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3901 Palisade WayCITY OF EAGAN Remarks Sold For Taxes Addition Cedar Grcve #8 Lot 5 Blk 7 Owner y?t 3501 Palisade WEy State- Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 1970 12 .QQ 5.00 25 ? * SEWER LATERAL ? 1 97 . . . ?$ WATERMAIN # WATEFi LATERAL 1974 5 WATER AREA 9]] 160.00 10•66 ZS 4 STORM SEW TRK .?. STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 30 00 6927 -- 7 BUILDIMG PER. 9 SAC PARK -5,0 ? . 7 CITY OF EAGAN .- , 3799 Pilot Knob Rood Eugan, MN 55122 10 4439 PHONE: 4548100 BUILDING PERMIT ReceiPt # To M usad for Dote , 19 Site Address - Erect ? Occuponcy - Lot Block Sec/Sub. Alter ? Zoning Parcel # Repoir ? Fire Zone _ Enlarge ? Type of Const. W Nome Move ? # Stories 3 Address Demolish ? Front ft. ? Ci Phone Grade ? Depth ft. Name o Approvala Fees Z ?Q Address AssessmenY - Permit ~ Ci Phone Water & Sew. Surchorge F vW Potice Plon check Nome F W Fi re SAC ?Z Address Eng. Water Conn aW Ci Phone Planner . Woter Meter Council I hereby acknowledge that I hove reod this opplicotion ond state that Bldg. Off. the informotion is correct and agree to comply with oll applicable Stote of Minnesota Statutes and City of Eagan Crdinonces. APC Totol 5ignuture of Permittee - - A Building Permit is issued to: on the express condition that oll work shall be done in occordonce with all applicable State of Minnesota Statutes ond City of Eagon Ordinanc=5. Building Official _ ' ? ; _ _ •' . . ?i ? . - r- rNw1k # pOti ?l?11? rA?M Plumbing 7 Nlechonical ?' S:?(o/ . INSPECTIONS i DATE INSP. RoupMln Finol Faotin9s ?' fR )) Dafe sD - Date Irop. Foundotion Plumbi Frarr?e/ins. • •'' ?-?? - ? ` Methaniool C6 -- Final : 5i,/ • - ' / l Remorks: ?? Eagan, MinnesoM 55122 Phone: 454-8100 PLi. , I_.;r-' _ PERMIT Na r Date: "• 7 7 Receipt No.: Single - I Site Address: Residentiol Lot Block Sub/Sec. - Multi Res., Comm./Ind. I Name New/Alter./Repair ,;. ; Address ' jBort' Cost of Instollation O City ' `l2 _ Phone: Permit Fee 20' 1.) - Ncme Surchorge ? Address s Phone: Total This is issued on the express condition that all work shall be done in occordance with oll applicable 5' CiL nd City of Eogan Ordinances. Min atutes a Building 4fficial ;Am cirr oF EaGAN 3795 Pilot Kaob Road Eogan, MN 55122 N! 5902 PHONE: 454-8100 BUILDING PERMIT Receipt # To ba wed for Est. Value Date , 19 Site Address Erect ? Occuponcy Lot Blotk Sec/Sub. Alter ? Zoning Parcel # Repoir ? Fire Zone Enlarge ? Type of Const. W N1un'ie Move ? # Stories = qddress 0 Demolish ? Front ft. r:... Grode I-1 DeDth ft. ? Name 0 ?? Addre! F rrw. Fees Assessment Water & Sew. Police Fire Eng. Planner Council Permit Surchnrge - Plan check _ SAC Water Conn. Water Meter Rood Unit _ I hereby acknowledge that I huve reod this application and state tfiat gld9 Q{{. the information is correct ond ogree to compiy with all applicable ApC Total State of Minnesota Stotutes and City of Eogan Ordinonces. Signature of Permittea A Building Permit is issued to: on the express condition that all work sholl be done in accordance with oll opplicable State of Minnewto 5totutes and Ciry of Eagan Ordinances. Building Officiol v.mk # oer. IlM.a r.n.m« Plumbing Mechanical INSPECTIONS DATE INSP. Rouph-In Finol Footings Dote Insp. Dota Ir+sp. Foundation - Plumbing Frame/ins. Mechanical Finol ' Remarks: /C'/?d 1r'/ /41'r 1 . ?c ? CASH RECEIPT I CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MiNNESOTA 55122 OATE rxeceiveo 19 AMOUNT $ I & DOl_LARS oo T ? CASH ? CHECK ???C, B Y C? , . . ;. , NUMERICAL FILE COPY ciTY oF EAGAN WATER SERVICE PERMIT 3795 P;iof Knob Road PERMIT NO.: ; Eagon, MN 55122 DATE: « Zoning; . ' ? No, of Units: -IJwner: Address: - 5ite Address: Plumber: Meter No.: _ Connection Chorge: SiZQ' Account De posit: Reader No.; Permit Fee: 1 agree to compiy with t6e City of Eagon Surcharge: Ordinonees, Misc. Charges: Torol: ay Date Poid: Date of Insp.: I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NQ.: Eayan, MN 55122 dATE: Zoning: No. of Units: OW?IE'i: Address: Site Address: Plum6er. _ _ __ I agree to eomply with fhe City of Eagan Connettion Charge: Ordinanaes. Account Deposit: _ Permit Fee: 5urchorge: BY - Misc. Chorges: - Qote of Insp.: Total: Insp.: D t P id a a e : CITY OF EAGAN . • 3795 Pilot Kno6 Road Eagan, MN 55722 N2 5902 PHONE: 454-5100 - BUILDING PERMIT APPLICATION Receipt # ? 9_ l_/7 ?or bwluunlnj? Pool e<<_ vei',e 5.000.00 Site Address Lor 5 eiock 7 5ec/Sub. Cedar Grove 8 Parcel # W Name R.H. James Z ndd.ess 3901 Palisade Way EaRan 55122 0,___ 452-4895 or 456-41 . p Name _ Address 1- r:... Name _ Address Date J 11T12 G!? 1 `i31U, 19 Erect u Occupancy R3 Alter ? Zoning Rl Repair ? Fire Zone III Enlarge ? Type of Const. V Move ? # SMrieS 6emolish ? Front 32 ff. arade ? Depth 16 ft. Aoorovala Fees Assessment Water & Sew. Police Fire Eng. Plonner Council Permit 1o uu Surchorge 2-5n Plon check SAC Water Conn. Water Meter Road Unit I hereby acknowledge that I have read ihis application and state that gldg. Off. 6125/80 the information is mrrect ond ogree to comply with ull applico6le APC I Total 20.50 $tate of Minnesota tut ity of Eogan Ordinances. Signoture of Permittee A Building Permif is issued to: R H S3Iri S on the express condition that ull work shall be done in accordance with all appl' bie State ot n f? nd City of Eagan Ordinances. Building Official ' ??-D Q '?e"?"•^ O? CITY OF EAGAN BUILDIIVG PEFtMiR' APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. 7b Be Used Valuation ?5'0(90, UJ Date site Address: '3?;v) Pd"-?? G/ Lot ? Block 7 Sec./5ub. Ge,(d16-ioregErect ?A, Parcel #: Alter Repair Enlarge Qaner: Move - Pddress: 3 J c?? ?c.Q?QL..?n LIJ? Demolish City/Zip Code: Z Z Grade OFFICE USE ONLY Occupancy W-; Zoni.ng Fire Zone ? Type.of const. v # Stories Front . ?? ft. DePth ft. Phone #: Xo-„-e. Ysz -YS?SS- G,?IC vs?Ys 3k)TPRAUALS FEFS Contractor: -rr Address: City/Zip Cocle: Phone #: Arch./Eng.: _ Pddressc City/Zip Code: Phone #: _ Assessments Water/Sewer Police Fire Erig• Planner Council Bldg. Off•? APC Perniit Surcharge ? ?- Plan Checlc SAC Water Conn. Water Meter Road Unit ? TC7PAL p ?D DAKOTA COUNTY ABSTRACT CO. 1250 Highway 55 HASTINGS, MINNESOTA 55033 437-5600 Please ser.d an assessment search on ea.ch of the °o17_ovring: ;.ot 5, Blor.k 7 Cedar Groae ;;8,3901 ?alisade rday knL/ Lot 1, Block 10, Cedar Grove ,',`7, 4049 Ralite Lanaw-?- K%-A-1 ani :.ot 24, Bluck 6 HiZlton Estates, 4131 Blueberry Courtwt?- Enclosed find a check in the amount of a15.00 to cover costs. Th3riku? This request void 18 months from Date of this Requestl I, asr O Licensed Electrical ContractoM Owner, do cal wiring installed at: 6•7 G y? Street Address or Route Nn--T m/ ?L Section Township Which isACCUpied b ? Is a roughin inspection require on t''o ? No O Power Suppldet?s? Electrital rvame) Mailing Address Authorized /Gc? 7?- s 26785 request inspection of the above electri- of occu -/ Yes ?eady Now ? WID Call L? Contractor's License No. _ No. ????-?? (Electrl I contqctor o/ owoo SkIn9 7his Inshllatlon) ????? ??S/? D Co? '` This inspection request will not 6e accepted by the Stete Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity _..1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 1iEQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY TH1S REQUEST `&K 7 ? ?' 26785 Type of Building New Add. Rep. Check Appliances Wirod For Check Equipment Woed Foi Home ? ? Range ? Tempoiazy Wiring ? Duplex ? ? WaterHeater ? LightingFixtuies ? Apt Bldg. ? ? ? Dryer ? Electric Heating ? Commemial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? Au Conditionei ? Bulk Milk Tank ? Faim ? ? O L ist List 1 Other 0 ? ? p HeheisI p } Heielsl COMPUTE INSPECTION FEE BELOW ' Service Enhance Size: # Fce Fcedecs&S us: # Fee C'vcuits: n F 0 to 100 Am s. IOI to'200 Amps. Above 200 Amps. 0 to 30 31 to 100 ce Above 10 _ 0 to 30 Am tes 31 to 100 Am etes Flkbove 100 Amps. TransYovners RemoteConVO1C'uc. . Pa[tialorotherfee .$" Signs • Special Ins ection Minimum fee 1iLQ0 Remarks TOTALF 6?Tt' ? S the &lectrical Inspector, hereby (Final) This request void 18 months from has been ..bY'r . s° Date /a-??7y Date / _„7(fl-? minnasoiE ii3ie 60ero oT CIBCIIICIIY .- Griggs Midway Bidg. - Room N197 EB-00001-02 182r1 Uniµersity Ave., St. Paul, Minn. 55104 - Plwne 297-2177 REQUEST FOR ELEC'?RICAL INSPECTION S 66534 CHECK BELOW WORK COVERED BY THIS REOUEST Type of Budding New Add. Rep. Check Appliances W'ved For Check Equipment Wired For Home ? ? ? Range ? Tempocary Wuing ? Duplex ? ? ? Water Heater ? Lighting rixtures ? Ap[. dldg. ? ? ? Dryer ? Electric Neating ? Comme[cial Bldg. ? ? ? Furnace ? Silo Unloadex ? Industrial Bldg. ? 11 ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List ) ? ? ? List Other ? ? ? p } HeheISf ? HeieIS? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fce Feedeis&Subieedecs: # Fee Crtcuits: # Fce 0 to ]00 Am s. 0 to 30 Am eres 0 to 30 Am exes IOY to 200 Amps. 31 to 100 Amperes 31 to 100 Am res Above 200_Amps, ove 100 Amps. Above 10Amps. 7'iansCormer RV oteConttolCuc. Paztialorotherfee Sns *cial lnspection Minimum Cee Remazks TOTAL FE I, the ElecMcal [nspector, hereby certify that e a ?j'e inspection has bee ma3e. ^>° (Rough-in) 1Y1'Llv? Date o'r -9 59 (Final) Date This request void aSO? 18 months from This request void ?57i G- G`T f? rt ?(?( -?.'?` S? a y ? pd ? 18 months froin ad l Date of this Request ?K e-J F,re No. S 6 6 5 3 4 I, as O Licensed Electrical CPpwner, do hereby request inspepction of the above electri- cal winng installed at: Z' ??,--(1l 7- ? 4 StreeG Address or Route No. ? ? City? Section Township Range ounty -12a A. ? Which is occupied by Is a roughin inspection require5 on this job? No ? Yes4 Ready Now O Will Call ? Power Supplier Lc.- (?eY/ C Address Electrical Contractor (11?? Contractor's License No. _ (campany Name) Mailing Address (Electrlcal Contractor or Owner Making Ttiis Installation) \ Authorized Signature Phone No. (Electrical Contractor or Owner Making Thls Installatlon) ??j' .?} ?'j (l' r5 ? n ? !,'i1?D ?('OIST ?? This irnpection request will not 6e aceepted 6y the IJ rr?1 4i L, L`? State Board unless proper inspeetion fee is enclosed. This requast void 18 months from .' bate of this Request / 0? -'? 9- - 7 7 I, as ? Licensed Electrical Contractor wner, do INcal wiring installed at: Street Address or Route No. v' 6,'/ SectSon Township Wlilch is occupied by $6 . A Is a roughin inspection required on this job? No ? Power Suppliaf7 _? Electrica] Contractor.? Mailing Addresk--? .e Authorized Signature ( t c SM? BOA or or owner r IOo?Y er 7?;, 7? P 32854 i request inspection of the above electri- '7e JP,, . , bP County ? Yes ?Y Ready Now O Will Call Yj Iress Gp,:Li Contractor's License No. Phone No.rL fs' 9 8 1 S/? .elSlc _ ? 9 ??i Minnesota State Board of Electricity 54 Upiversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICALINSPECTION. HECK BELOW WORK COVERED BY THIS REQUEST 32854 Type of BuOding New Add. Rep. Check Appliances Wired F Check Equipment W'ued Fm Home ' ? ? Range ? Temporary Wiring ? Duplez ? ? ? Water Heater Lighting Fixmres ? Apf. Bldg. ? ? ? Dryei Ifd" ? Electric Heating ? Commemial Bldg. ? ? ? Fumace Silo Unloader ? lndus[ria] Bldg. ? ? ?. A'v Conditioner El Bulk Milk Tank ? Faim ? ? ? List ) List Other ? ? ? ?{ehers} ) r Oehers ? FI ) re COMPUTE INSPECTION FEE BELOW A r R% I, the Electrical Inspector, her erti/ h? f the above inspection ha e. ^ (Rough-in) /C.(//' Date / U -a6,• (Final) _ Date This request void 18 months from cin oF Er?caN 3795 Pilof Knob Rond Eegen, MN 55122 N2 4439 PHONE: 454-8700 BUILDING PERMIT APPLICATION 9 0 Receipt 6917 _ # $3 ,00 . _ To be uted for C ine_ Fem ilclg .C (_erg Date gUgUSt 11 '1917 Site Address 3901 Palisade W aX Erect [3' Occuponcy I Lot 5 Block7 Sec/Sub. CG 8- Aiter ? Zoning Rl Parcel # Repoir ? Fire Zone _ Enlarge ? Type of Const. V z Name R. H. James Move ? #{' Stories Z 3935 Addres s No, Valley View Dr• Demolish ? Front 5'4 - ft. 8 ageA E 452-4895 OI Grade ? Depth 42 ft. Cit Pho?e e.,.,.......i. c.a. p Name _ ? ?? Address ? r.., Nome _ Address I hereby acknowledge thot I have read this opplication and state that the information is correct and agree to comply with oll applicable State of Minnesota StatuJes nd City of Fagan O" onces. V C/ Signature of Permittee' Assessment _ Water & Sew. Police _ Fire Eng. Plonner _ Council - Bldg. Off. - APC - Permit L1J.UV_ Surcharge 19.50 Plon check s,tc 475.00 Water Conn. 230.00 Woter Metebo. 00 Torat 897 • 50 A Building Permit is issued to: A. H. '7 eS on the express condition that all vrork sholl be done iq/occord ce witM ujl appliwble Stoqe of Minnesota Stotutes and City of Eagon Ordinances. Building Officiol bP 2143y ? aate: 7. 7 SVILD2YTG PEAMIT P.PHLICATI0:4 MT s SIACK -7 ]1DDITIOtJ 0-4-9av GYcj%oe + $ PARCEL & SECTIOI1 kNlSER IF Ut1PLt11TEll ADDRESS OF PARCEL (,l) 20I1LSGXL OCC[TPANCY 1 USE vS_ ?? t"? CX W P I ?? ESTLMATGD COSi #-? o, 000,00 '?Ya ?a '`?'°?`" ? 0rTL1ER TELEPxobTE vo. 'y SL - 9 8 9? y YC - 29 7,4 rinDREss 3c? 3 S ?U o?7"L L)aU...,. V" a.r.J Dr i= 4-,few` . 1'bl k fS^/ ? Z COPPfRACTOR O w TEI,EpHpD1E- :?O. AllDRESS -? Note: Include site plan, building plans, anci eneray calculations with this application Signed OFFICE USE ? VALUATIOid_ ? ? O 4 07 / tl SAC WA.Ez coM1Tcrio: ' WArER sEMEa IIUILDING P,^:RI•iIT FEk SURCHARGE FEF PLAYi CFECK F"t::: PARK DEDIGATIOFd FIE OT:.'"aIt . , /D TOTAL* APPROVALS: ASSESSi+IE:.T CLERK , SUILDING DEPT. POLICE DEPT. 11IA_^ER & Sfi41ER'DEPi. FIAli DEPT. PARK DEPT .` .? . 5 i -w,0ti, -? ! v ? d, o'. i, nl s ?+e P I a?,? ? Let' s bl?e,k 7 Ceday G,-o?rc?t f? ,/ G '. ?9 0 ? Pa JradaCc W°?. ??E' 3/ R. Ff? %la?o vS6- 3.47t $ C s?+- r/ 0 r a'?`' ( j i i ? ? i , . N v v ? ? a r ? Ye'I u.._,.. -.p - L+' sju -3-P? -- N ti v m N ?•s? ? ----_.._-- ? N ? Q C/ r?r; v<ww?_ Q 181 ? oR. c k house a z6 t sa I4? - - -- - -S ?,?-- __ . .. Cc, rb 31? PHONE 454.8100 CITY OF EAGAN 9785 PILOT KNOB ROAO EAGAN. MINNESOTA 50122 January 27, 1978 Mr. R. H. James 3901 Palisade Way Eaqan, MN 55122 Re: 3901 Palisade Way, I5 B7 Cedar Grove 1`8 Dear Mr. James: This is to confirm our telephone conversation of necemher 19, 1977. Your occunancy of the above address before completion is a violation of Fagan Ordinance 436 and State Building Code 202F. Our agreement was at the end of sixty (60) days (Fet;ruary 19, 1478) the dwellinq would be completed with the exception of the interior. Zf you are unahle to comply, it will be necessary to enforce Ordinance #3ry SAC 202F and see to it that occupancy at 3901 Palisade Way ceases. -Very truly vours, CITY OF EAGAN ?... ,._/??.:•??1U"Y? ?iv ( Dale S. Peterson Bnilding Inspector dsp lco cc: Paul Hauge, City Attorney 7bm Hedges, City Administrator M7 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN. MINNESOTA 55121 . PHONE: (612) 454-8100 DATE: April 23, 1986 svFr,r Chicago Title Insurance Co 8000 Taan Line Avenue B1.acxnington MPI 55438 Enclosed herein is property. 6E4 BLOM9UIST M? 7HOMAS EGAN ,WMES A SM1iH VIC ELLISON 7HC-0DORE WACHfER . Council Members hpMAS HEDGES '. Ciry MminisVator EUGENE VAN OVERBEKE Ciry Cleek RE:?Cedar Grove #8 ?.IAt._S- -BI.OCk._7 . 1 3901 Palisade Wav the search which you requested made on the above described Kind of Zmprovement Years Beginning Original Amount Balance Due NOD1E I Further certify that according to the records of said offfce, the following improvements are contemplated or pending after having been approved and are now in the process of.planning or completion. Kind of Improvement Approximate Date of Completion Approximate Cost NOVE WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the above information 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 for the supplying of the indicated information in the above form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly waived. Levied assessments to he paid to the CITY OF EAGAN 3830 Pil t K b ? , Road o no , P.O. Box 21199, Eagan, MN 55121. vyrY Truly yours, ?SPECZA "ASSESSME DIVZSION THE L E OAK TREE. .. iHE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNItt ? BE?MOUIST • MAYOR TMOmP5EG4N JAMESA SMITN CITY OF EAGAN . . . . ,. JERRY TNOMAS iHEODOaE WACHTER ,379S PILOT KMOB RO\O ' • ' . C00CA M(MBfpS . .. P.01 001t ]Ittl EAGAN,MINNESOTA ssua DATE: AUGUST 23, 1982 .r? . PNONE 454•8I00 .. ...r..::._ ' . , DAKOTA COUNTY ABSTRACT ?CO _., 7`? 1250 HWY SS . •.-?.`, ` •-?` HASTINGS MN 55033 ,k.;;W • r... SPECIAL ASSES561ENT SEARCH TMOMnSMEOGES GIY eOMiNISIPAIOP EUGENE VAH OVENBEKE LILY CLERK - - - } RE: . ?LS B7 CEDAR GROVE #8 ? 3901 PALISADE WAY Enclosed herein is the search which you requested made on the above described property. ? Kind of Inprovement Runs Beginnina Orioinal Amount " Balance Due ' . ? . NONE I further certify that according to the records of said office, the following improye '' ,ments are contemplated or pending after having been approved, and are notia in the process of planning or completion. Kind of Improvemcnt Approximate date oY Completion Approsimate cost NONE ' ? WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the above in- formation wliich was rcquestcd by the persoii or persons indicated. Nor docs tlic City or its employecs assume any liaUility for the correctness tlicreof. In consideration for the supplying of the indicated infornation in tlic abocc form, and for all other consideration of any nature whatsoever, any clain against the City or its employees rising therc from is hcreby expressly waived. Levied assessments to be paid to the County Trcasurcr at Hastings, DN. 55035 Ve iHy?E ... TNE SYMBOL OF STRENGTN AND GROWTH IN OUR C0MMUNITY. , (91 u.A,.. • ?art- s ?3 t ? ?l< ?. Ce.'CA6ro V e sJ ? -) Ie- n ? 0 a c?.. --> k`- -,4 a !E- -,,% Use BLUE or BLACK Ink r I I For Office Use i Permit BUG i City of EaEd I Permit Fee: i 3830 Pilot Knob Road I I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Staff: Fax: (651) 675-5694 L 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 3F 6 f sAQ~;- t~ Tenant: Suite Resident/Owner Name: Phone: Address / City / Zip:: / / Name: 6 pDLL)" l ~WL 2 License 6~s73a r~~-~e~ri -v► Address: City: I Contractor State:,,44 Zip: 5-:5--3 g Phone: 2- -a2 3 Contact: 6rl A--(-I Email: 46 Type of Work - New _ Replacement ~Repair - Rebuild - Modify Space - Work in R.O.W. Description of work: 6P/u' 0A-rf/k-,P-~7-e* a-S VA-1pw- ve~r- to C'o,4RESIDENTIAL r Water Heater Lawn Irrigation L_ RPZ PVB) Water Softener Permit Type Septic System Add Plumbing Fixtures L- Main Lower Level) New Water Turnaround I Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 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.org 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 l~'Pi✓ ~2~ x l 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 Staff: Date: CityofEaaall • 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Qcr1420J6 Use BLUE or BLACK Ink For Office Use Permit*: 139 077 o. 0t) /0 -.?Y-/k Permit Fee: Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION &Liovv.. PUS --ba, Tenant: RESIDENTIAL FEES: Site Address: 3ci b ( 12,041)444_ Name: VTkV/ Address / City / Zip: Suite #: Phone: L J CO O Name: 'Hilbert Corrtpany Inc db� Culligan Water Address: 1801 50th St East • State:� Mn Zip: 55077 Phone: 651-451-2241' • contact: William R Hilbert License #: WC641376. City: Inver Grove Hgts. Email: _ New Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W. Description of work: RESIDENTIAL Water Heater _ Lawn Irrigation (___ RPZ / PVB) Septic System New Abandonment XWater Softener Add Plumbing Fixtures ( Main / Lower Level) Water Tumaround $60.00 Water Heater, Water Softener, or. Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation ('includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes 55.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter Is required) $115.00 Septic System New ($10.00 per as Wit) (includes County fee and $5.00 State Surcharge) % /� TOTAL FEES $ 1D{/ , O 0 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.00aherstateonecall.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 •ermit; that the work will be in accordance wl. h the approved Ian in the stare of wcr•k which requires a review and approval of pia a. . t Applicant's Printed Name Applicant's Signature 'a,' 4 Y� ; tJ .. r(( th}ik ^.�:' .� ,1, d 7 J a : e 'e it -- p 11t$14- - .a f, . ; y t / �.' `S{ h f �` � •etidnsG ,,..5-, LiF' �f •'. v,{ { �.! �$%' `n �„ ttI., tl vfi71 , y,4 W jN k•� c ,;• \H if . C \ c m t v a tJY� t a _ T{ �t � u� )) i ..sit# 1;' ', tR.r°i�`e:�°��,4°;.fie { (t?S Ili i' `61111' l�y'li tiE P3 � - � e ��JJ,,�3 A f i,,,, a- i Fz fi t }' , T1;iF Y.�.r-1r BY ; � o" y( A ' r �j t � g a �\] . � r< �� CIt ;t i � .,, �y� '� Cyt f4 S, . .` t}"t I t .];; 1 1,,rr '' r;, r t Cf. t , y � - .Y --°,l � tL ,•l-�[� } :% i�./U}s,r!! �'�.l l �( #fT} tnY :� S +� t : 3"t}k. S SY �H -' - S lt•`.� SvF it � y�. � 1I t�,101{. �x ,r, ti r<, {}s>�' it is �} 1L"i' 7 �F`R1��2){,. " '1 i4, r#��fivA.��Ffx, Rf °, "1},�i`fa(t',}?IY- t fl'''''''''' ♦ �'r '7 f t� h f J _ 1 JA Y �l 1 r1 "FtiJ 't 3 i 1 5� 31J"r ;Iv. v fti , . �I• iii% rF�L...:Gi LiK, ..'s�i .. r.�r -,t., �— �.- ' ' t,, ;11Wi. �S q"•1 . ! ?.��/ sM. rK�. .=°,t . --lgJi Y, {' � N _ ,st {y 3 i5Z "FS S t • �'I .. Use BLUE or BLACK Ink r � For Office Use 111(, C)�? City of Eaiali Permit#: Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspections(a.cityofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: I a/ (a Name: Phone: Resident 39(7 P a ( 5 a We @hir% Address/City/Zip: r Applicant is: Owner/@n�J /{��1/ (Contractor �\ V! / Description of work: , Construction Cost: Multi-Family Building:(Yes /No �r) ��v d /'2 �f Contact: / i1 Company: )/ Address: //✓ �(`,DS Vt � 0 City: Sk / / -C/lC CDtI#1Ctor State Zip:5.-- -3-.- Phone: /t7/1%3' 061: License#: / r 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 for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: Norp.,Plans and supporting documents that you submit are considered. o;be public intimation; Portions of the information may be classified as non-public if you provide sAecific reasons that would4lermit,the City to nclude that hey are trade:secrets. -2" . You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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. 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 Ian in the case of work which requires a review and approval ofkilans � x AppliJant s Pri ed Name 'l Applica s Sig ature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174894 Date Issued:02/25/2022 Permit Category:ePermit Site Address: 3901 Palisade Way Lot:5 Block: 7 Addition: Cedar Grove 8th PID:10-16707-07-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Rebecca Koenig Thomas 3901 Palisade Way Eagan MN 55122 Mad City Windows & Baths 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature