3949 Palisade Way
Use BLUE or BLACK Ink
r
For Office Use I
Permit#:
a
~
City of Eaba
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite M
RESIDENT/ OWNER Name: Phone:
Address/ City Zip: G~tp1~
r/ .
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: GU Multi-Family Building: Yes / No
Y ( )
CONTRACTOR Name: License
Address: ' City:
_'WA Zip: Phone:
Contact:
Email:
J_j
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
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.
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.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 6 x
Appl cant Printed Name Ap an 's Sign re
Page 1 of 2
CITYOFEAGAN Remarks Sew & wtr con pd. on 11-20-72
Addition Cedar Grove /{$ Lot 17 eik 9 Parcel 10 16707 170 09
Owner ?P?ICt streec 391t9 Palisade WBy State_ EagBn.MN 55122
4 4) 1L, ..1
Improvement u Date Amount Annual Years Paymeni Receipt Date
STREET SURF.
STREET RESTOR.
GRAOINCa
SAN SEW TRUNK 1970 12,0Q •0-0 2 Pa3.d
jESEWERLATERAL 197 1539.10 307.82 Pa1d
WATEFiMAIN -
jF WATER LATERAL _ 1974 1
WATER AREA
? STORM SEW TRK
jF STORM SEW LAT 1974 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 00 11-1 - 2
BUILDING PER.
snc 2 ,00 1 11-17-7
PARK
VILLAGE Ok EAGAN
3795 Pilot Rnob Road
Eagan, Micmesota 55122
A/' 70 7 / 7O l /
? S
PERMIT NO.:_
The Village o£ Eagan hereby grants tora+a, Grn4e r,mmr,.,l„ im, rn
o£ 7a1,3 ?onnar.d Blvd F 3outh St Pavl 55075
a -._ nr?r nMTmG Permit for: (Owner) same
at i &9?t9 Pa1?laAde W?y '
p rsuant o application dated jUi/15/72
Fee Paid: t61 on_ dated this .i. oaa4??
(TF?. day of ???3er , 19?2
1.50 e/a
Mechanical Pe.°mits:
t3id,Tota1;
Building Inspecto: -
.
y
1-7 9-?
c: ?.
.
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Niinnesota 55122
PERMIT NO.: 281
The Village of Eagan hereby grants to Cedar t)rme ConatruCtiaal Co.
of 73),3 rioncord Alvd E South St Pft1 5$075
2 rjrAPermit for:
'??? ( Owner ) e ame
l?076 riallte, 3911 r,?varton, & 3949 Pallsaae wqy --"--
at 33-4-;7 42 2 pursuant to application dated 11J15/72
Fee Paid: dated this ?
POt.h day of Npvember , 19 72 .
I.50 s/c
t3uilding Inspector ^ -
liechanical Permits:
t3id 'Potal;
J,
! -? EAGAN TOWNSHIP
BUILDING PERMIT
Ownes "_""&-aL eS.- - ------- .:v....-?'-------
Addresa (Presenf) •-'L--..._.f--°-?L......
Builder ........
Addaeu
DESCRIPTION
N°
.
Eagan Townahip
Town Hall
2893
?
Dale ...?/--..---'---....-°----
8tozi?s To Be Used Fo[ Fzon! Depih Haighf Esl. Coaf Perms! Fee Re
ma
rka
"
0 3.07•00 /e/
s
f
TION .2qJ•oo
tsneax, xoaa or otner ueaerap:ion os i.xaxsoa I Lo! Block Addilioa w Traei
This permit does aot aufhorise the use of stseels, roads, alleys or sidewallcs noz does it give the owasr or h& agenf
the r[gh! Yo create anp situafion wbich is a nuisanee or w6iah presen}s a hasasd fo ffie heallh, sdalp, eoavenience and
geaeral welfare !o anyoee in ffia eommuaily. THIS PERMIT MUST BE KEPT ON1 ATXEP EFj MISE WHILE THE WORK IS IN PAOGAES .
eerrifp, !ha!°- '-- L!'!?--?rt'!-?--- 4,••???i : .......Les permissioa fo areM a.---.?.... .. . ? a
This ia !o . ..... .
-°' '- -- - - -'- -- -..... . ..-' ............... _............_upo
the e6ove deseribed premise subjeaf !o the prosisions a! the Suilding Ordinance !or Eagan T wn:hip a gied April 11.
1955.
.2.--7k-......??"?......"?.--?:....ll:........ p.r ........................... :R-p-c?----0:`'?`"J._.......................
H
fj? ufldiap Inspsalcr ?j
********?***?*?******?*****************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 785
DATE: 08/17/00 TIME: 07:16:33
ID:
NAME: . MJ MOSER CONSTRUCTION
3210 9001 3949 PALISADE W 97.25
2155 9001 3949 PALISADE W 2.00
Total Receipt Amount: 99.25
CR136022
USER ID: JAN
??3a7 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-681-4875
New ConshucHon Reaulremenh
> 3 reglatered aHe wrveys sIwwing aq. ft of lot, aq. ft. of house
and no rooled areaa (7096 maxlmum lot covemae ollowed)
> 2 coples o1 plans (show beam & wtndow al:ea; poured (rW. destgn; e1cJ
n 1 sef of anergy calculalions
* S coplea of hee pres ervaHOn pWn H IW ploMed after 7/1/93
,/ Bv
DATE: ' 1 h .
DESCRIPfION OP WORK: %/JA/:
STREET ADDRESS: 3 9 t/ °f
Remodel/Reoalr Reauiremenb
2 copies of plan
1 $ef of energy calculatlons for heated atldiHOns
1 sita wrvey for exfeAOr addiflona & decks
CONSTRUCTION COST:
LOT: 11 BLOCK: 1. SUBD./P.I.D. i: .P (26`C' Y'o 11P 4P?6
Name: SO ?' vel-
PROPERTY Las? p I
OWNER ? /7 ? ?G l?iS?Ob L?ar'y
Sheet Address:
City (` 4 k-4 ~
Company:,
Phone#: vS? /S,S';?3 o D
Company:
(area code)
CONTRACiOR r?
1
Street Addrass Ucense # ?b Exp. 3 13 1?
:
City Stale: Zip:
ARCHITECT/
ENGINEER
Telephone lf: (
Phone #:
Name:
21p:
Sfree1 Address: Regishdtbn N:
City
SlatA:
Sewedwater licensed plumber (jf installina sewerlwatarl: Phone #:
1 hereby xknowledge lhat I have reod ihis applkatbn, date ihat Ihe infortnalion is
of Minnesota Statutes and CNy of Eagan Ordinance:.
Signalura of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
21p:
and agree to comply wilh all ppp8cabie State
Tree Preservation Plan Received - Yes - No - Not Requlred
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
p 02 SF Dwelling ? 08 OB-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 °orch (screened)
? 04 02-plex 0 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. ,
WORK TYPE
? 31 New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration O 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length S9• ft•
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/E5 System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
license
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 31 Ext Ait - Muiti
? 33 Ext. Alt - SF
O 36 Rlufti
SAC Units
% SAC
MASTER CARD
f
LOCATION
SiRUCTURE AND
LAND USED AS
Permit I
No.
Issued I Issued To
Coniracror Owner
BUILDING
PWMBING
-?- 4,0eI
CESSPOOL - SEPTIC TANK
VJELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER ?I?IB I
OTHER
OTHER S7-3
fu
? ,
II
Items Approved
(Initial)
Date
Remarks
Distance From Well
POOTING ? • SEPTIC
FOUNDATION CESSPOOL
FRAMWG TILE FIELD FT.
FINAL
ELECTRICAL
HE4TING DEPTH
OF WELL
GAS INSTALLATION ?
?
SEPTIC TANK
CESSPOOL
DRAWFIELD
PWMBING
WELL
SANITARY SEWER t
VA/
?•_-A.?-
J -
J
? -h
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE 115ED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
11 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DA7E OF INSPECTION
WITHOUT DELAY. ? NON-COMPLIANCE. BUILDER DOES NOT
? NON-COMPLIANCE. BUILDER WILL COMPLY
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 -1 cenify that I have carefully inspected the ahove in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specificacions, and any speciNc require-
ments for off-site improvements relating to the property inspected,
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOft
DATE
oq? a.
17-9-9
EAGPN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Tetephone 454-5242
PERMIT FOR WATER SBRVICE CONNECTION
Date• Number• 3El6s 1053
?
Biiling Name??'C ?'?Ot3-P0ite Address p ?&l
Owner: ? Billing Address
Plumber:
J
/17/72
Meter No, IPermlt Fee 10.00 d 11/17/72
. 0 pd 17/17/72
Meter Readinp;_ Meter Dep.
Meter Sealed: Yea_ [Add'1 Chg.
NO ' Total Chg.
Building is a:
Residence xx
14ultiple Ho. Units
Commercial
Industrial
Other
Inspected by
Date
Remarks;
Hy:
Chief Inspector
In consideration of the isaue and delivery to me of the above permit, I
hereby agree to do ttn proposed work in accordance with the rules and
regulatioas of Eagan Township, Dakota Lounkt,,,MinnesoByPlease notify the above office when ready for icwpertion and connection.
1 `7-9-9
EAGAN TOiJNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55I11
Telephone 454-5242
PERMIT FOR SEWER SERVICB COIdNECTION
DATE• NUM$ER 1218
OWNER. ? ?yP.ddress_c??
? •-?
PLUMBER n? TYPE OF PIPE
DESCRIPTION OF BUIIAING
Industriall Commerciall Residential I FYultiple Dwelling I No, of units
Locatian of Connections:
Connection Charge 260.00 pd 11/17/72
Permit Fee 10.00 pd 71/172
.50 pd 11/17/72
Street Repairs
Total
Inspected by:
DaCe
Remarks•
By.
Chief InspecCOr
In consideration of the issue and delivery to me of the above pexmi.t, I
hereby agree eo do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota Count , Minneao
By
Please notify when ready for inspection and connection and before any portion
oE the work is covered.
7.5 5? 3 S
2006 RESIDENTIAL MECHANICAL rExMiT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone #t 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits aze required for each uni[
30 ??o
?JO.yLd_ //90
Date <. / /d2 / 06
Site Address 39 yy P.p.r.c ?) A).i__ Unit #
Property Owner JJr /1 r ?wJ?i,s-. Telephone #( 6S/ > ysa -?6 /?
Contracror uI1 f 1,11c
3 4
Street Address y/?! au .S?/ ?... ? ,....,-,.??.p ?.._ &0 100 'City
State 7vlti) Zip .Y? Telephone# (AS/ )&9y- 989c1?
Bond Expires:
The Applicant is _ Owner V Confractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
A
i
l t
R
l New
V furnace ddit
ona acemen
ep
V _
_ airexchanger _ S I,
air conditioner
JUN ?
?s. 2006
_ heat pump
other ?-
-
?--'----'---
?.:.? --
State Surcharge $ 50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the inFormation is complete and accurate; that the work will
be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 o
?
Qobk"fL ?A17L-"iZ ?, ?-
Applicant's Printed Name Applicant's ?
2006 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenan[ Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
T6e Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, caU for inspection by Fire Marshal and Plumbing Inspector
permif F¢05: 570,50 Undergmund tank ins[alla[ion/mmoval
S50.50 Minimum (includes SUie Surcharge)
or
Contract Value $ x 1% _ $ Permi[ Fee
$ State Surcharge
If pe rmit fee is less than $1,000, add $.50
If permit fee is more than $1,000, surcharge
is $.50 for every $1,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurete; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand [his is
?ot 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.
Applicant's Printed Name ApplicanYs Signature
Approved By: , Inspector Date: ?
Required Inspections: _ U.G. _ R.I. - Air Test - Gas Service Test - Infloor Heat - Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114408
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 3949 Palisade Way
Lot:17 Block: 9 Addition: Cedar Grove 8th
PID:10-16707-09-170
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 .
Robb Johnson
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 -
Harry Solberg Jr
3949 Palisade Way
Eagan MN 55122
(651) 457-2891
Complete Contracting Llc
8407 Hefner Avenue South
Cottage Grove MN 55016
(651) 457-2891
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147495
Date Issued:01/11/2018
Permit Category:ePermit
Site Address: 3949 Palisade Way
Lot:17 Block: 9 Addition: Cedar Grove 8th
PID:10-16707-09-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Harry Solberg Jr
1820 Plesant Ave S
So St Paul MN 55075
Arneson Heating & Cooling Llc
7803 Drake Road
St Paul MN 55125
(651) 459-3360
Applicant/Permitee: Signature Issued By: Signature