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575 Greenleaf Dr NCITY OF EAGAN Remarks Addition SOllth nakc Lot ? Blk ]^ Parcel ld 71200 060 Ol Owner??11 LL J_Street 57S lJe rrppnlPaf Dr. State Ea4an,NID] 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRAaING SAN SEW TRUNK 16 198 370.00 24.67 15 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 19$4 617.00 41.13 15 __83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT RBdns • 2609 4-5-76 WATER CONN. BUIIDING PER. SAC 375 00 7646 3-26-73 PARK , F PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KHOB ROAD, EAGAN, MN 55122 DATE: ? CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: SitB AddreSS 'E BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub I Res. ? New ! % Name ^ Mult Add-on ' Addr s , Comm. Repair ? c es Ci1y '?'?'-' ^ Phone q Other ? Name FEES RES. HVAC 0-100 M BTU - $24.00 c Addre3s + ADDITIONAL 50 M BTU - 6.00 39 p Ciiy Phone ?^ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTIDN) 1 PER PERMIT) - GAS OUTLETS (MINIMUM 1 50 EA - . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES - MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 - ? Unit Heater M BTU REMODELS - 12.00 ! Air Cond. M BTU g? MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # q BEYOND $1,000) Other FEE SI EE S/C: ? TOTAL: FpR: CITY OF EAGAN 9 MECHANICAL PERMIT PERMIT # ? CITY OF EAGAN RECEIPT # i 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLpG. TYPE WORK DE$CIiiPTION Lot ? BIOCk - ? Sec/Sub Res. New ? Name Mult Add-on m Comm. Repeir ? Address c City ? Phone ?h? ; FEES Name 7:' t RES. HVAG 0-100 M BTU -$24.00 c Addfes3 ADDITIONAL 50 M BTU - 6.00 p City Phone ,r -`r ' -'' • (RES. HVAC INCWDES A/C ON NEW CONSTRUCTION) TYPE OF WORK GAS OUTLETS (MINIMUM - 1 PER PERMI? - 1.50 EA. COMM/IND FEE -1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CaNDOS - RES. RATE APPL4ES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMOQELS - 72.00 Air Cond. M B7U MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # (ADD $.50 S/C PER EACH $1006.00 OF PERMIT FEE) Other ?I r .?'.._ . . . . ' . PERMIT FEE: - SIGNATURE OF PERMITTEE sIc: TOTAL: FOR: CITY OF EAGAN ? ? i Site P Lot _ ? Nan m Add c C+ty L PII 3 Add O CitY ..,.,?..,... .. _ . PERMIT PIUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PIlOT KN08 ROAD, EAGAN, MN 55122 DATE: PRICE: PHONE: 454-8100 'r{ Phone F , .5 ' ''11 ' Phone '? ? FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - flES. 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 BLDG. TYPE WORK DESCRIPTION Res. Mew Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL W ter Closet - $3.00 $ Ba?tQ Tubs - $3.00 La?a?(ory - $3.00 j Shower - $3.40 / Kitcheh Sink - $;1.00 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN /?- Laundr)?Tray;'- $3.00 Floor Dr inp '- ?1.50 Water He4er - $1.50 Whirlpoof - $3.00 Gas PipinglQutlets - $1.50 (MINIMUM - 1 PER PERMIn 'ell - $10.00 \ rivate Oisp. - $t0.00 ough Openings - $1.50 FEE: !'--" STATE S/C: ? GRAND TOTAL: ? '? ' ' CITY..OF EAGbN Permit No: 1126'i 3830 Pilot Knob ftoad g/p No: P.O.?Box 211199 Eagan, MN 55121 •x ,... Date: - ? <? Date: Owner. wA1'NF. SANDSLRG Site Address: `'RE-. A D" ., SOUT?I QAKS Plumber: :JEN2EL MWCC: pAiD Zoning• Ciry Chg: pRFVIOUSL'i No. of Units: ? Acct. Dep: - • 4fJ a d Permit Fee: _ 10.00 Pd Surcharge: T' • S0 Nd uV Micr• RE7U1REd I agree to comply with the City of Eagan Ordinances. By SEWER SERVICE PERMIT CITY OF E/1G^qN Permit No: 14128 11 /2a/98 3830 Pilot Knob H+oad Date: Meter No: Size: P.O. Box 21199 Reader No: Eagan, MN 55121 Date: , OF EAGAN Permit No: 10128 Pflot Knob Road Date: Meter No: Y/i" ? S 3 7? SiZe: lox 21199 Reader No: ID ? 99 ? 7 J i, MN 55121 Date: ,nn. Chg: - 4 4 50 O? a?L_ ct Dep:_ 15 00 11-1 rmit Fee: ? ? 00 nd rcharge: sn „? Plant ter. 7 nn ?Q Zoning: R No. oi Units: i L1J2 1 agree to cornply with the Cily oi Eagan ? Ordfnances. _ °?- ? ., By- r ? WATER SERVICE PERMIT BLDG. PERMIT NO 01-3210 Bldg. Permit 01,3422 Plan Check •' 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2755 Surcharge 753860 Road Unit 20-2275 SAC 203865 Water Conn. 20-3668 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. ?- i .C• fiG?.r ? 3 n nn I 3n ? o TOTAL 6-/ C1TY OF EidGAN 3795 Pilot Knob Foad Ea.gan, D?innesota 55122 PERNLCT NO.: _877 .) dtocs The City of Eagan hereby grants to Genz-Ryan Plumbing & Heatinq Co. o£ Rosemount, MPI55068 a 'lif-ATING' Permit for: (Owner) Stephen fieim at 575 Greenleaf Dr. No; pursuant to application dated _ 9/7/76 Fee Paid: $20.00 dated this 9 .50 s c Mec:ianical Permits: Bid Totals day of 5ePt• e. 1 9 76 _ Building Inspector BLDG. PERMIT NO 01-3210 Bldg. Permit 01,3422 Plan Check •' 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2755 Surcharge 753860 Road Unit 20-2275 SAC 203865 Water Conn. 20-3668 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. ?- i .C• fiG?.r ? 3 n nn I 3n ? o TOTAL 6-/ C1TY OF EidGAN 3795 Pilot Knob Foad Ea.gan, D?innesota 55122 PERNLCT NO.: _877 .) dtocs The City of Eagan hereby grants to Genz-Ryan Plumbing & Heatinq Co. o£ Rosemount, MPI55068 a 'lif-ATING' Permit for: (Owner) Stephen fieim at 575 Greenleaf Dr. No; pursuant to application dated _ 9/7/76 Fee Paid: $20.00 dated this 9 .50 s c Mec:ianical Permits: Bid Totals day of 5ePt• e. 1 9 76 _ Building Inspector CITY of EAGAN BUILDING PERMIT . . . . . . . . . . . . ..... ..... o W n . : . ??el?P , h ..... . . . . . - y . . ,. ....... Addrase (P=esenf) .... :5-`....??--.--/U../ ..•7-re.Q?.....P?.? Bullder ........................ ic.:1?vz..i............................................. .... Addrese ..................................................................------------------- - i• N4 3878 3795 Pilot Knob Road Eagan, Minaesofa 55122 454-8300 Dals ...?.?......??.?....... _....... 6ioxiea To Be Ucad For Fron! Deplh Haigh! Eel. C5of Psrm'_ se Rsmarks TION Sfieet, noetl or otn¢s 1JesenpIIOn ot LoeeSlon I Lot I 81oek I ACdiHpn oS 1Yet! This pe:mit does aof avihoxize the use of slreelc, roads, alleps or sidewallcs aor does it give the owaer os his ageal the xigh! !o ereafe anp sitvetion whiah is a nuisance os which presentc a hasard fo the heallh, satety, eoavan[encs aad general welfa:e !o anpone in the communilp. THIS PERMIT MUST BE K T9 N THE R/ EMISE WHILE THE WORK IS IN PROG S Thia is !o cerlify, lha??(/..A.P.Q..__.. ..f .f..?'..t /!? ,..---....... /J ...has permission !o asee! a.. ..?. £.?1? . .:?..?f? .... . ?npoa ............... the above c ibed? r subjeci io the provisions of all applicable ees for !h of agai?. .••----......f .::.................°-. ..til..'.?---........---.....-°---°........ Pez/?y%?>a???'F?-.p.....---....._................... Mayor Suildin Ins eetor CITY of EAGAN BUILDING PERMIT . . . . . . . . . . . . ..... ..... o W n . : . ??el?P , h ..... . . . . . - y . . ,. ....... Addrase (P=esenf) .... :5-`....??--.--/U../ ..•7-re.Q?.....P?.? Bullder ........................ ic.:1?vz..i............................................. .... Addrese ..................................................................------------------- - i• N4 3878 3795 Pilot Knob Road Eagan, Minaesofa 55122 454-8300 Dals ...?.?......??.?....... _....... 6ioxiea To Be Ucad For Fron! Deplh Haigh! Eel. C5of Psrm'_ se Rsmarks TION Sfieet, noetl or otn¢s 1JesenpIIOn ot LoeeSlon I Lot I 81oek I ACdiHpn oS 1Yet! This pe:mit does aof avihoxize the use of slreelc, roads, alleps or sidewallcs aor does it give the owaer os his ageal the xigh! !o ereafe anp sitvetion whiah is a nuisance os which presentc a hasard fo the heallh, satety, eoavan[encs aad general welfa:e !o anpone in the communilp. THIS PERMIT MUST BE K T9 N THE R/ EMISE WHILE THE WORK IS IN PROG S Thia is !o cerlify, lha??(/..A.P.Q..__.. ..f .f..?'..t /!? ,..---....... /J ...has permission !o asee! a.. ..?. £.?1? . .:?..?f? .... . ?npoa ............... the above c ibed? r subjeci io the provisions of all applicable ees for !h of agai?. .••----......f .::.................°-. ..til..'.?---........---.....-°---°........ Pez/?y%?>a???'F?-.p.....---....._................... Mayor Suildin Ins eetor s Uo ?S VILLAGE OF LAGA1V 3795 Pilot Knob xoad Eagan, Nunne-sota 55122 PE04IT N0. t49 The Village of Eagan hereby grants to ?lerke 'rrenc?±±pg {,Excanating a Cesepool _ cap?in Tnnlr A Permit for: (Owner) Stevhen Aeim at _SiS HI_ r,rAanieaf Driae ? Pursuant to application dated 6/6/73 Fee Paid: 610_nn dated this bth day of Juna , 19 73 .50 e/c Bui ding Inspector Niechanical Permits: o£ C71ff Road, Qan ,55123 Bid Total: G- /- / S- Da?ls VILLAGE OF' EAGAN 3795 Pilot Knob ttoad Eagan, ilinnesota 55122 PE?d4TT Y0. 141 The Village of Eagan hereby grants to rqan Well Co. o£ Rosenount, MN a WET.L• Permi.t for: (Owner) 3tephen Heim at575No. (}reenleaf Drive. , pursuant to application dated 4/2/73 Fee Pai.d: 10,00 dated this 9th day of Api`i1 19 73 . Q 8 O ? Building Inspector Niechani.cal Perm:its: Bid Tot (? -/ j VILLAGE OF EltGAN 3795 Pilot Knob Hoad Eagan, IvIinnesota $5122 PERiaT N0. 320 d?-KS The Dillage of Eagan hereby grants to Project Plumbiug Co. of 9743 Humbo7.dt Ana. So. . Mpls. a PLDS+IDItd(} Pe2mit £or; (Owner) 3tevei Iieim at 575 No. Grewleaf Drive , pursuant to application dated 4/6/73 Fee Paid: $20,00 dated this 9th day o£ Ap."11 , 19 73 .50 e% Building Inspector Niechanical Permits: Bid Total: EAGAN TOWNSHIP BUILDING PERMIT oWne: . ---- ...:?---? /l`.T??` ? - . " •...... /.Y".".? :.......................'----"_ r Address (Presen!) ? ? D--.. .?5? •-- ?--U ?a - s`// ? -'°'----°--'....--°-°......_..._.-------'--"-'-----'°'.....!'L° ... Builder ---./..tr?=c-=:7-111 ----------------------------------------------------------- ------- .... Addreas ......------ ................-----..._...................-------.......................... DESCAIPTION Nn . Eagan Township Town Hall Dale ...?- ?(' 2961 ? Storiea To Be Used For Fron1 Depth Heighi Esl. Cos! Pexmii Fee Aemarka 7 ? a-.6' 7? aro ?S-SO /o ? .d-?-te jrri ?---C /?-,rr?-e_ LOCATION 9R 'So or s-7 .f ??' . ?-?-?--,,- 'x, ? & I/ I "L?? ?.? a-wzJ This permit does aot aulhoriza the use of sireeis, roads, alleys or aidewalks aor does it give the owner or his agen! the righ!!o eseale enq ai2uation whieh is a auisanee or which preaenfs e hasard !o the heallh, safefy, oonvenieaee and general welfare !o anpone in the community. THIS PERMIT MUST BE BEPT N THE PREMISE WHILE THE WOAK IS IN PROGA SS. This is 3o cerlifp, tha2.?1 ..... ?._ ......................hes permiesion !o erect e..... . ..... I .... ................. _upoa the above described premise bjeei !o the provisions ot the Building Ordinance for Eage Townshipdopled Apri! 11, 1955. < n?:?_y ?.,., ?....... Per .................°...._IIQI ---?..---.-----'-?................ Chairmaa of Tnwn Bob'rd ?. Buildin Ins ecio? p-I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•881-4675 New Constructbn Neauiremanle . 3 registered sife surveys shaving sq. R of lot, sq. fl. of house; and atl roofetl areas (20% ma)imum bt coverege albwed) . 2 copies of plan showing heam & weMOw sizes; pouretl lound tlesign, etc.) • 1 set ol Energy Calculetbns • 3 COpi9s of Tree PreServa110n Plen B IOt pl9ri6d atter 711/93 ., Rim,bi31 Detail Optbns selBCtbn sheet (bldgs wilh 3 or 16ss units) DATE SITE ADDRESS TYPE OF iV.5?) . -7 _5 MULTI-FAMILY BLDG _ Y X N _ FIREPLACE(S) X 0 _ 1 _ 2 APPLICANT STREETADDRESS /2Z'f7???14/P S. CITY&rn5?r%?e STATE&of1 ZIW190t?'. TELEPHONE #?'aZ CELL PHONE #(??a??9-F?^ J?2_ FAX #?'A?2?-?. Z? PROPERNOWNERJ??j?¢k4jZ?j' ?S?aC?PF01 TELEPHONE#? y5a?' TD ------------------ -------------------------------------- -------------------------- ------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CAT'EGORY 1 MINNESOTA RULES g? Q?'UlL (4 submission type) • Residential Ventilation Cetegory 1 Worksheet Submitted 7_11113102002 Energy Envelope Calculations Submitted C Plumbing Conhactor. __ Plumbing system includes: Mechanical Conhacfor: Mechanical system includes: Sewer/Water Contractor: _ Water Softener La _ Water Heater _ No. o _ No. of Baths Air Conditioning Heat Recovery System Phone # "` wn Sprinkl , f R.I. Bas Phone # Phone # Submitted Fee: $70.00 I hereby acknowledge that I have read fhis application, state that The information is correct, and agree to comply with all applicable StaTe of Mlnnesota Statutes and City of Eagan Ordinance? Signature of Applicant ?' ? l?l??1 ?- _._....---------°--°_ ............ ..?---s.._.__..._._?__..._...?.._ ... OFFICE USE ONLY RemodeVHeueir Heaulremente . 2 copies of plan • lsetofEnergyCalalaiionsforheatedadd'NOns • 1&Re survey for egerior add'Abns 8 decks . Indicete tl home served by septic system for addttions VALUATION S -71 00D Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated M02 APFLICATION FOR PERMIT 'G . 'w NOTE: PAITIFI' OF FEE AT TIME OF ` * naor.rrnmrrw mcc nrrr m.r ? ?IF EXISTING STRIICT[JRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID USE: Q COAM'IERCIAL/RETAIL/OFFICE Q INDC!STRIAL Q INSTIZUTIONAL/GOVERI?A?NT 2) NF1ME: AUDRESS: CITY, STATE, ZIP: PHONE: I? R-1 SINGLE FAMILY ? R-2 DDPLEX ('iWO Linits ) Q R-3 TOWNHOOSE (Three + Units) ( Units) Q R-4 APARTMENP/CO[?IDOMINIL'M ( Units) 3) O+? NAP7E: ADORESS: CITY, STATE, ZIP: PHONE: . . . . . . 1•YL71LR L1l„GLYJG if 4) ADDRFSS: CITY, STATE, ZIP: PHONE: ? o . ??u Active Expired Ij Not recorded St Iaf? nitial S) STORM SEWER PERMIT - CONTACT ENGINEERING ? CONNECTION TO CITY SEWER • `CONNECTION TO CITY WATEEt O TAPS 6) ??:? ?/???.? C/ d?.?-,- ? ?l-?l- 8? **???***********?*****?**:?r,???****????*****.*?**?*********** ? **?**********?*?**?**?***?**********? * THE GOLD COPY OF THE pg2p?T WIIS, BE SENr DIRECIZ,Y TO PUS[.2 ? FACILITATE MEI?R PICK-DP. * ? PLFFISE ALIAW 'IWO WORKING DAYS FOR PROCFSSING. SpNIDOL? FROM Tf? CITY WILL CONTACT YOU IF 1HERE * * ARE ANY PROBLII?IS. i' ?******?*******+,?***?*t******,??***??******?**??***,?+**???**?***+r*,t*********?**??**,????*?*?***?**?:y I.EGAL DE.SQ2IPTION; . ? ?''i l Lot B ock Sub ivision or Tax Parcel ID ) FOR CITY USE ONLY PERMIT # ISSDED 1 a i Z? Pd w/Bldg. Permit FEES: S $ $ %(,j SEWER PERMIT (INCLDDE SURCHARGE) $ $ U I?? S WATER PERMIT (INCLUDE SDRCHARGE) $ $ ta <•?n? WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ f ACCOLNT DEPOSIT - WATER $ $ S SJC? - wac $ s .P?? J??.•?,-?---? sAc $ $ TRLNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL $ENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TR[!NK WATER $ $ ER TR WAT EATMENT PLANT SURCHARGE $ $ OTHER: $ $ Bv TOTAL ? 3? .. RECEIPT RECEI PT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION LIST AS D O . A C N ITIO[V. SUBJECT TO THE FOLLOWING CONb2TIONS: APPROVED BY: TITLE: r/ DATE: =TW? - SEi1ER CONNECTION CRARCES: SAC ACCOUNT DLPOSIT SE[JER PERPfIT TOTAL FOR SEWER HOOK-UP WATER CONNLCTION CHARCES: WATER CONNECTION PfETER TREATPENT SllRCHARCE ACCOUNT DEPOSIT WATER PERhtIT PLUhQiINC PCRPRT TOTAL FOR IJATER HOOK-UP TOTAL FOR SE[dLR & {JpTER HOOK-UP ? /? ^wtV ?/ L ^`, ?650. 00 ' 15.00 - ,? 10.50 ? 675.50 Ic ? L` 550.00 67.00 204.00 15.00 10.50 12.50 . 859.00 rIINIMUM PLUrffiINC CHARGE FOR C0MAfERCIALS - 20.50 _n;AivSrar..:rlc,N l:S7s R768 ' SI'LCIAL Fv.-;..=_: SSMr_r.rrs SI='`Ieif:,IA1... r`-lf3'.alc: tiSl`11:i:IVTS S[=ARL.l-I Si Jl•1MARY F'kC7F' Ei:f-tl"1' I.D. 7' OI.-ifiil'S DATE,; 11/22/€3° _._._u;PG: C:tGdl_ FI_FdG'.3 . _..._.._. 1fi_..7i ..:f7f.i._(_I6f'1.__ti1 ' . __.... . _.._ Saf'IX "'._..._._....__._.._._."_' [ v: 1"I?:):J[??i?!I1ENT _'_.._.."'._.._.._.._.._. DESORii .._..__ YFl _._._.._.... YF:S __.._..._._............_._ RA"ff:: _.._._._.._......._.._....._ TCiTd1L ......._._._.._'_._..._. ANIV .I='RIPI. _.?._.._._-'_'_'_"'_ F'HYt7F"!- ""._ _..""'"_...... CCIMFPJf 100814 59._.'(R6; . 93 15 10,.00% 61?7..00 .ttt::a ? „C.+,j C:I....t7S'r'i.la 10081e; , ,_---Ri<:: ?;<; i,:? t?.?„?:r:,,f 370.00 .oi? .no c?_nt;E?, 1ClE=536 SOU"C4! OAICS U T I I._ & ST 00 0 ,00% 17074.00 17074.00 17074.00 F^Eh!E) ii_it'If'1i:.1R't' {3f' At::l' I VE WO .00 .i,t, TI-IIS `fEAR' :a Tt:J'f Pc,:[ .00 St!MP•1€=iRY C1F P-_lVti:[hd±:,. .17074,00 17074„00 BLDG. PERMIT NO 01-3210 Bldg. Permit 01,3422 Plan Check •' 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2755 Surcharge 753860 Road Unit 20-2275 SAC 203865 Water Conn. 20-3668 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. ?- i .C• fiG?.r ? 3 n nn I 3n ? o TOTAL 6-/ C1TY OF EidGAN 3795 Pilot Knob Foad Ea.gan, D?innesota 55122 PERNLCT NO.: _877 .) dtocs The City of Eagan hereby grants to Genz-Ryan Plumbing & Heatinq Co. o£ Rosemount, MPI55068 a 'lif-ATING' Permit for: (Owner) Stephen fieim at 575 Greenleaf Dr. No; pursuant to application dated _ 9/7/76 Fee Paid: $20.00 dated this 9 .50 s c Mec:ianical Permits: Bid Totals day of 5ePt• e. 1 9 76 _ Building Inspector CITY of EAGAN BUILDING PERMIT . . . . . . . . . . . . ..... ..... o W n . : . ??el?P , h ..... . . . . . - y . . ,. ....... Addrase (P=esenf) .... :5-`....??--.--/U../ ..•7-re.Q?.....P?.? Bullder ........................ ic.:1?vz..i............................................. .... Addrese ..................................................................------------------- - i• N4 3878 3795 Pilot Knob Road Eagan, Minaesofa 55122 454-8300 Dals ...?.?......??.?....... _....... 6ioxiea To Be Ucad For Fron! Deplh Haigh! Eel. C5of Psrm'_ se Rsmarks TION Sfieet, noetl or otn¢s 1JesenpIIOn ot LoeeSlon I Lot I 81oek I ACdiHpn oS 1Yet! This pe:mit does aof avihoxize the use of slreelc, roads, alleps or sidewallcs aor does it give the owaer os his ageal the xigh! !o ereafe anp sitvetion whiah is a nuisance os which presentc a hasard fo the heallh, satety, eoavan[encs aad general welfa:e !o anpone in the communilp. THIS PERMIT MUST BE K T9 N THE R/ EMISE WHILE THE WORK IS IN PROG S Thia is !o cerlify, lha??(/..A.P.Q..__.. ..f .f..?'..t /!? ,..---....... /J ...has permission !o asee! a.. ..?. £.?1? . .:?..?f? .... . ?npoa ............... the above c ibed? r subjeci io the provisions of all applicable ees for !h of agai?. .••----......f .::.................°-. ..til..'.?---........---.....-°---°........ Pez/?y%?>a???'F?-.p.....---....._................... Mayor Suildin Ins eetor CITY of EAGAN BUILDING PERMIT . . . . . . . . . . . . ..... ..... o W n . : . ??el?P , h ..... . . . . . - y . . ,. ....... Addrase (P=esenf) .... :5-`....??--.--/U../ ..•7-re.Q?.....P?.? Bullder ........................ ic.:1?vz..i............................................. .... Addrese ..................................................................------------------- - i• N4 3878 3795 Pilot Knob Road Eagan, Minaesofa 55122 454-8300 Dals ...?.?......??.?....... _....... 6ioxiea To Be Ucad For Fron! Deplh Haigh! Eel. C5of Psrm'_ se Rsmarks TION Sfieet, noetl or otn¢s 1JesenpIIOn ot LoeeSlon I Lot I 81oek I ACdiHpn oS 1Yet! This pe:mit does aof avihoxize the use of slreelc, roads, alleps or sidewallcs aor does it give the owaer os his ageal the xigh! !o ereafe anp sitvetion whiah is a nuisance os which presentc a hasard fo the heallh, satety, eoavan[encs aad general welfa:e !o anpone in the communilp. THIS PERMIT MUST BE K T9 N THE R/ EMISE WHILE THE WORK IS IN PROG S Thia is !o cerlify, lha??(/..A.P.Q..__.. ..f .f..?'..t /!? ,..---....... /J ...has permission !o asee! a.. ..?. £.?1? . .:?..?f? .... . ?npoa ............... the above c ibed? r subjeci io the provisions of all applicable ees for !h of agai?. .••----......f .::.................°-. ..til..'.?---........---.....-°---°........ Pez/?y%?>a???'F?-.p.....---....._................... Mayor Suildin Ins eetor s Uo ?S VILLAGE OF LAGA1V 3795 Pilot Knob xoad Eagan, Nunne-sota 55122 PE04IT N0. t49 The Village of Eagan hereby grants to ?lerke 'rrenc?±±pg {,Excanating a Cesepool _ cap?in Tnnlr A Permit for: (Owner) Stevhen Aeim at _SiS HI_ r,rAanieaf Driae ? Pursuant to application dated 6/6/73 Fee Paid: 610_nn dated this bth day of Juna , 19 73 .50 e/c Bui ding Inspector Niechanical Permits: o£ C71ff Road, Qan ,55123 Bid Total: G- /- / S- Da?ls VILLAGE OF' EAGAN 3795 Pilot Knob ttoad Eagan, ilinnesota 55122 PE?d4TT Y0. 141 The Village of Eagan hereby grants to rqan Well Co. o£ Rosenount, MN a WET.L• Permi.t for: (Owner) 3tephen Heim at575No. (}reenleaf Drive. , pursuant to application dated 4/2/73 Fee Pai.d: 10,00 dated this 9th day of Api`i1 19 73 . Q 8 O ? Building Inspector Niechani.cal Perm:its: Bid Tot (? -/ j VILLAGE OF EltGAN 3795 Pilot Knob Hoad Eagan, IvIinnesota $5122 PERiaT N0. 320 d?-KS The Dillage of Eagan hereby grants to Project Plumbiug Co. of 9743 Humbo7.dt Ana. So. . Mpls. a PLDS+IDItd(} Pe2mit £or; (Owner) 3tevei Iieim at 575 No. Grewleaf Drive , pursuant to application dated 4/6/73 Fee Paid: $20,00 dated this 9th day o£ Ap."11 , 19 73 .50 e% Building Inspector Niechanical Permits: Bid Total: EAGAN TOWNSHIP BUILDING PERMIT oWne: . ---- ...:?---? /l`.T??` ? - . " •...... /.Y".".? :.......................'----"_ r Address (Presen!) ? ? D--.. .?5? •-- ?--U ?a - s`// ? -'°'----°--'....--°-°......_..._.-------'--"-'-----'°'.....!'L° ... Builder ---./..tr?=c-=:7-111 ----------------------------------------------------------- ------- .... Addreas ......------ ................-----..._...................-------.......................... DESCAIPTION Nn . Eagan Township Town Hall Dale ...?- ?(' 2961 ? Storiea To Be Used For Fron1 Depth Heighi Esl. Cos! Pexmii Fee Aemarka 7 ? a-.6' 7? aro ?S-SO /o ? .d-?-te jrri ?---C /?-,rr?-e_ LOCATION 9R 'So or s-7 .f ??' . ?-?-?--,,- 'x, ? & I/ I "L?? ?.? a-wzJ This permit does aot aulhoriza the use of sireeis, roads, alleys or aidewalks aor does it give the owner or his agen! the righ!!o eseale enq ai2uation whieh is a auisanee or which preaenfs e hasard !o the heallh, safefy, oonvenieaee and general welfare !o anpone in the community. THIS PERMIT MUST BE BEPT N THE PREMISE WHILE THE WOAK IS IN PROGA SS. This is 3o cerlifp, tha2.?1 ..... ?._ ......................hes permiesion !o erect e..... . ..... I .... ................. _upoa the above described premise bjeei !o the provisions ot the Building Ordinance for Eage Townshipdopled Apri! 11, 1955. < n?:?_y ?.,., ?....... Per .................°...._IIQI ---?..---.-----'-?................ Chairmaa of Tnwn Bob'rd ?. Buildin Ins ecio? p-I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•881-4675 New Constructbn Neauiremanle . 3 registered sife surveys shaving sq. R of lot, sq. fl. of house; and atl roofetl areas (20% ma)imum bt coverege albwed) . 2 copies of plan showing heam & weMOw sizes; pouretl lound tlesign, etc.) • 1 set ol Energy Calculetbns • 3 COpi9s of Tree PreServa110n Plen B IOt pl9ri6d atter 711/93 ., Rim,bi31 Detail Optbns selBCtbn sheet (bldgs wilh 3 or 16ss units) DATE SITE ADDRESS TYPE OF iV.5?) . -7 _5 MULTI-FAMILY BLDG _ Y X N _ FIREPLACE(S) X 0 _ 1 _ 2 APPLICANT STREETADDRESS /2Z'f7???14/P S. CITY&rn5?r%?e STATE&of1 ZIW190t?'. TELEPHONE #?'aZ CELL PHONE #(??a??9-F?^ J?2_ FAX #?'A?2?-?. Z? PROPERNOWNERJ??j?¢k4jZ?j' ?S?aC?PF01 TELEPHONE#? y5a?' TD ------------------ -------------------------------------- -------------------------- ------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CAT'EGORY 1 MINNESOTA RULES g? Q?'UlL (4 submission type) • Residential Ventilation Cetegory 1 Worksheet Submitted 7_11113102002 Energy Envelope Calculations Submitted C Plumbing Conhactor. __ Plumbing system includes: Mechanical Conhacfor: Mechanical system includes: Sewer/Water Contractor: _ Water Softener La _ Water Heater _ No. o _ No. of Baths Air Conditioning Heat Recovery System Phone # "` wn Sprinkl , f R.I. Bas Phone # Phone # Submitted Fee: $70.00 I hereby acknowledge that I have read fhis application, state that The information is correct, and agree to comply with all applicable StaTe of Mlnnesota Statutes and City of Eagan Ordinance? Signature of Applicant ?' ? l?l??1 ?- _._....---------°--°_ ............ ..?---s.._.__..._._?__..._...?.._ ... OFFICE USE ONLY RemodeVHeueir Heaulremente . 2 copies of plan • lsetofEnergyCalalaiionsforheatedadd'NOns • 1&Re survey for egerior add'Abns 8 decks . Indicete tl home served by septic system for addttions VALUATION S -71 00D Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated M02 APFLICATION FOR PERMIT 'G . 'w NOTE: PAITIFI' OF FEE AT TIME OF ` * naor.rrnmrrw mcc nrrr m.r ? ?IF EXISTING STRIICT[JRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID USE: Q COAM'IERCIAL/RETAIL/OFFICE Q INDC!STRIAL Q INSTIZUTIONAL/GOVERI?A?NT 2) NF1ME: AUDRESS: CITY, STATE, ZIP: PHONE: I? R-1 SINGLE FAMILY ? R-2 DDPLEX ('iWO Linits ) Q R-3 TOWNHOOSE (Three + Units) ( Units) Q R-4 APARTMENP/CO[?IDOMINIL'M ( Units) 3) O+? NAP7E: ADORESS: CITY, STATE, ZIP: PHONE: . . . . . . 1•YL71LR L1l„GLYJG if 4) ADDRFSS: CITY, STATE, ZIP: PHONE: ? o . ??u Active Expired Ij Not recorded St Iaf? nitial S) STORM SEWER PERMIT - CONTACT ENGINEERING ? CONNECTION TO CITY SEWER • `CONNECTION TO CITY WATEEt O TAPS 6) ??:? ?/???.? C/ d?.?-,- ? ?l-?l- 8? **???***********?*****?**:?r,???****????*****.*?**?*********** ? **?**********?*?**?**?***?**********? * THE GOLD COPY OF THE pg2p?T WIIS, BE SENr DIRECIZ,Y TO PUS[.2 ? FACILITATE MEI?R PICK-DP. * ? PLFFISE ALIAW 'IWO WORKING DAYS FOR PROCFSSING. SpNIDOL? FROM Tf? CITY WILL CONTACT YOU IF 1HERE * * ARE ANY PROBLII?IS. i' ?******?*******+,?***?*t******,??***??******?**??***,?+**???**?***+r*,t*********?**??**,????*?*?***?**?:y I.EGAL DE.SQ2IPTION; . ? ?''i l Lot B ock Sub ivision or Tax Parcel ID ) FOR CITY USE ONLY PERMIT # ISSDED 1 a i Z? Pd w/Bldg. Permit FEES: S $ $ %(,j SEWER PERMIT (INCLDDE SURCHARGE) $ $ U I?? S WATER PERMIT (INCLUDE SDRCHARGE) $ $ ta <•?n? WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ f ACCOLNT DEPOSIT - WATER $ $ S SJC? - wac $ s .P?? J??.•?,-?---? sAc $ $ TRLNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL $ENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TR[!NK WATER $ $ ER TR WAT EATMENT PLANT SURCHARGE $ $ OTHER: $ $ Bv TOTAL ? 3? .. RECEIPT RECEI PT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION LIST AS D O . A C N ITIO[V. SUBJECT TO THE FOLLOWING CONb2TIONS: APPROVED BY: TITLE: r/ DATE: =TW? - SEi1ER CONNECTION CRARCES: SAC ACCOUNT DLPOSIT SE[JER PERPfIT TOTAL FOR SEWER HOOK-UP WATER CONNLCTION CHARCES: WATER CONNECTION PfETER TREATPENT SllRCHARCE ACCOUNT DEPOSIT WATER PERhtIT PLUhQiINC PCRPRT TOTAL FOR IJATER HOOK-UP TOTAL FOR SE[dLR & {JpTER HOOK-UP ? /? ^wtV ?/ L ^`, ?650. 00 ' 15.00 - ,? 10.50 ? 675.50 Ic ? L` 550.00 67.00 204.00 15.00 10.50 12.50 . 859.00 rIINIMUM PLUrffiINC CHARGE FOR C0MAfERCIALS - 20.50 _n;AivSrar..:rlc,N l:S7s R768 ' SI'LCIAL Fv.-;..=_: SSMr_r.rrs SI='`Ieif:,IA1... r`-lf3'.alc: tiSl`11:i:IVTS S[=ARL.l-I Si Jl•1MARY F'kC7F' Ei:f-tl"1' I.D. 7' OI.-ifiil'S DATE,; 11/22/€3° _._._u;PG: C:tGdl_ FI_FdG'.3 . _..._.._. 1fi_..7i ..:f7f.i._(_I6f'1.__ti1 ' . __.... . _.._ Saf'IX "'._..._._....__._.._._."_' [ v: 1"I?:):J[??i?!I1ENT _'_.._.."'._.._.._.._.._. DESORii .._..__ YFl _._._.._.... YF:S __.._..._._............_._ RA"ff:: _.._._._.._......._.._....._ TCiTd1L ......._._._.._'_._..._. ANIV .I='RIPI. _.?._.._._-'_'_'_"'_ F'HYt7F"!- ""._ _..""'"_...... CCIMFPJf 100814 59._.'(R6; . 93 15 10,.00% 61?7..00 .ttt::a ? „C.+,j C:I....t7S'r'i.la 10081e; , ,_---Ri<:: ?;<; i,:? t?.?„?:r:,,f 370.00 .oi? .no c?_nt;E?, 1ClE=536 SOU"C4! OAICS U T I I._ & ST 00 0 ,00% 17074.00 17074.00 17074.00 F^Eh!E) ii_it'If'1i:.1R't' {3f' At::l' I VE WO .00 .i,t, TI-IIS `fEAR' :a Tt:J'f Pc,:[ .00 St!MP•1€=iRY C1F P-_lVti:[hd±:,. .17074,00 17074„00 November 28, 1988 WAYNE & VIRGINIA SANDBERG 575 N GREENLEAF DR EAGAN, MN 55723 RE: 575 N GREENLEAF DR.v L 6, B 1, SOOTH OAKS WARNING: BEFORE DIGGING, CALL LOCAL DTILITIFS - TELEPHONE, ELECTRIC, G9S, ETC. - REQUIRED BY LAW XX Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coaehman Road) until the meter is pieked up. BE SIIRE TO CALL PUBLIC WORKS (454-5220) FOR YOOR PERMANENT WATER TURN ON. _ Your Sewer and Water Permit for the above property cannot be completed for the following reasons: Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or occupaney allowed until further notice. CONMERCIAL PROJECTS ONLY _ Your Sewer and Water Permit for the above property has been completed. It will be held at the Publie Works Garage (3507 Coaehman Road) until the meter is pieked up. Please come to City Hall to pay for whatever size meter you will need for this project. The size must be confirmed by either our Public Works Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8700) before issuanee. Sincerely, 7 Jan Severson Seeretary JS November 28, 1988 WAYNE & VIRGINIA SANDBERG 575 N GREENLEAF DR EAGAN, MN 55723 RE: 575 N GREENLEAF DR.v L 6, B 1, SOOTH OAKS WARNING: BEFORE DIGGING, CALL LOCAL DTILITIFS - TELEPHONE, ELECTRIC, G9S, ETC. - REQUIRED BY LAW XX Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coaehman Road) until the meter is pieked up. BE SIIRE TO CALL PUBLIC WORKS (454-5220) FOR YOOR PERMANENT WATER TURN ON. _ Your Sewer and Water Permit for the above property cannot be completed for the following reasons: Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or occupaney allowed until further notice. CONMERCIAL PROJECTS ONLY _ Your Sewer and Water Permit for the above property has been completed. It will be held at the Publie Works Garage (3507 Coaehman Road) until the meter is pieked up. Please come to City Hall to pay for whatever size meter you will need for this project. The size must be confirmed by either our Public Works Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8700) before issuanee. Sincerely, 7 Jan Severson Seeretary JS November 28, 1988 WENZEL MECHANICAL 1959 SHAWNEE RD EAGAN, MN 55122 RE: 575 N GREENLEAF DR., L6, B1, SDIITFI OAKS WARNING: BEEORE DIGGING, CALL LOCAL OTILITIES - TELEPHONEt ELECTRICp G93t ETC. - REQUIRED BY LAW XX Your Sewer and Water Permit for the above property has been completed. It will be held at the Publie Works Garage (3501 Coachman Road) until the meter is pieked up. BE SDRE TO CALL P[JBLIC WORKS (454-5220) FOR YOIIR PERMANENT WATER TIIRN ON. _ Your Sewer and Water Permit for the above property cannot be completed for the following reasons: _ Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or occuqancy allowed until further notice. COMMERCIAL PROJECTS ONLY _ Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3507 Coachman Road) until the meter is pieked up. Please come to City Hall to pay for whatever size meter you will need for this project. The size must be confirmed by either our Public Works Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before issuanee. Sincerely, 9?j?- "L? Jan Severson Secretary JS ? ..? ?---? ?.., A ? .a ? ; _ ._ i > Onv?8 ?iDVp? 46 ? ' . . ;'? ? . ?a a: 5oUTH oAWS 70WPJSHiP 0?F 5AGAA) CAJCb?tA C oomr/ Mi`NNf ` L ? tro1f ssA LCd .. ? .:.. . - ? .. ? ` . r a ,,s '#:, '.. t y, ?... r . /?7 • 4 ??? ? r , . . . . ? . • ? ? ' ? r. y y -? rru? D?? ?W2: $ 41..?i+i.:. . yf 1 .w-., ?a . :, ?ES?^.. _.'e"' .? :$]. ?. i??" ???aP???.?4sPz?,'?3.. ?l:naqv?r m</?^SYra?s2u •+K?? f . ??" i -..a_.:S tl,.?'Uw?'4.4"?:. ? .. ?"+?..??aC L ake sD hP R ? ? ? ? 6 _ Q C'i-4%f Rd ? ?t ? MASTER CAftD Permif No. ? Issued I Issued To Con}rac}or Owner BUIIDING PLUMBING z 96/ ? _ q [? ??? ,? CESSPOOL - SBPTIC TANK W ELL ELECTRICAI HEATING GAS INSTALLING SANI7ARY SEWER - OTHER I OTHER Items Appraved (Initial) Date Remarks Distance From Well FGOTING y./U'73 FOUNDATION 4 -73 CESSPOOL FRAMING ?-_=y., z3 TILE FIELD FT. FINAL ELECTRICAL I HEATING DEPTH OF WELL GAS WSTALLATION SEP71C TANK b_ ?3 CESSPOOL - g ? DRAINFIELD PLUMBING WEIL ? ? SANITARY SEWER ? ---?-= ? - . ? ? ? Violation s Note on Back COMMENTS: I / LAND USED AS? ?8 x ? ? ?NJ 'f ???'? MASTER CARD 1-17 OWNER STRl1CTURE AND LAND USED AS Permif i No. I Issued Issued To - Coniractor Owner BUILDING PLUMBWG ? CESSPOOL - SEPTIC TANK i WELL ELECTRIGAL HEATING 17 7 9-9-7 G GAS INSTALLWG I SANITARY SEWER OTHER I OTHER I lfems Approved (Initial) Date Remarks Distance From Well FOOTING $EPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD - FT. FINAL ELECTRICAL . HEATING DEPTH OP WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Viola}ions Noted on 8ack COMMENTS: ? (?c??,,L. 6 i Municipal Notice of Well Permit Application Dakota County Environmental Management Department Water and Land Management Section 14955 Galaxie Avenue West Apple Valley, MN 55124 Tel (952) 891-7011 Fax (952) 891-7031 DATE: August 13, 2002 TO: Tom Colbert/Wayne Schwanz - EM Fax #: (651) 681-4694 FROM: Water and Land Management RE: Well Permit #: 02-11190024 Municipality: Eagan Well Type: Sealed Environmental Specialist: Rutten The Water and Land Management Section of the Dakota County Environmenta] Management Department has received the following permit applicarion for the well described. If you require further review of the application or if you have any questions or concems about it, contact the Environmental Specialist listed above or our office at (952) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicanYs observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Kimmes-Bauer Well Drilling Date application received: August 12, 2002 Anticipated Drilling Date: Time: Anticipated Grouting Date: Time: Property Owner: Wayne Sandberg Well Owner: Wayne Sandberg WELL LOCATION: PLS Coordinates: nw 1/4, ne 1/4, sw 1/4, se 1/4, Sec 25, Town 027, Range 23 Street address: 575 GreenleafDr N PIN Number: 10-71200-060-01 WELL INFOILVIATION: Diameter: 4 Casing depth: 172 Total depth: 180 Static Water Level: 122 Aquifer: unconsolidated sediments COMMENTS: Use BLUE or BLACK Ink �-----------------, For Office Use I . � la��9� C�t� of Ea�� ' � Permit#: � I � � Permit Fee: � 3830 Pilot Knob Road AUG 0 �► 2014 � �,; � / � Eagan MN 55122 j Date Received: 'f Phone:(651)675-5675 � Fax:(651)675-5694 SY� � � � Staff: � _��_��J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: ��28�14 SiteAddress: 575 Greenleaf Dr N, Eagan, MN 55123 Tenant: Suite#: Residen�ldwr�er � Name: John Korth Phone:651-245-2250 Address/City/Zip: same Name: K&S Heating, Air Conditioning & Plbg LLC�.;��se#: MB5216 CQntractor Address: 4205 Hwy 14 W c�ty: Rochester State: MN zip: 55901 Phone: 507-282-4328 - contact: Heidi Brown Ema;i: hbrown@ksheating.com New X Replacement Additional Alteration Demolition , r`yp�p�WQ�� Description of work: !I�OT�.Roof mountett anil=ground mo�ntec�mechanicaftequipmen#�is•required ta I�e screened by.Ci�y; Code. Please cont�ct the Me�hanical Inspectar`fbr irtiformaticrn tin�p+ermi�Eed�creening.me#hods:- RES/DENT/AL COMMERCIAL 1 Fumace New Construction _Interior Improvement p�rll'1�'�T�/�� 1 Air Conditioner _Install Piping _Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank (_Install/_Remove} Other RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 -$ Surcharge" "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Rick Keehn x �!-�� ApplicanYs Printed Name ApplicanYs Signature FOR�FFIGE USE ' � - �� ,�� tequired Inspections: Reviewed�y: Raf�: H� Und'ergrountl ' �toughtln Air 1'est .:,� ` 'Gas Serv€ce Test In-fl�arH�at.�,. < ! �ir�al '; , `H�/1�C Scr��nmg��,�= ' . � Use BLUE or BLACK Ink � � . � r________________� . I For Office Use � f . � ��,s-->y� � ��' � Permit#: _ �� Clt� of E�� . ; � tf�, �/ r�4/S Permit Fee: 3830 Pilot Knob Road � " { � Eagan MN 55122 �4.�F ._ . ,��°.� � Date Received: ��0 �� I Phone: (651)675-5675 I ,� I Fax: (651)675-5694 I Staff: l/�7 � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �� :� � �� r + Name: -..1�1�� Phone: � .�I ��I S`Z Z�S� Address/City/Zip:_ ��s � ✓`�-°�� ,, � Applicant is: Owner Contractor e.�'.�;°� ,� f��/ - �3� -°7 f�j�L Description of work: l`�"--v(�-��°�� ''l�'�� Construction Cost:��C� -C�C-�- Multi-Family Building: (Yes /No� Company:_ �L��/l'�� Contact: I � I . Address: .-��6'�/�� City: ��. � State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) s� 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: CALL BEFORE YOU DIG. Call Gopher State One Catl 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 completed within 180 days of permit issuance. x �-1�� 1��--�-�f: X ApplicanYs Printed Name Applica 's Signature Page 1 of 3 �` �7� ��r��=�l�w�� ' � � � DO NOT WRITE BELOW THIS LINE �r;��5�j�� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi Deck _ Porch(ScreenlGazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ 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 ��A'�}'��" . � Occupancy � " � MCES System Plan Review Code Edition ,�►�'1 '��"� SAC Units (25%_100%�) Zoning �.,�°�•� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Const�uction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required �4 Footings (Addition) -�� Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation � Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control � Braced Walls Other: Reviewed By: �`'� �`�°"' �f` � ��- , Building Inspector RESIDENTIAL FEES � . � s � �, � �r`� X� �q.c:�� ; '� � '� ,�.�,, �� Base Fee Surcharge (1�' �d►�r�*.� � ��k ��'�... '�.. �4�;�� a ,"�.` Plan Review MCES SAC City SAC Utility Connection Charge SS�W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129351 Date Issued:02/02/2015 Permit Category:ePermit Site Address: 575 Greenleaf Dr N Lot:6 Block: 1 Addition: South Oaks PID:10-71200-01-060 Use: Description: Sub Type:Residential Work Type:Alteration Description: 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. Fixtures:Kitchen, one Main floor 3/4 Bath, Main floor Laundry, Basement 3/4 bath , basement utility sink Applicant: Eric Bruckmueller 3992 Pennsylvania Avenue Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - John L Korth 575 Greenleaf Dr N Eagan MN 55122 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature s Use BLUE o�BLACK Ink . . r-----------------� / - I For Office Use �l� � � � Permit#: �C/l�U�� ,�� City of �a�� ; /�1 - � _, ' Permit Fee:�(��.s� j� _' � `� / 3830 Pilot Knob Road / Eagan MN 55122 � Date Received: �`/ �" l-�� Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � F I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �-��:� �_� Name: �� 1.o�T� Phone: [G� �l ` � %� � �Q Address/City/Zip: �� O�t ,� Applicant is: �Owner Contractor �"' ,..-- ; ° ��c'L`�` �� _�. '' �,�/ ,� ,_ �[, Description of work:_ �i� � ;(� �.5 ='-Y �-. � ,/" ��- F- ��/r f',i� �, U1�� j '��j` ,`%�%j '��`�' � Construction Cost: . � �� U� Multi-Fam y uil i�(Yes /Not� 'Q�Z-- Company: Contact: �� - . . Address: City: � ,. ., �� • �� State: Zip: Phone: Email: k� License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �.wt. rt�a� c� ��vtv��s�� 1�� /�� v?�C-�� 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 8�Water Contractor: 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.aoaherstateonecall.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 wor uthor' d by a buil ing permi issued in accordance with the Minnesota State Building Code must be completed within 180 days of pe� is a ce. x �, � X A lic t's Printed me Applicant's Signature Page 7 of 3 !`� 7 � �- °`. ;( ,I � `.=�> � ��:7 ��f�-��=��P1 ��-i`-��r- �u � I�f� --� � � DO NOT WRITE BELOW THIS LINE ,��'� �e�� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool 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 Retalning Wall •Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation � ? �, �t�'�i Occupancy 'Ti��"� l MCES System Plan Review Code Edition 'ry�y� a�-�t�" SAC Units (25%_100%x ) Zoning Z-1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction X y� Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Finai/C.O. Required � Footings(Addition) � Final/No C.O. Required � Foundation � HVAC_Gas Service Test Gas Line Air Test � Roof:�Ice&Water X Final Pool:_Footings _AiNGas Tests _Final �. Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath �Stone Lath _Brick � Insulation Windows �0 Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control '� Braced Walls Other: Reviewed By: ��i'!'� ✓l�i�� !{- , Building Inspector RESIDENTIAL FEES �" �� f /��` � � ` BaseFee JYI�l, :� � �� 1 �143�:� x �s:�.� _�� 11, L�`�t� . � �t� �, y�b ,— Surcharge ��92Wq�' 22x�y =;�� Ct�=� �P — �i�t°��+�� I fa X�`� ��' ��•°� �:' Z ��o.�ao Plan Review �L YYIn�� M�°tY�;� 1�� r"�m. �a^� /�ca 5�'- �a- 1��-W v��- , MCES SAC i�1�� 3�� '� �C�►t �r�P�r�� City SAC - �. ,�,, '""�E �? �� a �� Utility Connection Charge ��t,�;�.� �� -� `�� "� � � � � � �� „"�t:� � �a��'�. .�„ �� °'�3 ��> S�W Permit�Surcharge � �.� �"�� °�;,� -� Treatment Plant � ��`� � Copies �� „�;� TOTAL Page 2 of 3 CERTIFICATE OF SURVEY z AN tn tr) 00 LEGAL DESCRIPTION: 4-4 a) a) • ami s E v) t 4.20 1-1- 5*"4 ai -cs i„ • -a • .E"CI kfl 6A1 i N ti ro v o 1z ceio�0 U et:'cd cJ isei CO Fa 0 tip' et 114 O 3 O 0 C W 0 c a c ILI :5 CC m c m oW •Aa . 0 56ti /-4* t. eze,"ssbe' Use BLUE or BLACK Ink �-----------------, � For Office Use � . � � �� I �+� �� A � Permit#: � 6 � �v I � 3830 Pilot Knob Road � �� '-�'�`--•� � Permit Fee: � � j Eagan MN 55122 , I � Phone:(651)675-5675 �°��'_� y� �$��;� � Date Received: � Fax:(651)675-5694 � I � Staff: I . . ��J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 3/10/15 SiteAddress: 575 Greenleaf Drive North, Eagan, MN 55122 Tenant: Suite#: '�Y��'� p John� Korth ��,�� T Name: Phone: 6 51-2 4 5-2 2 5 0 i `� _ 65 Address/City/Zip: same - -�� ' � � _ �;� Name: K&S Heating, Air Conditionin & Plb LL � � � n�� 9 9 �icense#: MB5216 � � � � � ��" �:�� — � �� =�.; Address: 4205 Hwy 14 W aty:� Rochester ��u� � �r��= � �H� F . � - state: MN zip: 55901 Phone: 507-282-4328 � �� ,� _ � �� cor,tact: Heidi Brown Ema;i: hbrown@�ksheating.com � �� _ � _ - New Replacement Additional xx Alteration Demolition � _ t � ��u �� r �, � , �� ,b,�� Description ofwork installing first time air exchan.ger ��< < �� i d� � � � � � � �r � � �� y� � � � U'� �bt�� i� � �t1�� '�ul�� __ ,s ��C� � �i ti r`ail�� 1� ,j� �Du� Rdyall � r��:iy iW"�ry I �4��Yy�i�6 — -�.." mo.?� _ ��8 ��C�"�i1J��r�i = ��I�� $��G� "��#�� '� �, �i �. � ��,�'; � �s��.,�_� , ,�z��., .� �P�� -� RESIDENTIAL COMMERC/AL �� _ , � ��r _ } '�� t= �I? ��N �, � _Fumace _New Construction _Interior Improvement � �' �� -�-� �� Air Conditioner _Install Piping _Processed � � -�� Air Exchanger Gas � Ezterior HVAC�Unit � � �� — �— � �� _Heat Pump � _Under/Above ground�Tank (_�Install/_Remove) � � u� �� q� Other � � — �' _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =� Surcharge* **If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 "**If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of_ Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Rick Keehn X� ,��, Applicant's Printed Name ApplicanYs S gnature ��,� =2� ' XI I ' S J Po� : �S�t� -:_-;_� � '� J � � E I�I IIIH4 �u u�!t�� — '�� rv"°' ��1 I k� � � � i �-� _Mrya � � �i-N �`� ii��o�hh6lliulV�P��3�il�l�"t� � - ii . � n�n� p rv. �; a �)I�N' �. �r �RL � _� � �� rahpu�`a' � __ j_��Se_4r�-4.i,�h'' ; � �� ,�I�n tJ��h� ��h r .,�, �"t �:��t4�� IL I,,,1 I��L L .. _,.� � � .. �'��'�„ ._�� _ —,-.��. �a _ � �� _ �i��i��ti� � � �� _ �a�'��- nd—��;��rc� � ,Ft �I t,y �xa �� , �� , ��`�� . � I��i�s�„$ �°, °�