3924 Palisade WayCITYOF EAGAN ????? '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454^8100
BUILDING PERMIT Rece
To be used for 'f Est Value Date
;
Site Address
Lot?Block ? Sec/Sub.
Parcel No.
ac Name
z Address `.: _.4 q?;:, . ,- ? • ?k?„ ; :•„ ?r
Q
City Phone
°C Name
0
o d Address ?' ?' i?. ;• i , rt'r '^. ?
??°C- City " Phone
Q
W
W
z
5
z
W
Name _
Address
C ity _
I here6y 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.
Signature of Permittee
A Building Permit is issued to: ' on the expfess condition thaS a1V work shail be done in accordance with all
applicable State of Minnesota Statute5 and City of Eagan Ordinances.
On Site Sewage
MWCC System
On 51te Well
Ciry Water
PRV Required
Booster Pump
APPROVALS
Engr./Assess. -
Planner -
Council _
BIdg.Off. _
Variance _
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Storiss
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, Clty
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
?
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Fooiings !
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
isul.
Fireplace
Final Htg.
Final Plbg.
B)dg, Final
Cert, Occ.
Temp. LP
Deck Ftg.
Deck Finaf
Well
Pr. Qisp.
CITY OF EAGAN
3745 Pllet Knob Road Eayan, MN 55121 PHCME: 454-8100
BUItDING PERMIT Rece;pr #
To b* used for Est. Value Date , 19
$ite Address Ercct
?
Octuponcy
Lot Blxk Sec/Sub. Alter ? Zoning
P
l Repair ? Fire Zone
arce
#
Enlarpe ? Type of Const.
Name Move Q # Stories
W
Z Address Demoliah ? Length
? Ci Phone Grade p Depth Sq. Ft.
oe E?
Approvals
Faes
p Nume
?
Uu Address
Assessment ._
Water & Sew,
Police
Fire
Enp.
Plonner
Council
Permit
Surcha rge
Plon check
SAC
Water Conn.
Water Meter
Rood Unit
I hereby ocknowledge that I hcve reod this applicotion ond stote thct Bldg. Off.
the informotion is corrett ond agree to compiy with oli appiitable
State of Minnesoto Statutea and City of Eo9on Ordinonces. APC Totol
Signoture of Pertnittee
A Building Pertnit is issued to: on the express condition that
all work shatl be done in occordonce with all opplicable State of Minncsotu Stotutes ond City of Eagan Ordinances.
Buildiny Official
L
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? LL LL LL ? ? ? LL LL U. ? ? ? d
CITY OF EAGAN
Cedar Grove
/LD 6-t\
Lot 8 Rlk 6 Parcel 10 16707 080 06
street 3924 Palisade Way 5tate E'agan,M 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK / Z! 970 125-00 • 00
.?. SEWER LATERAL 2
WATERMAIN
# WATER LATERAL
WATER AREA
* STORM SEW TRK
# STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300-00 6651 10-2
79
5-
BUILDING PER. -
.
SAC 0.00 665,
- -
PARK
CITY OF EAGAN ?Jo 14 8 0 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt# -o C? t-V I(2
To be used for w00D STOVE Est. Value $1, 000 Date APRIL 7 ,i g 88
SiteAddress 3924 PALISADE WAY
Lot?Block ? Sec/Suh. P l?
Parcel No.
a Name DONALD LARSON
w
Address 3924 PALISADE WAY
o City EAGAN phone 454-1066
OFFICE USE ONLY
On Site Sewage Occupancy
MWCCSystem Zoning
On Site Well (ACtual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump _ Length .
Depth
S.F. Total
Footprint S.F.
a Name SUMMIT ENERGY
0
?a Address 7242 WASHINGTON AVE S
0
P City F.I1F.N PRATRTFPhone 944-6647
.?
U?y
ww
rz
z?
¢z
aw
Name _
Address
City_
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply wilh all applicable State of
Minnesota Statules antl Ciry? ?of?Eayq?an r nances.
Signature ol Permittee ?
A Building Permit is issued to: SUMMIT ENERGY_
on the express condition that all work s hall 6e done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
APPROVALS
Engr./Assess.
Planner
Council
61dg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, M WCC
Wa[er Conn.
Water Meter
Road Unit
Treatment Pi
Parks
TOTAL
24.00
.50
24.50
f
BUILDING PERMIT
ro ee ube fo. 3 SFA
CITY OF EAGAN
9795 Vild Knob Raed Eogan, MN 55111
PHONE: 431-8I00
Site Address -774`+ rai+aac= rvnr
Lor $ BI«k 6 Sec/sub. (3Ed3i GLVVe 8
P„ui # 10 16707 080 06
a Name Donald L. Iarson
; Address 3924 Palisade Wav
b C; Fman 55122 %,,m 454-1066
o Name Mel Wi[ Ia2'sotl Co.
91 Address 2716 Kentucky So.
i- ru,. Muls_ 55426 oti.,... 929-0053
Name _
Address
I hereby acknowledge that I hove read this apDlicotion ond stote that
fhe inlormation is correcf and agree to wmply with all applicable
Stote of Minnesota Stotutes ond Citvnof Fauan Ordinonces.
$ignoture of PermitfeA%?r W' ?T
A Building Permil fs issued fo: 1-Te1 w. lRTSOII Con
oll work sholl be done in oecordonce wifh al opplicoble e of
Building Ofilciul 12,
N? 7175
Receipf # CAX s?c1
Ered XX Occupancy &-.)
Alter ? Zoning R-1
Repair ? Fire Zone
Enlarga ? Type of Const.
Move ? # Stories
Demolish ? Leng[h 14
Gmde ? Depth 1-4 Sq. Ft.-
Approvala Faes
Assessmenf _
Water 8 Sew.
Police _
Fire
Eny.
Plonner _
Council _
Bldg. Off. _
APC
Permit 7U.]U
Surcharpe 2-50
Plon check
SAC
Water Conn.
Water Meter
Road Unit
Totol -$5.3,.AQ.-.
mCD• on tha e:press corditlon thni
Statutes ond City of Eapon Ordirwnces.
-7 (^7S ?Ty pg ??
?E I Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PEIMIT APPLICATION 1 set of energy calculations.
1
'Ib Se Used For.3- sFfiS o.v rOxcValuation ?
JJ- 6", ?
Date
Site Address a ICE USE ONLY
Int ? Block
c.
(p Sec./Sub. C. C? :cr,
E?rect ?
cupancy _ ? •
Parcel 10 ?(.0`70`j OSC: G?-) Alter Zoning - l
F' Z
Oumer: /?Drtl?F?c) 1
Acldress: 3 9 ? ?- P1F?.
City/Zip Code: ?, yQ LT? :.f
Phone # : ?S
Contractor: ?W4,
Adclress: 02
_7/l0 nCity/Zip Cnde: ?'kS, S"?i?
Pho? #: 9a-q-o?s3
Arch./Ehg..
Adclress:
City/Zip Code:
Phone #:
gep?r ire one
Erilarge _ RYPe of Const.
Nbve # Stories
Demlish Fmnt -ft.
Grade Depth ft.
APPROVFILS FEES !J
Assessments Permit
iaater/Sewer Surcharge ? ?-
Police Plan Check
Fire . SAC
Fng.
Planner
Council
Bldg. Off.
APC
Water Conn.
Water Meter
Road Unit
'IOTAL _4? 1-
S - 6-1 fs
c. & .
TONN OF EAGAAT
3795 Pilot Knob P.oad
Eagan, Minnesota 55121
?L'RPIIT N0. 272
The Board of Supervisors hereby gran[s to Cedar LiTCne CorietriCtiC[1
Co. of 7343 Concord Blvd. E., Swth St. Paul 5$075
a HEATINQ P rmit
Ci.. 2 7 n44-T r
ae -?7 1 2r ? go?
92
3-F-0 Owner)
P2 3
Yalisade WRy .
, pursu?nt to app
10/tb/72
Fee Paid: y160•00 Dated this 26th day of OCtober , 19_L2.
Building Inspector
e?C-DT,
/
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ...... ..?°:""?
.--- -----
Address IPzesenlJ 2.3-Y'3..... C!r?eS....CL?.:?'?t ?.
........... ........
Builder ........ ._._ ..........................................
-- .........................
--
Addresa ......
DESCAIPTION
N° 28'74
Eagan Township
Town Hall
Dafe
.................
Stariea To Be Vsed For Front Deplh Haighf Esl. Cos! Pezmi! Fee Remarks
or
LOCATION Io ?SU
or
q?L4fj I Q ? •? I?
This permit daea aoi auShorise the use of slreals, zoads, eileye or sidewalks nor doas it give 1he?owner or hfs agan!
!he righf to creafe any silvafioa whiah is a nuisance or which presenls a haaard !o the healfh, safeip, eonvenleaee and
general weltaze !o anyoae in the eommunilp. .
THIS PERMIT MUST SE KEPT ON THE PA£MISE WHILE THE WORK IS IN PAOGRESS?.?
This in !o cerfify, fhal...?'!^...... haspermission 2o areet a..... ..,?!?..^.. -? ,,,_._.,_
... .
the ebova deacri6ed premise subject fo the provieiom oi lhe8uilding Ordinance for Eagan To nship a opted Aprilpll.
1955.
........................ . J?.n.... ::-:.Y.....J`..-'..? ."..-.-. _
_..........-'. Per
...............
...................O...-°--' .................-
.
c Iaspaetor --.............--'---...
.
.
.
Chairman of Tnwe Board Buildiny .
J z oe5
- ' ? EAGAN TOWNSHIP ?
BUILDING PERMIT N° 2930
Owner --------- ( c..'..'.?...`.."._--..:??:0. °.?-:`:`..._-?"!„`.'atT..---"' Eaqan Township
... .. ...........................
Address (presenf) ...... ? . "?e . .. . " . . " . " .. c ........................... .. Town Hell
Builder .........
Addsecs .......
DESCAIPTION
nete
Siories To Se Used For Froni Deplh Heighi Esl. Cos! Permi! Fse Ramarka
J
LOCATION 7-5?'z' '7 1 4• ''t'
or
..o, n.occ naaixion or zraet
.?-.? 7
This permit doas aoi auihorise the use of sfreeSs, roads, alleys or sidewalkc nor does it give the ownes os his agent
the righ2 So create anp siluaSion which is a nuisaaae or which presenls a hazard !o the health, sateip, eonvenienee and
general welfare !o anpone in the cammunity.
THIS PEAMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRBSS. .
Thia is So aerfify. lhaf.....?..5_..aL? .-- ?..._ .. ..................has permssaion !o erect a '-'-.:_ ..._....y......
..-'-'-' ..._...__'-upon
the above described premise subjeet fo the provisiom of the Building Ordinance for Eagan Toavrichip adopiad Apri] 11,
1955.
............. 4'--?-??- -??---- -? ` ?-- ....-=?---ir--?-,?-?- reT ....... ..... ----------- I .t. ;l ...............,?....
....-?- - . ..... Cheirwraw o nw Soar Buildinq Inspaefor ?
.Cs'
PERMIT #:
55(
RECEIPT DATE:
2002 RUIDEPTIAL bl£CH"CAI. PEftMIT AgPLICATIOft
crrYoF Ewaax
3$90 PI40T KAOB RD
E4HAP MA 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: o 2
SITE ADDRESS;
OWNER NAME: \ JN?C?L VC0's-So h TELEPHONE #:
INSTALLERNAME: TELEPHONE#: ?ZW
STREET ADDRESS:2Ir'1g5 S ?- LJ
CITY: ? STATE: ? ZIP: 65U9?
Place a check mark next to the permit work type
Add-on 'catia r alteration to existin dwelling unit $ 30.00
• furnace replacement
• air exchanger -
• airconditioner
• other
SEP 1 i 2U.;2 ?
Nature of work:
I !
By-_
State Surchar e $ 50
rotal S G
NATURE OF PERMITTEE
CITY USE ONLY
1102
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: INSPECTOR
8008 CObIMERCIAI. MEGHANICAI. PERMIT APPLICATIOft
C1TY OP Ek&AAi
S$SO PILOT KNOB RD
£AfiAN, bIA 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
STATE: ZIP:,
TELEPHONE #:
WORK TYPE: New construcdon Install U.G. Tank
_ Interior Irrtprovement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: I°/a of con[rac[ price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minunum fee
Contract price: $ x 1% _$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
09i 182007
?/]0, j0
??
--? el 9l10
08:40 ERGAN ENG+COM DEV 4 96519051745
zov RESIIIENTIAL BUILDING rEmuarnicorr
City Of Eagaa
3830 Pilot Knab Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
r/ Cwsmxinn RequhanlBn?
I[egisfered slb surreps s1waIIMJ sQ• ft of lot, Sq. R oi pause; aM gll moted area5
(2os5 meximum ia couerage aYwved)
i SOIL, RCPo VPropGSBd hUlVJhlg R b he plswd on dhWrheC s0A
2 myes o( plan anowqg tmm a Mndow alzes; poured kurid design, eL
1 setoFEneryyCalculatioiw
9 00pI95 o(Tree Preseva6on Plen T lot pleMed aNer7140
Rlm Job( PeplOpliwn seledion s1001 (hu(bing& rAM3 or1958 uA)
Minnagsaco Techanical venhTdUql Fynt
kemaeeNteaalr R?ulromsn?
2 wPles M plan sheah9 fao0ngs, be2ms.kfste
15et of Energy falculatluns for heated additlans
1 slte suney for addlfbns & decks
Addkbn -Yxfiwle 9011-d1e sePlk syatem
Ri.,..- ...,, ....... 1ae..,a a,.f.,?gti.,., iiniaaa vnu s4ata thev ara trade secret and the reason,
r IPI1? M?v vruvrrvM vr? o..?....?.. ?.. .
11ate r v Construction Caat Zg ?oo
'
SiteRddrecs ??? GU ? Unit{SEe #
DeacriptfonafWork ANI ????o-?^? c*? ?"""°'? ? ??w•?-' -
Muld-Family Cl1dg _ Y N Fireplace(s) _ 0 _ 1_ 2
<.
xX Telephone#(/po-/)'ils'T-10clo.6
o,,
PropertyOwper 1
Windaw Concepts of MN, Inc.
Contractor 990 Lone Oak Road Suite 114
Arddrese Eagan, Minnesota 55121 City
TollFree 1-888-712-1733
Stat
TtlephouelF ( )
e _ License # 20163493
www.windowconceptsmn.com '
COIVIPI.ETE THIS AREA ONLY IF GONS1'RUCTING A NEW BWLDlNG
- Minnesota Rules 7670 Cateeorv 1 Minnesom Rules 7672
5nerpy Code Catagory . Rosldentlal Ven5laGon Gategory 1 Worksheet • New Energy Coda Waicsheet
(4 su6missionVpe) $4ymIftcl Suhmifled
. Ener4ry Envelope Calctiiation6 &ubmltted
In the last 12 months, has the CiTy of Eagan issued a permii for a simlldr pidn bosad an a moster plan2
_ Y _ N If yes, ddre orid ddtlr9ss of masier pfan'
licensed Piumk7er
Mechonical Conhactor
Sewer)Waier Coniractpr
Telephane #t
Tzlephone #(
N0.848 D02
(?(-0. od
atrm uo a*
CeO ofSmvayReW _Y „'N
SWsFlspcvt ,_Y _N
Yrm PreaP6nReed -Y _N,
TreaPmaRequired _Y _N
OnaibSeptlcSysRm -Y „N
relephone # [ ?
I hereby apply for a Reaidential Building Permit and acknowledge that the infomiatian is complete and accuraie;
thxt the work will be in confom?aizce witlx the ordinances and codes of tlae City of Bagan and the 5tate of MN
Statutes, I understand this ie not a parxnit, 6ut only att appiication for a permit, and work is not to start without a
pernut; that the work vvill be in accordance with the appraved plan in the case of work which requires a review and
appmvalofplane, ; I
L?far1-c4i- /-ifLG/6,4 Al
Applicant's Printed Name
l?La-e ??
Applicant's S9gnature
MASTER CARD
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued Ta
Contractor Owner
6UILDING
PLUMBING oeg2
177
CESSPOOL - SEPTIC TANK -
WELL
ELECTRICAL
HEATING
L
GAS INSTALLING -
SANITARY SEWER
OTHER
OTHER O ?
L-.
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDAiION CESSPOOL
FRAMING 1-.' TILE FIELD FT.
FINAL
ELECTRICAL /
HEATING DEPTH
OF WELL
GAS INSTALLATION -
SEPTIC TANK
CFSSPOOL
DRAINFIELD
PLUMBWG 'i
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
70 BE USED ONLY IN EVENT OF 065ERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECTION
O ACCEPTABLE SUBSTITUTION$ OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? NON-COMPLIANCE. BUIIDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYE? BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CER71 FICATI ON - I cenify that I have carefully inspected the above in which I have no interest presant 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 SpeciHc require-
ments for off-site improvements relating to the propercy inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPIETED
eui?oirvc i
? ?3
3'(0-3
EAGAN TOWNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNII T FOR WATER SEAVICE CONNECTION
Date•
Biliing Name.
Owner: (?v
P1umber:
Number: 1019
Site Address•C (C`?1??
Billing Address (C)7? ?SS?1' ?ATrY
10/2$/72
PAD iTotal Chg.
Building is a:
Residence xc
t2ultiple Np,
Commercial
Industrial
Other
Meter No. ?Permit Fee 10.00 pd 10/25/72
. 0 pd 0/25/72 s,6
Meter Reading Meter Dep.
Meter Sealed: Yes_ lAdd'1 Chg.
Inspected by
Date
Remarks:
Bq:
Chief Inspector
In consideration of the issue arn3 delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the ruies and
regulations of Sagan Township, DakoCa County, Mianesot .
By:
Please notify the above office when ready for inspecCion and conneciion.
8-6°9
EAGAN TOSdNSHIP
3795 Pi1ot Kitob Road
St. Paul, Minnesota 55111
Telephone 454-5242
FERMIT FOR SLWER SERVICE CONNECTION
DATE: Id ? '-? WMFR 17 80 '
OWNER
PLUMB:
Address,??'??-F
TYPE OF PIPE
DESCRIPTIOR OF BUIIDING
industriall Commerciall Residential I Multiple Dwelling I No, of units
Locatioa of Connections:
Connection Charge 260.00 pd 10/25/72
Permit Fee 10.00 Sd 10/25/7 2
.50 pd 10/25/72 s/c
Street Repeirs
Total
Iaspected by:
Date
Remarks:
Sy
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the propoaed work ia accordance with the rules and
regulaCions of Eagan Toc•mship, Dakota County, Minnesota
s„ 0A\1_'
Please notify when ready for inspection and coanectioa and before any porCion
of the work is covered.
198$ BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGE3 WILL BE ALLOWED ONCE HUILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONIT3 FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
COhPlERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET' OF ENERGY CALCULATIONS
pw??R ?'o Pr't,?v? ? Lt. L.
-? u+- ro3 ?-tr 4 : cri? Pd??xaaYv
To Be Used For: ??U?C7?vE Valuation: (.j)00 Date:
Site Address 3V-4 PA?-lS&CJG wlm' OFFICE USE ONLY
Lot ? Block lo
Parcel/Sub LeUGr ?rDJr,
Owner Iit)yl/?"L.? L e5f1'w
Address mm Mt*v[ vC ltill-Li
City/Zip Code
Phone
Contractor SuWtwtCf
Address, _ 7a-Qa tM4`r111V(,37h,J /}-?C 5
City/Zip Code eoL'w P(t*aie
Phone 244 ° ly64 -7
Arch./Engr.
Address
City/Zip Code
On site sewage_
MbICC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
SD
?
Oecupancy
Zoning
Actual Const
Allowable
!k of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aoad Unit
Treatment P1
Parks
Copies
TOTAL
Phone #
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106525
Date Issued: 0812412012
~it~ of 11QR Permit Category: ePermit
Site Address: 3924 Palisade Way
Lot: 8 Block: 6 Addition: Cedar Grove 8th
PID: 10-16707-06-080
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Free-standing Stove (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney /flue must be inspected prior to concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Valuation: 3,000.00 Surcharge - Based on Valuation $3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Glowing Hearth and Home LLC Donald L Larson
100 Eldorado Dr. 3924 Palisade Way
Jordan MN 55352 Eagan MN 55122
(952) 492-9276
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106602
Date Issued: 08/29/2012
Permit Category: ePermit
Site Address: 3924 Palisade ~Vay
Lot: 8 Block: 6 Addition: Cedar Grove 8th
PID: 10-16707-06-080
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Free-standing Stove (new) Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney I flue must be inspected prior to concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL -Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00 Total: $90.00
Contractor: -Applicant - Owner:
Glowing Hearth and Home LLC Donald L Larson 100 Eldorado Dr. 3924 Palisade Way
Jordan MN 55352 Eagan MN 55122
(952) 492-9276
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.
ApplicanvFermltee: Nignature issued tiy: NIgnature
Use BLUE or BLACK Ink
r
For Office Use I
Permit
City of Eaoa~
J 6 I Permit Fee: v I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: '60 13 hon CfL r-son Phone:
Resident/ q ~t
Owner Address / City / Zip: I o~ W y d, ~•J cG
Applicant is: Owner Contractor
Type of Work Description of work: 00 " n Coo r
//'~ll
Construction Cost: ~4 ®V- 00 Multi-Family Building: (Yes / No
Company: cqn&o~ Contact: McGn y}-
Contractor Address: ja0 Cf. City:
Asa -
State: IqA/ Zip: Phone:
License 6 Lead Certificate XAJ - F )hL A
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:
I
Licensed Plumber: Phone:
i
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 9
the information may be classified as non-public if you provide specific reasons that would permit the City to
sa conclude that they are trade secrets.
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of per u ce.
x x
Appli s n Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119242
Date Issued:11/20/2013
Permit Category:ePermit
Site Address: 3924 Palisade Way
Lot:8 Block: 6 Addition: Cedar Grove 8th
PID:10-16707-06-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Donald L Larson
3924 Palisade Way
Eagan MN 55122
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature