595 Greenleaf Dr NCITY OF EAGAN Remarks
Addition SO Lot R Blk 1 Parcel 10 71200 080 Ol
Owner Street 595 Tin. f_ Eaaan,MN 55123
reenleaf ss scate
i i
Improvement Date Amount Annual Years Payment Receipt Date
STR E ET SUFi F.
STREET RESTOFi.
GRADING '
SAN SEW TRUNK ?$r? 1 g 70.?0 2.67 lcJ
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK ? 1 g (?17.? 41.13 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
, .
" EAGAN TOWNSHtP
BUILDING PERMIT N•° 2390
Owner .................... ............._.........?-?`,??.-- ? EaBan Township
Address (presen!) °--" ?'- ? `fs / a/ Town Hall
-----. U .......--" ..............--
Huilder ...? ..... .......... ..........................
!/ .._. .
Dele .......................
Address .............................. _---.--...-°--.----..................................----..
DESCRIPTION
6loriet To Be Uaed Fos - Froa2 Depih Heigh! Eei. Cm! ' PermB Fee Remeske
.2U
?la ?j I
LOCATION
Slreel, Aoed or olhar Deseripfloa oi LoealSon I Lo! Bloek Addition os Trae!
O / ? • ?'?'° CC..1?-eLr`J.
This permit does not authorise the use of sirceis, roads, alleys or eidewalks nor does it glve the owner or hSs agen!
the sigh! !o creaie anp aituation which ia a nuisance or which presants e hazard !o ihe healih, safely, convenienae and
general welfare !o anpone in the eammunilp. .
THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGgpES8.
This is !o cerliiy, !ha!_.?...'F, !G!? ...............has pasmission !o erect a'-,eQ?:rx:J-"..-?....'?_ ' ' . . . . . . upoa
the above described premise subjec! !o the provisions of the Building Ordinanee for Eag??n Township dadopled April 11,
1855.
.. . .ny. . --?-.-----?--........ par .......... •..r...?...-?.....--.- ---J---?--?-?
Chaizinan of Tnwn Boar ? Buildin Ins eclos
TOWN OF EAGAN
3795 Pilot Knob Road
St. Paul, Minn. 55111
PERMIT N0.• 32
The Board of Supervisors hereby grants to Allen Webster IN FIELD
of 845 Edeerton St.. St. Paul 55101 8 ? -
Permit for: (Owner) _ same at 595 No Greenleaf iL*tve
, pursuant to application dated Fahrtg=g 74. 1471 -
Fee Paid: 06r89 Dated this 24th day of Februarv , 1911
Building Inspector
H Q. 6G/CS
TOWN OF EAGAN
3795 Pilot Knob Road
St. Paul, Minn. 55111
PERMIT ND. • 87
The Board of Supervisors hereby grants to Allen Webster
of ,O gdgw?rSt,.I St Paul 5s101 a Pt.fiMRTNC.
Permit for: (Owner) Ranla. at 595 Greenleaf Drive No.
, pursuant to application dated ceb.-unry 24F,j371 _ •
Fee Paid; Dated.this 24th_ day of FgDruarv , 19L1
?...--- ---?
Building Inspector
?
•` ?? / ? ?- RESIDENTIAL
`f" 7 BUILDING PERMIT APPUCATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
651•681-4675
New Construction Reuuirements RemodeURaoair Reauiremenls
• 3 registered site surveys shawing sq. ft. of IoC sq. ft. of frouse: aM all mo(e0 areas • 2 copies af plan
(20% mazimum lot wverage allaxed) . 1 sef o( Energy Calculations for heated additions
• 2 copies of p1an showinq beam & window s¢es; poured found design, etc.) . i site survey for extenoraddilions 80ecks
. 1 set of Eneryy CalculaGOns . Indirate if home urved hy sep6c system for additions
. 3 copies of 7ree Preservation Plan if lot platted aRer 711/93 .
. Rim Joist Detail OOtions sdection sheet (bldgs with 3 or less units)
DATE VALUATION
SITE ADDRESS ?7'Si? MULTI-FAMILY BLDG _ Y ?N
TYPE OF WORK ?O1 fIREPIACE(S) _ 0_ 1_ 2
APPLICANT e_Q'-v l?
STREETADDRESS S9S_ U (o kJ_QM LF J ?L CITY E45-? STATEMV ZIP S9
TELEPHONE # 6St -k4r0 CELL PHONE # fAX #
PROPERTYOWNER WkRj ? A V?S TELEPHONE# qS4 ?f ?p
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNl50'I';, RliLES 7670 C:11'F:GOHY l mI
(J submission rype) . Residential Ventilation Ca[e9ory 1 Worksheet Submitted ?
• Energy Envelope Calculalions Submitted
Plumbing Contractor: _ Phone #
Plumbing system includes: _ Wa[er Softener _ Iawn Sprinl:le B,
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mcctulnical svstem includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recoven, Svstem
Phone #
Phone #
?u1 3 o 2002
Fee: ;i70.00
.................................................. ^----°------------------------------------------------------.._...-----
i hereby acknowledge that I have read ihis application, state that the inf ma io is c rrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ce?. _
Slgnature of App4lcanf
Certificates of Survey Received
OFFICE USE OvLY
Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
OF 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Oamage
? 25 Miscelianeous
.
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
V 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Fountlation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
44 L
f? vv'D
Valuation Occupancy ?' 3 MClES System
Census Code In 41103
Zoning
City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const V V) Width
REQUIRED INSPECTIONS
, Footings(new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
, Footings (addition) _ plunibing
_ Foundation HVAC
_ Drain Tile Other
Roof _[ce & Water Final 3C Pool _ Ftgs _ Air/Gas Tests YFinal
` Framing _ Siding Srucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ [nsulation _ Retaining Walt
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plum6ing Permit
Mechanical Permit
License Search
Copies
Other
Tatal
. A5
Approved By ?l , Building Inspector
$ry, ocD
\
?
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
?
?
? GENERAL INFORMATION
¢
o z -94
? Applicant - name, address, phone & fax numbers, signature
L?/ ? ? Property owner name
L1? ? O Legal description and address of property
L?1/ ?? North arrow, scale ( P' = 30' or 40') and date
Q?? Location and name of all streets adjacent to property
z? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed
structures
U/ ? ? Directional drainage arrows (existing and proposed)
ELEVATIONS
Existina
0" ?/ ? House corners
? ? Property corners
0?? On property Iines at point of ineasured dimension tn pool(see below)
D ? If applicable, ground elevation at each end of retainnig walls and at wa1Ps greatest height
Proposed
? ? ? Finished pool deck corners
??? Top of retaining walLs (if any) and at each different elevation (if it changes)
•L'` ? ? Pool bottom (or max. depth)
DIMENSIONS
Existina
Ud ? ? All property/lot lines
Proposed
? ? ? Pool
0?/ 0 Pool plus integrated deck/patio
i/ ?? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Date
c:RecwixzoozmwiPerrniccnakust
?? 4 ' " ` :'? t+". ?. .a< ? - ? r'?!' . .,•X , ?, ' ?a ?.? °?
At(
AOF
\ ?`a
\ \ ? o
?
e?
??NGE `O ''9 sFRCF
? .?. \ 7F4'r? LOT 8 ? \
BLK 1 ? \
50 OAKS ADD'N ?
? -,
U) -- 1416
*. ? .
b
2 ,?0
Wzof
? rJi --w-- /Od>00
2 ST00.Y
-1 Dp`, GAR. I NOVSE
4 p' 1
0
O
0
gW'?? ?.
....n.?.:4 e_?'..
i?•o; ?
?
F
GRtY¦
'S9. r6
? _ en
K ,o < I
PERMIT# ?t..; .. I 1.4.l V
Go.-\.
MIDE1VTtAL PLiJM$INfi PEgMIT APPLICATION
crrY og EtraAx
3630 Pu.or tuvoa gn
£AHAN, MN 557 EE
651-6$1-4675
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: ' 5c/? m ' (!V9_1eXA?4 1?? I
OWNERNAME:: _ WiS S
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the oermit work tvoe
STATE: ((1N? l c ZIP: 5-S _LX) -
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modificatlon or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
t
L
1
4 wa
erturnaround
1
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
Total $ '5 •??
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I here4y acknowledge that I have read Ihis appllcation, state that the inFOrmalion is correct, and agree to compl with all ap II^s2,y. ?I?Ckof Eagan qidin?
is the applicanPS responsibility to nolify the property owner that the Ci[y of Eagan assumes no liabiliry ( r a da e ,?< d-bytFie City dunn§ it9operational and maintenance activities
lo lhe facilities constructed under [his permit within City pr ?entF E B 2 0 2001
OF PERMITT
TELEPHONE#: Z?CTI ???
(AREA CODE)
TELEPHONE #: -
(AREA CODE)
RECEIPT DATE: -?)- - -,;t-'U - V
Updated t101
r CLAINI VOUCHER- REFUND REQUEST
CITY OF EACAN
MAKE CHECK PAYABLE TO: Andy Davis
ADDRESS: 595 Greenleaf Drive N
Eagan MN 55123
LOCAT[ON: 595 Greenleaf Drive N P.I.D./[.EGAL: Lot S Black 1 SOUTH OAKS
RECEIPT i!/DATE: 5440/2-21-2001 VALUATIOY:
REASON FOR REFUND: Already paid 1997 PEIhV[IT #: 44434
?
'• .v ?.?.- -C v---j? .r ? ? Q ? O_. Y ti-? I
TYPE OF REFUND:
Piumbing Perant 9001.4087 $
Mechanical Pecadt 9001.4088 $
Building Pernut Fee 9001.4085 s
Plan Review Fee 9001.4222 $
SAC (MC/WS) 92202275 $
SAC (City) 9379.4681 $
SAC (Adnvn) 9001.4246 $
WaterConnection 92203865 $
Sawer Permit 9220.4532 $
WaterPemut 9220.4507 $ 50.00
Account Deposit 9220.2252 $ 15.00
Water Meter 9220.4509 $ 115.00
WaterTreatrnent 9220.4685 $ 516.00
Surcharge 9001.2195 $ .50
Overpayment 9001.2250 $
Curb Box Deposit Refund 9220.2253 $
Construction Meter Dep Refund 9220.2254 $
Water Supply & Storage 9220.4680 $ 860.00
TOTAL $ 1,556.50
I declare under the penalties of law that this account, claim, or demand is just and that no par[ of it has been paid.
SIGNATURE
February 28, 2001
DATE
?
--
Lf -- q-? ?
. 4
City of Eagan
3830 PILOT KNOB RD
EAGAN, M1V 55122
(651) 681-4675
Site Address: 595 Greenleaf Dr N
Loc 8 Block: 1 Addition: South Oaks
PID: 10-71200-080-01
Use:
Description:
Sub Type: Existing
Work Type: Water Only
Description: R# 5440/PRV/ See comments
Permit Type:
Pemvt Number:
Date Issued:
Sewer / Water
EA044434
02/20/2001
Remarks' Old S& W Permit #30242 from 1997
?
All eharges were paid in 1997 Refunding the full amount 2-28-01 (ld)
Account Deuosit 15.00 92202252
Fee Summary: Base Fee - Wa«r 50.00 9220.4507
Swcharee - Fixed 0.50 90012195
Treatment Plant 516.00 9220.4685
Watec Meter 5/8" 115.00 9220.4509
Water Sunolv & Storaee 360.00 9220.4680
$1,556.50
COlltCaCtOT: - Applicant - OWllOP:
Wenzel Meehanical SL Lic.: 5071 Andrew Davis
1959 Shawnee Road 595 Greenleaf Drive N
Bagan, MN 5 5 1 220000
9524521565 Eagan, MN 55123 651-454-4816
I hereby aeknowledge that I have read this application and state that [he infocmation is correct u7d agree to comply with all
applicable State of Minnesota Stamtes and City of Eagan Ordinances.
ApplicanUPermitee: Signature
PERMIT
Issued Sy: Signature
PERMIT # RECEIPT DATE: 3?? I
"A\-LI A 11"lCi{Z
PXSIDEIVTLk1. PLIJM$INfi PERMTf A"LICATION
crrY oF FAsAri
3$30 f1LOT KAOB RD
F-aeM, auv 55122
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for irrigation system
SITEADDRESS:
OWNER NAME: : TEL.EPHONE #: _______
(AREA CODE)
INSTALLERNAME: TELEPHONE#: q5a 93k-QIo-I(?
?+3?-'•? ' ?`
STREET ADDRESS: B05 121,I1 kvBi!!;8 SC::th (AREA CODE)
rtn inc n +. :n_t
CITY:
Place a check mark next to the permit wark type
STATE: ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
•' new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
i?%CG witpz- ?AM-IT`-
N
t
f
R
L
a
ure o
work:
_ s- -Septi;,?yat??,rG?;;refur?is?€?----?+.-____._,?..?,._._._..,_._..,_________ ? - 225:00--- ^
I
• includes County & Consulting Inspectar fees
• requires MPC license
State Surcharge $ 50
Total $ O. SC7
Aw „
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I here6y adcnowledge fhat I have read this applica6on, state thatthe information is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanPs responsi6ility to notiTy the property owner that the City of Eagan assumes no liability for any damages caused by lhe City during its normal
operational and maintenance activitias to the facilities constructed under ihis permit within Cit4operty/righFOf-way/easement.
RE
Updated 1101
Perroit M. ., . T l q Receipt Date: -) " ? ? " () I
001SCITYOF EAGAN
2001 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
OFFICE USE ONLY
Address
Property Owner G, J\-? I v,l u r:, Q 1? d? v-P f` ? 7i 5 pRV required
Telephone #
MIA City jvA County R-O-W Permit
Plumber
?1 1-a- G O
O??-oI
Sewer Water
Lateral charge @$22.85/ff $ Lateral charge @$23.05/ff
Trunk @ $925/connection Trunk @ $965/connection P6! Gj?er?
City SAC 100.00 Water supply & storage 860.00
Base SAC 1,150.00 Date paid
Date paid Receipt #
Receipt # Treatment plant 516.00
Account deposit 15.00 Water meter •'Inspections req'd prior 115.00
Septlc abandonment 50.50 to issuing
Sewer permit & swchaz 50.50 Account deposit 15.00
Water permit & surcharge 50.50
Plumbing permit required
Total g Total g ?7-.
Sewer and Water
Sewer lateral charge @ $22.85/ff /
Water lateral chazge @ $23.05/ff
Sewertrunk @ $925/connection
Water trunk @ $965/connection
City SAC 100.00
Base SAC 1,150.00
Date paid Recei /#
Water supply & storage 860.00
Date paid eceipt #
Treatment plant 516.00
Water meter "'I tions req'd prior to issuing 115.00
Account depog(t 30.00
Septic abanyonment 50.50
Sewer andwater permit & surcharge 100.50
Plwnbing peemit requ'ved
Total g
cc: Carolyn Krech, Finance Department
3 ? a ?-I a-
Lot8 Bik j
i
Plat sotirx onxs I
.. . >. 1
199
Sewer av ' ilil
Date previou
Receipt #_
Account deposit
Sewer permit 8
Subtotal
* Plumbing permit &
Uti ity connectiqrS
Total
(o` ?3 q.? ? bw?"
?
? WotL.-
;j 0 5_
Sewedwater permk #
r? • '?
Date `3/
! S 7 Receipt # 75? ?7
U•*
3 Oq yz.
'EAGAN
`'' - " f CTION AND PERMIT CHARGES
4TIAL PROPERTY
'?M1later Connection and Permit Charges
? ,
.
r4
?
:hs
1 , „.-
Sewer
Date
Water
Date
Sewer & wa1
Water meter
Treatment ol
Subtotal
uu9
* Plumbing permit & surcharge
Tap(s)
Utility connection
Total
5ubtotal
connection
$1,374.50
& surcharge
'tal 7 W6,(,• 937`1
' ?oo • °" yZTS•9r?
?ermit Charges fq
3
$1,050.00 ? 9? Sv
61 19ao
780.00 ?
0,00
?3
10 0 g_ q?av
420.00
3 SL
,:,'S',""`.
$2,489.50
20.50
* A plumbing permit is also required. lt will be issued only to a plumber licensed with the City or to
the homeowner if the homeowner is acfually doing the worlc.
OFFICE USE ONLY
Property owner ANDREW & LOIS DAVIS
Address 595 GREENLEAF DR N
Ph011e n0. 454-4816
Plumber
p• h Wate vailability charge (VN )$ 780.00
' Date p iously paid
Receipt #
IAccountdepos 15.00
Water permit 8 su ge 50.50
i Water meter 109.00
? •,, .? • -- tiTreatment plant 420.00
} U L? • ;.
?,•.
t ts i1
,; ,.! • -
? r
? ?i ? • :,
?o9. -
PRV 110,
No. of taps 4e-
Utility connection Nolt -
Waiver A/iA
,f?le?
Lot Bik PID # SeweNwater pertnk #
Plat Date Receipt
CITY OF EAGAN
1997 SEWER 8 WATER CONNECTION CHARGES
EXISTING COMMERCIAL PROPERTY
Sewer connection charges
SAC ($1,050/unit)
Date previously paid
Receipt #
Sewer permit and surcharge 50.50
Subtotal
* Plumbing permit & surcharge
Tap
Total
Water connection charges
Treatment plant ($420/SAC unit)
Water permit 8 surcharge 50.50
Subtotal
* Plumbing permit & surcharge
Tap
ToffiI
Sewer & water connection charges
SAC ($1,050/unit)
Date previousiy paid Receipt #
Treatment plant ($420/SAC unit)
Sewer & water perrnit and surcharge 100.50
Subtotal
* Plumbing permit & surcharge
Tap(s)
Total
The number of SAC units is determined by the Metrapolitan Council Wastewater Services.
* A plumbing permit is also required. If wiU be issued only to a plumber licensed with the City or to
the building owner if he is acfually doing the woric.
OFFICE USE ONLY
Property owner
Address
Phone no. _
PRV
No. of taps
Assessments
Plumber Waiver
lot 8 Blk _L PID # 10-7 12DO-o8a-0I
Plat snnTx oAcs
Sewerlwater permit # _
Date 3 ! /S 7
Receipt # 757 5? ?7
3e2
? CITY OF EAGAN yz
7997 SEWER & WATER CONNECTION AND PERMIT CHARGES
EXISTING RESIDENTIAL PROPERTY
-4ewer Connection and Permit Charges 11 ?INater Connection and Permit Chara
Sewer av ' ility charge (SAC) $1,0 .DO Wate vailability charge (W )$ 780.00
Date previou paid Date p iously paid
Receipt # Receipt #
Account deposit 15.00 Account deposi 15.00
Sewer permit & surcharge 50.50 Water permit 8? su ge 50.50
Water meter 109.00
Subtotal 1,115.50 Treatment plant 420.00
* Plumbing permit 8 charge 50 Subtotal $1,374.50
Tap
Utility connecti * Plumbin permit & surcharge 0.50
Tap
Total Utili connection
TOf21 n ?
Sewer 8 Water Connection and Permit Charges /9 0.? °
(?`?3 91
?
_W 0t-,--
? U? Q
?
Sewer availability charge (SAC)
Date previously paid Receipt #
Water availability charge (WAC)
Date previously paid Receipt #
Account deposit
Sewer & water permit and surcharge
Water meter
Treatment plant
Subtotal
* Plumbing permit & surcharge
Tap(s)
Utility connection
rTotal
20.50
* A plumbing permit is also required. !f will be issued only to a plumber licensed with the City or to
the homeowner if the homeowner is actually doing fhe woric.
OFFICE USE ONLY
Property owner ANDREW & LOIS DAVIS
ACIfI(@SS 51)5 GREENLEAF DK N
Phone no. 4 s4-48 16
Plumber
PRV ? ?a
Na. of taps 4ZL
Utility connection
Y/a//97
Waiver
?
1 0 ?2 zt4?
$1 050 00 ? g? 5 v
&, 93%'y
zZrs•4'a20
34r.16-9001
,13qU5- 9a?o
780.00
0,00 ? ?7? ? _ ss ?
r
1? 5 ? 711
?3 g?g9?a?
420.00
?s
$2,489.50
L v gL I CITY USE ONLY RECEIPT #: / 519?
SUBD. ??" RECEIPT DATE: 6111219
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
. townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH NO TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - i 3.00 x =
Rough Openings 1.50 x =
Water Softener ` for dwellings under Canstruction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Spfinkl8f ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations 'to existing residence 20.00 =
Water Turn Around 20.0
nva e isposa ys em Dak Cry iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems *,abanaonmeni 20.00 =
STATE SURCHARGE .50
TOTAL a? ' S c)
I hereby acknowledge that I have read this applip6on, stete thffi the iMortnation is corted, and agree to compty with all appliceble City
of Eagan ordinances. It is the applicenPS responslbilily to notiTy the property owner that the Cily of Eagan assumes no liability for any
damages caused by the City during its nortnal operetional and maintenance activWes to the fadlities consWCted underthis pertnk within
City propertyinghtof-way/eesement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
TELEPHONE#: 4Sllf ?Qgl?i
STREET ADDRESS: s?l S/ll h"'-Pzti- Z-P- !1 i2-
CITY: STATE: 11 ZIP: ??/ 1 -3
SIGNATURE O PERMITTEE
L,ot ? Block ? P[D # Sewer /water permit #
Plat ? 3 Ci Cl.S Date Receipt
CITY OF EAGAN
2000 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer Water
Lateral ch e@$22.30/ff $ Lateral chuge @$22.55/ff $ usrJ
Trunk @$90 onnection Trunk @$940/connection 9 ? d br l1,GJ?rrJ
City SAC 100.00 Water supply & storage 840.00
Base SAC 1,100.00 Date paid
Date paid Receipt #
Receipt # Treatment plant 492.00
Account deposit 15.00 Water meter "Inspections req'd prior 114.00
Septic abandonment 30.00 to issuing
Sewer permit & surcharge 50.50 Account deposit 15.00
Subtotal Water permit & surchazge 50.50
Subtotal $ 1?Z? I 1 S?
Total g Plumbing permit & sarcharge 30.50
Total $
Sewer and Water
Sewer al chazge @ $2230/ff
Water later chazge @ $22.55/ff
Sewer trunk 900/connecrion
Water hwnk @ $ /connecrion
City SAC 100.00
Base SAC 1,100.00
Date paid Re ' t #
Water supply & stotage 840.00
Date paid Receipt
Treatment plant 492.00
Water meter •'Inspections req'd prior to is ing 114.00
Account deposit 30.00
Septic abandonment 30.00
Sewer and water permit & surcharge 100.50
Subtotal
Ptumbing permit & surchazge 30.50
Total $
OFFICE USE ONLY
Property owner 'rq- nkk, PRV required: 45
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Date
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Violations Noted
on Back
COMMENTS:
STRUCTURE AND
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143757
Date Issued:06/26/2017
Permit Category:ePermit
Site Address: 595 Greenleaf Dr N
Lot:8 Block: 1 Addition: South Oaks
PID:10-71200-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew J Olson
595 Greenleaf Dr N
Eagan MN 55123
First Choice Exteriors Inc
7214 Washington Ave S
Eden Prairie MN 55344
(952) 380-8248
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159184
Date Issued:11/26/2019
Permit Category:ePermit
Site Address: 595 Greenleaf Dr N
Lot:8 Block: 1 Addition: South Oaks
PID:10-71200-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew J Olson
595 Greenleaf Dr N
Eagan MN 55123
(612) 282-2925
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature