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
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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
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�
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