570 Greenleaf Dr SCITY OF EAGAN
Addition South Oaks Lot 4 aik 5 Parcel 10 71200 040 05
Owner._Yl.litf ,.. C-> ?bravct4 -i'J strBec 570 So. Greenleaf Dr• State Eagan+MN 55123
! ' "flrf?luY`f?w /n "r
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK S 1984 370.00 24.67 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
? STORM SEW TRK ! 700 1 1 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 525-00 it it
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
. (612) 681-4675
? SITE ADDRESS: '
PERMIT SUBTYPE:
PERMIT TYPE: t+It I i i? (N+l
Permit Number. ? ? ? , , •
Date Issued: ? ?, / ,• i; / ?±+•,
" ""0 "`'s' W APPLICANT:
?I Ii I fi (. }
1fi , .'i I I, I?!':'? , I 411 I'I I' t t.<<f i
V•q '•?'?1
TYPE OF WORK:
L !-0
INSPECTION D. . ..
,.11 , I I,i, I I rl ,,:
?F
I
L
?0? ? .. w'
{ ¢ ?.
, -- ? I
`
I
Permit No. Parmk Holder Dab Telephone #
ELECTRIC
PLUMBING
HVAC
InspecUon Date Insp. Comments
FOOT7NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYPBOAFD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTQ j? -
,
DECK FlNAL
/
! `y
i
3 V` i sS..a
} ?
?
.? C.?
PLUMBING PERMIT
CITY OF EAGAN
Psrmit No.
Fee
? Fill in numbered spaces S/C '
Type or Print /egib/ y Tot .
1. Date 12- UZ2. Installation Cost
4- -7' 3( ??
3. Job AddressrQY'£Ey?kEq? ?? ' Lot Blk. Tract
4. Owner
5. Contractor
?
Phone S?g 2? 1(p
6. Address
7. City C-t I2- State 44/V Zip?-??Z C?
8. Building Type: Residential ?
9. Work Description: New Ar
Commercial ? Institutional ?
Add 13 Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No.
x Fixtures
CasspooUDrainfield
Bath tubs ? Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the ahove information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: - for
ROugh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Receipt33 PLUMBING PERMIT Permit No.
CITY OF EAGAN ,
Fee
? Fill in numbered spaces S/C
Type or Prini /egib/y Tot. , -
i
1. Date 2. Installat o?ost
?7c,_ ??JyIOL'C L./t/
3. Job Address LotBlk. -? Tract,
-,4. Owner • - '
/? , r y I ? ? I
5. Contractv,,J?-J-I-Y*'rU?iQ"?` Phone /f 3
6. Address if",?ry??w?..1??5
7. CitY
8. Building Type: Residential ?
State
Zip
Commercial ? Institutional ?
9. Work Description: New ? Add O Alter El Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower ? Well
Kitchen Sink '
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances, and codes governing this type of work.
Signed : f
or
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved • CITY OF EAGAN 454,8700
CITY OF EAGA!4 " Permit No: 10114 1 1/ 18/88
3830 P;lot Knob Road Meter No: ?/. ?(o a g ? ?ate:
P.O. Box 21199 Size:
Eagan, MN 55121 Reader No: Date: o?a .-
y9
n...___ , A .IV I•
Sita Address:-.570 SO c;R FNT FAF DR L4 BS 50UTH OAKS
Plumber r aRen? ?••--avaTZ Nr
(FXTCTtur
Conn.Chg $550.00 pd R1
Acct Dep: Zoning:
Permit Fes: Na. of Units: 1
Surcharge: s? ?-
T?. Plant
^'j I agree to comply with the City o( Eagan
Meter. Ordinances.
MiSC.:- ?%v n? nrr? ? .,; j} ?
B
y
?
WATER SERVIC PERMIT
' CITY OF EAGA14 Permit No: 11254 Date:
3836 Pilot Knob Road
P.O. Box 21199 B/ P No: 89216
Date: i 1 i 1 7I 88
Eagan, MN 55121
Owner. .;a! Ms axAvA'rrO '
Site Address:
• (AXENT777 7 '.". • L , ?
B , SOU7'f! OA-K`
Plumber:
MWCC:
City Chg:
Acct. Dep: Permit Fee:
Surchar •'? '
98; .
Micr • i-' ) ) K ?
Zoning•
No. of Units: ?
I agree to comply wffh the Cify of Eagan
Ordinances.
8y
SEWER SERVICE PERMIT
CITY OF EAG` N Permit No: 10 11 r: Date:
3830 Pilot Knob Road Meter No:
P.O. I3ox 2q 199 Size:
Readar Na Date:
Eagan, MN 55121
Owner ja="ES A'iA.Ye,?'CJ
? SiteAddress: 570 W GitE$YLEAF DR., Lbt 95, =;p??TH OAKS
Plumber I.A8.40N VATI?:' (F?t •• _., .. ?
.' Conn. Chg: #550•00 pd Zoning: RI
. Acct Qep: --- No. oi Units: 1
` Permit Fea - 10.100
p3
Surcharge: .50 nd I agree to comply with the City of Eagan
Tr. Plant [04.0(3 pi Ordinances.
Meier. 67.00 nd
Misc.: PP,v REQ{fIRI:D B
Y
L- WATER SERVICE PERMIT
BLDG., PERMIT NO,
0#-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
?
S-D OO
a OC?
S v ?
TOTAL
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 65122 NO 7610
PHONE: 434-8100
BU9LDING PERMIT Receipt # 2X 74,69
7o M wed for SF DWG/GAR Est Value $79, 000 pO1e NOVembEY 1_ 1982
siee nedress 570 So. Greenlgaf Drive
Erect ER Occupaney R"3
Lot 4 Blxk 5 Sec/Sub. SOuth OakS Alter ? Zoning R-1
parcel # 10 71200 040 05 Repoir ? Flre Zone NA
W Name '7im Br8V8ttA
z ,qddrcu 1173 Timberahore Lane - -
o I Name B6x'4 & ASSOC.
?u Address 3140 FielbDY Idll@
r- r;+„Alvmn.ith SSddl e?___ $59-0272
Nome
Enlorge ? Type of Const. V
Move ? # SMries
Dernolish ? Length 83
Grode ? Depth 35 Sq. Ft.-
Approrals Faes
Assessment _
Wnter & Sew.
Police -
Fire
Erq.
<W 1 CiH Phone Planner _
CounNl _
I hereby ackrwwledge that I have read this opDlicotion cnd stote that gldg. Off. _
the informotion is carrect and ogree to comply with oll applico6le
$tote of Minnewfa $tatutes and Cify of Eogon Ordirwnces. APC
$ignature of Pertnittee
A Building Permit Is issued to: Rilircl & A88
oll work sholl be dorw in occordonce oll lica fote of
Buildirp Officiol
Permit 3/V.VV
Surchurge 39.50
Plon check 185.00
SnC 525.00
Water Conn. MA
Woter Meter IIA_
Road Unit 240.00
Taal $1359.50
_ on the express conditfon thnv
ond Ciry of Eopan Ordinances.
L($") 3( WQUesr Fon ELECrrocaL InSPECrIow Ee-°°°°'".
y? ,gr?
? 0 7 0?t .. ""X'" Below Work Coveied by Thrs Fequest
Mem Addl itep.1 Typg of 9uiMing Appliantaa wiree E9uipment pirM
X Name Range TenWary Service
?uplex Water Neater LighUng FixWres
Apt Building Dryer X Electrec Heatin COI'7 T'O
C?cial Bldg. Furrece SiPO Unloader
i?rpstrial Bldg. Afr CoMitioner Bulk Milk Tank
Farm a^e' ce??W BSOecery9
titter (Specify Other Qtlh¢r -
-ompufe lnspection Fee Below
f Fas ServixFirt?e?aSize N Fee Fxd¢rsZSalrfeeders # Fee Girc?its
01. 200 0 tn 30 Amps
.
0 20 30 Am
A6ove 200_Amps 31 to 100 Amps 31 to 100 A
immirg Pool A6ove 100_AnqPs Ahove 100-1?n4?
nstormers
Z Irrtqation Boon?.s • Partial+'Other Fee
Signs Special Inspec[ion -
5 . .,
TOTA
-?
qmm,? L0.50 -?
L F//. /,l F?
i
r i a
Na?qRFn DaCe ?
1. ?hg Elec
1'wwpec[ar, heraby
iry thet tne above
Final /]e tx"i
J ?Bpettien has baew
I !
???et?oid 1Balol11M71an
TMi5 mqu@5t YOId
u -? r
e
?«,? ?
n7nA- 6 5.
L
i-a-95
56 t.?al. Fa.4--)
Re4ucst te ?
?eDac
28
1984
I Fire No_
I liough-in IRSpection
pr
5x
l
N.1i
a" N. []
.
, e
EJNO a.
wne.
fi*icensed ElecMical Convaclor 1 herehv re9uast inspecf:on of abeve
? Owrner electriol wark irmtalled at
Sveei Atldress, Box a Ibute No. ' Cify
570 So. Greenleaf pr. Eagan
im Na.
Towrshio Name w No_ '
Ranpe No_
Cwnty
I I Dskota
Occupant (PNINTI Phone No.
James Bravatto 452-6417
Pavaer Supplia ' Address ,
D.EA. Farmington
Eleclncal Gontractor ICanpanW Name) C 0 ag6y?icre No_
?
Corrian Electric -Co.
ElaGlinp Atldrrss lConrtractw a Owuer Makinp ireutlationl
P.O. Box 475 Rosemaunt, minn. 55068
A ed Sigreture (COn[raclor Owner Meinp Insbllatian)
1
PNone Nu'b¢r
423-1131
tlINNF50Tp gTpT OF ElECT111CITY THIS 1lL4YECTION REQUESi AILL NOT
C+riaws-YidvaY Bldg- - Room N-191 BE ACCEPYED BY lHE STAIE BOARD
lMl UnivarsiW Aw.. S2. Peul. YN 56104 UNLE55 PROPER INSIECTON FEE IS
? f612I 297-2771 ENClOSED.
REQUEST FOR ELECTRICAL INSPECTION - ee-ooooi-us
/1 ?, ri ?."
? G? yd L? ' See inshur,tic,w. for compleling thls torm on bnck of yollow coPy. Z
33 gb
? ??
" X'",Below Work Covered by This Request -
New Adtl Nep. Tyon ai euiltling Appliances Wired Eqvipment WireA !
Home Range Temporary Service:
Duplex Water Heater Lightiny Fixtures
Apt. Buiiding Dryer ElecVic Heatin
Commercial Bldg. Fumace Silo Unloader
industrial BId9. Air Conditioner Bulk N1ilk Tank
Farm omn, SueciN oiner 15nNCUV1
? ier ISper.HV Oti,e. oin,.r
Cnmpute Msper.tion Fee Below
a Fee ServiceEntrance5ize q Fee Frsetlers/Sobiae.tlers M Fee ,.} ircuits
? to 100 q?n>s 0 to 30 Am?s C? 0 to 30 Am?s
107 to 200 qmps 31 to 100 Amps 31 to 100 Am s
% Above 200 qir?J" Above 100-Amps Above 100_Amps
Transiormers Remote Control Cira Partiai% Fee
Signs . Speciallnspection
S ? ?
T
Remrirks ALFEF?
yfy,?
Pouyh-in
? `? , 1 ?' '
?'/A?'•?
4?
i + Da?e
?Y
I. the ecVical
I
i?
•` nsoector. herebV
certitY that the abova
uuection has heen
eda.
This request witl
18 nionths hom
This requesl voitl f- s
?B 6?3550
Lq i P S1 Se,,iXV\- Oa.kS 33 $0Z-
14 (4 1 sa
ReqiS'est D'nte
/?- e? ^ ? ?
? Fi,a Nn. uyh-in hosymr.tlon
Ro
R??,qinredl ?
ReadV Now ?Niill Nolily Ins-pec-
Wh
!
O ?
IA
yc?s Nu or
en ReaAy
KLicensetl Electrical Convactnr I h¢reby request inspection ol abuve
if] Owner electrical work installeA aP
Stroet Addres?yx or Route No.
' Citv
o aA-,Pe,.e
?
ecban o. Township Namc: ur No. flan?c No. Coun y
Oc? nent(PRINT) Phone No.
??2.r
Power Supnollxer
pc 6PL/?? Atldress?i
/ ¢i-r¢/?-?.,?? J'77?
Eieccrir,el Con[racror ICo Uany Numel
S ???e
•v-
7?
?•? C' Contr.?r.lor"s License No.
,
.
?
.
Mnilinp Address ICOntr.mtor or Owner Makinp Installationl
a .- lfs?is.? ,Lz ..K ?z p ss-ao:
Au[horized gnature iC nt cmr/Owner Making In stalls[ion) Phont Number
-?r Is-s /- ,2- 31t ?
MINNESOTA STATE 90ARO OF ELECTRICITY TMIS INSPECTION flEQUEST WILI NOT
Griggs-Midway eld9. - Noom N-191 BE ACCEPTED BV THE STATE BOARD
1821 University Ava.. St P.O. MN 55106 UNLESS PqOPEfl INSPECTION FEE IS
o„- (9171 2y7_2111 ENCLOSED.
'f? OF EAGAN Include 2 sets of plans,
cx-?? 1 site plan w/elevations &
• • S? bw?/?ar BUII?DING PERMIT APPLICATION 1 set of energy calc?ilations.
7b Be Used For ? valuation fz9 1906 Date
Site Pddress ?j7Q L /? J=A2f ?Z? USE ONLY
t,ot ? slocx r? sec./sub.G,0ja LVdCh Erect X occupancy . 3
Parcei #: _10 `7 /a o0 0?{o d a Alter zoning r
Repair Fire Zone
Owner;c?(?-{ ? C$rau(3-4,) Ehlarge _ 7ype of Const.
Address: # Stories
Dsrolish Front 83 ft,
City/Zip Code: ?aq-aA Grade Depth 3S' ft.
Phone # : 4 > Z. _
Contractor:
Pddress: ?500 (i`Jxbm
City/Zip Code:
Ph? #: ??9-0 ?2
r.ron./Eng.:
Address:
APPAOVAIS F EES
Assessznents Permit ?yp ?-
Taater/Sewer Surcharge 39 37w-
Police Plan Check
Fire SAC
u?'a5 ?-
Eng. Water Conn. Ai d
Planner
Council
Bldg. Off.? o!? ?-. i s ;
APC
City/Zip Code:
Phone #:
Water Meter
Road Unit
nrrrr. 3 5 , 5'°
CITY USE ONLY
PERMIT #: RECEIPT DATE:
2002 RE.SIDEN1'IAL 146ECHANICAL ?ERMdT ?PPIICAT[ON
Cl1'Y OF EAkfiHIV
3$30 PILOT KPOB RD
BA6AN MN 551 E2
651-6$1-4675
Please complete for: ? single famiiy dwellings
townhomes and condos when permits are required for each unit
Date: (d - ra ? -(' ra
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
n
TELEPHONE#: (0.!? ) Y)'!?421?/9
TELEPHONE #: (a 15') 3' U E323
CITY: L-A ' STATE: ZIP:
Place a check mark next to the permit work type
Add-on, modification or alteration to existina dwelling unit $ 30.00
• furnace replacement.--
• air exchanger
• air conditioneF--
• other
Nature of work: /`D
• „ -
69
+,? CI,_,Qf ?'t U
State Surchar e $ .50
Total $?
? TU E IT"I'EE
1/02
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P•x.N.: 1e-7120e-e4e-05
LOT: 4 BLOCK: 5
570 GREENLEAF DR 3
SOUTH OAKS
PERMIT SUBTYPE:
DECK
?
?
APPLICANT:
BUILDING
@25682
05/26/95
VALLEY INVESTMENTS CONST
(612) 454-5191
TYPE OF WORK:
NEW
?
?
,., ,. PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
Az4 o?
PERMIT TYPE:
Permit Number: B U I L D I N G
025682
Date Issued: 0 5/ 2 6/ 9 5
SITE ADDRESS:
570 GREENLEAF OR 5
LOT: 4 BLOCK: 5
SOUTH OAKS
P.I.N.: 10-71209-040-05
DESCRIPTION:
Biiilding' ?,ermit Type DECK
Buiiding Wor-k, Type NEW
-r
,
0
r?
r-
-,, ? t .. . ...
6 ?
vf?`j
' ?' Y ._ ... ._ ... '
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - sT. I.IC. OWNER:
VALIEY INVESTMENTS CONST 14545191 0004241 BRAVATTtl CHRIS
2401 LEXINGTON AVE S 570 GREENLEAF p12 S
MENDOTA HTS MN 55120 EAGAN MN
(612) 454-5191
I hereby acknowled'ge that I have read this
information is correct and agree to comply
L Statu'tes and Cityof Eagan Drd'inartces. -
?
? APPLICANT/PERMITEESIGNATURE
applicat;ion and state tMat the
with all applicable $tate of Mn.
?ED V:SI N ATU E
_j
411 CITY OF EAGAN tm
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New ConsMUelion Reauhements RemodeVReoair Repuirements
? 3 regiatemd site surveY$ ? 2 copies W plan
? 2 wpies oi plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions S dedcs)
? 1 enerpy ealwlations ? 1 energy calculations for heated additions
? 3 copies of Leo proaenation plan if lot platted after 7/1/93 '
requlred: _ Yes No
DATE: S? Z3 CONSTRUCTION COST:
DESCRIPTION OF WORK: - /Uej
STREET ADDRESS: ?U+c .
LOT ? BLOCK SUBD./P.I.D. #: '?•??? ? ????
PROPERTY Name: l .wl?S ?/?Wq-Tro Phone #:
OWNER 114•* %
Street Address- Gpcc-oj zk' /?JOp
City: State: Zip:
CONTRACTOR Company: -Z?J U SJ"714FA'S Phone #: :?S?
Street Address: License #:
City: ftM400 ??, "77PWG IYJ? State: Zip•
ARCHITECT! Company: Phone #:
ENGINEER
? Name: Registration #•
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalry applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the i rtnation is correct ?nd agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. I
Signature of Applicant:
OFFICE USE ONLY r? I C. P JV It:: D
CeRficates of Survey Received _ Yes 2No Ma'! 2 5 1995
Tree Preservation Plan Received Yes No -------------^-
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Or93raP "-' .. __Q yy r
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E7(TERIOR fNYqOPE THERf1AL TRpry24jT7qHrF
STANDARD l'ORILSHEET
- Site Wdress L,-
, 'r" I Y ?f a ?. pmer /a-
?4 -F??--`"-?-
Contractor --
Phone ?9-!TL'iZ. pate ii.' Y„
Butlding Type (check one) ? pne and T+ro Fami ly Owelling Other
AsSemblY (Oescrtbe type from Tab1e 3 ar AreA
) U-Value U
A
shar caleuiatlons x
Insulated Area ?'?d?? ? E
, I
Fremi Area .
, .??7 . ...
Sk li hts T
?
OI
c
Other destr76e
,
u Other descrtbe %
1 Totals ? ??--
o
2 Avera e U-Value fn-&% / A irom Line 1 _
****** ..
_:'? ? Z ***?
3 R uired U-Value fran text
YnsulatedA%a ZB?p ,o -C
Framin Area 0 _p?,r Ip_..?&
. Wlndoxs T e 1 . IhlSVu. ?i 30FJ-O ,'?? ?b? (o:t
Doors T e S _ t S V L. , p
Rim Joist 7_0 .0
Fire lace Nall
q
=
d
Foundation Nall
aJove arade 'J:` : •l?u?-.
Z-SCJ_CJ
>
<., 5
=+L
a Foundation Nindows T e .
?
Other describe ^?` " ? ;? '?,r'_
l.?i I ? ,''-• z -
i ! l ?• " ?/
4 TCtd15 ._ I ? '" ink#d-kk •.
5 Avera e.U-Value. UxA /(A) from L1ne 4 ****** , '. **?:ti?
6 R uired U-Yalue Trom text *?**-.t _'' ,?.k,E*,t
If
fol Line 2 15 greater than Line 3. or Line 5 greater than L1ne 6, complete tha
lavin to determi
ne alternative U-Value far total exterior envelope.
g 7 Area (Lire 1) + Area (Line 4), • .
t
= 8" UxA (Line 1) + UxA(Line 4). .' w a **.?,?-,t*
d
a
9
Area (llne 1) x U-Va7ue.'(!ine 3) x
u
?
W
10
Area (Line 4) x U-Value (Line 6)
-------------
? 1 1 'Budget". line 9+(,ine tU
0 ****,?,t
1 2 A7ternative U-Value, Line 11/Line 7
I
d f Line 8 ts yreattr than Line 17, al:er assemblies as required so Line 8
oes not exceed Line 17.
PAGE 1
i
?. y ..--, - - ---- EXTERFOR ElL??L? STANDARD WORKSHEET - - -- -
?
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PAUT 2 1
?.?? 1 f •-•T . .?. I
ssemo +.?-
:tater?al descnbe Tnickness R-Ya ue tiaterial descr be Thickness R-Slatlie
,
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G1?J'I ??-x? r???a" ..r f-?, . 2.??y? i . ,' . . '
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.
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l t ?,, L
nterior f-Va ue sP?_T ab e 2 nt=rior =Vatue (see Tab1 2 .? ? •
Ext?rior f-Yalue (see T abte 2 -t'-1 Exfertcr =valu see a le 21 :r
ata9 Assembi Thenal Resistance Totat semht erma ResisianCe
, seiably U-Value see Tabte 4
Asembiy U-VaTue see able 4 ff
Enter.on Pa ] ,
ter on Pa e l
ssert:b
1
hWterial describe hickness R
a ue hiaterial c+escribe 7?ickness `R-Va ue ?
_• -- _ ? . - -
o
.? .i \/ L?i . t? . ? 1
?l'r - {I
1 ?V•???
?/ i F' ??. fLA/
v?I
.??
,
`
nterior r-Value s?e Tab e 2 _.; nterior r-Yalue (see Table 2
. •?r. Ar?
° terior f-Valu? see i,ble 2 ? Exterior f-?alue see T ab e 2 -i
Total Asserbt Thermal P.esistance _o .., Total Assem6l Thecmal Resistance
sernb?y U-Ya7ue (see Tabie 4
?? Asselnhly U-Yalus (see ab]e 4
Enter an aaae 1 • Enter on Paae 1
ssemb • ? f -r ? e ? swnbt
Materia escn bt Th ckness -Va ue hlatertal escrihe + c ness R-Va ve ?.
CJ?' }4-9?-f.1? ?.?}?. ? ? ?- ? .
„
nterior -Value see Table nterior f-Va ue (see T ab e 2
terior f-Value (see Table E?cteripr r-Yalue (see abie 2
I
t
ta1 Assembl Thermal Resistance .o Total ssemb v Thercai Resistance
sernbly U-Vatue see Table 4 Assem6ly U-Va}ue (see Table 4
Enter on P ce 1 •??' Enter on Pa 1
semb ?+ r? semb
h:ater al E scnbe ic;r. ss - a ue Mat rial decr be hickness ,-Va ue
e??.'>?''i?'?=-5`?'IP?? ?/Z,.u - .?'?J
. ..
. . o
. ._ , .
. ..
? . .
' ' '
. . ,
. . .. . ..
. . . . _.
.
' . _:
.r.'tarT T f-Value se i 8 ? n'+T'7 C + -0 !t! .S d:
? x:er er' -V u see ab1e- ` • riGr -va ' s b
iC- r S•m Y ? sis.?7n • I To'EI ?iserv^Iv ^!'m3 n
s 1y U-aa ue see .ab e 4•
{ semb!! U:elue sen iaoi• )
,
c^ •r on.?8 • _nter on Paea 1
?-?i,
APFLICATION 1=0R PERMIT
SEWER AND/QR WATER CONNECTION
,
?NOTE: PAYMU OF FEE AT TIME OF
; AvrIJcAxioN ooES Wr crocr '
* SfI1LlfE APPR(iJAL OF PERMIT. :
e
• r
; iNSencrioN oF sEWEx nND/oa waxrn :
i INSTALIATIOPIS W7I,L NOT BE SCFDUI,ID
f[.RTlIL PEItFIIT EIAS BEQi APPRWID.
dtV ?t?+??s»t?????r:?yt?tte??xs.fy+?+i+3wt
oF ecicjcan
(PLEASE PRINT
1) PROPII2TY ADDRFSS: 6reeH Ie?f- Dr)ve_ . C-A-4 t...,
T,FY:AT• DESCRIPTION; - L. m f
.Sac.
or
IF EXISTING STRC'CTURE, DATE OF ORIGINAL BLILDZNG PM2MiT ISSC'ANCE: /o/FJ'2 7
(Mont Year
PRESENT ZONING/PROPOSID USE:
Q COMMEE2CIAL/RETAIL/OFFICE R-1 SINGLE FANLILY
Q INDLSTRIAL ? R-2 DL'PLEX (34x) Cnits)
Q INSTITUTIONAL/GOVERNMENP ? R-3 TOWNHOOSE (Three + Dnits) ( Units)
Q R-4 APARTMENP/CODIDOMINIOM ( L'nits)
2) rrAME: JamrQS G• .?ra?A-t4
AoDREss: . S70 S. GreeKl?.,d PrIre
CITY, STATE, ZIP: C-b-e,, . M A/. S-55 I L3
PHONE: 41,S'Z-6S'/7 dcr/c 68i-33`/0
3) i NAME: _2_G,r5o-n C XCaVabn-? /nG Plumbers License:
ADDRESS: /S6oy Ccrne!/ T/"ai
/ Active
Expired
+
CITY, STATE, 22P: ? 0 5 e ina w,,f f /r1/V SSD b$ Not recorded
PxONE: y 2 3- v S' 6k MASTER LICEtvSE #
_ St 4
4) e ? ?•?
NAME:
Sa+*.e. 4,5
2 L ?
? ? •
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) lfl? m =gi• •?? t?o STORM SEWER PERMIT - GIN RING
Q CONNECTION 'PO CITY SEWER % CONNECTION TO CITY WATEft O TAPS
6)
******?********:r*****?**?f*?+*?*****?*+**********:r*?***********,t***:?******++*,r*********??*x*********y
* THE GOLD COPY OF THE pERbffT WIIS, BE SEP7P DII2ECTLY TO PUBLIC WORKS 70 FACILITATE METII2 PICEC-IIP. ?
* PLEASE ALLoW 7FU WDRKING DAYS FOR PROCE'SSING. SOMEONE FROM Tfis CZTY WILL COPIrAC.T Y00 IF 14IERE :
* ARE ANY PROBLFMS.
?************?**?w**?****?***r*?******,t?+*+*x****+**********«??**?*?**+*,?,e**,r***++***********+***?+;
FOR CITY USE ONLY
PERMIT # ISSUED
? ILllIf I
Pd w/Bldg. Permit FEES:
?-t
$
$
SEWER
PERMIT (INCLUDE SURCHARGE)
?
$
$
WATER
PERMIT (INCLODE SC'RCHARGE)
$ e'e
, $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (I[VCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ $ wac
$ $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL[VR SEWER
$ $ LATERAL BENEFIT/TRC!NK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
i
$
$
TOTAL
8 I?l ?
RECEIPT RE
E
C
IPT
DOES UTILITY CONNEC TION REQL'IRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK S4ITHIN PDBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q
NO
DIVISION. LIST
AS A CONDITION.
SUBJECT TO THE FOLL OWI[VG CONDITIONS:
APPROVED BY:
TITLE:
DATE:
?
• .? SEIdER CONNECTION CHARCES;
SAC
ACCOUNT DEPOSIT
SEWER PERMZT
TOTAL FOR SEIJER HOOK-Up
WATL•R CONNECTION CHARCES:
WATCR CONNGCTION
hIETLR
TREATPiENT SURCHARCE
ACCOUP7T DLPOSIT
IJATER PE[tNIT
PLUMQ3IP7C PEFt2.tIT
TOTAL FOR IJATER HOOK-Up
TOTAL FOR SLIdLR & [JATER HOOK-UP
t`
?nl 82
650.00 - ?
15,00
10.50
675.50
550.00
67.00 ?
204.00 ?t
10.50
r w..
i2. 10 859.00
MINTPfI]tq PLUPII3INC CHARCE FOR COrPfERCIALS - 20.50
? r?
?
?
?'?'??` ? ?•.
G?-w
$1,534.50
6' )
ALo-?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 {
a 851-887-4875
New ConsAucrion Reailremenh ? l?) BertatleVReDair Reaulremenb
&"?? -OC)
n 3 reylatered pre wrveyr showing sq. fl. of bi, aq. lt. of Fwuse 2 copies of plan
pntl QM roofed creos (70% mmtlmum tot coveraae allowedl 1 set of anergy calcNaHOns tor heated addlHona
? 2 copies of plarn (show 6eam & wlntlow alzea; poured fid. design; efcJ 1 site wrvey fw exfedor additbns A tlecks
n 1 aef of energy CClculaNMtB
D J Coplea of hee preaenaHOn plan If lot plaRed aller 7/1/93
DATE: _ ?-11)1' 1--?a CONSiRUCTION COST:
DESCRIPiION OF WORK:
STREET ADDRESS:
LOT: "' BLOCK: 5 SUBD./P.I.D.li:
Name: ???D'? ??'? Phone t: ?/.3"07- ?S?f
PROPERTY Lon flrst
OWNER
Sheet Address: S?????
CNy r ag2-¢n State: Yhil Zip:
. Company: f????T/? ??d/J?? Phone ff: d/,"
(area code)
CONiRACTOR Sheet Address: llcense # Exp.
a+r smre: lw?7 zip: 4-a-4?L?
ARCHITECT/
ENGINEER Company: Name:
Telephone U: ( )
Sheet Address: RegkfraHon t:
City State: 21p:
Sewedwater licensed plumber (If installino sewerhvater): Phona M. (_
I hereby acknowledge ttwt I have read this applicatbn, stafe thaf Ihe informalion is cortect, and agree to comply wilh all applcable Sfale
of Minnesota Stalutes and Gy of Eagan Ordinances.
Signature of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No JUN I 2
Tree Preservation Plan Received _ Yes _ No _ Not Required
LeL S CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
RESIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS.
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -----°---------•--------------
WORK DESCRIPTION
N0.
NEW CONST
ADD ON
REPAIR
` -
OWNER NAME:
SITE ADDRESS:
INSTALLER: ??Qi ?
ADDRES S: r f Gq'<
l^
CITY: <-fZIP: 2 2
PHONE 15 6 S
SIGNATURE
?
CITY USE ONLY ,
RECEIPT # D O?
DATE 02-
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
FIXTURES EA.
REPAIR/ADD ON 15,00
SH9WER 3.00
WAT'ER CIASET 3.00
BATH TUS 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
IAUIiDRY TRAY 3.00
HOT T[1B/SPA 3.00
WA`PER HEATER 3.00
F7AOR DRAIN 3.00
GA5 PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTYiER
WPiEB SOFTENER 5.00
PRIVATE DISP. 15.00
LT.v. SPRINKLER 3.00
W. Tuxxaxourm 15.00
TOTAL
S:A?E SURCHARGE 50
-- - - -- ?-?j "? - -
TOTAL: S ?
,
' COMDlERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS. AL50 FOR MULTI-FAMILY
SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLTNG UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS• ,
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN ,
-1._? z
I
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMiTM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
SPECIAL ASSESSMENT SEARCH SUMMARY
AS OF: 08/07/1992
PROPERTY ID: 10-71200-040-05
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
100814 SS-TRK 1983 15 10.0000 617.00 0.00 0.00 CL
100815 S-TRK 1983 15 10.0000 370.00 0.00 0.00 CL
101926 SL 536 1989 20 9.0000 3517.60 175.88 2989.96
101927 SLTK 536 1989 20 9.0000 145.09 7.25 123,34
101928 WTK 536 1989 20 9.0000 655.00 32.75 556,75
101929 WL 536 1989 20 9.0000 2417.11 120.85 2054.56
101930 WLTK 536 1989 20 9.0000 66.17 3.30 56.27
101931 WSSVC 536 1989 20 9.0000 744.14 37.20 632.54
101932 SS 536 1989 20 9.0000 1400.32 70.01 1190,29
101933 ST 536 1989 20 9.0000 4812.37 240.61 4090.54
102064 ST LT 586 1990 03 8.0000 261.94 87.31 87.32
------ SUMMARY OF LEVIED 14019.74 775.16 11781.57
****** 1992 P&I CERTIFIED 1903.52
------ SUMMARY OF DEFERRED 0.00 0.00 0.00
------ SUbIIMARY OF PENDING 0.00 0.00 0.00
------ SUNMARY OF CLOSED 987.00
Press ENTER; or F1, F4, F5, F7, F8
CITY OF EAGAN
1992 SEWER & WATER CONNECTION CHARGES
EXISTING RESIDENTIAL PROPERTIES
r onnecti n arges / Water connection charges
LSAC $80.00 Water connection $ 675.00
Date pr , ously paid Date previously paid
Receipt # Receipt #
Account depX?,`,? 15.00 Account deposit 15.00
Sewer permit 15.50 Water permit & surcharge 15.50 P``?
Water meter 95.00 ?c.
5ubtotal $830.50 Treatment plant fee 3D0.00 mcQ
Plumbing permit and surcharge 15•50
+ Seyuer tap
Subtotal -$?tt699-
otal ?.,
+ Water tap '
Total
Sewer & water connection charges
SA?? $ 800.00
Date pre ' usly paid Receipt #
Water connecti? 675.00
Date previously paid Receipt #
Account deposit 30.00
Sewer & water permit and reharg 30.50
Water meter ? 95.00
Treatment plant fee 300.00
Plumbing permit and sur arge 15.50
Subtotal $1,946.00
+
41-IaL
PRV
No. of taps AL
Assessments N ?
Waiver N -')
water taps
OFFICE USE ONLY
Properry owner JAMEs BxnvnxTo
Telephone no. (werazeL - 452-1565) ?,,,,e
Address 570 GREENLEAF DR 5
Lot 4 Blk 5 Sect sourx onxs
P I D # 10-71200-040-05
I. L(XATICIN 01 uf LL tiTATF()tMINNFS(]TA UF.NAHIMlNT()I11lAL1'H
Ml,YNFSOTA UNlQVF W£f.L M1'O.
WATERWELLRECORO 04 ??
1
Jn, Matn Sawo/t 9
' _.. M?nnfla?aSHMf<ilSn4 iil.f?N
T•.-nah,p Name a TnWmn?p Nunnn N,n{c N?mn?r tiertu?n Nn. Ip. h??n J. YROMlRTY OWNERS NAM! .r?
. .
` y ? • w
µ ?
. . . !
R ? .? -
{
?? - . ' . ..
. . .
._
` - W .
.
Ili???nce an011xecl- fnnn X ..uJ Inl-fl iir Slrcet
M1JJ- anJ til> 01 Wcll lu,sli an ACdreif
? ? ?
f • , rs
!'
r , ? - . . .
. . ?
S???w e?wl I.?calrow ?d rell ?n .?c?i.ui ?nJ Milh '%" Stetc h map ol wNl Imalinn. •. WtLL DEPTN (comp7en0) D?H uf Complelfon
M .-
N
_ L
i
•
?
? _ " ' _ _ i
Adai-
n.
. '"'??.... 5.
d it,.,a 40k-ne 70 rHn.n iaC3 nug
E n?,K? N?mnw "? ? :0r+,M-.W s'J A„ eO Sn..e 110
ymi. L S[? N.tarS 60Je11ed VQpn"r Aupr
I i.o? H?mn?. I s. us[
I
1 ?' I?w?mcsnc 40 rumuSuppq
$ .
?-1 Mi2s? 2?InKa?rm SOMunicipal
FI]N? ?A TI NF f0
!. hOkMAT10HLOli L'l1LOH H? FKUM lQTe?l Well lOA4('`.WigM-g
CASING
10 Iwunr?
6?Cnmsercul
9?
?_ HEIGxT. AOove/BNOW HOL[ DIAM
4iln Tnresdrd '
i?c,bl sOw.+aea s.nele n.
/ ?
I? Plastic 60 OrWeSnosT Ya
N.
_
y . ? !
to j h. Wrighl -In.lo_fl.
1. . io n
In
w.I
hl im
/rt -m. to-tt.
r ?
.
.
.
g
.
tn. eo n. wealtht _In. lo_h.
B Sl'RF:! i . open oN
M?kr Iro? h.1o fi.
Trp? - Dla.
9??GSU« ? ? UptA
/ f - F'IT71NG5
Set hlwnn `II. and
n...a n
Y. STATIC WATER LEVlL
i? /
? , r2hel- []ahore lhte Ma.surcA
and rv,face
10. PUMYING Lk:VEL (belor yud sorfsct)
?
f !
n..n.,
hn. PumVin`
t.V.m.
Tt. after hn. pumpm% 9.p.m.
11. F}LNlAUCOMYLlTIUN
1 P.lleae WPIF.ID?nuf?ctuler , mCdei
z0 e..em-1 orr.n 30 at io..i Ir ?- ,Rws
12. WELL GRDUTED?
?-
?n ?Nu
ICl Nea1C'emeol 7?J9
n
i
313
c
li?n
lr
a-m mum.i I.om i„ n c. ra.
1:7. f:EARE6T 60URCES OP PO88IBIB CONTAYINATIOK t"
feel ? due[Ibe . lype
wr4 dWnfecte0 upon -mplet-! YnL.7i N???
la. PUMP
DaIe inslNled ? Not Im'WeA '
Mamatwwrcll Nome
N
d
l N
6
HY Y
nm
n
oita
o
r
Lenilih of OroD Dlpe fl. cipotilY {.p.m.
tdalerul ot droC W v,
l:
Tsve-I.dSUnm?nihk 301.5.Tu,64na " SG?ItrciDri?c?tine
:?lel ??l'enlitfufal 6?
Useesernntlsheet.ilneedad 16 w'ATlHN'ELLCONiRACTOR'SCERTIFICATION
ia RElSAAKS, BLBVATION. BOURCE OP DATA, ecc.
.
Thu wi11 w.s Cr1IIM un0er my yiriWl[Ilon a1W thif rcporl u true to
Ihe Feil ol mY knovrledge inE bellef.
I
. ,- , l
?
. ... '
r
. . - • f'
'
J
Ljtenue 8YS/nw Nomf ` Llctnx Na ,
i
l .
suhea D.I.
nwn«i,<a aep'aemnire
Ilrte ?
Mamr o/ nWIet
LOCAL COPY
19 0 4 7 2 i'!a ]DM
7'78 3OM
77e?"
HE-0fYab-Ot 2:82 1pM
7464V e4:r# 2?? e&9&, 17«C.
61713th AVE. 50. • HOPKINS, MINNESOTA 55343 • 935-3556
?er? rs:ccia+,e;;
i?nril lc, l c??
REPORT OF WATER ANALY575
::pril 19, 1433
Our IrbOnlory wpab thpo onalytlul ntulU, determined an e ssmple ? rseNrM from you 1 on . ?
'rcm
vs. :_ravaiio
570 i. C+reenleaf
Es?an, Yn. .
7a,:ter;a (Gol.iilffrm Frotzn) less than 1/100 rr1
Nitr?_+,e ni+.repen 0•0 Trg/l
"be resu7_ts o' 'r,hesa tests inaicate that ihis 1ve11 is Droducin?
v;a+er tnat ;; _'ree oi contarina :ion and 7r.eetie tne siandards for
F.Hn. or V.??, loans.
Ivin CiLy Water ;,linic, inc.
?.?. v ? ?.
:.i7.1 ti an hr: nale
M.Mk.i we«.ro.y
waler amyds rop"tg
Consultlnp Mplnwr
Eollar wUV eMmlult
17.7 psrtUmllllon pwls 1.0 qnlnlpolon
?
VETHRANS ADMINISTMTIONN.E. DEVARTMENT OF XOUSINO AND URBAN DEYELOPMENT
XGLTX AUTXONITY APPROYAL HUp/FHA OH VA CASE NO.
INDIVIDUAL WATER-SUVPIY AND SEWAOE-DISPOSAL EYSTHM . HUolFHnoavaoFCicE
IMPORTANT-This fo?m shouW be comple?ed an6 fJeA as ?equvea by existing I+w 38 U.S.C. 1600 and i SIO.
PART 1-TO BE COMPLETEU BV HUD/FHA OR VA
MORTGAGEE NPME ANO ApDHE55 (IncluLe ZIPCode) MORTGAGOR OR SPONSOR
PflOPERTY AODHE55
- SUeOIVI510N/LOT NO.
TOTAL NUMBER IS THERE H BHSE-
MENTt IS TMIS A NEW
INSTqLLATIONt CAN THE PTTIC GP DTHEfl ANEF BE MP.DE INTO
ADDITIONALBEOROOMS](!f"Yd, AowmurtyP)
LIVINGl1NIT5 BEDROOMS BwTHS -
I I C] YES ?NO OVES ?NO ?YES ?NO
WATERSUPPLY BY: SVSTEM DESIGNED FOR
?PUBlIC5Y5TEM ?COMMUNITVSYSTEM ?INOIVIDUAL NO.OFBEDROOb15 IGARBAGEDiSPOSAL
SEWAGE-0ISPOSALBV:?PUBLICSVSTEM ' ?CAMMUNITYSYSTEM ?INDIVIWnL . , ?YES ?NO
PART II-TO BE COMPLETED BY HEALTH UEPARTMENT OR COMPLIANCE INSPECTOR
INSPECTOfl'SSKETCN(TOREPoATAS-BUILTDBV/ATIONSFROMAPPROV£OPLANJ
. ,._ . _ . . ._.
it is the opinion of the 0 State ? County Q?,Local Department of Health that this individual'wateraupply sYstem ? ic ? is no[ satisfactory aa a domestlc waler-supply
for the subject property.
It is the apinim of the 0 State ? County C&I-ocal Department of Heallh lhat tFis individual sewaged'uposal system with pcoper maintenance Wen be expected to functlon
satisfactorily, and u not Wcely to create unsanitary wnditions Q Cannot be ezpected to £unMion satisfactorily. , . 41
DATE - IGNATUfl T T ' ^
N07E: The health authority should complete the appropriate opiriion statement above and afflz date, signatUre and title in lhe spaces provided. . "-
NOTE: Use of the reverse of this form is at the oplion of the health authority.
PART III-FOR USE OF FIELD OFFICE
I have reviewed the foregoing and the pertinent Compliance Inspec[ion Report and recommend that [he individual wa[er-supply system be
considered Qaccep[ab1E ? not acceptable and that the sewage-disposal be considered ? acceptable Q not acceptable -
DATE SIGNATURE
' TITLE
0 HUD ARCHiTELTI/RAL SECTION CHIEF OF OEPUTY CHIEF
?VACHIEFAPPRAISALSECTIONOHOESIGNEE ,
iwm FPOro?
OMB No. 2900.
VR FORM 26E395. HPR 1962 SUPERSEDES VP FORM ]65395, OCT 1976,
HUO FOflM 92573 WHICH µIILL NOT BE USED.
?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122-1897
PHONE. (614) 454-8100
FPJC:(612) 454-8363
April 15, 1991
MR JIM BRAVATTO
570 S GREENLEAF DR
EAGAN MN 55123
Re: Requirement For Connection To City Water
jParcel 10-71200-040=05--- -
Dear Mr. Bravatto:
THOMASEGAN
tvbyo,
DAVID K. GUSTAFSON
v,vMEU MccnEn
TIM PAWLENN
THEODORE WACHTER
Couricil Members
THQMAS HEDGES
CM Admini5tra[or
EUGENE VAN OVERBEKE
Ciry Clerk
You have requested the City of Eagan to provide you with
correspondence delineating City policy regarding the requirement
for connection to City water supply. During 1989, the City
installed sanitary sewer and water main utilities within your
neighborhood along with specific services stubbed to your property
line. Although you have recently connected to the City sewer
system, it is my understanding that you still maintain a private
water supply for your potable water needs.
The current City policy requires a homeowner to connect to City
water, if available, at such time as the private well needs to be
redeveloped or the well pump needs to be repaired or replaced. The
only repair allowed to a private water supply is the replacement of
the well screen if necessary. Once connection to the City water
supply has been performed, property owners are allowed to maintain
their old private well for irrigation purposes only subject to the
appropriate internal cross-over plumhing requirements as necessary
to eliminate any potential cross connection. Also, a special
permit from the Dakota County Department of Health is necessary if
the well is converted to this seasonal irrigation use.
THE IONE OAK TREE.. ,THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
Equal Opporfunify/Affirmative Action Employer
Page 2
I hope I have provided you with the appropriate information
regarding the City's policy for private well water supplies and
their conversion to City water. Zf any additional information or
clarification is necessary, please feel free to contact me.
Sincerely,
C2k
Wd&Y---
Thomas A. Colbert, P.E.
Director of Public Works
TAC/jj
cc: Doug Reid, Chief Building Official
Steve Hanson, Assistant Building Official
Mike Foertsch, Assistant City Engineer
Joe Connolly, Superintendent of Utilities
Ed Kirscht, Senior Engineering Tech Administration
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113781
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 570 Greenleaf Dr S
Lot:4 Block: 5 Addition: South Oaks
PID:10-71200-05-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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 .
Carol Foss
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 -
James P Mattsson
570 Greenleaf Dr S
Eagan MN 55123
(651) 452-8579
New Exteriors By Sma Inc
10701 93rd Avenue North, Suite E
Maple Grove MN 55369
(763) 315-8900
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144341
Date Issued:07/21/2017
Permit Category:ePermit
Site Address: 570 Greenleaf Dr S
Lot:4 Block: 5 Addition: South Oaks
PID:10-71200-05-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Kane M Buss
570 Greenleaf Dr S
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156193
Date Issued:06/19/2019
Permit Category:ePermit
Site Address: 570 Greenleaf Dr S
Lot:4 Block: 5 Addition: South Oaks
PID:10-71200-05-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Kane M Buss
570 Greenleaf Dr S
Eagan MN 55123
(612) 306-0622
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170742
Date Issued:07/15/2021
Permit Category:ePermit
Site Address: 570 Greenleaf Dr S
Lot:4 Block: 5 Addition: South Oaks
PID:10-71200-05-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Kane M Buss
570 Greenleaf Dr S
Eagan MN 55123
(763) 391-5552
Minnesota Exteriors Inc
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature