573 Greenleaf Dr SPERMIT #
PLUMBING PERMIT RECEIPT tk
CITY OF EAGAN I
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address -rr ? .
Lot Block Sec/Sub
m Name
m Address
c City Phone
Name
3 Address
p City Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRlCE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New =
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3 00 S
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $100
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Weli - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
?-'?? ?L,?,y.cL?'"} TATE S/C:
-? ` ?-' GRAND TOTAL:
PERMIT #
CONTRACT PRICE:
Site Address r
Lot Block
--, .
? Name
?u Address
c City Phone
Name
3 Address
O Ciry Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYQND $1,000.00)
SIGNATUAE OF PERMITTEE
FOR: CIN OF EAGAN
PLUMBING PERMIT RECEIPT q
? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 45I-8100
' BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 !
Bath Tubs - $3.00
Lavatory - $3.00
Shower - 53.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
dSTATE S/C:
GRAND TOTAL:
? SEWER & WATER PERMIT t
CITY OF EAGAN '
3830 Pilot Knob Rd. V
P.Q. Box 21199
I Eagan, MN 55121
QFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE _9PRV - BOOSTER PUMP
SITE ADDRESS PM I`-
LOT 4 BLOCK ; SEC/SUB
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
_iAEWER ? WATER _ TAPS
- COMM/IND RESIDENTIAL
_ NEW - fXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
f SEWER & WATER PERMIT i
CITY OF EAGAN .
3830 Pilot Knob Rd ? ' P.O. Box 21199
Eagan, MN 55121 I
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METER StZE
ISSUE DATE ?PRV - BOOSTER PUMP
SITEADDRESS
LOT .? eLOCK r' SEC/SUB -? °
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
_SCSEWER ''?WATER - TAPS
- COMM/IND RESIDENTIAL
- NEW {-'"EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER 15SUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
MEfER SIZE
ISSUE DATE PRV _ BOOSTER PUMP
SITE A DRESS ?SU
LOT BLOCK z2,-SEC/SUB
APPLICANT:
bre-ei1 I 2CLf D ?
? - 6?99_5
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:
ADORESS:
CITY, STATE
PHONE: ZIP
OWNER:
ADDRESS:
CITY, STATE
PHONE: ZIP
PERMIT REOUESTED
- S?/ EWER -` WATER - TAPS
- COMM/IND ' RESIDENTIAL
- NEW -=:?EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMtTS, CONTACT
ENGINEERING DEPT.
' SEWER & WATER PERMIT
CITY OF EAGAN ?
3830 Pilot Knob Rd. 7
P.O. Box 21199
; Eagan, MN 55121
PERMIT DATE
WATER PERMIT # _
METER #
READER #
METER SIZE
ISSUE OATE
SEWER PERMIT #
B.P. RECEIPT #
B.P. RECEIPT DATE
I PRV - BOOSTER PUMP
?.
''' =)?
? re en l ec
.
SITE A DRESS c PERMIT REDUESTED
LOT BLOCK ?2_SEC/SUB /
? ?
_
/SEWER
' WATER
TAPS
APPLICANT: -
-
-
ADDRESS: R
_ COMM/IND
ESIDENTIAL
CITY, STATE ZIP ?-
PHONE: _ NEW ?!IEXISTING
PLUMBER:
ADDRESS: I AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIp EAGAN ORDINANCES:
PHONE:
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
OFFICE USE ONLY
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
_ I .
r 4. 1'b w
? r
?
?
RE:
DATE: JULY 19, 1990
573 3 GREENLEAP DR (LOREN 6 AURBLIA PETERSON)
X 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 PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEiNEH &WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE .: t1LY 1:1, 149[)
OFFICE USE ONLY
METER # PERMIT DATE '-'? t0
CHIP # PERMIT # 11 S`lr?
METER SIZE G:R. RECEIPT # C b9b6
ISSUE DATE B:R. RECEIPT DATE C 7 i, 1
? PRV - BOOSTER PUMP
SITE ADDRESS .;.f, ;1.>;:AF VR
LOT i BLOCK ? SEC/SUB _ UUI'ti OAi
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER: L0.11 ! t? ',l:t:EL: tti i't:TE:.?,;;N
ADDRESS: 573 S GRESA11Sw1F bit
CITY, STATE iAGAN. Y,'? ZIp ''i.`,• I23
PHONE: 454--23,62
PERMIT REQUESTED
X SEWER WATER _ TAPS
COMM/IND Y RESIDENTIAL
_ NEW ' EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
, . ? r. _? . ". ,i r. ....
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORQINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FUR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERfNG DEPT.
CITY OF EAGAN Remarks
1"/ n 'Orn-,
2 Parcel 10 71200 070 02
State FaCi8n,MN i5123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 370.00 67 1
SEWERLATERAL
WATERMAIN
WRTER LATERAL
WATER AREA
STORM 5EW TRK l 617.00 41.13 1
STDRM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
I
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd_
Eagan, MN 55122-1897
DATE ?ULY 18. 1990
OFFICE USE ONLY
METER # ? , J PERMIT DATE ? 7 / 1 9 1 "
CHIP # PERMIT # 11 529
METER SIZE ` 4R.N. RECEIPT # c b966
ISSUE DATE ,-%;QZ:2 IXP. RECEIPT DATE sZ24 40
AL PRV - BOOSTER PUMP
SITE kDDRESS
LOT /BLOCK
APPLICANT. 573 e,NLE
2 5EC/SUB AF UR
S'.%i«'tl OAKr;
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER: Lf,R::N & AliktiL,l A Fli'fT kS,.i^t
ADDRESS: 573 S GftEEhLEAr 0?<.
CITY, STATE
PHONE: F'AGAN. A"N,
45za_.2 ;1:11 ZIP 55123
PERMIT REQUESTED
x SEWER = WATER -TAPS
_ COMM/IND L RESIDENTIAL
NEW EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be giVen for Deduct Meters. I
!
L¦
I AGREE TO COMPLY WITN CITY OF '
EAGAN ORDINANGES .
SIGNATURErWHEN METER ISSUED
(
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Z11 7/ JF ? CITY OF EAGAN
CON7RACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site Address 573 5 GREENLEAF DR
Lot 7 Block 2 Sec/Sub
SOUTH OAKS
Name
m
? Address
? City Phone
Name LOREN & AURELIA PETERSON
C Address 573 S GREENLEAF DR
? Chy EAGAN Phone454-2342
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESlOENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
r , , "i? ??. .?!-P cr'?
SIGNATURE OF PERMITfEE CITY OF EAGAN
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE 7HE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outets - $1.50
(MINIMUM -1 PER PERMIn
Sohener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE: 12.00
WKMR 11404-AMM STATES S/C: .50
GRAND TOTAL: 12, 50
? 7 `-)7'/iJ' ?.?
Site
Lot.
m Name
? Addre
c City _
? Name
c Addre
p City _
-..? . . . ., -?,w•..r,`:_.,,"_ _ . . ? . ..6-. ,. .
PERMIT # ?
MECHANICAL PERMIT RECEIPT tf
CITY OF EAGAN
3830 PILOT KN09 ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 For Office Use Only:
' ` s, ? ` ? ? _ ? + ? - ` vt • BLDG. TYPE WORK DE3CRIPTION
^k Sec/Sub Res y New
r
Mult Add-on
- '.,. '? ?`.1 , _, ? ?•?i_. , Comm. Repair ._?
- Phone Other
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
,
FEES
HVAC 0-100 M BTU
RES ?
-$24
00
F?•:- i??, l• .
ADDITIONAL 50 M BTU .
- 6.00
HVAC INCLUDES A/C ON NEW
(RES
Phone .
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
.
.
COMM/IND FEE - 14'o OF CONTRACT FEE
M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU $ REMODELS - 12.00
M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,040)
C ?J
FEE:
L
S/C: SI
?
•? E E
??Itn?.nY
TOTAL• FOR: CITY OF EAGAN u
f? ?
?
CITY OF EAGAN _ f. 9rj(''',i
3830 Pilot Knob Road, P.O. Box 21-199, Eagao, MN 55121 ;
PHONE: 454-8100 i% ? c.'?',\
BUILDING PERMIT Receipt #
To 1» wud for DECK/PO2CH Est. Volue $20,400 Dote SEPTEMBER 14 ,19 84
Site Address 573 GRFENLEAF DR SO Erect L* Occupancy F;3
Lot 7 Block 2 Gec/Sub, 5O OAKS Remodel ? Zoning RJL
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
Of Name LOREN PETERSON Move ? Length 36
Z SAME Demolish ? Depth ?
Address
9 :,., 54- Grade ? Sq. Ft.
.. o..___
ac
Name wllVUr:lv ttAllvtsUw 1LVL:
,O
_
O,? r.Address . .
? ir„ Phnna MENDOTA Name RTsens Design P
City
I hereby ocknowledge that I h
the information is corrett an
State of Minnssota $tatutes
Siqnoture of Permittee
A Building Permif is issued to:
atl work sholl be done in acoq
Assessment
Wot
r &$ Permit 1"= v..i v
10.50
r
h
r
5
e
ew. ge
u
c
o
73.25
Police Plon check
fire SAG
Enp, Woter Conn,
Plonner Water Meter
Councii Rond Unit
Bidg. Off. 9/14/84 Parks
' '
APC Tatal
Var. Date
thoi
Permit No. Parmit Holder Date
Plumbing
H.VA.C.
Electric
Softenar
Inspection Date Insp. pther
Footingt
r
Foundation
Framing
;"4r?,
L
Rough P16g.
I
Rough HVAC
Inwlation O
Final Plbg.
Final HVAC
Fina! W41
Cert/Oec.
Wster Descrihe Location:
VYell
Sewer
Pr. Disp.
,. .,?
BUILDING P?RMIT
CITY OF EAGAN I ti ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # ? ? ? . • (
To be used for RER00FIttG Est. Va1ue 41,900
Site Address 573 S GREL?NI.L/IF DR
Lot 7 Block 2 Sec/Sub. 30U'PN OA1CCS
Parcel No.
W Name LA1tLN PE1'F?SOl1
3 Address S73 8 GREENL.eA! Dt
0 City E/?CAN Phone 854..2342
. o Name $ATHER ROOFI?DG
?Q Address 457 CROV R AVE N
?` City _ OAKD!?LE Phone 738-1062
I hereby acknowiege that I have read this application and state that the
information is correct and agree to comply with all applicable State ol
Minnesota Slatutes and City of Eagan Ordinances.
Signature of Permitee
n euildirg Permit is issued to: 'SA'='Uit 1tOOIPIlIG
on the express condition that all work shall be done in accordance with all
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building Ofticial
OFFICE USE ONLY
Date
WATER
SEWEfi
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fiteplace
Final Htg.
Orshat Test
Final P16g_
Const. Metei
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
PERMIT #
PLUMBING PERMIT RECEIPT q
' CITV OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PHICE: PHONE: 454-8100
Site Address 7 BLOG. TYPE WORK DESCRIPTION
Lot _?L_ Block _'2- SeciSub Res. New
Mult. Add-on
d Name Comm. Repair
? Address Other
c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-Water Closet - $3.00 S
Name Bath Tubs - $3.00
; Address _
_Lavatory - $3.00
O Ciry Phone -Shower - $3.00
_Ki?chen Sink - $3.00
FEES _Urinal/Bidei - $3.00
COMM/IND FEE - 1% OF CONTFACT FEE -Laundry Tray - $3.00
APT. BLDGS - COMM RATE APPLIES _Floor Orains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPIIES -Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12. 00 -Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20. 00 -Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - . 50 (MINIMUM • 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES -Sottener -$5.00
BEYOND $1,000.00) -Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
SIGNATURE OF PERMITTEE ", ,? , fEE:
? u/ V
M
\Mr' " STATE S/C:
/
FOR: CITY OF EAGAN GRAND 70TAL:
/
? ALL CON ACTO MUST BE LICENSED WITH THE CITY OF EAGAN
r
To Be Used
??? INCLUDE Q SETS OF PLANS,
? CERTIFICATES OF SURVEY
SET OF ENERGY CALCULATIONS
1
Valuation: 20,400,'?-o Date:
Site Address:573 Gsc-?:?l?s.? Or. ?s? • •
Lot: 7 Block: -')-Sect/Sub:50 ' ?e? kS
Parcel $:
Owner: k ?"? eu? ? pt?rat?? ?e.?-ecSO?.,
Address: ?73 GwP_w,. le?
City/Zip Code: ?q?-\ , i/vkA. S312-3
Phone #:_ ?1 SL/ - 9\ 3 ''/ c,,
Contractor:L? ocxQQ,v\ lk4l0.?,,,bo„> C-
Address: ?, p-
City/Zip Code:ykg??
Phone #: t.e {''a .- Q Y(?, G,
Arch./Eng: (ik'j 'Se"S lv.c
Address: ao 9z/ fi)av
City/Zip Code: Sj y?? S? I a
°`"'"°?• Ge[?--iY9`1( 1wn 94evse•)
Erect: Occupancy:
Remodel: Zoning:
Repair: Type Of Const:
Enlarge: # Stories:
Move: Length:
Demolish: Depth:
Grade: Sq. Ft.:
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
R-3
R-i
?
-6 E)
Z5
Permit: 14(n.50
Surcharge: ? O, 5_°
Plan Rev.:
?z
`
SAC:
Water Conn:
Water Meter
Road Unit:
Parks:
? a-3o, a5
, . CITY OF EAGAN M 9507
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100 Y'
BUILDING PERMIT ,/??
rteceipt #
Ts be uwd fer DECK/PORCH Est.Value $20,400 Dote SEPTEMBER 14 84
19
SiteAddress 573 GREENLEAF DR SO Erect CN occupancy R3
Lot 7 elock Z ?ec/Sub. SO OAKS Remodel ? Zoniny T-
Paroei No. Repair ? Type of Const. V
Enlar9e ? No. Stories ? Name LOREN PETERSON Move ? Length 38-
?
Address SAyg . Demolish ? Depth 25
?
cnY Phone 454-2342 Grade Sq, Ft.
m ' WOODEN RAINBOW INC ADDrorals Faea
o Name
Address P• O. BOX 702
? city MENDOTA pnone 452-8466
?w Name RTsens Desiqn Plus Inc
x? Address 2094 Marshall AVe
?3 city ST PAUL phone 646-1499
I hereby ackrrowledge thot 1 hove reod this aDPlicotion and stote thaf
the informofion is correct and agree fo comply with oll applicoble
Stote of Minnewta Srotutes City af E gon Qrdinonces.
Slpnoturc of PertniMee C
Assessment
Woter 8 Sew.
Police
Fire
Eng.
Vlonner
Council
BIdg.Off. 9 14 $?
APC
Var. 0ate
Permit '7 14 O . aV
Surchorge 10.50
Plon check 73 • 25
SAC
Water Conn.
Wnter Meter
Rood Unir
Parks
Totel $ z-iu .2S
A Building Permit Is issued to: iruDEN RAINBOW Ihi. on the express condition that
ull work sholl be done in ac da wi all p icob Stote of Minnewta Statutes and Ciry of Eayon Ordirwntes.
Buildinp Ofilcial
- . .. . . . . .. . . ?
CITY OF EAGAN Np 19295
7: 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING 9ERMIT PHONE: 454-8700 ? Receipt # I y v?, i
To be used tor REROOFING Est. value $1, 900 Date JUN 21 , 7 g91_
Site Address 573 S GREENLEAF DR
Lot 7 Block Z SeclSub. SOUTH OAKS
Parcel No.
W Name LOREN PETERSON
3 Address 573 S GREENLEAF DR
? Ci[y EAGAN Phone 454-2342
o Name SATHER ROOFING
?a Address 457 GROVNER AVE N
? City OAKDALE Phone 738-1062
?
ww Name
x? Address
<W City Phone
I hereby acknowlege ihat I have read this application antl stata that tha
intormation is correct and agree to comply with all applicable State oi
Minnesota Statutes antl Cq ol Eaga,n Or/d"yrancqsl.?
Signatureof.Permilee < J ?t?
A euiidin9 Permit is issued lo: SATHER ROOFING
on the express condition that all work shall be tlone in accordance with all
applicable State of Minnesota StaWtes and ?Cit?y {o(f Eagan Ordinances.
BuildingOflicial ??T ??f?.T_II (yI,sCI
C
OFFICE USE ONLY
Occupancy
Zoning
(AClual) Const
(Allowable)
# of stories
lengih
Oeplh
S.F. Total
S.F. Footprints
On Site Sewa9e
On Site Well
MWCC Systam
Ciy Water
PPV RequirBE
Booster Pump
AVVROVALS
Plannar
Council
Bldq. 011.
Variance
Bldg. Permit
Surcharge
Plan Review
SAQ City
SAC,MCWCC
Water Conn
Water Meler
AccL Deposit
S/VJ Permil
S/W Surcharge
Treaimenl PI
Roatl Unit
Park Detl.
Copies
TOTAL
FEES
44.00
? REOUEST FOR ELECTRICAL INSPECTION ee.oooi
? See inAFUClions tor'completing this form on back ai yellow mpy.
4
?j 6 5 3 6 2 X" 8elow Work Covered by This Request ew hy,,. ep.TypeofBuiltling AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt. Builtling Dryer Other (Specify)
Comm./Indushial Furnace Or J= .P K F7"
Farm Air Conditioner
Omer (speciN) ConVactor's Remarks.
Campute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 ta 200 Amps 0 ro 100 Amps
Tran5lormerS Above 200 _ Amps Above 100 _ Amps
Signs mspector's Use omy. TOTAL a
Irrigation Booms rI i ?
Spacial Ipection
Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
I, the Electrical Inspecroc hereby
certify that the above inspection has
been made. R°°9n""
Finai oata -
oare
OFFICE USE ONIY
This request voitl t8 months imm
R
REQUEST FOR ELECTRICAL INSPECTION M EB?(-?t?i00001-(g 0A '(
01??( ' See instructions for complelYng this f3rm on beck ot yellow copy. ?' 1p
r r q r
i "X" Below Work Covered by This Request
Nev? Htltl ReO. TYpa ol Building Applipnces Wired Equipment WireA
Home Range Temporary Service
Duplez Water Heater Lightiny Fiztures
Apt. Buildinq Dryer Electric Heatin
Commerclal Bidy. Fumace Silo Unloader
Industrial Bldy. Air Conditfoner Bulk Milk Tank
Farm Ome, oeciN ? tner (SUer,l(xl»fC OLC(
ther $Ueclfy ffipr
Compute Inspection Fee Below k Fee ServiceEn<renceSize k Fee Fexdars/5u1FteeJe,s b Fee Circuits
ar U to 200 qm s 0 to 30 Am s 7. 0 tn 30 Am s
Above 200 qi» )y 31 ro 100 Ainps 37 to 700 Am s
Swimming Pool Abave 100_Am s Above 100_AmpS
Transiormers Irngation Booms Par[iaVO[her Fee
Signs SUeciallnspection
T AL
F
Hema.ks ?. EE
O
/ l
flough-in Oatc p p
? ?] Q ? mal
Insoectoq heraby
Final
P
Da?e cerlilv lhat the above
iispection hes been
made.
TI119 fBO11891 YOId 18 IflOflth9 ffORI
D/w.
This raquest void 1 ?^ I [/
18 rcronths fmm ?1 I ? )1
A e, 9 7A'A L'1 5n Dak-o
'°Ii1W
19. 5-4)
Flequest Date
I Fire No.
I ftouBh-in Insuection
ReOUireA7
eady Now ?Will 1.sPec-
s ? No I.r Whe.n Ready
Licensed Elecvical ConVactor I herebv raquest inspection of above
Owner electrical work instelled at:
Sveet Address, eox or Route No. GtV
S / ( 2.CYl ( M l.. ? ?%
ecuon u. Township Name or No. Ran9e No. Covnry
1
OcwGent (PqINT) Phone No.
Loc'e'r) YS 2-
Power Supplier AAdress .
Ele
al Con[ractor (COmpany Name)
ctr
ic
onVacmr's License No.
C
n
?
,
N ? 1??.. 1
t
Mailing Atldress ICOnVactor or Dwner Makine lnstailation)
s
Aoit-
,
r /Y71,14ill
Authorized SienaNre ontractod0 er Makfng stallationl
r? Phone Nombcr
c
MINNESOTA Sl4CTE BOAND OF ELECTHICITV •":? THIS INSPECTION flEQUEST WILL NOT
Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE eOAPD
1827 University Ave., St. Paul. MN 55104 UNLESS PNOPEH INSPECTION FEE IS
Ghona 16121 297-2717 ENCLOSED.
0
62/1 C?
ReQuast Date
/ /J 9
_ Fire No. Pouqh-in lnspection
Requiretl?
Iieatly Now ? Will Notify Inspector
/ /
/ ? ? Yes No When Reatly?
IX-licensed contractor ? owner hereby requesi inspection of above electrical work at:
Job Atltlress (Sireet Box or Raute No.I
? Ciry
573 ?rQPr?.Pa ?
rJL/o_ G7,z 'r Ss!
Section No. iownship Name or No. Range No. Caunty
Occepant(PPINT) Phone No.
e_Z 2 3
Powar Supplier
h Adaress
a
, -n
Elaccncal Convador (company Namel Cory zcror's license No.
Mailing AtlGress (Conhacror or Owner Making Ir.stallation) x S?
i794o ?s R?C? u?RD , ??-T// L.F+KCz vi L-GF-
Aulh i naWre ?GOnbactoqOwn akinq Inst Ilalionj Phone
N
umber
Vy` ,
/
,/ 6
T ??CO T O
MINNESOTA STATE BOAND OF EIEC PICITY THIS INSPECTiON REOIIEST WILL NOT
G?IgBS#11EwaY BIEg. - Hoom 5-1]? BE ACCEPTED BV THE STATE BOARD
18Z1 Universiry Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Ppone (612) 612?W0 ENCLOSED.
.?
EAGAN TOWNSHIP
BUILDING PERMIT
Owne= ._.......... .......-- ........./..J..?......?..D.
Address (presen!)
Builder .1??„_"__"_""6"_'_""?-r???"'--:..._..?.._:....--'-- .................
Addresa
DESCRIPTION
N° 1936
Eagan Township
Towa FIall
Y?
Date - G
.... ..........................
iorias To Be Uced For FronS Depfh Heighi Esi. Cos! Permif Fee Remarks -
?2 b 7-Q' e? ?/ 0M
ar
LOCATION
!???I "?" "d?
This permii does aot suihosiae the use of slreels, roade, alleps or sidawalks nor does it give 1he owner or his agen!
the righf !o creale anq situafion w6feh is a nuisance or which presenfs a hazard !o the healih, safely, eonveaieace and
general welfare !o anpoae in the eommunilp.
THIS PERMIT MUST BE KEPT ON THE PR//E?MISE WHILE THE WORK IS IN PROGAESS.
This ia !o cerlifp, thaf..5-'-!?Q:...........has permissioa !o ereeY a----- ------- - .---°°°. ° upoa
-- --------'-°.. ...._
!he above descxibed premise sub'jec! to the provisions of the Suilding Ordinanee for Eagan Townshi adopfed April 11,
1955.
"""'-'-"-.....- "-"?'.?Q'.¢".c.^_"' ................. Per ..---..........._?...........`?`?`"?...-'_".....-'--
?' Chaan of Tnwn Boerd Buildin9Ins eclor
C . ($
Permit # ? ? ? ? ?)
Date (0-7
Receipt Date:
55 /q V
CITY OF EAGAN
SEWER/WATER REPAIR OR DISCONNECT PERMIT
2003
Sewer
Water
Fee: $50.50
Address/area to be repaired -b oy 4 ,f -,C- S
Description
Owner: /,e -z- Telephone:
Street Address: ,S"73 ?? n U'r S Zip Code:
Installer:
Address:
Telephone:
(area code)
City Zip Code:_ -?
OCT 0 7 2003
BY- -I
Applicant's Printed Name Applicant's Signature
Ao?o'aforr.sv.+?r. DONAF'Llp 1711. CAI1ID9YH-iN.Hi
COnIMV<.ion SVI+nY1 ?? ??R
, O.y.??wW uoGr lar? of !M S?ob ol Mlnn?wle
/
.' 1354 E LARPENTEUR AVE. • ST. PAUL, MINN. 55109
?hone 777-6128
SURVfTOR'S CERTIFICATE
,
?
? i?-
t;
?
, i.
? o'
?'
LL? r
s? ? tz
lti?' 7
F
- -?w
?-- G?
a•
4
z
?
s? .
?-
? ?
T
- ??
1wop.ophu Survrn
1aSd-"- Uovq+ orC Platt;np ,
{
?
,
I hareby certify that this is a true and corre
representation of a aurvey nf the boundaries of: ?
I.ot 7, Block 2, South Oaks. Eagan Township, Da ota Couri
Minneaota and of the location of a dwelling under cor truction
as staked, thereon, and all visible encroachments, iT a, from
or on eaid land.
As aurveyed by me this 1Rth day of December 1468 A.D.
. . ,
-- 'i
Peteraon-Gretsfeld
su.ye, ror: 25-27-23
Dakota CoucLyoHinneeota
/ i
,
Minne+ota Reqisiration No. 5712
1991 BUI?qlqlg
L
CITY OF EAGAN
SINCLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: pi7l?,r' _
Site Address 57-3 S. 6r£Cj/E4
Lot ? Block
Valuation:O?? Date: VC'1'c- -?-) -/
Parcel/Sub fN' j ? , A
Owner /of•L?? t-4 (7 f $on
Address
City/Zip Code ?qyJp?h
?
Phone
Contractor Sal?-Cv CCpe)TivAQ
Address -r S 7(? f'O Vh-CY 4 V. 'v1
City/Zip Code ('')a ?nlaI-e yh vt. S,
(9o0
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
On site sewage
On site well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Phone Planner
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL '
Phone #
a";, agrees that all work shall be done in accordance with
(Si nature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY USE O\ZY
LOT BL ? RECEIPT #:
SUBD. RECEIPT DATE:
MECHANICAL PERMIT #
1999 MECHANICAL PERMIT (RUIUEPTIAI)
CIT'Y OF Ei4fiAN
3$30 fILOT KNOB RD
EElflAN MN $51 EE
(651)6$1-4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .50
Total $
Complete this secrion onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New ?lteration Repair _ Other
Reminder: Ca11681-4675 jor inspections.
Fumace
_ Air exchanger
r?T? er-
Air condiHoning
? OtherA" N" "h'"" ` " " v""
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
`SITE ADDRESS: S /3 -SEj
owNERxnME:Anelfq PHONE#:
INSTALLER NAME: fi[?m S 7?;nI C C 6 , PHONE # A CoDE) ?
-
STREETADDRESS: ?- d•A C1,>e 22 si r (AREA CODE)
CITY: STATE: /c /-I ZIP: ?/Z/ z 2
_Ier?
GNATURE OF PERMITTEE
.. • " • V? ?t?l1
?i4Z?1`\Yi?
SEWER & WATER /
CITY OF EAGAN
CONNECTION CHARGES - 1990
ERISTING PROPERTIES
WER CONNECTION CHARGES ATER CONNECTION CHARGES
SAC $ 00.00 WAT CONNECTION $ 6.00
Previo ly Pd. Pre 'ously Pd.
Receipt Recei #
ACCOUNT DEPOS 15.00 ACCOUNT D OSIT 15.00
SEWER PERMIT & CHARGE 15.50 WATER PERMI & SURC 15.50
SUBTOTAL $ 730.50 WATER METER 90.00
+ SEWER TAP TREATMENT PLAN FE 252.00
\
TAL , PLBG. PERM & SURCHAR 12 50
SUBTOT S 010.50
+ WATER TAP
? SEWER & WATER CONNECTION CHARGES
SAC
Previously Pd Receipt #.
WATER CONNECTION
Previously Pd Receipt #.
ACCOUNT DEPOSIT
SEWER & WATER PERMIT & SURCHARGE
WATER METER
TREATMENT PLANT FEE
PLUMBING PERMIT & SURCHARGE
SUBTOTAL
+ SEWER & WATER TAP3
TOTAL
$ 700.00
$ 625.00
$ 30.00
$ 30.50
$ 90.00
$ 252.00
12.50
$1,740.50
$1,740.50
---------------------------------------- \?------------------------------------------
OFFICE USE ONLY
ASSESSMENTS 1? 0
PRV •CS
# TAPS
.IULY 18, 1990 n
PROPERTY OWNER CJ CS?'Y? ?
TELEPHONE # -lS ?4 -- ; 3 'T ?-
ADDRESS ' S -7 2D S . DR
L 7 B 2 SECT. SOUTH OAKS
P.I.D. # 10-71200-070-02
..
SPECIAL ASSESSMENT SEARCH SUMMARY
AS OF: 07/17/1990
PROPERTY ID: 10-71200-070-02
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN:PRIN. PAYOFF CD
100814 SS-TRK 1983 15 10.0000 617.00 41.13 329.09
100815 S-TRK 1983 15 10.0000 370.00 24.66 197.38
101926 SL 536f-3 5'1 7.6,o 1989 20 9.0000 1329.97 66.49 1263.48pQEk„J
101927 SLTK 536 1989 20 9.0000 145.09 7.25 137.84 Pd
101928 WTK 536 1989 20 9.0000 655.00 32.75 622.25
101929 WL 536 1989 20 9.0000 2417.11 120.85 2296.26
101930 WLTK 536 1989 20 9.0000 66.17 3.30 62.87
101931 WSSVC 536 1989 20 9.0000 744.14 37.20 706.94
101932 SS 536 1989 20 9.0000 1400.32 70.01 1330.31
101933 ST 536 1989 20 9.0000 4812.37 240.61 0.00 PP
1OP586 SOUTH OAKS ST LIGHTS 0000 3 9.0000 255.00 0.00 PN
------ SUMMARY OF LEVIED 7744.80 403.64 6946.42
****** 1990 P&I CERTIFIED 1918.32
------ SUPIIMARY OF DEFERRED 0.00 0.00 0.00
------ SUMII4ARY OF PENDING 255.00 0.00 0.00
------ SUMMARY OF CLOSED 4812.37
Press ENTER; or F1, F4, F5, F7, F8
CITY OF EAGAN
SfiWER & iT9TEB CONNECTION CHARGES - 1989
EBISTING PROPERTIFS
3EWER CONNECTION CAARGFS
SAC
Previously Pd.
Receipt U
ACCOUNT DEP0.STT
SEWER PERMIT
TOTAL:
TOTAL FOA SENER & WATER HOOR-IIPs
WATER COHNECTION CHARGES
$ 675.00 WATER CONNECTION $ 580.00
Previously Pd.
lieceipt #
15.00 WATER METER 90.00
10.50 TREATMENT SURCAARGE 228.00
$ 700.50 ACCOUNT DEPOSIT 15.00
WATER PERMIT 10.50
PLUMBING PERMTT 12.50
TOTAL: $ 936.00
, $1,636.50
?
?_. _ .
OFFICE OSE ONLY
r
PROPERTY OWNER:
ADDRESS: s 'm SO, L??
---o
TELEPHONE 8:
L:? B:L ADD: e? . (J7KS
? ?
J-73 sG' . <-Cc. r/? RJ:%? G t`(
??
-- ,.?.:,?...... ,._...,:
iR?-.::d??-._!.?.,lti dt7a ?-??.,?
SSI',LC:;:f . ,.?...?,:- .
r#I_ r1o::n ..Ei?.C`I4':.1.;I,t=
Sr--Ei-; I;aL r,S=:E r.;SMEr;T s S.r:.r-,Ri=;i sU MM,=,Rv
Pr..i:iF El-, Ts ;: .D, (ODr. rS OATr - 07/07 :?
E:i': ..._._,_ c ,? . .? .._ f :!1(:a? .,..
, ...,._.
'
' / i
?
--
li 1::?D
{?(?
/ /
C)
C?Z
:1 . Y?.. YY --
1)ti4.iJ?..'??.. T t
L S1_F-.. ,
rR V1.. __ .
R.ATI _.? .._
TOffS.._
A- N. P,F.
lN. ....
PIiYOPF tOM•'•EN'.
;.? .!,.??:._,,t:3'i...?: - . '?i`=:-f.. .l=;l :: r3._ ?...:?
1`=?
.._.
iQ,;:??:;',:
.
;?7..?.„it_ . _
?.
...t
?,
..i.,..
_7ii.:?:'.:'.
111f.rC!'?J
.. C...-ri??r1F', :
??
c'. !
f?" ?]._: . 1-._ ? ......u.(.',1,?
,.'_).'J .. .J..-°._I.)
._'
?.:_' _
i,i?/
2C'2.'_>_>
.' ...r?
n-`,_,,,
.. _ !-'tJt_il"H L7C,1-.:S
LI .
It_ ', ."
..
?..)i; ,'?;
_. ..
..tlr:.;:
i..: , ,.i;,._ ..,;
,
,i,.,..._U?:}
.. f.i?l
.
"
17074.00 r F ?tL?l?r)
.?
_.?:? 1 ??' C'? IiY?wRY i5?. ' '_ _ ;?il_;i":
I =
907.00
65
.81
592.22
3 L ...h..?..r; i' I I T S YEAR' ,`n I 1? I P. 1. .. .l .I. ., c
l;liMI,=aRr OF = rliil.J3 170 . 0, ; 17.'q..;,!:;
4u,itl Lj `7"?,t??.
? ?- '-1
a a
?,u??
CITY OF EAGAN
/weition South Oaks Lot 7 aIk 2 Percel 10 71200 070 02
Owner Street 573 SO GreenleaPD T State Fagwn "MN 9;57 27
Improvement Date Amount Annual Vears Payment Receipt Oate
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1984 6
SEWER LATERAL
WATERMAIN
WATER LATEFAL .
WATER AREA
STORM SEW TRK 1984 6
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, -
BUILDING PER.
SAC
PARK
f? 0
?0 0
• ? ".??,...:a '; "? .? ?3 :)?<l-)-) ) 1 ) ). t ? ??•
CD 1 } " .` • 41
; :e 0
.O' - ' f.?s 300.
G"ti `l ?Ii f,••
-so C.?
WAIVER OF HEARING OF SPECIAL ASSIGNMENT
City Pro3ect No. 536
I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to
assess the following described property owned by me/us:
Lot 7. Block 2. South Oaks Addition
for the benefit received from the following improvements, constructed under City
Project No. 536. Said assessments have been preliminarily computed as follows:
ITEM OIIANTITY RATE AMOUNT PROJECT
Sanitary Sewer
Lateral 1 ea/lot 3,943.00 $3,943.00 536
Water main Trunk
Area 1 ea/lot 655.00 655.00 536
Water main Lateral 1 ea/lot 3,252.00 3,252.00 536
Services 1 ea/lot 929.00 929.00 536
Storm Sewer 1 ea/lot 934.00 934.00 536
Street 1 ea/lot 7,361.00 7,361.00 536
TOTAL $ 17.074.00
to be spread over 15 years at an annual interest rate of 98 against any remaining
unpaid balance.
The undersigned, for themselves, their heirs, executors, administrators,
successors and assigns, hereby waive notice of any and all hearings necessary,
and waive objections to any technical defects in any proceedings related to these
assessments, and further waive the right to object to or appeal from these
assessments made pursuant to this agreement.
Dated:
STATE OF
COUNTY OF
Loren W. Peterson
Aurelia Peterson
SS
On this day of , before me a
Notary Public within and for said County, personally appeared
to me personally known to be the person_ described in
and who executed the foregoing instrument and acknowledged that
executed the same as free act and deed.
APPROVED
tary Public
Eagan Public Works Director
.
CITY OF EAGAN pemarks
Addition S)outh Odks Lot -- 7 Blk 'l Parcel 10 71200 070 02
Owner =,•- ?L/!:a) Street 573 So GSPe^leafD t Srate vaqnn_unu SS7?11
ImDrovement I DaM I AmOUnt I Annual I Vears I Payment I Receipt I Date
SAN SEW TRUNK
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
SIDEWALK
SAC
PARK
? ? ? 1 G0
p 0 fi 1 00
000
F 0 41 1 \a =?+4 ) 1 ;00
0 . t 7 ?i r1 .100
li f
?0 ? °1N
ILO G: j(4 ?9 0 B
CITY OF EAGAN
SEWER 8 WATER CONNECTIOH CHARGES - 1989
E%ISTING PHOPERTIFS
3EWER CONNECTION CfiIRGFS
SAC
Previously Pd.
Receipt #
9CCODNT DEPOSIT
SEWER PERMIT
TOTAL:
TOT6L FOR SEWER & WATER H00g-IIPt
WATER COHNECTION C9ARGES
WATER CONNECTION $ 580.00
Previously Pd.
Receipt B
WATER METER 90.00
TREATMENT SQRCAARGE 228.00
ACCOIINT DEP0.SIT 15.00
WATER PERMIT 10.50
PLUMHING PERMIT 12.50
TOT9L: ffi 936.00
$1,636.50
OFFICE OSE ONLY
0-kc? rctQA"s-t?"
PROPERTY OWNER: (4 ntz,r+.ti-
ADDRESS : -,?" m 'So
TELEPHONE #: ?J 7,-L?
L:- -L B:C? ADD: ?-% &<S
$ 675.00
15.00
10.50
$ 700.50
. ?
,
- ?_
?
Ld
4:1
?.
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SIIRVICE CONNECTION
Date• Julv 2. 1969
Number•_ 300 _
Billing Nsme: Loren Peterson Site Address: Lot 7 Bloek 2- South Oaks
Owner• Loren Peterson
Plumber: Roger Weierke
Billing Address Lot 7 Block 2- South Oaks
?"'?? •
Meter No, `Permit Fee 7.50
Meter Readiag iMeter Dep.
Meter Sealed: Yes_ lAdd'1 Chg.
NO ITotal Chg.
Building is a:
Residence
14ultiple Ho, Units
Commercial
Iadustrial
Other
Inspected by
Date
Remarka:
By:
Chief Inspector
In consideration of the issue axid delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulatioas of Eagan Township, Dakota County, Minnesota.
BY:
Roger Weierke - Weierke Trenching
Rosemount, Minnesota 55068
Please aotify the above office when reedy for inspection aud conaection.
? rot ara ra.m s?.?.,. DQNALD A. CAMPBEH.I.
Cons?rection Svrvayr . /
caosd SaadGy"
? Rpiapred unda, Law, af th. Seara of Minns?mo
- 1399 E LARPENTEUR AVE. - ST.PAU4 MINN. 55109
Phone 777-6428
SURYEYOR'S CERTIfICAiE
1
?
lrj
43 ?
?-
???.
? '.
?
I hereby certify that this is a true and corre
representation of a eurvey of the boundarles of:
!r0 ? ?-
M
Lot 7, Block 2. South Oaks. Eagan Township, Da?to
Minnesota and of the location of a dwelling under con
as staked, thereon, and all vlsible encroachments, if
or on said land.
As surveyed by me this lBth day of December 1968 A.J.
Peteraon-Gretsfeld
survey ror 25-27-23
Dakota County,Mlnnesota
?r
Sig ned.o,e
Minnesoea Regisfration No. 5712
?-
? ? .
-o /9.3e-
TopograDhic Sarveyt
Subdivieion Desipn and Flartinq
1
?
,?, `, ?
í
ÿ
õ
þ
ý
ÿþþü
ûÿÿ õëì
û
í
ÿ
ÿ
ø
ï÷ñáÿ÷
ûúù
ø÷ûúùïù
ÿ÷ùö
ÿéÜ
÷
áÿ
ìí
ù
ú
Û
Ý
ñ ÷ÿù÷ÿùù÷÷ñ
ý ÷
÷ð
ÿð ÿù÷ôè
÷
ñ
ü
֌
÷ÿ
÷
ù
ü
ñÿùÿå
á
÷üð÷ÿ
÷÷Ý
÷üú
ôÿñ
ðú ðÿå
ÿëæìîæääåäåä
÷û
÷
÷
ÿÚ
æåãåã
Ú
ìýå
öñô
øóò
ùù
÷
÷
÷ÿ
ãí ùôâåìÜ÷
ñ÷
ô
÷óõäþ
óõì
êçìã
÷üú
ô
â÷
ÿ
ùù
ÿ
ñ÷ð
ÿ÷÷
÷ðùúô
ùù
ü
ñóÿ
ÿ
áúñþ
í÷
ÿå
ùù
è
÷ð
ÿÿ
ú
÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160602
Date Issued:03/25/2020
Permit Category:ePermit
Site Address: 573 Greenleaf Dr S
Lot:7 Block: 2 Addition: South Oaks
PID:10-71200-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 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 -
Aurelia Peterson
573 Greenleaf Dr S
Eagan MN 55123
(651) 454-2342
Bruette Roofing
9270 Otchipwe Ave N
Stillwater MN 55082
(651) 439-5746
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163592
Date Issued:09/04/2020
Permit Category:ePermit
Site Address: 573 Greenleaf Dr S
Lot:7 Block: 2 Addition: South Oaks
PID:10-71200-02-070
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 -
Aurelia Peterson
573 Greenleaf Dr S
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature