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3932 Palisade Way
Use BLUE or BLACK Ink ~ For Office Use 1 41101, I Permit O My of Ea I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 F c AU61 8 R1 I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 staff: fnC - -----------------J ''nn 2010 ME(C~H/A~ NIICAL PERMIT APPLICATION Date: W Site Address: "I ` M rl I( j Tenant: K/ U1 f JU' 1" / Suite RESIDENT/OWNER Name: Phone: Address / City / Zip: L t-!r ~C r CONTRACTOR Name: Ron' s Mechanical License Address: 12010 Old Brick Yard Road City. Shakopee Q-i-co MN 55379 952-445-8585 State: Zip: Phone: Linda Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Cade. Please contact the Mechanical inspector for information on PermiKed screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE _ Furnace New Construction Interior Improvement _ Air Conditioner Install Piping Processed Air Exchanger ~n _ Gas _ Exterior HVAC Unit Heat Pump. Cr _ Under / Above ground Tank Install/ Remove) Other MY "When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)__ v TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. i for = $ Surcharge - If Permit Fee is > $1,000, surcharge increases by $.50 fo each $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cal 48 hours before you intend to dig to receive locates of underground utilities. www gooherstateonecall 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' 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_ Li ~ MnCdem x Applicant's Printed Name Ap lcant's Sign re FOR OFFICE USE Reviewed By: - Date: Required Inspections: ____Under Ground Rough In -Air Test ____Gas Service Test In-floor Heat Final Exterior HVAC Screening Inspection F----------------- For Office Use C~ ; 1 (2 I Permit l~ ~ e 7/ City of Eapn 0 Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 Date Received: / j Phone: (651) 675-5675 Fax: (651) 675-5694 staff: 2-- 20009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 ( Site Address: 57 .-3 cc ar L _ L`~ z Tenant: Suite RESIDENT t OWNER Name: te6e /'7-- Phone: 4('57-1/!705 Address /City /Zip: ~ r J J~ SC[ ~r= " -r4 Applicant is: Owner Contractor TYPE OF WORK Description of work: AV 'I a~-' Construction Cost: Multi-Family Building: (Yes 1 No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting documents that you submit are considered to be public? information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 /LOLJp ~TCt~ x Applicant's Printed Name Applicants Signature Page 1 of 3 . CITY OF EAGAN ??. ! ? 11854 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 F °- PHONE: 454-8100 BUILDING PERMIT Receipt # ?r ! ,•'To be used tor ADDITION Est. value $22,000 Date APRIL 25 , 19 -a-6- Site ,4ddress 3932 PAL I SADE: HTAY Erect ? Occupancy Lot7 Block b Sec/Sub. CEDAR GROVE 8 Remodel ? Zoning Parcel No. Repair ? Type of Const Addition ? No. Stories °C Name LARR.Y MELIN Move C3 Length 2()- 3 Address 3932 PAL I SADE WAY Demolish ? Depth ?• o Int. Impr. ? Sq. Ft Citv SAME Phone 454-8704 Instau ? cc o o? U¢ ? Name- Address I hereby acknowledge that I have read this application and state that the Assessment _ Water 8 Sew. Police Fire Eng. Pianner Var. Date Eagan Permit "o L 34 • OU Surcharge 11.00 Plan Review 76.25 SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copies Total $239 • 75 that Building PrrmB No. Permit Noldsr Dab TNephone k Plumbiny H.V.A.C. Q ? L Electric S-0 L-8 Softoner Inspectlon Date Inep. Commenh Footings I s: e ? Foolings 11 Foundatfon Framiny Hooflng r Rough Plby. Rough Mtg. Insul. Fireplace ? NO_ Final Ntg. Final Plbp. Bldy. Final ? Csrt. Occ. Deck Fty. Deck Frmg. Well Pr. Disp. L.;; MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PERMIT # RECEIPT # DATE m Name'Jr4-rK11 ? Addrm ? city Name c Address L=. ?,.i c 1\ 0 City 11- BLDG.TYPE . Sec/S Res. ` j Mult ? •; „?i ? -171 Comm. hone ? Other TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping OuUets # Other I r Il l? , 1 ? ?_ ? ?r FEE S/C: TOTAL• WORK DESCRIPTION New T Add-on V Repair FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 19io OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN Remarks W-br COriri. State F''agan+MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK fLS? 1970 125.00 .00 2 Paid # SEWER LATERAL y L 1 1539.10 P2-i- WATERMAIN WATER LATERAL 1974 5 WATER AREA * STORM SEW TRK STORM SEW LAT 1974 CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. 300,000 6752 11 - 2 13UILDING PER. sac 2.00 6752 11-8- 2 PARK F RESIDENTIAL ??? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4875 NewConstruction ReauiremeMs • 3 registered sile suneys showing sq. R, of lot, sq. ft of house; anc611 roofed areas (20°h maximum lol coverege albwed) . 2 copies of plan showing beam & wintlmv size.s; poured Pound design, etc.) • 1 set of Energy CalculaGon,s • 3 copies of Tree Preservation Plan if bt platted after 717193 . Rim Joist Detail OpOOns selection sheet (bldgs with 3 or less units) DATE JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _ PROPERTY OWNER 12obe-V'?- °1- 3ta_s'tnod\ ??I TYPE OF WORK -T nSir,?ll0._?, rnA 01? w,r6 &0S FIREPLACE(S) _ 0_ 1_ 2 APPUCANT Rolax+ t?la_uvW? d't-?nrm Ney)mw^ PHONE# CvS l (n81 1903 ADDRESS 3a 3a Pc,-U-0,40- W G-A IIPCODE S6f a a-- PAGER # . CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNF.SOTA RUI.ES 7670 CATLGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor: Mechanical Sysfem Includes: Sewer/Water Contractor. _ Air Conditioning Heat Recovery System ree: $90.00 Phone # Fee: $70.00 Phone # All above information must 6e submitted prior to processing of application. I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Applicant U?J.A (? h n l"_Nl.W1(l d. r' _ Water Softener Water Heater No. of Baths 430-50 RemodeURenairRenuiremeMs . 2 copies of plan • 1 set of Energy Calcula0ons for heated additions . 1 site survey for exterior additlons & decks . Indicate'rf home served 6y septic syslem (or additions VALUQION 1`? 3_20-5-?' Phone #: Iawn Sprinkler No. of R.I. Barhs Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Muffi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Uemolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV N6r. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTION5 Footings (new bldg) Footmgs (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Other Fianilng _ Pool _ Ftgs _ Air/Ga Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insularion _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. _ FinallNo C.O. _ Plumbing HVAC Tests _ Final Building Inspector CITY OF EAGAN N 0 118 5 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 B*1ILDING PERMIT PHONE: 454-8100 Receipt# 7obeusedlor ADDITION Est.value $22,000 Date APRIL 25 ,1986 SiteAtldress 3932 PALISADE WAY Erect ? Occupancy CEDAR GROVE 8 Lot7_ Block 6 Sec/Sub Fiemodel ? Zoning -_ . Parcel No. Repair ? Type of Const. Addition ? No. Stories w Name LARRY MELIN Move ? Length 90 ? p 3932 PALISADE WAY Address Demolish I t I ? ? Depth?? S Ft Ciry SAME phone 454-8704 n mpr. Instan ? q. . o Name TEDWACHTER CONST APPraw 4550 BLACKHAWK RD $? nddress Assessment_ ? c;ry EAGAN pnone 454-2130 Water&Sew. a w W Name z ? Address z e W City Phone I hereby acknowledge that I have read this appl ication and state that ihe iniormation is correct and agree to comply with all epplicable State of Minnesota Slatutes anG CI of Eagan Ordinances. Signature of PermiHeei' 0?fz'A2?? Police - Fire Planner Council Bldg. Off. 4/ 2 S/ S 6 APC Var. Date Permit + ?-'° • -"' Surcharge 11.00 PlanReview 7 6.25 SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copies rotal $239.75 A Building Permit is issued to: TED WACHTER CONSTRUCTION on the express condition that all work shall be done in accordance with all applic,agle State of hl?ir?)asota Statutes and CiTy of Eagan Ordinances. Building c, ?. . vzLLncs oF FnGnrt 3795 Pilot Knob iioad Eagan, IvIinnesota 5$122 The Village of Eagan hereUy grants to -, PERiM N0. 276 CadSr Grova Constructlon Co. o£ 731a3 Concoxd Blvd. F.., _ South St. Paul a HG;p^T1C: Permit for: (Owner) same , 4048 Cinnabar Dr., 3932 Palisade Wqy & d,7 , 7- "?-21 _?• - S at ?,93q '1verton .4ve. , Pursuant to application dated 11/3/72 Fee Paid; q,n, dated this 1p';hday o£ 'oiwoiaber , 19 72 *X"2 , 1.50 s/c Building Inspector Mechanical Pennits: Bid Total; l . /G /?7D2 ?i7o D& . VILLAGE OE' r:AGAN 3795 Pilot Knob ttoad Eagan, Niinnesota 55122 PERiAIT N0. 283 The Village of Eagan hereby grants to Cedar r,rove ConstrucLion Co ? of 7363 Canoord Blvd. E., Swth St. Paul a ?r.rttimTt?m Permit for: (Owner) eamo at •s 3932 Palieade Wey & Ye__, pursuant to application dated 11/W72 Fee Paid: Op_pp dated this 10th day of Nov¢mber ? 19 72 1.50 s/c -? ? -- ? Building Inapector Mechanical Permits: Bid Totgl.: ) EAGAN TOlNNSHIP BUILDING PERMIT Ownet ............ . ?.....?.?. ..:............ Addreu (Present) ..-..9,ct.,---?"...-•Y....?.`.:`.:."?-..?--...........,.. Suildar .................................... Add:eas .. DESCAIPTION N° 28? Eagan Totvaship Town Hall aata .... 7?--- ................----••-------_..---- Siozieq To Ba Used -For Fron! Depth Heigh! Esi. Coa! ermi! F Remarka ? I q LOCATION .,25 _5r O o ? Slseel, Road or olher Dnaription oi Localfon I Lo Addilion w isae! JV o This permii doss not authorise !he use of siraels, roads, alleps or stdawalks nor does it giva !he ovaer os hts agent the righ! !o ereele mp filuation which ia a nuisanea or which presenls a hazard !o !he heallh, safafp, coavsnlaacs and geaeral wellare !o sapone ia !he eommuniip. THYS pERMIT MUST BE KEPT ON 'f,HE PAEMISE WHILE THE WORK IS IN PAOGRES . This fe to cerlifp. !6al----- .A<[.rA.4z a-!-r. _d .r..-:r..Laspermissioa !o eract a.....:3..... ? o -5.. . ..... - -°?-- -----•- .. .. ... ...... .•_-...._upo !he above desori6ed pramiee subjec! 30 !he provLioas o! !he Buildinq Ordinanea tor Eagen owaship dopled April 11, ? 1955. ....................... ..-I........................ 1?t . ...... 1_... ........ p.r ............. - .............. ,r? ...._. ??--?....................-- Cb?*???+L Suildiap Inspoctor . 4 &REQUEST FOR ELECTRICAL INSPECTION ea-oooot-oc ? See instr.ctions for completiny this torm on beck of yello& copy. ? 2 ""X" Below Work Covered by This Request A TypO OI euiitlinp ApplianCBa WifBd - EquiUnient Wired Heme Range Temporary Service BUplex Water Heater Ligh[iny Fixtures Apt. Building Dryer Electric He2tin Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Afr Conditioner Bulk Milk Tdnk Farm ther pea y Other ISneciivl t er SuocifV Ot er Other Compute lnspec[ion Fee Be/aw p Fae ServiceEntrence5ize # Fee? FBxtlars/SuGiaeders Fee Circuits 0 to 200 Am s to 30 qm s i co-e PO to 30 Am s A6ove 200 q?npy 1 to 100 Amps 31 to 100 q y Swimmin Pool H 100_Amps Above Above 100_Am s Transformers rngation ms Pertial,'Otherfee. Signs pecial Inspection TOTA / , Aemarks . ' FfiE? ?)-?/ ? I flough-in `-/ ? I, the Elecbical ? ?spector, heraby cenify that the above Final D' e? ??spection has been metle. This roQues[ volO 18 momh6 irom ihis requesl void (I /? 1r8 rmnths from (]FeadY Nuw Will Notify Insl No tor When Ready J?!kLicensed'Eiectrical Con[ractor I herabv aquest insDaction of above ?'Owner electncal work installed ar Street AdAress, Bax or Route o. . CitY ? s 4 ecunn o. 7o sh ip Name or No. nge No. C 1y * 4,9 f Occupen (PpINT) Phone No. ? ??/? C . ?i?v Powef Sup0lier A?{dress ElecVical ConVactor J Company Name) Contracmr's License No. ' ??oGY( -g Mailine /? dress ICo ractor or Owner Making Instailationl .1-7<! i . ? ? Authorizetl Si amre c Co actor w a ing Ins - lation) Phnne Numb¢r, MINNESOTA STqTE BOARO OF ELECTRICITY THI INSPECTION qEQUEST WIIL NOT Griggs-Midwey Bldg. - Hoom N-191 BE ACGEPTED BY THE STATE 80AR0 1821 University Ave., St. Paul, MN 55104 UNLESS PflOPF,fl INSPECTION FEE IS Phone (812) 287-2111 ENCLOSED. ' REQUEST FOR ELECTRICAL INSPECTION ee-oooot:oa , See instructions +or campletim Mis form on back of yellow wpy. // //G ?F= 6 p:. ?4?83 0 "X" Below Work Covered by This Requ,est TyOe of 8uilding . Appliances Wired' Equipmenl Wired Home ' Range Temporary Service DUplex Water Heater LlgRtiny Fixtures Apt. Building Dryer Electric Heatin F Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm inxr oeu v tner (Snecifvl ? er Specifv Ot or Other ompute Inspection Fee Below ' M Fea 'ServiceEnVenceSiYe k- . Fee Feeders/5ubfeeders # Fae Circuits ; 0 to 200 Am s 0 to 30 Am s 0 to 30 Am os Above 200 qmpsi, 31 to 100 Ainps 31 to 100 A s Swinuning Pool Above 100_Amps Above 100_Am s Transiormers Irrigation BDOms Partial'Other Fee Signs Special Inspection $ /?+? TOTA Rgiryrks L FEE { <i? Houeh-in ? . Final Doe %?6 Y I,the ElacVical Inspecbq hereby cerfily thet the above i nsoection has been ,ivde. mis requrel wIC 18 months from /i-Ivo' 7his request void -?iJ-F-Q 18 months tmm 8 068309 L)Ac-, Noque.t D Fir¢ No. Rauph-in Inspectian Reqmred? ?Reatly Now Wiil Notify, InsOec- ? ?yes Rfi. [or When Ready ? Licensed Elec[riEal Contrnctor ? 1 hereby equest insUaction of above Owner electrical work installad at: Sirge4 t Add re5?ox or Route Na. ? ? . C??y.? 7 ? .5 Ou ? !?• ecuon o. Townshi Name or No. lianye Counly ? Oc (PHINT) Phone No. L ' Pawer SupDlier AACress ? . (f ' ?N +?"i?? ?? EI cvir,al nv tor (COmpany Name) Convactor's License No. [ ,r ailinB Addross IConVac[ or Ownar MakinB Instailationil Aut 'zed nature ttactor/ a in nstallatiunl Phone Nu er MINNESOTA STATE BOAHD OF ELECTqICITV TMIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Hoom N•197 BE ACCEPTED BY THE STqTE BOAND UNLESS PNOPEfl INSPECTION FEE IS 7827 UniversitYAva., 51. Peul, MN 55104 Phone (612) 297-2111 ENCLOSED. MASTER CARD LOCATION 0 STRUCTUR: AND ??, LAND USED AS Permit I No. Issued Issued To Conirador I Owner Bl11LDING ?JQQ? _ -I I PLUMBING ?I CESSPOOL - SEPTIC TANK V?ELL ? ELECTRICAL I HEATING Z' b I GAS INSTALLING SANITARY SEWER I OTHER ? I 07HER ?0? I Items Approved (Initial) Date Remarks Distante From Well FGOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD PT. FINAL ELECTRICAL ? HEATING DEPTH OF WELL GAS INSTALLATION ' SEPTIC TANK I CESSPOOL DRAINFIELD PLUMBWG WELL SANITARY SEWER ?v -- ?•?s Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION R,EPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. DATE OF INSPECTION ? ACCEPTABIE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certifythat I have carefully inspected the a6ove in which I have no interest prexent or prospective, and that I have reported herein all significant canditions observed to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR oare 1. 7-?-5 EAGFN TOWNSHIP 3795 Pilot Knoh Road St. Paul, Mianesota 55111 Telephone 454-5242 PERtUT FOR WATER SERVICE CONNHCTION Date: '" Number: 1035 Billing Name.y'4,????00?,?5ite Addressm3Q 4z?oAe ?.t? Owner: _?Q? Q.., Billing Addreas o II.U ? 1/10/72 0/72 Meter No. (Permit Fee 10.000 pd d 1 111/1/10/72 . s/ Meter Reading Meter Dep. Meter Sealed: Yea_ lAdd'1 Chg. NO + 1bta1 Chg. Building is a: Residence xc Multiple Ko, Units Commercial IndusLrial Other Inspected hy. Date Remarka: By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. BY: k&z?? Please noCify the above office mhen ready for inepection and connection. "7-6 -8 . EAGliA7 TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTiON DATEXoC) i23 12/a NUMffiER 1199 1 OWNER -.?.XA i'1? lAddres PLUMBER TYPE OF PTPE DESCRIPTION OF BUIIA ING Iadustriall Comnerciall Residential I Multiple Dwelling I No, of units Location of Connectiona: I Connection Charge 260,0g pd 11/10/72. Permit Fee 10.00_pd 11410/72 .50 pd 11 10/72 s/c Street Repairs ToCal Inspected by: Date Remarks• By Chief InspecCOr In consideration of the issue and delivery to me of the above pe=mit, I hereby agree to do the proposed work in accordance with the rules and regulationa of Hagan Tos•nnship, Dakota County, Mianea a C)? B Please aotify mhen ready for inspection aad connection and hefore any portion of the work is covered. 1986 BOILDING PERFIIT APPLICATIOA - CITY OF fiAGAN HOTE: 9LI. CONTRACPOES MOST BE LICENSSD UITH THE CITY OF EAGAN SIAGLE FAKELY DiiF.L,LIFGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M0[.TIP(,S DfiEI,I,IpGS - gg4IDENTI6I, gIINTAI, pgITS F08 SALS QNIT3 INCLUDE 2 SETS OF PLANS, CSSTIFICATE OF SUIiPEY - CHECg iiITB BLDG. DBPT., t SET OF ENERGY CALCULATIONS INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 22lzvGti To Be Used Eor: Valuation: ? Date: Site Address :? <? Lot 7 Block 6 Parcel/Sub Owner ` Address City/Zip Code j ,j J Phane ' o ? Contraetor(?!Qj?o.o.e,l- Address City/21p Code SAJA.. `:> -;t-. ? Phone U Areh./Engr. U f? Address City/Zip Code Phone fl Erect _ Oceupaney Remodel Zoning Repair Type of Const72?k: Addition ? # of Stories Move Length Demolish _ Depth 2 Int.Impr. Sq Ft Install 9PPROOALS FEES Assessmenta Permit Water/Sewer Sureharge Police Plan Review ? Fire SAC Engr Water Conn Planner Water Meter Council Road IInit Bldg Off? Treatment P1 APC . Parks Varianee Copies lY)T ?? l. NOTS: ADDEESSES FDR CORNER LOTS - CONTRACTOR/HOMEOiiNE6 MOST DESIGPATE iiHICH ADDRESS IS DBSIRED. BO CHABGE4 AILL HE ALLOiiED OPCS BIIILDING PER!!IT IS ISSDED. 20 " Z-4 ? -Z?`?o --,e- .4 dq = Z 1 l Z U , -k ." ?j CITY USE ONLY L / BL ? RECEIPT #: sSj?? SUBD. (.?Stdtt, Q DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction x Add-on furnace tzeplace existing _ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. -------------- Date: Aprii s, 1996 Fg=T--q ? iviinimum fee: Had-oniriemvdei (existing residence onfy) $20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required Q$3.00 each) ? State Surcharge .50 TOT, AL $20.50 SITE ADDRESS: IQI9 pai ? ?ArIa u,A., OWNER NAME: Larry Melin PHONE #: 454-8704 INSTALLER NAME: Fredrickson Heating & Air Conditioning, Inc. STREET ADDRESS CITY. Eagan 3650 Kennebec Dr., #1 STATE: MN Zip; 55122-1003 PHONE #: ( 612 ) 452-2775 .c? 1'?-Q6 & D./1- cirv use oNLv L BL RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits for each dwelling unit. DRTE: COP.IT4ACT Pf:lCE: WORK TYPE: NEW CONSTRUCTION INTERIOR DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee Q 1% of contract price, whichever is greater. . Processed piping - $25.00 • State surcharge of $.50 per $1,000 of RgCplis fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ALDRESS11: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: _ GTY: PHONE #: aQ{ required ENT STATE: II ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR II? 6 TELEPHONE City of EapIl 3830 Pilot Knob Road Eagan MN 55722 Phone: (651) 675-5675 Fax: (651) 6755694 F -For o-ffice---use ------- i i ?x j Permit #: ?-P ? I j ? Perm@ Fee: ? ? Date Received: i staff: i i ------------------ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: V-7- O( Site Address: 3 ` ? ;?t- Pa- Ir 5 a a'L if "`-c`? y Tenant: Suite #: RESIDENT/OWNER Name: h62 r7- /Ve.`??G<-??/'J Phone: Address / City 1 Zip: 'Qy - ? Applicant is: Owner _ Contractor TYPE OF WORK Description ofwork: P1C5 h? Construction Cost: Multi-Family Building: (Yes _/ No CONTRACTOR Name: G License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 T EnBI'9Y COde . ResidenGal Ventilation Category 1 Worksheet • New Energy CoAe Wmksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculatlons Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7 Yes _No If yes, date and address of master pian: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Pfans and supportirrg documents that yoa submit are considered M be publk informatlon. PorUons of the fnWnnation may be classified as non-public if you provide specific reasons tNat would perm# Nee Cfty M conclude that the are trade secrets. 1 hereby acknowledge ihat Ihis irdormation is complete and accurate; that the work will be in conformance with the ordinances and cotles of the City oT Eagan; that I understanA this is not a permit, but only an application tor a permit, and work is not to start without a permR; fhat the work will be in accordance wdh the approvetl plan in the case of work which requires a neview and approval of plans. x KoSe,-T /V?u?n?? x ? ApplicaM's Printed Name Applicants Signature Page t of 3 Use BLUE or BLACK Ink For Office Use I I OIJ I City of Eq,~ I Permit I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:-// Site Address: 3 ~ 3 01- a`- Unit Name: 1~0,6e Phone: Gs l ` lv I l X03 Resident/ Owner Address / City / Zip: f a Sad e ~-y Applicant is: Owner Contractor Type of Work Description of work: Construction Cost © Oa Multi-Family Building: (Yes /No Company: Contact: Address: City: Contractor State: Zip: Phone: c License Lead Certificate 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. . e .m... Y._.._. 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.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 only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x lobe-,7- IVecwrra17 rl x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115992 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 3932 Palisade Way Lot:7 Block: 6 Addition: Cedar Grove 8th PID:10-16707-06-070 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 . James Hunter Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert R Neumann 3932 Palisade Way Eagan MN 55122 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use I I I Permit#: (~~V City of EanQ~ I I Permit Fee: 1 ~ I 3830 Pilot Knob Road I I Eagan MN 55122 t Date Received: I I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 13 . Site Address: Unit we_*, ~ Name: "e~t Phone: 45j --jC10 ~`1 Resident/ e7_1 Owner Address /City / Zip: ~ ®t r) 11 Applicant is: rS\ Owner Contractor r ,,Description of work: P~ r p o = /Q~{ lu$sa f'9 ,2 Type of Work Cons ction Cost Q4 Multi-Family Building: (Yes / No Company: Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, p ase e lain why: (see Page 3 for additional information) I s I i~ COMPLETE THIS A A ONLY IF CONS UCTING A .NEW BUILDING In the last 12 months, has the City of Eaga issued a permit for a similar pla based on a master plan? _Yes No If yes, date and addre of master plan: Licensed Plumber: Pho f Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and support' g documents that you submit are considered to be public information. Portions of the information maybe lassified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DI . Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to rec ve locates of underground utilities. v, Nw.gopherstateonecall.org ,l I hereby acknowledge that Vis 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 the is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. fi e. /v Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW HIS LINE SUB TYPES _ Foundation - Fireplace - Porch (3-Season) _ Storm Damage Single Family - Garage - Porch (4-Season) _ Exterior Alteration (Single Family) Multi - Deck - Porch (Screen/Gazebo/Pergola) -Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous _ Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteratio _ Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire building f= give PCA handout to applicant DESCRIPTION Valuation Occupancy CES System Plan Review Code Edition , SAC Units (25%_100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) -Meter Size: Footings (Deck) Y,__Final / C.O. Required Footings (Addition) I Final / No C.O. Required Foundation / VAC Gas Service Test Gas Line Air Test Drain Tile / O er: Roof: -Ice & Water Final Pool. Footings `Air/Gas Tests Final Framing Siding:'~,_Stucco Lath Stone Lath -Brick Fireplace: Rough In -Air Test .Final Windows Insulation Retaining W Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee iT f a , F " Surcharge Plan Review ;9 MCES SAC j K City SAC Utility Connection Charge S&W Permit & Surcharged Treatment Plant Copies TOTAL Page 2 of 3 � ,� , � ' Use BLUE or BLACK Ink . �________________� I For Office Use � � � Permit#: �U`,J��� � Clty of �a�a� � rmi F e: .�� I Pe t e U 1 3830 Pilot Knob Road � � Eagan MN 55122 REC�4�ED � Date Received: � �� I � Phone: (651)675-5675 � j Fax: (651)675-5694 ���'�� '� .�re�r I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � +.�:� I Date: Site Address: °1 � �L �� Unit#: Name: /��1�?�'T ,/� /Ve��-rm�c�t� Phone: �S/ ��/�l`�G� Resident/ �� �/ — 3ay/3D! Owner Address/City/Zip: �� � � ��L �� S�� �'�t Applicant is Owner Contractor .,, . sU Type of Work Description ofwork: �a s-ac, 7F•�o� � � `�11� Construction Cost: l? �C�� Multi-Family Building: (Yes !Nq�, ) � "' Company: S �' ��` Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: 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 ba�,ed on a master plan? _Yes �No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Porfions of the information may be classified as non-public if you provide speci�c reasons that would permit#he City to conclutle 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work wiil 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 approvai of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x /�dJ�l� � �!'� e�/I�t�°X,/�n x � ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 :3��_3� o-'��:��_.�-�' �,�� ' �� /� :�"���� , DO NOT WRiTE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) _ Single Family � Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement Siding Demolish Building* � Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair Windows Demolish Foundation _ Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy .j��=� MCES System Plan Review Code Edition SAC Units (25%_100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required � Footings (Addition) �/, Final /No C.O. Required � Foundation �`� HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: ��i'` , Building Inspector RESIDENTIAL FEES Base Fee � Surcharge ' �f Plan Review ��.�°��� �� MCES SAC � City SAC � � � ��r�� �, Utility Connection Charge ✓ ���� � � S&W Permit� Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ' ' � ICY��7°✓ . � � � � �� � �� � � � ���� � � � � � � � �� � � � � � � -� � � p �`��, =�<--� � ��. c�'' `'%� `�'F.:;--- � P � ' .�-� �� ` ` "� � ,/� � _�-- �� � ,� � �= � � � � � , �� � ,.� �,� �� .� v� � � � w� W \ ,�; � � � � _ �- q� ` - �, - _ �� i � r . C� . ��.,_, # �' • � � f r ' �� ��` �� � � � � � � � � _- ' �*, �y � Ya �*,�7�+� � �' �� ��`f'"�_ �-_ � � �� = v*y� � � � � � �� � �# � "t� � . �,. �9 - � � � � �` � ' �'► �,,� � t�., � . � � � �, � � fi � � �' --..- � � �� .___.�..�..� � .� ..� ..�..� -- - ,.�.�. ,�.�. ,�..... .� �.... _ � � .� �- °� _ � � � � � � � �' � � � � � � �� � � � � � � � � � �': � �� Use BLUE or BLACK Ink r————————————————� iFor Office Use � ' � Permit#: � ��� �� '/', City of�a�a� , p-� y� ��� 3830 Pilot Knob Road I Permit Fee: �C� � �-`' � � Eagan MN 55122 � I Phone: (651)675-5675 � Date Received: i Fax: (651)675-5694 I � � Staff: � �————————————————— 2015 MECHANICAL PERMIT AF'PLICATION ❑ Please submit two(2)sets of plans with all comm cial applications. Date: d��s-�� Site Address: +�/� � /�"�.�.�� �J� � '`�J /�� Tenant: Suite#: alii � �� �:. � / � � �� � Name: G�'T /V�'(llYl/,}yV Phone: �•S�^� �'r3G3 � - �esiden#l�}w� � - �- /�� ,�`�9 '� Address/City/Zip: C�`✓fli!� � ;i�i�� �� � ���N����1�i1"� _� ,` E'✓�E'7L /N ��_. Name: � ��f j�" _License#: � � � ��� ��a . �� Address: �d ,�/L��C' �- � City: ��jf.�i�-� �����`� � �,. � � ��a � State: �� Zi SSIa" � Phone: �, ��d'`a/ �`�" �m �� (��(� =l�lddi� p: ���_ � �� Contact: �� �G°I�'' Email:_��' 7 /� O-�<(f � J�/19�G.,CG�''yJ r� � _ , � a � i�71� � New vReplacement � Additional �� Alteration Demolition � �x�aw€ °�`yp�� _. N� � Description of work: ="� I'�`� "Im ��� �il N � t' �I �. � a�' �� 5 i � � � , mi��n�d�� mc�un#e�m�hanical�:t�i�r� � �c!�S�€��t� _ ,f ti ����� � : � � � ��'��tte�se.�on ��I� . �t��iru��t�pe�rf�ri�if�rm�i�c� :=- _ :R ��#F�� � �.; �� _ � �� ������� � ;�,����,���� ` a�����' 9�i��� � RESIDENTIAL COMMERCIAL �`��'� ����a � � �Fulnace New Constiruction Interior Improvement ��� ���I ��� ��:-���� '�(�� ✓Air Conditioner Install Pipin�g Processed �� m �������p� ,�u��� _Air Exchanger Gas Exterior HVAC Unit �" ��� ���' � Heat Pump Under/Abov�e round Tank Install/_Remove �� � i �(���u1hV��� .; ° — — 9 (— ) s�.,���i�1���:'�°���('�„� �-. ,�,�'a`��i� Other � . . RES/DENT/AL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge" *"If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 """If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in ccrnformance 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 tc�start without a permit;that the work will be in accordance with the ap o ed plan in the case of work which requires a review and approval of plans. x �� ��C+'�� x ��E�� ApplicanYs Printed Name Applicant's:5ignature � � �FI�� ° � " �"� �r � '��`� i�ti��t ��� � q, ��,��- �" r� � ��i ,'���� =� �� ���- �H �� �� -� ,t�,r �� i �,�, �, �' „� rv n �r i ru«< p `�g @ ��� '� ������I��fi����� '�' '���, � �_ '_ i�g'�F[ z4+ ��.�s"I I I 'I I Cqh aa��ail . - ,.� . `� : � ; � �'a������ � F �=�W16P� ���NI(� � � L ,�9JI t�lt�l o6nT�' : < � �E�, 4 � .�Ihi '_� ���h J�� �'� �� � " ��"6N!,�"��!�;u 9., ��,��r�r�a��. N. ����t�9 S� i s��� � :: � �'7 i �:�;������H�af . �ina� � ° cr�:eni: � ,--�-�� � ���pl� ��� � Senttee� � ��n�Ni��� PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150930 Date Issued:07/31/2018 Permit Category:ePermit Site Address: 3932 Palisade Way Lot:7 Block: 6 Addition: Cedar Grove 8th PID:10-16707-06-070 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087 Surcharge-Fixed $1.00 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 - Robert R Neumann 3932 Palisade Way Eagan MN 55122 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature