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4585 Greenleaf Dr WCITY OF EAGAM Remarks Addition- SOL1th Oaks Lot 3 Blk Owner?,+Eyfi i C Street 4581 Greenleaf Dr. ,? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 19$4 370.W 24.67 15 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK ! 1984 617.00 41.23 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road iJnit 75.00 13452 5-1-79 WATER CONN. BUILDING PER. #5110 SAC 5 0 0 452 1 5-1-79 PARK - - CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 ? (612) 681-4675 SITE ADDRESS: OOFQHANGE -12102 I ., ION RECORD PERMIT TYPE: Permit Number: • `{ y ? Date issued: 4 „ APPLICANT: TYPE OF WORK: 14 t- L.1 INSPECTION DATE INSPTR. INSPECTION DATE INSPTR. 1 t{'.LI I l1 i t tlti I 1 !'j i1 I I ,riNkS: :';rNnirnl? I?FI?M!!'? ?lli[ kl.yillt;lE) rtl?r l1NY f'iI1MHfa t)R f Ii?:I£tIrAI Wi117h I N Permit No. Permit Holder Date Telephone # S/W PIUMBING ? `ffYS HVAC 8 !? Q aQ ? ELECTRI ? 0//S ELECTRIC Inspection Date Insp. Comments Footings I ! Foundation D Framing G CG. /iL? . Rooflng e c?.rr ? rNs ?L- v?-?•?- Rough Pibg. ? N Rough Htg. Isul. ' Fireplace Final Htg. J Orsat Test Final Plbg. PI6g. Inspector - Notify Plumber Const. Meter Engr.lPian Bldg, Final Deck Ftg. Deck Final Well Pr. Disp. i INSPECTIO CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: -11 it h. `?1111 ? 1? tAk `11. t ro to ?r?{: r,lft t Nt F Al' t11 PERMIT SUBTYPE: ; I I i ri I J.'. III ", I.. I I<14111: fWFi TYPE OF WORK: t0til0 lNQ 0,'?t q '1t 4lFs/0TA94 r?V r' A fR M c.cNjV irOIN tR (,uV [N ,. . ;CORD PERMIT TYPE: Permit Number: Date Issued: .?6110 0 .-4 4) - 414 APPLICANT: ( f•, I,' 1 R`aH t'+f7i4 Permit No. Permit Holder Date Telephone ? ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 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 1 /J riNw BSMT R.I. BSMT FINAL DECK FfG DECK FINAL V ? sssc , ?, WING PERMIT To be used for ` CITY OF EAGAN Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 Est Value ' 100( DR U 6 ..t;C-TH OAKS Q Name - w 3 Address ° Ciry Phone a .o Name ? ? Address ? City Phone ~i t °C ?W Name 0 n Address g W City Phone 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. Receipt # Date ,19 O FFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City water _ (Actuaq (Allowable) * of Stories th L eng Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance FEES _ Permit _ Surcharge _ Plan Review _ SAC, City _ SAC, MWCC _ Water Conn. _ Water Meter _ Road Unit Treatment Pl Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances, Building Official Permit No. Permit Molder Date Telephone it Plumbing H.VAC. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace ? Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. ' ?7 Well Pr. Disp. ,.ADDRESS CHAIjQf,,,? f0,r Eagan, 55122 Ns 5110 ' PHONE: 454-6100 BUILDING PERMIT Receipt .# " r^Y.? ?.1 R sc ('-r 7"1Pq.` ?'7 1 "_.Z 7n " To be wsd for Est. Value Date 19 Site Addrcss ' '~??'? "-a i?1VC ., Erect 0 Occupancy Lot Block Sec/Sub. Alter ? Zoning '''? Parcel # ' Repair ? Fire Zone • > Enlarge p Type of Const. ? Name ? -, _ r • Move ? # Stories . Z ; .. Address ? 1 Demolish 0 Front ft. 0 city Phone f?-c'. Grade ? Depth ft. 0! o Name /1Pprovah Fee! ou Address ?''r' r C?? _`•T:?. Assessment Permit ' .??.? ?,A ?rf1?31 Water 8 Sew. Surcharge _ Phone F Ci Police Plan check ?Z Na^'e Fire SAC u? Address Eng. Water Conn. <W City Phone Planner Water Meter Council ( hereby acknowledge that I have read this application and state thot Bldg. Off. the information is correct and agree to comply with all applicable APC Tot l State of Minnesota Statutes and City of Eogon Ordinances. a Signature of Permittee • ? - % A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official WLLjL, 33c) ?s -301? g C"-4A .aLf^ lumk # Deft Inuad " MnwIM" Plumbing a9 4-(.,--79 Mechanicak 1 1-79 , k Alyaq*Fx 38 -d4- '79 ' 3 ' a S INSPECTIONS DATE INSP. Rough-in Find Footings •/?.• ? r Date Insp. DaFa IMP. Foundation Plumbing yY2- Frame/ins. •%?-' Mechanical /)-7 Final G / A4e 1,R ''?`,? 7 ?? SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGaN 3131189 PERMIT DATE 3830 Pilot Knob Rd. WATER PERMIT 10130 SEWER PERMIT # P.O. Box 21199 METER # B.P. RECEIPT # Eagan, MN 55121 READER #? d? g?? ,7 !5 B.P. RECEIPT DATE 30 Sg ADDRESS CHANGE - 2I?E ATE 5!?-qr T ,PRV -BOOSTER PUMP SITE ADDRESS _ LOT _BLOCK APPLICANT: C A_.?? ` ADDRESS: p to, CITY, STATE L F' '--t2 l'N V1'1 vN ZIP PHONE: - ` ?,? r?C• '- '-'"7j!'2._ `. 1 `' ; PLUMBER: ADDRESS: 1959 SFiAWP".'-. ''li CITY, STATE FAGAN ZIP 55122 PHONE: 4521-1565 PERMIT REQUESTED Irl-SEWER ? WATER -TAPS - COMMAND ? RESIDENTIAL NEW )?_ EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCIES: ;? , --- - OWNER:?i Z FiY?-t.L_ ?_ •. _ c le rJ is .4M , i? T-- ? r ADDRESS: J ??-- CITY, STATE ZIP -23 PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OR EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # > SEWER PERMIT # METER # B.P. RECEIPT # c- ` .,,.; READER # B.P. RECEIPT DATE ' METER SIZE ISSUE DATE ??. PRV - BOOSTER PUMP SITE ADDRESS LOT -J6LOCK -SEC/SUB APPLICANT: ADQRES'S: _ CITY, STATE PHONE: _ ADDRESS: 1959 SiirJ.ry,,.:_ CITY, STATE ? ""AA ZIP 5? Y. 2t j 52-? `?7 5 PHONE: OWNER: f-4 c. L L ADDRESS: CITY, STATE r? ?FZIP r? PHONE: - - ' r 1?, SEWER - WATER -TAPS PERMIT REQUESTED COMAA/IND _ RESIDENTIAL NEW _:"', EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: :. SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-0100 ?PERMIT , /3,4'30 Dote: Receipt No.: ? single Site Address: i lt? ? r'•'?F'?-E-'?f r„' Residential - No. " 71 Lot Block ? Sub/Sec. Multi Res., Comm./Ind. Nome +ev@II S7&i;:-?^r. e Address ? City phone: Name . ? , . ,-?; •. ?, ,g Address . . e 0 City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinonces. New/Aitec/Repair. Cost of Installation ? ..i? Permit Fee ' Surcharge Total done in accordance with all applicable State of Building Official CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8104 QT°I'IC & ?"T,- PERMIT Date: 5-24-70, Site Address: Lot 4581 rlzsenl.eaf )rive Block .11 Sub/Sec. SOiIItYJc'tk3 Nome Steven 9watism 3 Address ?314 O -0S4-1 !W; City Phone: t?".1.: J .f'• :i°'?21t',?13T?T Name . Address e 0 t] _• ' City ` Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. Receipt No.: y.4311 Single Residential Multi Res., Comm./Ind. I New/Alter./Repair Cost of tnstaitotion Permit Fee c- . . Surcharge ' Total ? done in accordance with all appficoble Stote of Building Official CITY OF EAGAN 3795 Pilot Knob Road ' Eagan, Minnesota 55122 Phone- 454-6100 T "ET-'F' PERMIT Date: 5-30-79 -15 4 Z. .`0, G?i Site Address: DTii7?.' 4 rxA*1'IDk14S Lot Block Sub/Sec. _ Nome 5iteven swav"n _ ` *Sft 3334 Cna.&mw? e Address _ 3 O ?i?^7! rY5? City - Phone: Nome . ? 1. 47 4>? Fa-,x-,?I-t -r'i' pll ? Address a F^7.- ?5 21 City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. 339 Receipt No.: 14450 Single I Residential I X Multi Res., Comm./Ind. I New/After./Repair Cost of Installation "^•', « 3? Permit Fee Surcharge Toto I done in accordance with all opplicable State of Building CITY OF EAGAN ,?•' 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-B10a PERMIT No 1428 "%4 Date: Receipt No.: 45?1 Drive 50t&1 Single "Z Site Address; Residential 4 3 I Lot Block Sub/Sec. Multi Res., Comm./Ind. `t ° Name New/Alter./Repair. ? l.t50 Glwe AVEz31le Add 3 ? ress Cost of Installation ct. ?au2 645-0331 City Phone: Permit Fee ;f'O. 'ric!!W1.{3C MA. Nome Surcharge . y8 Address -...r a:'_ ?-? . -:1^ -?1 City _ Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official , CITY OF EAGAN • ; 3795 Pilot Knob Road ' Eagan, Minnesota 55122 Phone: 454-5100 PERMIT Dote: ??? Site Address: "?3I f'ramlea-: nrivr' Lot 3 Block 4 Sub/Sec. _ sa1thoc-lys Name 1?bpven e Address 3 O City 'cacvH.*t ? .- .? ?. i . ?•: , - Cit Phone: ame ' )Crxiy lric' 2 Address ; 7? i b y AVE'. c City ? Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. I329 ?. : . Receipt No.: Single Residential Multi Res., Comm./Ind. ' I New/Alter./Repair. Cost of Installation " 1.10 ? Permit Fee Surcharge Totnl ? done in accordance with all applicable State of Building Official --- Minnesota State Board of Electricity - University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK$EtiUrti' WORK COVERED BY THIS REQUEST i?'-11z C?zz s? R 33815 Type of Building New Add. Rep. Check ap linnces Wired Fm Check Fquipment Wired Fot Home ? ? ? Range . ? Temporary Wiring ? Duplex ? ? ? Water Heatei ? Ligh[ing Fixtuies ? . Apt. Bidg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? 1 Silo Unloader ? Industrial Bldg. ? ? ? Air Condi[ionei ? Bulk Milk Tank ? Farm ? ? ? List List • Other ? ? ? Othexs Herc pthers Here COMPUTE INSPECTION FEE BELOW Seevice Entrance Size: # Fee Fceders& deis• # Fe Circuits: # Fce 0[u 100 Am s. 0 to 30 s o 30 Am eres rf, D 101 ro 200 Amps. M 31 to 100 f- r? o 100 Am eces Above 200_Amps. ? Aff s. Above 10 _ tve ] 00 Amps. Transformets Remote Control Circ. ialoro[herfee Signs Special lns ection mum fee $5. Remarks TOTAL FEE 1, the Electrical Inspector, hereby c?that e ins tion has been made. .A4/ SlJ (Rough-in) ? i Date L? _/?Z 7 r( ('rinal) • Da[e "Chis request void 18 months from This request void 18 monffis from Date of this Request ?-7 I, as RTicensed Electrical Contractor 0 Ow cal wiring installed at: 1-3 8 4--? R 33815 of the above electri- Street Address or Route No. Section Township Range County PA 14ft--v-o Which is occupied by Is a roughin inspection required on this job? No ? Y Yes C?. Ready Now ? Will Call ? Power Supplier/ /9-4 q- 'tnn Od_ 0O 019Address /?(Z- 1`7 6J-4, 6-7' O i[! -?' ElectricalContractorCdjNr"'*o?"_ on? ?`? ?? tractor's License N _ Compan ame) ?i Mailing Address -/Z-<? A-!> L" p-- Authorized rra. ME locQno QUTY inspection request will not 6e aecepted by the : Board unless proper inspection fee is enclosed. qIH)G- K-R JI,561 Mff-raa ? . . ? 'r`t?rlc ?} . j? ?', L 01-3270 Idg. Permit ,01-3422 Plan Check ? 013445 Surch./Adm. C ? 01-3446 SAC/Adm. .y 07-2155 Surcharge ? 75-3860 Road Unit ? 20-2275 SAC " 20-3865 Water Conn. T 20-3868 Water Trmt. ? 20-3776 Water Meter C) n? ?j 20-2252 Acct. Dep. '3b 20-3713 Water Permit I C ? ? 20-3743 Sewer Permit 79-3866 SewerConn. 28-3855 Park Ded. oI-3;)1 a, t e r64 V3inc? J 12.. cY? TOTAL (16, / DATE: 3/31/89 RE: 4581 V GRSEflLEAF DR.. L3, B4. SOUTA OAKS ? Your Sewer & Water Permit for the ahove property has been completed. It wiil 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 ihe above property cannot be completed for the (ollowing repsons: ? _ fYour Sewer & Water Permit for the above property has been compieted, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Piease pay for meter at Cily Hall. Meter size must be confirmed hy Bill Adams or Dirk House (Plumbing Inspectors - 4548100) 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 Inspeciions Dept. DATE: 3/31/89 , . . a RE: 4581 61 CRE6NLBAF DR., L3. B4, SOUTFI OARS xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Pubiic 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. - a:our Sewer & Water Permit for the above property cannot be completed for the foliowing reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City HaII. 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. CITY OP EAGAN . • 3795 WIM Kno6 Raod Eagen, MN 55722 N? 5110 PHONF: 4548700 BUILDING PERMIT APPLICATION tteceiat # r.. ?.. ..fe.? ?... SE' Dwlg & Garage F, v..,,,> 47,000. Dete 3-1 , 1y79 Site Addi Lot Block ' Sec/Sub. p,,,cei # 10 71200 030 04 rc Name St2V2n SddTISOn z Addreu 3334 Coackmian Road - r.... Fagan o?.,...e? c 0 Z °uu ? ? Nome "°' Address18 50 CcCID AVe. ,.,_. St. Paul 645-0331 Nume _ Addrcss I hereby acknowledge that I have read this application and state that the Information is iarrect and agree to comply with oll applicoble Stute of MinnesoM SMtut s-ad City af Eogan Ordinances. Signoture of Pertnittee ?- ?AZ Ered 30 Occupancy R-3 - R-1 Alter ? Zoning Repair ? Fire Zone Enlar9e ? Type of Conat. V 1 Move ? # Stories Demolish ? Front 68 ft. Grade ? Depth 26 ft. Approrek Fees Assessment Woter & Sew. Police Fire Eng. Planner Countil Bldg. Off. APC Permit 1J?•uu _ sui«na.ge 23.50 Plon check 66.56 SAC 525.00 Weter Conn. Total 823.00 A Building Permit is issued to: Steven S^ - an the express wndition that oll work shall be done in accordance wjt?t,all applimble Stot, of Minnewta Stetutes and City of Eagon Ordinances. Buflding Offielal ???Q??" ,.,,q BUILDINCs PERMIT To be used for DECK Receipt # Date JliNE 30 Est.Value $1000 19 87 Site Address 458Vr GREENLEAF DR W Lot 3 Block 4 Sec/Sub. SOUTH OAKS Parcal NaAI]IIRF.,'.?' C`.I-IANrF -1P/n; 3lName MICHAEL SCHMIDT ,TR I Address SAME o City phone 456-0312 .p Name SAME 435-6627 (KAREN) ?Q Address ? CityPhone W W Name zo Address a w City Phone I heraby acknowledge ihat I h4e/ead this State of Minnesota Statute CRy ofEa Signeture of Permittee ? A Building Permit is issuad to: MICHAEL all work shall be done in accordance with all apF Building Official OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type M Const Ciy Water _ (Actuaq (Allowable) # of Stones Length Depth S.F. Total Footprint S.F. APPROVALS FEES Asaessments _ Permit 22.50 watedSewer _ surcnarge .50 Police Plan Review Fire _ SAC, City Engc _ SAC, MWCC Planner _ Water Conn. COUncil _ Wa[er Meter BIdg.OfE _ Road Unit APC _ Treatment P7 ? iflnce _ Parks ? Copies TOTAL $23.00 on the express condition that nnesota qles anc?¢iryjof Eagan Ordinances CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PH ON E: 454-8100 and sfate N_ 13842 L-:? 9/o- co 2007 RESIDENTIAL SUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenis 3 registered sife surveys shuwing sq. ft. of bt, sq, ft ot twuse; and aq roofed areas (200/o maximum lotcovera9e allowed) 1 Soils Report if proposed building Is to be placed on disturbed sal 2 copies of plan shovnng beam & window sizes; poured found design, etc. 1 set of Eneigy Cakulafions 3 apies of Tree Preservation Plan rf lot platted after 711 193 . Rim Jdst Detail Options selection sheet (6uildings wBh 3 or less units) Minnegasco medianical vemila6on fortn RemodeVReoair ReauiremenGs Office:Use.OnN 2 copies M plan showing foolings, beams, joisfs Ceit oi Survey RerrJ _Y -N 1 sN of Energy Calcula6ons for heated addibons Soils Report : _ Y _N 15Ae survey far addi6ons & decks Tree Pres Plan RecU _ Y _ N, Adaon-irM(cateifon-sifesepScsystem TreePresRequired: Y _N On-site5ep6c5ystem _Y _N Plnnc mrn rnnciAnrarl nnhlir infnrmatinn iinlpQ? vnii ctatP thPV are trade secret and the reason. ? Aate ? o7 ction Cost ? ?'b? Constru i Site Address I Unit/Ste # Description oF Work Multi-Family Bldg _ Y_ N Fireplace(s) 0 _ 1 _ 2 Property Owner D? cy ,7f,a/ ? 7?-A ??'? 1 bT Telephone #( ) Contractor iqC*6Y11X??-74? Address Qty State 4 V Zip Telephone#(65I) 4-0 `2,4? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/water Contractor T herehv annlv fnr a Residential Ruildine Telephone # ( Telephone # ( Telephone # ( that the work will be in c formance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand s' not a permit, 6ut only an application for a per t, and work is not to sta,rJ-without a permit; t t the wor will ordance with the approved plan in the ca of work which??a review and approvall City of Eapn 3830 Pilot Knob Road Eagan MN 55722 Phone:(651)675-5575 Fax: (651) 675-5694 -- ---- ; NO ????P ? I Permit#: I ? PermifFee:? I ? Date Received: I ? Staff: ----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: IZ L-GA Site Address: Li??? W? le-q -P? _ Tenant: Suite #: RESIDENT/OWNER Name: Vi ?)r CA (,(,ri( Phone: ll??l-SBlJ(??? Z-6 43 E Address / City / Zip: I "aa , .J CONTRACTOR Name: License #: r ;i_3!?5-13^0 Address: City: Eagan.Mivti5123-1339 Sate Zip: Phone: Contact Person: il I 50i e?) TYPE OF WORK _ New VReplac ment Repair Rebuild Modify Space _ Work in R.O.W. Descri tfon of work: ? wakii- eQi PERMIT TYPE RESIDENTlAL Y__ Water Heater _ Water Softener Lawn Irrigation Add Plumbing Fixtures L__ RPZ /_ PVB) (_ Main _ Lower Level) Septic System Water Turnaround New Abandonmen[ RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $-so State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) F rb ? TOTAL EES $ i nereoy acnnowieage tnai mis intormatlon is complete and accurate; thal the work will be in conformance with the ordinances antl 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 statl without a permit; that the work will 6e In accordance with the approved plan in the case of work which requires a review and approval of plans. x ???4? l?- NI?IX Ap canYsPriot?me Aoulicant'SSi .. . ?? .a!._?-.. 3 ,fv *dtV oF eagan PATRIC[A E. AWqDA Mayor PAULBAKKEN PEGGY CARISON CYNDEE FIELDS MEG T'[LLEY Cauncil Members THOMAS HEDGFS CiryAdminiatrator Municipal Cen2er. 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.681.4600 Fau: 651.681.4612 TDD: 651.454.8535 Maintenance Faciliry: 3501 Coachman Poinr Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 vnvw.ciryrofeagan.com "CHE LONE OAK TREE The rymbol of strength and grow[h in our communiry December 18, 2002 M5 DAWN KLINE DAKOTA COUNTY ASSESSING SE1tVICES 1590 HIGHWAY 55 HASTINGS MN 55033 RE: DAKOTA COUNTY WEBSITE REAL ESTATE INQUIRY SCREEN Dear Ms. Kline: Please make the following changes to the Dakota County website and all Dakota County records as needed: PID # Correct Address 10 71200 030 04 4585 W Greenleaf Dr Owner Michael Schmidt Jr. If you have any questions, please call me at 651-675-5695. Thank you. Sincerely, ? ? anice D. Severson Office Supervisor cc: Mary Ann Olson, Special Assessment Clerk Erik Slettedahl, GIS Technician ADDRESS CHANGE REQUEST DATE: FEE: $50.00 EXISTING ADDRESS: ??fl w?iceea C eti ? J2 ?<<??„ , NEWADDRESS: (,zte.?llY=J LOT 3 BLOCK ?' PLAT NAME Qklto REASON: Z 'Pauscs 5? ? e C?CI d szess ?oree.? S?h?-,•ol?- PRINT APPLICANT NAME SIGNATURE CD/FORMS/CHANGE OF ADDRESS ADDITION Page LOT BLOCK ADDRESS 11 chv ?-i S? S ?r?e.e? I eu-?- 82_ (A.J W V vw? 1"? O?? ? )(/Y G f lv aY' f?- ?C)V-d? vk sc,C? o 31Z fomu.bld/address.es INSPECTION RECORD CITY OF EAGAN PERMITTYPE: BuiLozNs 3830 Pilot Knob Road Permit Number: 023804 Eagan, Minnesota 55123 Date Issued: 0 6/ 0 6/ 9 4 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 3 BLOCK: 4 4581 GREENLEAF OR W SCHMIDT MICHAEL SOUTH OAK3 (612) 456-0312 PERMIT SUBTYPE: TYPE OF WORK: 3F Ap0ITI0N NEW INSPECTION FOOTING5 D. . FRAMING .. INSULATTON FIREPLACE FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F- L ? PERMIT y CITY OF EAGAN -? \ 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 RECEIPT #26762 RECEIPT #28167 PERMIT TYPE: Permit Number: Date Issued: 06/06/94 06/21/94 BUILDING 023804 06/06/94 SITE ADDRESS: ? 4581' GREENLEAF OR W LOT: 3 BLOCK: 4 SOUTH OAKS ADDRESS CHANGE 12102 DESCRIPTION: Building'-Rermit Type SP ADDITIDN §uilding Wor-k Type NEW ? . / ?f 0? i -"r. ? L c? REMARKS: SEPARATE pERMITS ARE REQUIRED FOR ANY PLUMBING OR ELEC7RICAL WORK FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Subtotal $549.50 $357.18 _ $40.00 $946.68 $80,000 SEWER PERMIT $50.00 SEWER SURCHARGE $.50 Total Fee $997.18 CONTRACTOR: OWNER: - Applicant - SCHMIDT MICHAEL 4581 GREENLEAF OR W EAGAN MN 55123 (612)456-0312 I hereby acknowledge that I have read this application and state that the inPormation is correct and agree to comply with all applicable State ofi Mn. ? Stetutes and City of Eagan Ordinances. I APPLICANT/PERMITEE SIGNATURE UED :51 ATURE 1? ' CITY OF EAGAN 231 o 1994 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. nalty applies: 1) when permit is typed, but not picked up by last working day of month F e i n which request is made, 2) address is changed or 3) lot change is requested once permit issued. Date Valuation of work Site Address:_ w- L cti.E"- STREET SUITE # Tenant Name: (commercial only) LOT BLOCK ? SUBD. j?Gjj P.I.D. __._, • , 4 Descri tion of work: QJ?t ' The applicant is: ? Owner ? Contractor ? Other (Describe) Name Sc h n, (1'1;c l, *_e ? ?Phone'M •- c) 3i Z Property LasT FIRST Owner Address y5 t,") , ?ee? STREET STE # City State Mti1 Zip Company 15 Gm-C Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State 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 with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Si f A t li gna ure o pp cant: ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance P Footing 19 Final 13 Framing ? Draintile -77 7 o/ i 2 Insulation ? Fireplace Permit fee vetuac;m: Surcharge IIs?,( Plan Review 7 iy License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit a`;r?id: pGD S/W Permit S 7??y? . ! yy 1 /W Surcharge ?10 ? Treatment Pl. f/p y,i- S f Road Unit ? Park Ded. -?- Trails Ded. Copies Other Total: SAC % SAC Units ? • V fi ? ya .? y? ?? ? LM(_ ? "_Z??L ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments ?-z z A- •s. s = 3 y/ 4- iC ?- ?- ?-- ? >> ? ? ?2_ ,\ MOB csalirtull Mo SIGMA SURVEYINCi 3ERVICE3 INC. 19', l Seheca fbad -5w }e E Eapen. MYwweoto 55122 Phane: (812) '?^•3077 Mr. & Mrs;. MIKE SCHMIDT 4581 w.Greenleaf Drive Eagan,ilN. N4,QR Sca ? -`fo` \ ?'. ? GRBEALBgF _ - ? . ?y6s R' " EY;:}:,? I House ?3r sz.` ?p\ 41h 4? ? J1 ? I ' h?- ? ( '• \y.r , Gdra]i,?° Exitfl-'i i ; House , w / Jb' ? ITkN ? ='r9= . tiNOZ,.??/ g? . \ °r" Lor ? ? ?/ • ?rp?a??9e $3003' 38?? W --- :_. I),- / LEGEND- o o Denotes Iron Monument a Denotes Wood Hub Set f2y.qy ?=116:?Z? ? ? ?? ? Sef4u?1( l:wG io'• 3µ t Z?3 31 ?S .? qr \? ? ? , ? ? n ? r ?1 i ? •S ? ? ? ?. ? 0 I I *NOTE: Verify all Bldg. Dimensions and ^ Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- Lot 3, Block 4, SOUTN OAKS, according to the recorded pl at ther;Da'kota, County, Minnesota. ''"' ` •? ="`'?` -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. 5 - ? ?0 Date: ?7 Iq ? Wayne . Cordes, Minn. Reg, No. 14675 MINNESOTA STATE ENERGY CODE CALCULATTONS , BASED ON CHAPTER 5 OF TNE ? p?,Z?? MODEL ENERGY CODE - 1983 EDITTON f Adoption Effectiva Owner 5 G/I d1Z !C?4 Phone Date Site Contractor Building Classification: Type A1 (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (OVer 3 stories) (Other) NoTE• Complete gagps 3 Ana d f{ys}, GENERAL INFORMAmrnN y? ?0 1. Building Perimeter ft. ?i 2. Wall height (ground to eave) 3. 1. )f 2. (above) qross wall i area l0 ? sq.ft. 4. Building dimensions (L) - X(W) = Ilt?? sq.ft.roof & floor area 5. 5q. foot area of rim joist - Floor joist size (2 X ?/-_1 ) V.q X 23•7, (Perimeter) _ ,3(?Zsq.ft. 12 • 6. Doors - Area 134 Thickness in U. factor.J4 4,47 Type of Construction Perlmeter ft. Manufacturer 7. Total door's perimeter ft. B. Windows: Manuf cturer kzLL State approved U factor ?3 TYPE SIZE AI2EA (Sq.Ft.) NUMBER OF TOTAL ?,!.t, l;??(??,? fj?'7,?,??r.r?? EACH UNITS SQ FEET w ? rY 9. Total sq.ft. Glass T14? 10. Fireplace area: Width X Heiqht = X = sq.ft. 11. Exposed foundation: Height X Perimeter •(a7 X144_=q (z,,?) sq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAH THE MINIMAL CODE ALLOWANCE, IS USED. -1- 12. Framing area = 10$ of qroae wall area. 13. Gross wall area LiLI f V sq.ft. Window area A_YQ&_sq.ft. U windows Ne9 Rim joist area A 1J0Z sq.ft. U rim joist= , p / Door area A S`r sq,ft. U door area= .14 Other doors area &-P-sq.ft. U other doors= ,4 / Exposed fndn A ql? sq,ft. U foundation=,n? Framing area A '6 sq,ft. U framing area- 5 Net wall area Ai/&sq,ft. U wall= tL'=t % (13B ) TOTAL . . . . . . . . . ?9?- zZz UxA = & 0 UxA = UxA = ? UxA = ? UxA = UxA = ? UxA = ?f UxA = 14. Gross wall area x 0.11 (A-1 ainqle family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (other buildinge) x .28 (OVer 3 atories) C BTUH muet be lar er than or same AZO 6!7 x U Code oF. as 13H above 15. Ceiling framing area (Af) equele 10$ of ceiling area 15A. Gross ceiling area =(L) -" x(W) J =.1ID4_sg.ft. 15B. Joist area (Af) = 10$ ceiling area sq.ft. 15C. Net ceiling area (Ar) (15A - 15B) sq.ft. U ceiling x Ac _ ?«/ x,OZA- = ZZ U framing x A = 04 x,D 3 ? 3 15D. TOTAL U x A f ..... .............:.......... ZS 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/?ode x 0.033 (A-2 other reaidential) x 0.06 (other) IjJ`T' DZcG? ? BTUH must be larger than or same A(15A) x U Code o _ °F. as 15D above NoTE: Use U arnl A velues obtained from paqes 1, 3 and 4. CERTIFICATIQH: I hereby certify that I have calculated the "Ull factors and "R'I values here.Ln and that the buildinq here described meets or exceeds the State of Minnesota Energy Conservetion Act. Date 9lgnature -2- PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 • Permit Number: 028491 (612) 681-4675 Date Issued: 0 g/ 0 7/ 9 6 SITE ADDRESS: s' 4581 GREENLEAF OR W LOT: 3 BLOCK: 4 SOUTH OAKS P.I.N.: 10-71200-030-04 ADDRESS CHANGE -12102 DESCRIPTION: (R00FING) Buiid'zh?}.,Permit Type Buzlding 41gKk Type Censua Code??". V?a p? STORM DAMAGE REPAIR 434 ALT. RESIDENTTAL x ^? s l..! _... REMARKS: FEE SUMMARY: GVIVIMAI:IVFi: - Applicant - ST. LIC.DWNEH: HORIZON ROOFING 18903400 2001279 SCHMSOT MIKE 1333 LARC ZNDUSTRIAL BLVD 4581 GREENLEAF DR W BURNSVILIE MN 55337 ERGAN MN 55123 (612) 690-3900 (612)456-0312 I hereby acknowledge that Z have read this application and state that the informatiAn i.s correct and agr:ae to camply,with ali applicable State of Mn. Statutes and Cityof Eagan Ordinarfces. L " I APPLICANTlPERMITEE SIGNATURE Afk? &.11 w- ISSUED BY: IG TURE CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVReoalr Reovirements ? 3 reglstered site surveys ? 2 copies of plan ? 2 aopks of piana (Indude beam 6 window sizea; poured fid. design; etc.) ? 2 sile surveys (exterior additions 8 dedcs) ? 1 energy calculaliona ? 1 energy calalationa lor heated addNions ? 3 copies of tree yiesenation plen if lot platted after 7/1/93 required: _ Yes _ No -57-6e/-C DATE: 6y - /" 9,(b CONSTRUCTION C05T: y) v Uo 'C?' DESCRIPTION OF WORK: ?-?? CYQ?•F'- CrpJ, STREETADDRESS: y?g? ? • C°'C?L?c? Z)e?tJe LOT -5 BLOCK ? SUBD./P.1.0. #: ?dL111.`L? PROPERTY owNeR Name: /"( i /5.'e 3ch.4%4 & Phone #: wr rms* Street J ?, Gl-ce oL.ec.,6 D.e.)?e CONTRACTOR ARCHITECT! ENGINEER State: City: (Flay°YI State: /-/^f Zip: Company: Ael?z60??7109 Phone#: L(96-,:D0? Street Address: /.3? ?6z?c? License #•-2024i 7ys City: 6u1-1z3cj0e State: 7966 Zip. ??7 Company: Name: Phone #• Registration #• Street Address- Ciry: Sewer & water licensed plumber: change are requested once permit is issued. Zip: Penalty appiies when address change and lot 1 hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with ail applipble State ot MinnesoW Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No 1987 HIIILDING PERMIT 9PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLING-------- INCLDDS 2 SETS OF PLANS, 3 CERTIFIC9TBS OF SORVEY, 1 SET OF ENERGY CALCOLATIOBS HOTE: ADDEESSES FOR COHNEE LOTS - COATRACTOR/HOMEOiiNER MQST DESIG8A2E WHICH ADDRESS IS DFSIRED. NO CHANGES iiILL BE ALLOWED ONCB SUILDING PERMIT IS ISSDED. MOLTIPLE DiiELLINGS - RFSIDSNTIAL RENT9L DHITS FOR S9LE OHITS INCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF SDEVEY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS W@MRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, > o $2,000 LANDSCAPE BOND To Be Used For:I)r-L1-- Valuation:? 0 0, ? Date: Site Address ? Lot ? Block r\n. ?0 On Site Sewag MWCC System On Site Well City Water DSE e Oceupancy Zoning _ Type of Const _ (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. ? Pareel/Sub Owner I ? l? (?Yn f-12)C ? _ ? .'h-t^?,• y-,VJ ^ Address -1STI W C-3Z CQ.h? Rf?-F PT' City/Zip Code ?n?z phone -(e'(?)?' 17•-d? ? ? A„PARI?P.C . ? ' Contractor Address City/Zip Code Vt, Phone 4, / 2- r Areh. /Engr. ?i C,A 5eh ,? .e?71 Address City/Zip Code (?lti _ Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Varianee Phone # Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOT6L ? 7,), 1ecK ?l`Ze_.- ?d` x 20 J oi stir S ? 22 -?? x I o - S??c +v?? Z. ce.nTt.et. I (s?ac ?? ? C ??) v?c?a9 T 2 -?/ C eA-Z, J c T, y , t + (9? ?'-f.? l? i!) ca r c ?p s-C -4 (yJ`o\ Ckp ??)av?) d ??, - 2 ` 2 g ???? DATE BCIi.DItiG PERMI'C APPLICaTIO\ Include 2 sets of plans, 1 site plan w/elevations and 1 set of energv caicuations. To be used for SjNL, LE /=/}MIL`[,(h (??on?'?, DOCa Site Address: 45 V i ?-? EEffN LC/C} F p Zl Z(? tot Black Sec./Sub. 3 -4 Sov rN 0/+KS Owner -57'P-7Vk7N SVV.4N50I-I Parcel `ur:ber //) 7/apQ (> -t3o dy NoMt 959-I5?5 Telephone WC_?!.j - 7,3 O O Address l' 7 14MA)-4 ZC) ,?z4 AL4 1, M1L`U?k Contractar S U S S E L Telephone -9s- [) 3 3l Address Arch/Eng. Telephone Address nsvrrr t*cr nAnY Erec[ Y Alter Repair Enlarge Move Demolish Grade Date of A roval and Initial l• Assessment ? 7 Water/Sewer Police ?.? Fire _ Engineer Planner Council Bldg. Off. A.P.C. Occupancy Zoning Fire Zone Type of Const. 0 of Stories Front Depth Fees Permit Surcharge ,0 Plan Check 4 6?7 SAC Wa[er Connection ? Water Mneter y.? TOTAL ? ? • ' LxrsI itoi; LNVELOrE' MaRio;r: "u,. coMru'rnI'ioN OWNER STEVEN SLt?W/JypAl SITE ADDRESS E14 G 104 CONTRACTOR S'v ss EL C p, DATE I-14 - 7 9 PHONE Determine working square footage of each, 1. Total exposed wall area...... I (r,SS sq, ft, x .185= 3o&,1R 2. Total roof/ceiling area...... 1l44 sq. ft, x .04= 45.7(n Total exposed wall area above floor- LLZ,p a. b Total T t l wall window area ................................... d tZ s,) . c o a T t l oor area........ ........................... i i • 3?. 7 . d o a t T l s d ng glass door area ............................. ? p. p . e o a T t l fireplace wall area......... ,,,,, , ? , f o a T l wall framing area (average 10%),,,,,,,,,,,,,,,,,,,, • 91 y Z , ota t l T net wall area above floor ...............•••......... i pZl Zg g. o a r m joist area...................... • ............... !3 7.Z Total exposed foundation area= 44004'? 35).J ! h. Total foundation door area ............... .......... .. i. Total foundation window area (includes sliding doors)..... S 3?`T7 j. Total net foundation area above grade ..................... l41. A k. Total wall framing area (average 10%)........e............ ?allr{? Z O 4 Z 1. Total net wall framing area......•••.............•••.... l81. 51 Determine "U" value of each wall segment a. IZS.! X'•U" .SZ = G2.Ss b._ 37.7 g••U?? -14 = S.ZS ?• 3s.o x??u?? .$z = l9.7G d. X,.U" e. 9f.9Z. X„U- .13 = 11.9S f._ 82T.Z8 g••U••_ .07 = S7.91 B• 137. Z X•,U" .07 = 9.G h. I X"U" - i• 53.47 X"U„ ,S2 = Z8.OG J• 141. F x„u" . 4 7 = bb.br k. zo.9s x,,U,, ..s 13 = Z,)2 3 ...........................................Tota1 = Z, - 77_bG If item l/3 is the same as, or less than item ldl, you have met the intent of SBC 6006 (c)2. ° Total.exposed root/ceilinp area = • 1 es. ,.' m. TotaI skylight area....e ........................... n. Total roof ceilin framin area avera e' / g g C g 77) . . . . . . 80 .OA o. Total net insulated roof/ceiling area .............. /n G3_q i Determine "U" value for each roof/ceiling segment. M. X"U" - ? • n. SD-OR g..U,. .1i7 = r'7.3? . o. 106g.9'!, x1.U., ,03z = 34.oS' 4 .................................Tota1 = 4 1.4 2 If total of fi4 is the same or, less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum , of items 413 and #4 shall not be greater than the sum of item 4t1 and #2. ? 1. + 2. 3. + 4. _ . -' Ceil.,_Frame R 9" Insulation 1- Interior 1lir Film •67. 1 - Interior Air Film r- 2- Y" Sheetrock .45 2 -;" Sheetrock 3- 5z" Soft hbod 6.87 3 - 9" Insulation 4- FXterior Air Film .61 4 - Exterior Air Film Thtal R 8.54 7bta1 R 7bta1 U .117 ' Zbtal U 3 3 -? ? Frame Wall R 3 1- Interior Air Film .68 2 2 - ;" Sheetrock .45 " Soft V7ood 4.35 3- 3; 4- 1;" Fiberboard Sheathing 1.22 5- 7/16" Med. Dense Hclbd .67 5 6- Exterior Air Film .17 Thtal R 7.54 4 13 Thtal U , . 3 Insulated Wall R 1 - Interior Air Fi]m .68 2 - Y" Sheetrock .45 3 - 34" Insulation 11.00 " 4 - h Fiberboard Sheating 1.22 5- 7/16" Med. Dense Hdbd .67 6 - Exterior Ais Film .17 Thtal R 14.19 Zbtal U .07 Rim Joist R I t re'i nor Ais Film .68 2 - Insulation 3Y" 11.00 1- l;" Soft hbod . 1.88 L 3- 7/16" Med. Dense IJbd .67 E>cterior Air Film .17 ' Ibtal R 14.4 Total U .07 R .61 .45 30.00 } .61 o m 31.67 Z z .032 a J ? ? 0 Tl, fl u I a w L ? w w .: o ac Q . N 0 w w O K ? a a O Z U ? ,J J ? Q w M a ? M y C/) O > ? LS') W o Cfl z W ° = o }'- m i 1-A Conc. Blk. Uninsulated 1bta1 R 2.12 7bta1 U .47 A 1-B Conc. Blk Strippirig & Styrofoam 3/4" & ?" Sheetrock 9 Total R 6.7 Total U .15 LL ? o ? (D v ? w w ? J J W r Q W 1- Vu1 N 1 w I. Quantity ANIDaZSON WINL)UW UNITS Unit Sq. Ft. Sash R Ope.ninq ' Basa't Unit 3.11 1.85 .54 G-336 9.75 1.85 .54 G-436 12.6 1.85 .54 G-536 16.8 1.85 .54 G-44 14.7 1.85 .54 G-54 19.8 1.85 .54 G-64 22.4 1.85 .54 G-55 23.3 1.85 .54 G-65 27.5 1.85 .54 G-805 37.5 1.85 .54 Patio Door 6068 38.0 1.85 .54 41IN3 5.98 1.85 .54 W2N3 12.42 1.85 .54 W3N3 18.86 1.85 .54 W4N3 25.30 1.85 .54 W5N3 31.74 1.85 .54 W1N4 7.87 1.85 .54 W2N4 16.35 1.85 .54 W3N4 24.84 1.85 .54 W4N4 33.32 1.85 .54 W5N4 41.80 1.85 .54 W1N5 9.79 1.85 .54 W2N5 20.33 1.85 .54 W3N5 30.88 1.85 .54 W4N5 41.42 1.85 .54 WSNS 51.97 1.85 .54 WX2N3 13.75 1.85 .54 WX2N4 17.93 1.85 .54 * WX2N5 22.51 1.85 .54 2832 8.4 1.85 .54 3032 9.5 1.85 .54 2846 12.0 1.85 .54 3046 13.5 1.85 .54 3446 15.0 1.85 .54 18-4446-18 34.5 1.85 .54 Pease 3" x 6$ P 2$ $ 20. 7.10 .14 ease x 6 17.7 7.10 .14 Side Lite 7.7 1.85 .54 U Lin. Ft. Crack w a 0 *NOt $t3ri(jc3.Yt3 ? 0 8'-0" I 9'-4" 10'-4" 11'-4!' 1- 11'-4" 12'-4" 13'-4" ].4'-4" 15'-4" 26'-8" 18'-11" 10'-4-3/8" 20'-8-3/4" o w w ° ? ? o °a w < (D i 51'-9-7/8" V ? 12'-4-3/4" ? 24'-9'?" 37l -Zq" 41L1 M d J 49'-7" ? 0 N 61'-11-3/4" ` 14'-5-1/8" ? ? Q 28'-10V" ? (D Wlt ? 43'-3-3%8" W 0 57'-8V 721-1-5/8" o 21'-6-3/4" 25'-7V 29'-8;" 13'-11" " 14-11 . ? 16'-7" ' ? p 17'-7" 18'-7" ? o 27'-2" ? 19'-4" 18'-8•' . 15'-8" w t w ? : 1- U N S U1 :f ' e CITY OF EAGAN SEWER & WATER CONNECTION CHARGES - 1989 E%ISTING PROPERTIES SEWER CONNECTION CHARGES WATER CONNECTION CHARGFS 5AC ,/ $ 675.00 WATER COMNECTION $ 580.00 Previously Pd.?` -'-,J `7? Previously Pd. Heceipt Ik s ! ^ -7 9 Receipt # ? ACCOUNT DEP0.SIT 15.00 ?WATER METER 90.00 V 5EWER DEPQSIT TOTAL: 10.50 VTREATMENT SORCHARGE $ 700.50 i/ACCOUNT DEP0.SIT //WATER PERMIT PLUMBING PERMIT TOTAL: TOTAL FOR SEWER & WATER HOOK-UP: $1,636.50 228.00 15.00 70.50 12.50 $ 936.00 o? OFFICE USE ONLY PROPERTY OWNEA: ADDRESS: ? g c w. ? L:` B: 1 ADD: So ,L-6-VQ-0 ? ? ????/'? ? AAIVER-OF HEARING OF SPECIAL 9SSESSMENT City Pro3ect No. 536 I/We hereby request and suthorize the City of Eagan, t+al (Dakota Co.) to assess the following described property owned by me/us: Lot 3. Bloek U. South Oaks 9ddition for the benefit received from the following improvements construeted under City Projeet No. 536. Said assessments hane been preliminarily computed as follows: ITEM QUANTITY RATE AMOONT PRDJECT Sanitary Sewer Lateral Watermain Trunk Area Watermain Lateral Services Storm Sewer Street 1 ea/lot 3,943.00 $3,943.00 536 1 ea/lot 655.00 655.00 536 1 ea/lot 30252.00 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 9% against any remaining unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby waive notice of any and all hearings necessary, and waive objeetions to any teehnical 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 greement Dated: 0+12--sd ?qg? <, < chael Sehmidt, Jr. ST9TE OF ) j] COUNTY OF ))SS On this 50 T!-/ day of within and for said County, personally appeared me personally lmown to be the person descr be foregoing instrument and aelmowledged that ? ¢.+i,r free act and deed. ?? - -------------------------------- ------------- Sl MAAIIYN L WUCHEPPFENNIG NOTAHY PUBLIC - A1IYNESOTA DAKOTA COUNTY ily Commission Exp fen 8, 7993 before me a Notary PublieS? VA?G /s. S,#-s1 !w /OT to in and rrho the same as Fagan Public Works Direetor ,SEWER CONNCCTION CHARCES; SAC ACCOUNT DEpOSIT ,n-J. SEWER PERMIT TOTAL FOR SESdER HOOK-lJP WATLR CONNECTION CHARGES: WATER CONNLCTION P]ETER TREATPiENT SURCHARCE ACCOUNT DrpOSIT 1JATER PCI2MIT PLUhBING PLRPIIT TOTAL FOR IJATER HOOK-Up TOTAL FOR SLIdLR & {dATER HOOK-UP Ll C'} C± t bso.oo - -U 15.00 10.50 675.50 ? , ?.: C? 550.00 l? ?i .. - / . 67.00 204.00 ? C 15.00 ? Z 10.50 12,50 859.00 / r / MINIrNM PLllpIDINC CHARCE FOR COMQfERCIALS - 20.50 ? ._S7. 534 so ? ,- ? ? Jlf t J ? ; cr PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNTT. NEW CONSTRUCTION ADD-ON FURNACE ? DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDTTIONAL 50 M BTU 6.00 GAS OUTLETS (MirrnvtUM i @ S3.00 a,a,cx) ADD-ON/REMODEL (Exis'['[tvG CoNSTituCt'toN) $ 20.00 STATE SURCHARGE .50? TOTAL qDDRESS CHANGE -12102 .5' SITE ADDRESS:_yS?/? l-'>Q OWNER NAME:cha TELEPHONE #: YSw -b 312- INSTALLER: 5,f/ f ADDRESS: S.n? e CI'1'1': STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE 1994 MECHANICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAPi MN 55122 (612) 681-4675 < ' SITE SHGVV-r;R WATER CLOSE'T BATH TUB LAVATORY KTI'CHEN SINK LAUIVDRY'TRAY HOT'TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OLITLE'I' • ?imum - a ROUGH OPENINGS _ WATEE2 SOFTENER PRIVAT'E DISP. • nekcn.; iic U.G. SPRINKi :FU . b=e ,,nda oona. ALTERATIONS • to cmtme WATER TURN AROUND STATE TOT.AL: tt? n sr/ruc .?-- < . ' ,? - PHONE>#: ((? ?Y) ?GI ? " ?? (?-. . . ?. .. . . 1994 PLIIMBING PERMIT,(RESIDENT7AL) C1TY OF EAGAN . 3830 PILOT'KNOB :RD EAGAN MN 55122 - (612) 681'4675 COMPLETE FOR SINGLE F?.MILY DWELLINGS. ALSO, FOR TOWNHOM+FS:=:AND.:'? + WHEN PERMITS ARE REQUIRED FOR EACH UNIT. _ ZIP CODE`t OF 3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOMQUiST EAGAN, MINNESOTA 55121 Moyor PHONE: (612) 454-9700 THOMAS EGAN JAMES A. SMITH L ?? JERRV THOMAS THEODORE WACHTER Council Members JUly 6, 1984 THOMAS HEDGES cdvaamw:nar« EUGENE VAN OVERBEKE Qry Clark MS. PATRIC??-jA C. SWANSON 4581 SOVTFNGREENLEAF DRIVE EAGAN, MN 55123 Dear Ms. Swanson: This letter is in response to your letter of June 27, 1984, sent to the City by certified mail. Mr. Hedges, Mr. Colbert and the City Council are aware of the situation you have outlined in your letter. It is the position of the City that it would not be appropriate to request anything of the City's insurance company at this time, consequently your requested course of action will not be followed. I am not in position to say what additional action may be taken by the City. Mr. Hedges, Mr. Colbert and the City Council will make that determination. Sincerely, E. J. VanOverbeke Director of Finance/City Clerk cc: VTom Hedges, City Administrator] Tom Colbert, IIirector of Pub1iC Works EJV/sl THE LONE OAK TREE. .. THE SYMBOL OF SiRENGTH AND GROWfH IN OUR COMMUNIIY ,c.3 '6 5; *9?? D? OF 3795 PIIOT KNOB ROAD, P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 Decenber 9, 1982 PAUL HAUGE CITY ATPORNEY FAGAN MN 55122 Re: Ponding Easements £or Project 326 Dear Paul: BfA BLOM9UIST Mava Tl4OMAS EGAN JAMES A. SMITH JERRV THOMAS THEOOORE WACHiER Cauncil Members THOMAS HEDGES Gity AtlmiNShofw EUGENE VAN OVERBEKE City Clgrk Trans[nitted herEwith are originals of the above signed by the a£fected property aaners. [Vould you please see to it these docments are duly recorded with the Dakota County Recorder as soon as possible. If you have any questtons or ooncerns regarding this matter, please do not hesitate to contact rre. Sincerely, C 64i.? ? Richard P4. Hefti, E. Assistant City E,hgirieer RMH/jach encs. c - Contract 82-1 Parcel files THE LONE OAK TREE. .. THE SYMBOL AND GRONRFi IN OUR COMMUNITY 4 ? rorrr:h; a.H^ t;Tir.TT^r F,A.StPiPNT ,s82 THIS' 1NDENTURF., made and entered into this 5 27- d a y of 1982 , hy and hetween Steven C. and Patricia C. Stvanson as Grantors and the City of F.agan, Uakota County, htinneso[a, as Crantee, . WITNESSETtI WIiEREAS, said Grantor s)d43/are the owner S oE the tracts of land in the City of Eagan, Dakota County, Ptinnesota legally descriUed as follows: See Exhibit "A" NOW THERETORF, the said Crantors , in consideration of One Doliar ($1.00) and other good and valuable considerarion to t.hempaid by Grantee, receipt wheteof is hereby acknowledged, hereUy gran[s an easement to the above premises to said Crantee, its heirs and assigns, for permanent lake and ponding purposes, including the normal practice of filling with water the above described premises from storm sewer runoff, and for utility line purposes. The Crantee sha11 have [he right to do whatever is necessary for the enjoy- ment of the rights herein gran[ed, including the right of clearing the easeroent area to allow tor the use of the land as s[ated herein and for ingress and egress to and from said tract of land and over and across said easement only for the purpose of laying, maintaining, operating and repairing said utllity lines. And the said Grantor_$_, fortbQmse??, their heirs, executors, administrators and assigns do hereby release the said City of Eagar:, its successors 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. Sy acceptance of these easements, the Grantee agrees that it shall restore the property located outsi3e 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 understocd that the Crantee, its successors or assigns shall waiver and release said 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 subject to such special assessments, as have heen levied or may hereafter be levied. IN WITNI?SS WHEREOr, the parties hereto have hereunto set their hands and seals the day and year first above written: In presence of CITY COUNCIL CITY OF RACAN t___ .. , Grantee Attest: O(j, ay,l?? I" lerk u... w?J? S e n C. b on, u?sanT! ?rf.?'e?.a.. C? . ?I-i??-?._. Grantor Patricia C. Swanson, Wife EXEMPS FROM STATF. DEF.? TAR STAMP s . , STATF. OF MINNi:SOTA j COUNTY OF DAKOTA y ss. On this 61?f- day oE 19 , before me a with nd,?:qr sa?.d County, personally appeared ' d ?L?,1 ?[o me known [o be the and of the City of Gagan, and who execu ed the foregoing instrument and acknowledged that they executed the same as their free act and deed. •nnnnntiw???„t?,..? ..... ,. .,?_;.n?.nn, 5 . , ?.. ...,,,. tr?! ?Gi. •,N ,Y A4YCommissionExeires;r`,arch. 12,19E3 ? ? YWVVWIAV"?`,^,'h'rM W WY W vwwvW vv a STATE OF M7NNLSOTA ? - COUNTY OF DAKOTA ss. 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 execu[ed the foregoing instrument, and acknowledged that he • executed the same as free act and deeJ. T}iI5 INSTRUMGNT DRAFTED BY: Paul H, Hauge & Associates, P.A. 3908 Sibley Memorlal Highway Eagan, MN 55122 (612) 454-4224 10 ;., ? . ,;. .._ ` r. ? .. . EXEiIBTT "A" Beginning at the soutlraest mrner of Lot 3, Block 4 of South Oaks Addi- tion, according to the recrorde3 plat thereof on file and of reoord in the Office of Register of Deeds, Dakota Coimty, Minnesota; thence North 31 degrees 32 minutes 22 seaonds East 72.50 feet; thence South 44 degrees East 71.13 feet, more or less, to the southerly line of said Lot 3; thence South 83 degrees 03 minutes 38 semnds West 87.99 feet to the point of beqinriinq, ........,.._...h,?,.,.: ?.' % . ! ? .!. - . .. . . z. ,_ .._. ,_ .v '--. ..___ . . . . ? ? S/ . ._ . ., e lst 150.92 E4ST (,j_ ISOA i52'9T W I G G Y a EAST 840 E. '_, - W a?' o M STREET -J ? ?r? 1= ? 151.11 EAST z m° N % W o I ? o N G a ? p c 0 M? cr s Do O p f?. r??f ? f ? • 66a E• c N I Nlry ?? ?? ?? . N' I , n? 2 , i v? N z ?685 32 ?? B ?? SO Z?ZS ZD' 32 v„ o ?Be? • ? ?'? Rz 94.94 0 ao 'O . f ? ?? .......:.....a:.,:.......?_,?,,:?...?,.::.:....... • ? ? i21.12 ,o . ? . d=55°32'22" ,n o ? .. . ^ry . . . =?? ?? . -e+a. (T)o[+ ryo 4 ?. 173.09 i, 'v EAST ... .? . n--?\..? i 830 03 38 " E. n? N a i°n . . . ' . / 2_\? ? 1D'?' ? ?b • a a- ? \ ----?-?? - -- < . n . ; ? ?.:? .. . . ? ti i ?`.? . ? . .. - . ? .. m tO a a e=8°32'23" /(P 1? - 72?ER1-`A--c1??T19'f.-69__ ? Z 220.95 ' - ., . .. .. . gi 219.47 8046'43? 243.03 4=90 43-17" " . n G=I80 30' R=I432.a? 183_93 ? C L IF F .. ? .. _ - - 778JI _ . ? rN aDo 34 o1 446.36 S89°51'45" W. 12 ? 67. 8 ' rOUTL:OT _ _ _ , ? PQIVD .1'=.= ' ---? ? ? 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' ~ ~ }i~. ~ ,N = f,~ s6a ~ o' $ , - , u~ ~ r~ ~~pz~ Og_~ , . , : ~ Use BLUE or BLACK Ink For Office Use Permit 'l City of Eap Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: ° j Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: ` iyA i I i ` I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION-`w\, Date: Site Address: Unit Name: ~ o Y ih r, r'' 4` Phone: -&,5 7 RESIDENT / OWNER Address / City / Zip: 416'99 Wes 11' r r t-eri L e^4 Jo r- . , 1CM •-8 M #1 T's/ 2 Applicant is: Owner -!Contractor TYPE OF WORK Description of work: iAJ h -e e G A,: i e J.4, Construction Cost: $l d Multi-Family Building: (Yes / No Company: M O A ~x C c-,J r J ;o n _Tot:. Contact: 64k $ .i5t;'7 415'( a /0 'R CONTRACTOR Address:-,Y/60 A/ 6 6 41- S 4- # -"2 City: e.~~~ State: _AJA1_ Zip: _S_~6 c3 4{ 17 Phone: License is [ (p $ D Lead Certificate If the project is exempt from lead certification, please explain why:: (see Page 3 for additional information) ~h,5 t.rtk (}-lt ~~r 6mC 4 ' "i :M 4 ~ O S 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 o If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 specific reasons that would permit the City to conclude that the are trade secrets. 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.aoaherstateonecall.oro 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. 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./ xl3iP r©G/ x Applicant' Printed Name Applicant's Signature Page 1 of 3 ` DO NOT WRITE BELOW THIS LINE Wil SUBTYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ 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 700,0 Occupancy ,I ✓ZC -1 MCES System Plan Review Code Edition I W7 SAC Units (25%_ 100% Zoning ► City Water - Census Code y 311 Stories Booster Pump # of Units / Square Feet PRV # of Buildings I Length - Fire Sprinklers Type of Construction I_ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee / y 7 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Al"-r sine `TVuSS IQ ~ n NN ~ttpK Pc.P'--me to ~ A► k3 I eta ~ tJ J P 19A eir AdUA TwV%4~ St ~D' 3 vss FAGAN REVIEWED DATE: L Z BUILDING INSPECTIONS DIVISION -Al 4 L/d7<Z9~, I hereby certify that this plan, specification W. gU LLL or report was prepared by me or under my 578; L Larson direct supervision and that i a duly Licensed rotessionai Engineer under the Larson Specialty Structures, Inc laws t ate of Minnesota. 5931 Hobe Lane fJP5 White Bear Lake, Minnesota 55110 Wayne C. La 651 429 5143 Fax: 651 207 8146 internetengineering@comcast.net Date'Aa--JwA L License # 7831 Comm. No. jf 6 So o_ _ 6sfl&j C., mss 3//4 IVWs -1-0 i3 fL~ov~ ss moo` '3 ass eA 11214 ftk" GAN r-REVIE ED BY- DATE- - ' 6 151 I z BUILDIN~~ IN f'EL• IONS DIVISION or" &A l07 /2A L~ I hereby certify that this plan, specification L or report was prepared by me or under my 8S L Larson direct supervision and that I am a duly Licensed rofessional Engineer under the Larson Specialty Structures, Inc laws t ate of Minnesota. 5931 Hobe Lane v~zL t White Bear Lake, Minnesota 55110 Wayne C. La son L 651 429 5143 Fax: 651 207 8146 14fi internetengineering@comcast.net ~j Zd Z D` Date License;17831 Comm. No. 443 Lafayette Road N. St. Paul, Minnesota 55155 www.dli.mn.gov 11/14/2012 MINNESOTA DEPARTMENT OF LABOR & INDUSTRY Zachary Home Health 4585 Greenleaf Dr W EAGAN, MN 55123 RE: HYDRAULIC PRIVATE RES VERT WHEELCHAIR LIFT 1009812 Site- ° Zachary Home Health 4585 Greenleaf Dr W EAGAN 1 I*5-5 23`` Dear Sir/Madam: (651) 284-5005 1 -800 -DIAL -DLI TTY: (651) 297-4198 APPROVED FOR USE Elevator ID# ELV- Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, CONSTRUCTION CODES & LICENSING Tim Warren State Elevator Inspector c: City of Eagan Building Official PREMIER LIFT PRODUCTS INC ElFormCE2R This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer PERMIT City of Eagan Permit Type:Building Permit Number:EA117809 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 4585 Greenleaf Dr W Lot:3 Block: 4 Addition: South Oaks PID:10-71200-04-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Derek Lindsey 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 - Debra M Riedesel 4585 Greenleaf Dr W Eagan MN 55123 Action Roofing & Siding Llc 1315 Southview Boulevard S St Paul MN 55075 (651) 457-2642 Applicant/Permitee: Signature Issued By: Signature