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625 Greenleaf Dr NDATE: 4/10/89 ? tlAIF.45 N. Greenleaf Drive, Lli, Bi. South Oaks -XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: $ t 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 Dirfc House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - RE(]UIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 4/10/89 *qE. 60S No. GreenleaE Drive, L11, B1, South Oaks .. ?c Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: ? t 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 - 454-6100) before issuanCe. WARNING: BEFORE DIGGING, CALL LOCAL UTIUTIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pjlot Knab Rd, P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMITDATE 1- '/ '"? WATER PERMIT # v' SEWER PERMIT # METER # y 13(,a g (. 3 g,p. RECEIPT #?' 143 ? ?R # c??.(?! 7 9-?` B.P. RECEIPT DATE MEfER SI2E ISSUE DATE ?- ??- g9 k PRY - BOOSTER PUMP SITE ADDRESS ` --' + ' - " ~ '? • PERMIT REDUESTED LOT i BLOCK i SECISUB e)ut'-, Gaks APPUCANT: SEWER - WATER - TAPS ADDRESS: COMMIIND - RESIDENTIAL CIIY, STATE ' ZIP PHONE: NEW - EXISTING PIUMBER: ADDRESS_: 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: OWNER: ADDRESS: CtTY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED ql,.•yAA O'C:,L ( t3 P-) PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY Of EAG/r.N 3830 Pilot Kndb Rd. P.O. 66 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DA TF? WATER PERMIT # SEWER PERMIT # METER # B.P. RECEIPT # READER # B.P. REC€IPT DATE METER SIZE ISSUE DATE _,K PRV - BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT "BLOCK 1 SEC/SUB So ,t<< Oaks APPUCANT: ? SEWER - WATER - TAPS ADDRESS: _ COMM/IND - RESIDENTIAL CITY, STATE ZIP PHONE: _ NEW - EXISTING PLUMgER: ' ADDRESS: I AGREE TO GDMPLY WITH CITY OF CITY, STATE ZIp EAGAN ORDINANCES: 4 PHONE: OWNER: ADDRESS: CITY, STATE ZIP SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKIMG OAYS FOR PROCESStIYG. FOR STORM SEWER PERMlTS, CONTACT ENGINEERING DEPT. _J Reoeipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prinr /egibly Tat. 1. Date f -- " 2. Installation Cost 3. Job Address 49FF,sn ot Blk. ? Trac 4. Owner 5. Contractor ?..?_;_.,, t ?:• l Phone 6. Address 7. City State • , Zip 8. Building Type: Residential E] Commercial ? Institutional ? 9. Work Description: New ? 10. Describe 11. Add Q , Alter El Repair D Type No. Equjoment STU - M. Ea. Forced Air No. EquiDment CFM Ai Ha : dli Mfg. r n ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets , 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F in Inspections: Date Insp. Date/al Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8100 CITY OF EAGAN Addition SOUth (]ak„c Lot 11- Blk I Parcel 10 ?7190() 1,10 OZ Owner o? . ?` ,`i •- Screet 625 No. Greenleaf t]r_ gtate Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK -66 1984 67 15 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK "o 1 1984 QQ 41.13 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILDING PER. SAC PAR K ; ?1 c?l ? ? ?o3y5 0 .1?, PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 Site Address a s- L. ,.- Lot 1 j Block ?- Sec/Sub - •c? ,- ; ? Name f' a? q Address C . c City = 'Phoney 1l- " Name L L c Address o ciry Phone :5,4 FEES COMM/IND FEE -1% OF CONTRACT FEE APT. BLQGS - COMM RATE APPLIES TOWNHOUSE 8 CON00 - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PEFi PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE PERMIT # ???? '7 RECEIPT M DATE: J 1 tS 7 .j BLDG. TYPE WORK DESCRIPTION Res. '1C New Mult. Add-on Com m. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki!chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Orains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - ?10.Oa Private Oisp. - $10.00 Rough Openings - $1.50 FEE: ? STATE S/C: • ` ; . ' GRAND TOTAL: CITY OF EAGAN ?,}?? 166 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1s, ;. PHONE: 681-4675 'a BUILDING PERwI1T Receipt # To be used for +Ri"ROOI'iNC Value =2 9000 Oate EM Z , 19 92 Site Address 625 ? ??NLEAF DR 11 SU? t OFFICE USE ONLY Block Lot Sec/Sub. FEES Parcel No. occuPancy - ?s ? i Z ? ?' ?? on ng Narpg UFI.ORES COOK (Acwal) Const - Surcherge 1.00 W ?resS EjZ s N GRE$N(,EAp j)R (Allowable) - Plari Review ? City LAGAtt MN ZP N of Stories Len cn Lice"se g - Phone oeou+ - snc. ciri Name BEFOR'i ROOFING IhC S.F. Total SAC, MCWCC - ¢ 336 x vA?R sT S.F. Foolprints ? AddrBSS a e Site Se O Water Conn Cfty 8T PAUL !'N ZP 55107 n w g On Site We11 _ Water Meter ? Z27-?$ba Phone MWCC System = DePoSit ncct 8 City waler _ . + Vcew # PRV Required _ SNV Pertnit I hereby acknowtege that I have read this application and state that the Booster Pump - SNY Surcharge in(ormation is correct and agree to comply with all applicable State ot Mi S d C i E nnesota tatutes an ity o agan Ordinances. Treatment PI ti Signature of Permitee ? I APPROVALS Road Unit ? A Building Permil is issued to: SEF`'r R?PIT?IG INC Planner - Park Ued. ? on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry, _ COPieS ? ? ? ? ? Building OHiCial Variance - TOTAL Permit No. Permit Holder Date Tefsphone # S/tiN PLUMBING HVAC ELECTRIC EL.ECI'RIC Inapectfon Date Insp. Comments Footings I Foundation Frarning Rooling Rough Plbg. fiough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg• Pibg. Inspector - Notify Plum6er Const. Meter Engr./Plan Bidg. Final Dedc Ftg. Dedc Final Well Pr. Disp. I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 S1TE ADDRESS: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 1 11 i .- I I 1 Mf t ni IlIr Ia ? ,i,?t I il ??i•„ . 'PERMIT SUBTYPE: 1,, , ! 11 n(1 T t Ni;'+ ES11 I t 111 Wi N.' i!:.?i?; q kil APPLICANT: ( n l.' 1 4 '? i 0 I Y S TYPE OF WORK: tA I ,I 1 1 " . I F ? i L ? Permft No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectfon Dete Incp. Comments Foptings I Foundation Framing Roofing Rough Plbg. Rou9h Htg. Isul. Fireplace Final Fltg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. 3 ? a{? vs e- Deck Final r Well Pr. Disp. INSPECTIQN RECORD ' CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: . ?•?. ? r> ?? Eagan, Minnesota 55122-1897 Date Issued: ? (612) 681-4675 SITE ADDRESS: APPLICANT: ! 1,;•; I , :. I rh , ii '.101 i JI liAt 1' 1 d!ti! {+? 1 I : PERMIT SUBTYPE: TYPE OF WORK: ??, .? ?? i t t,?r? r, I i! i r•!?? i INSPECTION DA • .A permit No. ParmR Holder Date Teiephona # ELECTRIC PIUMBING HVAC Inspection Date Insp. Commenfs FOOTINOS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FlNAL DECK FTG DECK FINAL tot - a i --_...;. ik ._, _ -q rs.oei 1Q 71n0 1.10 Ol ? ?rIe.4 rW ?:? :... _ . ..??? ..?_-.-.. _._...--Faeran.M7 5572'3 . .. : ;'4;;; Prrnrement DeM - Amount '.. ..'=Anhuel 1 "Years- %-MlYaMnt ""-atieceipt -bate STREETSURF. ` STREET RESTOR, . " " GRAOING SAN SEW TRUNK gl 67 15 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA - y 5TORM SEW TRK 51 - STORMSEW LAT CURB & GUTTER '. SIDEWALK , -`. . ? g ?. STREET LIGHT _. _ _. . .. ;. WATER CONN. BUILDING PER. SAC ,'. PARK .k .. . . . ._ o? nn.-s?oa-zrnMr+YV. (JD`L"L 01-3210 Bldg. Permit 91-3422 Plan Check 07-3445 Surch./Adm. G5 01-3446 SAC/Adm. 01-2155 Surcharge ? -7 ?+ r 75-3860 Road Unit 20-2275 SAC 203865 Water Conn. J C cxC 20-3868 Water Trmt. co 20-3716 Water Meter ? C Cc? 20-2252 Acct. Dep. 3 O OU 20-3713 Water Permit lo 00 20-3743 Sewer Permit 10 60 79-3866 Sewer Conn. 28-3855 Park Ded. CI TOTAL // - / z. v?KS ' VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERP'iIT NO.: 345 The Village of Eagan hereby grants to aretafeld Plwnbing & Heating o£ Weat 3t. Paul a HFJITIN(3 Permit for: (Owner) Charlea Cooke at _$25 No. (3reeAleaf Drive , pursuant to application dated 5/7/73 Fee Paid; 20.00 dated this 7th day of me19' ? 19 73 .50 a c Buildi.ng inspector Mechanical Permits: Bid Total: //-/ ? , Ga?s VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERI4IT NO.: 333 The Village of Eagan hereby grants to Gretafeld.P7sntbing & Heating of Weat St. Paul a PiS1M87N(3 Permit for: (Owner) Charles Cooke at 625 No. Qreenleaf Drive , pursuant to application dated .5/7/73 Fee Paid: $20,00 dated this 7th day of AIaV , 79 73 .50 s/c Building Inspector Nechanical Permits: Bid Total: . 0 ' EAGAN TOWNSHIP BUILDING PERMIT Ownex ...... :..... ........... .---°'--....._....-`- ?tr-- .... _'---. . . Addrees (Dresen!) ..? . .:._?t:`.'.?. O? J a.-?-P S,fi i 9 Builder .................... -............................................................... .------.... Address ........-'-'---...-------°....._-'--- ..................---............................-- DESCAIPTION N? Eagan Township Town Hall 2913 / aa:e /?-.7L .................................... 5faries To Be Used For Front Depih HeighS Est. Cos! ermif Fee Remarka °'-`r °"" LOCATION •ee2, Aoad or olhee Deacription oi Loeaiion -kU, . ?-w--?-? ,,52, LoS Slock Atldlrioa os Tiect This permit doas aot aufhosiae the use of slreefs, roads, alleqs or sidewalks nos does it give !6e owner o= his agent the righS So ereale anq siluetion whieh is a nuisanee os whieh presenfs a hazard !o the bealYh, safafp, eoavanieaee and ganesal meliaxe !a anyone in the community. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. TMs ia !o eerlifY, thal--__C..:.-- - " ...................... has permission !o ereei ....... - -.: L:^.. ..:.................. - upon .:.--' -"--°-..._---- - !he ebove described premise subject to the psovisiaas of the Building Ordinanee for EagaxtlTowaship dopted April 11, 1955. 'Z 1 ` --- Per ......................... ............................................. ..--•--- ........ .? -?----•r ..:.......... C' r BuAding Impecios --e CITY OF EAGAN 3830 Pilot Knab Road, P.O. 8ox 27-799, Eagan, MN 55121 fl02016 7 PHONE: 681 -4675 ? /}? BUILDING PERMIT 0 (T ` '7 3 Receipt # To be used for RE-ROOFING Est. Value $2, 000 Date M1R 2 , 19 9Z Site Address 625 N GREENLEAF DR 11 1 SOUTH OAKS Lot Biock Sec/Sub. OFFICE USE ONLY Fees Parcel No. occupancy - Z i Bldg. Permtt 45.00 ng _ on N8fi18 DFT.ORFS QO(1K (ActuaqCOnst - Suicharge 1.00 W Address 625 N GREENLEAF DR (aiowabia) - ? Review tories # of Cj(y EAGAN MN Zp = ih n License, 0 g e Phone DOpih - SAC, City ¢ N2flle BEEORT ROOFING INC S.F.TOtal - SAC,MCWCC ? AddreSS 336 W WATER ST S.F. Footprints O Sit S Water Conn ewege _ n e Clly ST PAUL MN ZiP 55107 On Site Wen Water r.neter ? Phone 227-0868 = slem MWCC Y AaL Oeposit o ? Ci Wale Y V L1C@f1S6 N PRV Required _ S/W Permit I hereby acknowlege that I have read this application antl state thal the Boo&ter Pump - 5/W Surcharge information is correct and agree to comply with all applicable State of Minnesota S[aWtes and Cit Eagan Ordinance . Trealment PI Signalure of Permitee \ APPROVALS Road Unit BEFORT R FING INC A Building Permit is issued to: Planner - park Ded. on ihe express condition thal all work shall be done in accordance with all Council applicable State of Min n e s o ta Slatutes a nd City of Eagan Ordinances. eldg. Off. _ ?Pies ? ? ? ? , ? y ??? BuildingOtficial J ?..__L?AL?.X.??I 11?,/I l ? 1' Variance - TOTAL 46.00 / ?7 JfPdt ?e.r. ;nnd Address - - .-? ca ion Section Lot Block St;ate Lice,ZCe No. Permit No, Date' ' L°taye'r7iav? GVPL% 09"7i' 1.zi:5_i'siz'12i• ??°-?.2./?f lliilling Compa::y (J Address Telepho=- Siza of 4de11_ ? ? Inches ? Water Level Fee t Well Dapth Feet ? Draw Down_?Feet at____ __- GPM Caairg DeptY? 1?3- Feet ' Capacity Gallons Par`III:. 61 eD y0?,) e I 6 y !?<s° 6.2 ?ec-f ? / 6-Ls- iy A is,s` 1'74 16' Lc-a 1° /d Sfnf 5tlk?fPS3' s?r?? S`cr?ci? _ Exterior Space Around Casing Sealed With: OCement Grout OPuddled Cley OOther Disinfer.tant Used Hours Left in Wel > ?/??.'c;??L? -../?Vrrncl Drill 's WElL [1EC+OPM VLLLAGa OF E9CFN RF"P[TRN TFiIS H^CORD Ab'TER COMPLETION KRECH,O'BRIEN, MUELLER' 8c WASS, INC: ¦ ¦ 6115 Cahill Avenue ,¦ I n v e r G r o v e Heigh(s.• M i n n e s o t a 55076 651.451.4605 ¦,fax'651,4¢],09'17 ¦ komw@komw.com ¦ www;komw.com Dear Mr. Dahm, .., . , . ?,; ,? , •, . ," At your request, this office visited the above site on 2/26/2004 and structurally reviewed theiwood framing for the 6'-8" new opening at the stairway in the first story. The purpose of the revic?v was to check the structural adequacy of the existing headers with the new opening. No other areas of the building were reviewed at this time. No documents were available for review. !I ? _....__:,.u_-?.?.--,,.- --..__--• --. ..--- - ._ .- • - . . _-._-.-....,. . .s,i _. .. .__?._.. - .,._ .,?.....- ? ?4.ei?? d?9??• ... 4?1'P?'.iand+heade?C?- ????? F? . , The information and opinions contained herein are based upon the limited investigation des'cribed at the beginning of this report. No warranties aze expressed or implied regarding the existence of other unknown conditions not specifically addressed. Our wotk is in accordance with generally accepted engineering standards and is not intended to be relie.d upon or transferred to individuals other than the addressee. Shouid information or conditions become known which differ from the discussion herein, . they may alter the opinions or conclusions of the undersigned. , - If you should have any questions or require further information, please call. . ii ; RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reouiremenls RemodeVRepair Reaulrements Office Use Onlv 3 regisfered site surveys showiig sq. tt of lot, sq. ft. of house; and all roofed areas 2 oopies of plao Cert of Survey Recd _ Y_ N (20%maximum loicoverage allowed) 1 set of Energy Calculations for heated addiUons Trfle Pres Plan Recd _Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 7 sde survey for addNOrrs & decks 7ree Pres Reqd _ Y_ N 1 set of Energy Calculatlons Addifion - indicate iton-sife septk system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted atter 717193 Rim Joist Detail Options seledion sheet (bldgs with 3 ar less uniis Date n Cost ? Construcfio Sit Add ;?? (? ???? ,. ? ? K U i /S # ?????? e ress C i LY V-k- n t te Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner 60le- ?/3 -L' Telephone # (6cl) yk? AW?/ Contractor Address / 6e+- S [%! CiTy State Zip ? Telephone # (?..Z ) k-7 ?l1 0 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (+1 submission type) • Residernial Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted C e?QQ? I U- ?? Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I uri erstand this i not a permit, but only an application for a permit, and work is not to start without a pernut; thaLt/tf e will in accordance with the approved plan in the case of work which requires a review and appr va f p ?- Ap licanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace A 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ;K 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code ? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) Y FinaUNo C.O. Y Footings (addirion) Plumbing Foundation AVAC Drain Tile Other Roof _ Ice & Water _ Final Ftgs _ Au/Gas Tests Pool _ Final Frazning _ _ _ Siding Stucco _ Stone _ Fireplace _ R.I. _ Au Test _ Fina] Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved 8y r , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?l y Jt Jl? = ? ??? c? Mada/Mira 26. An Agreement with Savin Corp. to lease new copy machines for City Hall was approved. Maria 27. The On-Sale Liquor and Sunday License for Gaven Burnette Management, Inc., dba A1 Baker's Restaurant, 3434 Washington Drive, was approved. Kent/Craig 28. Two (2) $500 donations from the Rotary Club of Eagan were accepted and Tom P. direction to prepare a thank-you letter to acknowledge the donation was given. Tom C. 29. A Petition to vacate public right-of-way was received and a public hearing was scheduled for July 15, 2003. PUBLIC HEARINGS Tom C. 30. The Final Assessment Roll for Project 801 (Silver Bell Road - street unprovements) was approved. Certification to Dakota County for collection excepting Pazcel 10-22450-020-01 was approved and a new public hearing was scheduled for July 15, 2003 for said parcel. Tom C. 31. The Final Assessment Roll for Project 809 (Blue Gentian Road - street improvements) was approved and its certification to Dakota County for collection was approved. `Mike %32. A five-foot front yard setback Variance to construct a covered porch on the front of a single-family_ dwelling at 625 Greenleaf Drive North, legally described as,Lot j J l, Block 1, South Oaks, located in fhe SE Y< of Section 25 was approved._ _J Tom C. 33. The Vacation of public easement within Lot 11, Zehnder Acres was approved and execution of all related documents by the Mayor and City Clerk was authorized. OLD BUSINESS Tom C. 34. A Petition regazding the Permit Parking within Stafford Place was received and the motion of May 2Q 2003 approving the expansion of the Permit Pazking within Stafford Place was upheld. Gene/Maria35. An Ordinance Amendment of the Eagan City Code to Chapter 5, Sections 5.32 and 5.57, and add Section 5.60 regarding Temporary Beer and Liquor License regulation was approved. NEW BUSINESS Mike 36. A Comprehensive Guide Plan Amendment to establish an LD, Low Density residential land use guide plan designation upon 6.4 acres of land located at 4880 Pilot Knob Road in the S W'/< of Section 34 w as continued to the July 1 City Council meeting at the request of the developer. Mike 37. A Preliminary Subdivision (Greyhawk 2od Addition/Mark Gergen and Associates) and Planned Development Amendment on 8.3 acres located east of Blackhawk ? Site P ,200 • 0' T IM r LA V,e r .3tnaA eouA ??n_. ?bN? CM??I??II? . lan P-c.l Am. . , ? sunauq ro,tpd,e - - - - ??s.za- - - - - b ? ea I8? ? 3?. 7> ZtVE . a? R? ? Scale is r'c,0.tive DevelopmentlDeveloper. Delores Cook-Dubru a^d a.pp.oxk?+e. Application: Variance Case No.: 25-VA•07-05-03 MW0??^YER41NeVNw].l.Part?IWUm?OEWOro'?Ibd N . . ` w mwa+ta.?n om?. a oq,m i. eu,wn.. a r.ma" XeL . . w?e.`_:, . 411ciltV oF eaqan TNI3 MA/ IS INf8N0[D FOR R@i8118Nt8 USB ONLY •Tbe CIIY of 8aymn anA Ca4eb CauntY ds `el puaonLo tho _ ceuoaY af Ub In/ennaUen and v. . ,5 :. . .. ?J ?• 3??z?ad??0.y c?o' 20? 2 ? Y-De. f;?c?. cJ?- RESIDENTIAL BUILD[PIG Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 1&1's New Construc[ion Reauiremenis RemodeUReoair Reauiremend Office Use OnN 3 registered site surreys showing sq. R of lat sq, ft. of house; and all roofed a2as 2 copies of plan Ced of Survey Recd (20%a maximum lotcoverage ailowed) 1 setoi Energy Calculalions for heated additions Tree Pres P1an Recd 2 copies of plan showing beam 8 window sizes; poured found design, ett. t site survey Ior additions & detks Tree Pres Nat Reqd 7 set of Eneyy Calculations - Addition - indicafe i/on-site sepfic system _ On-site Septic System 3 copies o( Tree P2servation Plan if lot plaked after 7l1193 Rim Joist Delail OplbnS selec6on shcet (bMgs wAh 3 or less unAs Doe?(?/ ) / O ? , LF7?j W Constru ctiost ??• ? ? I "or Site Address UniUSte # Description ot Work e? hk> .. '?Y rv ( Multi-Family Bldg _ Y Q N Fireplace(s) _ 0 ? 1 _ 2 Property Owner /S?/Z Telephane # I'D f 6 Contractor 1- 'r Address (1r City hG AI)S State '0?905?._ Zip Telephone ll (??? ) . ?? .?? 661 5/S? lJ COMPLETE THIS AREA ONLY IF Energy Code Category (J submission type) Licensed Plumber Mechanical Contractor Sewer/Water Controctor JUN 17 200.'. A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #{ ) Telephone #( Telephone # ( I hereby apply for a Aesidential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a rmit, but only an application for a pe and wo is not to start without a permit; that th o will be in a rdance with the approved plan m t c of ork ich requires a review and approval of an./? - Minnesota Rules 7670 Cateeorv 1 • Residential VantllatioaCaEecorv-V Name ApplicanYs Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4675 Naw ConaUUCtbn Reauiramente • 3 registered site survey8 showing Sq. tt. W lot, sq, ri. of trouse; and all ropfed areas (20% maxlmum lot coversge albwed) . 2 copies of plan showing team 8 window sizes; pauretl found design, etc.) . 1 set of Enargy Cakufailons • 9 coples of Tree Preservation Plen A lot platted atter 1/1193 • R'un Jold Detail Optpns selectbn sheei (bldgs wilh 3 or less units) DATE Z1316R SITE AD NPE OF ?'Ib 7.25 /Gs/a ?- pamodeVpeoeir peauiremente • 2 wpies of plan . 1 set of Enarpy Cakulations for heatetl adtlitions • 7sitesurveyfore?Aerbradditlans&tlecka . IndM,ate'rf home servcb by sepllc system far addRions v? VALUATION 7. ? DRESS 6-r&ee) A4.a" ?JC . I?J MULTI-FAMILY BLDG _ Y XN WORK zj _ FIREPLACE(S) >?0 _ 1 _ 2 OBRIEN ROV F I N G APPLICANT STREET ADDRESS M I N N E A P 0L I S M k CIN STATE _ ZIP TELEPHONE #0a-719S?f'G39 y CELL PHONE # 55406 FAX # PROPERTYOWNER 7)?LWS (? k- TELEPHONE# COMPLETE THIS SECilON FOR "NEW" RESIDENiIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTp RUI.ES 7672 (J submission type) • Residential Ventilation Category 1 Workshset Submitted ? • New Energy Code Worksheet Su6mitled • Energy Envelope Calculations Submitted Plumbing Conhactor: ___ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: SeweNWater Conhactor: _ Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recovery System _ Phone # I,awn Sprinkler No. of R.I. Baths Phone # Fee: $70.00 - ? n ?U1 --------------------°----------------°----------------------------------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orq Signafure of Applicant OFFICE USE ONLY --------- ------------------------- is correcT, and agree to comply Fee: $90.00 Certificates of Survey Received _ Tree Preservation Plan Received ? Not Required _ Uptlated 4102 ` RESIDENTIAL BUILDING PERMIT APPLICATION EAGAN PILOT NOB RD,EAGMI MN 55122 651-881-4875 NewCanatructbn Heaulremente • 3 repistered site suneys showing sq. N. of lot, sq. IL of house; and all rooted areas (20% n1Blcifilum IOt COVe18ge albwBtl) • 2 copies oi plan slwwng beam & window shes; pouretl tountl desgn, etc.) • lsetofEnergyCekulations • 3 copies of Tree Preservation Plan tl lot pleried after 7/1/93 • Rim Joiat Oetall Optbns selection sheat (bldgs with 3 ar less unris) DATE 51,ipol 6 2' SITE ADDRESS TYPE OF WORK_d/[ / )6 APPLICANT r. (? STREETADDRESS q2:?f 2 KAeyjfk,?A Cit CIN?STATEK_/ZIP?? TELEPHONE # y20I1..3 CELL PHONE #g,'yQ e?? 5.t/,6? FAX # PROPERN OWNERJC, YYR,ic?e?'S `? ii?AA,IS GOO/C TELEPHONE # ,*-2(_ - COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLTLFS 7670 CATEGORY 1 MINNESOTA RLII,ES 7672 (J submisaion type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Confracfor: __ Plumbing system includes: Mechanical ConhacFor: Mechanical system includes: Sewer/Wafer Conhactor: _ Air Conditioning - Heat Recovery System I hereby acknowledge that I have read this application, state that the wffh all applicable State of Mlnnesota Statutes and City of Eagan Ord Signature of Applicnnf OFFICE USE ONLY Phone # Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ _ Water Softener ? _ Water Heater ? _ No. of Baths _ Phone # L.awn Spruikler No. of R.I. Baths RemodeURaoalr Reauirememe • 2 coples of plan • lsetofEnergyCalculationsbrheatedatltldbns • lstlesurveyforezterloraddBans&decks . Indicate A Fwme served by septic syslem ror eddAbns VALUATION 0'o J-c MULTI-PAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 Fee: $90.00 Fee: $70.00 orzect, nd agree To comply / S l? ,? Not Re9, u ?e?1-. lJpdated 4/02 OFFICE USE ONLY , ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multl ? 03 01 of _ plex ? 09 07-plex ? 17 Garage x 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Muki O 05 03-plex ? 11 10.plex ? 19 Lowar Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Q 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ``(! /32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Afleration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicaM Valuation ?? Occupancy MC/ES System G Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) y FinaUNo C.O. _ Footings (addition) Plumbing Foundarion HVAC Drain Tile Other Roof Ice & Water Final Air/Gas Tests Pool Ftgs _ Final _ ? Framing _ _ _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ? Insulation _ Retsining Wall Base Fee Suroharge Plan Review MGES SAC City SAC Water Supply & Storege S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved By?? , Building Inspector ---------------------------------------------------------------------------------------- `3?l l a c) 0 ?G t (? -3 - l ?l l,:9 06:05/2002 08:49 06-'04:2905 08: 20 4542838 KWDAHMCONST EPrqhl ENr+CDM DEU 4 95514542836 PAGE 02 Na. 175 vel ]J7 JI'i A"fz+.i ••CATEGORY 1" ALTER?vATE FtJR 40 , citV oF caq Q`E & TN`-a FAVIILY DWELLI?NGS _:.. rtqgi [N 3TRCtTWtiS: Thts 2teern39t.e may be used tar unn- ond two-r3mijv e•veiitngs euiu eo mret the Coa4j0? uv? a? cnl ;hc C; .?(inaew[a Ruins. Chapeer '070. Comp3ete Pirts!+. S. anJ C. CI42rly mark Plans'N'cb: in>clar.on R':a1•:<i: ,J'ues. siz: and r.pe of equ:rmenr, tyuipmeae controls: ud location oi vaTUr fewCec and i20nec7. 'v(owe de:di'.td in:pnslllivn C111 h6 (DCRd mtc }Irnntsom FneW Cadr eufMUry sha:u avaitaole ?rom tht Minnesou oCCommerce. Part A. BvTLDING ENYELCJPE --- C'i?ckpmpoxdmvelopeieintaeiliagopYon -i 0 Presenpe?e(codlot+?.4?ke?.aec.J .. ?•kkg.'.C.) Cheek Iieruta! encrjy nlrslir'ee apcoe ufed a O"CookboeY' (eomptea wcrk+hvv 'xtowi ',L:C-wck me'.hC1(arjci ror.) .. ss_.?_ r....? r•...,t?,a calculaarnul ? S?s:tma Wi?ti7 :.??d (aCxh acalNrfl `;Cookbooks' Worksheet LNS'Mr.'CttoN$ i:ap I. CAeck i:em?;7 Ju? dasicn meen en.Mw:m? Rtaurremenvli7t a:he rir i. ?hsc r.r-? ?l: icems t ux "CaoEboak" Opeion. a;:p :. ir.tiexe 7rcPaue -•til ti;r an qO1t beiew. S:rr i Guintt `.?= do?+C.??u? ?A YOCtci. S-o = b'erin• ?ocai w1:.eow ;n?!:,+liog area ai ill lvuuds?ion wu+dowe) y+4 .`..oor .v_a is .S'?? .?r less cAan alb?ie pncennr. ]4Ni btinimun RJ+ widk tow r,.as hNt: or Windo? U?.alu?: . U SoWCC. O?tFRC D A337u.+E ln) nuwuwa 100 X ?e wineow k aoer u?s psae cxvab ?+'?+? ?+ oElteu owa.ace (Nom abu Oove) M/NNESOTA ENERGY CODF -- WHicH Ru«s MaY l USE? a? _...___.. .:. o. Ou or e.sr INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUTLDING 025269 03/23/95 SITE ADDRESS: LOT: 11 BLOCK: 625 GREENLERF DR N SOU7H OAKS PERMIT SUBTYPE: SF (MISC.) APPLICANT: 1 DAHM CONST CO INC, K W (612) 457-0113 TYPE OF WORK: REPAIR OESCRIPTSON (STDIN6) INSPECTION FRAMING D. . ROU6H IN PLBG DA ROUGH IN HTG FINAL . ? F . -- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-71200-110-01 PERMIT 625 GREENLEAF LOT: 11 BLOCK: 1 SOUTH OAKS c&A 03 3I I?41? B LDING 025269 03/23/95 DESCRIPTION: _. ,.. B'uilding` ?uilding REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee (szaxNG) Permit Type Wa,Gk Type PERMIT TYPE: Permit Number: Date Issued: DR N SF (MISC.) REPF4IR VALUATION $54.00 $1.50 $55.50 $3,000 CONTRACTOR: - ,qpplicant - sT. LIC. oWNER: DAHM CONST CO INC, K W 14570113 0002536 COOK CHARLES 2217 R06ER5 CT 625 GREENLEAF DR N MENDOTA HTS MN 55120 EAGAN MN (612) 457-0113 (612)452-1151 ; Z hereby acknowledge that I have read this appTica'tion and state that the intormation is correct and agree to cqmply with all applicable State ofi Mn. ? Statutes and City of Eagan Ordinences. _ APPLICANT/PERMITEE SIGNATURE ?s??s, ???j d CITY OF EAGAN 3830 PILOT KNOB RD - 55122 L91995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 8 regiaterod sfto surveys ? 2 eoAies of plans (include beam 8 window nizes; poured fid, desfgn: etc,) * I lfIBIgy plq1l8t10I18 ? 3 mpias of tree pmservetion plan if bt piatted after 7M/93 raquired:A? Yes No DATE: r7v Jq95 c-C DESCRIPTION OF WORK: STREET ADDRES5: ' L2CLks LOT BLOCK SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER Name: (?hoL Phone #: u.. F... i ? 5treetAddress• ?h)Z&d"? L-,V4r" ?//???' City: rio State: Zip: Company: ? -"-7Phone #: _.?`S70)/3 Street Address: (r/ License City:?/f/?'' k.D'-,'-? /V641,!],? State: Zip-ST).Z 0--- ? Company: Name: Phone #• Registration #& Street Address• City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once pertnR is issued. I hereby advawtedge that I have read this appiication and state that the information is corceet and agree to wmply with all applicable StMe of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ? 2 copiea of plan * Y 1XB BLIVByf (6%[BHOt OAAlliO/18 $ dlCiB) ? 1 eneigy cakuletions Por heated edtlitlons M cosT? a ? • LD Q Tree Preservation Plan Received Yes Na "ILl CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 3 /-:3 /5P--1_ Valuation of work ? 95-,--? of Site Location: 405- ?„ ,Fl?oov? ,(roF .(Gl STR ET STE M ?y Tenant Name: d_?4 6b7si2- - LOT BLOCK ?_ ? SUBD. i? O ? ?I.D. # Descri tion of work: I I 4-24 1 . The applicant is: ? Owner ? ont ctor ? OtI18P (Deseribe) Name Phone Property LasT FIRST Owner pddress STREET STE if City State Zip Company ,8Y-rn r`t' l5 0,? ???C Phone ;:Z? 7 0?69 Cl Contractor Address 43 /., W. Lr.)at.e v? 61- License # City S1- State Zip SS/ 0 '7 Company Phane Architect/ Engineer Name Registration # Address City SLate Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: ? ? ? ? ?. ? c .? ? .0117 ? c? C ? i ? `v? MASTER CARD LOCATION OWNER L01 STRUCTURE AND LAND USED AS - i // - /- ? Permit I No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK ,? ry?'?L WELL - ELECTRICAL HEATING GAS INSTAILING SANIiARY SEWER OTHER I 07HER I Items Approved (lnitial) Date Remarks Distance From Well FOOTING 57-?-73 SEPTIC FOUNDATION CESSPOOL FRAMING TIIE FIELD FT. FINAL ELECTRICAL HEATWG s?7?73 DEPTH OF WELL GAS INSTALLATION SEPTIC TANK - CESSPOOL DRAINFIELD PLUMBING ?'. WELL SANITARY SEWER _ . ? ? Violation5 Noted on 8ack COMMENTS: 'A INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Kno6 Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lor: 11 BLOCK: 1 APPLICANT: 625 GREENLEAF DR N DAHM CONST CO INC, K W SOUTN OAKS (612) 457-0113 PERMIT SUBTYPE: DECK TYPE OF WORK: NEW BUILDIN6 023589 05/16/94 F L ? CIT`F 0F'EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 625 GREENLEAF DR N LOT: 11 BLOCK: 1 SOUTW OAKS P.I.N.: 10-71200-110-01 DESCRIPTION: REMARKS: ? it . . -'?`. B,uildimg?-Permit 7ype Building Wbrk Type ? X' '? _ .. OECK NEW cR lq94q 611114 BUILDIN6 023589 05/16/94 •'?'r?? ? v ?? 1?C ?1; ?-?{?,1?' ?' ?\ LJ? FEE SUMMARY: Base Fee Surcharge Lic. Search Total Fee $30.00 $.50 Fee $5.00 $35.50 CONTRACTOR: DAHM CONST CO SNC, 2217 ROGERS MENDOTA HTS (612) 457-0113 - Applicant - 5T. LIC K W 14570113 0002536 CT MN 55120 OWNER: COtlK CHARLES 625 GREENLEAF ?R N EAGAN MN 55123 (612)452-1151 I hereby acknowledge that I have read this information is correct d agree to comply Statutes and ' ?,ofi E n Ordinances. ? ? . ? APPLICAN / F E SIGNATURE application and state that the with all applicable State oP Mn. J Nt14 R:,itl I 11)2 I SUED B SI NATUR . - • CITY OF EAGAN [1994 BUILDI NG PERMIT APPLICATION ? ?g94 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set af specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lat change is requested once permit is issued. Date Valuation of work _?S a J. 6/0 Site Address:??? ?/ ?oeC?c???L?4lc ,(?/t•/GL? STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. r:l ,Iau'kv v na-? P.I.D. # Descri tion of work: 44-4-1 The applicant is: ? Owner 12 Contractor ? Other (Describe) Name Phone Property LAST F1RST Owner ? qddress /l? ?r',.??,?? /?f2/u,B STREET STE # City State /?vr? Zip M,Z3 Company Phone Contractor Address License #aX'f!:? Exp. co? City State ZiP Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this applicati and state that the information is correct and agree to comply with all p' able Sta of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ' , ? ? --- -_. _- ------- ---_._.----.-_ __________ ?- ? ?? _? ? ; ? ? CITY OF EAGAN SEWER & WATER CONNECTION CEiARGES - 7989 E%ISTING PROPERTIES SEWER CONNECTION CHARGES SAC Previously Pd. Receipt ll I ACCOUNT DEPOSIT ? SEWER DEPOSIT TOTAL: TOTAL FOR SEWER & WATER HOOK-UP: WATER CDNNECTION CHARGFS $ 675.00 C/WATER CONNECTION $ 580.00 Previously Pd. Receipt # 15.00 VWATER METER 90.00 10.50 vPREATMENT SURCHARGE 228.00 $ 700.50 /ACCOUNT DEPOSIT 15.00 V WATER PERMIT 10.50 PLUMBING PERMIT 12.50 TOTAL: $ 936.00 $1,636.50 OFFICE USE ONLY PROPERTY OWNER: DELORES M CooK ADDRESS: 625 N GRENLEAF DR L: 11 B: 1 ADD: SOUTH YAIYBB OF H6ABIBG OF SPECZ6L ES3&5.4FM city Pro3ect ao. 536 I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the Pollowing described property ovmed by me/us: Lot 11, Block 1, South Oaks Addition for the benefit received Prom the following improvements construeted nnder City Projeet No. 536. Said assessments have been preliminarily computed as follows: QQ9ATITi FArS A!lOU6T PSOJSC! Sanitary Sewer Lateral iiatermain Trunk 9rea Watermain Lateral Services Storm Sewer Street 1 ea/lot 3, 943. 00 1 ea/lot 655.00 7 ea/lot 3,252.00 1 ea/lot 929.00 1 ea/lot 934.00 7 ea/lot 7,361.00 $3,943.00 536 655.00 536 3,252.00 536 929.00 536 934.00 536 7,367.00 536 TOTAL $ 17,074.00 to be spread over 15 years at an annual interest rate of 9% against any remaining unpaid balanees. The uudersigned, for themselves, their heirs, executors, administrators, suecessors and assigns, hereby waive notice of any and all hearings necessary, and waive objections to any teehnical dePeets in any proceedings related to these assessments, and further waive the right to objeet to or appeal from these assessments made pursuant to this agreement. Dated: q Pf I' L xzC?/t?? m ' CLrc'LA Delores M. Cook STATE OF A/?/?3'?(Y?'?} ) )SS COIIIdTY OF 1)?-,1-- p On this 7Tj41- day of before me a Notary Publie within and for said County, personally appeared 5'. ?•Gook- to me petsonally known to be the person deseribed in and who executed the foregoing instrument and aeknosrledged that 5,41e- ezecy?ted the same as fdG:? free act and deed. ?.?M ` I1Al1YN L YIUCN!Feb PFE1Ml6 APP?VED U? ??e :AHY PUBLIC - NNESOTA '-??? AKOTA COUNTY i :;A Commisslon Exp 4199f{ Eagan Public Works Direetor . _. 7fit-iP.I?iFii-:i'?.Oh1 :::E f::';c.u _ _ _, ._. `;F'E{..i:;;_ :-•?c-?-q^r.,_,.?..._ rl: ?.=.C.._:J? If".`.. ? .J t P.]I.r IAl IJ)iLE SSME??? J.:I i .)i...? :.1_ltR,. H ? . ?..?r?( . . . V 4::Or'1:=.' ?.??? t :: :? _FtT. ...t? .. i.;J, .r'i ?iG=?.Vt? 1.)L?.i_Er _, .....i..i:..:.is` , t i ? ., _ .' - ..._ . S .. ?'1-!'_?C; .. . .'?il_ ='i.?L?i....._. . y .?.. _ .- ? ..J" . .J . :.: . ?..... 10"" ji.2::f:-t1'j__{':.i :i,. A,. # A.--S:_P'E{, i .. 1)c_sv . . .. ..... -:. . ......... Yr, i.S ..... . , _ P r TE .. .. .... _. . Tu ! 1 i! ._ . .. H'Ir?. 'r'R, N, i-'1=:YUI F l,U'vl,°!I:..PJl? 100814 r,z.._ TI'C -r": ?...? . _.,. ; i.,_ . . b._+ ?. i.;-,„-. ?, , ?(: / , .. _ . ' _ 617.00 "?:??.;.?a? _ 370.22 100815 i:t_...'.. .. I"•:' . t'!:=? :; ? , ,...`- „r';i_? A, :!(.i 170,00 . ._.:i..•'77 222.00 1!; ,i t _ _ „ ..?Ii?..l _ T?l `?I=?:..? . {IlI?_ . . ?T f.:j 0 ,.i...i?? i7074.00 17074,00 17074.00 PENll *.a tt I*s. ::i.It1MF.c'.V' , , . (-;TI 0H c:?37,' ??, ? r '.i.: ;?1 59222 ? r-. .. ,.. iE:?a-'?.?, . ._,. fl.: ?. -?-t.??i.? .1_. F=',v .,..: : :... 1..':.i.=_,... •. • ?.}I_ZI'11??1'ii". c:? . 1 . ... . _ . .. ?.?I' .. ?? ....... n.? ....:14 ) ? .._ ? .I.?'.iJ . ? ? i..?:.;/il' - -- - ?? . ..1 )` i 17074.0) ? Ei9 ?S (?'? . l?ooK L II, A, ? , 04,,11?, ma, /o a s 7-) - Al. Ti.ii??Sir[.T f1i`J _. J?Il,° ?./t_':. .)PE:....1 AL F'iBBE .. )H:=' ,.... ``P„'?...i. i ?,.c?.?r i1 I Pl.l .? t? t-,I: 11 -???`"?Y I Rf..'I F_.I i'Y ' .?.i. -llDA.{, f:?? ,i_.. i._fT. E.,? -_. SPE(.1- L F'i F}Sc:,. ...._.... j. ._- 1 r 5-'.s - i 8 '-: 1. f'i ',. (.;.._'7 ;..?:'_'t'_C7-- 7. 1 i_1-(% ".A, c.?.i, :.;..?._..:.?r.?., ... `I ;,:,._,?.:.,,::?;???_,a :c:.. . ?}_.:?_?:. . ;•r: ...?. . ?;r;:, ;-? . ?,:A. _ _ i,_,,H.... . , _;F::. yj.i„ ? .II`!„ AI . ?? -.1'i F'r?,Yf..IF:= Ci?lfi.i"IF.?.? . 100814 crt.:?....?,..(4:?.f ? i f3::? . ?::? .. . . f:i vt;:;: 617 00 'i.i .L:.: ?? ? '74 ?" .':+ ,.a..? . . , , , ..,_. ., , . .., _ i ]...i'r;.. :_ i?....3:1.-? , : -,__r.nl. ?:t: . cr?_ ,?.'; :? '=; 1"..?1j ?'?' . ?- _ 'r, .%(;. "%n 24. ..._..'7 222.00, ]Or ., „ ',O( IH i.i; i' 17 f:[ s-'T , i7 _ C; ?ir ?. 17074.00 17i':}„ i:r, i.?? I'>LI'.:i? .:;"IhMr«; OF ACTi4 98 ,c, ::. ut . -nH.r.:; v;:_E;;; •,: _.. , Trn- ,:,r, ? , ,.e:,,_ .. =;UI°li"L=yF:Y `,::if- Pi_i:l`,1D1NG ]. 7C:74.. E_;ii 17074a =ii) ?. I b U -) 6-L-U c,? ? 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 q 0 ( ,? CA." .4&loy New ConsWCtion Reaoiremenfs RemodeVReoair ReauiremenLs Office Use Oniv 3 iegistered sfle surveys shovring sq, ft. of lot, sq. R. of house; and all roofed areas 2 copies of plan Cert of Survey ReW _ Y _ N (20°k mazimum lot coverage albwed) t set of Energy Calculations for heated additions Trce Pres Plan Recd _ Y _ N, 2 copies of pWn showing beam & window sizes; poured found design, etc. t stte suney for addNOns & decks Tree Pres Required _ Y _ N 1 set of Energy Cakulations AddNOn - indicafe if on-sife septic system Onaite Septic System _ Y _ N 3 copies of Trae Preservation Plan if lot platted afler 711193 Rim Joist Detail Options selection shcet (bldgs wifh 3 or less un'As Date 14,A) Site Address c?a J aJ2,elsyJ Construction Cos[ UniUSte # ? T Description of Work ? ? e? v ?1 1Q/yL,? S t7 p? ty ,(jDILI (0 Multi-Family Bldg _ Y_ N Ftireplace(s) _ 0 _ 1 _ 2 PropertyOwner ? JYL?S? 4) ?sv l? Telephone#(?S?) ? Contractor Address State Zip / 0 Citv Telephone # (ali) S ?G 2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review feeapplies. I --? '1\ Licensed Plumber Mechanical Contractor Sewer/Water Contractor 'I\?\0 ?? Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemut, but only an application for a permit, and rk is not to start without a permit; that the work will be in accordance with the approved plan approval of plans. 1? Applicant's Printed Name of war which requires a review and nSignature OFFICE USE ONLY Sub Types - ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plhg_Y or_ N'@P 25 Miscellaneous Work Types ? 31 New ? 35 int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair $ 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/DOOrs ? 34 ReplaCement 'Demolition (Endre Bldg) - Give PCA handout to applicant Valuation z aoo .,°D Occupancy T? 3 MCESSystem Census Code Zoning City Water SAC Units Stories Booster Pump # of lJnits Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Faotings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation ? Approved Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. XI FinaVNo C.O. 7?J Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick W indows _ Retaining Wall Inspector PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA103390 Date Issued: 03/21/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 625 Greenleaf Dr N Lot: I I Block: I Addition: South Oaks PID: 10-71200-01-110 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Delores 1\1 Cook-Dubai Tste 2700 N. Fairview Ave 625 Greenleaf Dr N Roseville MN 55113 Eagan MN 55123 (61)638-3309 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink 71 For Office Use Pewit IP(Vi( 70 City of Eap Permit Fee. zf J 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675=5694 i staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: X02 Site Address; )Q. CT1Ze`l5:4JL_E.d~T:_ 7>6, Unit # czv Name: ' Y21 Tr) / Phone: S/- y l J / RESIDENT / t .~En/c D/1 pG-11~ /~l✓ ~S/ OWNER Address/ City /Zip: Applicant is: .Owner Contractor TYPE OF WORK Description of work: _r16pm Loa Construction Cost: Multi-Family B ilding: (Yes I No~ Company: TL,_U t/ &7~' Contact:.S-rLVE T CONTRACTOR Address: .b ?~Ne UG5 /V. City: ~P1 S - State: MA J Zip: Phone: Soz ~~y ~S~ License LgD2✓~640Ir t Lead Certificate ? 3-/ If the project is exempt from lead certification, please explain why: (see' Page 3 for additional information) COMPLETE THIS AREA 2KLX 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: Ucensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are. considered to be public information. Portions of the information maybe classlfled as non-public if you provide specific reasons that would permit the City to conch a that they, are trade secrets. CALL BEFORE YOU DIG. Caa Gopher State One Coo at (651) 464-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities, WM.aooherstateonecall.oro 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 S~~rJ~ h214 - 2 x Applicant's Printed Name Applicant's Signature Page 1 of 3 r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 4 t ag11 1 Permit Fee: roP Date Received: F19-0 -0 Staff: DD 2013 RESIDENTIAL//IB/UILDI/NG/�P�ERMIT APPLICATION Date: 4�/0�/3 Site Address: 625 1V �7r 1e'�f-7' [/lam ` Unit#: Name: 'PK Hi (c k Address / City / Zip: % �5 IV 8V 'L Applicant is: Owner ?6' Contractor Phone: 5I i5-2- / I S/ Description of work: 1344_04/vve,t-1)h nts` Li Construction Cost: 2' i VC-) U Multi -Family Building: (Yes / No ) Company: d) U l-e-tit2v' laiwoe. T -4,c Contact: ?K4-1/ Address: 3 (04-S WOveticu . Tu- City: aA1 State: 1AA- (A— Zip: S S (2 3 Phone: L' Z 75-- 3 S>73 License #: 6 0 3 5c1q(e Lead Certificate #: - —18S-14 LO -01113 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) gv/1.; /) 23 g -i 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plansand supporting•;documents that you submit are considered to be public informations the information maybe classified as non-public f you provide specific reasonsthat would permit conclude that they are trade secrets. 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.gopherstateonecall.org 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 Buil •jJ , Code must be completed within 180 days of permit issuance. x Applicant's Printed Name x Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition 4 Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%t! ) Census Code q #of Units # of Buildings / Type of Construction Lre va5 6i DV DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: Rough In Air Test 44 Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units R-/ City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 4_ Final / No C.O. Required _ftE HVAC , Gas Service Test ' Gas Line Air Test Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 339 A-5 9G8q'l&aa= Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA114149 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 625 Greenleaf Dr N Lot:11 Block: 1 Addition: South Oaks PID:10-71200-01-110 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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:lower level bath Mike Schiltz P.o. Box 22172 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 - Delores M Cook-dubru Tste 625 Greenleaf Dr N Eagan MN 55123 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use I 17 Cit of Eap j Permit f~ I I 1~~. ~a 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I / 3 Phone: (651) 675-5675 I Date Received: ! I / f3 Fax: (651) 675-5694 Staff: 3 I 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. A-/- Date: 9111113 Site Address: 62,S- 6Y«,, lea OX' Tenant: za le s d C- a~ Suite Resident/Ow Name: Q~OKGf S, - GCb~Phone: Resident/Owner Address / City / Zip: Z C~~~C~ eta /.~rc. +ll. ccx /777 SST L~ Name: LicenseM Address: r City: Contractor State: Tel. 2« 4G-5200'hone: Contact: Email: ew2 G Q, Ctrs d14 -;Ce. Cove- New X Replacement Additional Alteration Demolition Type of Work Description of work: ..r _ NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL V /'Furnace New Construction Interior Improvement Permit Type _ZAirConditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under/Above ground Tank Install Remove) Other RESIDENTIAL FEES (tcn.0n Minimum. Add or alteration to an existing unit `includes $5.00 State Surcharge) yrvv v $100.00 Residential New (includes $5.00 State Surcharge) by 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 n!ans. x ✓Z►2r»an., x Applicant' Printed Name Applicant' gnature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink I For Office Use ` Permit 1 ` I inan City of Ea Permit Fee. V 3830 Pilot Knob Road I `r) Eagan MN 55122 Date Received: 113 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I O 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: a Z V- y &i ,nZUnit Name: I~~) C! pre'y' ~C3Phone: Resident/ / A Owner Address /city/zip: 62-51-1v 61lG f/t / e-a /4 Applicant is: Owner 2C-Contractor Type of Work Description of work: bra T 0 T / i~`~ I C Construction Cost: ~o Multi-Family Building: (Yes / Nom ) Company: Contact: - Contractor Address: 0_q? ~C✓~°"~c-~ ~ City: ,t1f14_1,,Je. State Zip: ~7 Phone:,763 (7 76 License (961412 ! Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.got)herstateonecall.org 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_ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129134 Date Issued:01/13/2015 Permit Category:ePermit Site Address: 625 Greenleaf Dr N Lot:11 Block: 1 Addition: South Oaks PID:10-71200-01-110 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. Craig Angell 12253 Nicollet Ave. S. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Patricia M Cook Tste 625 Greenleaf Drive N Eagan MN 55123 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �----------------- � For Office Use � �� j Permit#: � �� I �� Permit Fee: �� 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I I I L��_��_��J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 �� f� Site Address:__�� , U�"'�t'► ��a'il �i'�f✓� Unit#: � �� ' / �1 //./"'j , � � - : Name: %Q � l.0 r�JC Phone: (�,/> e/��. : ��Si�#�� /�' � ��L �� Address/City/Zip: (�� .'�Gv� �C,aC� Q,/L`�{ ��t��r ,(i�yv ,�']�3 ' Applicant is: Owner � Contractor .�� Description ofwork: '`��k� t.v:"'►+Grtt� � �q`�v Construction Cost: �j C'c�: Multi-Family Building: (Yes_/No '� ) °.: Company: �t�{1ni l. tN��t�v �i'US. . �n�� Contact: /��1'� � � ' ' Address: �� ''N�v�, �a i1 City: ��i�, ^; ��t"M'�t'��fi�?�"..:.: State: �� Zip: �� Phone:(��. �`f 31�/� Email: ' License#: �� (��U C��3� Lead Certificate#: /j/�� ' � ��'�y 7" � if the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No if yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: ' NC?3�'��'l�;�s��cf�uj��rc�r��r��t �»��$t y�a��t�6r��r� ` ��►be pu�� ran t��rr�r�� , �ir�,�n�Parrr��ma,��e ct��+�t��r�a�pa��r�� i��i�r�+��sorrs `��rmr� ;��..ta �� c�r��lc�_ � , �...: cr _�_.:.......f�e.:a+��c�.��crets. ......�..� ......... . . :�.a�._... ' 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.aopherstateonecall.ora 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 perrnit, 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 buiiding permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. � `� � � X �'1��. i• ��c�i� � x ApplicanYs Printed Name ' Applica ' Sig a e Page 1 of 3 City of Eaali ,ENED 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAR 7 3 2616 r Use BLUE or BLACK Ink For Office Use Permit#: 1. (O< Permit Fee: / _ r � Date Received: - �I O Staff: ` 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: c23 /& Site Address: G>d-J 6 re -e / e ( ( Unit #: g eN $` Name: 0 0 Phone: 6:2a- Lib `-'? "'if 5-7 "r Address / City / Zip: 625 .?('Peri I&& - A C /I Applicant is: Owner Contractor TypeofWorkYry Description of work: l J gk (5 1 i K �Q G '�LS)4 I i I v 1,4Q J c - Construction Cost: /Cl J J Multi -Family Building: (Yes / No ,A ) Company:1t �'1 Oi q ("012,1-1,4L-6-,A.t't ontact: Y/1.-2-'74. r / 1 Address: / 3 1) 7 l 4. aftC...� r i City: Gr ;2 S Gi: l ((2- State: /1/(4/Zip: t-6 ;'- x..37 Phone: 4247---21k7/?3Email:1C 0 '1/51 tir">GL h i%f 7Lt) Y(�,^ e,..e,.. License #: (2qC �5 Lead Certificate #: l y ` If the project is exempt from lead certification, please explain why: "?...., \ In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE @ s an su port go %> ry ' tat you st�bin! are corns t p r r a on on a r nation l i y be nssiifi nop cif you pro e $ at m mit the Ct• conA h" 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.gooherstateonecall.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 mu ;t be completed within 180 days of permit e. x Appliant's Printed ame x ��y Appli an't's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration )( Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair (25%_ 100% y) Census Code # of Units # of Buildings Type of Construction V5 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) 6_,(/4;- " r Footings (Addition) / Foundation Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: I , Building Inspector Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Exterior Alteration (Single Fami Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL aw't A-0/ -9Y)(// f)/ Page of 3 (c:(-;<7 • ts y\l- • • Site Plan Fagan Soup treat Owntorl ims Parcel And Oulltitng Fddipalni rk, Get:tr. Da: v Development/Developer: Delores Cook-Dubru Application: Variance Case No.: 25-VA.07415-03 4110IIII. eitts efilF ariettIn ScAte is rclative ct"d airoy, 04446 . Map Prepared salmi ERNA/clamp 31. Faecal bads map data provided by Dakota Caul* Office ot GO and la current 11 01 Fattmary 2001 THIS MAP Itt INTIOWEO FOR REFERENCI USE ONLY PERMIT City of Eagan Permit Type:Building Permit Number:EA171102 Date Issued:07/30/2021 Permit Category:ePermit Site Address: 625 Greenleaf Dr N Lot:11 Block: 1 Addition: South Oaks PID:10-71200-01-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Patricia Marie Tste Cook 625 Greenleaf Dr N Eagan MN 55123 (763) 391-5552 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature