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585 Greenleaf Dr NCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 585 Greenleaf Dr N Lot: 7 Block: 1 Addition: South Oaks PID:10- 71200 - 070 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Permit closed without required inspection(s). Letter sent to applicant on 6/12/09. (pf) Expired Permit - Closed w/o Required Inspections. Letter sent. 12/10/2008 pf ME - Permit Fee (Replacements) Surcharge -Fixed Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Johnny Douglas 585 Greenleaf Dr N St Paul MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA082403 03/31/2008 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 585 Greenleaf Dr N Lot: 7 Block: 1 Addition: South Oaks PID:10- 71200 - 070 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823 -8046 PERMIT City of Eaan Construction Type: Occupancy: 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. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: Johnny Douglas 585 Greenleaf Dr N St Paul MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature Building EA089275 05/20/2009 ePermit DATE:_ 5/24/89 ? AE- 585 NottTH .R ..Nr. .AF DRlV ., L7, B1 , SOUTH DAKS ., , ? ?•'?Your Sewer 8 Water Permit for the above property has been completed. It will be held at the Public Worfcs Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed For the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UT7LITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY. Secretary, Building Inspections Dept. - - SEWER & WATER PERMIT cmr oF EAGaN 3830 Pilot Knqb Rd. Eagart, MN 55122-1897 OFFICE USE ONLY METER#!Va,2 -3_-)Z4 PERMITDATE 5/24/89 CHIP # 8 WATER PERMIT # 1[1454 METER SiZE ^ B.P. RECEIPT # C' 2129 ISSUE DATE B.P. RECEIPTDATE 24/?39 PRV _ BQOSTER PUMP SITE ADDRESS ? ?-J %` ??E .?I?°RI- I?,? LOT ?BLOCK SEC/SUB -S-_AftTH (?19Lt5 APPLICANT: r- r? o f_ (•? P, -:- v ?'r' _ µ.?-.? ADORESS: CI'F'Y, STATE ZIP PHONE: `'? PERMIT REQUESTED V SEWER k'- WATER - TAPS - COMMIIND 1!rRESIDENTIAL - MEW 1ff: EXISTING PLUMBER: '-A-) E oy £ ? L u ^^ ADDRESS: ??5 S S hc» ? ho?? ?\ c I AGREE TO COMPLY WR'H CITY OF CITY, STATE ` T ZIP •'-` > ? ' ? _ ?, EAGAN ORDINANCES: PHONE: LP?t4- I 5c:= OWNER: ?9ylAn ? ?- t-A a_ -, 2ELA..-- ADDRESS: <'?> >v ;? z E E..?? ,? c o rt- SIG j R ISSUED CITY, STATE -??- ?+r , A ti 4?l ? Zip - }, a-? PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL 8E NOTIFtED WHEN PERMIT IS PROCESSED. SEWER & WATER PERMIT CiTY DF EAGAN 3830 Pilot Kpob Rd. Eagan, MN 6t122-1897 OFFICE USE ONLY METER # CHIP # METER SIZE ISSUE DATE -PRV _I PERMIT DATE WATER PERMIT # 10454 B.P. RECEIPT # C, 2129 B.P. RECEIPT DATE 124/ug SITE ADDRESS LOT _BLOCK SEC/SUB --f - '-: ?5 APPLiCANT: - ? - ADDRESS: ? ?` • CITY, STATE ? ZIP PHONE: -n L- ` , PERMIT REQUESTED SEWER ? - WATER - TAPS COMM/IND SIDENTIAL NEW - EXISTING PLUMBER: ; ADDRESS: 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ' ZIp EAGAN ORDINANCES: _ PHONE: 44 - 17 OWNER: i'r ADDRESS: CITY, STATE ' -? ZIP ? ? _ • PHONE: ? . ? SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. PERMIT # MECHANICAL PERMIT i CITY OF EAGAN RECEIPT # . ` 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ' ? ?' ' • BLDG. TYPE WORK DESCRIPTION Lot Biock Sec/Sub Res. ' New ? ,k Name Mult. Add-on Comm. Repair -i6 Address • ' '` . C. Other c City ` Phone FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address A?=?<< ADDITIONAL 50MBTU - 6.00 p City Phone RES. HVAC INCLUDES A/C ON NEW 4,` CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFiMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler " M BTIJ MINIMUM RESIDEN7IAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM CQMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - ,50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # 1J? BEYOND $1,000) Other r FEE: S/C: SIGNATURE OF PERMITTErt' ToTaL: ?•?.? lr FOR: CITY OF EAGAN y?-r X%G I.c?? ?? 5Ia (118'S CONTRACT PRICE: PERMIT # ???•? ? ? PLUMBING PERMIT RECEIPT # ?-' ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -- - ??r ?+ ? PHONE: 454-8100 Site Address Lot ? Block ? Sec/Sub ? Name m ?o Address ? c City -C1% Phone ? Name 3 Address O _ CitY t; .. Phone -? FEES COMM/IND FEE - loib OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PER EE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Muit. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES --- TOTAL water Gloset - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - 51 50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - t PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: ? STATE S/C: GRAND TOTAL: _._I,? CITY OF EAGAN Addition _ SOUth 08tk8 Lot 7 elk 1 Parcel 10 71200 070 Ol Owner t"C1,:c Street 585 No_ Gr caniPaf nr State Eaqan,MN 55123 kF_' 411 / -7"' v . Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 1 1984 370.00 2.67 15 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 19$ 617.00 1.1 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sAC 425.00 133 5-6-75 PARK ? IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilat Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: t ?? : - !:l i?? t . . ,?. I i,{.tii i,; PERIIAIT SUBTYPE: TYPE OF WORK: , rs ! I ? ':• f+ f ! !? {J ? ? i • ? , . ? I ? INSPECTION DA • DA , ,?. . ... ;, ? Permk No. Permit Holdo? Oate Telephona M ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ? Lrl FIREPLACE AIR TEST A43 ;D vK FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? ?11 CITY of EACAN BUILDING PERMIT opn.: ...... ........... 1 ...... ,.,. ....: ..... ... ............. ................ /J/..-cn:_..ti_'Z?c?'.-??[-o Address (P:asent) .I......---..........-.............................................. .. ? Bullder ............ ....................................................................... Addreas ..................................................................... DESCAIPTION .. N2 ._3572 3795 Pila! Knob Road Eagan, Minnesota 55122 454-81D0 Dale .S -..:r....= .................. SSOriec To He Used For Froa! Deplh Heigh! Eel. Coa! Parmi! Fea Remarln l 4 7 /? Z^21 ar.s-?; './ G o: E ,SYr -27 . /"?- . 1 7 / This permii does not aulhorize the use of sireels, xoada, alleys or sidewalks nos does i! give the owaer or Lia sgant the righf !o creale any siiveiion whieh is a nuisance or which psesanis a hazard fo the heallh, safely, coeve»ieaes aad general welfare !o eapone in ihe, communify. THIS PEAMIT MUST SE QK.EPT 023 THE PREMISE WHILE THE WORK IS IN PROG ESS. This is !o eerid ,,- --= ........ ......... .....- .... ......._- °° ,c ..................... u p' !hal ---- % ----.-? `: r ---.----------.hesparm'usion fo arec! e..??.. the above described premi? se subjecf to the provisions of all applioable Ordinances for the eiy of Ea ................................ 24-=- --?`-' ?.-..---- - ---- - - Mayor ,13 ,?-- ) Pet ...._................_..?.`,._----.-?c -°-°°°°.`......°°----..... ...................... -/ Huildinp Irmpeclor? 4 i ` CITY OF BAGaTT ? 3795 Pilot Knob Roaa Eagan, Minnesota 55122 PER,Ti T NO.: 702 The City of Eagan hereby grants to yQbp^p gy=£c.rd ef „o n+., a *n^o. E1iarWYille a maat, ng Permit for: (Owner) at 585-N ''xeenlea£ Ar , Pursuant to application dated . Fee Paid: c,_n dated this 14__day of 'r" 119 75 .50 s/c Building Inspector Mechanical Permits: Bid Total: "I J 1 CITY OF EAGaN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERPvf[T NO.: 577 The City of Eagan hereby grants Co ?de3t=-s-i. =nc-€€erd ef 13 .,,---------° - - ---<„_ 55337 a P}Ab#;Nq, Permit for: (Owner) at SRS n,_ r_reomlea{,1„-_ ? pursuant to application dated 7ioi75. Fee Paid: c? dated this __j_g_day of JVyI le19 -75 • .50 s/c Building Inspector N,echanical Permits: Bid Total: _BLDGrP€'RA(?NO. - C`Cu? 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 013446 SAC/Adm. 91-2155 Surcharge 75-3860 Road Unit PO-2275 SAC 20-3865 Water Conn. ? 20-3868 Water Trmt. -aa 20-3716 Water Meter A 20-2252 Acct. Dep. ? 20-3713 Water Permit /0 lev 20-3743 Sewer Permit ? -1w 793866 Sewer Conn. _ 28-3855 Park Ded. ?I h?j TOTAL SEDGWICK HEATING & AIR CONDITIONING CO. HE^TING JOBNO. 606 "" 8810 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS aOV IJ. G/`Q2;.lLZicr' C'.(!` CITV `-AyRJ OCCUPANT J 'fl -L- / t?OWNER ?J k? 0OQS 6?} S SOLD BY e C45 w, ?` INSTALLED BY P//¢~" I -? l f ? MAKE ?- -Q 'J'/ V ? MODEL 66(1''pl??'v36c d?? SERIALNO. -jJ / O INPUT ? V O o d THERMOSTAT 8066 VAIVE 06 LIMIT 4 2 ?- LIMIT SETfING Y D FAN SETTING PILOT NPE IGNITION MODEL 'T v' PILOTTIMING PRESSURE - PERCENT COz ? INPUTCFH- STACK TEMP. / ir PERCENT Di ?j ?° PERCENT CO ? G FORM 235 (PEV.111B9) VENT SIZE - TYPE OF LINER IINER SIZE - FILTERS: SIZE WIRING _ TEST TAG - LIGHTING INS7. DATETESTED %'J rU G G ? e- f- - 3- 1 'f, ZOOU COMPANY7ESTING ?? ? ? w ` ^}~ NAME OF TESTEA FOqAt DISTRIBUTION: WHRE CDPV. JOB FILE YELLOW COPY- Cltt PERMIT ? _.. CITY OF EAGAN 3830. Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Datelssued: SITE ADDRESS: . 585 GREENLEAF DR N LOTs 7 BLOCK: 1 SOUTH OAKS P.I.N.: 10-71200-070-01 DESCRIPTION: (GAS INSERT) ermit Type FTREPLAGE ork 7ype ALTERHTTON s?N,. 434 ALT. RESIDEN7IAL ,;. zT? g R e ? ar?q 'p'S? ? °aseg v ?.. ?? S`r' ?,s r? v? REMARKS: FEE SUMMARY: Base Fee 5urcharge Total Fee $25.00 $.50 $25.50 BUILDING 029226 11/1R/96 CONTRACTOR: - Applicant - ST. LIC OWNER: FIgESIDE CORNER TNC 16331042 0001068 DOUGLAS JOAN 2700 N FASftVIEW AVE 585 GREENLEAF DR N R05EVILLE MN 55113 EAGAN MN 55123 (642) 633-1042 (612)688-9074 ?T Mer,e?by ackii?wl$dgo tktat:`.C E???? rrs?€? this? a?Sp???a?itF?r ?r?d s??t? G`hat,??th? °y > iriforrtreG3.nno? X"aT pty S tat? c?_f htn. , ? I ? .Stata???? srid?C?.tiy ,?f ?ad?it Qr??3i??rm???.w ;Lj LAPPLICANT/PERMITEE SIGNATURE UE?' n . ?? ?? ? ?? siONATUPRE ? 41 u DATE: 717- DESCRIPTION OF WORK: CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 ? ? 1?,ffV _ CONSTRUCT N W FIREPLACE: _ WOOD BURNING _ GAS Xi INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: ROOM TO BE INSTALLED IN: STREET ADDRESS: N^ (??/L.C?fCs? L?'n IZ LOT Q BLOCK I_ SUBD./P.I.D. #: A U# APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: ?J 4l.-A S ? vrw3 s4? t? oj,- Phone #: 1.?%f FlPbT Signature: Street Address: City: Ls?& ta,1Q-oJ State: )/9 A)_ Zip: ?2-3 g go -o-7sg Company:AtL(iCl'> l?/Lef??n/L?/?t! .?hone #: 6 33 - 2..56/ Street dA?dress: 3 8s'a - ?.J!' W Y ??? License #: /10 6 '6 City: EJYLKFS State: 'L Zip: ?_?-3 3? Compan Name: Signature: Street Auuress: City: State: Zip: ., CITY OF EAGA$t SP.'WLR & f4ATER CONNECfiIO1Q CHARGS$ - 19$9 $XI5'rING PROPkIt't2E6 SE4VER CONNECTfON CF3AROE5 SAC 7 ` lG ? 7 S Previously Pd: Receipt # I b3 ACCOUNT DEPOSIT SEWER DEPO$IT TOTAL6 TOTAL FOR SEWER & WATER gOOIC-UP= 15.00 10.50 5B- ??'; i4ATEFt CONNBCTSON CfiARGE5 WATER CONNECTION $ Previousl.y Pd. Receipt # WATER METER 580.00 TREATMENT BURCHARGE ACCOUNT DEPOSIT SJATER PERMIT PLUMSING PERMIT Z'OTAL z OFFICE USE ONLY L PROPERTY OWNBRs , ,)af}/eD ,-T ADDRES83 5--9,5 I ?, 13re2C1 (PcT 90.00 228.00 15.00 10.50 12.50 $ 936.00 as aa _?--, -570 I,tOZ 9:0/ ADDs ?O iT/f AAIVER OF HEARING OF SPECIAL ASSIGNMENT City Project No. 536 I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: Lot 7. Block 1. South Oaks Addition for the benefit received from the following improvements, constructed under City Project No. 536. Said assessments have been preliminarily computed as follows: TEM Sanitary Sewer Lateral Water main Trunk Area Water main Lateral Services Storm Sewer Street OUANTITY RATE AMOIINT RP OJECT 1 ea/lot 3,943.00 $3,943.00 536 1 ea/lot 655.00 655.00 536 1 ea/lot 3,252.00 3,252.00 536 1 ea/lot 929.00 929.00 536 1 ea/lot 934.00 934.00 536 1 ea/lot 7,361.00 7,361.00 536 TOTAL $ 17.074.00 to be spread over 15 years at an annual interest rate of 98 against any remaining unpaid balance.' The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any pzoceedings xelated to these assessments, and further waive the right to ob,ject to or appeal from these assessments made pursuant to this ag eement. Dated: ' ? Edward J. Pelant Mary R. Pelant STATE OF ) )SS COUNTY OF A4-,;2,e U Tjg ) Notary Public withi y???o???LT?NT "?' Fn??r?o Pr??o me personally known to be the person_ described in and who executed the foregoing instrument and acknow edged that executed the same as ??/?/ ? free act and dee ---------------------------------- Nota ic A MAAI:YN L WUCHEPFENNIG APPROVED NO7Aav GUBLIC - MINNESOTA t DAKOTA COUNTY ? My Commission ?p Peb. B, 1993 Eagan Public Works Director oppppppppppp On this ??77d day of /' ?/ ` , before me a n and for said County, ersonally appeared ?. y 1 r_ liVEt=11 i 1 ON t. Ft "0% tril`-El. .. i-'iL. A 1.'::-il I N...`-- ? ... ?' C l?._ .:? L S.:;;°? ? 1 i liii ' i-? I`i t il IMr:i t'':" PF,..ili':f ..RT,f E.D. , Tl.if rirS I.;:'r1I4 0. 5. '0/,_,'i. ._.._. t.' i.CI Pl. PLF`G::i_ _ .._. . .n .._-'._.? ?:. . _; ...., ..c+ ._. . i 0.._. ? i..G (. i f ) -070.... 0} B. ;a. !1 .}SSE,:_MEiJ ( '....:`_R. . ..1 ..?- ,S .__. R.i Y:_ _... .. ___ . Oi rlL """. __. AF•iN.. R .., ,N. _. !AYO"F 4.11MMi.. N.T 100814 . .I?... '?._7'::?1.:' -'-° 15 ; ,...c_;.t,it,?;. .. . ? _ , ,(.:; .. 4., ,.? ..?f ...,t.?.,,,y _. 100815 i f.?-.:: . ..I ?. ?? .. _ ? ..,?.)(i.. .,,, 370.00 24 .17 222.00 1O'';:?. <S ? ,. . -. -lE..;Ti..I ? )tlF_? . . ?..I TI... '.::: .. .. S - t:?U V ?: 1i:7: 17074.00 17074 .00 17074.00 ._.Ni.) ?: . ?..k.4.w SUh;MF1}. Y _iF r;L ! ] nE 87Wt; 65 .81 592.22 •n:??-;? ;?il?: •Err ., Ti i , ,._,,.t,,? . s?.?.r x..?. Ur,rirar. F . _.i . . Ir ;-, r 0:_ :.. _;.., 17074.00 CITY OF EAGAN Remarks , . . - 0 .. - .,, . • ?a?C, c 0 . , '' • ?! .. i?K*r???1 ob w w c ??!ss• ? ? . UBw?wew? Addition- SOL+*f+ OHkS ? Lot- 7 aik 1 parcel 10 71200 070 Ol Owner " ,' 1.2 '? i.• -'.i Srma. SRS M. ---- i__z _ -tt 3S 7?i . ? 1 L(,d7 7? i"J4?.r S!!//? G'F, L,?i-•?i`: i7;iK?.= i I (.,Lil/f?7?;/? frr U . , ? i ? ..,... ? ._.. i ? I? , ? !'i;t?/-.• .4,; kc a,_ .. ... ? ? S6• ?L ; _. y h cC,.? p?. , ?1 I ( G ? ? .1 / r . I ?- - - r? ! .? ,( •?` ? Jo fl,v F ,Br?Rt=ra?; u 0 0 0 0 . ? --? MASTER CARD LOCATION /'/ r 7"/P OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Con}ractor Owner BUILDING PLUMBING 7 CESSPOOL - SEPTIC TANK W ELL / ELECTRICAL HEATING 40 a 7 GAS INSTALLING - SANITARY SEWER OTHER I O7HER I Items Approved (Initial) Date Remarks Distance From-Well FOOT I N G SEPTI C POUNDATION CESSPOOI FqAMWG TILE FIELD FT. FINAI ELECTftICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL .. J ? DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Batk COMMENTS: 33 % S8? $ 7 0 RESIDENTIAL BUILDING Permit Application ? City Of Eagan 3830 Pilot Knob Road, Eagau Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conskuction ReauiremenLS RemadeUReoair Reauirements Office Use Oniv 3 registered site surveys showing sq. tt of lot sq. fL of house; and all roofed areas 2 copies of pian _ Cert of Suney Recd (20%macimum lot coverage allowed) 7 set af Energy CalcuWtians for heated additlons _ Tree Pres Plan Recd 2 mpies ot ptan showing beam & window sizes; poured found design, etc. 1 sde survey for additlons & decks , Trce Pres Not Reqd 1 set of Energy Calculations Addifion -indicate ilonsRe septic system _ On-site Seplic System 3 copies u/7ree Preservalion Plan if lot platted after 7l7193 Rim Joist Oatail Optlons selection sheet (bidgs with 3 ar less unifs Date Const ru ?tion Cost C 0 d Site Address J?, 7 G(2 p n / -e W L-e d? 1?+2. ' V UniUSte # Description of Work ? ? ? ? ,? I x ? -?? ? ..,? ? r ??-?? ? ?y ?C?? Muld-Family B1dg _ Y //N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ? 6 w `L D )-2 V O c Telephone # Contractor Cl_ Address 10:? 'y O City Z, o r - State Zip 4I 00 ? Telephone S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted SubmiUed • Energy Envelope Calwlatlons Submitted Licensed Plumber Telephone #( ) Mechanical Contractor Telephone #( ) Sewer/WaterContractor Telephone# ? ?-.--- ?nl? I A P R O? ?8" q?i?1 ? I hereby apply for a Residential Building Permit and acknowledge that the inforcnation is co a curate; that the work will be in conformance with the ordinances and codes of the City Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, an o start vvithout a permit; that the work will be in accordance with the approved plan in the case of work whicfi requires a review and approval of plans. YY1 ? l ? ? -?-1< ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 Ot of _ plex ? 09 07-plex ? 04 02-plex ? 10 OS-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ? 31 New X 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation a'o Census Code 41 3LI SAC Units ? Nbr. of Units - Nbr. of Bldgs - Type of Const _,?j ? 13 16-plex ? 20 Pool ? 16 Fireptace ? 21 Porch (3-sea.) ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 18 Deck ? 23 Porch (screen/gazebo) ? 19 Lower Level ? 24 Storm Damage ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Plbg_Y or _ N A 25 Miscellaneous 1??TCNrZv R??'vJ?lt Int Improvement ? 38 Demolish (Interior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)" ? 43 Reroof ? 46 WindawslDoors 'Demolition (EnUre Bldg) - Give PCA handout to appliwnt Occupancy R _3 Zoning Stories ? Sq. Ft. Length Width - _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundarion Dmin Tile Roof Ice & Water Final ? Framing Fireplace R.I. Air Test Final ? Insularion 8ase Fee Surcharge Plan Review MC/ES SAC City 5AC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total MC/ES System ? City Water Booster Pump PRV - Fire Sprinklered - REQUIRED INSPECTIONS FinaUC.O. ? FinallNa C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Smne _ Windows (new/replacement) _ Retaining Wall Approved By Building Inspector r Use BLUE or BLACK Ink r----------------� I For Office Use �j ,�/� ^ � �3� r_�,� C• � Permit#:/ / � r lty of �a��� � Permit Fee: ���� �� � �� 1 3830 Pilot Knob Road Eagan MN 55122 � Date Received: �/Q��S � Phone: (651)675-5675 I � � Fax: (651)675-5694 � , I Staff: I ,�.,,, --r-. � i•,_' :jrt I x�<.� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION r ` Date: '�'L'�(�`"1 � SiteAddress: � �� l�-a('�"���C11� !J�' � Unit#: Name: ���� �`�5�[A� Phone: � ���RB�it��r�t1 � i C��itl�(:1''. Address/City/Zip: .��� es'�'f Yl/�P01� ��o Applicant is: Owner Contractor ,�.�. � �f� Description of work:_�t}��t[n,�^Q � � ��� � )►CNl Yp : Construction Cost: � Multi-Famity Building: (Yes /No Company: �b� �� 1�,Y� t�v�� ��(�(� Contact: �P..ar'1 .�K�Y7�' GQ11�t`����' Address:�=J�--u�L�,.�'Li�(�.�,1 �.l�� � City: �Ci.Gln 1f1 State:�Zip: j�) Phone:r�ti'� �CD�I �1��S�mail: bc,�;P�o1r�r?S�c�,��.��� . CP3t+��. License#: 3 vZ Lead Certificate#: 0�/t" 1 I �+ 7 a -16 ' 1 If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: N�T�:f��1�5 s"��ll��i�i�#1'�J��,l�€fl����B�#5�8�`,j✓C?U�i��31�?!�'��@"CC3�f`?�`�►'8{�fi'!��T#1����/�•��'Tt7�?+�tt��i. �or�ns of tt�e�n��rr�xa��t��r��r be class�ed as�t�n per��c it',�oe�provi#�speci�xc r�sri�t�tr�t��d p�r��t t�e C�fy�a ; cr��c��de that th� a�e tra�ke s�cr,��s: . 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.c�oqherstateonecall.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�G.�i ��i��/�!5 x Applicant's Printed Name ApplicanY ignature Page 1 of 3 �j C� �J �/����(e.�}� ��P. �� DO NOT WRITE BELOW THIS LINE �.���� �-- SUB TYPES '� i 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 Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION � P}. Valuation ��� � Occupancy �� MCES System Plan Review Code Edition "`�'t'� �� 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 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 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 Fire Suppression:_Rough In_Final � Braced Walls Erosion Control Other: Reviewed By: �`� , Building Inspector RESIDENTIAL FEES r �_ g ,/, Base Fee ���r��'�� � � �"*,� `����� � ���,�°:��� �. � ` Surcharge Plan Review / - �.'��-�6����''� °� �,` � � � � �� � � s MCES SAC � � „ � � ��„� ,f City SAC �� ���`��`�� Utility Connection Charge � l ,� � � .,, � �,��� S8�W Permit 8�Surcharge ���r�l''�,,,,,, .� � � � . Treatment Plant � �p�-� � f� Copies �,�� TOTAL Page 2 of 3 /.�,s�/�"- ��5 �-�-�-�� I�e�� ���� � _ , . � � ��� � ri. � �E��r„�N Z, i s� -/y - 5t� �;i L�>T7, d�it.1 � , . Sc�._';l� t�.�rl� �`.�jri/rf�:S . � .. ���. iJl�.��r �/ll� G'f� L,��.:'�iiii �Jrt%�c_. �—i1 (.�c%I/fJ��� /�'�� I� �I � / ��— __ r`t-.�.8 7 � � 1t ��k� � I ! �� � � . I `� .. J �-- � . .. . . . � .. ,+ � .. . . . . 1 1,^`. � .. . . •.1 �'�Y� h ,� \� J �.�_/��r.� �� .. ., ' . ' 1��\ � � j —� , c�: � '� ��. �1;; � -. s , � � G � �x + S� ' F+t f � ` /-7 � +'u i ' '4,, \ � �. '�+.� i. v �' ��'�i' .', l: ,./f. �� � "�.�� � ,�a� - ,. f ` hL��`_ �. r�.,sa f,.. �� � /iT"�--�- Y r� �0 � 7 �— __. �;'-` 1 �a , ��,,,�.. - ,- �. �, �✓I y,� ��^- � ` �z�k"'��' , .�,.y .S� ;�, ,P , 4-�.�.;�'� � � � r �G� ) �� � " � /,` y��'�, , ` ��j•��L 1's' ' � � � � {.,, �,,..s..iy I ' .� � . �� � � , , ��`r �� �' j / �'2 1�i :,; �` . , ` , � �'' � ���1�, c►;�a't{�''!� , � r^ 'j t ,--r F..'v,.v. 1 `.� . -,[�p� t � .�, � � ��f e� � / t�� . , . t � ! � �� �R \ � . . �� �"--��'� �' s'\ . • . .. O..\ � , ' . . . _ . /.,y'iu'25_� \ �� N ��h'�� � �E �._ ��--°---....,,� 9� �h�� '� Mh'• �� !'r3�'S �'.-',+►.,..,,,,� Jo f�/�tr �� f3uh'�rar:u -`'�-�,. � PERMIT City of Eagan Permit Type:Building Permit Number:EA144831 Date Issued:08/11/2017 Permit Category:ePermit Site Address: 585 Greenleaf Dr N Lot:7 Block: 1 Addition: South Oaks PID:10-71200-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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 - Johnny Douglas 585 Greenleaf Dr N St Paul MN 55123 First Choice Exteriors Inc 7214 Washington Ave S Eden Prairie MN 55344 (952) 380-8248 Applicant/Permitee: Signature Issued By: Signature