplace ? 21
0 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building Engineering
MC/WS Systei
Gity Water
Fire Sprinklere
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Basement Finish
Swim Pool
Public Facility
Miscellaneous
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
3NV Permit
3/V1t Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
-- - ?.
°k SAC
SAC Units
MASTER CARD
LOCATION
OWNER ?l??s? G I'. `S?
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
f ?-
PLUMBING 363
CESSPOOL - SEPTIC TANK
N?ELL
ELECTRICAL
HEATING 3 77
GAS INSTALLING
SANITARY SEWER ?376
OTHER ir? 2 j/7?
J
OTHER -_
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
POUNDATION CESSPOOI
FRAMING e C TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
GAS INSTALLATION
? DEPTH
OF WELL
SEPTIC TANK
CESSPOOL
DRAINFlELD ?
PLUMBING --.3 - ?-7
WELL
SANITARY SEWER
Violations Noted
on Batk
COMMENTS:
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE pELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvemenu relating to the praperty inspected.
? AlL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO 8E USED ONLY IN EVENT OF OBSERVED VIOLATIONS
a3 `
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, MinaeaoCa 55111
Telephone 454-5242
PERNIIT FOR WATER SBRVICB CONNECTION
Date: July 13, 1973 (12/29/72) Number: 1247
?- "Pe- ?
Billing Name:CQdar Grove Construction Site Address; -,q=$ 3864 Yalisade Way
Owner• same
Plumber• Stein's
Billing Fddress
Meter Size
7/13/73
Meter No, IPermit Fee 10_00lici 12/29/72
Meter Reading`,_ Mefer Dep. •50 pd 12/29/72
Meter Sealed: Yea_ ' Add'1 Chg.
NO ' Total Chg.
Building is a:
Residence xx
24ultiple tio, Uni
Commercial
Industrial
Other
Inspected by
Date
Remarks:
$25.0-j
By:
Chief Inspector
In consideration of the isaue and delivery to me of the abwe permit, I
hereby agree to do tte propoaed work in accordance with the rulea and
regulations of Bagan Townahip, Dakota County, Minnesota.
By:
Stein's
Plea3e notify the above office when ready for inspection and connection.
. - ._ ;.
.
I' H N'ELSHONS, Preelden(
DAKOTA COUNTY ABSTRACT CO.
HASTINGS PROFESSIONAL BUILDING
1250 Highway 55
Hastings, Minnesota 55033
Phone 437-5600
L. L. THYEy. V1ce Presldent
Please send me a Pending Assessment Search on each of the following
tracts of land:
Lot 1, Block 1, Marell's First Addition
1997-1999 Gold Trai1, Eagan, Minnesota
AND
Lot 8, Block 5, Country Home Heights
2943 Inland Road, Eagan, Minnesota
AND
Lot 7, Block 4, Cedar Grove No.B
3864 Palisade Way, Eagan, Minnesota
Enclosed please find check for $15.00 to cover costs.
Thank you,
Rosie
City of Eagan
3795 Pilot Kcw6 Road
Eagan, MMN 55122
Date: A,,ril 18, 1978
Dakota County Abstract Co.
1250 Highway NSS SPECIAL ASSSSSDiENT 5EARCii
Ilastings, M 55033 RE: Lot 7, Block 4, Cedar Grove #8
3864 Palisade Way
Attention: Rosie Eagan, MN 55122
Fhclosed herain ie tihe searcYi which you reqiie9ted made oa the above desCriBeB
ProPertX :
Kind of Zmprovement Runs Beginninq Oriqinal Amt. Balanee Due
NONE
I further certify that accordinq to the recorda of said office, the followi.ng
improvementa are oontemplatad or pendinq after having been appYOVed, and are now
in the process of planninq or oompletion.
xind of Impmvement Approx. date of completion Appreximate coat
NONE
CJAIVER:
Neither the City of Eaqan nor its employees guarantees the accuracy of the above
informatioa which was requested by the person or peraons indicated. Nbr does
the City oE its employees assume any liebility for the correctness thereoE.
In censideration for the supplying of the indicated i.nfoanation in the above
form, and for all other considerati.on of any nature whatsoever, anY claim
aga3nst the City of its employees rising there from 1s hereby expnessiy waived.
Levied assessaents to ba paid to the Cbunty Auditor at Hastfngs, Minnesota 55033.
Very truly youra,
SPECIAL ASSESSMENT IIEPAR441ENT
oF
3830 PILOT KNOB ROAD, P.O. BOX 21199 BFa BLOM9UiST
EAGAN, MINNESO7A 55121 Mwor
PHONE. (412) 454-8100 niOrnns EGArv
Special Assessment Search JAMES A. SMITH
wcewsoN
, THEODORE W.4CHTER
Council Members
D a te : nionnas HEOGEs
October 29, 1987 c'N^d"""'s„°,°`
EUGENE UAN OVERBEKE
CM Clerk
Requested by:
D= TTII_E M?IPANY
S[1rIE 200
6800 FRANCE AVFIdUUE JJi1IIi
IDINA hP! 55435
Re: Cedar Grove #8
10-16707-070-04_
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 qy the
City Council as they may affect this parcel.
The City's policy is to levy assessments based upon the current
zoning or existing use of the parcel (whichever is higher) as
reflected in the above assessments. If, and when, the parcel is
rezoned or developed to a higher use, a condition of development
approval will require that this parcel assume any additional
assessment obligations that have not been previously paid for
existing public improvements. The City Engineering Division can
provide further clarification of this policy if you desire.
WAIVER/DISCLAIMER:
Neither the City of Eagan nor its employees guarantees the accuracy
or completeness of the information provided which was requested by
the person or persons indicated. Nor does the City or its employees
assume any liability for the correctness thereof. In consideration
of receiving and using information on the attached form and for all
other consideration of any nature whatsoever, any claim against the
City or its employees rising therefrom is hereby expressly denied.
Pending assessments cannot be paid until levied. Levied assessments
can be paid to the CITY OF EAGAN.
Very truly yours,
SPECIAL ASSESSMENTS
Attachment
THE LONE OAK TREE.. . THE SYMBOL OF STRENGTH AND GROWfH IN OtJR COMMUNITY
, , ,..
_. : ,,,.., . ,
, -.: :... ; , ?
oF
3$30 PILOT KNOB ROAD. P.O. BOX 21199 BE4 BLOMQU15f
EAGAN. MINNESOTA 55121 ^^?
PHONE: (612) 454-8100 . THOMAS EGAN
JAMES A SMIfN
Special Assessment Search VICELLISON
niEOOOaEwncrrtEa
cwr?ai nnemcers
n+onvs NEOGEs
Date: pctober 30, 1987 c'ty Adn1n1frotor
EUC•ENE UAN OVERBEKE
Clry Clerk
Requested by: Re: ?Cedar G,rove` #8
?10-16707-070704
?---- -- __ _
IIW11Y TTTLE OWANY .
SIJIIE 200
6900 FRANCE AVF3N[JE 9DUifI
IDINA hA! 55435
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. Zn 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 City's policy is to levy assessments based upon the current
zoning or existing use of the parcel (whichever is higher) as
reflected in the above assessments. If, and when, the parcel is
rezoned or developed to a higher use, a condition of development
approval will require that this parcel assume any additional
assessment obligations that have not been previously paid for
existing public improvements. The City Engineering Division can
provide further clarification of this policy if you desire.
WAIVER/DISCLAIMER:
Neither the City of Eagan nor its employees guarantees the accuracy
or completeness oE the information provided which was requested by
the peison or persons indicated. Nor does the City or its employees
assume any liability for the correctness thereof. In consideration
of receiving and using informatien 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
iHE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
-rRnr.isAcrzON Si7e R768 sPe_c1AE_ :;s.,Sr_Ssrn.-_r,rS
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l"HTS Y'EAti'S 'i0T F&I . C>ij
`r'ress C='1 ow F< (Header Fnrm) or F7 {RE_start R768}
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88-486
Or
3830 PILOT KNOB ROAD. P.O. BOx 21199
EAGAN. MINNESOTA 55121
PHONE (612) 454-8100
Date: Augusc 18, 1988
Requested By:
#12797
VIC ELLISON
Mayor
Special Assessment Search 7HOMPSEGAN
DAVID K. GUSTAFSON
PAMEIA McCREA
1HEODORE WACHiER
CounxilMembers
THOMAS HEDGES
Cily Atlminlshobr
Re:: -Cedar Grove #$ . EuGENEVnNOVEaeEKE
Lot 7 Block 4- ciNaerk
Equity Title Services
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 payof£ 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 assassment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
pAIVER/DISCLAIMERS
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and using information on
the attached form and for all other consideration of any nature
whatsoever, any claim against the City or its employees rising
therefrom is hereby expressly denied. Pending assessments cannot
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
Very truly yours,
• ?
SPECIAL ASSESSMENTS
Attachment
THE LONE OAK TREE. .. THE SYMBOL OF SiRENGTH AND GROWTH IN OUR COMMUNIN
Cities Digital
The following image represents the best
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Every effort was made to capture the content
from the original page.
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----- --- -- -- -- --- ----------- --------- _--?----------------------- -- y
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i
MEMO TOs PAUL HAUGE, CITY ATTORNEY
FROM: DODG REID, ASSISTANT BUZLDING OFFICZAL AND FIRE MARSHAL A)e
DATE: JS1NE 24, 1982
SUBJECT: ELVIN EDWARD JENSEN, JR. RESIDENCE - 3858 PALISADE WAY, EAGAN
LOT 8, BLOCK 4, CEDAR GROVE BTH ADDITION - CONDITION OF YARD
Zn the past few weeks the City of Eaqan Weed Inspector, Jim McGUffee, received
a complaint from neighbors 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 Prom Mr. John Stone at 3864
Palisade Way (Lot 7, Slock 4, Cedar Grove 8th Addition), who was npset aith the
condition of the yard behind Mr. Jensen's garage. Mr. Jensen had piled his grass
clippings behind the garaqe. Mr. Stone doesa't like the appearance of it and
believes it is a health hazard.
I would apprecfate it if your office aould review this complaint and return any
findings to Mr. Thomas gedgea, City Administrator, for his guidance.
Enclosed are some pictures of the Elvin Jensen; Sr. residence for your revierr.
CC: Rbm Hedqes
Jim McGuffee
Parcel File
DMR/bar
YLliMBING (RESIDENTIAL)
` ? c1 \ Permit Application
City Of Eagan
3830 P.oc Knob Road, Eagan Mn 55122
Telephone Fs 651-675-5675 FAX # 651-675-5674
Please complete for: Single Fami]y Lweliin<s
Towtilinrnes and Condes w9:er perr_+its ere required for each unit
DatC r / 2,?
f
VOGT, WILLIAM
3864 PALISADE WAY
Site AddrCSS EqGAN, MN 55122 linit #
(651) 454-1951 ?
Property Owner ?-- -- -- -- - ? T'elephone # ( )
Contrrctor ????OM PL??iNG co,
(612) 827-4033
Address City
•
State ip
Telephone # ( )
The Applicant is _ Owner ? Co:_:ractor _ Other
Septic System New Refurbi;hed Submit 2 sets of plans and MPC license $ 100
00
Includes County fee. Additional consultant fees may apply. .
Alterations To Existing Dwelling Unii, Including
_ Adding fixtures to lower levels or room additicns, excluding water softener and water heater $ 50.00
_ Abandonmen[ oP septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation ? repair _ rebuild ?
,
30.00
_ Lawu irrigation system
_ Water softener X Watea• t:eater
$ 15.00
X replacement adaitional
G I' I I lJ ?
? ( $
State Surcharge --- l
I D ?
? li .50
Total - --- Li- 2 . UU
L ?
J
$ 15-. EQ
.LIoLcuy appiy iur a xesioenttat rlum7mg Yermit and acknowledge that the inYdtsation iscomplcti?-And:acCurate; that the work will
be in conformance with tlxe ordinances and code,s oi me City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, bu[ only an application ior a pemilt; and work is r.ot to start wiffiout a perni.t; that the work will be in accordance with the
approved plan in the case of work which requires a raview and approval of plans.
de?
Applicant's Printed Name A c-?'Signature ?
__4 oq T?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Tetephone # 651-675-5675 FAX # 651-675-5694
New Canstmction Reauirements
3 registered site surveys shawing sq. ft of IoL sq. ft. of hause; and II roofed areas
(20%mazimmn lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 sel of Energy Calculations
3 copies of Tree Preservation Plan if lat platted aRer 711193
Rim Joist Detail Optlans selection sheet (bu0dirgs wilh 3 ar less units)
??o o C)
RemodeUReoalr Reauirements Ofte Use Onlv
2apiesofplan Cert ofSurvey.Recd _Y _N
1 sel oi Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N
1 site survey tor additions 8 decks Tree Pres Required _Y. _ N
Addifion - irMicefe Nonsde sepGb system On-slte SepUc,System _ Y_ N
Date q / 3CL/ O s
Site Address ??g(py PC?Q??j Conshuction Cost c;)W7
.o?C?.P u'", UnitlSte #
Description of Work ZA-A- ?- A i-crrj GEa '0 ??! ?p,Q ?y l,J I Ci 11?1Xlrv.?
Multi-Family Bldg _ Y?O N Fireplace(s) _ 0 ? 1 _ 2
Property Owner W_LLL.? ? '(}. «; ? Telephone # (µ5'/ ) C/'6-y • / 9S/
Contractor
Address
State f'Ytn
Zip ilo City czqirr./•L
Telephone Sf S71 -a SDS
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 WoACSheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar pian2 _ Y _ N If so, 25% plan review
I
lee 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 st ?ut a
permit; that the work will be in accordance with the approved plan in the case of work which req ',;*r ?.' and
approval of plans.
tiO
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? OS OB-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. AR - SF
? 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 33 Alteration ? 37 Demolish Building• O 43 Reroof ? 46 Windows/Doors
O 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to appiicant
Valuatlon 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
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinalMo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water Final Pool _ Ftgs _ AidGas T ests Final
_
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining WaII
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
Total
?5n_?50
2007 RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do nof combine inside and outside
plumbing on the same aqolication: seoarate aooticatinns anrl nPrr„ire mro ro„?11.4
Date og
Site Street Address 38(cil -PGL k
5 CZ clg uJ
- EL1
'
a
a? Unit #
Property Owner W+<<lao, Uo ? Telephone #(651 ) 454- JR-rJ" 1
Contractor Dra tti-pr o? I uw,.?-? i h q Telephone #(q52) ?-{ 6, R& ?'( 11 q
Address _gP>I E? 2oq-Et?, ?. City LalC2V i( C2 State M N Zip?y-
The Applicant is: _ Owner & Occupant Licensed Plumbfng Contractor
SepUc System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace bumed out fixtures, etc.) $ 90.00
This fee a Iies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener andlor water heater at the same time. H you are
installing onlv a water softener and/or water heafer, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System A6andonment
_ Water Tumaround (add $136.00 if a 5/8" meter is required)
Other:
? Water 3oftener ? Water Heater $ 15.00
_ new x replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $?
1 hereby apply tor a Residential Plumbing Permit and acknowledge that the infortnation is compiete and accurate; that the work will be
in conformance with the ordinances and codes of the CRy of Eagan and the plumbing codes; that I und
oniy an application for a permit, work is not to start without a pertnR and wark will be in accordance with?r? la i pt..
a plan is required to be reviewed and approved. ,I . n I II
JAN 0 8 2008
ApplicanPs Printed Name ( pplicant's S'anatur
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3864 Palisade Way
Lot: 7 Block: 4 Addition: Cedar Grove 8th
PID:10- 16707 - 070 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
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.
Total: $90.00
Owner:
William T Vogt
3864 Palisade Way
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA086334
09/24/2008
ePermit
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.
Use BLUE or BLACK Ink
_
4 01~ For Office Use
/ Permit
City of Eayn l~ I
1 permit Fee: G i
3830 pilot Knob Road I _ l
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 i !
Fax: (651) 675-5694 1 Staff: _ t
i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date. ZZ 1 Site Address; 6 ~f ~a ltd ~d lint #
3~ 7 7
3 Name. a r_ Phone: / Z-60
Resident/
OWt1Q1 Address ' City zip: c3' 6 fa / IN a S~~ Z Z
Applicant is; Owner Contractor
Type Q#(tf!'11 Description of work:
Construction Cost: Multi-Family Building: (Yes 1 No _
Company. .Contact,._.r.'^
. e .
I:QCltPBC~Ot Address: L ' i i { rU 4 City:
State: - Zip: Phone: t, .._L 1
LLJ -7
License L-114 2.- lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ~ Y
77-
_.4 m .a M..
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BIJILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan's
Yes No if yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
. _ hone:
Nita : Mans n rrla supporting ioCu as non-public you submit are considered to be public information. Portions of
Y -public if you provide specific reasons that would permit the City to
, „ co aclude that the era trade secrets
PALL §EFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Gall 48 hours
before you intend to dig to receive locates of underground utilities. y~~)~ ,f to ~ i3, t
I hereby acknowledge that this information is cornpiete 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 wilt 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
X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA115338
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 3864 Palisade Way
Lot:7 Block: 4 Addition: Cedar Grove 8th
PID:10-16707-04-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Danielle Leonard
505 Randolph Ave
St Paul, MN 55102
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 -
William T Vogt
3864 Palisade Way
Eagan MN 55122
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
rjr
�For OfAce Use�t Eaau 11
f ermlt /(7� -76rA
4!Pill' City of permit Fee: '
3830 Pilot Knob Road
Eaan MN 551227
Phone:(51)8755675 MAY 1 L 2017 Oate Received: 5-1 2-4
Fax:(661)676-6694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Data: 05/12/2017 Site Address: 3864 Palisade Way
Unit*:
William & Bobbi Vogt 651-454-1951
,� M1.M1 Name: Phone;
den , , SII
W �,�, Address city "Lip: 3864 Palisade Way, Eagan, 55122
Applicant is: _Owner x Contractor
M1Bathroom Remod See Site Plan For Details
Description of work. A
Construction Cost, 5000 Multi-Family Building:(Yes /No x
company: Great Lakes Window & Sidingcone; Derek
Address, 14690 Galaxie Ave cry: Apple Valley
M N 55124 952-891-3400
derek.glwsco@gmail.com
`��; � �M1;j Stets Zip: Phone: Email:
BC060427 NAT - 23297- 2
W „yW a License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit fora similar plan based on a master plan?
Yes _No If yes,date and address of master plan:
Licensed Plumber; Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public Information'.Portions',of
the information may 6e classified as non-public if you provide specific reasons•thst'wouldpermit thf.Citf to
gi tis, +,,, •, .> mac'
,„conaluds�aatkebe.�ars�.tinde�r n.:••
^�,�w�����y;,���"�,�� w�•,,�° .��;,�,•'��.;>�::.�,,..: , secrisltai�L.aM,r''tiTi1i'.•t;iixt.,..wA;j`.i'irY.�'
CALL BEFORE YOU DIG. Call Gopher State One Call at(661)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. Amagitzligiamozgagig
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 I er��. mc��mtc x f
Applicants ranted Name Applicant's SI
Page 1 of 3
£iti'd t769SSL9ZS9:01 OS2bti682S6 ODSM1S:WO8d I2:€Z Lti02-2T-htjW
.j eye`- fAit .46.2.- 14j DO NOT WRITE BELOW THIS LINE #12 70'
SUB TYPES
_ Foundation — Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
j Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation kill 41'6 Occupancy -TAG-/ MCES System —
Plan Review Code Edition Zs,/6- SAC Units
(25%_100%G/) Zoning 71-/ City Water
Census Code lin Stories — Booster Pump
#of Units I Square Feet -- PRV —
#of Buildings i Length Fire Suppression Required —
Type of Construction 71R Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) yy Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice & ater Final Pool: Footings Air/Gas Tests _Final
c* Framing t/30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEE
Base Fee -7,3 �-
Surcharge
Plan Review Ai 7 it
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use �{
City of Eaaafl Permit#: Lt 24?(
Permit Fee: C
3830 Pilot Knob Road
Eagan MN 55122 7I1,7 Date Received: Co'diS'�
Phone: (651) 675-5675
Staff
Fax: (651) 675-5694
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
� �� 2 �/
Date: � �.(o ;�`j Site Address: 3S�� [AA ( �czv�—� 'l�
Tenant: V 0/-,-,T Suite#:
Resident/Owner Name: V -4" Phone: IOS� - SU - `
Address/City/Zip: ' �( LI �C1 S(�L t��Er
Name: C' 141t$ 1 r I WOAb1 . License#:
Contractor Address: 7S'7 i/C VC f',Yt U City: PQi
State: I " Zip: SciC�E4 Phone: (PS` - 7 q — 6 Cif"7
Contact: l LR)f , V\ra_a Email: Cctco( cl p I ut9ikibi' •C 6-VYI.
Type of Work — ce
New k Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: r. ko\tJ
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ/_PVB)
Permit Type' Add Plumbing Fixtures( Main/ Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x UOVo ( (-G){`1ro,4 x etv.„._t
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date,
Required Inspections: Under Ground Rough-In Air Test Gas Test .. ..Final
Meter Related Items: Meter Size Radio Read Manometer Staff: