Loading...
583 Greenleaf Dr S? O L I U? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: '•i •?? •''• i Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i t.; : rjl i!11 II h ? .?iii ? Il t?rlt, ? c ti• S. ? ?.?;r, ts PERMIT SUBTYPE: .. ,; , ;• , :i? TYPE OF WORK: INSPECTION D, , .. ,. . . , kt iiAF2?". -'a[ 1'ARA 1 t E`f itM 1{'. !i(r 0111 k( fl { ilR I' E IlpIt 1 Nii Il;? f t i: t:'T17 1 t' A{ I.Jf)R K . ? ? ; . .. .. . ? -------------- - ------ Permit No. Pertrik Holdar Date Telephone N ELECTRIC g99j Q PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFINC3 ROUGH PLUM8ING ?l PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL 9 GYP BOARD FIREPLACE FIREPLACE AIFI TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL I #&/ssik. /?4e - Y?vws?w.r? v+?{? Gr?{Isfs ?s ?L 4 DECK FfG DECK FINAL Q ? /?=1f3v T? J '. ? CITY)OF EAGAN 3830 Pilot Knob Road f Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: J, ii i It Irnr . i PERMIT SUBTYPE: ON PERMITTYPE: ' 1 '`'" Permit Number: " • c'' :''{ *; Date issued: ' I 1 /9 141 ,),; k: : APPLICANT: TYPE OF WORK: INSPECTION D, . . .. ? I ? ? ti ? Iil f t! I IC?' ?' . :r. ? J Permit No. Permft Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC 00 ELECTRIC Inspectlon Date Insp, Comments Footings I S-/2 93 ? S Foundation Framin9 Roofing Fiough Pibg. /J Rough Htg. a..,i 'i..'?• .6l?fA.F? isui. 7 ? ?d ?l^ e `? l f 3 i_; ? Fireplace , Fnal Htg. ?•( I_ 9 3 S Orsat Test Flnal Plbg. ; _?? Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan sidg. Finai Deck Ftg. Deck Finel Well Pr. Disp. Z-/D Sl ZfJ*1c.,?7 ? ? J ? CITY OF EAGAN Remarks Addition Lot 6 Blk 2 Parcel 10 71200 060 02 owner ?-? ?street 583 So. Greenleaf Dr. State Eagan,Mlt. 55123 Improvement Date AmoEfnt Annuel Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK J 198 70.00 2.67 15 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1984 617.00 41.13 15 STORM 5EW LAT CURB & GUTTER SlDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAR K 1 31 Q ?/?D ? , & .) a.e. Requ t Date r Fire No. Roughdn InspeMion Reqoire0 (YOU must cell Inspector when reatly) In ecilon OtherThan Rough-In ? Reatly Now El Will Nolify Inspecfor Z ? Ves ? No Dala Reatl I? licensed contractor Aowner hereby request inspection of above electrical work at: doo aaaress (sveet, sox o, aoma no.) - G4&1L-6-Af- t7? 5-63 S cny J 6- - A , Uo r+-r , A t Section No, TovmsM1iO Name or No. Range No. Counly MI?j Occupant(PRIN'n 12- Atz7nv- Phone No. ?M_ 66(l --7115T PowerSUpplier Atltlress ElecUical Contractor (COmpany Name) Conhaclo/s License No. - &-X/JN Lr fL- Mailing Atldress (CONractor or Owner Making Instaliation) ANhonz e(COnlra Owner in Installation) Phone Number 798 MINNE OAF OF ELECTRICRY W THIS INSPECTION REQUEST WILL NOT Griggs itlway Idg. . S1Y8 BE ACCEPTED BY THE STATE BOAR? 1821 Univenlty Ave., SL Peul, MN 55109 UNLESS PROPER INSPEGTION FEE IS Pho. (612) 642A800 . ENCLOSED. ??/?? REQUEST FOR ELECTRICAL INSPECTION 110- See inslructions for rompleting this brm on Oack ot yellow copy. ?$? es-ooooi-os ? ? ? . "X" Below Work Covered by This Request ?o Ne Add fiep. Type of Building 4poliayr Wired Equipment Wiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./lndustrial Furnace Other (Specify) Farm Air Conditioner Olher?speci(y) ConVactor's Remarks' }1 ?1- I_ Compute lnspection Fee Below: # Other Fee N Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Am s 0 to 100 Am s Transformers Above 200_Amps 00 -Amps Si ns inspecmis Use Oniy: TOT L O Irrigation Booms Special Ins ection ' Alarm/Communication THIS INSTALLATION MAY BE ORO ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S., , I, the Electrical Inspector, hereby certif ihat the b i ti h 7 R°°qn-'" ? oa?e .? ^ y a ove nspec on as been matle. Dj,)_ OFFlCE USE ONLV This request voitl 18 months from 97?5? a ? a Ra0 st Date ve No, fiough-in Inspection Required? ? Reatly Now BWill Nolity Inspeitor Z 'iLyss C No When Reatly? I$Jicensed contrector O owner hereby request inspection of above electricat work at: Jab Atltlress fSbaeL B. or Faute No.) pry 5?3 5-AkArI Sec?ion No. Townsnio Name or No. Range No. . Counry ? Occupanl(PqlNT) Phane Na, mC\rJj-,t)mj=_r-Y 67 Power Supolier Atldress Eiecvicai Conlraclor (Company Name) Contre License No. - ?- W -a Maibng Aatlress fGonvactor or Owner Making Inslaliauon) /. r 02/Q a Aut onxetl IgnaWre iCOniractor9 ne? Kin Inslallation? r? Phone Numper f?go-6 34a MINNESOTASTATE BOIND OF ELECTRIGITV THIS INSPECTION REOUEST WILL NOT Grig9s-Mitlway Bltlg. - Room &113 9E AGCEPTED BY THE STATE BOARD 1821 Universiry Ave., 51. Paul, MN 55104 l1NLESS PROPER MSPECTION FEE IS Ppone (612) 643-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?OrTk%., es-oooo1- 7 ? See instmqions for completing ihi5 lav?an beck ol yellow copy. n? p J ?' o-' • 7 LI, "X" Below Work Covered by This Request fi?`? " e AUd Rep. TypeolBUiltling AppliancesWiretl EquipmeniWired Home Range Temporary Service Duplea Water Heater Electric Heating Apt. Building Dryer Other.(Specity) Comm.llndustrial I Fumace Farm Air Conditioner ?Other Isyeciryl Conbactor§ Remarks'. Compute Inspecfian Fee Below: Fee # Serv # CircuitslFeeders Fee 0 to 200 Amps 0 to 70o Amps =Transformers Above 200 _ Amps Above i00 _ Amps Inspecmrs use Only: TOTAL Q s ion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby certify lhat the above inspection has been made. AOU9n.,n oate ? Pata zcx7 > ^ I OFPICE USE ONLY , This reqoest voitl 18 months imm Address 583 l?tEErur FaF DRIVE SOT]IH Zip 55122 I.ot ,- ..6 Blk 2 Sub SOITIII oAKs THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: S Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway -LX Pertnanent gas Sod/Seeded grass TraiVwrb damage Porch e„ r Basement finish ? Deck ? Please verify with We builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to the outside lawn faucet before freeze potential exists. . Contact engineering division at 681-4645 before working in righ[of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy w J51 ?`? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Consiruclion Reaulremenb • 3 registered sile surveys showing sq. R. of lol, sq. ft. of Muse; and all roofed areas (20% mazimum lot coverage allaved) • 2 copies of plan showing beam & window sizes; poured fouM desyn, etc.) • t set of Energy Calculadana • 3 copies of Tree Preservation Poan it lot platted afler 7/1193 • Rim Joist DefaJ Optbns selection sheet (bldgs wilh 3 or less units) DATE Q1 51o-z.. Phone # SITE ADDRESS 5g3 S- Grc-enIeA_("! DR- MULTI-FAMILY BLDG _Y TYPE OF WORK (20e FIREPLACE(S) Z0 _ 1 APPLICANT '/N _ 2 STREET ADDRESS ?b `4 4' S7VE&?r CIN?? TATEM?IJ ZIP 5:5 / 1-4Z- TELEPHONE 461- l?iS'?SIn CEII PHONE #( I ?715) 7lc0 " O? t FAX ?'OCLG 1/ PROPERTYOWNER /NOY TELEPHONEi65-' ) ---------------------------- ---------.............................................. COMPLETE THIS SECTION FOR NNEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULLS 7670 CA'I'EGORY 1 MINNESOTA RULI:S 7672 (q submission type) • Residential Ventilation Category i Worksheet Submitted • New Energy Code Worksheet Submitled . Energy Envelope Calculations Submitted Plumbing Confractor: Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Conhactor: M --7 S SF_P 0 5 200 2 I,+ Iey_ LI Pee: ,??O.tl8?1 Phone # I??. a5 --------°-------------------------°------°--------------...-----------------°---°---• I hereby acknowiedge that I have read this application, state that t information is with all applicable State of Minnesota Statutes and City of Eagary?dinances. C Signature of Applicant OFFICE USE ONLY _ Water Softener Water Heater _ No. oF Baths RemodeVRenalr Reauirements • 2 copies of plan . 1 ut of Energy CalcWatio? for heated addiGOns • 1 site survey for ezterior additlons & decks . Indicale if home served hy septic system for additions Phone # Iawn Sprinkler No. oF R.I. Bath Air Condilioning _ Heat Recovery System VALUATION 6 f °L9 C9 and agree to comply CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4/02 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: P• I. N.: 10-71 z 0 LOT: 6 583 GREENLEAF DR S StlUTH OAKS PERMIT SUBTYPE: BflSEMENT FINISH APPLICANT: BLOCK: 2 ALTOM (612) 666-7989 TYPE OF WORK: suzLozNG 026253 08/21J95 JEFFREY ALTERATTON INSPECTION FRAMING D. . IN5ULATION „ RtlUGH IN PLBG FINAL I REMARK5: SEPARATE PERMITS REQUIRED FOR PLUMBING OR ELECTRTCAL WORK . . . . . . . _ ._ .... . . _ ._ ..,.... ,,.. ._ . ._ . .... . . . ? F . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 583 GREENLEAF DR S LOT: 6 BLOCK: 2 SOU7H OAKS P.I.N.: 10-71200-060-02 DESCRIPTION: Building Permit Type jOUildin=gWork 7ype ?- . \ \lt,: ? .. ? BASEMENT FINISH ALTEkATION 8jaa//?s BUILOING 026253 08/21/95 jj: .. , ? _ ._. . '?.i : _. ?.. , . REMARKS: SEPARATE PERMITS REQUIRED FOR PLUMBING tlR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - ALTOM JEFFREY 583 GREENLEAF DR S EAGAN MN (612)686-7989 L I hereby ac'knowledge that I have read this information is correct and agree to comply Statutes and C3ty ot Eaqan Ordinances. 2 (1/&:::) A ICA T/PERMITEE SIGNATURE I application and state that the with all applicable Statc of Mn. ? ? ? ISSUED B :51 ATURE ` - CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) iJ 687 -d675 Naw Censtruetion ReeulremeMS RemodeVReoair Reauirements ? 3 rogistered site aurveys ? 2 copies oi plan ? 2 copies of plans (inGude beam & wintlow s¢es; poured tntl. deaign; etc.) ? 2 site surveys (exterior atldiNOns 8 docka) ? 1 energy cakuleGOns ? t energy wlwlaUons for heated additions ? 3 mpies at vee preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: '?'IV?iU`i5f IqqS CONSTRUCTION COST: OZf 000 DESCRIPTION OF WORK: STREET ADDRESS: ??L&kf ??v& T BLOCK _c7? SUBD./P.I.D. PROPERTY Name: ??? ?6fF J?94 Pfione #: OWNER w' "°°' Street Address S-1527 609f"LCA'¢ ?+?? City: 6k(;,? State: M4,( Zip: CONTRAC70R Company: - stt-c -- Phone #: Street Address: Ciry: State: ARCHITECTI Company: ' ENGINEER Name: License #: Zip• Phone #• Registration Street Address• City: State: Zip: Sewer & water licensetl plumber: I?1.? r . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge tMat I have read this application and state that the infortnation is wrrect and agree to comply wdh all applicable State of Minnesota Statutes and City of Eagan Ordinances. _„ Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ Na QU? 14 1995 Tree Preservation Plan Received _ Yes No __________ _____ INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 RECORD PERMIT TYPE: Permit Number: Date Issued: BUILDING 020888 05J11/93 SITEADDRESS: LoT: e BLOCK: 583 GREENLEAF DR S 30UTH OAKS PERMIT SUBTYPE: SF DWG 2 APPLICANT: MONTGOMERY DESIGN & BUILO (612) 457-4075 TYPE OF WORK: NEW INSPECTION FOOTIN6 .• . FRAMING .. INSULATIOM FINAL FIREPLACE REMARKS: S& W PLBR - D C MECH PRV ? ._ ,.l CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 UF3C ttccnpan? Constructipn Yype Building tength ? gu£lding Width S-rf y 3 BUILDING 020888 05/11/93 SITE ADDRESS: P.I.N.: 10-71200-060-02 DESCRIPTION: ? r SF ?WG NEW R-3 M-1 V-N 62 30 4?n !??? IC? t? REMARKS: S& W PLBR --D C MECH PERMIT PERMIT TYPE Permit Number: Datelssued: 5$3 GREENLEAF DR S LOT: 6 BLOCK: 2 SOUTH OAKS Buil?dirtg. Permit 7ype ,8uilding-'Work Type PRV FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % 3AC Un3ts Lic. Search Fee SubtoCal • VALUATION $776.00 $504.40 $69.50 $750.00 100 1 $5.00 $2,104.90 $139,000 MISCELLANEOUS $1,744.50 COPY .50 Total Fee $3,849.90 CONTRACTOR: - flpplicant - sT. LZC OWNER: MONTGOMERY DESIGN & BUILD 14574075 0002239 MONTGOMERY DE3IGN & BUILD 11350 ALBAVAR PATH 11350 AL9AVAR PATH INVER GROVE HTS MN 55075 ENVER GROVE HTS MN 55075 (612) 457-4075 (612)457-4075 I hereby ackn wletl9Q thaC I haue read this apPliGatlon and sCate ttYat the infor ion correct an,01 ag1^ee to cnmply with all applicable Szate of Ftn. . Stat City ag - Grdinances, L ? APPLICA RMITEE SIGNATURE ISSU V: ATl1RE RtAL11YAlt R?CrIp?2D e?ERM1T ?s ?s v ?s P1 AY 0 5 1993 I - til l T Vr C/•1t1AlY 1993 BUILDING PERMIT 681-4675 APPLICATION 23,14y, j10 co,elxt 6-9 SINGLE fl 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: 1) when permit is typed, but not picked up by last warking day of month. in which request is made, 2) address is changed or 3) tot change is requested once permit is issued. Date -? Yaluation of work Site Address:- STREET Sl11iE M Tenant Name: (commercial only) 4 LOT 4-71 BIACK 'a SUBD. P.I.D. M` Descri tion of work: ?,?-'-, i The applicant is: ? Owne 'Contractor O Other (Deccribe) S a1J?? Phone Name J2k? Property E LAST FIaST Owner qddress STREET STE M City 5tate Zip IA+'Lb Phone -+3 Company ' ? ? ? V COntI'BCtOf Address ?7License #?? Exp. ? Cityi^• State 1?N Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 'Z:) C- Processing time for ` d. sewer & water permits is two days once area has been approve I hereby acknowledge that I ave ead this a 1' ation and ate that the information is correct and agree to compl i h 1 ppli tate of Mi nesota Statutes and City of Eagan Ordinances. Signature of Applican : OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation [?, 02 SF Dwg. ? 03 SF Addition 0 04 SF Porch ? OS SF Misc. ? 06 Duplex O 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. O 11 Apt.jLodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 0 15 Deck WORK TYPE ... r ? Ib Basement Finish ? 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous q 31 New ? 33 Alterations O 35 Tenant Finish O 37 Demolish p 32 Addition L7 34 Repair 13 36 Move GENERAL INFORMATION Const. (Actual) V-iV Basement sq. ft. MWCC System (Allowable) v_ti lst F1. sq. ft. City Water ? UBC Occupancy R_3 M"1 2nd F1. sq. ft. PRY Required -' Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire 5prinkler Length ? On-site well Census Code %bT Depth 30' On-site sewage SAC Code OL_ APPROVALS ?SLt5 I ?' ? Planning BuSlding ? Assessments Engineering Variance REGlUIRED IN SPECTIONS O 5ite 0 Wallboard ? Footing 0 Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee v.iLo:;p,: g 1341600'1 Surcharge Plan Review GARAGE; zzx22--- 48qX /6= 794y License MWCC 5AC BSh1T? 3(,X30= 1 U8p City SAC I6%zxy - bb Water Conn. Water Meter -?-"' 1sT FLooR; IIy 6 K I5= 17,110 Acct. Deposit S/W Permit S/W Surcharge 5y= 65rn'7:= Y. G? BSN i Treatment Pl. , Road Unit zron FLaoR; Park Ded. Trails Ded. s?vr]-r- I f?{6 Copies •5o Z?t?g= ZO Other Total: Is'1??y= ?210? sAC % 5(0)4 54 = 511 62?? ' SAC Un i t s ------- 138,4yz LaT j;:wTt-1 COAI?S +41 . E ;TSRIOR EP.VELOPE AVERACE "U" CO?1PUTAT ION p10".TCOPIBRY DESIC": & P[ITLD CC 11350 ALEAVAR PATIi ICH, M": 55075 PtODEL ERISTOL AREA U U Y AREA REOL'IRED 1. TOTAL Sti'ALL AREA 2510 .11 296 2, ROOF AREA 1042 .026 27 ACHIEVED a WIhDOW aftEA 184 .5 92 E DOOP AREA 40 .077 3 C SLIDINC CLASS AREA 3?-'? .5 17 D FIREPLACE AREA C 0 E WALL PRAME AREA 251 .0=11 10 F NET WALL AREA 2001 .049 38 C RIM JOIST ARE:: 138 .0436 6 H FOUP:D WINDOW AREA Q .5 0 I FOUND ASOVE CRADE 83 .135 11 3. TOTAL WALL AREA 238 J SKYLITE .5 0 Y. ROOF FRAME 104.2 .032 3 L NET ROOF AREA 937.8 .022 21 9. TOTAL ROOF AREA 24 SL'M CF 1.+2. ' 3 SUM OF 3.+4. 2621 P.01 * 41 * * * PIONE??7 ?A?? ,x . _ .,.._ ..._ . - iAND f * eng?nser?ng * * ?* Certificate of 5urvey for: X eoot 3 a O Q 00) O ? O , in qe, 5 House Addres;a: $422 EnlefpriEe Drive Me,do?o HetgMs, MH 55120 ,672) 6131-1914•Fax 681-948B 62" Highwuy 10 Northeust 6loine, MN 55d,yi4 (612) 783-1880•Fax 783-1883 56y Greenleaf Drive S Cag_a_.MN S ;7J.46,zr? r ? ? -_ I -- ? - - I - - ?- -_ tJftr I I ? I ? ? l19 67 ? v? i? q 57-• A? ?- • 40.OD er' u r 21'0a ? pHOFO`..fD HWSE ? qpSp?AfN' 1 ?N ?lfUR:F. ? pARP(,_ h . 'J - ? 'q 5).D `ouive.eJnv ? ? 21.95 i ? ? °i ?i I I tI ??-p,l y? &2-os?sa' w „q S? ?- -g?.s?r - 20.00 1 rn m.00 1? 1,9 '1 _ _ ? 1 Y3-54 ? -- __ s ? zo.ou_ 1 ? s?D r.?.3 o.q I 45.00 [BRi??6 ?, . 7 1,74.13 2g'32l o,o p ~ 337.7 i ?-- q +2 '-1? R = -------- ?•3? t??? ?f ~ ~ L 'i44.7 W ? M O z 14 YR1G DEFT poG°?oMo F-) NOTE: CON7RACTOR MUST VERIKY ALL DIMENSIONS : vvo.o Denotes Exlsting Elevation +<95-3> Denotes F'roposed Elevniion -- Dena#es Drainage 8c Utflity Easement Denotes Drdinage Flow Direction --o- Deno4es Monument --8- Denokes Offset Hub Bearings shown PROPQSED N,OU5E ELFVATION Lowest Floor Elevation: 9!jj,L5 Top of Black Elevation:9?_a.xb Garage Slab Elevation:3±y.;,L- ore ?ssumed LOT 6, BLOCK 2 SOUTH OAKS DAKO7A COUNTr. MINNESOiA 1 AerebY cgrtily lhat tNt wrvev, p10n ar report wa5 OrePered 6y rn! Or under my dirCCt tuper vi9on a.d th0t I nm dulY R89iTtered lend Surv¢yor under IhE laws ot the Slate ol Mlnne<o1a, Oatsd thitZI-11A day ol ??]A A,D, 19 L / F) 1 1 inc = 0 0 '- '' LOT SURVEY CHECRLIST FOR RESIDENTIAL ¢ a, . ? w N BUILDING PERMIT PPLIC ION m < m ? > ¢ PROPERTY LEGAL: 'We U a ? Date of survey: S?y?9 s ? ?-T' Q DOCUMENT STANDARDS o' ? e ? ? • Registered Land Surveyor signature and company v ? : Building Permit Applicant ? Legal description ? B? ? ? • Address 0 ?? ? • North arrow and bar scale ? B" ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 1? ? fd?? ? ? • ? • Directional drainage arrows with slope/gradient $. Proposed/existing sewer and water services 21 ? ? • Street name ? ? ? • Driveway ELEVATIONS Existina ? P1 ? • Sewer service 8r ? ? • Lot corners 2", ? ? • Top of curb at the driveway 6' ? ? • Elevations of any existing adjacent homes Prooosed C? ? 0 • Garage floor C? ? ? • First floor ? Q' ? • Lowest exposed elevation (walkout/window) ? Lr ? • Property corners ? &1 ? • Front and rear of home at the foundation PONDING AREAS (if auvlicable) ? fCd ? • Easement line ? LJ ? • NWL ? ? ? • HWL ? ? ? • Pond # designation ? B? ? • Emergency Overflow Elevation DIMEN3IONS 17 ? ? • Lot lines ?? ? • Right-of-way and street width (to back of curb) ?? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) .2? ?? • Show all easements of record and any City utilities within those easements ?? ? • Setbacks osed structure and setback of adjacent exist' home [? ?? • Ret e rements, if any / Reviewe : v Name / ate October 1992 L 6 BL A CITY USE ONLY RECEIPT #: SUBD. ak DATE:?cPW95 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES - EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = v&5 PiNii iy OiltiBt ' miiiimum - i 3.00 X = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler ' home under const. 3.00 eAIterdti0ns * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL Z,)' ' ? SITEADDRESS: ??? ??? 9 Mk'&p D""'?6 &1?hj OWNER INSTALLER NAME: STREET ADDRESS: 434? cirr: STATE: ZIP: PHONE #: (&t7i) k - PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT. NO. FIXTURES EACH TOTAL 4 SHOWER 3.00 3• ? 3 WATER CLOSET 3•00 ??_ BATH TUB 3.00 _ 3 LAVATORY 3•00 1 KITCHEN SINK 3.00 3. 1 LAUNDRY TRAY 3.00 3 c? HOT TUB/SPA 3•00 I WATER HEATER 3•00 3• ?""' I FLOOR DRAIN 3•00 3•?- ? GAS PIPING OUTLET • minimum • t 3.00 0- ROUGH OPENINGS 1.50 s5 WATER SOFTENER 5•00 PRIVATE DISP. • Dak.Cty. lic. 15.00 U.G. SPRINKLER • eome uneer mnsi. 3•00 ALTERATIONS • to ?une 15.00 WATER TURN AROUND 15.00 0 STATE SURCHARGE .50 TOTAL: '1g' ? 3ITE ADDRES!??' C?(Cerliea-F? Idr ? S? OWNER N INSTALLE ADDRESS: ? I I l W I 31.?`u S? CTTY: STATE: W'^? ZIP CODE: S3 ? PHONE #: ((P 1,,-) W 1 U - &x&-X &:?z SIGNATURE OF ERMITTEE 1993 PLUMBING PERMTf (RESIDENTIAL) C1TY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 1993 MECHANICAL PERMTf (RESIDENTIAL) CTTY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNTT. - -- - --------------------------------------------- - - - - ---- - - ------- ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE ?Q,4-??-°?? FEES HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 C$3.00 EACH) ADD-Oti/REMODEL (ExisTINC corrsrftUCnoN) $ 15.00 STATE SURCHARGE .50 TOTAL 1 •`?? SITE ADDRESS: ?? \-2s?,,F OWNER NAM??????a. TELEPNQNE TELEPHOIv'E #: SIGNA CITY: STATE: ZIP CODE: 3??6v 1999 F[REPLACE PERM[T APPUCATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 G81-4675 Date: 7 /7JC1 ? Descriprion of Work: _ Conshuct new fueplace _Gas _Masonry _ Alterations to exisring Insta112as insert onlv Install gas line only ? Other w»z,?_-4 Sl zJ2 -(?ao C?Z?Q i vS Job address: ' 516 3 5. (C?, (QL / v Lot: ?P Block: c:;:)-^ Subdivision/P.I.D. #: Applicant (circle one only): Owner Contractor Permit Fee: $60.50 PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: ? lAbf', ?e 4 ' ( S\`???L e_ Phone#: Last First Street Address: 5?/ S 69 reo-? (1P Q City State: Zip: Company:wvuUlC,Q <3laJes phone#:(o I Z-33 (area code) Street Address: a-NP S• City 1/ Atvt ue a,uo f 1 S S[ate: ? rt Zip: S,S qlS Company: Street Address: City State: Phone #: (area code) Zip: `. 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 3taty"d City of Eagan Ordinances. ? 3 : - -- ?i???? ? D?? I ? IJ?JJ - } ja ? \1 ?I U 2007RESIDENTIAL BUILDING rExHUT ArriacnTiox City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 .New Canstructian Remiirements . 3 registered.srte surveys slwwing ul. Rd lof, sQ. R at hww e`M gll roofed arees (20%mabmum M cwerage elloxed) t Shcs Report dpmposad building is to be placed m disW'6ed sdl 2 capies of plari shaviig 6eam 8 wmdaw s'¢es: OweA bund design, etc. 7 set of Energy CalaAations 3 copies of Tree Preservetion Plen if lot pletled aRa 711193 Rim Joist Oetal Optims selecCan sheet (Iwiklings wiM 3 or less units) M'innegasco mecfiareCal ventilation fpm RemadellReoaif ReUUiremenls 2 coqes of Plan simvrin9 footings, 6eams. ]dsk 1 set of Energy Calculations for heated additiois 7 site wrvey tor adGitiais & dedcs A dMton - in6cefe i( mrsite septic sysfen ro, 66 Office Use OnM CertofSurveyRecd _Y _N Sp7sRepart _Y _N Tree Fms Plan RBCtl _ Y _ N _ TreePrm Require8 _Y _N On-site Septic Syshem _ Y _ N Plans are considered ublic information unless ou state the are trade secret and the reason. Date 3 /-30 / Qr/ ConstrucHon Cost ??, J?}d SiteAddress 5tp.3 ?/ 1 FIU1Et4 I211lQ, S J Unit/Ste # Description of Work 7& (i? (/+-f // A S%U -?5' 40/I7F ??C!/I7i0/fc?il 5?? f?????r% • , Malti-Famdy Bldg _ Y_ N btireplace(s) _ 0 _ 1 _ 2 Property Owner L.? Telephone # ( (a,5{ ) /?"? • ?11'Z Contractor Address City Sfate ??'f/? Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Eriergy COdB C2t8gOry . ResiQential Venlilation Category 1 Workshee[ • New Energy Cade Worksheet (+I submission type) SubmitteC Submitted • Energy Emelope Cak.ulafions Submilled In the last 12 months, has The City of Eagan iuued a pertnit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Telephone # ( n? `? U L?Mgn Mechanical Contractor I h Telephone #( Sewer/WaterContractor ?SFp ? ? 7??? ` Telephone#( I hereby app(y for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance wit6 the ordinances and codes of the City of Eagan and the State of MN 3tatutes; 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 p!an in the case of work which requires a review and approval of plans. IVkNCr4 f?EYlez'f%Jq c///?'? Applicant's Printed Name App icl 's Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143331 Date Issued:06/12/2017 Permit Category:ePermit Site Address: 583 Greenleaf Dr S Lot:6 Block: 2 Addition: South Oaks PID:10-71200-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew W Klassen 583 Greenleaf Dr S Eagan MN 55123 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152981 Date Issued:11/13/2018 Permit Category:ePermit Site Address: 583 Greenleaf Dr S Lot:6 Block: 2 Addition: South Oaks PID:10-71200-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew W Klassen 583 Greenleaf Dr S Eagan MN 55123 (651) 285-3333 Evergreen Construction Company Inc 1200 Centre Pointe Curve, #175 St Paul MN 55120 (651) 209-3130 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157147 Date Issued:08/06/2019 Permit Category:ePermit Site Address: 583 Greenleaf Dr S Lot:6 Block: 2 Addition: South Oaks PID:10-71200-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew W Klassen 583 Greenleaf Dr S Eagan MN 55123 (651) 285-3333 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature