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3900 Palisade WayCITY OF EAGAN Remarks SGW & Wt,P COriri pd. on 12-18-72 Addition edar Grove #8 Lot 11 Rik 6 Parcel 10 16707 110 06 owner streec 3900 Pal3sade Way state Eagan•MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 44' 1970 125.00 .QQ 2 Paid ? SEWER LATERAL 2 Z'L 19711 1539.1 '(j, WATERMAIN j(- WATER LATERAL 1974 WATER AREA jfSTORM SEW TRK .)STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 00.00 018 12-18- 2 6UILDING PER. SAC 260.00 - PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ,:; ,,, ; APPLICANT: lJAY i ????r?i< ?,r,??•?i aclFt ??,t, , 7i9A? IaN4? PERMIT SUBTYPE: , , ,. , TYPE 4F INORK: ? . 1ct1 i I tt J wr, N.'.; 1 :it, 04tf.'Ivq .k . -1 -1 Permk No. Permlt Hoider Dete Telephone I! S/VU PLUMBING HVAC ELECTR J' ov ELECTRiC Inspectlon Dete Insp. Comments ootin 4 Founda n Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. inspector - Notity Plumber Const. Meter Engr./Pian Bldg. Final Oeck Ftg. Oedc Final Well Pr. Disp. INSPECTION RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. "•'' bt ?? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? SITE ADDRESS: APPLICAMT: .,i,E wnv ? I A t r A t I r r;,i f ?rlix t?r•,???•i l?,c { i. f. , c3?.+};- 117A PERMIT SUBTYPE: TYKPE OF WORK: INSPECTION .. . .. Permft No. Permit Holder Date Telephone # ELECTRIC PLUMBING iiVAC InspecUon Date Insp. Comments FOOTINGS FOUND FFiAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE G •- FIREPLACE AIR TEST l( ?? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL t VILLAGE OF' LAGAN 3795 Pilot Knob Road Eagan, liinnesota 55122 PERP4IT IdO, : 297 The Village o£ Eagan hereby grants to Cedar Grove Con:,trtlCtim Co. of 7343 Concord Blvd. P., South Ct:. ?%uul 55075 a PLUtSING Permit £or: (pwner) satne 1_- _'? 2 7im Q 1p ? J?3 i W? 9-9-?, 39 AP is?e o?app ic4PaTie '0_ Pa3tsade -- ,-putsu on dated 12J15/72 Fee Paid: dated this 78thday of Dp„cembgr 1 ? 3.00 s/c , 9 72 Buildin? Inspecccz? - 141.chanical Permits: Bid Tota1• ?`f fi-G- c, & , VILLaGE 0'r' EAGAIV 379$ Pilot Knob Road Eagan, Piinnesota 55122 PERsIT NO.: 295 The Village of Eagan hereby grants to Cgdar Grave Constructiou Co. o£ 494; ccmaord ffivd & , 9outh 3b Pml 5$075 a gg??Jg Permit for: (Owner) ? d e L t .7 ?m 2 12- -g 1711 ae?a?i 3•9-7, 3 F ?a?i.?aale'?? ?tiflvti ?tei?.?rt?aanJQ, onSl7g . r^ee Paid: dated this 18th day of December 19 72 3.00 s/c ' Building Inspectoi- vieohanical Permits: aae 6id 'rotal: ? EAGAN TOWNSHIP BUILDING PERMIT % Ownee ......--- .............. ..... ....l._._ ..............._.....__._.. ---- -------- -..-- .. Addrass (preseni) -- Builder ._.... _...---......... ._..... _.._....... ._.......... ............_..._._._._._. ... Address __...... ........................_--`---....-.---......_.........---............. DESCAIPTION ? 2911 Eegan Township Town Hall aate ..._:..._..... --- --- Siories Ta Be Used For Front Depih Heigh! Esi. Cost Permi! Fee Remu?ks 3 H J?"? LOCATION C A((. ;t• SV/ Sireei, noaC or oines uescnpnon oi i.ocanon I L02 IBTOek I Addifion or Traef I i ? s c_dCt. ? 7 13 This permii does not auihorize the use of sfreefs, xoads, alleps or sideivalks nor does it give the owner or his agent the righ2io create anp situalion which is a nuisanee or which presenis a hazard fo the healih, eafelp, eonvenienee and general welfare So anpone in She communify. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRES$. This is 2o cerlifY, -:.._`.°:t:'.._...... ?''.'c.`.?_..haspermission !o erect a...•?_c?:.... , ... ........ ...?? ......""_upon the above descrihed premise subjecf 2o the provisiona of fhe Building Ordinanee for Eagan ownship e?doplad April 11, 1955. a?' ?G--e?? ??'?2- ? ?yk..? ? ?11..--c.< (/"i??•?i ..... ..................' -..__........................ ......... Per _....... ............................................. -- _.._...............- C 6 ? Building Impector _?y' s94 N 02547 REQUEST FOR ELECTRICAL INSPECTION ? See insimctions for compleling ihis form on back oi yellow copy. "X':.Be/ow Work Covered by This Request EB-00001-08 AF , q A1 d?ooo e Atld TRep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater EleCtric Heating Apt Building Dryer Load Menagement Comm.llndustrial Furnace Other (Specify) Farm Air Conditioner Olherispeatyl Conhactor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 AmpS 0 to 100 Amps Transiormers Above 200 _ Amps ve 100 _ Amps SignS . Inspeciw's Use Only: TOT Irrigation Booms ?i// / ?'? G f Special Inspection ` Alarm/Communication THIS INSTALLATION MAY BE O ED DISCONNECTED IF NOT Other Fee COMPLETED WITI-Mi 18 M I, the Electrical Inspector, hereby certify that the above inspection has been made. Aouqn-m ? F;,,ai oa .7 p - ! T oare ? . ? OPfICE USE ONLY This rcqoest voiE 18 momhs imm M?5 47 / ? f' ' Flepuest Oate No. Rougn.ln Inpseetmn RapoireE Ins ectbn Othe? ihan Rough-ln Fea q (YOU must call inspeclor when ready) qeaEy Now ? wni NonN msoecto. J ? Ve¢ ? NO DaleReeO I1<licensed contractor ? owner hereby request inspection of above electrical work at J0 6 Atldress iSireet Bo r Route No.? ?J% 1?h'r.-/?Al?x-- l1?1r Ci !?__-"9 ?.?i n? Section No. Township Name or Nb. Ranqe No. Gounry :? R ,fT / Oc??yyup m a?PRINT, ???J ?? t??V1 ??" ? ? / ")//? PhorLe No. ???'-/J???/? ' 4 ?J i Pawe, treppiier AdOress Elecvical /Contractor /cOmpany N^me) " ?? ???J '? ? /? ? ? 'r/ ConVaMOrS Licensa No. ???!? I/'? j.? 7? ? ,/, . ,_ Maiimg Adaress Xamrar or Oyp_¢r/Mak/ing Installationl 11-1?;7, /?'//? q?? /? v?7????/L'? /?. ?7.? ?,??.?./?? /;J?:?/',/? /? / / /utnonzey Sig,.?ure/ 1y.?SZnv?a,tlor.Own?r Ma ' g Insialla Ppone um?er Jy MINNES0T4 STATE BOAPD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT G.igge-MlEway BIEg. - Room S113 BE ACCEPTED BV THE STATE 80nRD 1821 University Ave.. SL Peul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS Phane (813) 642-0800 ENCLOSED. ?0313 o?o 2017 RESIDENTIAL BUILDING PEiiNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New Consiruqan Reauhemenls 3 rephte2d stle surveys shavnng sq. fl. of fo1, sq. R M house; and ak rcofed areas (20 k maximum lot coverage allowed) 1 Soik Repcrt rf proposc4 buildmg is to be placed on disturbed soil 2 copies of plan shovdng beam & window, sizes poured fouM design, etc. 1 set of Energy Calculatians 3 copies N Tree Preservafion Plan if lot platletl aNer 7f153 Rin Joist Defail Options selection sheet (buildings wAh 3 or less- units) Minnegasco mechamwl ventilation fortn RemodelReoair Reouirements 2 cMesof plan sFowiftg footings, beams, joists i set of Energy Calculations fur fieatedaddiWits 1 site suruep fa adtlitions & decks Addi/nn - ind/rafe if Dn-site sephc system Offics Use Oniv Cert ofSurveqftPcd , _Y _N SalsRepnt `-.. _YN TreePresPWnftecd _YN. TreePresRequYEtl - -- Y _N OwsdBSepliiSysiem ?.Y-._Np'4;? .,..a"t € s t7?'3yfidC.'CV?d PCiN.@„ l.tql?ti,.dTi't?"e4jS'e leEw3#'sa j?o'w °sttfi%a°?,? sd2'e ?T--??,de seCCE:t ::9C!{? th£'. !'E.'s2«s13i. Date j 0 / Jr / 07 Conctructiun Cost w y500 SiteAddress 39(7 o A,IrSadL waM EGSao-), SS/Z2. Unit/Ste # lleccription uf Work ILf//ObT 4 ??- Multi-Family Bldg _ Y ?N Fireplace(e) X_ 0 _ 1 _ 2 PropertyOwner 1 _es1iiy Soj Te]ephone#(b5`/) 'VS_P-31Zp Contractor M14 bol LN'O44/1 IAnSTnuAo,j _ Addrrss ? 0 W MO.ZA City Ncw las(?e. /01- 5tate mN Zip S_(v0'7 ? Telephuee#i(,?'e? 7 Si- a3se33 COMPLETE THIS AREA ONLY IF Energy code Getegory -Min°euota Rules 7670 4ateeon1 (J submission type) • Resideniial Ventilatlon Category i Worksheet Submitted • Energy Envebpe Celculations Submitted A HEW BUILDING Mumesota Rtiles 7672 • New Energy Code Vtbrksheet Submitted In ihe Iqst 12 months, has the City of Eagan issued a permit for a similar plan based on a masfer plan? _ Y _ N If yes, dafe and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor for a and acknowledge Ss complete and accurat that the work will be in conformance w7th the ordinances and codes of the Gity 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 perntit; that the work will be in accordance with the approved plan in the case of wurk whrch requires a reciew and approval of plans. Telephone # ( Telephone # ( Telephone #( s' ApplicanPs P nted Name App1- itanCs iCgnature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lor: 11 81.OCK: 6 APPLICANT: 3900 PALISADE WAY VALLEY POOLS INC CEDAR GRpVE 8TH (612) 894-1480 PERMIT SUBTYPE: 5WSM POOL TYPE OF WORK: NEW BUILDTNG 023136 04/12J94 INSPECTION „ . D. FOOTINGS FINAL ? _. ? --?-CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE Permit Num6er: Date Issued: suiLo?iviy? 023136 04J12/94 SlTE ADDRESS: 3900 PAIISADE WAY LOT: 11 BLOCK: 6 CEDAR GROVE 8TH P.I.N.: 10-16707-110-06 DESCRIPTION; Buildi?`§'„Permit 7ype SWIM POOL Build3nq Wprk Type NEW , Bwilding Leng'th 36 BwSld:ing 4Jidth °":" 16 ? k t /C7 ?? :' ?:L,1 / Lt.?.? ? ? t ??? ZI REMARKS: FEE SUMMARY: Base Fee Surcharge 7ota1 Fee VALUATTQN $117.0@ $5.00 $122.00 $10.009 CONTRACTOR: VALLEY POOLS INC 651 CLIFF RD BURN9VILLE MN (612) 894-1480 - Applicant - ST. lLC 18941489 0004421 55337 OWNER: -IANSON LESLIE 3900 PALZSADE WAY =AGAN MN 55122 (612)452-3120 F- I hereby acknowledge that i have read tihis information is correct and agree ta comply St tu -2s and G%ty of Eagan Urdinanees. L S=-Jj"? -j - . APPLICANT/PERM17EE SIGNATURE applicati,on and etate that the with all applicable State of Mro. rJ ?nnl '- - I?SUE?D 8 : IG ATURE 1313C CITY OF EAGAN 1994 BUtLQING PERMIT APPLICATION 681-4675 --- ---, -' ; ... 2 ? ?S,:; ; 41zz.'90 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy caics. 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 I /q Li Valuation of work 5vo Site Address: O Dp,(..rZppE WA M STREET SUI7E # Tenant Name: (commercial only) IAT BLOCK ? SUBD. N??????? ?}(V P. I. D. k Descri tion of work: O The appl i cant i s: ? Owner bf Contractor ? Other (Describe) Name b8Sl,` Ed- R £'GKu IAAtoSorJ Phone S/SZ- 3120 Property LAST FI , Owner Address ?Ro-o P caC.saAAr= c.•?A!? STREET SiE # City 'EAc1AoU State 1'Y11J Zip 6,0IZ2 Company LJA ooLs =E c__. Phone &94-1WO Contractor Address 6I S tLt rc QcL License # Exp. Ci ty 2u (Z/.nsn), 11 F_ State VY1 &_? Zi p 55337 Company Phone Architect/ Engineer 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 have read this application and state that the information is correct and agree to comp y'th all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? '? •? ,? ? II?„? ??..,. ?._..,s? ? 01 Foundation ? 06 Duplex 13 il Apt./Lodging li? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. "?17 Swim Poal ? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind. ? 04 3F Porch ? 09 12-Plex 0 14 Fireplace ? 19 Cormn./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck j? 20 Public Facility I? 21 Miscellaneous WORK TYPE I? 31 New ? 33 Alterations ? 35 Tenant Finish I'CI 37 Demolish ? 32 Addition p 34 Repair O 36 Move GENERAL INFORMATION I Const. (Actual) Basement sq. ft. MWCC S ystem (Allowable) lst F1. sq. ft. . City I? ater UBC Occupancy 2nd F1. sq. ft. PRV Re 0uired Zoning Sq. Ft. total Booste r Pump # of Stories Footprint Sq. ft. Fire S prinkler Length On-site well Census l Code 3a Depth 'ILL$ On-site sewage SAC Co de p? Censusli ? Bldg ? APPROVALS Census Unit Q B ild l _ l Planning ing u Assess ents Engineering Variance l REQUIRED IN SPECTIONS ? .Site 0 Footing ? Framing ? Insulation ? Wallboard 0 Final ? Draintile ? Fireplace Permit Fee veiuacfon: 000 II Surcharge p Plan Review • p License MWCC SAC City SAC Water Conn. Water Meter i Acct. Deposit ? S/W 4ermit S/W Surcharge Treatment P1. i Road Unit Park Ded. Trails Ded. ICopies Other Total: SAC % 5AC llnits i i t1?NSE. ?p a.n.n.co E ? ? ? 12 ? I 1 ?VSE[i ' .S1ECr3 I I ? r I ? ? I ? . lln?[3V u.ID'NiUG I?? J_1 - - - - -- - - -?a.??? . ? I --Ls.u? -A, 3qDo ?p c?c?o? ??Ja:1_--- ?c?o?? MASTER CARD LOCATI ON OWNER STRUCTURE AND ?q ? 7f LAND USEO AS c a rr Permit No. Issued Issued To Contractor Owner BUILDING sS 7 /? PLUM8ING - -- tg '? CESSPOOL - SEPTIC TANK WELL ELECTRICAL ? HEATING I 2 93 GAS WSTALLING SANITARY SEWER OTHER ,25- OTHER I Items Approved (Initial) Date Remarks Distance from Well FOOTING „ ? - SEPTIC FOUNDATION ! CESSPOOL FRAMING .'? TILE FIELD FT. FINAL ELECTRICAL HE4TING GAS INSTALLATION SEPTIC TANK 5 K DEP7H OF WELL ? ? CESSPOOL DRAINFIELD PLUMBING WEIL SANITARY SEWER ei. y? ? Violations No}ed on Back COMMENTS: PERMIT NO. COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN 6VENT OF OBSERVED VIOWTIONS 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 WILI BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interesc present or prospective, and that I harve repor[ed herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, appraved plans and specifications, and any spacific require- ments for off-site improvements relating to the property inspected. E] ALL IMPROVEMENTS ACCEPTABIY COMPLETED COMMENTS: 6UILDING INSPECTOR OATE .. . EAGEiN TOSdNSHIP :795 Pilot Krtob Road St. Paul, Minnesota 55111 Telephone 454-5242 //-64 PERMIT FOR SEWER SERVICE CONNECTiON DATE: NOMBER 1257 OWNER? (21)?Address Q 7' M1 e PLUMBER TYpE OF PIP? cta? -r ro DESCRIPTION OF BUILDING Industriall Commerciall Residential ! Multiple Dwelling I No. of units Location of Connections: Connection Charge 260.00 pd 12/18/72. Permit Fee 10.00 d 12 18 72 .50 pd s/c Street Repairs Total Inspected by: Date Remarks• By Chief Inspector In consideration of the issue and delivery to me of the above permiC, I hereby agree to do the proposed work in accordance with the rules and regulationa of Eagan Toc•mship, Dakota County, Minnes ta ? By CXVfAj Please aotify when ready for inspection and counection aad before any portioa of the work is covered. .? . EAGAN 1CIWNSHIP 3795 Pilot Knob Road St. Paui, Minnesota 55111 Telephone 454-5242 PER1'UT FOR WATER SERVICE CONNECTION Date: (?_ Number:, Billing Name I'?rqM3e ?SSite Addres Owner: Billing Fdd Plumber: Location of Connection Meter Size 4? 2/18/72 2 18/72 Meter No, ?Permit Fee 10:O 00 d pd 1 s c Meter Reading Meter Dep. Meter Sealed: Yes_ fAdd'1 Chg. tsa i Toca1 chg. Building is a: Residence xx t4ultiple No. Uni Commercial Industrial Other Inspected by Date Remarka: . _ , . : _. . &y: Chief Inspector In cansideration o£ the issue and delivery to me of the above permit, I here6y agree to do tte proposed work in accordance with the rules and regulations of Bagan Townahip, DakoB? C?ty?es a ? 1091 //-(0 6' Please aotify the above office when ready for inspection and connecCion. f^T rY .-,c: (::ns:::'7'.:Fi: Jg r.;..,,,;?7P.?A?.. 'r•:n? I.???' . .:? .:?r, 0i,ir-. < :.; ;:zr F::i ? n.,?_'...rE ? r, ... ..: .. F.. t..! : ,,.,? -.:. ,.,?...r?... ? 5-0 :.•:a `J?.iUt i=, ..1.! U.?...?h I.`iAU!'.:. N PERMIT CITY OF EAGAN 3t330 P-iloY Kno6 Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE Permit Number: Date Issued: BUILOING 030893 10/02/97 SITE ADDRESS: 3900 PALTSADE WAY LpT: 11 BLOCK: 6 CEDAR GROYE lP8 P.I.N.: 10-16707-110-06 DESCRIPTION: FIREPLACE NEW 434 A'LT. RESIDENTIAL '? ?"" ?m ?g?5g 11M 6= ?e?4?°??'?' sT ?4? ?. ,??gn REMARKS: FEE SUMMARY: Base Fee $50.00 8urcharge $.50 Total Fee $50.50 t t CONTRACTOR: - Applicant - STOVE & FIREPLACE GALLERY 18981174 1278 COUNTY ROAD 42 BURNSVILLE MN 55337 (612) 899-1174 - OWNER: HANSOM BECKY 3900 PALISADE WAY EAGAN MN 56122 (612)452-3120 l T Nere?a??£v?a?k ? s3t a'ta??s ?hd _...- APPLICANTlPERMITEE SIGNATURE -101 n Rj;.dI m ? issu o siG uae CITY OF EAGAN 3830 PILOT KNOB RD - 55122 300945 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: -1'"-a1- 1 1 DESCRIPTION OF WORK: ? CONSTRUCT Ma FIREPLACE _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTfER: PERMIT FEE: $50.50 _ ALTERATIONS TO EXISTING STREET ADDRESS: 1 CLN LOT ? BLOCK SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: 4(),2L\? Phone #: u C-?a - OWNER ?,. ?? Signature: Street Address: City: State: ? Zip: FIREPLACE Company: Nkh)g q. V??lo^_a` 0 ) Phone #: INSTALLER Signature: ` ---?' ? Street Address: 1'a,1 g?lu?s?, K,dL ? l,J License #: City? State: "?M7 Zip: GAS LINE Company: w? V Phone #: OC?Dt INSTALLER Name: Signature: Street Address: City?? State: L Zip: `? ?\5 ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. Cb G 2007R:ESIDENTTAL BUII.DING PEsmrr ArrLicnxxox ctty OtEagau 3834 Pilot Knob Road, Eagan MIV 55122 Telephone 4651-6755675 FAX # 651-673-5694 New Cnns0udbn Reauyemenis 3 regietered srte sMeye shovAng [q. ry, af fot, sq, ft. o( fwus,e; and aB rocted arees !24% mecenum bi suv6rage adow9Q 1 Soils Repaf Aproposed buiidMg iu fo be piacsd m distwbed soll Z cqrias of plan showing y¢am & uvridpw srzes: pcured founC mrsign, e!c. i sBt af FpNTJV GdICW3tiop8 3 copiee af Trpe PreservaSon Phrt N tot otatled Bfler 7V183 Fim ,foisi qelai10pliures seleciian sh¢BS (Wimings taith 3 at )ess units) mN1nEg35w m6chaniCal Ycnti]Ilan fufm itemudBYReuair ReouBAm9nte ZcPm 04 Na+ ahmin9 lootNgs, heems, joitos ? aA af EnYrgy Cak.ldalianc for Natpd qEdiliprip 1 sde survsy rn addRions flZlBcAs Adotbn -nidicote Non,a* aeplesystrxn ?0 e(r? D ?Fra iise 0>dv ?rtd$?afmyR?df ?-Y _N Tf" RBt?1anReol `Y-.'-_:N Tre8Pre9ReW?d .:.?7iJ draleS?hcSY5t0tn '._Y ?:N. P ?:l'4 Ciro ?;,?c??fs"rr?€S nvbHc? Oafwt*mfion vrs?ws °-txu -%uLc- t3?? ?awfl trhtl? seo-ret assci glae r`a,;rjra Date?_! SlteAddress 0-7 Cuestruetiun Cost (000!) F 3?]Q? f- bescriptiuu u4' Work blulti-Famiiy Bldg w Y 1t' N Ffrsplace(s) )' U Piupeitq Owner _ ?7Lt.?? D N s?S' Tetepbone tt (?t5 %)?sZ?. -312D contracbur L- ? 1.?+'e'S l.Jns Tn.cc F"+i c? Address _? State _.. N( IO W MCUi.? C:ky t.-t?_ N Zip .S? Telepbune fF (9S') 7rJ'_. 3s'-3 CDMRLETE TH1S AREA ON{EX IF EnergY Cnda CaYegory - Mant4'Pits Rn?e. 7670 CorA¢M 1 • Residsntlal Verrtileycn Cat6gory 1 Workshc6t (JsuOrrvesienNpe) 8ubmifted • Energy Ennmbpb GabuFatuns SUhmiBed A NE1! 1 BLi1LpING _ M111Ucsrotx Rules 7,67Z • New Energlr f`?oda Workshent SubifYlted kn the last 12 months, has ihe City of Eagan issued a permit ior a similar plan bosect on a masfer pEan? _ Y _ N 11 ygs, dote and address of mpsTer pibn: licensed Pfumber Mechqnicpl Contrqctpr Sewer/VYafer Goniractnr Telephone #( T?lephone #{ 7eEephone #( I herehy appl}' for a Ttesidantzal Building Pemut and aCknowledge tlaat the information is complete and acciirate; that the work wi1F Ue in conformance wath the ordinances and codes of the City of Eagan and the State of MN Statutes; I uzxderstand this is noc a pernkit, but onl} an appiieazion lar a pemut, and work is not to s#art rvithout a pezmit; that the worlc wikl be in accordance Zvitb, the approved,plaa-in 2hs°Case`6£°wol'k w i zeyuires a review and , ?... , ^-d Applicd u's Printe Name Applic 's Sign4ftt 01/17/2008 23:44 6513488293 �CitJurERE' Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2013 RESIDEN ss J' 1' Site Address: TCHRLLC PAGE 01/02 Use BLUE or BLACK Ink For Office Use �, (Q� Permit #: 1 S I 165:135i Permit Fee: Date Received: Staff: L BUILDING PERMIT APPLICATION DD PA sa •,c Ld Unit #; . - • / Name: /� Cs ASD Phone: 6S/— O? — 3 a Address / City / Zip: 3 ole) Ql/s ,7-.0.E 14)4 Applicant is: Own.r Contractor Description of work: t go0f. 7Rn4 s (d /A/hJ itist� Flee Construction Cost: : • •Multi-Famil '� Y Building: (Yes t No ) .'•.,...�,.:• �ik.,,.,a c ;1;�°t. ,••! ti ' tot a,,:'' ;' •• Company: 40 / Contact: D� NE LSC)/`J "HE/)171)1/0111�J Address: g'6.--c...3r. ^ A, I -C. City: / YG (J3 b/J V State: /�,Zip: /1' 7t '- --3 '/a— c. '57 7 Phone: License it: /SC IPJ .' 5'00 Lead Certificate #: NAT— F Kfl17,'1 If the project Is exempt from lead certificati • n, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS A has the City of Eagan I yes, date and address of EA ONLY IF CONSTRUCTING A NEW BUILDING ued a permit for a similar plan based on a master plan? ster plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: _ Phone: y, :N „ '. Plans and upportiingthat document ,.;� ,. :. .-� .r,�d ;; "% d �tfon;;may e:classified as n ,• : co you submit are considered to be public.iufomatiotiikr�� n ublic If you provide specific reasons that wouldp irt► 'i G elude that:they are trade secrets. l' ;' CALL BEFORE YOU DIG. Cell Gopher State 0 before you intend to dig to receive locates of undergrou I hereby acknowledge that this information Is complete Eagan; that I understand this is not a permit, but only accordance with the approved plan in the case of work Exterior work authorized by a building permit Issue days of permit issuance. x �F ELSD/•/ Applicant's Printed Name Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours utilities. www.gophersteteonecell.orq a accurate; that the work will be in conrormance with the ordinances and codes of the City of n application for a permit, and work is not to start without a permit; that the work will be In ich requires a review and approval of plans. n accordance with the Minnesota State Building Code must be completed within 180 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123581 Date Issued:06/11/2014 Permit Category:ePermit Site Address: 3900 Palisade Way Lot:11 Block: 6 Addition: Cedar Grove 8th PID:10-16707-06-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Leslie W Hanson 3900 Palisade Way Eagan MN 55122 (651) 270-0005 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature