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4550 Greenleaf Dr WCITY OF EAGAN Remarks Addition Sot1t1'1 OdkS Lot 5 Blk 3 Parcel 10 71200 050 03 OwnerLl 72a: , t., Street-A5-50 GreenlPaf nr_ 4b WF-'iState Eaqan.MN 55123 I Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date SAN SEW TRUNK WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK ?' ?. ?? • 5?.?? I?q PERMIT # PLUMBiNG PERMIT RECEIPT # - ? CITY OP EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 1 f? i CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK dESCRIPTION Lot i glock Sec/Sub Res. New ? Mult. Add-on m Name Comm. Repair ?o Address Other c Ciry Phone RES PLBG ONLY - COMPLETE THE FOLLOWING: . . NO. FIXTURES TOTAL ` Name Water Closet - $3 00 $ ' Bath Tubs - $3.00 3 Address Iv. $3 L 00 avatory - . O City 1WA-) Phone Shower - $3 00 ? . Kitchen Sink - $3.00 FEES Urinal/Bidet - $100 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.Oa APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 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 PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ' - -- Rough Openings - $1.50 ? SIGNATURE OF PERMITTEE FEE: STATE S/C: ;1 FOR: CITY OF EAGAN GRAND TOTAL: C 0 . IYIECHANICAL PERMIT PERMIT # CITY OF EAGAN RECEIPT # 3e30 PILOT KNOB ROAD, EAGAN, MN 55122 eunue. Aew_&4M DATE: Site Addr ss Flioc Lot e m Name .g Address c City ? N8m1@ 3 Address O CIt1' TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Plping OuUets 11 ?i Oth9r ? Sec/Sub Phone Phone BLDG.TYPE Res. Mult Camm. _ Other WORK DESCRIPTION New Add-on Repeir M BTU M BTU M BTU M BTU CFM PERMIT FEE: S/C: TOTAL: FEES RES. HVAC 0-100 M BTU -$24 00 . ADDITIONAL 50 M BTU - 8.00 (RES. HVAC INCLUDES A/C ON NEW CONSTHUCTION) GAS OUTLETS (111NIMUM -1 PER PERMIT) - 1.50 EA. COMMlIND FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MIN1111UM RESIDENTIAL FEE - ALL ADD-ON 3 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20,00 STATE SURCHARGE PER PERMIT - .50 (ADD a•50 S/C P EACH 1000.00 OF PERMIT FEE) ? ? ,f f? . ? • ,, SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ( ) , Time WHILE YOU WERE IOUT m vl?r-?x of Area Code Number Extension TELEPHONED PLEASE CALL CALLED70SEEYOU WILL CALL AGAIN WANTS TO SEE YOD URGENT l RETURNED YOUR CALL I I Message W"2 lo 11 aoil 0,50 Z) V 23-00OJb rn GENERAL OfFICE PRODUCTS 612 AMP 57255 ?'? COMPANY 925-7500 • ??' ? ? ? CASH RECEIPT ?? . CITY OF EAGAN 3830 PILOT KNOB ROAD i ? EAGAN, MINNESOTA 55122 ? DATE ? I I 19 1 IECENED 1 ?. ' I '`. I 1 t- I I? iFipM i i. _ . .---- AMOUNT . ? CASH & DOLLARS ,no In CHECK FUND OBJECT AMaUNT Thank You BY C F `Na.);1 c-_ r While-FsYm CAPY Yellaµ--Posting Copy Pfnk--Fib Copy ,. DATE: 5 / 22184 RE- 4550 CREPNL.EAF DR1VE WEST. L5, B3. SOUTH OAKS ? XX Your Sew? 9- 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 Perrnit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Ptease 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. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 5/22/89 -4 RE:4550 GREENLBAF DRlVB KEST. LS. S3. 300T8 OAKS xX Your Sewer & Water Permit for the above property has been completed. it will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL 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 ar occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be eonfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuanCe. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. SEWER & WATER PERMIT CITII OF EaGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 OFFICE USE ONLY METER #q;Z2- 3 5a 4g PERMIT DATE 5/22189 8 2- ! yd 6 WATER PERMIT #f 10448 CHIP # G 0 METER SIZE o? B.P. RECEIPT # C 2059 ISSUE DATE B.P. RECEIPT DATE 5/ 19 / 89 PRV _ BOOSTER PUMP SITE ADDRESS d ;' LOT'--?_BLOCK,,?L SEC/SUB APPLICANT:,l_?.5??? L v??1S(_)fG ,ej Ji ? ADDRESS: _CO CITY, STATE ZIP L?, -?? PHONE: _ N PLUMBER: /???' / `"C` Li ADDRESS: CITY, STATE ZIP PHONE: , OWNER: 7 ;' `. . %??C?r f?l? -.t`, ADDRESS: r/?! CITY, STATE ZIP PHONE: PERMR REQUESTED WER '-? WATER _ TAPS MM/IND RESIDENTIAL EW ?L EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: SI ETER ISSUED e : PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPUCANT AND PLUMBER WILL BE NOTIFlED WHEN PERMIT IS PROCESSED. SEWEq & WATER PERMIT cinr.oF EAsnN , 3830 Pilot Knbb Rd. Eagan, MN 55122-1897. - , SITE ADDRESS PERMIT REQUESTED LOT ? BLOCK SEC/SUB SEWER '-WATER _ TAPS APPLICANT: ADDRESS: COMM/IND ? RESIDENTIAL CITY, STATE ZIP ?- PHONE NEW 'EXISTING PLUMBER: i ' `'?.'e Gi ADDRESS: l`t CITY, STATE 21P - PHONE: OWNER: ADDRESS: -?UG1 CITY, STATE PHONE: - OFFICE USE ONLY METER # PERMIT DATE 5/22/89 CHIP # WATER PERMIT # 10449 METER SIZE B.P. RECEIPT # ?2059 ISSUE DATE B.P. RECEIPT DATE 5?19/511) - PRV - BOOSTER PUMP ZIP I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: .?. ` . _ . ' .? _?!`fiLf?? ^ SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. - - - T- INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: f 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: ' " PERMIT SUBTYPE: , ,. ., „I, , t ?? ?+ t ??r? ??r.a APPLICANT: f31 rt1 ! f i) f; i.! TYPE OF WORK: INSPECTION .. . .. { I r? ?F 1= 7 ? r Permk Holdx Date Tetephone N SEWER/ WATER PLUMBING HVAC Inapsctbn Qate Insp. Comments FOOTINGS ( FOUND FRAMING rl?/?Q Dfr?J ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL OOMESTIC METER IRRIGATION MEfER FLUSH MAINS CONDUCTIVfTY TEST HYDROSTATIC TEST BSMT R.I. 85MT FINAL DECK FfG DECK FINAL r-- ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ',, 4: 1. ,.l ,,, '' . SITE ADDRESS: , , , ? • , f'l,,, ? APPLICANT: r,l FAF nst w ,.,, '.1?114ii OAK:. f?, j.? l t:4 1•-41Q! - PERMIT SUBTYPE: ...11., TYPE OF WORK: : I?azw 1 0. b PfR00I INSPECTION D. . .. lr- L? ? ? Y Permit Holder Date Telephone N SEWER/ WATER PLUMBING HVAC inspection Date lnep. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBINQ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL QYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION MEfER FLUSH MAINS coNDucnvmr TEST . HYDROSTATIC TEST 85MT R.I. BSMT FINAL DECK FTG DECK FINAL BLDG. PERMIT NO 2 . 01-3210 Bldg. Permit ? 01-3422 Plan Check 01-3445 Surch./Adm. ? 5 ?c 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter C-) 00 20-2252 Acct. Dep. C)C2) 20-3713 Water PermR n 20-3743 Sewer Permit 79-3666 Sewer Conn. 28-3855 PaMc Ded. TOTAL I I U TOWN OF EAGAPI 3795 Pilot ;tnob Road Eagan, Pfimesota 55121 PERMIT N0. 99 The Board of Supervisors hereby grants to Ronald K. Olson of 1e501 Lvnaale a4e. soe, Lalceville, rar 55044 8 Begtie Tank Permit for: (Owner) sarae 8t 4550 areenleaf Iride.west ? pursuant Co application dated 5/1/?2 Fee Paid: $10•00 Dated this '8tday of June , 197 ? . ec Building Inspector s=s 'S 6px? T014N OF EAGAN 3795 Pilot Knob P.oad Eagan, rfinnesota 55121 PERMIT N0. 108 The Board of Supervisors hereby grants to ptgeall P, A,mp f:e_ of 3640 Ke*+n6oec Br1Yem Eggan U 59122 a WII.L Permit for: (Owner) Rcm Olsai at 4550 :d. GX'eg131oAf Dx'ivo , pursuanC to application dated 7/31/72 Fee Paid: $10,00 Dated this 1st day of due'upt -50 6 C Bu>?ding Inspector ``)/i41/8' ? ?- P 0 3 3 0 Request Date ire No. Rough-in Inspection Raquired? ?'r ReaEy Now ? W II Notily Inspeclor .SE t. 131989 ?Yes NAo WhenReatly9 Ik] licensed contractor ? owner hereby request inspection oi above electrical work at: Job Adtlresa (Sireef, Bax or qoule No.) City 4550 W. Greenleaf Dr. Eagan Sec?ion No. Township Neme a No. Range No. Counry Dakota Occuparh (PRINT) Phane W. Linda Commers 688-7371 vower suaWier naaress ElecMCal Contractor (Company Name) Comractor5 License No. Corri an Electric Com an 039549 S Mailirg Atldress (COntractor or Ovmer Making InslaOation) P.O. Box 475 Rosemount MN 55068 ANhonzed Signature (COnfractor/Ovmer Making Inslallation) Phone Number 423-1131 1 MINNESOTA SfqTE BOApD OF ELECTPIGITY THIS INSPECTION REQUEST WILL NOT Grlgga-MlOwey BIEg. - qopm &173 BE ACCEPTED BY THE STATE BOARD ? 1827 UnlversHy Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS . Phorre (612) 6M12-08XI ENCLOSED. 9/, RE See inQUEST FOR ELECTRICAL INSPECTION v r ?? simctions for completing this fortn on beck M yellow copy. P .0 3 3 7 0 X" Below Work Covered by This Request M EB-00001-01 u 91?z020 e Add Rep: TypeoBuilding AppliancasWired EquipmentWiretl ][ Home X Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm,/Industrial Furnace Farm Air Contlitioner Other (specity) Conhatlor5 Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 2 o to 700 Amps Tfansfortners Above 200 _ Amps A6ove 100 _ Amps SignS Inspectar§ Use Only: TOTAL Irrigation Booms Speciallnspection Alarm/Communication Olher Fee I, the Electrical Inspector, hereby tif h Rough-in Date cer y t at the a6ove inspection has been made. Final oa?ery ??J^ 7 OFFlCE USE ONLY This request voiE 18 monMs hom ? EAGAN TOWNSHIP BUILDING PERMIT N° 2'730 Ownax '-.. 0 ... .............. .............................. ........ ? Ea9an Township Addrecs (Present) ...... Town Hall ? Builder ............ .............-------..........._........ ?p- ? - Dale 7.?2- . '-' -........._.........."""" ............. Addxess ..............°------°----....__.°°°-..-------...._---....°---°-------.........--- DESCRIPTION 5torias To Be Used For Fron! Deplh Heigh! Esl. Cos! Permit Fee Remarke ? I ¢ Alo z 2 3-4 .z 3 s.?-rJ ?/.?; o o /c / 44-tc- -/"- `- 3o' 47?C".A?{- v or AAS-,j U --W 414-' LOCATION S 1 -1 rt o! 1YaM a-114? CL6z? Thfs permit does not auShorise the vse of sireels, roads, alleps or sidewalka noz does it give the owner or his egen! the righ! !o ereate anp situation which ia a nu3sance ar whieh presents a ha:ard fo the healih, safely, eoavenienee and general melfare !o anpone in the eommunify. THIS PERMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PROGAE . .p'?o- • ,? is is !o certifp, tha!_!e.:._?«..._° .............----has permiss5on !o erect a...._._.- °---?---------- _.._upon ?'"!he above deseribed premise subjec2 !o the provisiona ot the Building Ordinance for Eagan ownship a opled April 11. 1955 ......................... ---....?../.....K...<<w.1i.. ........................... Per ..................... . ."' flF"`.:."°........//..:`xt? "...._._........'-""'•.h__'........... Chairmae of Tnwn Boerd Buildin.g Ins p eclo: ? s-2 J. oA-ts TOZ7N OF EAG1N 3795 Pilot Knob :oad Eagan, Minnesota 55121 PERMIT PO. 221 The Board of Supervisors hereby grants to Ronald K. nlson Of l AK(11 T.rondal o Avai_ Rn_ , l,akevi 1l es kIAT r+ri ili a PLMMIN(i Pe:mit for: (Owner) same gt 4550 Weentelr Drive West ? pursuant Co application dated 6/1 /72 . Fee Paid: $20.00 Dated thie 1at day of June , 197 2. .50 s/o Building Inspectmr s =3 z, c?s T06JN OF EAG.'1N 3795 Pilot Knob Road , Eagan, Minnesota 55121 PERMIT NO. The Board of Supervisora hereby gxants to PQA, of ftminid etum, a Permit f6161 • , , gt , pursuant to application dated same 1,55n RrAaninaf ilriva LTegt Fea PO##172 Dated this _ day of , 197 $20DOG 1at Juae 2 .50 s/c Building Inapectmr ?3 .??b RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 cj a? ? Naw Construction Reauiremenis • 3 registered site surveys showing sq. ft. of lot, sq. ft ot house; and all roofed areas (20%maximum lot coverage allowad) • 2 copies of plan shrnvirig heam 8 vrindow sizes; poured lound desgn, elc.) • 1 set of Energy CalcWatlons • 3 copies of Tree Preservation Plan it lot platted after 777193 • Rim Joist Oetail Options selection sheet (bldgs with 3 or less unAs) DATE 7-?) 7- 6 J RemodeVReoair Reauirements • 2 copies of plan • 1 set of Eneqy Calculations for heated additions • 1 site survey forextenoraddNOns d decks • Indicate d home served by sepNc system for additions VALUATION 3160 «' SITE ADDRESS 6 (,rCtti !d 84' c--(' MUITI-FAMILY BLQG ,Y 1/'N TYPE OF WORK PIREPLACE(S) 1,/ 0_ 1_ 2 APPLICANT V ) !Lc T" 1ro I`l. ;bcy STREET ADDRESS GJ j? li-YJI? g cirrl7& C%w-&?STATE nL ZIP TELEPHONE # ?07 I` 1G J -°I7 56ELL PHONE # _ _7 S7S ")i)5i _ FAX # 76S' !jj?'1 ? PROPERTY OWNER TELEPHONE # ------------------------------------------------------------- -...... ----..... ---°------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category (J submission rype) Plumbing Contractor: ___ Plumbing system includes: MINNESOTA RUI.ES 7670 CATEGORY 1 • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope CalculaUOns Submitted _ Water Softener ? Water Heater _ No. of Baths Phone # I Lawn Sprinkleri° No. of R.I. Baths Mechanical Contractor: Mechanical systcm includes: Sewer/Water Contractor: Phone # Phone # Fee: $7Q00 ----------------------°----------...------°-•--------°-------------•---°----•---•-°------•--------°°--------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree io compfy with all applicable State of Minnesota Statutes and City of Eagan Ordinan?ce? - Signature of Applicanf OFFICE USE _ Air Conditioning _ Heat Recovery System Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT - CIT'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P.I.N.: 10-71200-050-03 DESCRIPTION: PERMIT TYPE: Permit Number: Date Issued: 4550 GREENI-EflF OR W LOT: 5 BLOCK: 3 SOU7H OAKS - T.O. & RE'ft00F ByilSdirrg`?PermYt 7ype STORM DAMAGE B?ilding Wo-?k Type REPATR Census C4de 434 fltT. ftESIDEN7IAL ' -` .} i l BUILOING 033549 1G3/29/98 " ? -:t -Jr' r Fr ' ?+ t` REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - 5T. ?IC. QyyNER: WESTURN CEDAR SUPPLY 15410304 200142m7 SERIER JACK 705 N HWY 169 4650 GREENLFAF DR W PLYMDUTH MN 55441 EAGAN MN 65123 (612) 5A1-4287 (651)681-9160 T hsreby acknowledge that 2 have read thi.s applicatzan and state tFrat the infarmation iS correct and egree t4 comRly wi;tfi all dpplicable 5tate ofi Mn. Statutes and City of Eagan prdinances. ? APPLICANT/PERMI7EE SIGNATURE I ED BY: SIGNATU E " J ? . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Canstrudion Reauirements 3 registered site surveys 2 copies of plans (include beam & window sizes; poureC fnd. design; etc.) 1 energy ealculations 3 mpies of tree preservation plan if b[ platted aRsr 711193 required: _ Yes , No - DATE: 15rjvt 2,0 . /9S? RemodeUReoair Reauirements ? 2 eepies of plan ? 2 site surveys (ezterior adddions 8 decks) ? 1 energy mlculations for heateE addition5 CONSTRUCTION COST; 6V97- DESCRIPTION OFWORK:TFif?"Ar °?-464OnG ' CSTG7eM 7??g STREET ADDRESS: pp-- _ LOT:/?'-_ S BLOCK: 3_ SUBDJP.I.D. #: SC) Name: ? (s??e5op- 09?-G+?L Phone #: [Otp/ - ?/& 0 PROPERTY Luc First O WNER ?`?.,._?? n?1 SReet Address: c?o Lt/riCJ7- (2/ec7???f?'? City eCA604"N state: ?AJzip: sS123 Company: (?)667ya C,5_100q20-- VUvol Phone * C.7 YI?J,j D CONTRACTOR 'f f/ SReet Address: ?O? ?i ??Y' < t? 2 License i M?f ?,/'/ City ??/ ?(.i./' State: /?/N l Zip: . s? T`Y ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street City State: Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. Zip: Penalty applies when address chanc I hereby acknowiedge that I have read this appfication and state that the information is coRect and agree to wmpty with all applicat State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ Tree Preservation Plan Received _ Yes - PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagari,-Minnesota 55122-1897 1651) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: B U I L D 7 YJ 6 034838 Date Issued: 11 /23/y S 4550 GRer_ni?EAF nR w L ar: s BLocK: s SOIJTIi oAKS P.1',N.a 10-71700-050-03 DESCRIPTION: Buald ina 4?,erm.[T, Type Ruildinq Wok-k "fyoe JCensus Gode l r ?z v . ?- GRHA6E/ACCESSOHY NkW 438 aLr. eHRaGe REMARKS: PlHfd REVIEWEO 6Y BTLL NpAMS. CALL 445-28q0 REGAf2DSNG kL.ECTRICAL PERN1I'T' F11VD INSPEC7;CONS. FEE SUMMARY: VALUAI"SON i3ase Fee 5urcharq2 Tota.t Fee $:L12.26 $17.5.25 $6,0N0 CONTRACTOR: - Rpralican c- sT. 1_ ic. OWNER: SUwSEL CQRP . 16450331 00471934 SERIER .7QFIiV 1452 COf40 HVE 4550 CiREENI FflF DR I,J ST PFlUL MN 55108 EAGAN MN 55123 f6127 645-0331 (651)681-91.60 I I Msreby acknawledge that I have read thi.s a(aplication and stato tihat the S.nFarmation is correct and aqree to comply With all appl,icable State of Mn. L Statutes and City aY Edqan Qrdinances. APPLICANT/PER ITEE SIGNATURE SSUED BY: SIGNATUflE ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) o CITY OF EAGAN ? - 3830 PII.OT KNOB RD - 85122 681-4675 New Construdion Reauiremerrts RemodeVReoair Reouirements ? 3 regiatercd site surveys • 2 copies of plan ? 2 copies of plans (inGude beam & window sizes; poured fid. Eesgn; etc.) • 2 site surveys (exterfor additans & decks) ? 1 energy caleulations ? t energy calwlations tor heated aaditions ? 3 copies of Vee preservation plan if bt platted aRer 7l1193 roquired: _ Yes _ No DATE: ?ou- i g- fy gk CONSTRUCTION COST; /3, ioU DESCRIPTION OF WORK: I.JE? A NA??---Q? G o-.o-?,-z STREET ADDRESS: q5 5o W C? ??? 1R4 ?D2- E"^? LOT: "D BLOCK: J? SUBD./P.I.D. #: Sa w?"`/ l VCi,?-C 5-c?? e y- 60-91(.0 `? Nazne: Ste-, c2 a c'1?tl.3 Phone #: bsl- +('7oo PROPERTY LAst First OWNER Street 44 5-i o w G ( City State: A"j rl'v Zip: T-C/Z3 Company: Phonek: CONTRACTOR Street Address: /g 5Z ?Omc nvt License # 00o t`t3 / city ist•?a l) k stacr. M, v\ zip: S.S_! Z, 6` ARCHITECT/ ENGINEER Company:, Phone #: Name: Registration #: Street City Sewer 8 water licensed plumber (new construction ony): and lot change is requested once permit is issued. State: Zip: Penalry applies when address chang I hereby acknowledge that i have read this appiiption and state that the infortna6on is correcc and agree to compy with au applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applipnt OFFICE USE ONLY Certificates of Survey Received Yes =t4No Tree Preservation Plan Received Yes No 5Afl-A OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 &plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE JX 31 New ? 33 Afterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Ptanning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging 0 ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory O 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. ? sq. ft. sq.ft. sq. ft. Footprint sq. ft. Building 11 ?.25 3 UO 16 Basement Finish 17 Swim Pooi 20 Public Facility 21 Miscellaneous MGWS System City Water Fire Sprinkiered PRV Booster Pump ? Census Code. SAC Code Census Bidg Census Unit a- Engineering Variance Valuation: $ % SAC SAC Units C SOUTH OAKS TOWNSHIP OF EAGAN DANOTA COUNTY, MINN. - -- -? ?`? -' •'? ..:..-<acc:.? ... ...: a.a...a. a. a.,.T.a o..ow. ??en mm•.mmr i/ ? • . . /" .s..?:'..:?. _ . ? _ • ? 1? ? • Fr. . •. ,. .:s: i :aco . ,c ? r•r. a* .?. r sj ` ? I• --1 `. ?. e l'i6?. ??? ? • ?L i<1t ?Y,.:c' y ?e.•. F ?M` .• • _ * , ` ' • q `oi 4' ?•E ? Wr, ,?,: ,•°- NORTH S/dEEW[EAF:: ," `°•' ,.., i . . , v. '4 .?i w?.i . + f ua • ,. /. H • ` ,D/1IIC 1 T. 5 W ? [?? • A . 9.f ,.2 ? ? ... ` ? F 2 , o `'' r:? F Ir 7? ..rs ? .., ' . ?. .. • ` w ' V . ? t .e : : P . . ? e? ; ' "4j ? .? ° i ? o: u N ?F` • . nr?/_ °1??. ` V ? ~ ? e ? ?' / ;;- c \ - ' ; ?. ? . a.,.,.?. ! r s •, PD ND ,°° ? • E H f -. u•.r ?e ? , f ? W = 1 , . { J ? , i . , ,. , s ? .. 1 - ' ?.......e. 1v.:?6 ? . . . „ ? ' . ' • ,,•.?? ?., ' :,•,:: •• , , .,? . ? -?. , ? .. ? '" ? ' • ; . C!lFP , ?. . ,... e R , _ OAD . or . .....,. 5- i'o. [., T•. ; P v_ a W? CITY OF EAGAN SEWER & WATER CONNECTION CHARGES - 1989 EXISTING PROPERTIES SEWER CONNECTION CHARGES SAC Previously Pd. Receipt # ACCOUNT DEPOSIT 5EWER DEPOSIT TOTAL: TOTAL FOR SEWER & iVATER AOOK-UP: WATER CONNECTION CHARGES / $ 675.00 WATER CONNECTION 580.00 Previously Pd. Receipt # 15.00 WATER METER ? 90.00 10.50 J TREATMENT SURCHARGE/ 228.00 iv $ 700.50 ACCOUNT DEPOSIT 15.00 V WATER PERMIT 10.50 PLUMBING PERMIT 12.50 TOTAL: $ 936.00 r$l,636--50 FICE USE ON Y ? PROPERTY OWNER: ADDRESS: L: ej B:-2- ADD: ?_,L? WAIVER OF HEARING OF SPECIAL ASSIGNMENT City Project 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 5. Block 3. 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 Sanitary Sewer Lateral Water main Trunk Area Water main Lateral Services Storm Sewer Street OUANTITY 1 ea/lot RATE AMOUNT PROJECT 3,943.00 $3,943.00 536 1 ea/lot 655.00 655.00 536 1 ea/lot 3,252.00 3,252.00 536 1 ea/lot 929.00 929.00 536 1 ea/lot 934.00 934.00 536 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: os ph L. Moschera, r. l/j?J ` Linda S. Commer '?765?PY STATE )SS COUNTY OF 7- /?- On thi)s ?5T/?{day of before me a Notary Public within a? for said County, ersonally appeared ??Gf•' i£&/? 'r ?rniua S, Co?"` to me personally known to be the person_ described in and who executed the foregoing instrument and acknowledged that executed the same as ?/.? G?/ 2 free act and deed.j T ? ?? Notary P c Ec pn,pL? APOVED NY PUBIIC - Y61N?O?A KOTA COUNTY Eagan Public Works Director ommisslan fxp. faE? l 18? r .RA;:? I ' __.:!_!. .U4: I:::CMU,J !7N b; oo t t,:O *--C;z.?L i)t fii:'.i . Or i I_ NB.i jo ,, vwwns . , n *..;..,f c -ET d .,1..? ; . M?...... :L, "i. I..r I k?. a...?..? ,0. 0. 0 ^ .u .. h i ? II ; ? ? QI,I__? 00 ,..'n/r ;°r;A=?LT , M_? I t t ;.C?:' ` - ? .J 1 J.. ..I - l- :_ ? C J Ll I ?I?I. - . . ii ; tJi g A?-'..i3?.., x= C-, :, :• iri _ +:_;:: ?.??,:?i?T _f i fl '= i. M .. i?i;" .. .. ::it ? ? ,:? ,, ?r ._. . .:r.lr.?? .??. .... ?;?r ;:?s:3 ::. _. - 1 . .___ .I-? _ T:y. i7 l;i7C .I:iOA'.!,:J h!H.i";.fNV IVL.'.:l B.;.,}I _;:iJ,. '-i,•, : r7?i v11.:?,S+.?. .... .' i..14.1 ?i '?..J C'r'?....?.?-.... _.:.' _'1.... . •.. .. __ 4 ,?. _. . _. _. ...v. (.j ? ..._f......?!-.: .....f.J-_.i,;_...{.j.._... ....r_: '- i _. t_ : _.. •. .i. .,,.. . 0: " i h.i_?-:=3cIL:1`{,-I 89: ;i NCI ! i<0 Ii.;:)`iiSPaV?-IJ_ ? i.? ; -?4L?IbVU •?? . ??,) L„ :• ?••??„ • s • ? • ? ????.?.? CITY OF EAGAN Femarks Addition SOllCI'1 Odks -- Lot S 91k '? Parcel 10 71200 050 03 Ownerl??" Street,2SD Greenleaf Dr. 4ki5 WE°sk- State E84dII.NIlV 55123 _ 4 tiQUTH OAKS TOWNSHIP OF EAGAN DAKOTA COUNTY, MINN. .Oma.. •en mmnwmm 5[0l! I?Mnal001?M (? A ?'?•??'"'`? O[pp?r 1968 ?• 4 ?` ?"°d) ?/ r r si8 toao? . r o , .rc c ' . .. ? ? ... .. . .\'- . e'e• . ' -o.. U .__: ?+:•c . n:.s• ? aso ? ;? o o \ ?,.o. ' , +!u o ,?-? • 9nMq ! • i fp ` 0 i' . 11 ) ? 3., ' _ iz ? •J w' NORTN ? 4 b O . $/9f S . .. i .. ? ? ? 9Y ? •?a; ' ? .?°.?. . ' ? ? ? ..r ? ? , ?.o ..dl , ? _.1i4 . `. :c ?•? ? ? F,? . • :?Ce ? ? =-° ; ' f.ay. ? E.? • j ?. :: , ' • DRlYf-. ,.? Q ]Q?? ?j l1 0 \: 1 1? ? ? R .6 - . ? v?O t3 ' .,. I .q... 'I` vi ?? e `til : F ,W 3 r-`k,.,a >„°•r .!.. f ? 1^ ?o z ? r . ? .. '? ` :83 sr>'ri:• e ? ?t sTwiGGr STREET w ; o ? " dll o? ? ??o ?? =i ;',c ,; ' ea {N ?° ,? i•: ?Jv z • ? 1 r Y e / I • ? ?? s i ? • ? • „ ? . a C{? . - t . .r?.?r i:ss.E- ' ?,?•°°` ROA . o ?:e _. . k ?2 cen, e? . i:ILO ? I w? V ra i o =° I ? 6 ? ??1i)' ? t?^ ? lR?eyy •u o ? 1U '.l'?i++?n9?? i? _'hJZhxrJA.?? •n°. . ? ? ' F ? ,a/ ^_ ? ? ?? b Y f Y . :: 'ti., ? . 5 , t Fv C 2 . J.(1•1Eia •m ' ? • ' / , ` 3 :9P - ?F ? a F ,e W. s a S i ' > . 'J ep? ? . . \ / Te See1 ?Kp ?•. t i ? ? ? * ? ?^ ? t 1{ ?. 1 ? /? , '•^? .• r P V s?o•f ? ? E 1~}1 v y i?? E y ? , ` 4 ^ 'Z - 5 j(o- Se: 14, / 27 N p? ,o.. -ecl5?? `5: , f ? . t,? MASTER CARD • LOCATION STRUCTURE AND a Q LAND USED AS I Issued To Permii No. Issued Contractor ? Owner BUILDING ? '; ? ? PLUMBING - ,- Zt -?-? ?_- CESSPOOL - SEPTIC TANK WELL EIECTRICAL H EATI NG GAS INSTAILING I ! SANITARY SEWER OTHER I ? OTHER • ? ? Ifems Approved (Initial) Dafe Remarks Disiance From Well FUOTING SEPTIC 47 _ FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL H64TING ?- / P OFWELL GAS INSTALLATION J /$!? SEPTIC TANK i , CESSPOOL I DRAINFIELD PLUMBING WELL SANITARY SEWER /i I20 ? 01 ?r , Violations Noted on Back COMMENTS: Ordinance No. 114: Pemtit No. WELL CONSTRUCTION AND ABANDONMENT 91-2033 WELL PERMIT DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT ENVIItONMENTAL HEALTH SERVICES SECI'ION WATER QUALITY MANAGEMENT iJNIT 14955 Galaxde Ave., Apple Valley, MN 55124 Telephone: (612)891-7556 WHEREAB, the NON-TRANSFERABLS PERMZTTEE/DBA: Joseph Moschera and Linda Commer ADDRE88: 4550 West Greenleaf Drive REVIEWED BY JL Eagan, MN 55123 has paid the sum of fifty ($50) dollars to the County of Dakota as required by Ordinance 114 and has complied with all the requirements of said Ordinance necessary for obtaining a reclaimed use well permit for the well(s) described herein: A private non-potable water supply well on a property served by municipal water. This well is permitted for non-potable use only (i.e. lawn and garden watering). This well is subject to inspection at the discretion of the Department. The well is located in the municipality of Eagan as follows: Well Location Pronertv Owner Well Owner and address and Address(if different) if different 4550 West Greenleaf Joseph Moschera and Eagan, MN Linda Commer NOW, THEREFORE, Joseph Moschera Jr. and Linda Commer is hereby permitted and authorized to keep and use the well(s) located above for the purpose described for the period through November 1991 to November 1992. This permit must be renewed at the end of this time period. Upon failure to renew this permit the well(s) will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject to all provisions of said Ordinance. Given under my hand this 22nd day of November, 1991. ATTEST , f ENVIRO ENTAL HEALTH UPERVISOR ENAJXONMF?RTAL HEALTH DIRECTOR o.a.« xa ua WELL AND WATER SUPPLY MANAGEI4fENT WHEREAS, the PERMITTEE/DBA: ADDRESS: WELL PERNIIT AKOTA COUNTY ENVIItONMENTAL MANAGEMIF'.NP DEPARTMENT WATER AND LAND MANAGEMENT SECTION Permit No. 93-2033- iasss eppkv.uey, t.at ssiu . . . .. Tdcphme (612) gft-0811 NON-TRANSFERABLE John & Kathryn Serier REVIEWED BY: PF 4550 Greenleaf Dr W Eagan, MN 55123 has submitted a permit application, has paid the sum of $50:00 dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said ordinance necessary for obtaining a Reclaimed use Well permit described herein: A private water supply well is on a property served by a municipal water supply. The well is permitted for non-potable use only, sur_h as lawn and garden watering. This well is subject<to inspection by the ' Department of Environmental Management. THE WELL IS LOCATED IN•THE MUNICIPALITY OF EAGAN AS FOLLOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 4550 Greenleaf Dr W John & Kathryn Serier John & Kathryn Serier 4550 Greenleaf Dr W 4550 Greenleaf Dr W_ Eagan, MN 55123 Eagan, MN 55123 NOW THEREFORE,,the property owner is hereby permitted and authorized to keep and use the well located above for the purpose described for a period of one year from November 22, 1993 through November 22, 1994. This must be renewed at the end of this time period. Upon failure to renew the permit the well will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject to all provisions of said ordinance. If the property is sold or otherwise transfered in this time period, the owner must inform the buyer of permit requirements and the buyer agrees to maintain the well in accordance with ordinance requirements. Given under my hand Thursday, December 2, ,)A93 ATTEST SUPERVISOR MANAGEMENT DIRECTOR • _? ? -•, t Ordie,nm No. lld: WELL AND WATER SUPPLY MANAGEMENT Permit No. WELL PERMIT 92-2033 AKOTA COUNTY ENVIRONMENTAL MANAGENENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14955 Gdarie Aveoue, Apple Vdley, MN 33174 'fdep6one (612) 891-70I1 WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: John & Kathryn Serier REVIEWED BY: PF ADDRESS: 4550 Greenleaf Dr W Eagan, MN 55123 has submitted a permit application, has paid the sum of $50.00 dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining a Reclaimed Use Well permit described herein: A private water supply well is on a property served by a municipal water supply. The well is permitted for non-potable use.only, such as lawn and qarden watering. This well is subject to inspection by the Department of Environmental Management. THE WELL IS LOCATED IN'TAE MUNICIPALITY OF EAGAN AS FOLLOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 4550 Greenleaf Dr W Jofin & Kathryn Serier John & Kathryn Serier 4550 Greenleaf Dr W 4550 Greenleaf Dr W Eagan, MN 55123 Eagan, MN 55123 NOW THEREFORE, the property owner is hereby permitted and authorized to keep and use the well located above for the purpose described for a period of one Xear through November 2.2, 1993. This must be renewed at the end of this time period. Upon failure to renew the permit the well will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject tp all provisions of said ordinance. If the property is sold or otherwise.transfered in this time period, the owner must inform the buyer of permit requirements and the buyer agrees to maintain the well in accordance with ordinance requiremen Given under my hand Thursday, Septe r, 1993 ATTEST __i EI?V3KONMENTAL SUPERVISOR ENVIRONME L MANAGEMENT DIRECTOR PERMIT City of Eagan Permit Type:Building Permit Number:EA147108 Date Issued:12/11/2017 Permit Category:ePermit Site Address: 4550 Greenleaf Dr W Lot:5 Block: 3 Addition: South Oaks PID:10-71200-03-050 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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. Valuation: 8,000.00 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 - Scott J Sufficool 4550 Greenleaf Dr W Eagan MN 55123 (651) 270-7595 Signature Home Services 15631 Darling Path Rosemount MN 55068 (651) 731-1147 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160233 Date Issued:02/25/2020 Permit Category:ePermit Site Address: 4550 Greenleaf Dr W Lot:5 Block: 3 Addition: South Oaks PID:10-71200-03-050 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Scott J Sufficool 4550 Greenleaf Dr W Eagan MN 55123 (651) 253-7373 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature For Office Use �6 ._EI VED .�• • r E AAN 1 2020 Permit#: •- -� Permit Fee: / / 'v _ Date Received: s 47"CO 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 • (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsacityofeagan.com L 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 04/25/20 Site Address: 4550 West Greenleaf Drive, Eagan MN Unit#: Scott Sufficool Gf/ '- 2 S3-7 3 73 Name: Phone: Resident/ 4550 W. Greenlead Dr. Eagan, MN 55123 Owner Address/City/Zip: Applicant is: Owner Contractor k S Type of Work Description of work: remove non-bearing wall Construction Cost: $250 Multi-Family Building: (Yes /No ✓ ) Company: By Home OwnerContact:� `/i SH is t'a1 4550 W. Greenleaf Dr. Eagan Contractor Address: City: State: MN Zip: 55123 Phone: 6512537373 Email: ssufficool@msn.com License#: n/a Lead Certificate#: n/a If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinance' :nd cod,. of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work of to start without a perm that t work will be accordance with the approved plan in the case of work which requires a review and approval o s. if xSCOtt Sufficool x _ L1/, _ I��-ir ■ ' Applicant's Printed Name Applicant's Signature ) DO NOT WRITE BELOW THIS LINE SUS TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) )i Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex — Lower Level _ Pool — Accessory Building WORK TYPES _ New ie Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior — Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall 'Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation il Z4OO•v 0 Occupancy MCES System Plan Review X Code Edition SAC Units (25%_ 100% %) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) )t Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final )t Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS /' Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan ---'–'" Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge �'„r me� irG Z")." Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA162058 Date Issued:06/24/2020 Permit Category:ePermit Site Address: 4550 Greenleaf Dr W Lot:5 Block: 3 Addition: South Oaks PID:10-71200-03-050 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 - Scott J Sufficool 4550 Greenleaf Dr W Eagan MN 55123 Signature Home Services 7373 West 147th St Apple Valley MN 55124 (651) 731-1147 Applicant/Permitee: Signature Issued By: Signature EAGAN 3830 PLOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 fJUL. 0 1 2020 buildinoinsoections@citvofeaaan.com BY: 2020 RESIDENTIAL BUILDWo—PERIVItT APPLICATION Date: li) i 7 �i 1 ZV Site Address: a en (-WI\t t-� f Unit #: r For Office twg. per.**/o� 7 a_ Permit Fee: Date Received:: Staff: / —1 . t Type of Work Contractor Name: 5LO\ 5u -f 4.00 0 EcEivell Phone: 19 5 7 ti 3 7`) 73 cif r , Eoc�cti►n, MN .Si1; ` ( (b ci , �'�-- Qflt Address / City / Zip: M '? 5O► \' v bi r-eL y) Applicant Is: Owner Contractor Description of work: V no\1 i wt n1.(t1 in V\IA I I O r n-C s pa-h U door Construction Cost: ' I '5 0 D Multi -Family Building: (Yes / No )c ) Company: ' l C fl(X) ;1? f v i (es , LLL Contact: I bt?l l Yt Address: 7 z% i 5 I 1111 r:51 �� C? 7- City: PC Of V L I f e L, state: M N Zip: c)c-,ill Phone: V..-11-7 3 I- 114 7 Email: Off i, U 19 (41 G 1 e,5- f Vi License #: ?(..1 19150 g Lead Certificate #: N o- - 5 13'I (o 2- C'`"' If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: NOTE Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public If you provide specit7c reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.arg I hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x tok, Dt--2 nro Applicant's Printed Na Applicant's Signature DO NOT WRITE BELOW THIS LINE ySsoG�l�'(J� W . /627e. SUB TYPES Foundation — Single Family Multi 01 of Plex WORK TYPES New Addition AAlteration _ Replace Retaining Wall _ Fireplace Garage Deck Lower Level _ Porch (3-Season) ._ — Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) _ _ interior Improvement _ Move Building Fire Repair _ Repair DESCRIPTION 9+01_9 Valuation 0 Plan Review (25% 100%( ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Pool _ Siding Reroof Windows Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace. _Rough In Air Test Final insulation 6 Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation _ Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant J MCES System 2-0 SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath Stone Lath Brick EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: Building Inspector fThrb-0 600n_ 2000 TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163017 Date Issued:08/11/2020 Permit Category:ePermit Site Address: 4550 Greenleaf Dr W Lot:5 Block: 3 Addition: South Oaks PID:10-71200-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Scott J Sufficool 4550 Greenleaf Dr W Eagan MN 55123 (651) 253-7373 Noah Acquisitions Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164597 Date Issued:10/02/2020 Permit Category:ePermit Site Address: 4550 Greenleaf Dr W Lot:5 Block: 3 Addition: South Oaks PID:10-71200-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Scott J Sufficool 4550 Greenleaf Dr W Eagan MN 55123 Plumb Right 1216 82nd Ave N Brooklyn Park MN 55444 (763) 561-3306 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165005 Date Issued:10/14/2020 Permit Category:ePermit Site Address: 4550 Greenleaf Dr W Lot:5 Block: 3 Addition: South Oaks PID:10-71200-03-050 Use: Description: Sub Type:Residential Work Type:Alteration Description:Trunk lines, supplies, returns Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Scott J Sufficool 4550 Greenleaf Dr W Eagan MN 55123 (651) 253-7373 Blue Ox Heating & Air LLC 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature