570 Greenleaf Dr N} il \ 1.
C_ITY OF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: 1101
1 ,+( t A i Ilh r?
. PERMIT SUBTYPE:
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
ti t APPLICANT:
4 +• I . i ??' '? '• 1 ?t.'
TYPE OF WORK:
nlt? 1. UiIV
N .' 1 '?? h .i
. I b.
INSPECTION .. . .,
I k ? aA )I' r , . = p I? v
?
?
..r
m
Permft No. Perm)t Hotde? Date Telephone S
S/W
PLUMBING
HVAC PIAO S 4S-74741
ELECTR op
ELECTR
Inspectbn Date Insp. Comments
Footings I
Foundation ,Z3 Q - g' .Z ? /?
>
Framing
Roofing
Rough Pibg. ?6ao93 ;w
Rough Htg. PU
sly?? ?
Freplace
Final Hcg.
?
Pw
orsat rest
Fnal Pibg. P. Insp tor - Noti Plumber ?
Consl. Meter
Engr./Plan
Bidg. Fnal
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
CITY OF EAGAN
Addition SO Lot 2 Blk 2 Parcel 10 71200 020 02
Owner '? y?'•? Street 570 fN0 '(;rE+E+nleaf rn_ State Faclan fMR7 551 23
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOF.
GRADING
5AN SEW TRUNK 198 0.00 2.67 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK $j 1984 617. 00 41.13 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
RESIDENTIAL
t? CITY OF EAGAN ?
?`4 I 1?b/ 2) 3830 PILOT KNOB RD - 55122
651-681-4675
?rD C) I
NewConsWCtion Reauirements RemodeVReoairReauirements
• 3 registered site surveys showing sq. ft of lot, sq. fl of house; ant?ll rookd areas • 2 copies of plan
(20% marzimum lot coverage albwed) . 1 set of Energy Calwlatlons (or heated additions
• 2 cop'ies of plan showing beam & window sizes; poured found design, etc.) . t site survey for exterior additions & decks
• 7 set of Energy Calculations . Indiqte'rf home served by septlc syslem foradditions
• 3 copies of Tree Preservation Plan if lot platted ailer 717193
• Rim Joist Defail Options selection sheet (bldgs with 3 or less units)
DATE l0I vaLuNioN' L5? lAD, oa
JOB SITE ADDRESS S7D Om'(/? N?
IF MULTI-FAMILY BUILDIN-?G/, HOW M/?A_NY UNITS?
PROPERTYOWNER 'f ?`iI ZCQ.vrUe-
TYPE OF WORK (J'eAP'aj:L 2d4fl-Al 07' FIREPLACE(S) 4 0_ 1_ 2
APPLICANT 1MG0OAqJJ GfO"zikk^? PHONE#
ADDRESS ?/5- 64,hilll .l'Ve--?14?U?' ?14'2i9PWS ZIP CODE S5V%
PAGER # CELL PHONE #6!-I 84"S FAX #6S1-fSS-2Z`iZ
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet S
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
r?rp;?;;-
pcr ?a aco/ ;
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, stpte that the information is correct, and agree to comply
with all applicpble State of Minnesota Statutes and City of Eagan Ordinances. A
SignWureofApplicant l,-/
BUILDING PERMIT APPLICATION
Water Softener _
Water Heater
_ No. of Baths
Phone #:
I,awn Sprinkler
No. of R.I. Baths
Air Condilioning
_ Heat Recovery System
ovy- -1
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 FoundaGon ? 07 05-plex ? 13 16-piex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 27 Porch (3-sea.)
? 03 01 of_plax ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
?
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By'C , Building Inspector
Occupancy MC/ES System
Zoning City Water
Stories _ Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth ?
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck) FinaUNo C.O.
Footings (addirion) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
Franung
Fireplace _ R.I. _ Au Test _ Final
InsulaHon
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entlre Bldg only) - Give PCA handout to applicant
FinaUC.O.
?
I-NAC
??
1
? °°
4 7981
1
Hequest ?ate Fre No. Rough-In Inspec?ion NOTCE: Vov Must Gall ElecViral Inspector
Q_??`?? Required?
Ves C No Ii A Rough-In Inspection
Is Requiretl.
I?licensed coniractor ? owner hereby request inspection of above electrical work at:
Job Adtl?ess (Sireet, 0ox or Foute No.)
4 City
?
/L..
IJ e- Q iv-
Section No. Tawnship Name or No. Rarge No. Couny
?? ? I"?
Occupant(PRINT) Phane No.
ole- 0 lu tsz -slvz
Power Supplier
?-V
D Adtlress
,,` /??,.{_ I1 1
J?? ?LV ? ?% +r V V.
Electrical Comrac?or (COmpany Name) Convanor's License N
o,
?j?? )
Mailing A dress (COanlra?ctor or Owner Making Installa?ion){.-
8
?/G/ ?h ?/ v? `} r
Authorizetl Sig ure (COntrectodOwner M ing ) Pnone Numbar
s?-/ ? gs
MINNESOTA TATE BOFRD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Grig9s-Midway Bltlg. - Hoom S-I73 eE ACCEPTED 6Y THE STATE BOARD
1821 Univenity Ave., SL Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone(fii2)6i2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
4798 See insvu<tions for crompleting this brm on back ol yeliow copy
_ X" I3e/ow Work Covered by This Request
era-oo?ooi-oe
e" Add Rep: TypeofBuiltling AppliancasWired EquipmentWiretl
Home Range 7emporary Service
Duplex Wa[er Heater Eledric Heating
Apt. euilding Dryer Loatl Management
Comm./Industrial Furnace Other (Specify)
Farm Air Contlitioner
Other(specity) ConVador's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? ? 0 to 100 Amps ? r
Transformers A6ove 200 _ Amps Above 700 _ Amps
Signs Inspecmr's use onN: 70TAL
Irrigation 8ooms J? ?D
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O ER SCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t th Roughin oate
cer
y
a
e above inspection has
been made. F;nei oW
OFFICE USE ONW
TM1is reQuasl volG 18 mon[hs irom
a3/9^?^--
M OV `1 O
REQUEST FOR ELECTRICAL INSPECTION
? Sea ins?mclions for compleling Ihis lorm on back of yellow copy.
'X" BelouvWork Covered by This Request
?.?e
? EB-p000108
? l??s
e ktld Rep. ti TypeofBuiltling AppliancesWired EquipmentWired
Home Range iemporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.Andustrial Fumace other (Specify)
Farcn Air Contlitioner
Other(speciy) ConVactor's Remarks:
Compu[e Inspection Fee Befow:
# Other Fee # ServiceEntranceSize Fee # Circuils/Feeders Fee
Swimming Pooi 0 to 200 Amps o fo 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspecrors uae omyi 70TAL
Irrigation Booms
Special Inspection
L
1
1
Aiarm/Communication 1 DISCONNECTED IF NOT
THIS INSTALLATION MAY
.
0
Other Fee ,
COMPLETED WITHIN 18 M
I, the Electrical Inspector, hereby
if Rough-in oaca
cert
y that the above inspection has
been made. p?nai at
OPFICE USE ONLV
This request wid 18 months fmm
f? 08270 ? ?' ??
7 a vr.
Request Date
- Fire No. Rough-in Inspeclion
Requirzd? NOTICE: Vou Must Call Electncal Inspeclor
If A Rough-In Inspection
r
i3
Yas ,4?0
o
!sRe,u„ed.
IAlicensed contractor ? owner hereby request inspection of above electrical work at
Jop Atltlress (Slreet, Box or Foute NoJ -
7 Cit
?
CU ?
?
Section No. Townsnip Name or Na. Range No. Counry
Occupant(PRINT) Phone No.
ie, : -)A
Power Supplier
?'
D Atldress
r!K:T?;
(ecfi':.
Eleclrical Contractor (Cpmpany Name) Conlractor's Lirense No.
?'
?'(€°
? CftL}-145?
_
L r
Mailing Adtlress (COMraqor, ?or Owner Making Installation)
Authotized Signature (COntractolOwner Ma ' g Instaliatio Phone Number
?
t
clr, J ?-' ? ?
.
.
x
MINNESOTA STATE BOARD OF ELECTPICfTY THIS INSPECTION REOl1E$T WILL NOT
Grigga-Midway Bldg. - qoom 5473 BE ACCEPTED BV THE STATE BOARD
1811 University Ave., Si. Peul, MN 55104 UNLES$ PROPER INSPECTION FEE IS
Phone(612)64Y0800 ENCLOSEO.
Address 570 GRFFNfFAF DRIVE NOR1H Zip 5512 3
? . . ,
L.ot 2 Blk 2 Sub sotrnr oaxs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry) k,,"
Permanent driveway 400, k-l"
Pertnanent gas
Sod/Seeded gtass
TraiUcurb damage v
Porch
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shuto& of wa[er supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler sys[em.
. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
55 RESIDENTIAL ?
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsWetlon ReauiremeMs
• 3 registered sRe surreys showing sq. ft of lot, sq. ft, of house; aM all roofed areas
(20% mazimum lot wverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, atc.)
. 1 set of Eneryy CalculaBons
• 3 wpies of Tree Preservatan Plan it lot platted after 711l93
• Rim Joist Detad Optloris selection sheet (61dgs wiM 3 ar less unifs)
DATE 9' l$ ` t-
4/,r7, z,r
RemodeOReoair Reauiremente
• 2 copies of plan
• i sel of Energy CalcWations tor heated additlons
• 1 site survey farextenor additions 8 decks
. Indicate if home served by septiC system kr additions
VALUATION / 7_?3 °
SITE ADDRESS -6-70 ?J???-AF :l2 /v MULTI-FAMILY BLDG Y Xh
TYPE OF WORKtZe ?-Oo +- FIREPLACE(S) _ 0_ 1_ 2
APPIICANT S'-?Cwir, v
STREETADDRESS -Z-II K?? ?? CITY E?l?ttStis,(STATEA4rJ ZIPjJ031
TELEPHONE # 9foZ476 CELL PHONE # L4-1 -7V-.04q FAX #
7
PROPERTYOWNER M'C-k4eL ?J J N.?JSv? TELEPHONE# ? I2,
-------------------- -------------------------------------- °------------°---------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF.SOTA RULES 7670 CA'CECORY 1 MINNESO'fA RUI.IS 7672
(4 submission type) • ResidenUal Ventila6on Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaUOns Submitted Plumbing Conhactor:
Plumbing system includes:
Mechanical Contraetor:
Mechanical system includes:
Sewer/Water Confractor.
_ Air Conditioning
_ Heat Recovery System
,$90:00
`Sr `o ? I ?l il
Phone # t
?Fee ,57,b.00
Phone Ik
°-------°-° °---------------° ----------°--°-°---------------------°---------------...------------------°---------
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with ali applicable State of Minnesota Statutes and City of Eagan O ihances.
Slgnature of Appli? CSCV)
OFFICE USE ONLY
_ Water Softener
Water Heater
No. oF Baths
_ Phone #
Lawn Sprinkler
No. of R.I. BathS
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
,09-19-1993 01:33PM FROM DWYER SIJRVEYING
tP
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Wcq
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TOP OF !P
EI.EV=938.2
TO
DWYER & ASS(JCIATES, INC,
Land sw,.eym
$75 Spiral8outevard
Bus: (612 ??7- 909 fiAX (612) 437-4979 ?
TOP OF iP
ELEY=935.9
Certificate of Survey fvr:_ McDQNALD HOMES INC.
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4552292 P.02
SCAI.E: t"m50•
PftOPOSED ELEVATONS: '
GARAGE SlAB E1.EV.= 995.8 - •:
TaP oF FouNOHnaN Mv.a sae.a
LOYVEST FLOOR EIEV.=930.8'
sEARINC srsraa Is nssuMEO.
• DENOTES FOUND IRON MONUMENT.
o DENOTES 1/2" IRON PIPE SE7,
ASARKEA BY R.LS. 9294.
947.1 DENOTES E%ISTING SPOT ELhI+.
DENp7E5 DfRECTION OF PIiqPOSEp
LOT 2, BLOCK 2, _MMAGE
SOUTH UAKS, EAGAN, 'MN.
1 haabY CwVry that thh is a t+4e and Ca?aok rpneentatTan M o wirvay of the bamdarks M the
nDow desa@)W lnn?d It d°?j?na! Puryat to ahwr i7-7 tnenle er enerootlhmenta H anK M
?yed by me th?GQ?,dcy W??0. 19 9s.
TOTRL P.02
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lor : z
576 GREENLEAF DR N
SpUTH OAKS
PERMIT SUBTYPE:
SF OWG
B L 0 C K: z APPLICANT:
MGDONALO HOMES INC
(612) 455-5142
TYPE OF WORK:
NEW
BUILDING
021953
09/15/93
INSPECTION
FOOTING D. .
FRAMING ..
IN3ULATTON FINAL
FIREPLACE
I
REMARKS: PRV
?
?
S & W PLBR -
_
?
? CITY,OF F-AGAN
3830 Pifot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued: ?
BUILDING
021953
09/15/93
SITE ADDRESS:
570 GRE£NLEAF DR N
LOT: 2 BLOCK: 2
SOUTH OAKS
P.I.N.: 10-71200-020-02
DESCRIPTION:
Building?permit Type SF OWG
9uild3ng klork Type NEW
-UBC Occupancy\,_
' R-3 M-1
?
Construction Type V-N
Zoning !-? R-1
' Building Length ? 74
? BuYlding Width ? 29
,?\
. ?-
. „-
%
?; ?
/? 1\? ? CI l? ?? (D ?, (Z37 a ? ?? `?iJ
REMARKS:
PRV S & W PLBR -
FEE SUMMARY:
VALUATZQN
8ase Fee
Plan Review
surcharge
SAC
SAC $
SAC Units
Subtotal
$713.00
$463.45
$60.50
$750.00
100
$1,986.95
$121,000
MISCELLANEOUS $1'744.50
Total Fee $3,731.45
CONTRACTOR:
MCDONALD HOMES INC
9020 75TH ST E
INVER C,ROVE HTS MN
(612) 455-5142
- Applicant - ST. LIC
14555142 0001971
55076
OWNER:
MCDONALD HOMES INC
4020 75TH 8T E
INVER GROVE HTS MN
(612)455-5142
55076
I hereby acknowledge that S have read this application and state thaC the
information is correct and agree to comply with all applicable State of Mn.
Statvtes and Gity af Eagan Ordinan-ces.
?
-j
?APPLICANT/PERMITEESIGN E ?D?B SI'?I
?
REALTIVATE _ '?r CITY OF EAGAN ?
PERMIY N ?I? 1993 BUILDING PERMITAPPLICATION i,?,
? g 1993 681-4675
V21 ??hr194
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work
Site Address:.370A00 a /por-K
STREET SUl7E y
Tenant Name: (commercial only)
IAT r2 SLOCK r;;Z SIIBDOQA P.I.D. M
Descri tion of work:
The applicant is: ? Owner IN Contractor ? Other (Describe)
Name S]a/xsan V o>cGA.? e Phone cOTO-
Property LAST PIRST
Owner Address /o39S_3P" XIO ,-a /o/ Cf -
^ STREET - STE N
City Ya J?v? State /VA. Zip S?/.??
Company ?c ?inv? /? ?Dln?^r ?Lu? • Phone
COI7tl'i3CtOC Address 4,W 25-'*' SV, ,nr7?- license #IW1971 Exp,4?71-
City rm-Q State //4 . Zip S.So??
Company Phone
ArchitecU
Englneer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I herehy acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: '
IL_
OFFICE USE ONLY
BUILDING PERMIT TYPE I
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging
!$ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Ptex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. 0 10 Mu1ti. Add'1. ? 15 Deck
WORK TYPE
,
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility.
? 21 Miscellaneous
19 31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Y- N Basement sq. ft. MWCC System ` ES
(Allowable) V-N lst F1. sq. ft. City Water JES
UBC Occupancy R 3 M_1 2nd F1. sq. ft. PRV Required ?._
Zoning R-1 Sq. Ft. total Booster Pump
8 of Stories Footprint 5q. ft. Fire Sprinkl er
Length _Tq_7__ On-site well Census Code /al
Depth 24, On-site sewage 5AC Code a/
?
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED {N SPECTIONS
? Site ? Footing ? Framing ? Insulation
0 Wallboard ? Fi nal ? Draintile ? fireplace
Permit Fee v.iLation: g lZ?,Ooo I?T ? ,,;
Surcharge
a
?
` ---
P7 an Review ?`
f 2 Z X?
3 = 5?2 ?'?""r;= `19 U
Licese
MWCCnSAC
10 X
-7 ^ .
r°°.
City SAC
Water Conn.
Water Meter
Acct. Deposit 2,Z4
S/W Permit
S/W Surcharge I-( i2O??j0?1
Treatment P1. 2o X 35% •
Z . ?to
Road Unit
Park Ded. 4 X/2
Trails Ded. 9 -1 15;?
Copies
Other
Total :
Stw??
5AC % Ioo 20 K 'Lb - `J2'g
SAC Units 22 y
?
^
,99-10-1993 01:31PM FROM DWYER SLIRUEYING
OF IP
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DWYER 8r ?S TES, INC.
875 Spiral Boulevard
Hestixtgs, Mianesata 55033
Bus (612) 437 2909 FAX (612) 437-4979
Certific=` f Survey Por: McDQNALD HOMES lNC.
G I n r=n n »re?
BY
1AGLIX IN
,..'COP QJR6AF q OFDRWY
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PROPOSED QEVn710NS:
GARAGE SWB ElEV.= 935.8
TOP OF FDUNDATI6N ELE1/.Q9"JB,B
LAWFSf FLOOR f1EV.-930.5'
BE/tR1NG °uYSTEM IS ASSUAIFD,
• OENOTES FOUND IRdN MpNUMEIYf.
o DENOT'65 1/2" IRON PIPE SEI',
HARKED BY R.L.S. 9294.
947.1OB40ILl LA1711NG JPV 1 i.l..??.
-?.,.,DENOTES DIfECTpN OF pppppsm
LoT z, BLOCx 21 ORNMAGE
S 4 UTH QAKS, EAGAN, ' MN.
I herlbY ertffY ihat thk !a a hY! md aanet nepremtoUon of a awney d the bounAqka ef tM
abeMS daav6ad Imd. IdomAne{ py?t N ahor tin ante ar env? vrnnt? M myC As
h+n+Ied by Te thY ? '_Aey of lfl?
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TOTfL P.02
612 437 2909 09-10-93 02:61PM P002 #01
Tp 6814612
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ey:
Date of 7'a-e
DOCLTMENT STANDARDS «• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and bar scale
• House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient $.
• Proposed/existing sewer and water services
• street name
• Driveway
ELEVATIONS
Existina
? @? ? • Sewer service
C? ? ? • Lot corners
C?? ? • Top of curb at the driveway
??? • Elevations of any existing adjacent homes
Procosed
L? ? ? • Garage floor
? ? : First floor
? ? Lowest exposed elevation (walkout/window)
0-'0 ? • Property corners
??? • Front and rear of home at the foundation
PONDING AREAS (if anDlicable)
?? ? ? - Easement line
i] NWL
? ? • HWL
? Q ? • Pond # designation
? ? • Emergency Overflow Elevation
DIMENSIONS
?a o •
CY?O ? ?
?? ? •
@.-'? ? •
:? ff--?o •
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
existing homes
Ret
Reviewed;
October 1992
LOT SURVEY CHECHLIST FOR RESIDENTIAL
EX'CERIOR ENVE7',OpE AVERAGE "U" COMPU'CA'CION
UWNER: ?'3rq5,
OSI:CE ADDRESS:
0
CON:CRAC'.CUR: rY..Y?(`(`??/vRU1J blo" ?lIriDA:CE:
DE'CERMINE WORKING SQUARE F00'CAGE OF EACH:
PHONE:
1. `.PQ`CAI:, EXPOSED WAI:,7:, AREA SQ. F:C. X
2. :Cb:CAL ROOF/CEILING AREA [[? ? SQ. F'C_ X ?024 = 2qc
3. T(7'CA7:, EXPOSED WA7:,1., AREA CA]:,CU]:,A`.CIQNS:
:Cotal exposed wall uoki O
area above floor
a) :Cotal wall wi.ndow area zr2. . SQ. F;C. X "U"
b) '.Cotal dooi- area ?1, 7 SQ.F:C. X "U"
c) :Cotal slidj.ng glass dooir aicea 09(0 SQ.F'.C. X "U"
d) `.Cotal fi.replace wall area SQ.F:C. X "'U" ?
e) '.Cotal taa11 framiny airea SQ.F`.C. X "U"
"
( averac3e 10%)
f) '.Cotal net wall area above 6, SQ.F'.C. -X "U"
f loor (i.nsulated) ?
c?) '.;ccal r.i.m joist area _?/•6L? .f SQ.F'.f. X"U"?=
,
`.Cotal foundati.on acea C) >Q.F'C.
(exposed) _
I
h) '.Cotal foundati.on wi.ndow area Z- SQ-F:C. X"U"
C
i.) :COtal net foundati.on area SQ.F:C. X"U" i?= %Lf _
above grade
'CU'.CA7., a ) throuqh i. ) _
If i.tem #3 i.s the same as, or. less than i.tem #1, you have met
the i.ntent of 2 MCAR 1.160 and 0.
2?-1 ?( C 2%, A
PAGE 1
?
' 4., ,`CO'PAI: EXPOSED ROOF/CEILING CALCULA'CIONS:
, '.Cotal exposed roof/ ?Ye,'O SQ.F'.P.
cei.li.n_y area
j) 'Cotal skyli.qht asea
k) :Cotal roof/ceiling
frami.nq atea
(average 10%)
1) 'Cotal net i.nsulated
roof/cei.li.n_y area
4
'.CU:CAL j ) through 1) = Z?
If total of #9 i.s the same or less than #21 you have met
the intent of 2 MCAR 1.16 A a d 0. ?y
???
AL'.CERNA`CE B[lI7'.,DING ENVEI:,UPE DESIGN
'CO uti.li.ze the total envelope system method, the values
establi.shed by the sum of #3 and #4 shall not be yreater
than the sum of i.tems #1 and #2.
1. +2. _
3.. +4. _
CER'.CIFICA'.CION
I hereby certi.fy that I have calculated the "U" factors and
"R" values he)rei.n and that the buildi.ng here descri.bed meets
or exceeds the State of Mi.nnesota Enerqy Conservation Act.
Date
?SQ.F'.C. X "U" ?= O
nc SQ.F:C. X°U° 104 = U I
49A-f- SQ.F'C. X "U" rn? _ 7z,-15-
PAGE 2
?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT.
" NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 0 93
7_4a-? tuO I oo I o a, e-e-o ??? ?
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GA$ OLTTLETS (MINIMUM 1 C$3.OD EACH)
ADD-ON/REMODEL (ExlsrtNG CoNSrxvcnorr)
STATE SURCHARGE
TOTAL
STfE
FEES
$ 24.00
6.00
?1.DO
$ 15.00
.50
a-"I • SD
OWNER NAME: ;!?0 hM C rNl TELEPHONE #:
INST
a-?.o2
CTI'Y: ?0 - Li •`t' " STATE: ZIP CODESS'D 7S
TELEPHONE #: ?a -7- E 7 CPI
? c,
5IG ATURE OF PERMITTEE
1993 MEC$ANICAL PERMTT (RESIDENTIAL)
CiTY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLIINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
---- - ------ - -
10. FIXTURES EACH TOTAL
I SHOWER 3.00
? WATER CLOSET 3•00
? BATH TUB 3.00 ? • ?'
q LAVATORY 3.00 /a`dO
_
/ KTTCHEN SINK 3.00 3 • c),Z'
? LALTNDRY TRAY 3.00 3. ?
HOT TUB/SPA 3•00
/ WATER HEATER 3.00 3• ov _
? FLOOR DRAIN 3.00 3-d"
/ GAS PIPING OUTLET • minimum -1 3'00
3
ROUGH OPENINGS
1.50 s
WATER SOFTENER 5•00
PRIVATE DISP. • DeiLciy. lic. 15.00
U.G. SPRINKI..ER • nomc uneer eonsc. 3•00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE •50
50.00
TOTAL:
SITE
OWNER NAME: CY.P?
WSTALLER:
CITY: j Alel-?ur v STATE: Y/?L ZIP CODE: S.?l ?d?,
PHONE #: ( ) 7 0pil- ? ve9?°
122!Z'2 'I
SIG TURE OF RMITTEE
1993 PLUMBING PERMTT (RESIDE1V774,L)
C1TY OF EAGAN '
3830 PII.OT KNOB RD
FAGAN MN SS122
(612) 681-4675
. ,IIEC-09-193 THU 15:52 ID:KUCFERR/MCDONRLD TEL hX7:612-455-2292
.. .Y? . .
Date:
To:
Fmm; •
Tatal pagea:
Fax Numbor:
McDonal?
Nomes lnc.
DESIGNBAS# BUILD6R5
Transmittal Form
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" 1 ( p' RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122 ?
Telephone # 651-675-5675 FAX # 651-675-5674
Ne,v Cons6uctlon Reauirementr RemodeVReoairReauirements Olfice Use 0nh
3 ragistered sde surveys showing sq. ft af b4 sq. ft of house; and all roofed amm 2 apies of plan _ Cerl of Survey Recd
(20% maximum bt averege allaved) 1 set of Eneqy Calculations for heated addNons _ Tree Pres Plan Recd
2 copies of plan showiig beam 8 window sizes; poured faund design, etc. 1 site wrvey tor addNOns & decks _ Tree Pres Nol Reqd
1 set al Energy Calalatlons Add'?ion - indicate i(on-site sepfic sysfem Onstte Septic System
3 apies ot Tree Preservation Plan if lot pWtted after 711/93
Rim Joist Detaii Opfbns selection shcet (bldgs wflh 3 ar less units
Date Z?2 -
Site Address ?7(? ? ConstrucGon Cost l}
U /7j-Ge,,i IL UniUSte #
Description of Work
Multi-Family Bldg _ Y?--'N
Fireplace(s) 7
_ 0_ 1 _ 2
Property Owner J a jr,%,-, (I ?l Telephane # (6-:5-/)
Contractor w?f9/' ? T
Address
State /V
Zip City
Telephone # (76f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category i Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calalatlons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #
fE611
I hereby apply for a Residential Building Permit and acknowledge that the info ibn is completE- urate;
that the work will be in conformance with the ordinances and codes of the City Eaganand the State f IvfiV
Statutes; I understand this is not a permit, but only an application for a permit, an no o start without a
permit; that the work will be in accordance with the appmved plan in the case of work which requires a review and
approval of plans.
Applic Ys P nted Name ppl' t' ignature
CITY OF EAGAN Permit No: Date:
3830 Pilot Kriob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner.
Site Address:
Plumber._
Conn. Chg. — Zoning:
Acct. Deb: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter:
Misc.: By 4:09 / J)- `2 -1- O �/
r
WATER SERVICE PERMIT (,(
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner:
Site Address:
Plumber:
MWCC: Zoning -
City Chg: No. of Units:
Acct. Dep:
I agree to comply with the City of Eagan
Permit Fee:
Surcharge: Ordinances.
Misc.: B
SEWER SERVICE PERMIT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114562
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 570 Greenleaf Dr N
Lot:2 Block: 2 Addition: South Oaks
PID:10-71200-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
April Desmith
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael A Johnson
570 Greenleaf Dr N
Eagan MN 55123
Cedar Valley Exteriors Inc
3369 Coon Rapids Blvd
Coon Rapids MN 55433
(763) 755-2221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133137
Date Issued:09/23/2015
Permit Category:ePermit
Site Address: 570 Greenleaf Dr N
Lot:2 Block: 2 Addition: South Oaks
PID:10-71200-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael A Johnson
570 Greenleaf Dr N
Eagan MN 55123
(612) 859-0135
Blue Sky Mechanical Llc
41531 237th Ave
Le Center MN 56057
(612) 756-2255
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-1 -HM*,$H*4
-./$%'63/7-.1 89::;<B
=*%-'!>>3-5199?9D?A@9B
-./$%'#*%-+(.&1- -./$%
C$%-'855.->>1''B<@''T.--,4-*)'=.'6''
(#$ %& ''()**+ + , ''= > 5'H3&4
267 89:\[8(99:9(:9(9'
<4/
=->H.$0%$(,1
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7/4%0+A + , B>0,3%/
_>/4 + ,4'0/F30*+,F'/$/% 0+%3$'A/0I+ '0/G>+0/I/, 4'45 >$*'?/'*+0/% /*' '= 3 /'W$/% 0+%3$'6,4A/% 0R'P30&'),*/04 ,'3 'OVU(\]'
#(//-,%>1
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PW':'2/0I+ 'B//'O\\/A$3%/I/, 4\]SUVJ99'9;98J"9;;
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#+,*/0'Z/3 +,F'^')+0'- ,*+ + ,+,FP+%53/$')'c 5,4 ,
((('Z30*I3,')./'YU\[9'D0//,$/3L'70'Y
= > 5'= '23>$'PY''UU9\[UW3F3,'PY''UU8(!
OXU8\]'"U\[:;\[;8
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L'P+,,/4 3'= 3 > /4'3,*'-+ 1' L'W3F3,'H0*+,3,%/4J
)AA$+%3, K2/0I+ // '=+F,3 >0/644>/*'#1 '=+F,3 >0/
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143368
Date Issued:06/14/2017
Permit Category:ePermit
Site Address: 570 Greenleaf Dr N
Lot:2 Block: 2 Addition: South Oaks
PID:10-71200-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael A Johnson
570 Greenleaf Dr N
Eagan MN 55123
Clear Choice Restoration
2722 Hwy. 694, Suite 100
St. Paul MN 55112
(612) 259-7177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150883
Date Issued:07/27/2018
Permit Category:ePermit
Site Address: 570 Greenleaf Dr N
Lot:2 Block: 2 Addition: South Oaks
PID:10-71200-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael A Johnson
570 Greenleaf Dr N
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
EAGA
3830 PILOT KNOB ROAD I EAGAN, MN 55122-181
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) t -563EP 1 1 2019
bu ildinciinspectionsOcityofeaaan.com
ECEIVE
0
r For Office Use
Permit#: /5.S1 o o, 7
Permit Fee: / rZ2 (l�
Date Received:
Staff:
Bi%'hi 9-673-/7
2019 RESIDENTIAL 1JT[DI ERMIT APPLICATION
Date: Site Address: Unit #:
1
Resi eri
C11V11@r
Name:�, / •7 -C_ 5 S Phone: (c 3
C -'c
Address /City /Zip: " -r,..`4� �� 55 (�
-S�0 - (-1 1��e_4
Applicant is: Owner Contractor �/
Type ,i�f.Vllork :P
Description of work: Q� 1 L 1 ^ v.,. -r H � d', 1
_
S 9'
;
.1--Y0--'e.:-r
-
Construction Cost: - c 4 v Multi -Family Building: (Yes / No )
Contractor
Company: —' ,--if, u' -k 0I'.S Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber:. Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cltvofeaaan.com/subscribe.
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.
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.00nherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conform- ce wi ' he o •inances 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 - to st withou a permit; that the work will be in
accordance 'th the approved plan in the case of work which requires a review and approval of
x ite uS'S
ApCant's Printed Name
S70
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Fireplace
_ Garage
Deck
Lower Level
7-tiz41 6et
Porch (3 -Season)
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New Interior Improvement
Move Building
Fire Repair
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%( )
Census Code
# of Units
# of Buildings
Type of Construction
Repair
too
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation Foundation Before Backfill
_ Roof: _Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Siding
Reroof
Windows
Egress Window
4s-ra
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
_ Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
Jc/S At; ,s,
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: �l�`� -- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
•
Page 2 of 3
/720204*, r For Office Use
_ _ :::::
:
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections{a.citvofeagan.com -r
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ( L( Site Address:S 1 0 GreproeaF b r
Tenant: Suite#:
Resident/Owner Name: I T 0V\,,Ann Phone:(ft )( LeoG 607O
Address/City/Zip:
Name '1 t'rG1t(1� Ji‘t-.t 1(C:'i ` C #( License#: PC i Di
Contractor Address: L iN/ ;'1 i ' u z T'c?;"? !1( City:
State. °�"� Zip ��'��'.�' � Phone:
Contact: i:'1 t' t Email: V 1 a 1 •► \ 1
Type of Work —New Replacement —Repair —Rebuild —Modify Space —Work in R.O.W.
Description of work:
Tankless Water Heater
Lawn Irrigation( RPZ/ PVB)
Standard Water Heater
Description —Add Plumbing Fixtures( Main/—Lower Level)
P Water Softener
— Description:
Septic System
New Abandonment —Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures,adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System(includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and$200 for Radio Read=$550
*Sewer&Water Permit also required for connection charges /�/ /n1
TOTAL FEES$(�(�(/' 6 lJ
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.cooherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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 Applicalft SR
7S7 Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177233
Date Issued:06/21/2022
Permit Category:ePermit
Site Address: 570 Greenleaf Dr N
Lot:2 Block: 2 Addition: South Oaks
PID:10-71200-02-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Michael A & Roxann R Johnson
570 Greenleaf Dr N
Saint Paul MN 55123--205
Wildwood Construction
11900 Rich Vallye Blvd
Inver Grove Heights MN 55077
(612) 369-1422
Applicant/Permitee: Signature Issued By: Signature