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565 Greenleaf Dr N PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA094359 Date Issued: 06/10/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 565 Greenleaf Dr N Lot: 5 Block: I Addition: South Oaks PID:10-71200-050-01 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen hirsten G Larsen 1920 County Road C West 565 Greenleaf Dr N Roseville NIN 55113 Eagan NIN 55123 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA085775 Eagan, MN 55122 . Date Issued: 09/03/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 565 Greenleaf Dr N Lot: 5 Block: 1 Addition: South Oaks PID 10-71200-050-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Crew2 Inc Kirsten G Larsen 2650 Minnehaha Ave 565 Greenleaf Dr N Minneapolis MN 55406 Eagan MN 55123 (612) 276-1680 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA091288 Eagan, MN 55122 . Date Issued: 09/23/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 565 Greenleaf Dr N Lot: 5 Block: 1 Addition: South Oaks PID 10-71200-050-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Kirsten G Larsen 1920 County Road C West 565 Greenleaf Dr N Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ,---Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , . . , ,. SITE ADDRESS: APPLICANT: •?EI P tf i?nk' ! r? t:` )?•l?r? .:' ;!, I PERMIT SUBTYPE: TYPE OF WORK: , 0 . . , I , '; I INSPECTION DA • D• ; 1 hiA9,? •, t:?! I?i1i?l! 1 t•:?? 4{?!?1'.i ??tlf?f?h( `??C? ! 11i°f-!t II??tS !i l , ! ?. .. L_? , ? Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPIACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3795 Pilot Knob Roed Eogan, Mtnnesote 55122 Phoee: 454-8100 Dote: ATFR SGFTENER PERMiT ecember 28, 1977 Site Address: 65 No. Greenleaf Drive ?? Lot ? Block _Z Sub/Sec. _; o. n, , a k ... s Name _ i.arser. . ? Address - ? City acra fl Phone: Nome? ?i -i h e r ti t^ o i`? o ? ? ? Addreu " 3 r F . ? U City Phone: This Permit is issued on the express condition that oll work shall be , Minne totutes ond City of Eagon Ordinances. No. -L Receipt No.: Single I Residential ' Multi Res., Comm./Ind. I New/Alter./Repair. `%' z t z o n Cost of Instollation Pertnit Fee Surcharye Total done in acrnrdonca with all applicable State of Officiol CITY OF EAGAN Remarks Addition South Oaks Lot 5 Bik 7 Peroei 10 71900 nsn 03 Ownerilrti_A? `5treet 565 No. Gz'eenleaf nr_ State_ Eaclan.MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ' STREET RESTOR. GRADING SAN 5EW TRUNK 96- 1984 370.00 24.67 15 SEWER LATERAL ' WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 19? 617. QQ 41.1 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. . . _ ? . ^ BUILDING PER. SAC - - PARK CITY OF EAGAN . 3745 Pilot Knob Rood * • Eogon, Minnawta 55122 Phone: 454-8100 PERMIT Date: Site Address: 18• 1977 565 No. Greenleaf Dr. Lot Block 1 Sub/Sec. So• Oaks Name ` & F; Heim $ldrs. 1'?/dd ress City -ac?an Phone: ` Name 1-?an tie 11 C`.o. g Address 1474L ,'" • Rohert r'rail e ? CitY Phone: This Permit is issued on the express condition that all work sholl be Minnesota Statutes ond City of Eagan Ordinances. No. Receipt No.: Single Residential Multi Res., Comm./Ind. I New /Alter./ Repoir `0-"d Cost of Instollation 10.00 Pertnit Fee Surcharge n Total done in accordonce with all applicabte Stote of Building Official CITY OF EAGAN . 3795 Pilot Knob Roud r • Eagan, MinnesoM 55122 Phone: 454-8100 - - -: r• .?_ ;,- '?P•^,p? PERMIT Dare: 1-7, 1q77 Site Address: MO • `reenlpa Lot .' Biock " Sub/Sec. 0`} No Receipt No.: Single I Residentiol Multi Res., Comm./Ind. ( ' Na IVew/Alter./Repair ; Address Cost of Installotion - O gail f City - Phone: Permit Fee -- eierke 7`renching ' ? Name K Iieim` ?'? Surchar9e '? ? P Address e v ••:;rt?' n , . ., City Phone: Total - This Permit is issued on the express condition that oll work shall be done in accordance with all applicable State of l Minnesota 5tntutes and City of Eagan Ordinances. Building Officiul CITY OF EAGAN .. 3795 Pilot Knob Rond Eogan, Minnesota 55122 Phone: 454-8100 '?T,r'MBINC: PERMIT Date: "'arch 30, 1977 Site Address: '`'--) No. (1reenleaf 1)r. lot' Blxk 1 Sub/Sec.SOuth Oaks Name :'r c.ve He:, - . . 0 ; Address O City "aqan Phone: Name Genz-Ryan Plumbir.Q & Iieatinq Tnc. . ? Address 14745 So. RDbert TraiJ e ? Cih, "ot-:F>'tour.t Phone: This Pe?mit is issued on the express condition that all work shall be Minnesota Statutes ond City of Eagan Ordinances. No. ' r r r Receipt No.: ` Single Residentiol x Multi Res., Comm./Ind. I New/Alter./Repair. Cost of Installation Permit Fee ? n. n n 5urcharge .50 Total 20. 5r) done in accordance with all applicable Stote of Building Officiul I BUILDING PERMIT CITY OP EAGAN 3795 Pilot Knob Road Eogon, MN 55122 N2 4236 PHONE: 454-8100 ReceiPt ? K ., •. . # _ .. ... ., _ . 'kar. 11 7i Site Address :q0. CiT^?F'n s d??I UY• Erect 11 Lot S?1uth (??i?CS Block Sec/Sub. - Alter ? Parcel # Repair ? Enlarge ? cc Name ??`• :.i i:a Bldrs. s Move ? Z Address pemolish ? o - =agan n?--- a 34-347 r Grade f-1 °C Name _ ?a ?Q Address ? ?- r:... Name _ Address I hereby acknowtedge that I have rea the information is correct and ugrei State of Minnesota 5tatut=s and C) . _s-- Signature of Permittee ' 1-4 A Building Permit is issued to: -` ' oll work shail be done in actotdance Building Officinl Occuponcy Zoning Fire Zone Type of Const. # Stories Front ft. Depth ft. s Fees Assessment _ Woter & Sew. Police 1e Plonner _ Council _ this opplicotion ond state that gldg. Off to comply with all appiicable APC - of Eagan Ordinance's. . Permit 141 -UU __ Surcharge 1-5• 50 Plan check 5AC 475.04 Woter Conn. - Water Meter Total 6+42. 51. on the express condition that Statutes and City of EaSan Qrdirronces. Pffnit # QaM Imued PonaIft« Plumbing ?? Mechanicol ?L7 / INSPECTIpNS DATE INSP. Rouph-In Flnol Footings ? date Inap. Date Insp. Foundation Plumbing Frame/ins. s? Mechanical -7 Final Remarks: 0 5 CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 Zaning: Owner: ?' - Address: Site Address; Plumber: PERMIT NO.: DATE: No. of Units: ? I agree to eomply with the City of Eagan Connection Charge: Ordinanoes. Account Deposit: Permit Fee: SurCharge: By - Misc. Charges: ? Dote of Insp.: Insp : Total: Date Paid: • -- SEVNER SERVICE PERMIT ? CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 4236 ' PHONE: 454-8100 Tr? BUILDING PERMIT APPLICATION $51,000. Receipt - # 77 Mar. 11 7o be used for SinR. Fam W Att. Gare, oare 19 _ Site Address 565 No, Greenleaf Dr, Erect Occupancy Lot 5 Block 1 Sec/Sub. 5011ih Oaks Alter ? Zoning Parcel # 10 71200 Q50 _Q1 Repair ? fire Zone - Enlorge ? Type of Const. z Name S& K Helm BLaTS.. InC. Move ? # Stories z Address 4591 E. GreenleafDr. Demoiish ? Fronr ft. 3 0 agan 454-347 Grode ? DePth ft. Cit phone ? S2mE As Above ADProrale Fees p Name r ?? Address _ City Phone Name L _? Address <w City Phone I hereby acknowledge thot I have ead this application ond stote that the information is correct ond ree to comply with all a plicable State of Minnesota Statutes an Ci af agan Ordi.7s.. $ignoture of Permitte " A Building Permit is issued to: rc r Tnc all work shall be done in accordance 'th all applicqb State of Mir Building Officiol Assessment - _ Permit 142.00 Water & Sew. Surcharge 25.50 Police Plan check Fire SAC 475.00 Eng. Woter Conn. Plonner Water Meter Council Bldg Of4 . . APC Total 642.50 ?- _ on ihe express candition thot -sota Statutes and City of Eagan Ordinances. House heating test record Owner Address Giy ???xC.?% Heat loss Date htg mst ,5--// -p j soidbv CenterPoint Ener msraxadby CenterPoint Enerqy Electnca! work by CenterPoint Enerqy Heat rype: (IYFA 0 Space heater Gas Ime by Inu &? Umf heater Other Gas design Maka?ifY'r? 15-k0WX6 ) 00 Senal no. ??d 7 /5? /j Yp 36 lnput Controls /LThermostat Hea[ plug Ualve ? Limrt ? c Limit settrng Fan se[tng Prlot rype /ZS % PiloY Gmmg Pressure Hr fire / La 6re Percent COa Ci, L? Inout CFH /OO, Percent O? Stack temp ? h r? Percent CO 1(4" pQrY CenterPoint. Energy Conversion Uanrsrze a/( Kind of hnerlsjze D2ft hood ;2?.J..._? Regulator ? Frlters. 5rze Number L CPomney locabon: 14:1?side 0 Outside Chimneyconstrucbon 6 u Wrnng y,p5 Test tag )/-e-3 Lighting Inst y?5 Date tesied -:5?" '0 7 company ressn9 C/ente/rPoint Ene Tester's name //(p,/(6s-?? R D ,IUN 0 5 2007 02006 CenterPOmt Energy Porm 235 flev QM 10-61683 2007 RESIDENTIAL MECHANICAL rExmuT nrrLrcaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 qb? ? Telephone # 651-675-5675 e? Please complete for: single family dwellings & mwnhomes/condos when permits are required for each unit Date J` / -? / -4, 7 Site Address 5-6, 5 t,o (GGr? `zf0. r V/Y" ? U G / v O Unit #t Property Owner Kt ? n;?L° f\. \"A-r5 D n Telephone # ( (05 l Contractor CENTERPOINT ENERGY StreetAddress 9320 EVERGREEN BLVD SUITE B City COON RAPIDS State MN Zip 55433 Telephone #( 763 ) 757-6202 Bond #: 22013346 Expires: 08/19/2007 The Applicant is _ Owner X ConVactor , Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 V"? furnace _Additional _Replacement _ New air exchanger air conditioner heat pump other h St t S $ arge urc a e V AY 1 1 2007 M Total s Sb. Sd I hereby apply for a Residential Mechanical 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 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 permiY; that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. R06ER HOFFHEIN Applicant's Printed Name ApplicanYs Si na ur?e ?? Report Name: Assessment5earoh Special Assessments Search Printed:9/6/2005 Page: 1 City of Eagan Proger[y ID La Block di i n Addit ion Name/LeQal 10-71200.050-01 005 001 10 71200 South Oaks Property Address proper ty Status - - - - - Special Flags - - - - - IM P&I Cert: 565 Greenleaf Dr N Active 1 2 3 4 5 6 7 8 9 10 $0.00 Eagan, MN 55123 N N N N N N N N N N SA Nbr Descri to ion Yeer Term Rate Total Curr Prin Pavofl Status 100814 SS-TRK 1983 15 10.0000 $617.00 $0.00 $0.00 Prepaid 100815 S-TRK 1983 15 10.0000 $370.00 $0.00 $0.00 Prepaid 101926 SL 536 1990 20 9.0000 $3,517.60 $0.00 $0.00 Prepaid 101927 SLTK536 1990 20 9.0000 $145.09 $0.00 $0.00 Prepaid 101928 WTK 536 1990 20 9.0000 $655.00 $0.00 $0.00 Prepaid 101929 WL 536 1990 20 9.0000 $2,417.11 $0.00 $0.00 Prepaid 101930 WLTK 536 1990 20 9.0000 $66.17 $0.00 $0.00 Prepaid 101931 WSSVC 536 1990 20 9.0000 $744.14 $0.00 $0.00 Prepaid 101932 SS536 1990 20 9.0000 $1,400.32 $0.00 $0.00 Prepaid 101933 ST 536 1989 20 9.0000 $4,81237 $0.00 $0.00 Prepaid 102064 ST LT 586 1990 3 8.0000 $261.94 $0.00 $0.00 Closed Summary of Levied: $0.00 $0.00 $0.00 Svrcunary of Deferred: $0.00 $0.00 Summary of Closed: $15,006.74 Pending Estimate: $0.00 Future Estimate: $0.00 Hookup Fee Estimate: $0.00 ? ? ? b? RESIDENTIAL BTJII.DING Permit Applicatiou City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslruction Reauirements RemodeVRenair Reauirements Office Use Onlv 3 registered sAe surveys showirg sq. ft of lot, sq. ft of house; and all rooted areas 2 copies of plan Cert of Survey Recd (20% mazimum bt coverage allowed) 1 set of Eneigy Calculalions for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additlons & decks Tree Pres Not Reqd lsetofEneyyCalculations Addibbrt•imdcateiiorrsNesepticsystem _On-siteSepUcSystem 3 copies of Tree Preservation Plan if lot platted aker 711/93 Rim Joist Defail Options selecUon sheet (61dgs with 3 or less unifs Date Zo //(0 I v3 ConstrucYion C st 'a200 ? Site Address /'? UniUSte # Description of Work N Multi-Family Bldg _ Y NSreplace(s) _ 0 2 Property Owner x• ? ?S?n/ ?,? J G?4-,}/L d Telephone k( ) Cantractor Address 6',e-di44 Av, City k/CS`T State ow Zip 5`_J7 / ? Telephone # (037 ) V-? ? ?I-T- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building Permit and ackn4 that the work will be in conformance with the ordinances Telephone #( Telephone #? @EJWl?WeD[ that the ]on is complete and accurate; _ Eagan and the State of MN 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 accardance with the approved plan in the case of work which requires a review and approval ofplans. - ?? ApphcanYs Pnnted Name Applicant's Signatur 4 ` CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BurLozNe Permit Number: 0 3 2 5 9 8 Date Issued: 0 7( 2¢+ / 9 S SITE ADDRESS: P.I.N.: 10-71200-050-01 FERMIT 565 GREENLEAF DR N LOT, 5 BLOCK: 1 SOUTM OAKS DESCRIPTION: ? REROOP ?c? Permit 7ype 5f (MI5C.) a:L7i,ld:irig'UQrk Type REPAIR 434 flLT. RESIDENTIAL m t? n ?. ?rewM;v .. e ' .:.,_ % ,xiOe. i L?n! $IJI 41G gl 'tutfl£h ? ?? ?N eiel:;sm? ! ? L?t?`` "' 0- #} -1..4 _,g,im?r?e?" ,skl"w?6 fl%Jf REMARKS: REROOFING MOl1SE GARAGE - 2ND LAYER OVER 1ST. FEESUMMARY: vnLuaTZON $3,000 Base Fee $74.75 Swrcharge $1.50 Total Fee $76.25 CONTRACTOR: - Applicant - 5T. Lzc OWNER: JOHNSON JR, GEORGE 6 15562351 0001016 LAR5tlN KRISTEN $410 GIRARD AVE N 665 GREENIEAF DR N FsR00KLYN CENTER MN 55430 EAGAN MN 55123 (612) 566-2361 (651)454-3373 F?' ? h?reby ?e tk?at Z have i^e?d?'tktis appl?ca??.a? ?n d sta-ts that °th$. rnatXon`'bs cai^,rect and agreet9 e'0_mpw4 Ch ail 'a}zpd.a.??k?.le Stc?-tiu°teg: an:d? :-ari Ori?i_n?nc?s.:` ?-? ? ,.. ? .. ?,, .._. APPLICANTlPERMITEE SIGNATl1RE ISSUED BV: SIGNATURE A5 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construdion Reawrements RemodeVReoair Reauiremants / 3 registered srte suneys ? 2 copies ot plan ? 2 copies of plans (inUude beam & window sizes; pouretl fid. Cesign, etc.) ? 2 site surveys (exterior adtl@ions 8 dacks) ? 1 energy calculations ? 1 energy wlwlaliona for heated adddions ? 3 copies of tree preservetion plan if lot platted after 7/1193 required: _ Yes _ No ? DATE: CONSTRUCTION COST; ? DESCRIPTION OF WORK: /1 ' YOU I h(I1fiF Ca d Gl4/Ld .GV ` STREETADDRESS: 71,p 7 / LOT: ? BLOCK: ` VU (??( SUBD./P.I.D. -Q-w 4).? Name: ??? ?? I(, ?' l ) ? Phone #: " L 7 j ??J ! 3 ? PROPERTY OWNER Last ?( ? O Firsz 6?-? ? PL ip _ Sueet Address: ,? (V - City ? State: Zip: C ?? "? J 1 S(! # i Ph ompany: : one CONTRACTOR Street Address: ? O c l y License # r Cit ? State: Zip: y ARCHITECT/ ENGINEER Company: Phone #: Nazne: Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construetion onty): and lot change is requested once permit is issued. Penalty applies when address chang 1 hereby acknowledge that I have read this appliqtion and state that the infortnation is Cortect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. / n Signature of Applicank S?"- OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Preservation Plan Received - Yes - No - Not Required BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling 0 07 4-plex ? 12 Multi RepaidRem. O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-plex ? 14 Fireplace L4/05 SF Misc. ? 10 = plex ?'15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ?344 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy 2oning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total % SAC _ SAC Units , Basement sq. ft. Main level sq. ft. sq. ft. sq. ft, sq. ft. sq. ft. Footprint sq. ft. Building --7 c- .a5?' Engineering Valuation: $ ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Date: 177 BUILDI't2G PERMIi P.,T'tLSCAT20:'1 LOT :5-- SLOCK ? A.7DIi100 SCJ?T`I npKS PAS'CEL & SECmSOS7 P7UTL9ER IF UiIPLATTED ?J? ?)0/1111 OV; a 61 PDDRFSS OF PARCEL 5(05 %IJQy-TI, E00ee/Jjoe4= pr' 7.OiSIDG OCCUPPSVCY USE ESTIlOATT3D CAST CrC) D 09r>107 54k }i?im 1SU?LUPrS 2ivG TELEPHONE IN70. YS'Y- 3 f171 ADnk:ss y.Y/ tnast C"m.ew1q4'a t>r EAeakr Nl;Ki?u Ss`IJL3 co:aTRAcTor, yk?w!?, mEr.,Eatiown .TO. AFURT'"e;J Notee Include si.te plan, building plans, anii energy calculations afith tlii.s application Si.gned - ' y -__ Y_-._ ??.-? U.^T'2CE USE LP ?490 O ? - ? ? EPC / D71 - S?N^a:;_2 CWi.ECsSW ~ v ?,7!>c2' [MEER *MTER BUIZDING PEP.I32T FEE SiJRCI?ARGE FLL' FL'tf:3 C::PCIf FE;. PAFtK DEDICATIO!1 PEE O'i'::',.I2 TOTfiL* ?) RFPP.OVALS: / A,.,5E:aS'i+L:!'' CLErSC_ ? BUILDIiv'G DEPT. POLICL DEPT ?SAiER & S5`mlR DEPT. FI?LE DEPT. PP.,RIC DEP3'. •°? ?JJf?l. ?? z= ?9 ??-- /yZ;L • 7rr.' 5?jk He;m 13ujLOer:S• =NC. yscil EAsr &'reeuLeA-P br EA 6?ti 1 _ L/ r?4,/ N Ae -c y.? ?? 1 ?asEMeu-r- I3tK ? / I 'i 0 ?i ?n ? -- I a ? 13?7. 93 ; ' E-AGaN Ml N N 551?-3 ??? ? NMf-'('h &r't?,'C'hJL?eA-P Our V>LOC J< 4 La f' ?S Sou h oaks O G ?)OT Tc SQUTH CMKS TOWNSHIP OF EAGAN oacorA cOUNrr, wNIC e.>?.c. w. w.w... . DxMn xm ?nruwm? 8ee..1 .n • 100 hM OcxMIBBB " - ?. -?` _hl:? '.:i /nr •fbY?.fsE? ? N ?f ?S'T /n9f5 ? / 997 „«, ,.:,c , E//V7ef0 ? ?9.e ? _ _€•s!_-__ ' N ? a'? 1 e? ` ? - 21 ii to A,? s ?4 e a?zi!'? rx? •e {o `.? ? ?/ Y r, ? `` li ? _ ?.f'i° =a a.z• r ` '?-?r?>fi ?? crfs`y°?E? ? pw?y? ! ? a ^ - figi y^ yi ? ' ILf2?? / 3 N6?/f06?C e,??1 q5 fsoe Srl??Yl?.-. ? .3y ?4e.i f e ? " " . iaoe ? ? .yo !? )e ? - ?µ.e 's> z ? `•A"'issf ry`pt a.?, t ?k ? n.15'S?f' 0 I' ?1? ` !'? e 2 [Aw¢?» [•.r . * ` .`?.I7 ?? ? ~ ? ? I ' ~z ? I 2 / W o F d ? : J N ? S ? $I31 F." eL W[' ? C ? OO ? a:n.un: Z 5 ??1r? I Itl n .?n -: ye,,._ ?. ? '4'-?,.1 ? Ky..ar Q .? '? I ?M•i? ? ? :°"?io ? ? s_"_ ? a ST ET =s 3?? -3 • , _,?...?_ ?.T.__?, Lt j t Po J a i ?• /fiG fiH y `\ W I o N > - yYj + ?iP e )t'1a' ?y..,h rt iw I ?N Y?\ I°+KE , ISpo \ ? ?'Jq oi :fr V i r•2 -_"_ I? \\\?' n I `?` S YY i ?ili"? ? ?y\??,&?-?j _ i^? _ ??\ ?' ? ? i ?? ? ? ? '` I M 3g TY' .'Y ' ?F •R 9i?,6y I ni 6 £e t` / ` W x /t?ip • t ? p 5 ?r.€ ^y 4?? Yj? 7 f \ S {S - F y ± 2 M?,€ ?,°,r L ??'/??'°y? ? :fia5 ? ?? Y - y ? -- r x - n '?? ? ? rA I ,? rrl?.s??r y? V7tii• ? K r:•)s a a?tiMi{7 . s?•Hir" ? i ? ? • ?`f ?O' •! Z \' I O:i'q'?• S I??? [M?N111 ?i tA fN•f'/?.t/? "?1 . } ,M L Ovxsr ! a+• ?+ SfCirSKaf,TZ7q1) ` ?t, 5au1h/insir3l?iefSE?/ -_"---'--_'---_- • . `r . RESEARCH REPORT-?NO. ?s3-12 : n,CHIMNEY: LINER ?. ? ? ?:,Building Official.',s Code Administrators, lntl. ? ; t7926 South Halsted •: iiamewopd, Illinas 60430 • 312 / 799-2300 ;,`? r ? y- :?%? `i? "?? ^ ? - AHRENS CHIMNEY?LINING SYSTEM ? x,::AHRENS CHIMNEY TECFINIQUES, INC ? 'P.O.?BOX800?. CAMDEN,MAINE048e13.?`.?? • . _ . , . ?„k • , Q6TOber 1 _1983 a k ' t N .'i, x : -' Copyright, 1983 BWldinp OftiGals and Code Adminlsbators Intemationat, Ina ` • - - - . .? v _ .. .. . ? .. ? . . ? . . .?? ' , . . . . TYb?•. " • RESEARCFi CUMMITTEE; RECQMMENDATION LIMITAT[ON5 FpR ACCEPTANCE ;S, Ahrens Chimney Lining System shall not reduce the ? minimum required open aroa otthe chimney passageway. - The Ahrens Chimney Lining Systems listed in this Roport s;; ., ' have becn evaluated for conformance to the 1481 edition : 'Y and 1983 supplement of the BOCA Basic Codes. Ttiese b. Ahrens Chimney Lining Sysum shall be proved tight by a findin8S maY be used as Part ofthetechnicaldataforactt smoke test after installation and beforo being put into tance by jurisidictions administering these codes with the following limitation. ? Ahrens Chimnoy Lining Syscem shaU not be used for 21 1. Ahrens Chimney Lining System shall be instalted in aft er installatian. aecordance with the manufacturer's instaUation - •"' '- instructions IDENTIFICATION . ' 2. Ahrens Chimney Lining System stia116euaed on msspnry z All Ahrens _Chimney' Limng Systems manufactured inchimneys for ]ow heat appliances only pccordattCe with this Research Report shall6e mariced at ihe piant with the identdymg language "See BOCq Rosearch 3. Ahrens Chimney I.ining System shall extend frqm the wAe rt ?!fo. 83-12 tOp OT tht Gh1II70tY [O t]lE Ch1mneY cleanro r , . uS vr firFplace openmg. r'epqrE is subject to annual artification. Tfie failure of ;' : ' ':4r'vCLy3'? " 3 , :?Ay .`*'? ,. , , -. =,•.i v>ar?? ' ":" ; , ?;: ? 4 `' e applicant to comply with thia requirement will result in . a : ?. . .- 4. Installacion shall only be per[ormed by instsllers, cop? ??-,_)Pp$e.of thia report. Furlher nse'ot,` or ieCererice fo thie'_ u,?w - ten[ to perform such work and ctrtified 6 rena C? I Chfq ao,lon$er ne[mittFd. neyTechniques,.Inc..?w;;:.?Y.s€??Yr?",?:?.? - . . . . . . -- _ „_.__ .-..._,;...,...?. ?: Pemut #: Receipt Date: CITY OF EAGAN 2004 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING IIFESgDEN'B'gAY, PROPERTY Address S 6 Sr- Gs'Pw-„ /rrr P" 0,- A?/ Property Owner Telephone # Plumber Date of Inquiry Contact Name 5ewer 4" Se Service $ 600.00 Lateral chazg $24.60/ff Trunk @ $1,000/co kon City SAC 100.00 MCES SAC 1,350.00 Receipt # , Date Septic abandonment 50.00 Permit Fee 00 State Surcharge ? .S $ 1" Water Service-'-? Lateral chazge @ $24.8 Trunk @ $1,040/connec Water supply & storage Receipt # Treatment plant / Permit Fee / State Surchaxg? Ermit required - water acquired with plbg permit Total Sewer and Water OFFICE USE ONLY PRV required _ City _ County R-O-W Pemut Water 4" Sewer Service 1" Water Service -699:9f1 Sewer lateral charge @ $24.60/ff Water lateral chazge @ $24.85/ff Sewer trunk @ $1,000/connection Water trunk @ $1,040/connection City SAC --199.9g MCES SAC Receipt# ?/d30 ,Date3 /, 17 7 ' ' `n n^ =JV.VV Water supply & storage 930.00 Receipt # , Date Treatment plant 588.00 Sepric abandonment 50.00 Pernut Fee 100.00 State Surcharge .50 Total Plumbing permit required Water meter to be acquu'ed with plbg pernut 930.00 $ ? bf?t wfo? Q-J cc: Carolyn Krech, Finance Department SPECIAL ASSESSMENT SEARCH SUMMARY AS OF: 09/28/2004 PROPERTY ID: 10-71200•050•01 S/A# ASSESSMENT DESCHIPT. YEAR TM RATE 100814 SS-TRK 1983 15 10.0000 100815 S-TRK 1983 15 10.0000 101926 SL 536 1989 20 9.0000 101927 SLTK 536 1989 20 9.0000 701928 WTK 536 1989 20 9.0000 101929 WL 536 1989 20 9.0000 701930 WLTK 536 1989 20 9.0000 101931 WSSVC 536 1989 20 9.0000 101932 SS 536 1989 20 9.0000 101933 ST 536 1989 20 9.0000 102064 ST LT 586 1990 03 8.0000 ------ SUMMARY OF LEVIED *"•"" 2004 P&I CERT. ---•-• SUMMARY OF OEFER. ------ SUMMARY OF CLOSED ------ PENDING ESTIMATE TOTAL 617.00 370.00 3517.60 145.09 655.00 2417.11 66.17 744.14 1400.32 4812.37 261.94 0.00 0.00 15006.74 0.00 ANN.PRIN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PAYOFF CD 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 CL 0.00 Press ENTER• or F1 F4 F5 F7 FS Permit #: Qc6a, Receipt Date: C41.1.a-dd q I -I Q?,- CITY OF' EAGAN 2005 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING 1ZESIDENTIAI, PROPERTY Address yYO , Ci ?c G y l P 4/- ,Ol'i `i/'C PropertyOwner aI" r-!2 Telephone # !?S ' '/5 1/' 3373 Plumber °?• OSG? cJ?? r ./ Ta -m i-,?'l G, fo rt Date of Inquiry g? -9045` Contact Name Sewer 4" Sewet-Se. Lateral charl Trunk @ $1, City SAC MCES SAC Receipt #. Sepric abanc Permit Fee State Surcha $26.70/ff ?$ 651.00 1" Water S' ce $ 737.00 Lateral charg?.?',26.95/ff / - Tnuik @ $1,130/connecGon - ? 100.00 Water supply & storage? .? 1.009.00 1.450.00 Receipt # , Date ' Treatment plant i \ 612.00 50.00 Permit Fee 50.00 50.00 State Surchazge' , .50 .50 Plumbing pefmit required - water meter t9'15e acquired with plbg permit $ 1 , I}"ta, $ Sewer and Water OFFICE USE ON.Y Ye-5 PRV required & City 6g County R-O-W Permit Water Receipt # HR3{. , Date 3 I! -! -7 Water supply & storage Receipt # , Date Treahnent plant 4" Sewer Service 1" Water Service Sewer lateral charge @ $26.70/ff Water lateral chuge @ $26.951ff Sewer trunk @ $1,085/connection Water trunk @ $1,130/connection City SAC MCES SAC Sepric abandonment Permit Fee State Surchazge ? Water meter to be acquired with plhg $ ?iS1-90 Tutal ? Plumbing permit requued Z2-7-9A 1,009.00 612.00 50.00 100.00 .50 $1771 . lio ?'aa by Ass*sv"e?e cc: Carolyn Krech, Finance Deparhnent C-op'?6 ? ; ?? ?,? ? ; 1 1 ; ? IJ ? ? -7a70?C; 2005 RESIDENTIAI, BUII.DING PERMI'C APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 4 651-675-5694 New Construction ReauiremenLs 3 registered site surveys showing sq. fl. of lot, sq. R of house; and all roofed areas (20%maximum lot coverage allowed) 2 copies of plan stwwing beam &window sizes; pou2d found design, etc. 7 set of Energy Calculations 3 copies of 7ree PreseNation Plan'rflot platted after 711l93 Rim Joist DetalOptions seledion sheet (buldings with 3 orless units) RemodeVReoair Reouirements Ofrice UseOniv 2 copies of plan Ce'rt of Survey Recd Y _N i set of Energy Calculations forheated additions Tree Pres Plan Recd -- _Y , _ N 1 stte survey for additions & decks Trea Pres Required''? ? _Y- -=N Add'N'on-indicatei/on-sResepticsysfem On-s@eSepticSystem - --_X_N _? Date / /? I- Construction Cost lCl13- ' Site Address 9 5? S 1 V• ?'?'-?"?Vl ? 'fl (? Unit/Ste # Descriptian of R'ork LA// ((/1 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Praperty Owner Telephone 1)'(.? • 33?3 Renewal By Andersen Cantractar 1920 County Rd. "C" West Address Roseville, MN 55113 ?'Ty' State 651-264-4777 Telephone # ( ) License #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventdation Category 1 Worksheet • New Energy Code Worksheel (?submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a buiiding in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Pertnit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ardinances and codes of the CiTy of Eagan and the State of MN 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 th case of work which requires a review and ap r val of plans. ?Gt?.ens '__ `o _ ____ pplicant's Printed Name Applican s Signature 4 ; 10_Z(1 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 P1LOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. O.? Date _/ o 1 / Site Street Address ?6 ? ,f/" - ?.?, 'c 1)i, u•? _ Unit # Property Owner ?Jl?5 / I vi- Z?So h Teiephone #(? y3'-Y-3-"3 Contractor :SIVJZ/ Q+ uT `,;"- Telephone # ( ?s? ) r63-?7r3y Address lUfa-3f8 Sf', City State x/'- Zip S?uz The Applicant is: _ Owner _?Eontractor _Other Alterations to existing dweiling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. lf rou are insfallinq onl a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. Septic System Abandonment ezWater Turnaround (add $725.00 if a 5/8" meter is required) /?? ?I S S(?- Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new `repair _rebuild $ 30.00 SWte Surcharge $ 50 Total $ rrJ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accord , ce with the approved plan in the event a plan is required to be reviewed and approved. C_1-ec?4 5aw4_v' Applicant% Printed Name pplicanY ignature 7a-/oq 2006 RESIDENTIAL BUILDING PERMIT APPLICATIO y City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons6uctim Rewiremenis 3 regisfered s2e surveys showing sq. ft ot IGt sq. R d house; and all roofed areas (20%maximum lot coverage allowed) 2 capics of plm showirq7 beam 6 windaw sizes: poured found design, etc. 1 set of Energy Calculafions 3 copies of Tree Preservation Plan if lot pladed aRer 7/1I93 Rim Jdst Dehail Optlons selection siumA (buikfings xmh 3 ar less unrts) Minnegasco mechanical vertilation form RemadeVReuair Reauirements 2 copias of plan showirg footings, heams, joisis 1 set of Energy Calculafions for heated additions 1 site survey 6w additions & decks Addnion - indkate itonsRe septic system Olflce Use Onlv Cert ofSurveyRetd _Y _N Tree Pres Plm Recd `Y _ N, Tree Pres Required , Y_ N OnaiteSepbcSystem _Y _N Date v?_ / 22 / OU Construction Cost `I Site Address D?,Pb N E[VCP d(' D1r Unit/Ste # Description of Work GaLSTIrP oAQ a, ? Y15t t.OllOlrh L1D ca lQ[111)+ rut Mulri-Family Bldg _ Y? N FSreplace(s) _ 0 _ 1 ? 2 PropertyOwoer ?I?YSf2? tsorJon (k'1'{' 5grarcl Telephone#(?) 157'3,V3 Contractor Address City State m? Zip ?33? Telephone # (CLrlb &Jj)-'724? COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 (d submission type) • Residential Ventilatian Category 1 Worksheet • New Energy Code Workshcet Submitted SubmFlLed • Energy Emelope Calculations Submifled In ihe 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 Telephone #( Mechanical Contractor Li \ / ED ?Telephone # ( ; Sewer/WaterContractor + ' iP,? ;'?Telephone #? I hereby apply foT 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 MN 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 he in accordance with the approved plan in the case of work which requires a review and approval of plans. l lLil1Y iQ. ht0 f nR, l' / !. Vl,ti-L-' Applicant's Printed Name A plicant's Signature MAY-31-2007 11:04 CENTERPOINT ENERGY 763 757 6701 P.002 -'r r House heating test record Alk Ce?l'erPOilrt. ?. . , e19Y ow,v, Controls Comrersion ,ad&,w /?cr,? /?.fi,a,r,,,o9m: H?af w? u?„t s? a " e,i/G? CiN e"Ci_?? UaNe Kindolliner/size ?S ? ??_ ''• Heailoss Detehg.inst !T-/A?-07 L'm;t ' ra.. DreRhoad r,.Jftm4Regulator'c . Sald Lrmiisetting Fitters:Size/G/,XrY/Number 1 ' rnsrertedny Gentc.rPaint Enerav F4iny9[pnp Chimneybcetam. S4nswe O outsiae Electrical work Dy GcnterPoint Encrav raor ?/-tS aNmmy c?vucoon ? Ue ?? ? Hoet lypa GY'FA 0 SpsCe heeter Pilot meke WlNnp y,o5 Tas1 teg 7 )G`e.:; . Gas llw bY rl c Pi/ot model Lfghtinn lnst ?. ?eS Dete eestod - `? . UnithBaler Other Pilnt4iminp Can n ?n 1'qV ?v _/A1nfdr 't1t Pressure: HiAre/LONre ??? Testalsname /J/?ri+1 Gas d?ign -?w Percenl C•di ?LLf_'L'GIL-_ mart (j?P(/)iJ "Percnnt 07 /0• 7 / Sieclclemp yCC?? ?rcenrco.._/,(0oe? lnput !?d i Uf.V • rr - , . I For Office Use j Permit rb y I 0C City of Ea ; Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION'CI Date: Site Address: Tenant: re/.eS7zr".) L.4.cS~'~✓ Suite RESIDENT / OWNER Name: /~S?c it/ 1:r9.~Sit/ Phone: 5/- 't<`1- 333 Address / City / Zip: ~6~ rzR~~~~ti 11~R/!~~ ~'i9G.~~/31.Z3 Applicant is: Owner Contractor I TYPE OF WORK Description of work: ow s7aor-y 104Ez:sc /2E~3uic 0 Construction Cost: .2 o a Multi-Family Building: (Yes / No ) CONTRACTOR Name: ~o~✓ST,ekCT/o.✓ ~y DST rG~ .Z%Cucense .003,7 7.2 /.2 S S Address: G~ -'/A,)GoLi✓ ~ . City: State: /kit/ Zip: JAS/D5 Phone: Contact Person: /*/41W0z_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans Applicant's Printed Name A cant's Signature . P a ~D 206 Page 1 of 3 ~ ~uN DO NOT WRITE BELOW THIS LINE C~ SUB TYPES Foundation T Fireplace _ Porch (3-Season) _ Storm Damage - Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding Demolish Building* Addition _ Move Building _ Reroof Demolish Interior Alteration _ Fire Repair Windows Demolish Foundation Replace - Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0U Occupancy MCES System Plan Review Code Edition M c?J? SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: _Stucco Lath -Stone Lath Brick Fireplace: -Rough In Air Test Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee 00 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 - - _ / - _ r,:, - "r _ - = - ! / .03 - - - , "i- - - r - - / - _ ~ - 1 i:•~~':~: 0. 0 2 K - , - _ - - - _ . - - -.-.'.I. - - ~ . - ' - f - - 5, - ::1': _ - :1'r - - - _ - - - - - - _.l.tit5r~2"L `~.R'•r'..:~:1'Y'~.-.LLfSF'.~'~:;?515ao-i+i7:r=~`I.'~L c ~I~+:;~~s~:o-~~.._:.-s~ti:lir~'+- - ' N.1:y::y_ c _ - - . - C' 5" " ' ' ~ e4 . e - P . . . I/ i -:i,ti _ :ti - - :.'-'.:_--.'A L'•: - :1 r:: il: c::::i': f":-':"E', •C~ - _ - _ _ _ i~rl - - = - - :i:'i i . - _ • y~- _ . _ _ _ _ - _ :.L:• - _ _ _ - _ :1 _ ti 1_ _ _ '1 _ - ~ .r+:_.. _ I; i _ - - i _ ;i I- - - _ '.:::1; ' _ i:' . i.i; •;3?:• - - ::1' - - - - _ ;:1 :i_ 1:: :-':'c-:~ r.. - - :H . 1': - - - - _ _ _ - - - _ _ : _ . , - - - _ _ 1 . - :i: _ _ _ ~T _ - - • _ _ ._I ' - - ~.S.• _ _ : . ' . :f • • ~ 1'.:~ i _ ti _ _ - _ - - _ _ _ ~'.~ti i- - - - - - - _ - ; _ _ - - - - _ .rte _ _ _ _ _ + : :I. _ . 1.: fjF+:~ ':-1 ; - - - _:1 : - r:.:..•:•~• I - Y. _ - - - - . i •'1 - _ I'. - _ - _ _ 1' - - m - - _ . - _ - - 1••.•• - - r - - _ + .a, ~ : ' - . 1.'_ 1 :1.' • - - r. - . E _ i - . - 'k:e - - is - ~.r c+ - - : . ` _ - :i .1.::' 111111111111 iiiiiiii - . ........_..".3 _ - 1- - . - ::i +cl~`: _ - - • i:' - _ -i::•.':;:.•: is . - - i::.. - " - . ~ .:s - _ ':a a - i , 4'+ • _ _ _ _ _ _ ! c - _ . =4 : _ - - ,'°--...:I--.,:: . - - •ti~.'i _ - 1-. .1• - J: 1.: - : - _ - • .--:--:-7---!7 =f` = ` - ....S.- : _:I - - y' - _ - _ - Y _ - - _ - =i _ :1+ f~ :'lev R: PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA100863 Date Issued: 09/06/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 565 Greenleaf Dr N Lot: 5 Block: I Addition: South Oaks PID: 10-71200-01-050 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen hirsten G Larsen 1920 County Road C West 565 Greenleaf Dr N Roseville NIN 55113 Eagan NIN 55123 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink r For Office Use / I Permit 7~/ - City of Eaflon I I E I Permit Fer 5 I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 oci ij , I I Fax: (651) 675-5694 I Staff: I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I 2- Site Address: 5 ~ . 6-rQkh jV-e- Unit Name: ~SJ/l Phone: 9152-157-7640 RESIDENT / 01 OWNER Address/ City/ Zip: 56A', Applicant is: Owner Contractor TYPE OF WORK Description of work: 14a /N V Construction Cost: 0o Multi-Family Building: (Yes / No ) Company: O( Ael-- Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the,project is exempt from lead certification, please explain why: (see Page 3 for additional information) A 12-1 &u. W- l 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: 3 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 they are trade secrets. _ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X o~G C~i•' t/ x App icant's Printed Na a nt's Signature Page 1 of 3 ~~j~ riL♦ZC-F~~1 1~}4 40k NOT WRITE BELOW THIS LINE ~7 SUB TYPES _ Foundation Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building - give PCA handout to applicant 7Uy~ DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition a~ 1 SAC Units (25%_ 100%-$-) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC - Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In _Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee ' J~ Weir- Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge L~/vJ Treatment Plant Copies + Z~ r TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA107530 Date Issued: 10/16/2012 of 3 a R Permit Category: ePermit Site Address: 565 Greenleaf Dr N Lot: 5 Block: 1 Addition: South Oaks PID: 10-71200-01-050 Use: Description: Sub Type: e - Fixtures Work Type: Replace Description: More Than One Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Mike Schiltz P.O. Box 22172 Eagan, MN 55122 651-681-8252 Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Valuation: 2,000.00 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Hessian Plumbing Services ROSE LORSUNG Box 22172 565 Greenleaf Dr N Eagan MN 55122 Eagan MN 55123 (651) 681-8252 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: !II ria los-a( 2 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: t7 Z. -elf -S./4(1 Phone: 9.5-d —VS 7-710 Y/ Address / City / Zip: 5 6 `j N "-e.6 6-i r Applicant is: K Owner Contractor Type of Work Description of work: J t Ut / y , f / L S U> k 7 ( Ce cJct ,— / / Construction Cost: 6 SO 42 - U U Multi -Family Building: (Yes / No > ) Contractor ' Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x / S� (AVS✓�5 Applicant's Printed Name Appli gnature Page 1 of 3 1011' City otEa� 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 18 M Use BLUE or BLACK Ink For Office Use � Permit #: / C `q l} Permit Fee: I 06? Date Received: Staff: L 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/13/2016 site Address: 565 GREENLEAF DRIVE NORTH Unit#: Name: ROSE LORSUNG Phone: 952-457-7641 Address/City/zip: 565 GREENLEAF DRIVE NORTH, EAGAN, MN 55123 Applicant is: ✓ Owner Contractor Description of work: REPLACEMENT WINDOWS AND PATIO DOORS Construction Cost: $9,800.00 Multi -Family Building: (Yes / No ✓ ) Company: PROSOURCE BLDG. SUPPLY Contact: MARTY HAUGH Address: 2038 FORD PKWY., #300 City: ST. PAUL State: MN Zip: 55116 Phone: 612-282-8821' Email: marty@prosourcewindows.com License #: QB694089 Lead Certificate #. N/A If the project is exempt from lead certification, please explain why: BUILT POST 1978 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: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: 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.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 work authorized by a building permit issued in accordance with the Minnesota State Building Code must be > mpleted within 180 days of permit issuance. )(MARTY HAUGH Applicant's Printed Name x Applicant's ignatu Page 1 of 3