4530 Greenleaf Dr ECITY OF EAGAN Remarks
Addition South (kakc Lot 3 eik 1 Parcel 10 71200 030 Ol -
owne.Pil27_?screec 4530 Greenleaf Dr. St.E44kState Eaaan,MN 55123
?ii?
Improvement Date Amount Annuat Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING i
SANSEWTRUNK ? 70.? 2.67 15 320. C010414 -25-85
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORMSEWTRK 81N 1984 617.00 41.13 15 534.7.4 Co1o414 -25-85
STORM SEW LA7
CURB & GUTTER
SIDEWALK .
STREET LIGHT
WATER CONN.
BUILDING PER.
sac 375.00 8214 6-8-73
PARK
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUE$,T FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
7.
15524
Type of Bu' mg New Add. Rep. Check Appliances Wired Fox Check Equipment W6ed Fo[
Home - El ? ? Range ? 7emporary Wving ?
Duplex ? ? ? Watar Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dfy""-)' , ?..
? Elecuic Heating ?
Commercial Bldg. ? ? ? Fumpc? ?
:'? ?, Silo Unloeder ?
Industrial Bldg. ? ? ? Air?(}ondigrjner? ;? 'f Bulk Milk Tank ?
Fahn EI El 11 pList }1
ei
rs pList
e
ls?
OChei ? ? ? H
e
) H
re
C9MPUTE INSPECTION FEE BELOW
Se`vice Enhance Size: # Fce Fcede(s&Sub(ceders: n Fee C'vcuits: #
0 to 100 Am s. 0 to 30 Am eres 0 ta 30 Am eres S 6'
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres
Above 200 Amps.
$d Above 100 Amps. Above 100 Amps.
Transfoimers RemoteCunVo1C'vc. Partial or other fee
.
Si s Special Ins ection Minimum fee $5.00
Remazks
TOTAL FEE ?
I, the E?ectrical Inspector, hereby certify that the above inspection has been made.
(Rough•in) Date
.(Final) -. Date ^ ??-7ij
This request void 18 months from
Thistrequest void IS months from 3_ / ;el Q?.? "Z 7
RS6 "`-6 '? P 15524
Date gf? Request 7 d
I, as lSJ41censed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Rou4e No. City
$ection Township
Which is occupied by
Range County
14, .._..,_ ... --T-7'
Is a roughin inspection required on this job? No Yes ? Ready Now Will Call ?
Power Supplier Address
Electrical Contractor Contractor s Lice??.
(COmpany Name)
Mailing Address
Authorized Signature
lecifiical ConVactor or
No. •-?/? ?
s ??X BOARD COPY
mmnesoca stace.noam ot tiectnaty
Griggs'Midway 81dg. - Noom N191 ? EB-00001-02
?,1$ niversity Ave., St. Paul, Minn. 55104 - Phone 297-21'11
VIE-QUEST FO'R ELECTRICAL INSPECTION a I?3 S 91322
CHECK BELOW WORK COVERED BY THIS REQUEST
'Iype oP Building New Add. Rep. Check Applisnces W'ved Foc Check Fquipment Wired Fm
, Hume ? ? 0 Range ? Temporary Wiring ?
Duplex ? ? ? WatecHeater ? LightingFixtures ?
Apt. Bldg. ? ? ? Dryec ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo UNoadet ?
Industrial Bldg. ? ? ? A'v Conditioner ? BWk Milk Yank ?
Farm ? ? ? Lis[ List
Other ? ?
- ?
- Heie s?
? $ehers#
-
COMPUTE INSPECTION FEF, SF.LOW r?
Service En[nnce Size: # Fee Fcedecs&Sub
. Circuits: # Fee
0 to 100 Am s. Z? 0 to 30 Am ? es i d[a 30 Am etes
]Ol to 200 Amps. 31 to ]00 A? res -31ito 100 Am eces
A6ove 200_Amps. Above 100 Amps. Above 100 Amps.
Transfoimecs RemoceContxolCirc. Partialorotherfee
Signs Special Ins ection Minimum fee E5.00
Remarks j E F-u',-" TOTAL FE ??? ?O-Z)
I, the Electrical Inspector, hereby certify that the above inspection has been mader
(Rouyh-in) . Date
(Final)
This request void
18 months (rom
This request void
18'months4'rom
Date of this Request Fire No. S' "132 u
I, as d'icensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No
SecUon Township
Which is occupied by
i,'?} '? Cu.7`' ?M-4,•?.Y,ar.??Pl? Cit
/
Range County
61 4 4,:r ey'?
?'-'-
Is a roughin inspection required on this job? No t3---Ye-s ? Ready Now ? Will Call
Power Supplier ??n .e Address
Electncal Contractw Contractoi s License No
( ompany Name)
Mailing Address ac?--
- (EI ctrical ontj actor or O n Meking Thls InStallaH }
Au[horized Signaturct a2-.-_ ?•?C Phone No. ;?
(Elec Icai Contrac or ar Owner Making 7his Installatlon)
4"'(???? D, tJ????? ??1???hisimpectionrequestwillnotbeacceptedbythe r? ? State Boerd unless proper inspection fee is enclosed.
EAGAN TOWNSHIP
BUILDING PERMIT
Et? :........ ....-------_J.-.._........................
Owner -
Addrers (Preseas ? ---`33--?-?-------- --.........uc.... ------'°..-..,d-?e.
------------
Builder -------.?^?.:.y?...t ................................................ ........ "'-----'
Address ---------.......a.......----------------------------- ..................--------
?
N? 303'7
Eagan Township
Town Hall
Dale ..._b.?..a....? "
....'_" _•"""'......
SSOries To Be Usad For F
ront Depih Height Esl. Cos! Permi! Fee Remaske
.so o
13' `r ,a,,a'j
?
This permii daes xot auihoriae the use of" siseels, soads, alleys os sidewelks noz does it give the ownes or his agen!
the rightYo create anp sifuafion which is a nuisance or which presents a hazard !o the health, sately, eonveaiance and
general welfare !o anpone in the communify.
THIS PERMIT MUST SE KEYT ON THE P EMISE WHILE THE WORK IS IN PROG SS.
This is !o cerfifp, ihal.../.....'...... ?t_<4_..? . ... ......................has permss .sion to erect a ... ? s2c.? •t-?`° pon
( " . ... .... ',t..j' "'_"'-"
the above described prem?e suec! !o the provisions of the Buildin4 Ordinanee fos Eag?h Towns? adople April 11. 1955.
--.?'..,-?..-..?.'-?../ .----------?- -.^....... Pez ---.---._..........:?-?:-?........?..?..-:?.....:?--?-?.....:.......
Chaism4fn of Tnwn Boa? r& ? Suitdin Ina ecior /?a
,:3- / ?i. 61qk3
VILLAGE OH EAGAN
3795 Pilot Knob Road
Eagan, hiinnesota 55122
PER[iIT NO:: 409
The Village of Eagan hereby grants to Farmin4ton Plumbing & 8eating
of Fazminqton
aHENAuC Permit S'or: (Owner) King Johnson
at GrQon!eAf n.i- , Pursuant to application dated 9/12/73
Fee Paid: $,10 nn_ dated this 12th day.of Sept. ? 79 73
.SO 8/C
Building Inspector?
Mechani.cal Permits:
Bid Total:
3 - / S _ N KS
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERIqIT NO:: 340
The Village of Eagan hereby grants to Faxmington Plwnbiitg & 8eatinq
of 312,- 3rd St., 6axmington 55024
a PLUhffiING Permit for: (Owner) xing E. Johneon
at 4530 E. Greenleaf Dr. ? pursuant to application dated 9/12/79 ,
Fee Faid; $20,00 dated this 12th day.o£ 8ebtembar , 19 73
.50 s/c
Buildir.g Inspector?
Ilechanical Permits:
Bid 'Potalc
ti
11 city oF eagan
PATRICIA E. AWADA
Mayor
PkIJL BAKKFAI
PEGGY CARLSON
CYNDEE FIFI RS
MEG TILLEY
Council Mem6ers
THOMAS HEDGFS
CiryAdminisvacor
Municipal Center.
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Fax: 651.681.4612
TDD: 651.454.8535
Maintenance Eacility:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.681.4300
Faz: 651.681.4360
TDD: 651.454.8535
www.ciryofcagan.wm
THE LONE OAK7REE
The rym6ol of urength
and growrh in our
mmmuniry
November 18, 2002
SUBURBAN EXTERIORS
7466 WASHINGTON AVE S
EDEN PRAIRIE MN 55344
ATTN: LAURA BAKKEN
RE: BUILDING PERMIT 53057 - 500 SEVERN WAY
BUILDING PERMIT 51312 - 4530 GREENLEAF DR E
Dear Laura:
As requested in your letter dated November 15, 2002, the City is canceling Building
Permit #53057 and sending a refund of $195.25 to you under sepazate cover. The 5.50
state surchargeis non-refundable.
In July 2002, as we discussed, Building Permit 951312 was changed from 4530
Greenleaf Drive W. to 4509 Alicia Drive and the check you submitted for 4509 Alicia
Drive was returned to you; therefore, a refund will not be forthcoming for this permit
number. See copy of letter attached.
This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee
Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a
courtesy, we are infornung contractors of this policy and issuing a full refund, minus the state
surcharge, for a canceled permit on a`bne time only" basis.
If you have any questions, please feel free to give me a call at 651-681-4695.
incerely,
an Severson
Office Supervisor
cc: Dale Schoeppner, Chief Building Official
*dtV oF eaqen
PATRICiA F. AWqDA
Mayor
PAULBAKKEN
PEGGY CARISON
CYNDEE FIELDS
MEG TILLEY
Coundl Members
THOMAS HEDGFS
CiryAdministraror
Municipal Cenrer.
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 65 LG81.4G00
Fax: 651.681.4612
TDD: 651.454.8535
Maimmnance Facility:
3501 Coachmm Poinc
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.681.4360
"CDD: 651.454,8535
vnvw.cityofeagan.wm
"CHE LONE OAKTREE
The rymbol ofstrengh
and growrh in our
communiry
7uly 23, 2002
SUBURBAN EXTERIORS
7466 WASHINGTON AVE S
EDEN PRAIltiE MN 55344
RE: BUILDING PERMIT APPLICATION FOR 4509 ALICIA DR
TO WHOM IT MAY CONCERN:
This letter will verify our conversation eazlier today that Building Permit #51312 issued
to Suburban Exteriors on June 7, 2002 for 4530 Greenleaf Dr E. has been changed to
4509 Alicia Drive. A revised copy of this permit noting the address change, as well as
your check for Alicia Drive, is included with this letter. The check originally submitted
for Greenleaf Drive will cover this address change.
If you have any questions, please feel free to give me a call at 651-681-4695.
?
' Jan Severson
Office Supervisor
cc: Dale Schoeppner, Chief Building Official
NOV-15,'002 11:49
,
+9528818232
FR014-SIBUABAN EXTERIORS E
To the City of Bagan,
+9518818232 7-212 P•001/004 F-431
These jobs were cancelled by our customers request. We are requesting a rafund
for the amounts below, because these permits t}u1t were not nsed. If you have any
questions or need any further documenfs please coniact Laura at 952-881-8232. Thank
you.
Sincerely,
T.aur3 BBkkCn
Suburban Exteriors
7466 Washington Ave N
Eden Prairie, MN 55344
*Attached it the copy of the permit
Bryan 7 McGee 500 Severn Way Eagan, MN 55123
Permit # EA053057
Walter G Krawza 4536 Crreenleaf Dr E Eagazl, MN 55123
Permit 4 EA051312
Amount $200.75
Amount $171.75
*citV oF eagen
PArr.tc.iA EAWAnA
`iawr
I'.il'L BAKKEV
PEGGY G4RLSON
i:t'NDEE FIELDS
NIEG TILLEY
CounCil ?fembrr5
THOI%US HFDGFS
Citv Administramr
July 33, 2002
SUBURBAN EXTER[ORS
7=366 W'ASHINGTON AVE S
EDEN PRAIRIE VIN 55344
RE: BUILDIVG PERMIT APPLICATION FOR 4509 AI.ICI_a DR
TO WHOM IT MAY CONCERN:
.Muni<ipai cen«<: This (etter will verify our conversation earlier today that Building Permit n5 Li L issued
33=0 Piiot Knob aoad to Suburban Exteriors on June 7, 2002 for 4530 Greenleaf Dr E. has been changed ro
e.,an. Mv 5512'-1897 4509 Alicia Drive. A revised copy of this permit notin-, the address change, as well as
Mon,: (5 1 .681.4600 Your check for Alicia Drive, is inc(uded with this (etter. The check originally submittzd
for Greenleaf Drive will cover this address change.
F? G5LGS1.4G1? .
roo: r; 1.454.8535 If you have anv questions, please feel free to give me a call at 65I-681-4695
Maintenance Facility:
3501 Caachman Poini
eag,n, til N ssizz
Phune:GiL631.4300
F;uc: 651.681.4360
"CDD: 651.454.8535
ww.v.ciryofeagan.com
ff-IF LUNI{ t.)AKI"F2EE
l hc 'vmkr A "rf .vcnr?ah
.mJ Aruwdi in unr
unnnwnirv
, Sincerely,
J?di Szverson
?
; Office Supervisor
cc: Dale Schoeppner, Chief Building Official
. s -RESiDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4675
New ConsVUCtlon ReauhemeMe
• 3 registereA ste surveys showing sq. fl. ot bt, s\poured
(20% mexhnum bt coverege albwed)
. 2 coples of plan Showing beam & window slzes• 7setofEnergyCalculetbns
• 3 coplas of Tree Preservatbn Plen If ht platted after 711193
. Rim ,bist Detal Options selectbn aheat (blags wtlh 3 or las
DATE
SITE ADDRESS
TYPE OF WOR
/ namweunvuuu na
andllroofedareas • 2coDiesWplen
• 75etWEnergyI
design, etc.) C.. ?_ ._ 1_.? 1 stte surrey for
? ?'??W• Indicate'rfhome
?K? n tht,iti
l?. '
VALUATION /
6- 3 D E , 6
ie -e;roo F
APPLICANT ??2 ??`??? Gr'I f
STREET ADDRESS a w6 SA t
TELEPHONE # 95Z4ffI 423_-'-CELL PHONE #
PROPERTY OWNER IN CC, L t Kt-a
--------°----------------------------°..-,
COMPLETE THIS SECTION FOR
Energy Code Cetegory
(J submission type)
_ MINNESOTA RI
• Rssidential Ventil
• Energy Envelope
TELEPHONE# 6`12'-70?_9???
Ir MULTI-FAMILY BLDG _Y L?k
FIREPLACE(S) _ 0 _ 1 _ 2
rs
1?e, ITY C ?7 At44ISTATE 4AJ21P 553y
FAX #
------------------- ------------°-----
cNTIAL BUILDINGS ONLY
CATEGORY 1 _ MINNESOTA RLiLFS 7672
ry 1 Worksheet Submitte • New Energy Code Worksheet Submitled
Submitted
Plumbing Conhactor: ____
Plum6ing system includes:
Mechanical Coniracfor:
Mechanical system includes:
Sewer/Water Conhactor:
#
#
Phone #
Lf
«
?e Y 7)- "75
5 for heated a0ditbns
aaans 8 eecks
septk system r add"ons L. I 5 O q
Z
? V Ll???.?.' ?ro
Fee: $90.00
1r ((?riee:l,l? ?I'l`t94'??1
JUN 0 6 2002 IL I
??+--
---------------------- ---- - - - -
I hereby acknowledge at I have read this applicatlon, state mat the information is
with all applicable St of Minnesota Statutes and Ci1y of Eaga9-6rdrrVces,?/ `
OFFICE USE ONLY
_ Water Softener _ Lawn SpA
Water Heaker No. of R.I.
No. of Baths
Ph
Air Conditioning
Heat Recovery System
and agree
Certificates of Survey Received _ Tree Areservatio» Plan Received _ Not Required _
Updated 4102
RESIDENTIAL
- ' ' BUILDING PERMIT APPLICATION
CITY OF EAGAN
/ 3830 PILOT KNOB RD, EAGAN MN 55122 1 I 3.?
o53U ?S 651-681-4675
New Construction Reauiramenla RemodellReoair ReauiremeMf
• 3 registered site surveys showing sq. R of l04 sq. ft. of house; and all roo(ed areas • 1 coPies of plan
(20°h mazimum lol coverage allowed) . t sel of Erreyy Calada6ons for heated additions
• 2 copies of plan showing beam 8 windax saes; poured fouM desgn, elc.) . • 1 site survey fa extenor additbns 8 decks *
• 1 sel of Energy Calculations . InCiwte if home served by sepfic system for addiGons
• 3 copies of 7ree Preservation Plan il lol platted after 711N3
. Rim Jaist Detad OpUans selec0on sheet (hldgs vnth 3 or lesg wi4t)
DATE ?'/:3/6 --)- VALUAflON
3o 6(eeI21e4-1, t2
SITE ADDRESS ? MULTI-FAMILY BLDG ' Y ZN
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT CJT'{'zt_:?
STREET ADDRESS 75(o N- W 4?>, ?- CITY N?pJ??9a- STAT? ZIP ?Sll?
TELEPHONE # liS/-[93J-G?? CELL PHONE #.??61a) 30a5'20? FAX #651' 6 3S ?Q6 ?
0
PROPERTYOWNER 409220?? , TELEPHONE#
---------------------------------------------- ---------------------- -...... ----°--------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:1 RliLES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residentiai VentilaUon Category 1 Worksheet SubmiGed • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: Phone # _
Plumbing system includes: _ Water Softener _ Lawn Sp ? ???.00
Water Heater No. of R.I. ?
_ No. of Baths ???? p 5 2002
Mechanical Coniractor. Phon
Vlechanical system includes: _ Air Conditioning gy ,__
Heat Recovery System
Sewer/Water Conhactor. Phone #
-----------------°-°--°--------°--°--°-°---•-----------------------------------------------------------------------
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 5 atutes and City of Eagan 0 rPI166nce?
Signature of Applicant %
°-°°.._....._--'--°----W....r-----•-------??..._..----------
OFFTCE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
n ?
o ? 6%
1n
z
r- -
?
?
U,
f
?
?
?
k?
?
?
7 41
0
r?
?
?
S
MASTER CAftD
LOCATION ? • 's 0 I O,
t_
OWNER
STRUCTUR.cAND
IAND USED AS
Permit
No. I
Issued Issued To
Contractor Owner
BUILDING &y7 ?-f,. v 4,40000,
•
PLUMBING 'j%y0
° -? ?„?
CESSPOOL - SEPTIC TANK v
1141`?_? /
WELL ?L 6
.A9 rAT. (?i?
ELECTRICAL
HEATING -109
GAS INSTAtLING
SANITARY SEWER I
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING .. SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATWG
_7
3 DEPTH
OF WELL
GAS INSTALIATION
SEPTIC TANK
CESSPOOL I ?' .. ..
DRAINFIELD ,
PLUMBING
WELL
SANITARY SEWER
79
Violations Noted
on Back
COMMENTS:
UQ. WELI, RECGFS)
, .s?+rier a.c'.dzess ? VILLAGi OF E:+:AN
,?:-A.
I.Y.
//o il` 5-•zr4?1'?-??s?'3'?'s
vtata Licence No. Permit No, Da e '
C o?'T tt YC?-kl 4t.'e>..l/ P'A : f%?'da r1 •?? t%i` l?'S'r"S7`. GC/- ./. .. ?d
Di•il?.:L-?g Compar_?* Addre Telepbc^e
°---
Siza oi 6Ie11 ? Inehes ; Water Level o __ ree t
We ii I:ayth Feet ' Draw Down _ Feet at %,S` -GPi+I
Cnaing Pepth !.S` f? F'eet Capacity Gallons p°!"/rrc.,
Thickness
Started Ehded of
of F'ornati.on Color Depth Depth Formation
q/ofX- aj C?J
Y-
?3f' 4T 57 Se7,dttl %05- j/:S` /0 ?Plf : f _
; i-,r s?n.1 iis l4-142 ??sLL iort- >
ir' d % S s` 1-
l?' .sSlt"£/ g"t7PC?fi __
FS/nf" ??/
Exterior Space Around Casing Sealed With: qCement Grout 39Puddled Cley
GlOther
Disinfectant Used
Hours LeYt in Well
9111-//.322r-a-J/V .:s?•???i?t???.?
DrilYer's
RN`I'URN THIS RECORD AFTER COMPLETION
L?_ CITY Or EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FA+tILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------------------------------------
WORK DESCRIPTION
CITY USE ONLY
RECEIYT # S
DATE a?.5 9
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
NEW CONST _
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS:
/11W
NO
IN3TAI.LER:
ADDRESS:
CITY
2IP:
PHONE
T
Q? ? ??
-???
?C lATURE OF PERMITTEE?
?
FIXTURES EA.
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT T[JB/SPA 3.00
WATER HEATER 3.00
FI.OOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPEIZINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARG
TOTAL
TOTAL
i, d
E .50
' COMMSFiCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI./INDUSTRIAL BUILDINGS. ALSO FOR. MULTI -FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRE55:
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TDTAL:
( S IGNATl1RE )
$
'yauuk
(Y
?
------------------
? FarQfficeUse ?
j Percnit #:
i Permit Fee:
? Date Received: j
I ?
I StaB: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: O z? 'a e, Site Address:
Tenant: k v a pt'Z e4 Suite #:
RESIDENT / OWNER Name: Phone:
Address ! City / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description o( wark: /ee??pp¢
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: Yek? ?DV??i/? ??C?5 U?G License #: ZG5'(5 29 SS
Address: IjPS4'0 'e?- -
City: 69 -ei State: ? Zip: SS3 7?{
r ?
Phone: 7G?7-5?27-9ZFZ ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enef9Y COdO . Residential Ventilation Category 7 Worksheet ? New Ener9y Code Worksheet
Cate90fY Submined Submitted
(4 Submission type) • Energy Envelope Calculations Submitled
In the last 12 months, has the City of Eagan issued a permit for a simiiar plan based on a masier plan?
_Yes _No If yes, date and address oi master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTEiPlans and supporting documents that you submit are considered to be pablic informatfon. Portlons of
the informat/on may be classified as non-pubfic if you provide speciflc reasons that wou/d permif the City to
conclude that the are trade secrets.
I hereby acknowledge Ihat ihis iniormation is complete and accurate; thal the work will be in contormance with Ihe ortlinances and codes ol Ihe Ciry oi
Eagan; that i understand ihis is nof a permit, but only an application for a permit, and work is nol to start without a permil; Ihat the work will be in
accordance with ihe approved plan in the case of work which requires a review and approval of plans. x ??v'w 4's s, X ZA
Applicant's Printed Name ApplicanYs Signafure
Page 1 of 3
fi
CITY OF EAGAN
1992 SEWER & WATER CONNECTION CHARGES
EXISTING RESIDENTIAL PROPERTIES
SAC '?,
Date pr iously
Receipt #
Accourtt deposA
Sewer permit and
Subtotal
+ SeW#r tap
$
15.00
15.50
95.00
300.00
15•50
$1,116.00
Date
15.00 Account depbsit
15.50 Water permit &
Water meter
$830.50 Treatment plant
Plumbing permit
Subtotal
+ Water tap
Sewer $ water connection charges
SAC $ 4889-69-ra.
Date previously paid 0e/08/73 Receipt # 8219
Water connection 675.00
Date previously paid Receipt #
Account deposit 30.00
Sewer & water permit and surcharge 30.50
Water meter' 95.00
Treatment plant fee 300.00
Plumbing permit and surcharge 15.50
Subtotal $1,946.00
+ Sewer & water taps
TOt81 C $1,146.00
OFFICE USE ONLY
PRV ?[ e 5 Property owner xoNaLn & rarELa r.nxsox
No. of taps u1 z Telephone no. 452-10e4
Assessments N7n e Address 4530 GREENLEAF DR E
Waiver !on - Lot 3 Bik 1 Sect SOUTH OAKS
paid
'°OL la?q,
C tia0 ss7
P I D # 10-71200-030-01
SPECIAL ASSESSMENT SEARCH SUMMARY
AS OF: 08/11/1992
PROPERTY ID: 10-71200-030-01
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF
100814 SS-TRK 1983 15 10.0000 617.00 0.00 0.00
100815 S-TRK 1983 15 10.0000 370.00 0.00 0.00
101926 SL 536 1989 20 9.0000 3517.60 175.88 2989.96
101927 SLTK 536 1989 20 9.0000 145.09 7.25 123.34
101928 WTK 536 1989 20 9.0000 655.00 32.75 556.75
101929 WL 536 1989 20 9.0000 2417.11 120.85 2054.56
101930 WLTK 536 1989 20 9.0000 66.17 3.30 56.27
101931 WSSVC 536 1989 20 9.0000 744.14 37.20 632.54
101932 SS 536 1989 20 9.0000 1400.32 70.01 1190.29
101933 ST 536 1989 20 9.0000 4812.37 240.61 4090.54
102064 ST LT 586 1990 03 8.0000 261.94 87.31 87.32
102229 DELIN UTIL 1991 01 0.0000 6.44 0.00 0.00
------ SZJAII4ARY OF LEVIED 14019.74 775.16 11781.57
****** 1992 P&I CERTIFIED 1903.52
------ SUHII4ARY OF DEFERRED 0.00 0.00 0.00
------ SiRMIIKARY OF PENDING 0.00 0.00 0.00
CD
PP
PP
PP
Press ENTER; or F1, F4, F5, F7, F8
Use BLUE or BLACK Ink
-----------------,
� For Office Use I
I � �
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� Permit Fee:� ' Q�
3830 Pilot Knob Road I
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Eagan MN 55122 �
Phone:(651)675-5675 j Date Received: -' � �
Fax:(651)675-5694 I �
I Staff. , �
�----------- ----�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: ����"( � Site Address: `'t S�� cs ! ��.Q�.i`��� �n. �„/��.1�Q.� �.1J
Tenant: E � l�La� �!7 � Suite#:
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: 2� �� �/�
��51t��#��1'�+��"- Name:�'Q,i�l�l�t �1 Phone: ��'���-1`�► T'�l
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' Addres /City/Zip:
y � 1
Name: � � .G
� � y,,,� � � , 1 p� /� w
�++[)�t'!"l�`�,C�Qi` ° Address: �� � � 1�'tl,L�/UY7 [.Z.(.�� �W �`�o (�t�"tC7 6�-
�� State: �n Zip: ,�t��j�?j Phone: �'�03-�C�',7-'���'
t, �i � t�,� �
4 Contact: It,./Y/'t �k�Ul� Emaii: ��1�"')O(� �U�hV�C.W' ✓3'�
`;� New ✓ Replacement Additional Alteration Demolition
?"�'p��#�f��� ' Description of work:
I��iT��F�oof irt�ount��!ar��t�rour��'rnaur�tr�d m�ch��t�cat ec{u���d�i��s�zr�uir���fa!�e s�ec��d�y Ci+ty
, Gc��l�. Pl��se��t�tac#��,�if��h�ni��1 I'ns��t�tr f�r�n#t�rr;►1�t#i�'h vn���ec!s��t��t���n��:. ,'
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RESIDENTIAL COMMERCIAL
� :� �Furnace New Construction Interior Improvement
�`' X�� ' Air Conditioner Install Piping Processed
,.�
���'�1'lt��'�� f,: —
1 � _Air Exchanger Gas Exterior HVAC Unit
T.
, � _Heat Pump _Under/Above ground Tank �Install/_Remove)
� �
,5�. Other
RESIDENTIAL FEES
$t3�.�1iP t�linimum�1dd er aiteration to an existing unit, incluiies State SU;c��arge
$100.00 Residential New, includes State Surcharge =$ ��• �� TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
Surcharge=Contract Value x$0.0005
_$ Surcharge
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 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 n t to start without a permit;that the work will be in accordance
with the pproved plan in the case of work which requires a review and approval of plans.
�� �� , ,_
Appli nt's Printed Name pplican 's Signat re
��R f��F����1�� �
;�e��r�ns�re.��on�, ,�;, R�uiewe
d:�� ...
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tJnd�r��unt� �s F��augh Iri A�r T��t.: C�s Servi��Test Irr-flvor l��t Finai �1�11��-S�reentn;+�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167742
Date Issued:03/29/2021
Permit Category:ePermit
Site Address: 4530 Greenleaf Dr E
Lot:3 Block: 1 Addition: South Oaks
PID:10-71200-01-030
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Joshua Mcclure
4530 Greenleaf Dr E
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature