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3933 Palisade WayCITY OF EAGAN Street Sold For T; Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAM SEW TRUNK 125 1970 125.00 .OO 2 Paid # SEWER LATERAL ? 1974 1539.18 307.82 WATERMAIN * WATER LATERAL 1974 5 WATER AREA * STORM SEW TRK # STORM SEW LAT 1974 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 320.00 2358 2-27-76 BUILDING PER. 3933 5AC 45o.oo 2358 2-2 - 6 PARK :4 r -PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: NTRACT PRICE: PHONE: 454-8100 Site Address I ,.t i -" Name c I City ?? t+ uA :'.= Phone ? Name t. f 1!? Al?' ?--1 r -?-i' ; Address 7,3 ?ALI LAc p Ciry .9?+ N Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 '. STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES SIGNATURE OF PERMITTEt BLDG. TYPE WORK DESCRIPTION Res. X New Mult. Add-on ?X Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 t Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki?chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 ZWater Heater - Si 50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: . . ,. STATE S/C: - ' GRAND TOTAL• FOR: CITY OF EAGAN PERMIT # . • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _ CT PRICE '`?rr? ?O•.-? PHONE: 454-8100 Site BLDG.TYPE Res. ' Mult. Comm. Other WORK DESCRIPTtON New Add-on Repair ? Nan ?c Add c City Name 0??Yl ?%?.=?,lu ? HVAC 0-100 M BTUEES RES _$24 00 . . c Address ADDITIONAI 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1 50 EA TYPE OF WORK COMM/IND FEE - 1% QF CONTRACT FEE . . Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS MINIMUM COMMERCIAL FEE - 12.00 - 20 00 Air Cond. M BTU STATE SURCHARGE PER PERMIT . - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYQND $1,000) Other FEE: " S/C: S GNA`fURE 6F PERKAITTEE TOTAL: FOR: CITY OF EAGAN ??:. , ._. _.. ... . _,_ . _.:.. __... ., _. __. ,. ..-- ._,. INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , ;'.i 1 `.111ti LIA Y i i Ir;. h,'! NFi PERMIT SUBTYPE: ? N .. .. . . . ..... . : . PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ;I?ii „ I• ?,pl . .. I ) .'i, yi.FSd TYPE OF WORK: ;,) '1 1. i j iI J'(i IMI\IVF f{It 1 i f?! Ntl Q; FtHh 4 f}Co f K08 /bfr NFW (tJl l'tl FIlll. PASENENi) INSPECTiON .• . .. iiI ,i r I A i i ,%, kt MAHF.', . I? '.F t'Ak?11 i? i'P k'!4 1 I I`., Irt Ut) 1I;i-Il f-1lk ANY 1 1 F R' 1 R t('Ai liR I't Ilp4FcjNCi W0R1 ? , , , .. ?.. _ ..- ; Permit No. Permit Holder Date Telephone Ik ELECTRIC ?3Xv / PLUMBING HVAC InspecNon Dete Inap. CommeMs FOOTINGS l FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIH TEST • FINAL PLBG FINAL HTG ORSAT TEST BLU(i FINAL (D-! BSMT R.I. BSMT FINAL DECK FTG DECK F1NAL RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Constnuctlon Reaulrements RemodellReoairReauirements . 3 registered site surveys showing sq. ft. of lot, sq, ft, of house; anc911 roofed areas • 2 copies of plan (20%maximum lolcoverage albwed) . 1 set of Energy Cakulations for heatad additions . 2 copies af plan showing beam 8 window sizes; poured fountl design, etc.) • 1 site survey (ar exlenor additions & decks . 1setMEnergyCalculatlons • Indicateifhomeservedbysepticsystemforadditlons . 3 copies of Tree Preservation Plan'rf lot plafled aRer 711193 • Rim Jois! Detail Oplions seleccfi?ion sheet (bldgs with 3 or less units) DATE /0-3,0 -cn I VALUNION JOB SITE ADDRESS?3733 PALtSAOa?- C04`( IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPEOF WORK ADDim E A-w4t.c.._AJn Qbe, vj eASc?'?"?? FIREPLACE(S) ??pZ1?2,7aq APPLICANT _t)uA...r?..s PHONE# ?51-?t52- (143 ADDRESS 3'i 33 P?4L-cSArjc.r C-J:SL ZIPCODE SSL2Z PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: Plumbing 5ystem Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: _ Air Conditioning Heat Recovery System 1r H T F? Ocr 31 -'Ool ? Fee: $90.00 Phone # ree: $70.00 Phone # All above information must be 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 Stafufes and Cify of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ - Updated 1/01 MINNESOTA RULES 7670 CATEGOR - Residen5al Ventilation Category 1 Worksheet - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Spiinkler _ Water Heater _ No. of R.I. Baths No. of Baths OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? ZO Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 05 03-plex O 11 10-plex ` / q? 19 ` Lower evel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? PIbg?Y or _ N ? 25 Miscellaneous ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? (X7d. ° ? U-9V ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Int Improvement ? 38 Demolish (Interior) ? 44 Move Bldg. ? 42 Demolish (Foundation) ? 45 Demalish (eldg)* ? 43 Reroof ? 46 •Demolition (Entire 81dg only) - Give PCA handout to appiicant Occupancy -3_ MC/ES System Zoning ?[_ Ciry Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width .? REQUIRED INSPECTIONS _ Foorings (new bldg) _ Footings (deck) X FinaVNo C.O. _ Footings (addirion) Plumbing _ Foundation HVAC Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ RI. _ Air Test _ Final _ Insulation Siding Fire Repair Windows/Doors Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Perm+t License Search Copies Other Total FinaUC.O. ? Building Inspector ff IN?-/ °° .? DAKOTA COUNTY ABSTRAC7 CO. 121 East Second Street HASTINGS, MINNESOTA 55033 437-5600 Please send me a Pending Assessment Search on the following tract o£ land: Lot 15, Block 9, Cedar Grove No.B 3933 Palisade Way, Eagan, Minnesota Ehclosed please find check £or $5.00 to cover costs. ? Thank you, . Rosie ` Please return tDme as soon as possible DAKOTA COUNTY ABSTRACT CO. 1250 Highway 55 HASTINGS, MINNESOTA 55033 437-5600 Please send me Special & Pending Assessment Searches on the following lands: - - -- - -- - - - - ?Lot 15, Block 99 Cedar Grnve_ No.B_ .T..I.#15Ez62___i I3933 Palisade Waq_._E_agan_J Lot 29, Block 1, Meadowland First Addition T.I.#15670 1991 Chipmunk Court, Eagan Enclosed please find a check Yor $10.00 to cover costs. Thank You Mary Czz? ?F E)INGAv ?-e^5 Pi.].ot Kx'eD FoBd • Eygan, N;in..Pso ta 55 ? 22 C G?S PEF'NtiT NO.: 811 The City of Es.gan hereby grants to Mill City 8eatina 6 A/r o£ 13005 - B- 16th Ave. a Heating Permit i"or: (Oumer) Izmelee Const y;; 3933 PalisdAe Way ^, parsuant io application da'ued Pce ??:.d; $20.00 dz.ted thia ?8 ciay of .50 s/c Bu:ilc:i.,E Insp?ct?.• - Di2cniniccl Permits: Eid Tctaia cTr?r c^ rr:r.,.?T 37S:s r,lot Ynob F.eaa iQ /1?7a7 /So o? - Eag?l , Isinr?,.so?a 551?_2 C c CP PEP,NIIT NO.: 667 Tl.e Cit,y oi Eagan hereby grants to _ Wenzel PLwnt+inq & Heating Inc. of 3600 Kennebec Dr., Eagan, M 55122 a PLLJbffiING Percrit for: (Owr.er) Irmelee Oonstruction at 3933 Palisade pursuant to applic.tion dated 3/29/76 _ Pae Pai.d: M 20.00 dE.ted this day of April , 19_ 76 . .50 s/c .?__. --EL11.L:a?..1? Zil:i`y°l; Gi'1' MP?^.:17i iCCl PE'T[i1tS: bld '1'O"t:.l: 2 7 3- 3 01 21 OFFICE USE ONLY Thiz reqvest void 1B monihs from validoMOn dob pnnled in this 6ox in/ G ?G 0//- w/9 (, r PLEASE PRINT OR TYPE l, j Requesl Dok . Rauqh-in inspeaion reqolred2 Yes ? No Inspedlan Olher Than Rooghln: E3 Ready Now WIII Call (You most mll tha inspeWr when reody) Date Rendy: I, ? licensed contrador 9'owner hereby requesf inspedion o{ }he above eleciriml work at: lob Address (Slreet, 9oq or Rouk No ) Ciry Zip Code ? ? (2Z- Sedion No. Townahtp Name or No. Range No. Fira No. Counry Y Occuponr Phone No. 14?-_ Power$upplier Pddrus O ?-5?2.1. ? Eledriml Conkanor (Campony Name) Conhanor 6ame No. Moakr Lic Nw (Plam Eleo. Only) Moilin8 Addreas (Conlmclor or Owner Pedorming Insbllanon) a l l ZZ_ A Manzed Signawre (Gonfmcbr or Owner P arming I lolion) Phone No. I ,L EB-OOOOlA10 6/95 SfA7E DCOW-SEEINSTNUCTIONSONBACKOFYELLOWCOPY IIII I II II II I!i II II II II ell (?I ?? I?? 821Q FOR ?- Uni e sityBearRm S 8 Ary l Paul P, MN T SS O04 * 0 2 7 3 3 0 1 2Phone (612) 642-0800 ?j??2v??'(? Home uplex Apt. Bldg. Other: New Addn Commerciol dusfriol Form Remod Re air Air Cand. i tg. Equip. WaTer Htr. Load Mgmf. Other: D er l an e E le<. Heat Tem . Service "X° a6ove fhe vrork cavered by this requerF. Enfer remarks in this space and o the back of the whife copy only. 11117A?r (?& /*Z&= Colculafe Inspecfion Fee - ihis Inspection Request will not be accepied wifhoW the correct fee: Olher Fee d` Service EMrance Size Fee # Circuih/Feeders Fee Mo6ile Home Park Stall 0 fo 200 Amps 0 to 100 Amps $heet Ltg./Traffic $ig. Above 200 Amps A6ave 100 Amps Tmnsfonner/Genem}or INSPECTON'SUSEONLY TOTA $ign/Outline Lig. Xfmr. O Alarm/Remote Control Swimming Pool Lhere ceni ? i d ?he declnml in:mllohon deecn6ed M.dn on Ihe deres slakd Irrigafion Boom Rough-In Dah $pecial Inspection Invesiigative Fee Finol l Dak j? THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT COMPL ED WITHIN 18 ONTHS. 1lLLLAEE^OF EAOAN SEWER SERVICE Z6R MIT I 3795 Pilof Knob Road PERMIT NO.: Eogan. MN 55124 DATE: 4I8/76 Zoning. RI Na. of Units: 1 Dwner: Irmelee ConstructlOD Addreas: Site Address: 3933 Palisade L15 89 CG8 Plumber: wenael Plumbinq 6 Heatinq 350.00 pd I ngrea to comply wiTh tha Villaga of Eogon Connection Charge: 3rdinanus, Account Deposit: Permit Fee: Surcharge:10.00 pd Misc. Chazges: • 50 pd :#y: 7ate of Insp.: Total: I nap.: Date Paid: y1LL;.lf=_ OF EAIiAN WATER SERVIGE r 1939 ii 3795 Pilof Kno6 Road PERMIT NO.: 4/8/76 Ea9an. MN 55171 DATE: 1 g= No. of Units: Zoning= Owner: IiiiiieleB ODnStrilCtiOri Address: Site Addcess: -""? ' M Plumbing & Hest Plum6er: ?T?zel eter ? g??!?? S? - Reader No.: 7 I agree Tq cynlyt? Villaye of Eagan Ordinances.? SY _ Date of Insp.: Connection Chazge Account Deposit Permit Fee: 10.00 pd Surcharge: • 50 Misc. Chazges: .?p' 0 d U Total: LZQ Date Paid: Insp.: - \ . CITY of EAGAN BUILDING PERMIT oWn.= ..?..r.........................?.......... Address (PrasenS) ..?.?.?-.Y----...?.I...l./../..A!1.:..........6-6-//C Suilder ................ S'6d!,1,2.Z.E'................. -........................................... Addrate ..........----' ...........................................................--------........ DESCAIPTION LOCATION Stoxiec To Se Used For Fson! Depfh Heigh! Eal. Cas! I Pesmi! Fee Ramnska Y 0 os i or " 3933 This permit doas noi suShorise the use t!f slreeis, roads, alleys or sidawalks nor does it give ihe owner ot hSs agenY ? the righi !o ereale any sifuafion which is a nuisanee oz whioh psesenls a hasard fo the healffi, safely, conveaience and general welfare !o anyone in the eommunitq. TFIIS PEAMIT MUST BE KEPT ON THE PBEMISE WHILE THE WORK IS IN PROGRESS.f1 This is !o aeslifp, fhallY.M..R.L'ne..._.0'nar,r.!................ haa parmisaion !o ereti iL -.-i??C..s1.r.arf:-?P?6?:5?... ..... upoe the above desaribed premise subjeci fa the provisions of all applicahle Ordinances fos the Ciiy of Eagan ? . I.m ....peclo....'.!? .............. .....?`-Y....... .... .'_.._ ...... Mayor.............................. Sul . . Per .0 ?_.?.G.t?!'••7•--.....ld3n""p " ""'... u?,t N2 3839 3795 PiloY Knob Road Eagan. Minnesola 55122 454-6100 Dals ..-°?--?°oZ7 - 7 G .................. PERMIT# ? T? ` lv ? RECEIPT DATE: 10 -?' ' ' C) ' R£SIDEN'f1AL PLUM$IN6 PEfiMIT APPL[CATION crrY oF E,aeArr sbso PaoT Krros [tn EA6AN,1NN 55122 651$$1-46?5 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for irrigation system SITEADDRESS: ?_ a s a 1A( 1'V 1A_ '?- V ( ZZ OWNER NAME: : VJUCtV.D ?1 (?QPV1 SU'n TELEPHONE #. lS? t AREA( L4 5'Z-l I L[ 3 INSTALLER NAME: ??C ISO? AV."? ]VI( TELEPHONE #: C(0 () 2 ci I - --n STREET ADDRESS: 45;? (AREA CODE) CITY: SN-0' flJ\ STATE: (J-?\ ZIP: Plate a check mark next to the cermit work tvoe V New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installationlrepair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: V\'? &y. Septic System, new/refurbished - $ 225.00 • includes County & Consulting inspector fees • requires MPC license Water turnaround - existing dwelling unit, including: $ 50.00 • 5/8" meter 115.00 $ 165.00 State Surcharge $ .50 2i Total Reminder: Schedule inspections of alterations, f.e. water heaters, water softeners, water tyctmyound, etc. I hereby acknowtedge that I have read this application, state that the informatlon is cortect, and is the applicanCs responslbility to noGfy the property owner that the Ciry of Eagan assumes no operational and maintenance activities to Ne Bcilities constructed under this permit vithin Cil nances. It its normal SIGNATURE OF PERMITTEE-.___ Updated 9l01 ? DATZ: a-aG?2. 5 L ? EtJ:[I;DiNG ?EIU°iTT AP: r Ir,-1.;: TrTd CIiECK Lot l5- siocl: 1? ? Additic,i (" 12 .rs?G?aw ? _? Parcel and section nur?Uer /L? 7D7- /. S t? 1)9 ? Stre=t /.Lf r2c-1 M_i*r".),r -? 93. ? -__----- Owner Address Devzlcper A?C, Add-ess T;;1(; Te:!n Zone-Ordinance #52 Lot Size /?'3 X ?3Q' Total area??j Platted Unp].atted Bui1c3 ::,.g Size X (, Q Tc ;al area /'j/0 o en2v ?. Ocaupan.cy c? T?pa Of CGT!Stn1Ci•10i1 Setbacksa ; - Rear Far:e.r;g, Tot21 area Pa-r}:ing area seteacles: Str:;et side Landscapa a.gproJal Snec.ial Assess:nents: S? ;; charge Water areac Assessed Rear T?iL-a7, spaces S::ies Bond required Q $)1-:50.00 = ?50 ? _?. .. Unassessed r/ tf aesesee3: Connsction ciiarga If u_nassessed: Connection chn.:ge 19,2o-0 Lot di,zsiona Additional assessments neede3 Laterals: Assessed V Not assessed [daiver of hearing: Naeded Assessment clkJaL, Street sides Si.dss I3ot needed t/ Not needed Y" I•later & Seiaer Dept ]3uilding Degt °olice Dept Fire Dept (Comm & Ind only) I2MEL?E CoNS-'., ING. ?4 I/ ? ? 1 ? z 0 Lor is C3io?? 9 CeoA2? 6'eaVC c9 SCALE / = gO ' MASTER CARD OWNER ??g C&;W,4y. - STRUCTURE AND LAND USED AS i Permit No. Issued Issued To Contractor I Owner BUILDING v PWMBING CESSPOOL - SEPTIC TANK A WELL ELECTRICAL HEATING GAS INSTALLING O J SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance from Well FGOTING SEPTIC FOl1NDATION f CESSPOOL FRAMING 3-3 /?G ? TIIE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALIATION SEPTIC TANK CESSPOOL DRAINFIELD - PLUM8ING WELL SANITARY SEWER Violations Nofed on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLAilONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF GONSTRUGTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. a ACGEGTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BIJILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AS FOLLOWS: ? NON-COMPIIANCE. BUILDER DOES NOT INTEND TO COMPLY. COMPLETION OF CERTAIN IMPROVEMENTS ? WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERT1 FICATION -1 certify [hat I have carefully inspected the above in which I have no interest present 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 specitications, and any specific require- ments for off-site improvements relating to the property inspected. F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR COMMENTS: .tq? z. BEA BLOMOUIST NAYOP TNOMAS ECrAN AMRK PARRANTO JAMES A. SMITH THEOOORE WACHTER COIINCIL MEYBEqS DATE:TiOVEMSER 3, 1982 ..'y CITY OF EAGAN . 379EPICOT KNOB ROAG EAGAN. MINNESOTA 06122 PNONE 464-GHI0 ? SPECIAL ASSESSMENT SEARCH IfAKOTA COUNTY ABSTRACT CO 1250 HW7C 55 HASTINGS, MN 55033 ATTN: MARY RE: L L15 B9 CIDAR GROVE X8_; 3933 PALISADE WAY TI N16446: TMOMASNEOGES qTY FDYINISTINf011 EUGENE VAN pVERBEKE CITYCIFpK Enclosed herein is the search which you requested made on the above described property. Kind of Improvement Runs Beginning Original'Amoiint B3lance Due NONE ? I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved, and are now in the process of planning or completion. Kind of Improvement Approximate date o'Completiort Approximate cost NONE ? WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the atiove in- formation which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form, and for ali other consideration of any nature whatsoever, any claim against the City or its employees rising there from is here6y expressly waived. Levied assessments to be paid to the County Treasurer at Hastings, hIId. 55033 Very iruly yours, TME LONE OAK TREE ... THE SYMBOL OF STRENGTM AND GROWTH iN OUR COMMUNITY. ??....,._ ...... ... ... . . . ..?.___ . _ . _ .._. _....-M ...?_. . . . .. . . . . . . r. .. ....._.._ .._ ... .._...._ _. .,. .?_..,..__" _,.. ._?...?i'.. 8EA BIOMOUIST NAYON THOMnS NEDGES ' . CIlYAOMIN5IPIION 'H°^^^SE°^N IAMES A SM IT CITY OF EAGAN EUGENEVGHpyEFOEKE . . N GiY QERR IERRYTN6Mqi - ' TMEOOOREWACHTER - '. 7HSPIlOTKNOBR040 ' COUH[il MfMBFPS ' P.O. 00X 31IM ' EAGAN, MINNESOTA DATE: JUNE 1 1982 ss1n " ; •? `"?'? , ? .... PNONE 4S4-8I00 "??? '... _ __ ' ?apK..: a? •. . ' ' . . ' ..?? .'. . a ' i . :..r.;.:.:._ /i:.,` .?f•` , DAKOTA COUNTY ABSTRACT CO 1250 HWY #55 : 4 .r : HASTINGS, MN 55033 ...` ?w_. SPECIAL ASSESSb1ENT SEARCH _-- j Lot_15 Block_9_Cedar Grove #8 ?RE• T.I. N15662 3933 PALISADE WAY - Enclosed herein is the search which you requested made on the above described property. NONE F 9 I further certify that according to the records of said office, the following improve- ments are.contemplated or pending after having been approved, and are noia in of planning or completion. the process mate cost NONE 9 WAIVER: Ncithcr the City of Eagan nor its employees guarantees the accuracy of the a6ove in- formation which was requesteJ by the pcrson or persons indicated. Nor docs the City or its employees assume any liability for tlic correctness tlicreof. In consideration for the supplying of the indicated information in the abovc form, and for all other consideration of any nature whatsoever, any claim against the City or its employees rising thcre from is hcreby expressly waived. Levicd assessments to be paid to the County Trcasurcr at Hastings, DN. 55033 Very truly yours, NANCY M. OI-At . THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMVNITY Charge of $5.00 paid City of Eagan 3795 Pilot Knob Road Ea.gan, tV 55122 Date: ppril 14, 1977 SPECIAL ASSESSI,MT SEARCH Ialmta Cotmty Abstract RE: I,ot 15, slock 9; Cedar Groye No.B 121 E. 3nd St. E. l0 16707 150 09 Ha5tlnp , ?''IN 55033 3933 Palisade Way IInclosed herein is the seareh which you requested made on the atove described Frojerty: K:r.d of Improvement Runs Beginning Original Amt. Ealcnee Due NONE I further certify that accorling-to the records of said office, the foLowing improvearents are contemplated or pending after having been approved, an3 a;•e r.cw in the process of planning or completion. Kind of Improvement ppprox, dute of completion Apprusimal;e coat " NONE WAIVEP• Neither the Cits cf ^nagan nor its employees guarantees the accuracy of the above ir.formation v:hich waa requeated by the person or persons indicated. r7or dces the Ci.ty o: its employces asswne any liability for the correctness theraof. Tn consideratir,n for the supplying of the indicated information in the ahovc form, an3 for z.ll ut::er consideration of any nature whatsoever, ary clain aga.ir,st t:ie City of its employees rising therefrom is hereby exprzssly caaived. Levied assessmer,ts to be paid to the County Auditor at Hastings, N?innesota =5"v3j, Very truly yours, Ann Gcers, Assessment Clerk /?,b } SPEC_T?;L ASSESS'NL'S1T DEPARTD4L3fQ1T < f dty oF eagan 3830 PILOT KNOB ROAD. P.O. BOX 21199 ' . BEA BlOM9UIST EAGAN. MINNESOTA 55121 raav« PHONE: (612) 454-8100 iFpMAS EGAN JAMES A. SMITH JERRV THOMAS DATE: P,pril 2, 1986 rriEOOOaE wncHrea - Counctl Members THOMAS HEDGES . Ciry / amiMSVat« EUGENE VAN OVERBEKE SPECIAL ASSESSMENT SEARCH crvc?k RE;?'Cedar Grove 08 DAKOTA COUNTY ABSTRACT C _Slock 9% '?t 15 _ 1250 HWY 55, P O BOX 456 3933 Palisade way HASTINGS MN 55033 r:nclosed herein is the search which you requested made on the above described property. Kind of Improvement yPnt.;, Beginning ' Original Amount Balance Due NONE I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved and ar e now in the process of planning or completion. Kind of Improvement Approximate Date of Completion Aup roximate Cost NONE WAIVER• Neither the City of Eagan nor its employees guarantees the accuracy of the a6ove infor- mation which was requested by the nerson or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In con . sideration for the supplying of the indicated information in the above form and for al l other consideratio of any nature whatsoever, any claim against the City or its employe es rising therefrom is hereby expressly waived. Levied assessments to be paid to the C ITY OF EAGAN, 3830 Pilot Knob Road, P. 0: Box 21199, Eagan, hIN 55121. Very truly yours, - I i1 SPECIAL ASSESSMENT DIVISION , THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY C:[TY Di" F.Pd:,FiN CASFa:[I-';i.e '3 I[i:FM2?.AI._ Nrl;; 43 T.IATE.c I)9I20/96 T.I.t1I:.e 009e54 10 p!p,M-. ; rAJAP!E. 1-,UGEN90N 3210 9001 3933 F^nl_:f.SADGr iA( 376.75 3422 7001 3933 1='AI..:LF.iAlqii: p.l 188.38 E'05 9(]01 3933 f'fli..:tSADE. W 1rt..C)Q foCa:l. Rct!s_e'iprk Amouzti+.a 579.13 CRf.'16468i U`i1:R 0: h!AilCY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: bate Issued: auzLaxHG 028864 09/20/96, SITE ADDRESS: P.I.N.: 10-16707-150-09 DESCRIPTION: 3933 PflLISADE WAY LOT: 15 BLOCK: 9 CEDAR GROVE #S (WITH FULI. BASEMEN7) ermit 7ype SF ADDITION 8ark Type NEW ??,a 434 ALT. RESIDENTIAL MA m°?V;l kN ?? ,u .?? ecs ?€r , w?x a ''it x? %"e ra[ fft?` ?Oej' s ? ?=s REMARKS: A SEPARATE PERMIT IS REpUIREn FOR ANY EIECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Total Fee $376.75 $188.38 $14.00 $579,13 $28,000 CONTRACTOR: ? s- , ` S' h8r ' anfor 5tatu ? ., . _ OWNER: - WPPticant - HOGENSON DUANE 3933 PALISADE WAY EA6AN MN 55122 (612)726-0584 . ISSUED CITY OF EAGAN ???n'? 166&41996 3830 PILOT KNOB RD - 55122 `? BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reauirements RemodeUReoair Reauirements - ?? ? 3 registered sRe surveys ? 2 rnpies of plan ? 2 coDies of plans (inWude beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (ezterior additions & decks) ? 1 energy eaiculations ? 1 energy caleulations for healed additions ? 3 copies of lree presarvalion plan M IM platted aftar 7/1l93 required: _ Ves No DATE: n "/- !S- 9 l0 CONSTRUCTION COST: ?- / ? DESCRIPTION OF WORK: Q??l-r-? ?^j -? Zv « STREET ADDRESS: I LOT ? BLOCK ? SUBD./P.I.D. #: f ??=n?rz ??zr?Jc-s' `? ? 'I 7z-b- os?Y l.J PROPERTY Name: Phone ??--4- OWNER Street CONTRACTOR ARCHITECT/ ENGiNEER City: ZEU=64 .J Company: _ Street Address: City: Company: _ Name: Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is cflrrect and agree to comply with all applicable SWte of Minnesota Statutes and City of Eagan Ordinances. , Signature of OFFICE USE ONLY Certificates of Survey Received Tree Preservation Pian Received State: LIW_ Zip: SS% "2?7 Phone #: License State: Zip: _ Yes No _ Yes _ No Phone #: Registration RLGEWCDD ? SEP `t ? 1996 --------------- BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt.iLodging ? 16 Basement Finish o 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0?03 SF Addition ? OS 8-piex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 0' 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORM ATION Const. (Actual) Basement sq. ft. MGWS System ? (Allowa6le) Main level sq. ft. City Water ? UBC Occupancy sq, ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 434 Depth Footprint sq. ft. 5AC Code o i Census Bidg Census Unit a APPROVALS Planning Building nAB Engineering Variance Permit Fee Valuation: $ ZS, 0vV. Surcharge Plan Review License ...?-- ? MC/WS SAC p 's City 5AC Water Copn. Water Meter i ?r Acct. Deposit ? u 2 v z 4? r.? sN - ?+, h v v,- -J SNN Permit S/W Surcharge 2--7, LOU, ? Treatment PI. Road Unit Park Ded. Treils Ded. Other Copies Total: °h 5AC SAC Units 11/3 ' I= za FcET 8?" 13g` Form for use with Minnesota Ruies part 7670.0475, Sucp. l 1& 2 Family Residential "Cookbook" Method -aw? ADDRE55 - i ? - MIAtIAUI[I C!{tE[182 Rim Joist: R-19 insulation Fwundaton windows: Iasulated glass. 12' ait spue, wrood or vinyl fiatne Enery doors: !34 inrh soHd wood with storm oz better I STEP 1 Window & Door Area I I STEP 2 Calculate ama as a percent of waL I Total Window & Door Area in Sq. Feet WINDOWS (inclading foundation windows): Dimensions Qnry. Area x x i x 'Z. x x x x R x x x DOORS: _ x .?- X X Total Atea of VPusdow & Doors O?A Total Wall Area in Sg. Ft Wall To[al Perimeter Height Area 4 r4-b q G Tocal Area _ of wa11 l °r? B Box A(window & door asea) divided by Boz B(total wall area) times 100 equals the windoK and door ama at a percent of wall area (Box C). BoxA Boz B x 100 = EEiC STEP 3 Design Features ASSEMBLY OPTIOV FRAME WALL: SfANDARD FRAh'IIIdG cav[rr nlsc.n.nnoN R- Q SHEATHNG: tEs5 Txax R-5 y R-S OR AlORE WIIdDOWS (except famdadon windows): U-FACTOR ? Fmm thc table. detemlint the mA:imum pelteat window & door ama for thc design oprions selecced aad enur the value in box D below: ? 1- Box C must be less thaa or equal to Box D ONE- dc 1WaFAMIILY RFSIDEIVTIAL BUILDING PRESQZIP'1TVE (COOK BOOF?. APPROAQi 'ommumm ? MAXIMUM WINDOW AND DOOR AREA AS A PERCFNT OF OVERALL WALL AREA From Minn. Rutes part 7670.0475. subpart 2. item F Cavi Window U-Factor Framin InsulaHon 5heathin 0.49 0.36 0.31 0.27 STANDARD R-13 > R- 7 13.4°k 17.8% 21.3°k 24.3% STANDARD R-13 > R- 5 12.4°k 16.4°k 19.7% 22.5% STANDARD R-15 > R- 5 22.40/o 17.1°k 20.1% 23.4% STANDARD R-18 < R- 5 12.1% 16.0% 18.8% 22.0% STANDARD R-18 > R- 5 24.0°/a 18.6% 21.8°k 25.3°k a 0 STANDARD R-21 < R- 5 22.8% 17.0% 19.90/0 211°/n. _ STANDARD R-21 > R- 5 14.5% 19.3% 22.5°k 26.2°k 0 AddiEional calcutated values STANDARD R-17 < R- 5 11.9% 15.7°k 18.4°k 21.5°k STANDARD R-17 > R- 5 13.8% 18.4% 21.5% 25.00/o 0 Notes: Window area equals rough opening minus installation clearances. Window U-factor must be determined by either the National Fenestration Rating Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table S. • ? 4 60?33 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knab Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when permits aze required for each unit ^ S?O /S Date Add Sit U it # ress e n Property Owner Plrl Telephone -t- ? Contractor 1 LR POPEWnpKc 967i0 DODD ROAD Address ????wwi ?eni ci ??-.i " Cit3' ???T?- , ? ?vrnr (651) 3 Qe s- V? -) q L' - State Zip Telephone # ( ) ? The Applicant is _ Owner ? Contractor _ Other Septic System New _ Refurbished Submit 2 seis of plans and MPC license $ 100.00 Includas County fee. Additlonal oonsultant fees may apply. . Alterations To Existing Dwelling Unit, Inciuding $ 50.OD _ Adding fxtures to lower levels or room additions, exGuding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigadon system _ Water so[tener ater heater ?- $ 15.00 'Fl ?(/replacement _ additional N $ .50 State Surcharge ? Total 1 1 ? /S-7 V I hereby apply for a Residential Plumbing Permit and aclmowledge that tliiYmfo ' d accurate; that the work wul be in conformance with the ordinances and codes of the City oF Eagan and with the Plumbing Codes; that I understand this is not a pemtit, but only an application for a permit, and work is not ro start without a permit that the wo lI ill be in accordance with the approved plan in the case o wo k which requires a review and approval of plans. ?z ? Applicant's r' te Name App icanYs Si ia e ? ? a Lf, ? RESIDENTIAL PLUMBING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Towuhomes and Condos when permits are required for each unit Date// //? / 63 Site Address ( & 64 Unit # PropertyOwner Telephone # (6rj h q74` 6 ? Con[ractor Address 3670 DODD ROAD City EAGAN N 55123 , State (651) 365 1340 Zip Telephone #( ) The Applicant is _ Owner -4 Conhactor _ Other SeptiC System New Refurbished Submit 2 sefs of plans and MPC license $ 100.00 Indudes County fee. Additional consultant fees may apply, AlteraHons to eais[ing dwelling $ 50.00 _ Add fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new _ repair _ rebuild $ 30.00 _ Lawn irrigation system - Water softener X Water heater $ 15.00 ? replacement _ additional State Surc6arge .50 NOV 19 ZDO /5 Total . I hereby apply for a Residenflal Plumbing Pernut and acknowledge that the informt?0n is complete and accura e; that the work will be in conformance with the ordinances and codes of the City of Eagan and with th erstand this is not a pernut, 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 proved plan in t)e case of tietork wlilch requites a review and approval o plans. ? &t rAiv1& ? ApplicanYs Printed Name Applicant's Signature City of EaRaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 , Fax:(651)575-5694 . Date: f-.2 // /o y Site Address: i5.¢DE cu:m n• C 0 9 2008 RESIOENT/OWNER Name:?4 gN /yo.FAN Phone:?2 =1?5-5yS? Address 1 City /2ip:3l33 CONTRACTOR Name:6vE &111? ??6q7,rv4 F?i/L License #: -g LT 5-gSLFC?:2_ Address f *rl' ?E?r?i'/t /lrxu 57- City: Z?4 STrRiyS StateV AJ Zip:Sso?53 Phone:°? 1-q37` 1177 Contact Person: . kf'/?- TYPE OF WORK -New 4Replacement _Additional _ Afteration _ pemolition Descriptinnofwork: 7?,Qwq6< ,(?SiO?ti7"il;L RI drlil? °.. ??s??r???er?r??t?a?rc?r?? ,? p„?. ?Narl?ers, nfvx?lra?an rta ermitded seceenda PERMIT TYpE RESIDENTIAL ? COMMERCIAL New Con tr tio l Fumace n _ s uc _ nterior Improvemen[ Air Conditloner _ install Piping _ Pwcessed -Air Exchanger . _ Gas Exterior HVAC Unit ? HVAC units must be screened _ Heat Pump Under / Above ground Tank (_ Instal) / Remove) _ Other ^ When installingfremoving tank(s), caJl for inspection by Fire Marshal and Plum6in Ins ector RESIDENTfAL FEES: $50.50 i4linimurn Add-on or aiteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $.50 Sta[e Surcharge) TOTAL FEE COMMERClAL FEES: $70.50 Underground tank installatioNremoval OR Contract value S x 1% $50.50 Minimum (fncludes State Surcharge) I' P ? = $ Permit Fee Egg is less than $1,U00, surcharge is $.50. . - II Pe it Fgg is >$1,000, surcharge inereases by $.50 tor each =$ State SUrohalqe $1.000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$7.OC surcharge?. ? TOTAL FEE - , --•-•••-" -.. ?- .1 11 11_?1- 1 ? - „a,,,, a11,,,,1r, ,,,a, ,,,r „,,,,n wIll ue M wri jorrnance wnn Lne oroinances ana coaes or tne e.iry ai eagan: mat I understand Ihis is nol a permit, bul only an application for a permit, and woAe is nol to start wiihout a pertnil; Ihat the work wifl be in accnrdance with the approved plan in Ihe casa W wprk which requires a teview and approVal of plan XZ), A?]S,/JRc-G X Ki'?f?v?G!C? ApplicanYs Printed Name Applicant's Signature ---------, ; Qe,r„t «: ?770o I ? Pertnit.Fee: ? Date e,aA• C?? ? ---- I U 2008 MECHANICAL PERMIT APPLICA FQR 0€F.IeEUS? ? Reutewed'By. QaYe: , Reauined tnspeotfons. ?lnder 6corty?ei' T F?oetgki I?i?,4ir "Fest _Gas Service Test fn,floor lieat _Fnal IntAGt EAGAN WATER SERVICE PERMIT 3lot Knob Road PERMIT NO.: 1939 MBA. 35122 „ : DATE: (1/8176 Zoning. 1 ' No. of Units: Owner: !- x' ;eit c (on1 ;tructtot1 Address: Site Address: 3`x:3"3 Palisade' 7.251;!' Csi $ . Plumber: t` QnIe . P1Wahing & I: tt t IC+� fdd Meter No.: Connection Charge: 1go { Size: Account Deposit Reader No.: Permit 'Fee: " t"'� xr` agree to comply with the Village of Eagan Surcharge: w} "` Ordinances. Misc. Charges: / Total: f ` Bq , 3 - 7 ' Date Paid: Date tit Insp.: Insp.: viLLAGror EAGAN SEWER SERVICE v PERMIT 3795 Pilot Knob Road PERMIT NO.: 6 6 Eagan, MN 55122 DATE: f ?fa Zoning: RI M elect Cor No. of Units: Owner: EUc ton Address: Site Address: /131 Palisade L15 B9 C:,;8 Plumber: Wenzel Plumbing iz Heating 2 27 76 #2358 00.00 :. 1 agree to comply with the Village of Eagan Connection Charge 50. 30 d Ordinances. Account Deposit: Permit Fee 0 By: 7e 0� Surcharge: ] "' .00 S pd Pd Date of Insp.: Misc. Charges: Total: Insp.: Date Paid: Use BLUE or BLACK Ink r________________� I For Office Use � � � Permit#:��v� I Clty of �� (�J a� i � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (� �� 1 1 Site Address: =3-/ � � �� 7 Unit#: Name: �� ! � 4 � � � 1911 �_ Phone: (.t��`'�l !�`1� ��!3 Resident/ �� p �,/ Owner Address/City/Zip: ��30 T �u✓C�� ( �� n 'v " Applicant is: Owner x Contractor Type Of WOI'k Description of work: 1�--'� +�' � �o �� /� -/' � �� ' Construction Cost: (.L�✓� r Multi-Family Building: (Yes /No Company: � �� N.7��- L.,.L-C-. Contact: �� / Address: ��l� �� '�}-�'{�(4N �'`l� City: /"afL-J-J� '�'2-d'�� Contractor State: �� Zip: 5� Phone: �� 7�`-LmaiL �Y��-� �`��-° � License#: ��- ��'� °z�7 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 thaf you submit are considered to be public informatian. 'Portions of the information may be classified as non-public if you provide specific reasons thatwould permit the City to conclude that the 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 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 wor authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of it issuance. X � �'`-� `�' ��'��°�'�`� X Applic 's Printed Name Applic nY Signa e '� Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175673 Date Issued:04/11/2022 Permit Category:ePermit Site Address: 3933 Palisade Way Lot:15 Block: 9 Addition: Cedar Grove 8th PID:10-16707-09-150 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Juan Isidro Moran Helguera 3933 Palisade Way Eagan MN 55122 (612) 800-2376 B & D Plumbing Heating & Ac Inc 4145 Mackenzie Court NE St Michael MN 55376 (763) 497-2290 Applicant/Permitee: Signature Issued By: Signature