3916 Palisade WayCITY OF EAGAN Remarks SeW & W?'+r C02121. pd.. on 12-1$-72
Addition Cedar Grove #8 Lot 9 Bik 6 Parcel 10 16707 090 06
Owner 40 ' Street _ 3916 P81.7.Sad9 Way State F'-'a'ga1,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK (?! 1970 12 .00 .QQ 2 Paid
* SEWER LATERAL yty 1974 1539.10
WATERMAIN
* WATER LATERAL 1974
WATER AREA
j? STORM SEW TRK
# STORM SEW LAT 104 51
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300. 00 7018 12-1 -72
BUILDING PER.
sAC 260 00 018 12-1 -72
PARK
CITY OF EAGAN
3796 Pilot Knob Raad Eagan, MN 55I22
, PHONEs 454-8100
BUILDING PERMIT
' TO be wed for
Site Address
Lot Blxk Sec/Sub.
Porcel #
aWe
z Name
? Address
Ci
p Name
?? Address
?- rce.,
Name
Address
Receipt #
Ng 5456
0 io
Erect ? Occupancy
Alter ? Zoninfl
Repnir p Fire Zone
Enlorpe [3 Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approva b Fees
Assessment _
Water & $ew.
Police
Fire
Eng.
Planner
Council
Permit
Surcharge
Plan check
5AC
Woter Conn.
Water Meter
I hereby acknowledge that I have read this application and stote that gldg. Off.
the informotion is carrect ond agree to comply with oll applicable APC Totcl
Stute of Minnesoto Statutes ond City of Eagnn Ordirwnces.
$ignoture of Permittee
A Building Permit is issued to: on the expreu condition thot
all work sholl be done in occordonce with all applicoble State of Minnesota Statutes and City of Eagon Ordinances.
Building Official
454-3207
hnnM # DaN lwwd PwwIMN ?
Plumbing rJ y-1
Mechanical
INSPECTIONS DATE INSP. RoupMln Find
Footings Date Insp. Date Irop.
Foundation Plum6ing
Frame/ins. Mechonicnl
Fincl p
Remarks:
? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 M 8992
PHONE:454-8100 ,
BUILDING PERMIT To be wwd for FIREPLACE Est. Volue $ 800
Site Addrese 3916 PALI SADE WAY
Lot 9 slock 6 sec/sun, CED cROVC 8
10- I 6 707-090-06
Parcel No
.
s Name SCOTT C. PORTER
= Address S AM E
? City Phone 452-3773
? SAKE
Name
Zo Addrees
??
? City Phone
?
W Neme
?
„
_ Address
?
u
?,Zu
City Phone
1 hereby acknowledye that I how rend thia o licotion and stote thot
the intormation is correct? agree to com?fy?with oll applicable
State of Minnesoto Stotut o/q ;Eago vrd nus.
5ipnafurc of Pertnittee !y ???? l r??
SCO T
Receipt # ` '
E?ecr p
Alter ?
Repoir ?
Enlarys ?
Move p
Demolish ?
Occuponcy _
Zoniny
FIrc Zone _
Type of Const.
# Stories -
Length
Ft.
Assessment permit 41 i o.k. v
Water b Sew. Surcharpe ' r' o
PoHce Plan check
Firo SAC
Enp. Woter Conn.
Plonner Woter Meter
Council Road Unit
Bldp
Off.
.
APC Total
T
A Buflding Permif Is issued to: C. POkTER on the express condition thai
oil work sholl 6e done irCoccordonce with. oll appiicob ?gte of Minnesoto Stotutes and City of Eopan Ordirances.
Buildinp OfHciol ` _ j'?? c:• ??--'' ?_ - ?
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sewsr
Elsctrie
Inspection Date Insp. Other
Footinys
Fouodation
Fnminp
Rouph Plbp.
Rouph HVAC
Inwlation
Final Plbp.
Final HVAC
Flnal
Water Desai6e Location:
YYall 'GQ't ,p z '`
u
Sewer GYV
Pr. D'ap.
CITY OF EAGAN
3745 Pilot Knob Roud
- Eogon, Minnesofa 55122
Phone: 454-8100
. , ? ?!'g3Il+lr
PERMIT
Date: 11-5^-79
Site Address:
Lot
3916 Palisade CaaY
Block ? Sub/Sec,
ceCiar C11"M *8
Name _
Falt??3F': ''??`?
e Address 7,16
City Phone; 45?_120-7
Name F?n
?
dress
V
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes ond City of Eagan Ordinances.
No.
Receipt No.:
Single I
Residentiol
Multi Res„ Comm./Ind. I
New/Alter./Repair. Cost of Installotion
Permit Fee
ISurchorge
I Total
done in accordance with all applicable State of
Building Officiol
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721 N? 8992
, PHONE: 454-8100
7r1
1116ILDING PERMIT Receipt #
?
Te M uted for FIREPLACE EN.Value $ 800 pate APRIL 24 19b_?L__
SitaAddress 3916 PALISADE WAY Erect ? Occuponcy
Lot 4 Bl ock 6 Sec/Suh. C E? GROVE S qiter ? Zonirq
ParceiNo 10-16707-090-06 alr ?
Re FIre2one
. p
E
l T
f C
t
n
orqe ? ype o
ons
.
ac Name SCOTT C. PORTER p/ove ? # Stories
3 Address SAME Demolish ? Length
-
b CitY Phone 459-3773 Grade ? Depth Sq
Ft.-
.
z SAME Approvols Faea
0
OU
u4?
r
Name _
Addwss
City _
Phone
?w Name
_? Address
<W City_ Phone
Assessmenf _
Woter 8 Sew.
Police -
Fire
Enp.
Planner -
Council _
Permit $ 1 6 _ nn
Surcharge • 50
Plan check
SAC
Water Conn.
Woter Meter
Road Unit
I here6y uckrwwledge that I hove read this avvlicotion and state that gldg. Off.
the informotion is Wrrecf and agree to co with oll applicc6le $ 16. 50
Stote of Minnewta Sratuson Cty ohEog.jn r nances. APC TMOI .
Slpnafure of Perminee ?? A Bullding Permit Is issued to: SCOTT C. PORTER on tho expreu tonditfon thni
all work sholl be done i ccor e with oll yg"pTiW'be Stote_of Minnesofo Stmutes ond Ciry of Eopnn Ordinances.
Buildinp Official
,19• <g% 1?. CITY OF EAGAN Include 2 sets of plans,
1 Certificate of Survey &
e -
s -? Y'LC S7?nd;n ? BUILDING PERMIT APPLICATION 1 set cf energy calculations.
7b Be Used Fbr 1 t'y?1 Q? Valuation 0 o Date y-- C-Isz"?y ?
Site Pr3dress,391b (?tNQ t/ OFFICE USE ONLY
Lot ? alock ? sec./sub. ??. G+?-Je grect occupancy
Parcel #: /Q -1 l. 7 O 7-- Q 1 0- 21 Alter zoning
?"??y Repair Fire Zone
Owner: ?I? ?,\ CIInl axc3e 7ype of Const.
Address: ,?1 { i - MOve # Stpries
Dennlish Fmnt ft.
City/Zip Code: 'eaC4dn t5? (22 Grade Depth ft.
Phone #: 452-2Y173
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./IIng..
Address:
City/zip Code:
Phone #:
APPROVATS FEES
Assess[nents Permit
?aater/Sewer Surcharge
Police Plan Check
Fire SAC
ESig. Watzr Conn.
Planner Water Meter
Cowlcil Road Unit
Bldg. O£f.
APC
'IC7I`AL
9-Ls-Y
c. ? .
VILLdGE OF EAGAN
3795 Pilot Knob Road
Eagan, Piixuiesota 55122
FERi4IT NO.: pqq
The Village of Eagan hereby grants to eadgr Grppe ConstruCtiam Co.
a numa Permit for:
Ifl65 Jade.L. 10.L-7_ Lma rAmmit
(Owner)
:. _t 2-5
F'ee Paid: 212D. ) dated this 18th day of DeCember
3.00 s/c
= arr? ? »... ?
19 72
t3uilding Inspector -
iviechznical Permits:
of 73U3 amoera alva 1, south so pw1 55075
Li3 'Potal:
VIi,LAGE OF BAGA14
3795 Pilot Knob Road
Eagan, ivfinnesota 55722
?ERP4IT N0, c 297
T
,he Village of Eagan hereby grants to Cedar GrWe ConctruCtian Co.
of 7343 Concord Blvd. ;., South Et. nFml 5$07$
a P?L?UMffiING ze?rmit f?r: 1 2 p?er) same ? ,
??9-6-?,''39 0 Pa'1.1s e Wc?y?-g-tt1'??7?ar e17? 9v?. 1C?- , ?isade ?
, putsu o app ica ion dated 12/1$/72
b'ee Paid: dated this j thday o£ vecember ? 79 72T_
3.00 s/c
Building Inspecticr-- ,
V, ioOl:anical Permits:
x3id To'ual:
??
CITY O
BUILDIAK;` P
7.b He Used For Valuation
Site Address: 3q/( p/aGeS4D E tvfl y
Lot 2 Block / sec./sub.
Parcel #: /D Ii?7 /J9D D?
owner: /f6"ti,r? E 7 y D 0/?/t/
Adaress: 32/6 /?/J?lSAOE WA'/
city/zip Code: E? 661,.i s,S r 2 2
Phone #: ?/S y- ? Z O 7
Contsactor: LvliCTcl?C-/L
Address: ?/S =s0 /? L?{ c fc 6-F? w!< re'+?
City/zip Code: ?/-) G eA?t/
Phone #:
Arch./Eng.:
Pddress:
City/Zip Code:
Phone #:
g?? Include 2 sets of plans,
1 site plan w/elevations &
ERNII'P APPLICATION 1 set of energy calculations.
r Date /4lcW7Y
OFFICE USE ONII.Y
Erect Occupancy
Alter Zoni.ng
RPnair Fire Zone
Enlarge X_ Type of Const.
Move # Stories
Deirolish Front ft.
Grade Depth ft.
APP%)i7ALS FEES
6 ?c
Assessments,,,,Percni.t
Water/Sewer Surcharge 3 ?
Polioe Plan Check /O
Fire SAC
Enq, Water Conn.
Plaruies Water Meter
Council Road Uni.t
Bldg. Off.
APC -
'IC)TAI, $6
3 y
ciTr oF E+caN
. , 3795 Piloe Kneb Raad Eagae, MN 55122
PHONB: 4548100
BUILDING PERMIT APPLICATION Receipt #
Site Address 4?1O f611aauc noy
Lot 9 Blxk 6 Sec/Sub. C 8T 1'OV8 8
p,mei #_ 14 16707 090 06
z Nome Kenneth Dorn
z Address 3916 Palissde Way
Cl Esgan 55122 phone 454-3207
? Name Ted Wactcher Const.
?? Address 4550 B18Ckhsxk Rd.
? riw Eavan ok....e
Name _
Address
I hereby ackrrowledge that I have read this appiication and state that
tM informution is wrrect and agree to comply with all applicoble
StoM of Minnesoto $tatutes and..,QjV of Eagan OrdiqorKes.
Signature of Permittee
enneL Tu-
A Building Permit ls issued to:
all work shell be done in accorda c ith nll?u0pli le State of
Buiidine Offlciol -?e_49o_ ? =i_±7c_(s
N? 5456
A- ?. -?-.3
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge J& Type of Const.
Move ? # Stories
Demolish ? Front ft.
Griode ? Depth ft.
Approvoh Faes
Assessment _
Woter & Sew.
Palice -
Fire
Eng.
Planner _
Council _
Bldg. Off. -
APC
Pertnit L1.UU
SurcMrge 3.00
Plan check 10.50
SAC
Water Conn.
Water Meter
Totcl 34 _ SI)
on the express cordition thot
Stotutes ond City of Eagan Ordimnces.
_wi ?J r,
EAGAN TOWNSHIP
BUILDING PERMIT
Ownec ........... ........... .....--. __...._..._....
Address (Preceni) ....,,lxlx?....... 11'4-c .......... .................
Builder .._.... ............ .................._....._........._........---.........._..__._.._..
Addreas ..... ................................................... .................-----...._.....
DE5CRIPTION
N° 2911?
Eagan Township
Town Hall
DflYe /1_/ j?-72_
.._ ................_.__._._
Sioriesl To Be Vsed Foz Froni
-- Depfh Fieigh2
- Esl. Cosf ? Permi! Fee Remarks
$s s e.n 3HR. ce
LOCATION (ff6.a..tu% -
or
ia ry?
I ? ? 5 c . ? 7
This permit doea nof aufhoziae the use of sfzeets, roadt, alleps or si8ei6alks'noT doee it give the oaner or hie ageni
the righ! !o ereafe any si2ua2ion whieh is a nuisanee or which presenYs a hazard !o the health, sefefy, eonvenieaea and
general weltare fo anyone in the eommunify.
THIS P£RMIT MUST BE REPT ON HE PREMISE WHILE THE WORK IS IN PROGAES .
.1.s?r...................................
y lhai. -•.^ ?or ..... ' haspermusion 3o ereci ...... .
a-.-...._-........... _upoo
?' . Shis is !o certif . ' ...........
the above desczibed premise subjeei 2o the provisiona of the Building Ordinance for Eaqan ownship a(dopled April II,
1955.
?,• ' ? ' .
_ ................ /-"??
................._...._................ ......... +... Per ................ CZ
.--'--................ ._..............................................................
,?y Building Iwpeetor I
vest void 18 months from
5319
Date of this Request
I, as O Licensed Electrical Contractor IZOwnec, do here6y request inspection of the above electri-
cal wiring installed at:
Street Address or Route No
Section Township
? j i !v ?-?--C _Pa_=-?'4??ity/,<-c ?--•-"
_ ,?/
Range County9CJ2?-r?J
Which is occupied by__'?--,2% L -.-, -'
. (Name of occupant)
Is a roughin inspection required on this job? No ? Yes)O Ready Now ? Will Call tR
PowerSupplier
Electrical Contractar>??_/ -e:--' Contractor's License No. _
Mailing Address
(company
AuthorizedSignature PhoneNo:3°'?° ?
?(?[;?/1 ?? p0??D ? f'j O??/J This inspecrion requesi will not be accepted by ffie
??) ? ?, 0 il State Board unless praper inspection fee is enclosed.
?
Minnesota State Board of Electricity
'University Ave., St. Paul, Minn. 55104-Phone 645-7703
` REQUEST FOR ELECTRiCAL tNSPECTION
?HECK BELOW WORK COVERED BY THIS REQUEST
R 5319
Type of Building New Add. Kep. Check Appliances Wired Fox Check Fquipment W'ved For
Home ? ? ? Range ? Tempoiary Wiring ?
Duplex ? ? ? Water Heater ? Ligh[ing Fumres ?
Apt Bldg. ? El ? Dryer ? Elecvic Heating ?
Commercial Bldg. ? ? ? Fumace ? Stlo Unloader ?
Industrial Bldg. ? 0 ? A's Conditio ? Bulk Milk Tank ?
-Farm ? ? ? List
` List
Other
?
?
? Othexs
Here ,y,
?i' ..p?
iiiere?s
CnMPIITE INSPFCTi(1N FFF RFI.(1W a A41"'M A'i M, ilr
5ervice Entrance Size: # Fce Fcedets$Su6feedecs: # Ci[cuits: # Fce
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
lOl to 200 Amps. 31 to 100 Ampexes 31 to 100 Am eres
A6ove 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or o[her fee
S- ns Special Ins ection Minimum fee $5.00
Remazks ,?y??Cy ?.,/p
// TpTAL FEE
I, ihe Electrical Inspectoi, here6y ccWify that )on has been ade{(a -'0V
(Rough-in) '7 '- Date /;Z- %
(Fina1) l'??( ,,,x Date 1:j-/k- 2 r/
This request void 18 months fmm
/
2005 RESIDENTIAL PLUMBING PERMIT APPL1CATtON
VA ? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dweliings.
?
iy
? ?5'
NOV 9 d gnne
Date / o ??
Site 8treet Address l S Unit o
PropeAy Owner Telephone #( 1D ?a) -6116 ?(Q
Cantra6tor elephonef! (qfi 7`66?
T
naaress g 15 n ity L.L?' C J
f
l lQ State Zip 3 OV
The AppliearK is: _ Owner 4-ontractor _Other
Alterations to exisling dweliing $ 50.00
_ Add plumbing fixtures (excludes water soRener anGlar water heater-complete next
section if installing these appliances).
_Septic System Abandonment
_WaterTumaround (add $126.00 if a 5!8" meteris required)
_other.
_ Water Sottener
Water Heater $ 15.00
-
new replacement .
'
Lawn IrNgation _RPZ _PVB _new _repalr _rebuild S 30.00
State Surchargs $ .50
Totaf y
I hereby apply for a Residential Piumbing Permit and acknowledge that the information is compiete
and accurate; that the work will be, in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an appiicatian for a
permit, work is not to start without a permit and work wili be/ifi)accordance "h the approved plan in
the event a pian is req 'red to be reviewed and approved.
?er? n ?,G /'????15 ' 1/ 4, ?2
???Z(
ApplicanYs Printed Name ApplicanY Signatur
MASTER CARD
LOCATION
_ AR'
OWNER
STRUCTURE AND
LAND USED AS f J•w
?'Tr
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING 77
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ? =/a r'
I'S
GAS INSTALLWG
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial) `
Date
Remarks
Distance From Well
FOOTING SEPTIC
fOUNDATION 3 _ _ 3 CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELC
GAS INSTALLATION ?
SEPTIC TANK I
CESSPOOL
DRAINFIELD
PLUMBING
If-
j ^
WELL
SANITARV SEWER
?
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPOftTS
TO 8E USED ONLY IN EVENT OF 065ERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTIQN
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTION$ OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED 6Y CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REVEALED
DATE OF REI
CERTI FICATION -1 certify that I have carefully inspected the abova in which I heve no interest present or prospective, and that I have repor[ed herein
all significant conditions oLserved to be at variance with ordinances of tha Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements reiating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMME
DATE
-. ? :. j' - . . . .'-.1.. y?.._ _-laea ?lonninp q r
•!lS M' hwa Na.65 N !
. . lond Surv*yinq • - - ? ? ? . Minneopal•.
soif. T.,it?s r/I!'. Mi..n. s5432 ??.
Ciril (nyinfie.inp ..... . . C/ !/ felepMne 784-6066
? Muniaipol [nyinee'ing . EIl[SIl1@BI'6 & Surveyors ? - ? Ai,•or Cede 617 . ?
Mortgage Loan Survey !or Cedar Gr?v@ Ci011St. C0,
fz? 7eo
J„, '71_________ -?-? ;
- 91-I-? r,
i
? I?: ?? ., • ?_?i : 7 ? ?
? , ? •? ??p?!/ ? .'1
.
..... '. ? ? . ??'Z^S^-nrr.??r'.+:.!^T{q . ?P-y, _.::,1 ? :n ' w)v.A....'- -. . ? . . ? • Y^ . ,
?
? i m ? "' /l 1`72'8¢
4 ?
L?
1
LOT 9 BL4CK 6 CEDAR GROVE NO. 8
COUNTY OF DAKOTA
---? Denotes Drainage and Utilify Easement
1hit is a 1r.e nnd aornal roprosantarian s/ a wrrey ef 1F. 6eundorits e/ th. lend ubere dfi,uibad aed e/ M.
loao?ian a1 0ll balldiny., i/ any, rbt.wn, wnd all viaible eeireoehmenn, if ony; /.em ar en wid lond. Ihis +urrry is
mode only ia aonneaRea with a merqaye lean now beinp pleeed en rFe preperly and no Ga6iliry isassumed
emrepl 1e 1ha Foldrr e1 svch merlqupe or ony sther inbres/ ucqrlred by Ihr roaaan o( su[h merlpnye. It if
ynderslood and oyrirod na momoseWs ave 6een rlaud ler Ih, psi,oeu s1 eUoblisbinq lot lines er beundary
aornen. Dot•d- this1&_41ay olA. D. 1911.
SUSURlAN ENGINEEltING, INC.
urr?y??s? .
SCALE: 1 inch= 40 feet S . br?s ?• L?.`,•? J.T ,`__
q-?-g
EAGAN TOWNSHIP
3795 Pilot Knob Rosd
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SPRVICE CONNECTION
Date: 1;C? i iY, ? Number: 7090
Billing Name a
1" ? ?S`(???Q ?(?CI Site Addressr ?l ? E ""
Owner: Billing Address Iti
Plumber: ? F'\n
12/18/72
Meter No, IPexmit Fee 10.00 d 12/18/72
Meter Readitsp? Meter Dep. .O pd s c
MeCer Sealed: Yes lAdd'1 Chg.
NO iTotal Chg.
Buildiag is a:
Residence xx
I2ultiple No, Uni
Cammercial
Industrial
Other
Inspected by
Date
Remarka:
^n ?,. ., .,?•,-?,.?a, ?; rl (
LtGi?iJ.
Hy:
Chief Inspector
Ia consideration of the issue and deliverq to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Bagan Township, Dakota Co ty, Mianeaota.
By:?
?
Please notify the above office when ready for inspection and connecCion.
? (O~ K
EAGAN TOWNSHIP
3795 Pilat Icctob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEF7ER SERVICE CONI3ECTIO14
DATE: NUMBER 1256
OWNER. ?'S' Address?50' nA ?(A?
PLUMBER TYPE OF PIPE 1 ?
AESCRIPTION OF BUI1A ING
Industriall Commercial{ Residential
Location of Connections:
Multiple Dwelling I No. of unfts
Connection Charge 260.00 pd 12/18/72
\ 10.00 pd 12/18/72
Permit Fee
SYreet Repairs
Total
Inspected by:
Date
Remarks:
By. Chief Tnapector
Ia consideration of the issue and delivery to me of the above permit, I
hereby agree to do the pxoposed worlc in accordance with the rules and
regulations of Eagan Toc•7nship, Dakota-CounCy, Minne o a
r\, ?
Please notify when ready for inspection aad connection and before any portion
of the work is covered.
oF
3795 PI?OT KNOB ROAD, P.O. BOX 21799
EAGAN, MINNESOTA 55121
PHONE: (672) 454-8100
DA"_7: APril 11, 1984
PLImzrIc assESSrENr sFARC'FT
BEA BlOM9UI5i
Mwor
THOMAS EGAN
JAMES A. SMIiH
JERRV THOMA$
LNEODORE WACHiER
Courictl Members
THOMAS HECGES
Ciry Atlminisirotw
EUGENE VAN OVERBEKF
Gry Clerx
PE: Cedar ,rove #8, Lot 9, Block 6
3916 Palasade P7ay, Eagan, IO7 55122
Parcel # 10 16707 090 06
Requested by;
DAKOTA COUN'I'Y'ABSTRAC?` 00.
1250 Highway #55
Hastings, MN 55033
I CERT= THAT ACCORDING 'I'0 TFIE RECpgDS OF SAID Ox'G'ICE, 7'IIE TFOIS.OL+71?'G ITTROVEIIET7TS
ARE C01]Ta,1PLATID OR PIIMING AFiER HAVI7\7G BEEN APPROVED, AND ARE r'OW IDT THE nROGF'SS
OF PLAFD7ING OR CCNPLETION.
Kinq of Iinrove*nent Approximate rlate of Completion Apnroximate cost
NONE
SIZASVF12•
Neither the City of Eagan nor its employees guarantees the accuracy of the above in-
formation which c,ras requested by the pesson or persons indicated. Nor does the City
or its enployees assiBne any Iiability for the correctness thereof.. In consideration
for the supplying of the indicated infozmation in the above form, and for all other
consideration of any nature whatsoever, any claim against the City or its enplovees
rising there from is hereby expressly waivecl. Levied assessments to be paid to the
COL7N'IY TRFASUREft AT HASTINTS, Nfil. 55033 or CI^'Y OF' EAGAr?.
Vezy truly yours,
SPECIAL ASSESSt+ENT DIVISION
"a' 'j"'-
iHE LONE OAK TREE. .. THE SYMBOL OF STREN6TH AND GR04ViH IN OUR COMMUNITY
oF
3795 PIIOT KN08 ROAD, P.O. BOX 21199
EAGAN. MINNESOTA 5521
PHONE: (612) 454-8100
DA?E: April 16, 1984
PEMnrNG avssESS= sF,ARCH
eEn eLonneuisr
Mayor
THOMASEGAN
JAME$ A. $MITH
JERRV iHOMAS
iHEODORE WACHTER
Counai Memoers
THpMAS HECGES
- Citv Atlm.nis*rator
EUGENE VAN OVERBEKE
GN Gerx
PE: Cedar Grove #8, Lot 9, Block 6
3916 Palisade Way, Eagan, MN 55122
Parcel # 10 16707 090 06
Requestecl hy: DAKOTA COUNTY ABSTRACT C0.
1250 Highway #SS
Hastings, MN 55033
I CERTIFY THAT ACCOf2DING TO THE RCOfZTIS OF SAID OzI,'ICE, '?YIF: F'OIJ0O[+7Ir'.G a'1PROUFSLSNTS
ARE CODTPUQPLATID OR PEND2NG AE1^E'R HAVIDTG BEEN APPROVED, AND ARE P?O[a IDI '^HE nROCFSS
OF PLA T?NING DR COMpLETION,
Kinq of Imorovement Approximate date of Comoletion Aporo:tunate cost
NONE
Sq11IVER:
Neithes the City o£ Fagan nor its eniployees guarante=_s the accuracy of the above in-
formation which was requested hy the pesson or persons indicateci. Nor does the City
or its employees assiune any liability for the correctness theseof_. In consideration
for the supplying of the indicatecl in£ozmation in the above f_orm, and for all other
consideration of any nature whatsoever, any claim against the City or its enployees
rising there fran is hereby expressly waivecl. Levied assessRnents to be paid to t-he
CO[INT`I TREASURER AT HASTINTS, NAT. 55033 or CI'"Y Or EAGAr?.
Vexy truly yours,
SPECIAL ASSESSMENTI' DIVISION
J??
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH qND GROWfH IN OUR COMMUNITY
Enclosed herein is the search which you requested made on the above described prooert?
Kind oL Imorovemenc yPa- Eeeinnine Orisinal ?.mount Balance Due
DI0NE
I further certify that according to the records of said office, the following imnrove-
ments are contemplated or pending after having been approved and are now in the proce:
of planning or completion.
Kind of Imorovemen[ Anvroximate Date of Comuletion Aonroximate Cost
NONE
WAIVER:
fieither the ^.ity ofEagan nor its empioyees guarantees the accuracy of the above infox
mation which was requested by'the nerson or persons indicated. Nor does the City or i
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 considerati
of any natute whatsoever, any claim against the City ar its employees rising therefroz
is herehy expressly waived. Levied assessments to be paid to the CITY OF EAGA,v,
3830 Pilot Knob Road, P. 0. Sox 21199, Eagan, MN 55121. '
.Very_truly yours,
?
SPECZ?.L, ASSESS?fENT DIVISION
oF
3830 PILOT KNOB ROAD, P.O. BOX 27199 BFA BLOMQUtST
EAGAN. MINNESOTA 55721 n.wvo,
PHONE. (612) 454-8100 MOnuS EGAN
JAMES A. SMITH
' V1C ELLISON
Special Assessment Search 1HEODORE WACHTER
cou?+l ??r,
Date: May 6, 1987
Requested by:
Re : Cedar Gmve # 8
10-16707-090-06
THOM0.5 HEDGES
Ciry Adminstra?or
EUGENE VFUV OVERBEKE
CM Cierk
,Univexsal Title Insurance Co
14031 SurrLhaven Drive
Burnsville MN 55337
On the attached form is the City's response to your search request
on the identified property. The information includes the original
amount of the assessments and the payoff amounts of the assessments
on the parcel. In addition, pending assessments are included for
improvement projects that have been ordered to be installed by the
City Council as they may affect this parcel.
The 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 c`laim 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,
C
SPECIAL ASSESSMENTS
Attachment
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
rrAriSHcTrori .rD: r:ra,s sNEc.rAc ASSESSMEIVTS
Sf=EC lF1(_ ASSESaMEIV'TS S'Ef=1RG'F•I 8U I"IMIaRY
F'P•,t?P"r.::i?TY J.D. TQUAYf Ur;7`E: 05i08/87 .--SPf:C:t'AI_ f"LAGEi-------
1-2- 3-4-5- eS-?-8 -9-1 U
10-.2b,"_ ...i.i;.,.-i i9 _
? ?-? ?0
S. A. # ASSESS1•If hIT DESC(?. YR YRS RFiTE TtJTAL ANIV.I'R.Zhl.. F'AYOFF Ct7Ml•IENT
SLJI`1MARY i:?f- AC7.7VF .00 .00 .00
7'I-IIS YEAR'S TO'T P&I .Oti
Prer_ F2 or 'r2 (hicader f"orrrr} or Fi' (Re_tarl R768?
ity of
3830 PILOT KNOB ROAD. P.O. BOX 21794 V1C ELLISON
EAGAN, MINNESOTA 55127 nnw«
PHONE? (612) 454-8100 Special Assessment Search pa,w?K.?Gu EGAN
?JI
PAMEUI McCRFP.
THEOOORE WACHTER
Date; April 6, 1988 CoinG1AAeribB13
nionnas HeoGes
. ciryPdminimtrior
Requested By; ge; s10-16707-090-06 ' EuGENEVnavoveasEKE
.'L9_ B6 Cedar Grove #$, crcva?u
Dakota County Abstract
On the attached form is the City's response to your search
request on the identified property. The information includes the
original amount of the assessments and the payoff amounts of the
assessments on the parcel. In addition, pending assessments are
included for improvement projects that have been ordered to be
installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
WAZVER/DISCLAIMER:
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and 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 1REE. ..THE SYMBOL OF STREN6TH AND GROWfH IN OUR COMMUNIiY
- : :. . ..
...____ . . .. _..r..:)a?-`._. . .
TRAN:;A{v'1'TO;J :Pr2 F769 SP[.l;Ifal... A:iSraSi"lE'i•Ji':+
SF'ECIi'J_ F3S;=ESSh4!=N1"S SI_HPif]hi `:'aUP'll",AR4'
_. ??i
Pf-i^I'ERlY I.D. T'ODF;`;S L'1Al"!'-• i41. ;?Jiji3 __..S'E:C..;St-?L FLF?LS____
1-2-3--4-5-6_7....23-9--'! 0
1 0-1.6 7r i7-WO-(i6
-
S., Ae # a=?5:>Efa'--St•':cfVl" S]ESCR. YN 1''t;;S F:A1"F_' TCi?'r;l ANI`d„ r"RIN. PAYftFF C(:li`11"!=!'•;'1'
100125 SAl'+I :W TI;F:: .???q ? y - - , ,U?- ? CLOc
69 : .. _. , n ..0?.. ,.y , i_._ ? C? .nra ?F_P
100222 5!W L SP9 -[ 73 5 8.00l 1539.10 .OG .t)p CLf:15ED
.'-:iLJr•Eh9AFiY O!=" AC'1" I4'i_ .00 .00 .00
THTS YF:AFt 5 1'OT P"<t .00
F'ress Fi. or 1=2 tl-leader Farm? or F? (f:e=_.tart F763)
? .. .
? .
{
CTl'V C!F EP.GA^!
. 'M. .
CASA-ITFSc J8 TEC:t1iNAI_ NC1: 71:19 .
DHTt'„ 1.Qli2/93 7IMF, GBa5Qx50
ZZ` :
NpNE4 ~.T.MFE?T.FtL SpIm', INC.
, , ..
341:0 900if' T33 ,LASW L.iJ .53.25
ZiSS 3UCi;. ?35 LASSQ !:Y 4.00 '
> 321.d 3OQ1 8316 F'hLISAUC li 209.25
21515 Mp1 331 f, f'AL,ISf-tDE 14 - k;.00
,
,i;" . . . .
ry`
ro*aa Rez;bipt?Afftour,rt ., , .3;2.ra
tis=?i z?+,a .aaaa ? . , f .
?c?? ? ?c?*?c?ri *N:?:k?k*??#dk?ICx?kSek?k*?*?kC?C?k?R
y.
1999 BUILDING PERMIT APPLICATION iRESIDENTIAL?
GTY OF EAGAN
3830 PILOT KNOB RD • 55122
New Conshuction ReaulremeMs 651-681-4675 Remodel/Reoalr Reauiremenfs6 q
? 8 reglstered sNe aurveys showing sq. R. of loT, sq. ft. of house
and J roofed atem ( 20%maximum l01 eoveione aNowed)
? 2 copies of plans (show beam R window fixes; poured ind. design; etc.)
? 1 eet of energy calculafbns
? 3 copie: of h e p esenoNon plan H lot platted after 711 J93
nare:
,
DESCRIPTION OF WORK:
STREET ADDRESS:
2 copies of plan
1 sM of eaergy caleufatfons lor heWed addNlons
1 sHe survey for exterbr addHions 5 decks
cosr. /''?y?
;
i4IZ01ie+/vr0
LOT: ` BLOCK: ? SUBD./P.I.D. #: Ck ? ?? ? ?n ?f d v 'e ? ?
Narne:&O? 71e 5601-F4-'-j-oLI 6, Phone #: f SI'
PROPERTY Los? First
OWNER StreetAddress: ???
City EState:
ziP: SS/zZ.
/yw,
ComPany: Phone #:
(area code)
CONTRACTOR /!/ ???
Street Address• T? License #
Crty AK, State:
ARCHITECTJ
ENGINEER Company: Name:
Telephone #: area code (
Stree't
Cffy
Sewer 8 wafer Ilcensed plumber (reautred lor new construeHon onlv):
State:
' PenaHy applles when,address change and lof change Is requested once permif is issued.
Zip:
I hereby acknowledge that I hwe read this applicatlon, state that the iMormatlon Is c rcect, and agree to omply wNh all appllcabl
State of Minnesota Statutes and CiFy of Eagan Ordinances.
Signature of AppllcaM:
OFFICE USE ONLY
Certificates of Survey Received
Yes _ No
EX,,3 3J db
?
Zip: s
Aw
RegistraHon #:
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace
? 02 SF Dwelling ? 07 5-piex ? 12 12-piex ? 17 Garage
? 03 1 af _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool
woRK rirPe
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45
? 34 Repair ? 38 Demalish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL (NFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy,
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES Syster
City Water
Booster Pumpl
PRV
Fire Sprinklerel
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.
0 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
Repair
PermitFee
Surcharge
Plan Review
License
MC/ES SAC :
City SAC
Water Conn.
Water Meter
Acct. Deposit
5NV Permit
S/W Surcharge
Treatment PI'
Park Ded.
Trails Ded.
Other
Copies
Total: D i `? • 2-?
Valuation: $
SAC Units
% SAC
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OFEagan
3830 Pilot Knob Road, Eagan MN 55122
Telepbone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
DateI /??/ 611?7
'
SiteAddress I Ql w Unit#
ert
6
P
Owner --
C Telephone #
rop
y
?
-
Contractor STANDARD HEATING &AIR CONDITIONING
4
Street Address MINNEAPOLIS, MN 55408
612 824 2656 City
State Zip Telep6one # ( )
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
2? furnace _Additional - ?Replacement _ New -
air exchanger
?
? air conditioner ? !t_CQ?
heat pump
oth2r
State Surcharge $ 50
? •??
Total $
I hereby apply for a Residential Mechanica] Permit and acknowledge that the information is com eate; that the work will
6e in conformance with the ordinances and codes of the City of Eagan and w' e Mechanica Codes at I u erstand this is not a
perm? but only an application for a permit, and work is not to start wit ut a t the wor will be in ccordance with the
appr d plan in the case of hich requires a review and approval plans Applicant's Printed Name Applicant's gnat e
Permit #
Receipt Date:
2007 SewerlWater Repair/Disconnect Permit
City Of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Telephone # 651-675-5675
Date Fee: 50.50
? City Sewer _ City Water _ Repair _ Disconnect
Description
Street Address for Proposed Work oqjg? 3 c7 / ? ??? r 425- C?J ,d cX
Owner
Name eo
Street Address 3 I F c .9
City Stafe A 4 rLF Zip $' 4 22 Telephone #( )
Licensed Pipelayer Master Plumber Property Owner _
Name 20 /C,p cP?G •C
?
StreetAddress ? 9 •S??Lc ?e[_v? /1( GCi
City State ? Zip f? y/ z Telephone #(6SI )&3$
Pipelayer Training Certification Card # or Master Plumber License #
I acknowledge that the information is complete and accurate and 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
pemut, and work is not to start without a permit.
4pk??rl W, i3a'19(9L
Applicant (Piint Name) ApplicanPs Signahue
4101 CityofEaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
PeimIt Fee; / D6, 4,15
Date Received: l`
Staff; / I` ► G
L
(��/2012 RESIDENTIAL BUILDING
�PERMIT APPLICATION
Date: I 1 �,�J 1 Site Address: 3q 0 Pr; L L �.,tCf( t? fl\ Unit #
Por I e Phone:(1-1--1.5-37732
55[
Name:
SIDENT!
1i�lfER Address / City / Zip:
Applicant is: Owner .-Contractor
TYPE'OF WORK
Description of work: Tent -
1 rD1S' / ra---rcoF
Construction Cost Cot co
Multi -Family Building: (Yes / No X
krmc
Company: ` f, J r-)" 1=3
Address: �j ( (f
State: MN 4P:C/ . L l ` l
License #.0C.53'51
cop( Contact ° I re
G'��_ City: 6-1-:
Phone; 051-611-7-1
Lead Certificate #: / V fiT (1 `T 7 l 'Z 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone;
moo:. `Pians ,artd.srppet you subm d'to be pu �� ..Po f ti
> #o on.ma ybed :ou°
P
to
'atey
are
CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.gopherstateonecalt.oro
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 onty 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 160
days of permit issuance. , ,
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110811
Date Issued:05/29/2013
Permit Category:ePermit
Site Address: 3916 Palisade Way
Lot:9 Block: 6 Addition: Cedar Grove 8th
PID:10-16707-06-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott C Porter
3916 Palisade Way
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113223
Date Issued:08/30/2013
Permit Category:ePermit
Site Address: 3916 Palisade Way
Lot:9 Block: 6 Addition: Cedar Grove 8th
PID:10-16707-06-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Amanda Hanson
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott C Porter
3916 Palisade Way
Eagan MN 55122
(651) 452-3773
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
C� For Otftce Use
RCIVED
u E JAN U ; / Femit#: /ga,-5g{
12017 I Pam*Fee: o
3830 Pilot Knob Road
Eagan MN 55122 I I Bate Received: /-3-17
Phone:(651)675-5675 i
Fax:(651)675-5694 i stair: ,...7 ...
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: k I) L(SfteAddress3>lflD r( CLO 1 .t) L 1
Tenant \ �) , I� Suite#:
f
L$S = I�me: ��k jr\ - Phone: -1 �Q . J 4� I
Ad�ess/city I Zip •
: l l? 1. �:a Ire 1 �i .i;
Name:
Croix Crystal Water Treatment 64997WC
i
, : 3440 Yoerg DrCity- Hudson 1
state: wi zip_ 54016 Phone: 715-3861-8667
Contact
Jim Email: croixcrystal@attnet 1
.4....
_New Replacement _Repair _Rebuild ^Modify Space _Work in R.O.W.
- Install Water Softener
Description of work:
RESIDENTIAL
l Water Heater I
I Y/ Water Softener t
Lawn Irrigation( RPZ I PVB)
Septic System Add Plumes Fixtures( _Main/_Lower Level)
_New
:1 Water Turnaround
Abandonment
RESIDENTIAL FEES: I
I $60.00 Water Heater,Water Softener,or Water Heater and Softener(iincludes State Surcharge)
ii $60.00 Lawn Irrigation(includes Slate Surcharge) I
I
$60.00 Add Plumbing Fixtures. Septic System Abandonment.Water Turnaround*(includes State Surcharge)
t.
'Water Turnaround(add$280.00 if a 3/4 meter is required)
$115.00 Septic System New(includes Comity fee and State Surcharge) ( _ (�
TOTAL FEES$ lu-
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 cordormance 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 permii<;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of
x Jim Schober x ,/i)/ �
Applicant's Printed Name Appli s S
RC1 h'
Gtr �-fn T -4*,te,.,,�..Fi
MedV,, ;r