593 Greenleaf Dr S INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
' 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
I SITE ADDRESS:
' PERMIT SUBTYPE:
, , ,
f t, :1MiNt,
•''1l1'-il i N 1i ( 1i
K1111 I1I:N(i
41
' tq I l
.
7ANT:
'1?c "'--'cV-l(PE OF WORK:
,s ?E;•??????i•?
I s(r MAFi r. ', sF I+Ar+n i f I't i-'14 I r', n,; 1 r; i #)II I a; i i, i?ok o?riIy i!IlMft 1 Nii r?h s I tI- I F: L cAi t.lrrkM.
? iaUl _-r??;
Permlt No. PermM Moldsr Date Tekphone li
S/W
PLUMBING
HVAC
ELECTRIC 77a1 Q
ELECTRIC
Inrpectlon Date Insp. Comments
Footings I
Foundation
Framing
Rooflng
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Ftlg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
Addition South Oak8 Lot 5 Blk 2 Parcel 10 71200 050 02
owner ?--' ' street _ 593 So. Greenleaf Dr. State Eaaan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK -9/!!? 18 0.00 24.67 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1984 617.00 41.13 15 53 • 71
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
1NATER CONN,
BUILDING PER.
SAC 375
00 7921 5-8-73
PARK .
DATE:
4/4/89
?E- S93 SO GREHNLEAF DR.. L5. B2, SOUTH OAK3
? y'
_X7L , 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
I '*I CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
?
Your Sewer 8 Water Permit for the above property cannot be completed for the following
reasons:
• -
s
Your Sewer & Water Permit for the above property has been complete_d,_but the meter cannot
be issued or occupancy allowed until further notlce. ?-
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dir{c House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
.? ..
,... ?.
Secretary, Building Inspections pept. r•
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, Mp 55121
SITE ADDRESS -
LQT =yBLOCK ' SEC/:
OFFICE USE ONLY
PERMIT DATE WATER PERMIT # SEWER PERMIT #
METER # 6.1'xRECEiPT # C
READER # 9*XRECEIPT DATE
METER SIZE
ISSUE DATE 2LX PRV _ BOOSTER PUMP
APPLICANT: '
ADORESS:
r
CITY, STATE
-
ZIP
PHONE:
PLUMBER:
ADDRESS: -
CITY, STATE - ZIP
PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP =
PHONE: .
PERMIT REQUESTED
- SEWER
- COMM/1ND
- NEW
_ WATER - TAPS
_ RESIDENTIAL
_ EX{STING
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.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE 4/ 4 ?8 y
3830 Pilot Knab Rd. WATER PVn3 3-' SEWER PERMIT #
P.O. BOx 21199 METER # ERMI # Q3 4YPvRECEIPT # :. 1358
Eagan, MN 55121 READER # Q4 7-t;- 9)?D 3 WRECEIPTDATE '","29
MEfER SIZE ti
ISSUE DATE 14't- L/ -2 J XX PRV _ BOOSTER PUMP
SITE ADDRESS PERMIT REGIUESTED
LOT --i-BLOCK .? SEC/SUB
APPI IC:ANT? - ?• t? r: .= , r?n ? L,,N .. ?? ?? C?va ?. SEWER - WATER - TAPS
ADDRESS: CpMM/IND - RESIDENTIAL
G?17Y, STATE ZIP ' r?-
PHONE: NEW ? EXISTING
i
PLUMBER: ?' 7 kc ?:? j?C?r'..? i? ?-? G-
ADDRESS: ,•,,.`.-,?L- u ' '/c, ?u
CITY, STATE ??r ? • Z•'"? ZIP ,5 ?• 2 i
PHONE: `?4 `?
OWNER:
ADDRESS: ---5?3 -S. ?'er?, /•'a f" /.;
CITY STATE ??A??` -? _?>y' ZIP ?
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PHONE: Il "t1. (13 p-)
2.°y( ...? 4 /'z - )
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEW PERMITS, CONTACT
ENGINEERING DEPT.
.. :
-Ty J ' PLUM8ING PERMIT
`=:? , • ,?: , ;r ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PFIONE: 454-8100
ilock _ SeclSub
? Name ` ?-?i/%• _?i .,; ;
B Address 7
c Ciry Phone
Name L,
?
c Address `' ? ? ?'••cr. (?., i,vc_
0 City Phone
FEES
COMM/1ND FEE - ioib OF CONTRACT FEE
APT. BLDGS - COMM FiATE 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 PRICE GOES
BEYOND $1,000.00)
OF
FOR: CITY OF EAGAN
PERMIT # _
RECEIPT # -
DATE:
N
:RIPTION
ew
Add-on ?
Repair
BLDG. TYPE
Res. ?
M ult.
Comm.
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL ?
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - 5100 ?
Shower - $3.00
Ki?Chen Sink - $3.00
UrinaliBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50 I
Water Heater - St.50
Whiripool - $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: .
(' rl ?,y STATE S/C:
?'? J ? I ' GRAND TOTAL:
CONTRACT
PRICE
Site Adpss
Lot J
Name _
? Address
c City _
Name-
? Address
? city -
FEES
COMMJIND. FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNNOUSE 8 CONDO - RES. RATE APLLIES?
MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM.IND./FEE $20_00
STATE SURCHARGE PER PERMIT .50
(ADQ $.50 S/C PER EACH $1,000 OF PERMIT FEE)
?? 1 G- QD
FLUme31nU VEKMIT For Office Usa O ?Iy
CITY OF EAGAN,. PERMIT ?t
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# 5
PHQNE 4548100 DATE:
?7R 6 rre , BLDG. T'I,PF.? WORK DESCRIPTION
$lo Sec/Sub
/??j, Res. _?_
Mult. New-?
Add-on
y
lllw PLUMRING G'O rNc Comm. Repair
WfflUMWZKL4LRESJIDE-NrW oc. Other
ok
RES. PLBG. ONLY - COMPLETE THE 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 Oudets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
? U. G. Sprinkler System -$12.00
,? O
PERMIT FEE:
STATES S/C:
? GRAND TOTAL: ?
__?
Fr'om: 'I.. Palkowski
To:
?
?
?
?
:2 ce) D
v
7 - c?( ..p `A /
/ t4 //
r
1?41
U
?
MINNEAPOLIS FEDERAL EMPLOYEES CREDIT UNION
?„n
(2 G/
?- ?-/
PILLAGE OF' r:AGA1V
3795 Pilot Knob ttoad
Eagan, ;viinnesota 55122
r
'
Pr'32MIT N0. 1 SS
The Village of Eagan hereby grants to Don Stodola' e Well Drillins Co. Inc.
of 15306 Hwr. Ido. 7. Minnetoaka 55343
a - _ weil Permit for: (Owner) Daniel Johnson
at 593 South G+-eenleaf Driya pursuant to application dated 7/20/73
Fee Paid$10.00 dated this 20thday o£ July ? 19 73 ,
.50 s/c
Building Inspector
Niechanical Permits:
Bid Total:
5-?-/
VILL.AGE OE' r:AGliN
379$ Pilot Knob ttoad
Eagan, Minnesot8 55122
PIIiMIT N0. 157
The Oillage of Eagan hereby grants to Daniel C. Johaeon
of 2857 Ulvsasa St., N.E., Mpls. 55418
a Centir Tank Pesmit fore (Owner) same
at 593 So. Greenleaf , pursuant to application dated 7/13/73
Fee Pai.d: $10.00 dated this 16th day of .Tvly , 19 73
.50 s/c
Building Inspector
Niechanical Permitsa
Bid Total:
BLDG. PERMIT NO
01-3210 Bldg. Permit
? 01-3422 Plan Check
?-
01-3445
Surch./Adm.
C-
3
? 01-3446 SAC/Adm.
? ? 01-2155 Surcharge I y 1
-i 75-3860 Road Unit
1
?
20-2275
SAC
?
?-
20-3865
Water Conn.
? C
c`0
"J 20-3868 Weter Trmt. ? 3 D' o0
r 20-3716 Water Meter
20-2252 Acct. Dep.
?
v 20-3713 Water Permit ( l= C??
Lr 20-3743 Sewer Permit ??? GC%
79-3866 Sewer Conn.
28-3855 Park Ded.
.,
TOTAL
91 //7i'1/ f Q, /// lO
?ei
l? 1 z U?s
,
5
Repuest ete Flre No. Rough-in Inspeaion
Repuiretl?
0 Reatly Now n Notiry mspenw
-K
y- a a ?/es ? No NIen Ready9
I,VQicensed contractor ? owner hereby request inspection of above electrical work at:
Jab Atltlress (Sheet. Box or Roule No.) City
q'. S. Ureen/ecr r ue ER n
Section No. Townshi0 Name or No. Range No. County
?
Occupant(PRINT) Phona No.
So? 9 k a ?/5
Power Suppiier
Atlaress r
J ?os•?
Sto o MaxLu ejl u e Ivu?
Elecvicai Comrecror (Gompany Name) Convacbrs License No.
v 1/3
Mailing qaoiess (COnhactor or Ow r MaNing Instaliation)
? e -?er-,Ce. /?V e ? a
Avinorizetl etl 5 ature IConlractor, ar Making Installati Pnone Number
. 4kl ( - D,
MINNESOTA STATE ARD OF ELECTRICITY THIS INSPECTION REDUEST WILL NOi
GriggsMitlwey Bltlg. - Noom S-173 9E ACCEPTf.D?BV THE STATE BOnRO
1821 Unlversiry Ave., St. Paul. MN 55104 UNlESS PROFER INSPECTION FEE IS
Vhone(612) 642-0800 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?`?'?? eeooom-oe
Sea instrvctions lor wmDleting thls brm on Oack oi yellow copy.
d 112 9 0? "X" Be/ow Work Covered by This Request ??? q7
e Add Rep. 7ypeo/Builtling AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Builtling Dryer Otheo-(Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Omer(syeciiy) Gonrtactor§Remarks:IVeW SCdU/GC a'? Krk ?h
J p I
Compute Inspection Fee Below: /?P/J70GfG /
+t Olher Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 1 0 to 200 Amps .00 0 to 100 Amps
Transformers Above 200 _ Amps 9bl?ps
SignS inspecm.5 Use Oniy. TOTAL
Irrigation Booms x?lao•50
6/
Special Inspection 1 ???
Alarm/Communication THIS INSTALLATION MAV BE ORDEflED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MQPH;FiS.
I, the Eledrical Inspector, heraby
certiy that the above inspection has
been made. Ao?yn.m %??? ^??_
oate
. ?
OFflCE USE 9NLY .y ? ,.? ?
This request vaitl 18 months Imm ? ?•V
EAGAN TOWNSHIP
/J BUILDING PERMIT
Ownez ?Q---..1c?.?.'-=?#/•,v?.M''--......_...
Address (Preseni)Z.9?-7 .......rf?'??-...:6Q?T--??'
Builder --???/. . r??? ...--'1?tlz157...._...
Address I ----- _°.?s,y.?.,g•+.`.........................
N°
.
Eagan Towmhip
Town Hall
v
3001
aase A?..i??..??7...?:....
Siories To Be Used For Fson1 Dapih Height Esi. Cos! . Permi! Fee Aem In
?? ed d?
? 3
/r
?i
&Z c
z sg
zI7d0 ?
a
-
d v
,?/ .rte.Li3a?s
/L
TION
S 1 z
or
This permit does noi aulhorise 4he use of sireels, roads, alleps or sidewalke nor does it give the ownes os Lia agea!
the righlYo creafe anp si2uafion whieh is a auismae or which presenls a hasard 20 !6e healih, safely, coaveaieace and
geaeral welfare !a anpone in the eommunify.
THIS PEAMIT MUST SE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGAESS.
This Ss !a certfiY, lhat...................... -......................................... has permission !o ereet a............................................................ _upon
the above deserib premise subjec! !o the provisiou ot the Buil ' inance far Ea Township adopfed Apri1 11,
9
1955.
._.."•_--'t?""--' "" ..."--_..."_..................... Per . ............ :.ll.... ....................................
C. irnmn-o&-T4-Scard Suildinp Inspeetor
?,141 "
S =d ?.
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, piinnesota 55122
PERIvRIT NO'.: 377
The Village of Eagan hereby grants to Home Heating & A/C Go.
dA,es
of 4805 Dominick Drive, Minnetonka, HA7 iftx 55343
a fiEATING Permit for: (Owner) Thoms G. Shandley
at 593 So. Greenleaf Drive , pursuant to application dated 7/9/73
Fee Paid: 20.00 dated this 9th day of JuiY. , 19 73
.50 s c
Building Inspector
itechanical Permits:
8id Total;
?=z S ?rs
VILLAGE OF r;HGAiV
3795 Pilot Knob ttoad
Eagan, Ivl.i.nneaota 55122
PERMffT iVO. 351
Mound Plum-6ing' L'o.
The Village of Eagan hereby grants to gaman Demarais
of .5901 Lynwood Blvd.. Mound, NlAT
a vs.Im+nixc Permit for: (Owner) Hanid Johnaoa
! at soa c_o. .re ..l,ggf Dr1ve , pursuant to application dated 6/19173
Fee Paid: g2Q,0o dated this 19th day of Juae , 19 73, ?
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total
?. ? ,??, ,,-.. .. . . . .
= CITY OF EAGAN Remerkc
. Addition South Daka Lot 9; alk $ Parcel 10 71200 050 02
Owner ?? ?? ? L?@.1 ?+-• u-?Strcet 593 So. Greenleaf Dr. Smte E34an.l4N 55123
Improvement Date Amount Annual Vears Peyment Receipt Oate
. STREET SUHF.
STREET RESTOR.
GRADING
SANSEWTRUNK QK 1984 O.OO KI 1 ?O.
SEWER LATERAL .
WATERMAIN
WATER LATERAL
WATER AREA
STORM $EW TRK 1984 617.00 41.1 15 .7
STOfiM SEW LAT -
CURB & GUTTER
SIDEWALK -
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
on2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 7
I / q 1 65
r
_
Site Street Address-. Jq3 l A•6r?h I!?Q'T"
b1 - S+
Unit #
PropertyOwner rhnso?-? Telephone# (6fa) 7/o- ?f4p-L
Contractor-Ap i Telephone# (651) 3I05'J3qO
Address 30c City a LL State-,9 L4 Zip 5O 3
The Applicant is: _ Owner ? Contractor _ Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00
State Surcharge $ 50
05- J 6
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. _
Applicant's Printed Name ApplicanYs Signature Ij
JUL 2 5 2005
?6 V 7 zl
2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-7a o0
New Consiruction Reouirements RemodeVReoair Reauirements O??USe?f
3 registered s'rte surveys showirg sq. iL ot IoL sq, fL of house; and all roofed areas 2 cropies of plan gopu F?e ''"
(20%maximum lotcoverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam 8 window sizes; poured found design, elc. 1 site survey for additions & decks
1 set ot Energy GalalaUons Addition - iMicate i/on-slfe septk system
3 copies of Tree Preservation Plan If lot plaHed aBer 711193
Rim Joist Defail Options selection sheet (bidgs with 3 or less unAs
Date Construction Cost '/ y-70
SiteAddress S?'/3 er-tGr-J jc, r- lJr UnitJSte #
Description of Work /QGS o o S e. - Fs J
Multi-Family Bldg _ Y_<N Ntireplace(s) _ 0 _ 1 _ 2
Property Owner Dv?n? ?dNNSa /? Telephone # (6S ? ) ?hS L4 " z'S'S I
Contractor DELING: IMC
Address 4100 EXCELSIOH BLVD. City
State ST.10 IB ?Qppi ?50 7ap Telephone #(6/y ) 8'L3 Frot'?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CatOgory . Restdential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
(4 su6missiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies. I
Licensed Plumber t ? Telephone # ( J
Mechanical Contractor SEP 2I C? V?j Telephone #( )
Sewer/Water Contractor r /l Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a perrriit; bat only an application for a permit, and work is not to start without a
permit; that the work will be in accordance )&rith the approved plan in the case of work which requires a review and
approval of plans. '_-
41 z Mo?%?,.,,,„T .?
ApplicanYs Printed Name ApplicanYs Si ature
SLA RESIDENTIAL
BUILDING PERMIT APPLICATION CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewConaWCtfon Reauiramenh
• 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas
(20% max'nnum lol coverage allowed)
• 2 copies of plan showing 6eam & window s¢es; poured found design, etc.)
• 1 set of Eneigy Calculatiore
• 3 copies o( Tree Preservation Plan if lot platted aRer 7/1193
• Rim Joist Detad Options selectbn sheet (bldgs wAh 3 or less units)
DATE L* 10Z
SITE ADC
TYPE OF
?
APPLICANT
ULTI-FAMILY BLDG _Y Y--,N
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS W /V+W CAM Sr CITY TA!/TE?ZIP,4Z?
TELEPHONE ?GS?f IP,35?f?? CELL PHONE # 'I ?57? -626I FA # ?Y
PROPERTYOWNER J?N'(l?l'1?1-?OYI TELEPHONE?SI?Y? o?SSJJ
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1:A RULES 7670 CATEGORY 1 MINNLSO'1':\ RULES,7672
(4 submission type) • Residential VentilaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system nicludes:
Mechanical Contractor:
Mechanical system uuludes:
Sewer/Water Contractor:
Air Condiuoiung
Heat Recovery System
Phone #
1 hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or'er*'-?/ --
Signafure of Appllcant
OFFICE USE ONL
Water Softener _
_ Water Heater _
No. of Bafhs
RemodelfReoair Reouirements
• 2 copies of plan
• t sef of Energy Calculations Por heated additions
• 1 site survey farextenor additions & decks
• Indicale if home served hy septic system (or additions
7?
VALUATION (??/ ??
Phone #
Iawn Sprinkler I'ee: $90.00 ?
No. of R.I. Baths ''I ? ?.
Phone #
7r Fec:=T!0: )
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
INSPECTION RECORD
CITY OF EAGAN PERMiT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: s aLocK:
593 GREENLEAF DR S
SOUTH OAKS
PERMIT SUBTYPE:
SF (MISC.)
BUILDING
023417
04/22J94
z APPLICANT:
KI7CHENS BY KRENGEL
(612) 698-0844
TYPE OF WORK:
ALTERATION
DESCRIP7IQN (KITCHEN)
INSPECTION
FRAMING ., .
ROUGH IN PLBG .,
ROUGH IN HTG FINAI
REMARKS: SEPARATE PERMITS ARE REqUIREq FOR ANY PLUMBSN6 OR ELEC7RTCAL WORK
?
L
-i
PERMIT Cgz204
-,??CITY OF- EAGAN PERMITTYPE: ???{qDI??
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 023417
(612) 681-4675 Date Issued: 0 4/ 2 2/ g q
SITE ADDRESS:
593 GRE£NLEAF
LOT: 5 BLOCK: 2
SOUTH OAKS
P.I.N.: 10-71200-050-02
DR 5
DESCRIPTION:
? (KITCHEN)
B,Uilding'...Permit Type
Building Wo.rk Type
\
i
' r
ti
?
SF (MISC.)
ALTERATION
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUM8IN6 OR ELEC7RICAL WORK
FEE SUMMARY:
VALUATION $9,000
Base Fee $108.00
3urcharge $4.50
Total Fee $112.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
KITCHENS BY KRENGEL 16980844 0003531 JOWNSON DANIEL
1688 GRAND AVE 593 GREENLEAF DR S
ST PAUL MN 55105 EAGAN MN 55123
(612) 698-0844 (612)454-2551
I hereby acknowledge that I have read this
information is correct and agree to comply
Statut and Gity at Eagan Qrdinances.
APPLICAN ERMI E IGNATURE application and state that the
?
i
with all applicable State of Mn.
-i
issueo?s? si?in?uR?
IS4
CITY OF EAGAN
894 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Pena7ty applies: 2) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Zv Valuation of work '000
-?
Site Address:?s, LaiE=-
STREET SUITE tf
Tenant Name: (commercial only)
LOT BLOCK SUBD. P.I.D. #
Descri tion of work: ('?¢eVq
The applicant is: ? Owner Itcontractor ? Other (Describe)
Name ,)DI-?yl1SOR! 64A11,01- Phone L-l-S-q ZSS/
Property LAST F,RS,
Owner Address S-q 3 Gi 24?
STREET STE M
City `Gr/'?L) State 1)or/ /2l41 Zip SS-IZ3
Company Kl TC'.147.f5 P,y ?Le IL,L=(_ Phone
Contractor Address 11oS?Y Jq-?'ic.S, License #00035737 Exp.
City S I, (7#qyL. State M ti Zip SS/pC
Company Phone
Architect/
Engineer Name Registration #
Address
City 5tate Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply ' h all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant: _?-
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Owg.
? 03 SF Addition
0 04 5F Porch
El 05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
N
0
? ._?
? 1?"Basement Finish
? 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. M1sc.
? 20 Public Facility
? 21 Miscellaneous
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
0 14 Fireplace
0 15 Deck
/'?.nerX t? n? Q n e? r.yyryiwC Gw N6Ow
IM 33 Alterations ? 35 Tenant Finish
? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
O Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
p Footing
0 Final
0 Framing
? Draintile
y3?r
/
O
0 Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
wLuatsa,: g
? 37 Demolish
MWCC System
City Water
PRV Required
Booster PumP
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
CITY USE ONLY
BL ?-- R.ECEIPT#:
SUBD. RECEIPT DATE: 1?- a t' Ql ?
MECHANICAL PERMIT # 3ck ? 3 I
1999 MECHANICAcL PEgMTT (RESID£NTIAI)
CI1'Y OF EALfiAN
S$SO PILOT IiA06 fiD
£EEHAA MN 551 EE
/a/O?o/ 9 9 (651) 681-4675
Date:
Complete this section onfv 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
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section 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, altera6on, or repair.
!/ ' New Alteration Repair _ Other
Reminder.• Ca11681-4675 for inspections.
F ace
Air exchanger
SITE ADDRESS: S9 3 S`j 12EEN Le,
? Other DaaI-urovk
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
OWNER NAME: J o4NSe)N 'bo?? PHONE #:
INSTALLER NAME: ?yy?Nlj U+?A CODE)
PHONE #: (o( Z
- 4 -?I J y- O Za L
(AREA CODE)
STREETADDRESS: aV620O AFw 7 zzo
cIrY: ? Ge-JSY,d M STATE: In/" zip: 5533
' SIGNATURE OF PE D ?E ( Y4eKo7e- &wi?4) ? Air conditioning
?
?j 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL ??r?-??
CITY OF fiAGAN
3830 PILOT KNOB RD • 55122
951-681-4675
New ConskueTion Reaulremenh Remodel/Reoa6 ReauhemeMs
D 3 regMered aXe surveys showfng cq. R. of lot, sq. R. of house
and gLI roofed areas (RO% maximum lot eoveraae allowed)
? 4 coples of plans (show beam R window shes; poured fnd. dasign; etc.)
D 7 se10l energy cakulatbns
? 3 coples W hee preservalfon plan H IW pialFed aHer 7(1/93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: S BLOCK:
SUBD./P.I.D. #:
2 coples W plan t set W energy calculalions for heafed addiNOns
1 sRe suney fw extertor addMions a dec W
CONSTRUCTION COST:
Name: : I rJ !' oi S 0 .n 7 ? ci t?Z Phone #:
PROPERTY Lart FUst
OWNER /
Sfreet Address: S ?'- j- 'F f: f'1 L;"
IIp:
#: 1?-12
(area code)
CONTRACTOR
Sheet Address: C/ 6- License # ZQ0
l ?
City ?/oc 4,7 d o State• t? Zip:
ARCHITECT/
ENGINEER Company:.
Telephone #: area code ( )
Name:
Sheet Address: Registratton #:
Cffy State:
Sewer S wafer Iicensed plumber (reauhed for new conshucflon onNl:
Penally applies when address change and lot change is requesFed once permR Is issued.
Ihereby acknowledge thaf 1 hwe read this applicaHon, state that ihe fnformation is
SYate d Minnesota Statufes and Cify of Eagcn Ordinances.
I
Certificates of Survey Received L/s
Signafure of Appllcanh
OFFICE USE ONLY
_ No
Zip:
all applicabl
Tree Preservation Plan Received - Yes - No _ Not Required
Cffy State:
J
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ,1& 22 Porch/Addn. (4sea.
O 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex O 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition 0 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove 0 45 Fire Repair
? 34 Repair ? 38 Demolish (interior) ? 42 Reroof
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code ?
UBC Occupancy sq. ft. No. of Units
Zoning
sq. ft. ?
No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprink!ered
APPROVALS
Planning Building 7 Engineering
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC ?
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
G
variance
,
SAC Units
% SAC
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
Permit #
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 8-25-1999
DATE OF PLANS: August 9,1999
TITLE: Plan #99-125
COMPANY INFORMATION:
Metro Home Improvements
COMPLIANCE: PRSSES
Required UA = 224
Your Home = 222
0.9% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS: Raised Truss 624 40.0 0.6 15
WALLS: Wood Frame, 16" O.C. 1245 19.0 2.5 67
BSMT: Conc. 5.2' ht/4.6' bg/5.2' insul 457 11.0 0.5 28
GLAZING: Windows or poors, Above Grade 319 0.350 112
HVAC EQUIPMENT: Furnace, 80.0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer ?? Date O 5/w
, ' 41...P
From: 'L. Palkowski
To:
?
?
?
?
?
?
?
?
MINNEAPOIIS FEOERAL EMPLOYEES CREDIT UNION
`??i[N;<?k?i iN:?Ac'#1ka;?.?(ikYF'#:??C7nY:YRY,ca!:Xck:ACM'.%W,.FS1:W.?k7?.1K
CIYY i7h tAIGAN -. '
.75 TEiii^fINA!_ RIL)q ' 76E3
r,tirGa . .? t:oiPn i99 TzM?E?.
ID. .
R?MEa M.ETRa Wc,MIF ;:r'?F,YJVc.ME*1''
V'C' 593 D!t 5193,.65
3422 90'1S. 593 C;rt'-'_X_F 3i9,.37
i?w '?C'.()t 093 GREL\+'_F D!'' 12.00
720 5031 13'. LiFi•=F:"m K T,3 i?5.2,`:.
2455 3Pri9. V43 CREF1 _F nR . 3.00
, v
?
Tat,]. Re,leipt AR;nint: '_yi.i3.27 '
Us:_R 1z, ; ,an
Y(?X?IC%kJkK:%K?4'i?:7?;Y:%K1}?V(i %1y;:'et3g N,?.' ? t'?'.;}F)k'.Y.'b:?: #if FfiA'. 'X? n 7rJ?t*%K
, "i; . .. .. .
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?S CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConshucNOn ReauhemeMs
D 3 regMered stle surveys showfng sq. tt. of lot, sq. X, ot house
and pJl roofed areas (2079 mnximum lof cwerage allowed)
? 2 coples of plana (show beam a wlndow shes; poured fnd. design; efc.)
? 1 set of ervergy calculaHons
D 3 copies of hee presqrvalion plaa tl lot plaHed atler 7/1/93
DATE:
DESCRIPTION OF WORK:
Remodel/Reoair Reauirements
2 coptes d plan
i aef of energy calculations for healed addBlans
1 sRe survey fa extedor addMiona i decks CONSTRUCTION COST:
STREET ADDRESS: tt5` .? 22rI 6;` v
LOT: S BLOCK: 2-- SUBD./P.I.D.
PROPERTY
OWNER
Name: '!!?&X Phone M:
Lasf First
Street
L'z r .I?r."
City z?- Cz State: ol(T Zip:
Company: ?e1457'/a Phone #: V?2-
? (area code)
CONTRACTOR /?
Sheet Addre : License # i?V FY(zDVExp. -?eM
Cffy A, a ti State: 41 Zip: e7` ?
ARCHITECT/
ENGINEER
Telephone #: area code (
Shee't
Cffy
Name:
RegistraHon #: _
State: Zip:
Sewer 8, wafer licenaed plumber (reauired for new conshucHon onlv): ?
PenalFy appiies when address ehange and lot change Is requested once permff is issued.
hereby acknowledge thct I have read this applicatlon, state thaf the informaflon is co ct, an gr to comp
'Sfa?e of Minnesota Stalutes and CHy of Ecgan Ordinances.
? Signature o} AppllcoM:
OFFICE USE ONLY
Certificates of Survey Received I?Yes _ No
Tree Preservation Plan Received - Yes _ No _ NotRequired fb 1
ul
ail applicabl
OFFICE USE ONLY
BU1LDiNG PERMIT TYPE
0 01 Foundation ? 06 4-plex ? 11 10-plex 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex 0 12 12-plex k17 Garage E' 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
/ 32 Addition ? 36 Move Bidg. 13 40 Gas Insert ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroaf
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
wdtn 2G '
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building 4.9
Census Code
SAC Code
No. of Units r
No, of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ;.
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ ?` <S 2,
SAC Units
% SAC
BEq BLOMQUISi
MAYOfl
THOMASEGAN
MARK PARRANTO
JAMES A. SMITH
THEOpORE WACHTER
COUNCIL MEMBEPS
August 17, 1981
s93 G+es??cz? DQ, $ 1
L.s oUL J?5
,d
A '
CITY ?OF EAGAN
-? =.?.yt? .'.. . . ?
' ?(3 3115 PILOT NNOB RORD r
?
P.D. BO% 1119f . .. ?,•J.`f'..?
- .,EAGAN,MINNESOTA '
? .x . .55112
? . ' .. .
.e"',.,PXONE 459-8I00 J`j
? '-D?
..... '?'d.`
THOMASHEDGES
CIiV POMINISiRAiOP
EUGENE VAN OVERBEKE
CITY CLEFK
ROGER LEE
PEOPLES NATURAL GAS CO
CEDARVALE SHOPPING CENTER
EAGAN MN 55122
Re: Dan Johnson (Natural Gas Service)
Dear Roger:
Per our telephone conversation, I am forwarding a copy of a memoran-
dum that was sent to this office by Dan Johnson who is a resident
of the South Oaks Addition. Mr. Johnson is requesting natural
gas service for that residential subdivision this fall.
Mr. Johnson has been contacting the City for several years, first
when there was a moratorium on new natural gas connections. I
would appreciate any further assistance you might be able to give
to these residents to help speed up the time process for servicing
natural gas to that subdivision.
If the City of Eagan can be of any assistance, please feel free
to contact this office at any time.
Sincerely,
11?
Thomas L. Hedges
City Administrator
TLH/hnd
Encl.
TNE LONE OAK TREE ... THE SVMBOL OF 4TRENGTN AND GROWTN IN OIJG GOMMIINITV_
July 28, 1981
To: Tom Hedges/South Oaks Residents
From: Dan Johnson ,
Subject: Natural Gas Service
Regarding our phone conversation on July 27, I am enclosing the
previous letter and memo relating to our fuel dilema in South Oaks.
You will note from the '77 letter, that it has been well over 8 years
for myself (and LO plus years for other neighbors).
Recently Roger Lee of Peoples Gas has submitted two proposals to the
home office for approval. Both were rejected with the reasoning
the projects weren't cost justifiable. Given the fact that Peoples
Gas may not recover their initial costs to provide us service within
their current time requirements5 I submit the following:
A. South Oaks residents have been and are still using less than
cost justifiable fuel since originally advised by Peoples
Gas that service would be coming in.
B. Their gas will continue to be used long after the project
costs for providing the initial service have been recovered.
C. With an "exclusive franchise", I believe Peoples Gas should
Live up to past commitments and bend a little further when
their the only supplier we can turn to. Peoples Gas could
definitely use the P.R.
I and the South Oaks residents are asking your help in encouraging Peoples
home office to service our area for the'81 482 heating season. With the
Overhill Farm Addition requiring gas also, it would benefit our surrounding
coffinunities as well. I will be happy to forward any positive word related
to your efforts on our behalf.
Sincerel
Dan Johnson
February 3, 1981
To: South Oaks Residents/ Tom Colbert
From: D. Johnson ;7
Per conference call at 1:30 p.m. February 3, 1981, between
Tom Colhert (Eagan)City Engineer), Roger Lee of Peoples Gas
(Rich Hansons Supervisor) and Dan Johnson, the folloaving
was stated:
1. Assessments of sanitary and storm sewer are for providing
trunk service to our area', not connecting within our streets.
?
(Tom C.)
2. Because of #1 this will not impact Peoples scheduling
as service to our homes.
Roger L.
3. Gas service should be scheduled for our area before the
next heating season 81' - 82' Winter).
(Roger L.)
4. If we (the South Oaks residents) want assessments, seaier,
water, etc. the "area" sewer proposal, if approved, will
make it quicker for the city to provide these improvements.
(Tom C.)
5. The storm sewer assessment is what is needed for the Overhill
Farms platt approval. Without it the proposed develonment nf
that area (N.E. corner of Cliff Road and Dodd) would have to
- change.
(Tom C.)
6. The proposed storm sewer assessments should cost 3.74Q/sq, foat
if sq. faQt = less than 16,500. From 16,500 sq. feet to 1 acre
the cost is $617.10 - Over 1 acre, but 5 or less its $617.1 x
acreage.
(Tom C.&Ann 6oers)
7. The proposed sanitary sewer costs $370 for platted lar.d.
(Ann.Goers)
;.
,..
-------------------------------------
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? '?
.,
CITY OF EAGAN
SEWER & WATER CONNECTION CFIARGES - 1989
E%ISTING PROPERTIES
OFFICE USE ONLY
?C.3?irin??" oJ?YISQi']
1
PROPERTY OWNER: C• 3 L_Yt?
ADDRESS: 05_
SEWER CONNECTION CHARGES WATER CONNECTION CHARGES
SAC $ 67"9- WATER CONNECTION $ 580,00
Previously Pd. Previously Pd.
Receipt # 7 Receipt fl
ACCOUNT DEPOSIT 15.00 WATER METER 90.00
SEWER DEPOSIT 10.50 TREATMENT SURCHARGE 228,00
TOTAL: $ -790?$- ACCOUNT DEP0.SIT 15.00
? SS d WATER PERMIT 10.50
PLUMHING PERMIT 12.50
TOTAL: $ 936.00
c?
TOTAL FOR SEWER & WATEH HOOK-UP: 44--A315'.5n
L: SB: a?ADD:
4/s C; -?ss?
.?
rFiAP,,:,Ai:,_:i:!71`,6 Tr:.. r:76c; ::P[_C:;;:AL F,FrSF:..:;=:P1EN1-,_;
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Y
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10.i)l:i. 617.00
41
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3:0o22
100B15 t3- (R't::: .. LCS I . 00'.'; 370.00 24
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• ' vkivER aF Hgmum ap specuw ASSESSMENr
City Project No. 536
I/We hereby request and authorize the City of Eagan, NID1(Dakota Co.) to
assess the following described property awned by me/us:
Lot 5, 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:
ITFM QIPYrPPY RATE 1M'I][NP P%UPLT
Sanitary Sewer
Lateral 1 ea/lot 3,943.00 $3,943.00 536
Watermain Trunk
Area 1 ea/lot 655.00 655.00 536
Waterrtain 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
'POrTAL $ 17,074.00
to be spread over 15 years at an annual interest rate of 9$ against any
remaininq unpaid balances.
The urxlersigned, for themselves, their heira, executors, administrator.s,
successors azd assigns, hereby waive notice of any and all hearings necessary,
arxi 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 agr=Pmenr_
oatea:7?U,G'?el) a/,
STATE OF !-! ? illnlP S U?(,? )
mury oF )
?N}t1?piN >SS
On this day of Now C
within ard for said County, personally
me personally known to be the person
foregoing instrument and acknowled
- j?{e7K-1 free act and gACHMAI`} ?
PHwP c• N,INNE501?J
j '` ` -NpTARY wBL1C - /
? ? {tAMSEY <OUNtY
mifvon exPi?n331•?
MY tom
APPRUVED
?
before me a Nota?yy? Publi?Qv
?6 ? ?T NNSOa `
-!?execut the same as
64&'4?
gan Public Wor s Ihrector
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MASTER CARD
r.,.
OWNER
STRUCTURE AND
LAND USED AS
Issu ed To
Permit No. I fssued Confracfor Owrter
BUILDING _
?
. ?
PLUM8ING
CESSPOOL - SEPTIC TANK 752
WELL
-- /-?i
ELECTRICAL ?
HEATING ly zz
GAS 1N57ALL1NG
SANITARY SEWER
OTHER
O7HER ?
I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FGOTING SEPTIC
FOUNDATION
FRAMING 3 CESSPOOL
TILE FIELD FT.
FINAL
ELECTRICAL
I
HEATING DEPTH
g_
OF WELL
GAS INSTALLATION
SEPTIC TANK Z?doots,
CESSPOOL /D ? %
DRAINFIELD m v"G
PLUMBWG 6-?7 -JJ
WELL
SANITARV SEWER I?
?D X
. Violations Nofed
on Back
COMMENTS:
1614
ArM'V
7
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: /O 0-5
Description of Work: _ Constrvct new fireplace _Gas _Masonry _ Alterations to existing
Install aar ixsen onlv / Install gas line onlv
?Other (eu,[&?u,.? 4s?'lwa.. ..,.J,
T
Job address:
Lot: ?J Block: D- Subdivision/P.I.D. #: SO
Applicant (circle one only): Owne Contractor Permit Fee: 3'60.50
Name: LknSoT uJls? Phone#: c/SY- zSS (
PROPERTY Last First
OWNER
Street Address: g?"
City C Q gG? State: Zip:
Company: Phone #: 6a(Z
(azea code)
FIREPLACE
INSTALLER StreetAddress: ??? ??G[rrfi ???!
Ciry 5--- 1,(U S State: 1/V Zip: sa?v
Phone #:
(area code)
GAS LINE
INSTALLER Street
City
State: 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
CLAIM VOUCHER-REFUVD REQUEST
` C[TY OF EAGAN
1VIAKE CHECK PAYABLE TO: SELA ROOFING & RENIODELING
ADDRESS: 4100 EXCELSIOR BLVD
ST LOUIS PARK MN 55416
LOCATION: 593 GREENLEAF DR S P.I.D./LEGAL: LS B2 SOUTH OAKS
RECEIPT #/DATE: 1363110-16-00 VALUATION: NONE
REASON FOR REFUrD: CANCELLED JOB PERNIIT N: 43293
TYPE OF REFUYD:
Plumbing Peratit 9001.4087 $
blechanicalPermit 9001.4088 $
Building Permit Fee 9001.4085 $ 10.00
Plan Review Fee 9001.4222 s
SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 s
Water Connection 92203865 $
Sewer Permit 9220.4532 $
WaterPermi[ 9220.4507 $
Account Deposit 9220.2252 $
Wacer Merer 9220.4509 $
WaterTreahnent 9220.4685 $
Surcharge 90012195 $
Overpayment 9001.2250 $
Curb Box Deposit Refund 9220.2253 $
Construction Meter Dep Refund 92202254 $
Other y
TOTAL $ 10.00
[ declare under [he penalties of law that this account, claim, or demand is just and that no part of it has been paid.
Yi6?L? C?. I'VJe:&acr,l t-?6-ot
? SIGIYATURE DATE
? m? 1L
SEIA
- ROOrtNc nNn
RI;MODELING
C:rrrlleu? ??:I bnne mrrl Ifel nnd
City of: Date:
r
nmn.
3 a?3 v p?%f ?H? ? ??
_ //,6/
Attached aze copies of the following Permits on jobs that have canceled of-??
Please process and forwazd our refunds to our address below.
PERMIT NUMBER
??,o 1t- 3 a 93
JOB ADDRESS
'!/lea 4- or tv-e. sJ
t
?
,1/
/??Il?
I
- A TTA/ ; ,
Rcco'?.,trVq .
? ticla Roofin,G and Rcmudclin,. Inc.
?i Ioil I?seclsior IShd. SI. Louis Par1<, MIN 9i?i IG
l,13.Ii! i-80?6 (Mpls) 6SI4)?h-ii6L (til. P;tul) 61 2-873-III7Y (1':IXI
6i.i1 ns :u iv«~v.ml:isrn?irrs.rnm
`i:rtr',i Slinnr<ul:i I.irrncr If)'•Pd'DInCn
f ,e 9, _.
?
ef ??,?
u 1? -9 '?-123 ?
SELA R?OOIE CELSIORBLVD.U,INC.
ST. LOUIS PARK. MN 55416
ID #0001050
CLAIM VOUCHER - RF,FUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: SELA ROOFING & REMODELING
ADDRESS: 4100 EXCELSIOR BLVD
ST LOUIS PARIi iVIN 55416
LOCATION: 593 GREENLEAF DR S P.I.DJLEGe1L,: LS B2 SOUTH OAKS
RECEIPT #/DATE: 1363/10-16-00 VALUATIOF: NONE
REASON FOR REFUND: CAvCELLED JOB PERVIIT ti: 43293
TYPE OF REFUND:
Plumbing Pernut 9001.4087 $
Mechanical Permir 9001.4088 $
Building Permit Fee 9001.4085 $ 10.00
Plan Review Fee 9001.4222 $
SAC (MCIWS) 9220.2275 $
SAC (Ciry) 9379.4681 $
SAC (Admin) 9001.4246 ?
Water Connection 92203865 $
Sewer Permit 9220.4532 $
WaterPemut 9220.4507 $
Account Deposit 92202252 $
Water Metec 9220.4509 $
WaterTreatment 9220.4685 $
Surcharge 90012195 $
Overpayment 90012250 S
Curb Box Deposit Refund 92202253 $
ConstrucUOn Meter Dep Refund 9220.2254 S
Other $
TOTAL $ 10.00
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
1-16-01
SIGNATLiRE DATE
9
1-e?
1 ?? f? ??
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114306
Date Issued:09/13/2013
Permit Category:ePermit
Site Address: 593 Greenleaf Dr S
Lot:5 Block: 2 Addition: South Oaks
PID:10-71200-02-050
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Daniel C Johnson
593 Greenleaf Dr S
Eagan MN 55123
(651) 454-2551
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142199
Date Issued:04/19/2017
Permit Category:ePermit
Site Address: 593 Greenleaf Dr S
Lot:5 Block: 2 Addition: South Oaks
PID:10-71200-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Daniel C Johnson
593 Greenleaf Dr S
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature