4571 Greenleaf Dr EBLDG. PERMIT NO. _
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
,
20-3868
Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
DATE:
4/26/89
1 ''RE: 4571 SAS'[ GRSEttLEA! DR1VE. L3, 135, SDUTH OAi(S .
? Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above properry cannot be completed for the following
?. reasons:
,
? Your Sewer & Water Permit for the above property has been completed, but the meter cannot
he issued or, occupancy allowed until further natice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REUUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Building Inspections Dept.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PLRMIT # ' SEWER PERMIT #
METER # 4(2A 3<9 :' W_ RECEIPT # ? i] ,) ?6R ;Q'?t. RECEIPT DATE 4 24/8y
S METER SIZE S`fARa c-
ISSUE DATE 7.._2,c?, - PRV _ BOOSTER PUMP
SI-PEADDRESS 4571 : t6T GCF NiFA? D(t
LOT I BLOCK ?S' SEC/SUB so li Th u tt S
APPLICANT: ?Ll C L A R iC FtA ('
ADDRESS: '-fS? ! C-RST G(ZEEl%lLE AF Df? Itf
C?TY, 5TATE E t+ N?Iv ZIp SSo _73
PHONE: `tj 2 ' 7-2-4-7
PLUMBER:_
ADDRESS:_
CITY, STATE
PHONE: _
ZIP
PERMIT REQUESTED
X_ SEWER / WATER _ TAPS
- COMM/IND
NEW
? RESIDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
?
OWNER: s c: rn? r31 ?r a..?-
ADDRESS: SIGNATUR WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STO M SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
?
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # ` SEWER PERMIT #
METER # 80 RECEIPT # ' READER # S&*M RECEIPT DATE METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
SITEADDRESS 4- _ ' -,-. T G'(ttNL E/iF DLOT1BLOCK 'N SEC/SUB " )"111 ankr, `\
APPLICANT: UV Ri c t} ri R0.?
ADDRESS: 1q.5 '1 r L•. ,..? C ''• l l=!'-' L ? D(hiF
CITY, St-ATE L r`'tG .u`1 v ZIP L-` 1 2-3
PHONE:
?
PLUMBER:
ADDRESS:_
CITY, STATE
PHON E: -
ZIP
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REGIUESTED
X SEWER f WATER _ TAPS
COMM/IND X RESIDENTIAL
?.
NEW ? EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERIAITS, CONTACT
ENGINEERING DEPT.
PERMIT #
F
PHONE: 454-8100
SiteAddress f
Lot - Block 5 Sec/Sub'•'" ^
? Name?n /s
w Address?
'
`
c City, ,iQn? r
n PJ Phone%
r
?
Name ?= (C - t ? r\ c 4n ,• : -' i
C
3 ?L
AddrQss ` ) I t • . (;?:?,.? ?
-
'
?
$??'2
`
O Ciry_?
•
?
Phonet
yl
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 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
BEYOND $1,000.00)
SIGNATURE QF-PERMITTEE
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTUFiES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - S3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaliBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
CITY OF EAGAN Remarks
Additi n Lot 3 Blk 5 Parcel 10 71.200 030 05
oWne? ? street _ 4571 E. Greenleaf Dr. State Eagan+NN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURr.
STREET RESTOR.
GRADING
SAN 5EW TRUNK 24.67 15
SEWERLATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1984 7 QQ 41.13 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 114 5-75
SAC 425.0 114 5--5-75
PAR K
t
CITY of EAGAN
BUILDING IaERMIT
Ownam .... ........ ....._...... . Q.s......................
-
Addrecs (Psasen 74i17
................................................... "'---•-r-'------...
?
s?iiaa: ...........?:?.......1.?.-??-! .....................:............
Aaa:ea. ............ . .... -?? ..................................
DESCRIPTION
?
. .
N4 3569
3795 Pilo! Knob Road
Eagan, Minnesoia 55122
454•8100
Dela
aries To Be Uced For Froni Depth Heigh! Est. Coa! ermi! Fea Remasks
7 ,W'/' 5 ls
7- .r'-
LOCATION / <;'-o. S -?
or
This permit does not aulhorize the use of sireeis, roads, elleys or sidewalks nor doen it give the owner or hls agea!
the righ! !o create anp situazion whichis a nuisanee or which presenis a hazard !o the heellh, safely. eonveaieneo and
general welfare So anpone in the community.
THIS PERMIT MUST BE K?JEPT ON THE PREMISE WHILE THE WOHK IS IN PROGA SS.
This is !o cerlify, lhai.....d:,?..L...Ct.::......k?........... has permission !o ereet a .... .......... .._...._...----_.... ............. _upon
the above described premise subjecf !o the pxovisions of all applicable Ordinances for fhe CiY of Eag? .
.'__"" '." _'... ....__"'. _ -.._. y
? -= r.?:. .Y.: ?.^--..-.................... pa: ...................__....--?? -?-` •-- --.-.---?:•`•?:y,.?. _..._................
-
Ma or Suildiny. Impacfos
-A
•
CI?^I OF i:AG2N
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 706
The City of Eagan hereby grants,to FREDRICRSON PEATING& A/C Oo.
Air Cond.
a fHEATINGI Permit for:
(Owner) Brvice Richarda
at 4571 E. Greenleaf Dr. , pursuant to application dated 7/14/75
Fee Paid: $20.00 dated this 21 day of July ? 19 75 .
.50 s/c
Building Inspector
Meehanical Permits:
e£ 4030 Beau d'RUe Drive. Eaaan 55122
Bid Totalc
? f
CITY OF EtaG9N
3795 Pilot Knob Road
Eagan,'Minnesota 55122
PERMIT N0.• 575
The City of Eagan hereby grants to National Installars
of 3217 Hillsbox'o Ave 8o New Hopg MN 55427
a Plwnbing Permit for: (Owner) B Richarda
at 4571 E. Greenleaf Drive, pursuant to application dated 7/1/75 •
Fee Paid: $20.00 dated this 14thday of a„1v 19 75 •
.5o s/c
Building Inspector
Mechanical Permits:
Bid Total:
jb-?)3-7
?i/ ,9yy
2005 RESIDENTIAL BUILDING PERMIT APPLICATIO
City Of Eagan i?4
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis RemodellReoair Reauiremenis Office Ek8 OCilu
3 registered site suNeys showing sq. fl. of lot, sq. fi. of house; and all roofed areas 2 copies o( plan CetkaF Surney Recd
(20% maximum lot coverage allowed) t set of Energy Calculations for heated additions 'itee PresPlsnRecd Y
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tre9 PreSReqwr2d
isetofEnargyCalculations Addrtion - indicatedortisdesepticsystem i3tt-511459pti0y5t2fit P1'.
3 copies of Tree Preservalion Plan if bt platted afler 7l1l93
Rim Joisl Oehail Options selection sheet (buildings with 3 or less uniis)
DBlC 99
SiteAddresa
?2 an Construction Cost I SO eDD"
DiJ. E. UniUSte #
?''cn -
Description of Work I ,
2 a x3? 1
? C' I`?(C v? (?I /?a r? aj C f5e
Multi-Family Bldg _ Y N Ftireplace(s) _ 0 >?' 1 _ 2
PropeMyOwner 11,f U?'e --F•I111 fe?(G14S Telephone#(6S( ) 45)? ?a
Contractor ?3 rCIL e G+tiS'?Tu JJcvi ,LLiL
Addresa S
State J? ?1 • lAr'`-e cr', ?4C`'Q
Zip ?J 07 City ?r_l P.
/
Telephone #(L( 2)5??- ` I 1 3?P
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilatlon Category 7 Worksheet • New Energy Code Worksheet
(J su6misslon type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer(Water Conhactor
Telephone #(
Telephone #(
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN
Statutes; 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 re uires a review and
approval of plans.
Applicant'lls Printed Name Applican 's Signature ?? ?!
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 Ofi-plex ? 18 Fireplace ? 21 Porch (3-sea. ) O 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-pieac ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
??F
? 06 04-plex ? 12 12-plex Plbg_v or_ N ? 25 Miscellaneous
Work Types 3 n (4 14) P -le 5 6- 1'I JEi? & E'
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)RZ-33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) • Give PCA hantlout to applicant
Valuation SC?f iT" Occupancy( F2-3U ? MCES System
Plan Review 100% or 25%
7J1' 'q3 8
Census Code Zoning City Water
SAC Uni[s Stories Z Baoster Pump
# of Units Sq. Ft. 7L/ 7 PRV
# of Bldgs Length Fire Sprinklered
Type of Const V/ Width 77 ' ,
REQUIRED IN5PECTIONS
_ Foodngs (new bldg) FinaUC.O.
Footings (deck) ? FinaUNo C.O.
$ Footings (addilion) _ Plumbing
)0 Foundalion HVAC
_ Drain Tile Other
Roof ? Ice & Water V Final Pool Ftgs Air/Gas Tests Final
?' Framing Siding _ Stucco _ Stone _ Brick
? Fireplace _n R.I. X AirTest Y Final
Windows
)0 Insulation _
_ Retaining Wall
Approved By?U?'/ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/E5 SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
(?-? ?z? Crt: ,? a ` V :3 6'
y'?lU.? ?/7?i?i eo'? •?.?` /? ??a
X/6?r?p=1z67z.-
X5-q.en? . = q 2 7C-18 , -
Aug 10 05 02:43p Doug and Susan Brue 651-340-9087
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REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Release I
Data filename: Untitled.rck
PROJECT T1TLE: Bryce and Sally Richazds Addition
COIJNTY: Dakota
STAT'E: Minnesota
ZONE: 2
CONSTRUCTION'fYPE: Single Family
WINDOW / WALL RAT10: 0.22
DAT'E: 08/05/05
DAT'E OF PLANS: 7/28/05
PROJECT DESCRIPTION:
22' x 36' addition. Home is located at 4571 E Greenleaf Dr. Eagan,
MN
DESIGNER/CONTRACTOR:
Doug Broe Construction, Inc.
11165 Alameda Ave
Inver Grove Heigltts, MN 55077
COMPLIANCE: Passes
Maximum UA = 149
Your Home UA = 149
0.0% Better Than Code (UA)
Permit Number
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poor
Penmeter -B 31n? -Blug 3L-FacTVS 3J6
Ceiling 1: Raised or Energy Truss 792 44.0 0.0 17
Wall 1: Wood Frame, 16" o.c. 928 19.0 0.0 42
Window 1: `
Above-Grade:Melal Frame with Thermal Break:Double Pane with Low-E
172 0310 53
Door 1: Glass 36 0310 11
Floor 1: All-WOOd JoisvTruss:Over Uncondi6oned Space 792 30.0 0.0 26
Furnace 1: Forced Hot Air, 78 AFUE
A'u Conditioner 1: Electric Central Air, 10 SEER
Proposed and Maiimom U-Factor Averages
Proposed Maximum
r
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0310 0370
Includes Foundation W indows > 5.6 ft2
Floors Over Unconditioned Space 0.033 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.6 Release 1(formerly MECchec4 and to
comply with the mandatory requirements listed in the REScheckInspection Check[ist.
Builder/Designer ???ZCGN? ?1 '?/Zc? Date ? 5
CITY OF EAGAN
SEWER & iJATER CONNECTION CHARGES - 1989
E%ISTING PROPERTIFS
SEWER CONNECTION CHARGES WATER CONNECTION CHARGES
SAC $ -675;00- WATER CONNECTION $ 580.00
Previousl Pd. 5 - ? -
Y
Previously Pd.
Receipt 1k ?1Q' Receipt ll
ACCOUNT DEPOSIT 15.00 WATER METER 90.00
SEWER DEPOSIT 10.50 TREATMENT SURCHAAGE 228.00
TOTAL: $--7-00;50-. ACCOONT DEPQSIT 15.00
•?(5 S (J? WATER PERMIT 10.50
PLUMBING PERMIT 12.50
TOTAL: $ 936.00
TOTAL FOR SEWER & HATER HOOK-UP:
OFFICE USE ONLY
PROPERTY OWNER: %1,Z--.. A L?.?rrr ,?
// C? ('/•
ADDRESS:
G
L:.f) Bs .=? ADD:
?-z4- 89
v., f'? rHE F%nal Ass?? f
WAIVER OF HEARING OF SPECIAL ASSIGNME TO ? ?F O C CSS
City Pro3ect No. 536 yeR. "n
??
I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to
assess the following described property owned by me/us:
Lot 3. Block 5. South Oaks Addition
for the benefit received from the following improvements, constructed under City
Project No. 536. Said assessments have been preliminarily computed as follows:
ITEM OIIANTITY RATE AMOUNT PROJECT
Sanitazy Sewer
Lateral 1 ea/lot 3,943.00 $3,943.00 536
Water main Trunk
Area 1 ea/lot 655.00 655.00 536
Water main Lateral 1 ea/lot 3,252.00 3,252.00 536
Services 1 ea/lot 929.00 929.00 536
Storm Sewer 1 ea/lot 934.00 934.00 536
Street 1 ea/lot 7,361.00 7,361.00 536
TOTAL $ 17.074.00
to be spread over 15 years at an annual interest rate of 9$ against any remaining
unpaid balance.
The undersigned, for themselves, their heirs, executors, administrators,
successors and assigns, hereby waive notice of any and all hearings necessary,
and waive ohjections to any technical defects in any proceedings related to these
assessments, and further waive the right to object to or appeal from these
assessments made pursuant to this agreement.
Dated: ?I, ?- V . V,w.L"d'j
Bry e A. Richards
?? ?? z.,,Q-a;..Lr
Sally R' ards
STATE 0 ??!T7'--?'??C•--? )
)SS
COUNTY OF
On this a/!?v day of 65?? , hefore me a
t ry Publ)'c,/ with}"n and for said Cox&lity, personally appeared
?2 ?iX?, C«i-r.?to me personally known to be the person_described in
and who executed the fore in& instrument and acknowledged that ?
executed the same as free act and deed
----------------- Notary ic
NAAIiYN l W11CNERPFEIAI6 AP ROVED C
ND?ANY PUBLIC - MINNESOTA
IDAKOTA COUNTY Eagan Public Works Director
uy Commission EzD kb !. 1=
N
:?;:..,._:,..: ,.._ . __
,:,:... -.L..,. .., ;.oi-'I'_iC;
,
. i 1 ?.L ?, , !!_.i_s ?.G-._. i-dlri.•iti;ii;iiit?:F.sti(`ia
S:-?:=1.. ?-, ? - -,.L.. . .f;?._ ... f:priSc4_ ?. ti?:?-:f'3 ... . . _.t:i?ii::.i`.I?(;'_ ?_.::.-
_lc•1h•.;iri'y
_'
tRuF-:-.itl"Y I.D. . iL,= 5fr` ' i.,ii_. .,.: nb:;1.,5, I??_(il_;' ...........
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; .
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,. ._,...q...._....??_-r..r..,..sl.._?-.?,I.? ?
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::.A,* r:;c .,ESSI [Ivf 17E:ril.' R. 'f1 t ;: Rill-. T(.]IC?L :y1!I.,1RIi;, f'(?Y(JFt' C.1.,i1ENT
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11: P3 f -:=,:(iUI H ClAKS IJT.L'L ", ST 00 0 ,00.., 17074. 00 17074.00 17074. 00 t' L ND
****_* _iur,!ynRv ;r nCi I r:. 957. , 6::.21 592. 22
**:? 6 t w. THIS Y?.ii"?R
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q.-k..,M,.*#* SI.ji.^MAr;4' {JF_ 1-'.'NAJ'iNG 1707::}, 0t1 17074.. 0_i
- p I ?
- Improvement _ .
Date
Amount
Annual
Years
Payment
Receipt
Oate
. STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK g
SEWER LATERAL
?. WATERMAIN
WATER LATEftAL
WATER AREA
STOflM SEW TRK 1984 617.00 ].
STORM SEW LAT
-
CURB & GUTTER
SIDEWALK
STREET LIGHT
i ?
WATER CONN. ?
BUILDING PER.
11
-
SAC Z .O ? - '
PARK
MASTER CARD
OWNER
STRUCTURE A
LAND USED S D '
p"
Permit
No. '
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING ? fl I
CESSPOOL - SEPTIC TANK
WELL
C- ao-7-Y
ELECTRIGAL ?
HEATING
GAS INSTALLING
d! /
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
. Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
,?s 7
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
L1M . 430.50
2005 RESIDENTIAL MECHANICAL PERMIT AYPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings &[ownhomes/condos when pami[s aze requiced for each unit Date %C
Site Address ???? ? C???PP,?+Z Pt t Dr Unit #
Property Owner ?)(? C z' eiG'Lr)S Telephone #(kSJ
Contractor
Street Address City
State Zip Telephone #
Bond #• Espires:
The Applicant is _ Owner Contrador _ Other
Add-on or alteration to existing dwelling unit $ 30.00
_ fumace XAdditional _Replacement New
_ air exchanger
_ airconditioner
heatpump
r
other. ?
-
? i
\
State Surcharge $ .50
Total $ 30• ? O
I hereby apply for a Residential Mechanical Pernut and acknowledge that the informaflon is complete and accurate; that Ihe work will
be in conformance with the ordinaznces and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicalion for a permit, and work is not to start without a permit; that the work will be in accordance cvith the
apprwed plan in [he case of work which requires a review and apprwal of pl
? JO '?Y C 7 v4 fI '/l7?<^? ?
Applican 's Printed Name Alicanys Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176068
Date Issued:04/29/2022
Permit Category:ePermit
Site Address: 4571 Greenleaf Dr E
Lot:3 Block: 5 Addition: South Oaks
PID:10-71200-05-030
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 -
Bryce A & Sally J Richards
4571 Greenleaf Dr E
Saint Paul MN 55123--205
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature