4571 Greenleaf Dr WSEWER &_WATER PERMIT
cirxoF Ea-GAN
3830 Pilot Knob Rd. '
P.O. Box 21199
Eagan, MN 55121
I SITE ADDRESS
? LOT LOCK `' SEC/SUB
I APPUC/4NT: 4?
? ADDRESS: V" -J7i
CITY, STATE ZIP '" , •1 ?
PHONc
PLUMBER:
ADDRESS:
CITY, STATE ZIP - -•?%= '
PHONE:
OWNER: _
ADDRESS:_
CITY, STATE
PHONE: _
OFFICE USE ONLY
PERMIT DATE ` ? •? - WATER PERMIT # SEWERIJ'ERMIT #
METER # B.P. RECEIPT # ?% 2615
READER # B.P. RECEIPT DATE 21 /'9
METER SIZE Y
ISSUE OATE .L1 PRV - BOOSTER PUMP
ZIP
PERMIT REOUESTED
? SEWER ? WATER - TAPS
COMM/IND .4 / RESIDENTIAL
NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
_ - ? ` ' -?1'"--.`''?'•=,
?
SIGNATURE WHEN METER ISSUED
PLFr4SE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITIf OF EA4?AN
3830 Pilot Knob Rd. P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # 10 5 40 SEWER PERMIT #
METER # e6 B.P. RECEIPT 1. 5
86ABER # L B.P. RECEIPT DATE
METER SIZE ?/
ISSUE DATE ?-311 PRV - BOOSTER PUMP
SITE ADDRESS F
LOT ?BLOCK SEC/SUB
APPLICANT:
ADDRESS: ?22
CITY, STATE ZIP
PHONE:
PLUMBER: 66Pn2e- L. ,??i?l'?ini r' c
ADDRESS: 12-''4 `;?x 4c. n f e ?
CfTY, STATE ZI P : "1 .11 ?
PHONE:
OWNER: _
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PERMIT REQUESTED
? SEWER ? WATER _ TAPS
- COMM/IND 4 RESIDENTIAL
- NEW ?-EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SI ER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
•? r -
PLUMBING PERMIT PERMIT #
RECEIPT q
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ' ` ,
Lot 81ock Sec/Sub 722
y Name -
m Address r"
c
City 09 Q Q_ Phone
? Name ?
; Address ?
O City A-.y., , Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
? -
?
y
f '
SIGNATURE OF PERITTEE-
-??
BIDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Cfoset - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki!chen Sink - $3.00
Urinal/Bidet - S100
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $300
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 _
- .
FEE:
?
STATE S/C:
FOR: CIN OF EAGAN ?g ? C4L ? '+' GRAND TOTAL: ' ' f
' Site Address _
Lot
? Name _
? Address
c City _
? Name _
3 Address
p CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Afr Cond.
Vent
Gas Piping Outlets #
Other
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
PERMIT #
RECEIPT #
, ..
DATE: For Office Use Only:
BLDG.TYPE
Sec/Sub Res. "
Mult
Comm.
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL:
WORK DE3CRIPTION
New
Add-on
Repair ?_????• Ic
FEES
HVAC 0-100 M BTU -$24
RES
00
.
.
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERMI
50 EA
1
.
.
-
n -
COMM/IND FEE - 1a/o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMiT - .50
50 S/C IF PERMIT PRICE GOES
(ADD $
.
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
?--2 0- y ?
? o
S v ??L e p L v c. ?? ? f
r? ws ?` b-?- G??? c
/l?eN
o G `U / a ?1
?-
/S'
Gar?"? cd
,q ti6
PLUMBING PERMIT DATE: 3/21/91
RECEIPT: 100529
SITE ADDRESS 4571 WEST GREENT.EAF Unit # Permit # 14245
L 2 B 4 Sect./Sub. SOUTH OAKS
GENZ-BYAN PLBG. & HTG. - 2 -
INSPECTION INSPECTOR DATE COMMENTS
? e o
L'Pai. 6
Ai.
i.1
CITY OF EAGAN
. " 8795 Pilot Keob RoaA
? Eogan, Minnesota 55122
Pbone: 454-8100
- PERMIT
;i?/?}s
Dote:
Site Address:
Lot Block Sub/5ec.
Ncme T':to[nd S D. :
.
; Address
O
Ciry Phone
Name commers
.
?
g Address
C
O
V
CitY Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesota Stotutes ond City of Eogon Ordinonces.
Multi
2 2' 3
No.
,
New/wlter./Repair. Cost of Installotion
Permit Fee _ SurcFwrfle
Total
done in occordonce wifh all opplicobie State of
Receipt No.:
Sinple
Residentia l
Building Official
- CITY QF EAGAN
• ' 3795 Pilof Knob Roed
? Eogon, Minnesota 35122
Phone: 454-8100
_ PERMIT No. "
Date: t1:1e 2.
Receipt No.:
Single I
Slte Address• Residentiol
Lot Block 'Sub/Sec. Multi Res., Comm./Ind. I
Name !'orltz',: - New/Alter
/Re
air
.
p
.
Address Cost of Instollotion
?
City Phone: Pertnit Fee
Na,,,e ?-, c;zroefer 4ve11 Surchorpe r
.
?
? Address 7 !?.C7. Rd. T
0
V
City
Phone:
Total
This Permit i ?ssued on the express condition that oll work shall be done in ocoordarxe with all opplicable Stote of
' Minnesota atutes and Ciry of Eugon Ordinances.
/
$- Building Official
r CITY OF EAGAN
3795 Pilot Knoh Road
' Eogon, Minnesole 95122
Phone: 454-8100
PERMIT
Dote: AP r11 20, 117 8
Site Address: 4r571 Creen leaf Dz
Lot Block
4 sub/sec. _ outh Oaks
Nnme t- & A Constructior
.
;
Address
O
City phone:
Name ! -Y6i:'. 'Plt1i+lh111g CG.
.
? Address ' 35 [rniversity AZrF:: ,
?
0
City Phone:
This Permi is issued on the express condition thnt all work shall be
Minneso Statutes and City of Eagan Ordinances.
No. ' r) 9 7
% - r h
Receipt No.: `
Single `
Residentia l ?
Multi Res., COmm,/Ind. I
New/Alter.f Repoir
Cost of Installatlon
Permit Fee Surcharge Tota I
done in accordance with all applicable State of
Building Official
i..
Dote:
cIrY oF EAwN
` 3795 Pilot Knob Roed
Eagee, Minnesofa 55122
Pbone: 454-8100
_ PERMIT
June I4, 1978
sire Addreu: '=571 Greenleaf Driv;?
Lot Block J 5ub/Sec. '_O'``?, •' _
No.
Receipt No.:
$ingle I
Residentiol
Multi Res., Comm./Ind. I
Name W Cc?n s t . C:: . - ?>?, t- ne?:.
New/Alter. / Repair
.
? Address Cost of Installotion
City Phone: Pertnit Fee
Sc?iY1??
Name Surcharge
.
?
? Address
s
0
V
City Phone: Tota I This Permit is issued on the express condition thot oll work shall be done in occordonce with all applicable State of
Minne9oto Stotutes ond Ciry of Eogon Ordinances.
Building Officiol
CITY OF EAGAN -
• 3795 Pilot Knob Road Eogon, MN 59122 N2 4648
' PHONE: 454-8100
BUILDING PERMIT Receipt # I
To be used for Est. Value Date 19
Site Address '?} '-'• eenZeaf DF. Erect 0 Occupancy ?
Lof Block ??/Sub. Alter ? Zoning
U4
Percel #
Repair ?
Fire Zone
.
Enlorge ? Type of Const.
z Name ?- d ?o. ? It?C, Move ? .#' Stories
3 Address ?iJ Tvi11e,Rd. Demolish ? Front k.
o ? . : ;al.! +?: ?-;7a
Cit Phone
Grade ?
Depth ft.
? N Approvols Fees
cme
0
?a Address
Assessment
Permit
w
~ Ci Phane Wnter & Sew. Surcharge
?
w Police Plan check
Name
FZ
Fire
SAC
?a Address Eng. Water Conn.
<W Ci Qyme Plonner Water Meter
I hereby acknowledge that I hove read this application and state that Counci I
Bldg. Off.
the informotion is correct ond cgree to comply with all opplicable APC T
t
l
State of Minnesota Statutes and City of Eagan Ordinances. o
a
Signoture of Permittee
A Building Permit is issued to: on the express condition that
cll work sholl be done in 4ccardance with oll opplicnble 5tate of Minnesato Stotutes and City of Eogon Ordinnnces.
Building Offici4l
Pannit # DoN Issuad pernMttN
Plumbing e oq ? -?G - 7'?
Mechanical ?
tS't?1Sa „3 ?0 6- ?y_ 7! ? v.K ? ?.... f Qa -P. @ot?[«??
INSPECTIONS DATE INS . ?
Rough-In
Finol
Footings ?.I - ? Date Irnp. Dats Incp.
Foundation Plumbing 'Y-/}j1 1f
Frame/ins. `? /h) $ Mechonicol
Finol
Remarks:
? *a? O
_. .,I .,.Z"'7
Ea
_ ?
CITY OF EAGAN Remarks
Addition South oatis Loc 2 eik 4 Parcel ],1]-71200 gZ,s 0"
owr,erLr}?as v' Illn, ; L+ - :, Street 4571 Greenleaf nr. 00 .Ix? State FaganTNd 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 05 1984
SEWERLATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM 5EW TRK Uq- 1984 617.00 1.1 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER. 4 4 8961 2-1-78
sac 500.00 8961 2-1-78
PARK
I
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
b ? 3830 PILOT KNOB RD - 55122
651-681-4675
New ConstrucUon ReauiremeMs
• 3 registered site surveys showing sq. N. of lot, sq.14 othouse; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan showing heam 8 window s¢es; paured found design, etc.)
• isetofEneryyCalculations
• 3 copies of Tree PreservaUon Plan if lot plaBed afler 7/1l93
• Rim Joist DeWlOptions selectian sheel (bldgs wiN 3 or less units)
DATE Co ?! oZ' iD 1
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? "
PROPERTY OWNER Tk m mn S n t-. I ?A a ir,n_ ? 1 5 c.?e r-
TYPE OF WORK?.
APPLICAP
ADDRESS
PAGER #
I t .. j .
CELL PHONE #
FAX #
NEW RESIDENTIAI BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential VenGlation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor.
Vlechanical System Includes:
Sewer/Water Coniractor.
All above information must be submitted prior to processing of application.
Fee: $90.00
-? ri b'0d
? ? !->' Q 1
i
Fee: $70.00
I hereby acknowledge that I have read this application, state that the informdgb;ri i , n agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ,
Slgnature ofApplicant?&_
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
Updated 1101
? Water Softener _
_ Water Heater _
, No. of Baths
RemodeVReoair ReauiremeMa
• 2 copies of plan
• 1 set of Energy Calculatiore for heated additbns
• i sile survey torextenaraddNions 8 decks
• IMicate if home served by septlc system for additions
VALUATION o? O D U. D?
Phone #:
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
Heat Recovery System
Phone #
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# 651 5) tI?
CODE S S I a, '?
- _. _ ., . . G ` g
r
pu"nonov; ? ?i ?
ao- cr a-a-Pad
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S! . / ;ti?? /YI ?,v,? °' ?.!`! 1 ?
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?
GTY OF EAGAN
i 9795 Pilef Knob Road Eagan, MN 55112 No 4648
PHONE: 454-8 f 00
BUIIDING PERMIT APPLICATION $45
000 Receipt # 8961
.
,
To be used for S F Ilwlo IC rarQ_ Est.Value Date FEb. L, 19 78
Site Addrcss 4571 Greenleaf Dr. Erecr YD occuponcy_ I
Lo? Block4 Sec/Sub. SO. 08k3 Alter ? Zoning Rl
10 ]120O 020 04 Repoir ? Fire Zone 3
Percel .fk
E
l f C
T V
n
arge ? ype o
onst .
w Name C& A CoIISt. Co.. InC. Move ? #Stories
z
o
I Address 3143 Centerville,Rd. Demolish ? F.ont 60 ft.
St.
Ci Pau 484-4869
Phone
Grade ?
Depth 40
ft.
? Name Avprowls Fces
0
Zu
oQ
?
Address
Name _
Address
Assessment -
Water & Sew.
Police _
Fire
Eng.
Plonner _
Council _
Permit 1LO,vV _
surchorge 22.50
Plan check
SAC 500.00
Water Conn.
Woter Meter
I hereby acknowledge fhat I hove ad this application ond state that gldg. Off.
the informafion is wrrect and ogre to comply with all applicu6le APG Tatal 650.50
SMM W Minnemta Statutes G af Ea ry " e Or 'rJo'nc .
SignMUre of Permitte
A Building Permit is issued to: C d A COnst. - on the expres condition that
oll work sholl be done in?qcordancZwitij1li applicable State of Minnesota Siatutes and City of Eagan Ordinonces.
Buildiny Official ?-?"`c
-?
i r Q a
DATE: 6/22/89
?
RE: 4571 GRBBNI,BAF DftIVE WSST, L2, 114, SOUTH OAKS
XX Your Sewer & Water Permit for the above property has been completed. It witl be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
? CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notlce.
COMMERCIAL PROJECTS ONLY: Please pay tor 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 DEVEIOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
,i
Secretary, Building Inspections Dept. ?` Y
? r. .. a
DATE: 6/22/89
RE: 4571 CREBNLEA@ DRIVE 4JEST' L2, B4. SOUTEI 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.
r
-• Your Sewer & Water Permit for the above property cannot be completed for the following
?*reasons:
t- Your Sewer & Water Permit tor the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Nall. Meter size must be
confirmed by Bilt Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL IOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
01-3210 Bldg. Permit
? 07-3422 Plan Check
? 01-3445 5urch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
? 203865 Water Conn.
(1
? 20-3868 Water Trmt.
20-3716 Water Meter
?. 20-2252
203713 Acct. Dep.
W
t
P
it
? er
a
erm
? 20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Pa
r
k Ded.
/
?
12-
TOTAL
rvunnesota acate esoara oT nectnciry
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
-,?.??REQUEST FOR ELECTRICAL INSPECTION
CHECK BE1.OW WORK COVERED BY THIS REQUEST
? !J 9la ? lv
P 58f 28
Type of Building New Add. Rep. Check Appliances W'ved For Check Fquipment Wired For
Home EL ? ? Range ? Tempoiaty Wiring ?
Duplex '? ? ? Watei Heatei ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Electric Heating ?
Commeicial Bldg. ? ? ? ? Silo Unloadei ?
Indus[rial Bldg. D ? 0 .
n
A 8ulk Milk Tank ?
Fazm t Lis
O
h ? ? ? ers Oehers?
t
er er H 1
COMPUTE INSPECTION FEE SELOW
Seivice Entrance Size: # Fee Feedeis&Subfeeders: # Fee C'vcuits: # Fee
0 to 100 Am s. 1 1 0 to 30 Am eres 0 to 30 Am eres
101 [0 200 Am s. 31 to 100 Ampeies 31 l0 100 Am eres
Abovc 200 Amps. Above 100 Amps. Above 100 Am x
Transformers RemateControlCire. Partialorothertee
Si ns Speciallnspection Minimum fee .0
Remacks
'-I? 'Q / . TOTALFE V'0•
l, the Electrical Inspector, hereby c?'Sk(£y"lhat"einspe tion has been rpade._ 7y
(Rough-in) ?rl Date '7 3
(Final) Date
This request void 18 months from
Ttus request void 18 months from
Date of this Request p58628
I, as il Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at: ??J-- ?1?3 f/
Street Address or Route No.
Section Township
Which is occupied by
Is a roughin inspection required on this job? No ? YesA?_ Ready Now ? WID CaHJ?r,
?Q 3'? l - 3.C?d ST
Power Supplier Oc%?D,JTA I i40'Cti / Address F.sn,a: ?&wJ SS oZ ?/
Electrical Contractor AeL,1Qr AFIE <-?J?c? Contractor's License No. ??
(COmOany Name)
Mailing Address Ly6 ?,-/,? ?/oS
Authorized Signature Phone No.
(Elxtrltal CantlactoY or OWner Making This Insta118t1on)
????? ???. '?o?? ; This inspectian requestwill not 6eaccapted 6y,the Stete Board unless praper inspection fee is endosed.
,i y/ C/oi
a 31930 a 4 °
Request Date
, Fire No. Rough?i spection
Re u' tl?
a
? Ready Now I NoUy Inspector
R
d
?
W
?
^ Z es ? No hBn
ea
y
I censed coniractor E-) owner hereby request in5pection of above electrical work at:
Job Pdtlress (SVcet, eo/XO.r Rr?oute No.
6 Ciry?
7 1- W . .1c i
S ion No. Township Name or No. Range No. Coun
Occupant(PRINT) Phone No.
Power Supplier Atltlress
EI - al C. ac r Com Name) Contrector's License No
Mailing A tlress ( nvador pwner ki Installation ^^
+
Aul?or tl igna (C vact n rM i
? Installalion) Phone NumEar
4INNESOTA STRTE BO 0 OF ELECTHICITY THIS INSPECTION REQUEST WIIL NOT
Grlggs-MlCwey Bldg. Hoom S1]3 BE ACCEPTEO BY THE STAiE 80ARD
1831 Vnivnsfly Av ., SL Paul. MN SSld1 UNLESS PFOPEF INSPECTION FEE IS
Plwna (812) 4 ' ENCLOSED.
.gol?l REQUEST FOR ELECTRICAL INSPECTION
,f/
M 0, See Inatmctions tor completing ihis farm an beck of yellaw copy.
W 3 1 9 3 0 ^ ..`X" Befow Work Covered by This Request
EB-00001-OB
ew MJd Rep. ' TypeoBuifding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Wa[er Heater Eiectric Heating
Apt. Building ?ryer Other (Specity)
Comm.lindusirial 'Fmnace
Farm Air Conditioner
Olhar (speoity) Contrec?Famar??
Compute lnspectron Fee Bebw: QtC
# Olher Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ab ve 10 _ Amps
3i9f1S Inspecmr's Use Onry: TOTAL ?
Irrigation Booms ? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OER C?.INNECTED IF NOT
Other Fee COMPLETED WITHIN 78 5.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rou9n-in
F;nai ate
oa
OFi1CE USE ONLY
This request voitl 18 mon[hs hom
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE (612) 454-8100 RECEIPT #
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WFiEN PERMITS ARE REQIIZRED FOR EACH UNIT.
--------- ------------------------------^-------------
DWELLINGS &
WORK DESCRIPTION uJ?ti't A&?? COMPLETE THE FOLLOWING:
NEW CONST _
ADD ON
AEPAIR ?
N0. FIXTORES TOTAL
ADD-ON MINIMUM 15.00
OWNER NAME:
SITE ADDRESS:_YS 7 ? ;7d
SUBD.
LOT: Z BIACK 141
INSTALLER: GENZ-RYAN PL[TMBIPIG & HEAT7NG OOMPANY
ADDRES5:14745 South Robert Trail
CITY: Roserount ZIP: 55068
PHQNE #: 423-J144
SI
SHDWER 3.00
_ WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
_ FLOOR DRAIN 3.00
U'nS PIiING OJT.
_ (MINIM[JM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL 40 ?
ST. SURCHARGE .50
TOTAL: S
COMMERGIqL??NIYUS7'BIALPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADIIRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 19
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
CITY OF EAGAN
SEWER & NATER CONNECTION CHARGES - 1989
E%ISTING PROPERTIES
SEWER CONNECTION CHARGFS WATER CONNECTION CHARGES
SAC v $ `57?.66 WATER CONNECTION $ 580.00
Previously Pd. Previously Pd.
Receipt Ik I Receipt 0
ACCDUNT DEPOSIT 15.00 WATER METER 90.00
SEWER PERMIT 10.50 TREATMENT SURCHAHGE 228.00
TOTAL: ACCOIINT DEPOSI'f 15.00
WATEA PERMIT 10.50
PLUMBING PERMIT 12.50
TOTAL: $ 936.00
5.?,,,,?¢,,,f7¢?,.+-r „acc,....at ??•? Cj
TOTAL FOR SEWEB & SiAT6R HOOK-UP:
OFFICE USE ONLY .
A*2ria4 D. J"Wau,2J
PROPERTY OWNER: n
ADDRFSSs
L:j B:L/ ADD: sm_4,? rk kS
q,5a-5 /7S
?
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 2. Block 4. 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 OUANTITY RATE AMOUNT PROJECT
Sanitary Sewer
Lateral 1 ea/lot 3,943.00 $3,943.00 536
Water main Trunk
Area 1 ea/lot 655.00 655.00 536
Water main Lateral 1 ea/lot 3,252.00 3,252.00 536
Services 1 ea/1ot 929.00 929.00 536
Storm Sewer 1 ea/lot 934.00 934.00 536
Street 1 ea/lot 7,361.00 7,361.00 536
TOTAL $ 17.074.00
to be spread over 15 years at an annual interest rate of 9% 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: 6
Thomas D. Fischer
Mary L. ischer
STATE OF /,//?Z?-d G TW )
)SS
COUNTY OF Dl-?/GO 7/-? )
On this o?/ S -/day of r? Lt' N/= , before me a
Notary Public within nd for said County, personally appeared
Gou <t ??Jortii?S ?I3v/b ?Sf(L?me personally known to be the person_ described in
and who executed the foregoing instrument and acknowledged that
executed the same as ---,rl4 free act and deed. T ..a.,
, MppILyb L NMFeb.& AP ROVED-
NOTABY PUBU? DAKOTA Eagan Public Works Director
iAy Commis:iotpppppopppo
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CITY OF EAGAN Remarks
Addition- + h =k, .? Lot ? gik
Owner111?1r'7`-- L, -? Ctlr,/ C f,' ;ic; Street..4571 C-r _ nlaaf T]r as
Improvement
STREETSURF. Date Amount Annual Years Payment Recei t
P
Date
STREET RESTOR,
GRADING
SAN SEW TRUNK ?S
S
EWER LATERAL -
24.67
15
WATERMAIN
WATER LATERAL
WATER AREA
STORMSEW TRK
STOiiM SEW LAT 1984 617.00 1 1 1
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN.
-BUILDING PER.
sa,c
PARK 4
4
500.00
8961
8961
2-1-78
2-1-78
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OF
3795 PILOT KNOB ROAD, P,O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (672) 454-8100
Decenher 9, 1982
PAUL HAUGE
CI'I'Y ATiORNEY
EAGAN MN 55122
Re: Pondinq Easements for Pro'ect 326
Dear Paul:
BEA BLOM9UI5T
nnav«
THOMASEGAN
JAMES A. $MITFI
JERRY iHOMAS
THEODORE WACH7ER
Cwncil Members
THOMAS HEDGES
City Atlmiruslrotor
EUGENE VAN OVERBEKE
Cdy C?rk
Transmitted herewith are originals of the above signed by the a£fected
property a.aners. Would you please see to it these docimients are duly
reoorded with the Dakota County Recorder as soon as possible.
If you have any questions or concerns regarciing this matter, please do
not hesitate to contact me.
Sincerely,
Richard M. Hefti, .E.
Assistant City Fhgineer
RMEi/j ach
enc5.
c - Contract 82-1
Parcel files
7HE LONE OAK TREE.. .THE SYMBOL AND GROWTH IN OUR COMMUNITY
!
EXI-iIBIT "A"
Beginning at the southwest mrner of Lot 2, Blodc 4 of South Oaks Addi-
tion, acmrding tn the recorded plat thereof on file and of record in
the Office of Register of Deeds, Dakota CoLmty, Minnesota; thence North
along the west line of said iot 2 a distance of 250.00 feet; thence North
84 degxees East 115.00 £eet; thence South 44 degrees East 40.88 feet, more
or less, to the southeasterly line of said Lot 2; thence South 31 degrees
32 minutes 22 seoonds West 272.93 feet to the point of beginninq,
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=: ..._ -. 15092 EAST ? IEAST N. 840 IS Ifi"E. o ? .?..
- ° TWIGGY a N ` ? a-
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M STREET -J ? '0 = a;
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Formth? AN!? rTrr.?TV r•.n.srrmNT
THIS' ]NpF.NTllRF., made and entered into this Sa'day of
19 82 , by and between ?h?s D. and A!facy L. is Fier, h an w3.e
as Grantors, and the City of Eagan, Uakota County, Minnesota, as Cran[ee,
. WITNESSCTH WIIERGAS, said Grantors icx/are the owners of the tracts of land
in [he City of Eagan, Dakota County, Piinnesota legally described as follows:
See Exhibit "A"
NOW THEREFORE, the said Grantors , in consiJeration of One Dollar ($1.00) and
other gnod and valuahle consideration to t hpm paid Uy Crantee, receipt whereof
is hereby acknowledged, hereby grants an easement to the above premises to said
- Grantee, i[s heirs and assigns, for permanent lake and ponding, purposes, including
the normal practice of filling with water the nhove described premises from storm
sewer runoff, and for utility line purposes.
The Grantee shall have the right to do whatever is necessary for the enjoy-
ment of the rights herein granted, including the right of clearing the easement
area to allow for the use of the land as stated herein and for ingress and egress
to and from said tract of land and over and across said easement only for the
purpose of laying, maintaining, operating and repairing said utility lines.
And the said Crantors , forthenselvey their heirs, executors, adm3nistrators
and assigns do hereby release the said Clty of Eagan, its snccessors and
assigns, from all claims for any and all damages resulting to said land by reason
of the location of said lake, ponding area or utility lines.
By acceptance of these easements, the r,rantee agrees that it shall restore
the property located ou[side the anticipated perimeter of standing water to as
near the existing grade as is reasonably possible and further agrees to replace
existing cultivated shrubs or sod and to seed all other areas not covered with
standing water.
It is expressly understood that the Grantee, its successors or assigns shall
waiver and release sald lands or that portion thereof used for permanent lake or
ponding purposes from any special assessment levied on an area basis on account
of any improvement in the City of Eagan for such time as said lands are used for
permanent lake or ponding purposes, but at such time as such uses or purposes are
abandoned then said lands may again be suhject to such special assessments, as
have been levied or may hereaFter be levied.
, • c„ .
IN WITNF.SS WIiEREOr, the parties hereto have hereunto set their hands and
seals the day and year first above written:
In presence of CITY COUNCIL
. CITY OF EACAN
EXEHPS FROM STATF. DEED TAX STAh1P
ts
Grantee
?
Attest•
I 1.erk
Zhcanas D. Fischer
Ap
?Can or
T'1clZ]7 L. 15 PS
STATF. OF MINNi?SOTA ?
COUNTY OF DAKOTA sg'
S Y
On this ? day of 19 D Z fore me a ?
wit in and for said County, personally appeared tr ---?°?,
to me known to be the
and of the City of Eagan, and wFw executed he foregoing
instrumen and acknowled ed that the executed tl?e same as tFieir free act and
deed.
?.,..•;?e .,•?????
LKJi.?COU;ViY . . . . . . , ` , ? , .
2 My Commission [epues Nla¢h. 12, 1926 ?.
?xvWVwwwvaYdvwwwWVW?VWYYVYN . . , _ - . , _ . ? ..
STATE OF M7NNESOTA
COUNTY OF DAKOTA gs'
On this day of , 19_, before me a
within and for said County personally appeared
to me known to be the person described
in, and who executed the foregoing instrument, and acknowledged that he
executed the same as free act and deed.
„ TkIIS INSTRUMCNT DRAFTED BY:
Pau1 H. Hauge & Associa[es, P.A.
3908 Sihley Memorial Highway
Eagan, MN 55122
(612) 454-4224
.. ;,
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e
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.
naTE
H[TILDIPIG PERMIT APPLICA2ION
Include 2 sets of p].ans, 1 aite plan w/elevations and 1 set oE energy calcnlations.
?'i
1b be used for /vfw k(c(J1L
Site Address:
Iot Slock Sec./Sub. •:
Owner C-I-j- -'? ? ? zNC.
Address 3/`f 3 t -
Ss,7o
contractor
Address
Arch./Eng.
Address T-
Erect ?
Alter
Repair
Eniazge
Move
1)emolish
Grade
OFFICE USE
Date of Approval & Znitial
Assessment /fr
Water/Sewer
Police
Fire
En9.
Planner
Oouncil
Biay. Off.
A.P.C.
Valuation
Parcel Nunber 0,20 0?
y5?/ ,,?L?,'•,U[?,?s? ,C?.?-,<-?c,
Telephone q ' qf 6 7
Telephone
Telephone
OFFICE USE
Occupancy ?
Zoninq
Fise Zone 3
Type of Const.
q of Stcries do
Front O
Depth d
FEES
.a
Permit /a2 $
Surcharge
Plan Check
SAC
Water Conn. ??nu
Flater Meter ?
J
mrar.
??-v -
?nrvLnJ NHiNt ---
; CO
??• . .. JOB ADDRE55 . --
, 77/ 6, Z
../ ? C
ENERGY ?GINSERVAT10,14 EVALUATIOti b¢4,,4(
This I'or;n nmst bc r.oniplctrJ hy Uie proponent, his desiyner,
on ccating, cooling cuntraclor Lefore a 13uildinq pcrmit can
he considcred or issued.
OVERALL CALCULATED THERMAL -
TkA1JSMITTANCE VAIUES U.
u,a +ua. Qa+....
U. _
Ao .
CEILING/ROOFS U.
(Ineludes opaque ceiling area and skylights) ' ' ' ' ' • • • ? • • • - ? • • • • ' d??.a„?„,?,;,,.
[:CP6SED WALL
(Includes opaque wall, rim joist, windows, . . . . . . . . _ . • /$3
doors, 6aming, and exposed basement walp
r'ICORS OVER UNHEATED SPACES . • • • •
.. ..3 .................. o,.?»,?.,_??•
FLOORS ON GRADE • • • • • • : • • . . . . . . . .
. . • . . . . . . . . . . . . . . . .
iOTAL HEA7 LO55 AS DESIGNED• ••••
. . . . . . . . . . . . . . .. . . . ....... a,?i?.,ro
rvindovis
Nindow
iFecification
;heets must be
ittached.
A l&a.io
UA - ee. 113
Data_-;used ,to calculate
ther?al transpnittance valaes Uo
i. .
Identification I?6Br Total C?lass
M
anufacturer Number Units Used Area Ft A, ' R, Value
- ? ., - - 29
!
Y72 -
Sb
21156
,o. 7
7_
Ul Value
Caleulated,
Ua =1/Rq
r%
a00f S
flnnr
?p, lr ifwaI ioo
jh.s•t> mu?!
ne ntwcntA.
If garage is
to 6e heated,
garage doors
must also he
inc{uded.
anufac4irer
identification
Number
Number
Units
Used Tota I
poor
flrea
F[2 A,
R Door
Valuc 5 torm
poor
Used
yr.s/no
R Storm
Door Value
Ij, Value
Door
As;rmhly
Calcula;ed
poor /lssem
U, =1/R,
, A,
a J D(e? 2. 0 •55 e;:l?r/:_;
7
" 3
.13
33
s/t / 7, /• 7 . B 8 41,5 5
5
I
.xposed opaque tvall
Type
Manufac[urer
Interior Thickness
Finish
U Value
R Value
Type
Manufacturer
Insulation Thickness
U Value
R Value
Basement Area
Type
ManuFacturer
' Exterior Thickness
Sheadiing
U Value
R Value
e.
Rim
Joi5r
Area Upper Fioors
P.?4S? ? p0 rA
,SG
?s •
S?e
G
11
xposed opaque Epialp Basemr.nt P,rca
Type
Exte?ior Manufacturer
Sidin9 Thickness .
`
U Vtilue
R Value
Type
Framing Size
U Value
R Va{ue
Exterim U
...
.
.
Air
Exterior R ..
.A,
,,,.. _:.:......
„.:.: ;....,,,;,. .
:. _. _ _. _..
Film
Interior U
?
Interiar R ..,?. .,>::.^....,"..
fL,; Total
(lnsulated Area) , f 3
Caicuiated U,;
TOTAL$ U.r =1/R,i
(Insulated
) O
.
Wall Area (Insulated)-A„
. uss 90%of fha total Holl oreo) 7S
U?, Aj
3 S. 2?
R„ ToWI
(Framing Area) ?
Calculated U
TOTALS U,,, =1/R,,
(Framing)
Wall Area (Framing)-A,,
(u.. ? 0% of ,h< f0fa1 .a11 o,ea) . 3/
U"'! Awi ?.9
Rim Joist
?r
ct O ci Y
G
g-
O
U- S G
.56
2/
VApOR BARRIERS ARF REQUIREO
._,._....? ?.?.?. . ..,
? . ;_,_..?...r.W..?........:...?.... ... _
v ?,j,y, '""-- . _.. ? , . . ?. . ._?._°_._-- ? ?--•;. ? _ ?_ . _ . . _ _........ . : _- , .:... ___
7 .
{Irca Upper Floors
q c
e
d - ? d l3?rc?i
q -?-
. ?? ?, „
fiaoQrs oE'er unheated
JpacieJ ' TY7?
T --?-??
Irisulation ?
Manufacturer
R Value
Under Laymen[
-..._ .. _ . __._._..... ......_..?....._..--- ........_._.........___..?......_-- ----
' ? u.liln! .. ....._:..:..;?......,, ,. ;.. . - .'»
E criorllir PiLn „__ E _ _,y? ..
Total Assembly fj, Valuc - • -
Caleulated U, , U,=i/R. • ? • • ? ? - • ? • •
Total Floor Area A.• • • - • • • • - • • ?
Assembly U. A. • ? • • • • • • ? • • • •
ceiiing assembiy I Type
Finish Criling P/QSi
VENT[D
SPAC[ Insulalion Fi tr?
A BOV E
Manufacturer I R Valuc
C
/VJ / rn
Total Assembly R. Valuc . - • • • • - • . - `"?" "
. U 4,/ Z
Caleulated U„ U, =1/R. - ? • . • • . - •
Total Area A, • • • - - • . • , • - ? 2 LID
Assembly U, A.. . . . . . . . . . . . . 5 2., O8
I Type I ManufacWrer I R Value , Area Ft!
Sheathing
NON Insulation
VENTED
SPACE RooFing
Skylighting
•Tatal Assem6ly R, Value • ? - • • - •
Caleulated U. , U? =1/R, - • - • - • •
Total Area A.
. . . . . . . . .
' Assembly U, A? - - - • • • . . .
vnPoi: nniiiiiri:s nitr ar_nuu<i_o
UTILITY LINE EASEMENT
THIS INSTRUMENT, made this ? day of dpeL?Ll) , 19_aZ, by and
between TEIOMAS D. FISCHER and MARY FISCHER husband and wife ,
as Grantor(s), and the City of Eagan, Dakota County, Minnesota, as Grantee;
WITNESSETH, that the said Grantor(s), in consideration of One Dollar and
other good and valuable consideration, to them in hand paid by the said
Grantee, Che receipt whereof is hereby acknowledged, do hereby"Grant, Bargain,
Convey and Warrant to said Grantee, its successors and assigns, the utility
easements situate in Dakota County, Minnesota, as follows:
Temporary construction easement over, under and across the most Southerly 20
feet of Lot 2,. Block 4, South Oaks>, Dakota County, Minnesota, according to
the plat thereof on file in the office of the Register of Deeds in and for
said County.
Temporary easements included herein shall expire no later than
-T
? ?78z
The said GranCee shall have the right to do whatever may be necessary for
the enjoyment of the rights herein granted, including the right of clearing
said right of way and of ingress and egress to and from said tract of land over
and across said easement only for the purpose of laying, maintaining, operating,
and repairing said utility lines.
By the acceptance of these easements, the Grantee agrees that it shall
replace any shrubs or sod removed by it in the exercise of its rights hereunder
to as near the condition which existed immediately before such rights were
exercised as is reasonably possible.
The State Deed Tax due hereunder is $ NONE.
IN TESTIMONY WHEREOF, the said Grantor(s) ha ve caused these presents to
be duly executed as of the day and year first above written.
IN PRESENCE OF:
STATE OF MINNESOTA)
) ss.
COUNTY OF DAKOTA )
On this 7th day of
'h ?L-r+n? _ ?<1/'??r
omas D. Fischer
I ? /YLR?J
Mary . ^iscier .
19 82 , before me a Notary Public
within and for said County, personally appeared THOMAS D. FISCHER and MARY
FISCHER, Husband and Wife, to me known to be the persons described in,
and who executed the foregoing instrument, and acknowledged that t hey _ executed
the same as their free act and deed. n
This Instrument Drafted
PAUL H. HAUGE, Attorney
3908 Sibley Memorial Hi
Eagan, Minnesota 55122
(612) 454-4224
Y ' K_ ! 11
0
at•Law Notar P li County
MAAImff?O . My ommission expires
?hway pffury vueue, aeen ewey. nn?
Yr cemmi.aun nwn. r.s. u, ?99?
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112993
Date Issued:08/28/2013
Permit Category:ePermit
Site Address: 4571 Greenleaf Dr W
Lot:2 Block: 4 Addition: South Oaks
PID:10-71200-04-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Pelant
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 -
Thomas D Fischer
4571 Greenleaf Dr W
Eagan MN 55123
(651) 452-5178
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature