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4590 Greenleaf Dr W PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA080424 Eagan, MN 55122 . Date Issued: 10/12/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4590 Greenleaf Dr W Lot: 8 Block: 5 Addition: South Oaks PID 10-71200-080-05 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Fireside Hearth & Home Paula C Haugdahl Tste 20802 Kensington Blvd 4590 Greenleaf Dr W Lakeville MN 55044 Eagan MN 55123-2058 (952) 985-6675 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 TION RECURD PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS' ' " • 1 i o - ; ? `wn - v?a -*? ' t 0'f - 8 HtI)cK : • ? ..; f F N! I- rl I' tt ?' 1-! ` PERMIT SUBTYPE: I I I; :- 4`1NEi o :? ??a? ? ?e APPLICANT: ? • >? TYPE OF WORK: Permft No. Permit Holdar Date Tetephone # ELECTRIC PLUMBING HVAC Inspection Dabe Inap. Commwts FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FlNAL DECK FfG DECK FINAL ? "t RE 4590 W GREENLEAF Dx DA ocT s, 1990 Your Sewer & Water Permit for the above property has been completed. It will be held at the Pubiic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WOqIf$ (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 comp?eted, but the meter cannot be issued or occupancy altowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEYELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. --- . . ?:, ... .. , ? SEWER & WATER PERMIT CITY Of E/IGAN METER # - 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # - METER SIZE DATE OCT 4. 1490 ISSUE DATE ? f ? I SITEADDRESS 4`-90 W f'RF.i:hI.EAT Uit I LOT 8 BLOCK 5 SEC/SUB ??? ?AXS ? nooI irnniT. COMM?IND N, STATE OFFICE USE ONLY PEFiM1T DATE 10/05J90 PERMIT # 1 1 b68 ". RECEIPT # C 10563 94. RECEIPT DATE 1004 10 h PRV - BOOSTER PUMP PERMIT REOUESTED x SEWER i WATER _ TAPS ZIP _ NEW A RE5IDENTIAL x EXISTING Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: LIKROY 6 CAROL HEUEh EAGAN ORDINANCES ADDRESS: 4590 W GREENLEAF DR CITY, STATE EAGAN+ MN ZIP 55123 PHONE: 452-49$8 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT pFFICE USE ONLY CITY OF EAGAN MEI'ER #q3 747I 7y PEFiM1T DATE 3830 Pilot Knob Rd. CHIP # D//? 6 LID C o? PERMIT # Eagan, MN 55122-1897 METER SIZE di" ?.?. RECEIPT # C DATE OCT 4 e 1'; OC - ISSUE DATE ZD --f? ?9? RECEIPT DATE l ?? 04 /` PRV -. BOOSTER PUMP SITE ADDFiESS 459t' `v t -o'''-' PERMIT REQUESTED LOT '' BLOCK 5 SEC/SUB SUU'ffi OA?.:. - SEWER - WATER - TAPS APPLICANT: ADDRESS:_ CITY, STATE PHONE: - PLUMBER: _ ADDRESS:_ CITY. STATE PHONE: ZIP OWNER: I.EROY & GAROL HEUER ADDRESS: 4590 ia GRF.ENLEAF DR COMM/IND ? RESIDENTIAL NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES CITY, STATE LAGAN, MN Zi p 5512"? ; PHONE: 4" SIG TURE HEN METER ISSUED PLEASE ALLOW TWO VYORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ', ZIP CITY OF EAGAN Remarks Addition SOUth 0.ikS Lot 8 Blk 5 Parcel 10 ?1 `• tl?.Y ?? Owner!-'?! -j?1f Cl i r Street 4590 W. Greenleaf Dr. Ea, 5tate ? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK %IT SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA STORM 5EW TRK 1984 617.00 41.13 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 872 - - SAC 2 ' 5 PARK CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for • Est. Value =-' •' 'i? Site Address 4?',`'`c 7R W Lot Block I Sec/Sub. ?016'T•? ?AR.. Parcel No, a Name ? W ? r. z Address ' o '- -. City Phone ¢ O Name z? 0 L) Address °C City Phone yVj W Name Z z,, Address U ` Z 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. 5ignature of Permittee A Building Permit is issued to: 4" on the express condition that ail work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ OFF On SRe Sewage m MWCC S t ICE USE ONLY Occupancy Z i ys e On Site Well on ng (Actual) Const City Water (Allowable) PRV Required * ot Stories Booster Pump Length ? - Depth S.F. Total Footprint S.F. APPROVALS FEES `?' ?1? Engr./Assess. Permit - Planner Surcharge ? Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL ?- Parmit No. Permit Holder Data Telephone it Plumbing H.V.A.C. E lectric -I L Softener Inspectlon Date Insp. Commenta Footings I f.. . Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bidg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CONTRACT PRICE Site Address PLUMBING PERMIT /v/s/S rJ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE 4548100 Phone Phone FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT ,50 (ADD $.50 SJC PER EACH $1,000 OF PERMIT FEE) U- Only For City Use, 2 ? ?? PERMIT # ZZ ' RECEIPT# C 10563 BLDG. TYPE WORK DESCRIPTION Res. New Const. Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinallBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whidpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT-NEW CONST.) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: Wstw ?k--? STATES S/C: . 50 -/ n,IGRAMD TOTAL: 12.50 CITY OF EAGAN 3745 Pilot Knob Rond Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # & Site /lddress ' "e +"t! ts 1. Lot Block Set/Sub. Parcel # . ne Nome IeFaV Heuer W 3 Address 45% Greenleaf ")r : vc^ ': e. --t b °c Nome '--'Y;V-0r d Addreu F- rta., e?___ Ncme _ Address I hereby uckrrowledge that I have recd this applicotion and state thot the info?mation is correct ond agree to comply with all appiicable State of Minnesota Stotutes ond City of Eagan Ordinonces. Signoture of Permittee A Building Permit is issued to: all work sholl be done in accordance with all opplicable 5 Buildinp Official N4 6678 Erect Occupancy Alter ? -• , Zoning Repair ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish ? Front ff. Grade ? Depth ft. Approvats Fees Water & Sew. Pol ice Fire Eng. Plonner Counci I Bldg. Off. - APC Surchorge Plan check SAC Water Conn. Water Meter Roaid Unit Total ' on the express condition that of Minnesotu Statutes and City of Eogan Ordinances. r.??+ # oae. lwo.a r.Mxt.. Plumbing Methanical INSPECTIONS DATE INSP, Rough-In Pinol Footings Dote Insv. Dote lrnp. Foundation Plumbing F rome / ins. Mechonical Final Remarks: CITY OF EAC',AN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATICN 1 set of energy calculations. Zb Be Used For /C.)"11 Valuation site Address YI:2 IAt ? Block ? Sec./Sub ? Paroel #: Owner : Address: City/Zip Code: Phone #: .S - Contractor: Address : City/Zip Code: Phorn # : Arch./E7ig. . Address: City/Zip Code: Phane # : Date .4 ? ' OFFICE USE ONLY Erect ? . occupancy Alter Zoning Repair Fire zone Enlarge Zype of Const. Move # Stories Derolish Front ? ft. Grade Depth ft. [aater/Sewes Police Fire En3 • Plaruer Cotuncil Bldg. Off., APC Plan Qheck - SAC Water Conn. Water Meter Rrxad Unit - ZVR'AL ?O r ,, . N , ????'/,?? p? ??:..-? a ' r`!?? ' ?.x ( ? ? ? ? \ Q ? ? 41? . k t ? \-" I CITY OF EAGAN 3795 Pilof Knob Road Eagan. MN $5722 PHONE: 454-8 f 00 BUILDING PERMIT APPLICATION Site Address 4"+ ureen-Lena urive wenti _ Lot g Block5_ Sec/Sub. SO11'Eh OAks Porcel {p 10 71200 080 05 W Name LeR= Hel1EP ; Address 4590 Greenleaf Drive Weet ° - - '-- --,? o Nome _ ? uu Address Name _ Address I hereby acknowledge that I hove reod this applicotion and state that the informotion is mrrecr and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee - A Building Permit is issued ta: all work shail be done in occa N° 6678 Receipt .# Erect Occupancy R3-- Alter ? Zoning Rl Repair ? Fire Zone MA Enlarge ? Type of Const. V Move ? # Stories Demolish ? Fronf 12 ft. Grade ? Depth 1A ft. Approvali Fe¢t Assessment^% yPermit 7•vv Water & Sew. Surcharge 1•00 Police Plon check Fire SAC Eng. Water Conn. Plonner Water Meter Council Road Unit Bldg. Off. lo.? APC Total on the express condition thot ?sota Stotutes and City of Eoqan Ordinances. Building Officiol ,InI rr Requ4st Dat Fiie No. Rough-in Inspeqion Fequiretl> Gy Npw 0 Will NoNty Inspector ? Yes When Reetly? i•. licensed contractor i] owner hereby request inspection of above electrical work af: Jab Atltlress (Street Box or /floy" No.) f City Section No. Township N9me or No. Ranga No. Cou INT) Ph o . /V ,V ^ X f !J lf.J vl / U Power Supplier dress Elecvical Contracmr ComPa_2y_NgMLL. ConVaMOrS Licanse No. ies Elect 'c Co an CA01539 ailing qoaress ICOnfrector o wner Maki lation) 777 No h ord - Sout t. Paul MN. 55075 A r2etl Signatura I ont n q Installation)) , Phone NumEer ST1TE BOARD OF CTRICfTY riggn-M OTAltlwey BIEg. - poom 5.1'!3 1821 Univenity Ave., SL Paul. MN 55104 Phone(8t2)84f-0800 THIS MSPECTION REQUEST WILL NOT BE ACCEPTEO BY THE STATE 80AR0 UNIE$5 PROPEF INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee.ooom-os ( ? See insimctions br completing this form on back oi yellow wpy. K 0155, `"X" Be/ow Work Covered by This Request ?"?+< <m? ' ew Atld F'tep' TypeofBUiltling AppliancesWired EquipmeNWiretl ome Fange Temporary Service Duplex Watei Heater Electric Heating ApL Builtling Dryer Other.{Specity) Comm.Andustrial umac - ?:y Farm Air Condi Omer (syeciiy) Conhacbor's Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 AmpS 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SiJns Inspecmr§USeOnly. AL? Irrigation Booms ? Special Inspection AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITNIN 18 MONTHS. I, the Electrical Inspector, hereby certity that the above inspection has been made. Rougn-in Final ? oaie oere7 OFFICE U8E ONLV This request voitl 18 months imm CITY o? EAGAN BUILDING PERMIT own.= •---...?/..........?.]..'??`:`_':?J ................................ .. .......... ................................. .................. Addrass (Psesenl) L ??y'..?: ?? .....P ?• °?,.? ?? ? ?L,-,.,<? ??.,._?. Sutlder .......................`.-`.`.2?.............................;........................... ' - ?n,, ? ? v`L`?iti' .............._.`..`./ ?•?. Addreu ""` ......_....!-?...`".'........--'-.....-- ? ..... .......... . ;. ? N4 3749 3795 Pilo! Rnob Road Eagan, Minnesola 55122 954-8100 Dale ....Y.....?? 7? ............................ 8losiec To Be Used For Fson! Deplh Heighf Est. Coe! armi! F?a Aomuk? Q?-? ???.?A ' LJ?B ??c/ 30-> ?G? !v 8 °-" ld%SG /G ? ,?-.?c .?=C?^.=?- ?/ .e;?<-f?.e?_, O LOCATION / d? -S ? Sireel, Road or olhex Deaeriplioa of Locailon I Lo! Blook Addifion o: Trae! ? ?? ? `? 5? `l o ?/ _ .?-«,-.?' z--? ? ? ? "r? ?-n-<` ? This permi! does ao! aufhorise !he use of sl:eels, roads, allapa or sidewalks nor doaa i! give !ha ownar or hk agen! !he sightto creale any situation whieh is a nuisan?e or whi?h presenic a heaard !0 2ha heallh, aafetp, aoavenieacs aad general welfare !o anyone in !he aommunify. THIS PERMIT MUST B8yK,E??P?T ON/TH£ PREMISE WHILE THE WORK IS IN PROGjg ESB. Tdis is ?o ceztifP. !hal.._'w."::?.... G'.?.L'.:? ..................has permusioa !o erec! s..?t.._`...?: -..?`?.' :f' .t .?.? upen the above described premise subjeci !o !he provisions of all applieable Ordinances for !he ?!p of Eagan .......""-...........?..?-...'--??.....?..-?.-.. .."_.....-".... Pe? _ ............. ,?-?? 0????-_, _..... ................................................................................?---... Ma o ? Su[lding Impeclps ?S '5 CITY OF EAGAN 3795 Pilot ICnob Road Eagan, NLinnesota 55122 PERMIT N0.• 610 The City of Eagan hereby grants to Wenzel Plwnbing & Heating of Eagan a PLt]AffiING Permit for: (C'arner) LeROy Heuer at 4590 W. Greenleaf Dr. , pursuant to application dated 9/24/75 Fee Paid: $20.00 dated this 30 .50 s c day o£ 2!pt. I 19_ 75 Bu.ilding Snapector 1n9C;1c111Ca1 Permi.ts: Bic: 'i'<ii:al• . CITY OF EAGAN 3795 Pilot Knob Road Eagan, NLinnesota 55122 PERMIT N0.:71a The City of Eagan hereby grants to Genz-Ryan Plwabinq & Heatinq inc. op itosemount, AIN 55068 1 tEATING Permit for: (Crwner) LeROY Heuer at 4590 West Greenleaf Dr. , pursuant to application dated _ 9/25/75 , Fee Paid: $20.00 dated this 30 day oY Sept. ? 99 75_ .50 s/c Building Inapector Mechasiical Permits: Fsi.c: `Putal: . CITY OF EAGAN N° 15 4 21 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 3 ? R ( # Receipt 42 To be used for SHED Est. Value $1,000 Date AuR USt 8 1988 Site Address 4590 GREENLEAF DR W OFFICE USE ONLY Lot_$_ _Block 5 SeGSub._SOllTH OAKS OnSiteSewa9e _ Oxupancy M-1 MWCCSystem _ Zoning Parcel No. On Site Well _ (Actuep Const : Name LEROY M AEUER City Water _ (Allowable) W z Address 4590 CREENLEAF DR W PRV Required # of Stories - 0 City EAGAN PhOne 452-4988 Booster Pump _ Langth 12' oePtn 16' ¢ o Name SAMF - S.F.7otai . o a Address Footprint S.F. u P City Phone pppROVALS FEES ? ?W Name En r/Asuss 9? Permit 24.00 5 =i ig Address Planner Surcharge . 0 a W City Phone Council Plan Review Bldg ON SAC, Ciry . . I hereby acknowledgethat I have read this application and state that ihe Vaiiance SAC, MWCC information is correct and agree to comply wi h all applicable State of t Water Conn. ? 9 c ? Minnesota Statutes and Cit fEagan Water Meter f V' Signature of Permittee 04 -`'-µ"'L Road Unit A Building Permit is issued to: LEROY K-HEUER ireatment Pt on the express condition ihat all work shall be done in accortlance with al I applicable State of Minnesola Statutes antl City of Eagan Ordinances. Parks 24.50 Building Official_? TOTAL .ok 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I54TI INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTHACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDHESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS U OF UNITS ' INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.V 1 SET OF ENERGY CALCULATIONS COM4ERC2AL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSt 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ?'fp/`Q?q 2 She,d Valuation: Jf/1000 Date: i Site Address ?f5 yp L?. G-Nezv?ea./' ??, Lot v Block -5- Pareel/Sub 5OV.'t ly 0 AKS Owner ?2rr?02/ ?r /7`.e u 2n ? Address ys`/D !r, City/Zip Code .5- 5- /,23 Phone 5l?? 8'g Contractor ?R e-r, Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone tk On site sewage_ MWCC system _ On site well _ City water _ PRV required _ Booster Pump _ APPROVALS Engr/Assess Planner Council Bldg. Off. Variance ? % 50 Oceupancy ("1-1 Zoning Actual Const Allowable lk of stories Length tv Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment Pl Parks Copies TOTAL „? o r 7 r 9 ee ? 5?;2 3 o?s ° ., . \ / , /I/.fj ' •,- ? ??!=u4C 42 . ; (, oh!?? ? 3 e ??t t ., J ? ? ? ---?v. 83 001 gA,r •. ? ? ? o - ? _ --x ^- -- Q? ? chi? 197 5? ' 1 .? f75.47 1 d d?k3c' I ( o ? 21 .¢I ... _ .... i8i• : , I d v ?? G? 5` ??\ n f \ 1y00 \ z¢ s? fS4f.E. o ' y . r ? , )S ?e,?_/?/?,?/ i? 0 3° E Oriinoqo 2 ? 9 E? / OOOP / d?7°29 3F ow . Chd: )61.F7 7.67 71 -i/ W. I)L1.6?+ _ . ?_ _ . ' Sec. 257 T. 27 R 2; Iy ; Soufh 1117eof5 w4af'5 E} , ; E . <,._:. .?. , I dp . . _ . - '?V_R?_? v.?.h?_.vr.-?.o-a -?,::. aY -.._.... ? a?? a... '.`.... j`y ., ?. .. .. :m..w.vri?..t ?..t:r • '@ael' v ? :,{ I o - r? , o t p:34°io? 6 2o y,?,\? •' V N ? r-?? - ---- ._ . ?i.?s , . \ \ ?o 5 o ? l 9 sy ? S e, / Di 1.3 z' E ?.? ?_ a. ,. •, - Ppif •o ,v; ?j .. . z .? ? 3 - v f ?? °ar ?? 4< . \ ?C.C ._. , . . .? o ? sr ? "^ +p !/?/? ?.Br?./?/ ;' c-- h ? '? v 7 3 E/e i0 .5 ? Sep' OL -_.` '{b 30 ° ' g ( ?d) . Dri.noye ?v Q. -:snzza74 .. I r i o. r75.47 j,8044'43" a•!•fi:7 / 21 .¢? 2 l.o , o cr 4-7 29 iE ;p:t8•30' :lfl2.'4c - r? ; tn4?3s7 8 7 ?83 1 ; r._..SYo fl ?? P?9 1.8a'74?i5? • o? . ' p? Saf.E-???'' ???' f4f.)C ? '?4 ?--`, ` z Ourcor I < <hd.r?44:41 /)v ' ? ? 1311.60 pr SeC. 257 T, 2 7 ?PZ; : ? --.-- - , `, . 50ufh line o{S. w¢`o{.5 E?,. ? ; • L ` .? ? .. _ _ _ . . .__ .__?.u.--???....__. __ ._.. ... ._. -,-. . _ _ _• ' . . . _ . . _ . . -. .._2 _ . . ",. - MASTER CARD LOCATION STRUCTURE AND LAND USED AS Permit No. Issued Issued To Coniractor Owner BUILDtNG '/ A N 01!kA? AIO PLUMBING CESSPOOL - SEPTIC TANK I A.? "'E" ??5 ?SP I F ELECTRICAL H EATI NG 73 p GAS INSTALLING SANITARY SEWER OTHER OTHER I I Items FOOTING Approved (Initial) Date .? rz•? Remarks Distance From Well $EPTIC J FOUNDATION CESSPOOI ?6,2 vow- FRAMING TILE FIELD FT. FINAL ELECTRICAL HE,qTING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK / CESSPOOI DRAWFlELD I PLUMBING WELL j-- SANITARY SEWER Violations Noted ? J on Back COMMEN75: F I y n ib .. A G? 7 C S R aC e C ? a ,c 8, ,? WELL PERMIT (01 WHEREAS, the PERMITTEE/DBA: ADDRESS: DAKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14955 Galaxie Avenue, Apple Valley, MN 55124 (612) 891-7011 Joseph Utoft 4590 Greenleaf Dr W Eagan, MN 55123 Permit No. 94-2013 NON-TRANSFERABLE REVIEWED BY: Farr has submitted a permit application, has paid the sum of $100.00 dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining a Reclaimed use Well permit described herein: A private water supply well is on a property served by a municipal water supply. The well is permitted for non-potable use only, such as lawn and garden watering. This well is subject to inspection by the Department of Environmental Management. THE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLLOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 4590 Greenleaf Drive W Joseph Utoft Joseph Utoft 4590 Greenleaf Dr W 4590 Greenleaf Dr W Eagan, MN 55123 Eagan, MN 55123 NoW THEREFORE, the property owner is hereby permitted and autriorized to keep and use the well located above for the purpose described for the period of February 1994 to February 1995. This must be renewed at the end of this time period. Upon failure to renew the permit the well will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject to all provisions of said ordinance. If the property is sold or otherwise transfered in this time period, the owner must inform the buyer of permit requirements and the buyer agrees to maintain the well in accordance with_ordinance requirements. Given under my hand Tuesday, May 31, 1994 ? ? .. . . ? , .. . . .. . ' " . . . ' . ._ .:. 14955 Gal.sie Avmue, Appk VaOcy, MN 5511A ' . , Tdephcm (6I3) 891-7011 . " _ . ?. WFIEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: William Jacques- REVIEWED BY: Farr ` ADDRESS: 4590 Greenleaf Dr W ? Eagan, MN 55123 ^1has submitted a permit application,.?has-paid the sum of $50.00 dollars to the County,of Dakota as required by Ordinance Number 114.and has complied with all of the requirements:of said Ordinance necessary '- ? for obtaining a Reclaimed Use Well permit:described herein: ' A private water supply well is on a property served by a municipal water supply. The well is permitted for non-potable use only, such as lawn ,. and garden watering. This well is subject to inspection by the Department of Environmental Management. "TFiE WELL"IS'IACATED IN TIiE MUNZCIPALITY OF''EAGAN AS FOL7AWS: t WELL IACATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 4590 Greenleaf Drive W William Jacques William Jacques 4590 Greenleaf Dr W 4590 Greenleaf Dr W Eagan, MN 55123 Eagan, MN 55123 NOW THEREFORE, the property owner is hereby permitted and authorized to keep and use the well located above for the purpose described for the period of February 1993 to February 1994. This must be renewed at the end of this time period. Upon failure to renew the permit the well will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject to all provisions of said ordinance. If the property is sold or otherwise transfered in this time period, the owner must inform the buyer of permit requirements and the buyer agrees to maintain the well in accordance with ordinance requirements. Given under my hand Monday, August 2, 1993 ATTEST ENV NTAL SUPERVISOR ENVIRONMEN MANAGEMENT DIRECTOR rl'C k 1 e 5,0 lrt? " ordi-u xa. »a: WELL AND WATER SUPPLY MANAGEMENT Permit No. WELL PERNIIT 92-2013 WHEREAS, the PERMITTEE/DBA: ADDRESSC AKOTA COUNI'Y ENVIItONARENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECI'ION 14sss c.lmxie A. Wue, wpple v.uky, nuv ss124 Tdep6ove (613) 891-7011 NON-TRANSFSRABLS Marilyn. Hamilton 4590 W. Greanleaf Dr. RBVIEWED BY BW Eagan, MN 55123 has paid the sum of fifty($50) dollars to the County of Dakota as required by ordinance 114 and has complied with all the requirements of said Ordinance necessary for renewing a reclaimed-use permit for the well described herein: An existing well with a diameter of 4 inches and a depth of 150 feet is to be used for lawn watering. The well is located in the municipality of Eagan as follows: Well Location Proverty Owner Well Owner and address and Address(if different) if differerlt 4590 W. Greanleaf Dr. Marilyn Hamilton Eagan, MN NoW, THEREFORE, Marilyn Hamilton is hereby permitted and authorized to keep and use the well(s) located above for the purpose described for the period through February 28, 1993. This permit must be renewed at the end of this time period. Upon failure to renew this permit the we].1 will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is, subject to all provisions of said Ordinance. Given under my hand this 26th day of February, 1992. ./`- ??+-Kf ATTES ENVIRONMENTAL SU RVISOR ENV 7fh L MANAGEMENT DIRECTOR CITY OF EAGAN SEWER 6 i1ATER CONNECTION CHARGES - 1990 ERISTING RESIDENTIAL PROPERTIES SAC $ 00.00 WATtR CONNECTION Previo ly Pd. Pre?sously Pd. Receipt # Receip # ACCOUNT DEPOS 15.00 ACCDUNT D OSIT SEWER PERMIT & S CHARGE 15.50 WATER PERMI \S' SU$TOTAL $ 730.50 WATER METER ? + SEWER TAP TREATMENT PLANT/ PLBG & 00 / 15.00 15.50 90.00 252.00 12.50 010.00 + WATER TAP SESJER & WATER CONNECTION CHARGES SAC Previously Pd 08/08/75 Receipt # 872 WATER CONNECTION Previously Pd Receipt # ACCDUNT DEPOSIT SEWER & WATER PERMIT & SURCHARGE WATER METER TREATMENT PLANT FEE PL[TMBING PERMIT & SURCHARGE $ 700.00 $ 625.00 $ 30.00 $ 30.50 $ 90.00 $ 252.00 $ 12.50 SUBTOTAL + SEWER & WATER TAPS $1,740.00 - 700.00 TOTAL $1,040.00 10-4"qU ----------------------------------------------------- 0 ------------------------------- OFFICE USE ONLY ASSESSMENTS Nch % PROPERTY OWNER LGf? v? '4- /? j? OJL 11&l.I F-? PRV 4e 5 TELEPAONE # `f5 a l ?? ?? # TAPS 1.1J ADDRESS `-F? C'Iv AAIVER L9 BJ SECT. ?.? 30L[7h 0AKS P.I.D. # /lJ ` 71;LoO - UBD -L7SJ SPECIAL ASSESSMENT SEARCH SUMMARY AS OF: 10/04/1990 PROPERTY ID: 10-71200-080-05 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100814 SS-TRK 1983 15 10.0000 617.00 41.13 329.09 100815 S-TRK 1983 15 10.0000 370.00 24.66 197.38 101926 SL 536 1989 20 9.0000 3517.60 175.88 0.00 PP 101927 SLTK 536 1989 20 9.0000 145.09 7.25 0.00 PP 101928 WTK 536 1989 20 9.0000 655.00 32.75 0.00 PP 101929 WL 536 1989 20 9.0000 2417.11 120.85 0.00 PP 101930 WLTK 536 1989 20 9.0000 66.17 3.30 0.00 PP 101931 WSSVC 536 1989 20 9.0000 744.14 37.20 0.00 PP 101932 SS 536 1989 20 9.0000 1400.32 70.01 0.00 PP 101933 ST 536 1989 20 9.0000 4812.37 240.61 0.00 PP 102064 ST LT 586 1990 3 8.0000 261.94 87.31 0.00 PP ------ S[7NIMARY OF LEVIED 987.00 65.79 526.47 ****** 1990 P&I CERTIFIED 2257.40 ------ SiJMMARY OF DEFERRED 0.00 0.00 0.00 ------ SUMMARY OF PENDING 0.00 0.00 0.00 ------ STJNMARY OF CLOSED 14019.74 Press ENTER; or F1, F4, F5, F7, F8 1993 MECHA1vICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII,OT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION HDD-ON A/C r? ADD-ON FURNACE DATE Z ji I ?-3 ? Fw_5 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1@$3.00 EACH) 2 ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATESURCHARGE TOTAL SITF A_DDRESS: 4S%o $ 24.00 - ? o J 6.00 ?-a--er- $ 15.00 .50 /5 50 ? ?cr-g__ d- ?` OWNER NAME: F S v TELEPHONE #: INST. ;. CTI'Y: S-T 14,,e L STATE: 107 -tJ ZIP CODE: Sf/ r- TELEPHONE #: G ys St/ 3 2.? ?f gk4l 7//s/93 ??12W , L?2 Al_u? I Tt? SIGNATURE OF PE ITTEE - -•.:. ?CITY OF EAGAN 383D Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 4590 GREENLEAF OR W LOT: 8 BLOCK: 5 SOUTH DAKS P.I.N.: 10-71200-080-05 DESCRIPTION: (ROOFING) Building-Q,ermit Type SF (MISC.) ;Bua?ding WaC-lt Type REPAIR J Certslrs C3>ste 434 ALT. RESIDENTIAL , 1?11 ? PERMIT ? 17 a 10 : ???a °Z ?. BUILDING 030818 09/19/97 REMARKS: FEE SUMMARY: VAI.UATION Base Fee Surcharge 7ota1 Fee $87.25 $2.@0 $89.25 $4,000 CONTRACTOR: - Applicant - sT. I.IC OWNER: J EXTERIOR CONCEPTS 14253638 0009389 UTOFT JOE 12 79 95TH AVE N 4590 6REENLEAF DR W MA LE GROVE MN 55369 EAGAN. MN (6 2) 425-3636 ? „.; , . . I hereby acknowledge thaL I have rea-d this application;and state that the , information is carrect and agree tp eamplymwith .a11 a"licatrle Stete af.79n. ? 9tatutes antl City, .of Ea.garM Or,'di ria nCB'`s<, APPLICANT/PERMITEE SIGNATURE An?.1n. K?,?; m.? ISSUED 8Y: IGl?'fURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 30016 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Constrvetion Reauirements RemodeVReoair Reauirements 3 re9istered sde surveys 2 copies oi plans (inclutle beam 8 wintlow s¢es; poured fnd. design; etc.) 1 energy wlculations 3 copies of hee presarvation plan 'rf lot platted after 7/1/93 required: _ Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK 17? ?9. as .3.Zm0 'eo ? 2 copies of plan ? 2 site suneys (exterior aCtlitions & decks) • 1 energy calwlations for heatetl additions CONSTRUCTION COST: ? SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER t"off Name: ? O e ?q?-? u Phone #: Street Address: _?s l?0 6!Y ??- L tf City: G q.?' State-1-v_ Zip: Company: Phone #: .?Z2 S Street Address: /'Z- S`/ 2 V' License #: ?13 g?J City: a State: Zip: 357ic Company: _ Name: Street Address: City: Sewer & water licer.?ed plumber (new construction oniy): and lot change arc oequested once permit is issued. I hereby acknowledge that I have read this application and state that the State of Minnesota SWtutes and City of Eagan Ordinances. OFFICE USE ONLY Signature of Applicant: Certificates of Survey Received _ Yes _ No Phone Registration #: State: Zip: Penalty appiies when address change to compiy with all applicable Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONIY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace o ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq.ft. Footprint sq. ft. Planning Building Permit Fee 9,17• 1? S Surcharge ?2, afl Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: ? .« 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS 5ystem City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit _ Engineering Variance ? Valuation: g OU % SAC SAC Units ORDINANCE NO. 114: WELL CONSTRUCTION AND ABANDONMENT WELL PERMTT DAKOTA COUNII' PUBGIC HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES SECTION WATER QIIALITY MANAGEMENT UNIT 33 E Wenhvorth Ave., West S[. Paul, MN 55118 Telephane:(612)450-2607 REAS, the MYTTEE/DBA: Marilyn Hamilton RESS: 4590 West Greenleaf Drive Eagan, MN 55123 paid the sum of fifty ($50) dollars to uired by Ordinance 114 and has complied said Ordinance necessary for obtaining a the well(s) described herein: An existing well with a diameter of 4 is to be used for lawn watering. Permi[ No. 91-2013 NON-TRANSFERABLE ISSUED TO #Hamilton REVIEWED BY B. Worku the County of Dakota as with all the requirements reclaimed and use permit inches and a depth of 150 well is located in the municipality of Eagan as followsa eil Locacaon Pronerty Owner Well Owner and address and Address(if different) if different 590 W. Greenleaf Dr, Marilyn Hamilton agan, MN 55123 W, THEREFORE, Marilyn Hamilton is hereby permitted and authorized keep and use the well(s) for the purpose described and located ove far the period February 1991 to February 1992. This permit st be renewed at the end of this time period. Upon failure to new this permit the well(s) will be considered to be abandoned, and 11 be required to be sealed within 90 days. This permit is subject all provisions of said Ordinance. ven under my hand this 18th day of March, 1991. ATTEST SUPERVISOR EN?7? ONM TAL HEALTH DIRECTOR 15 '91 16:05 DRKOTR COUNTY HUMRN SERVICES DAKOTA COUNT Y PUBLIC HEAL'f11 DEPARTMENT , ? Y * If P.1 DONNA M.ANDERSON piR'cCTOR (et2)450•2614 Faxi6t2)450-29s8 Pubiic Mealth Nuraing Environmentai Heaith Emae Serv e sedical Services Servicea , qEpLY YO' E Oa:Op COYnN ?'kMem 8?rvica Contu =BumsviUa Ollice 99 Ea6t Wanlwonh Awnue t 101 WGBt COuntY P-a 02 . y VNSt SL PaW, MN S5t18 8"Mv111e, MN $6337 18720W2e14 (672)434-9055 wlCVmgnm (614435-64" nnxoxn coctxV rvsz,zc xEni,za nEPaxxrENr WATER QUALITY MANAGFMENT ?d --?-- 33 East'Wentworih Avenue, Suite 345 West St. Paul, Minnesota 55118 Telephone (612) 450-2790; PAX 450-2948 SAVZNPAX FACSIMILE 1tEQt1EST FORM NOTICE OF WELL PERMIT APPLSCATION SF.2zD TO: r{0[n ?.W G7riA?.• _ ••• • • ?• ? - 08FICE: ? TELEP80NE: PAR: FROM: TELEPxoNE: dbb-AtTob? DATE: TIME: . _ AM PM REFER TO WELL PERMIT N0. 4PII O &DLl DAKOTA COUNTY WATBR QUALLTY Me1NAGE4ENT HPS RECEIVED A WELL PERMIT APPLTCATION DESCRYBED SELOW. IF Y6U gEQUIRE FURTAER REVIEW OF THIS APFLSCATION OR IF YOII HAVE ANY QUE5TIOt3S/CONCERNS ABOUT IT, PLEASE CONTaCT 01.J8 OFFICE (C612) 450-27901 OR TSE ENSIIRON- ' MENTAL FlEe1LTA SPECIALIST LISTED ABOVE. LF THETtE IS NO RESPONSE FROM YDUR OgFICE IN 24 SOURS (EX- CLiJDING WEEKENDS ArID HOLIDAYS) q THE DEPARTMENT STAF'F WILL ASSUME TEIAT YOU HA'VE NO OBTECTZONS TO THE IS5UANCH OF THE PERMLT• PLEASE NOTE THP.T THE PERMTT ISSUANCE IS ALWAYS COL3nITI0NEA ON COMPLIANCE WITfi AZL APPLICABLS LOCAL REQLiT&P«ENTS/ORDINANCES• ?,( ti fL PROPERTY OWNER: i7 ?`.?.. R??-- LOCATION OF WFS.L(S): 45?' &?_?Uff??? MUN'iCIPALITX• mwo., DATE• j4jAT DRILLERS t)KIF WELL(S) DESCRIPTIONt9f.mift 'r a AN EAUAL OPPPRTUNITY EMPLO`/ER FROM 6?8iOVE[3lC?a °? 6 e;?r•.p 2.28.1991 14:24 ? C* .i t D,? KC?TA CaUNT Y PUBLIC HEALTH DEPARTMENT HUMAN SERVICES DIVISVON P. 1 DaNNA M. qNDfiRSON DiAECTOR ( I$121 459-26 t y Faz(6i2) a50-29ae PubGC Heallh Nuraing Environmental Mealin Emergency Medital Services Services 5ervices AEQL+'TO'. x Oaxota COUMy Nonnern Samce came. G Burnevllle Offiae SJ Batl Wenlwortn Aranue 1 101 Wu1 Couniy A0s0 dy WO/1 S4 Paul, MN $5119 BuMIvi114, MN 55337 1612J450d614 (6151495-8056 wiC Arogqm (612) 435-M90 DAKOTA COUNTY PUSLIC HEALTH DEPARTMENT WATER QUALITY MANAGEltFNT 33 East Wentworth Avenue, Sutte 345 West St. Paul, Minnesota 55118 Telephone (612) 450-2790; FA7t 450-2948 5AVINFAX FACSIMILE REQUE5T FpRM NOTLCE OF WELL PERMIT APPLICATIQN S$ND T0: P M C.d I(f? r i& OFFTCE: CdL+'RH Al u0 iCira.L lett•ML ? TELEPHONE: ( 411) ¢'S IOC FAK: * -4-S4 FrcoM: BNRH*MW WORKu TEL£PHONE: Lf7. BgJr- 76 49 DATE: OZ12? IA I TIME: AM PM REFER TO WELL PERMIT Np, ?`ZO! 3 DAKOTA COUNTY WATER QUALTTY MANAGEMENT HAS RLCEIVEp A WELL PERMIT APPLICATION DESCRISED BELOW. IF YOU REQUIRE FURTlLER REYIEW OF TSiIS APPLICATION OR IF YQU HAVE ANY QIJESTI0N5/CON '?S UT IT, PLEASE CONTACT OUR OFFICE I(612) ???F°?R THE ENVIRON- MENTAL HEALTH $PECIALIST LISTED ASOVE. IF THERE IS No RE5PONSE FROM YOUR OFFICE IN 24 HoURS (Ex- CLUDING WESKENDS AND liOLIDAYS), THE DEPARTMENT 5TAFF WILL ASSUME '1HAT YOU HAVE NO OSJECTIONS TO THE ISSUANCE OF THE PERMIT, PLEASE NOTE THAT THE PERMii ZSSUANCE IS ALWAYS CONDITIONED ON COMPLIANCE WITH ALI, APPLZCASLE LOCAI. REqUIREMENTS/ORDINANCES. PROPERTY OWNER: Larey M. HQUer L4CATION OP WELL(5) s 45R? W. ( r4t."7lce? MUNICIPALFTY: IFeV Rqq ?.?.,.,?.. DATE: DRILLER: Nq WEI.L(S) DESCRIPTION: Vxr"S4-1ie lTp A w<ll " ¢" * If vau r ?'ssutiQ ?rr rtKR, hrwli ?s be trsC•P fsr /a.vq anr'?trtn' AN E61UAL bPPORTUNITV FMPLOYER 6q-t-7B 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. /g, 8-0;, Datet/,l?/_/ 6q Site Street Address ^4l541> qALe? 5, LCJ? Unit # Property Owner Telephone # /(p$% k3?s-. -?i9<30 Contractor '1Cb y' y-' ?? Telephone# ?yj )3?S-I3yd Address City State /rzn• ZipS51,P-3 The Applicant is: _ Owner ?ontractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _WaterTurnaround (add $121.00 if a 5/8" meter is required) Other: WaterSoftener WaterHeater $ 15.00 ? replacement _ additional Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00 State Surcharge $ 50 Total $ 451-150 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but oniy an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Y?a? ".?.??? Applicant's ft-nature JUN 14 2004 '1 2_&-1 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construdian Reauirements 3 registered site surveys showing sq. fl. of lol, sq. tt. of house; and all roofed areas (20%maximum lot wverage allowed) 2 copies of plan showing beam 8 wintlow sizes; poured found design, etc. 1 sel of Energy Calalations 3 copies of Tree Preservation Plan if bt platted after 711193 Rim Joisl Defail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ven[ilation form co o I td. `k`I . Date C) Co Construction Cost 30 OOU Site Address L/s ? o Ge-efn 1 PqE 1r t,?J Unit/Ste lt Description of Work kqm urlPl K? 1cl'Plll 1`pYYIOV-P N6ti'1 16ar.1 bqe` ni ?joNH 01? ?- Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ,7% PV P + ?M vn lCn N0. L4Ao (A h ? Telephone #t (Gi-I) 330 1 q37 Contractor - 1_?_ V\ dl SC?'1 W f i G1/1 (py? [ ITIn GTtnn rr c. a6a ??o? Address ai7) 6 1 (frr;(1<< AIli'. City (_ak State M YJ Zip S_S Dqy Telephone #(°I>a) E?G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - M innesota Rules 7670 Cateeorv t Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 su6missiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permlt for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plqn: .? Licensed Plumber Telephone # Mechanical Contractor Telephone #( Sewer/WaterContractor Telephone #? n_ i I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pennit, 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. ? Applicant's Printed Name Applicant's Signature :J? -1q4._1" " RemodeVRe air Re uirements Offce Use Oniv 2 copies of plan showing footings, beams, joists CeR of Survey Read - _ Y-_ N 1 set of Energy Calculalions for heated additions Tree Pres Plan Recd _Y _ N. 1 site survey for additions & decks Tree Pres Required _Y _ N Addifion - irMkate Aon-sde septic sysfem On-site Sepfw System _ Y_ N DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscelianeous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handou[ to applicant D@SCrIptiOn: WaterOamage_Yes Valuation ZQ._p(9 a2 j? Occupancy MCES System Plan Review 100°/a or 25% Census Code L4 5q_ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V r1i Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final C Framing Fireplace _ R.L _ Air Test _ Final ? Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Sheetrock Final/C.O. FinaUNo C.O. x. HVAC ? Other Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick W indows _ Retaining Wall Building Inspector !`? ?7C.?ff?N (1 tz?N??ca? F?t? i? 1 V( '?? 17, (.,? 2006 RESIDENTIAL BUILDING rExMiT arrLrcnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauiremenis 3 regstered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas (200h maximum lol coverage allowed) 1 Soils Report R pmposed buiMing is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calwlalions 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildirgs with 3 or less unils) Minnegasco mechanicalventilationfortn RemodeVReoair Requirements Office?Use OnN 2 copies of pWn shaxing foo6n9s, beams, joisls CeR of Survey Reod _Y °_ N 1 set of Energy Calculatbns for heated addilions Soils Repod:" .: - Y _ N 1 site survey for addiUOns 8 deda Tree Pres Plan Reoi '_ Y_ N, Addition-indicateHOrtisifesepticsystem TreePresRequired _YN On-s'rte Septic,5ystem. . _Y, _N C' (',-(1e dq j 19 Date 7 / l a lco) 20 Constructioo Co?/ ,)e O (3. r)C) SiteAddress ? Z? a Q w ?., 2 QZ- ,j L-e- qF"?2 UniUSte # ? S Description of Work ? ? 7b p Multi-Family Bldg _ Y? N Fireplace(s) 0 _ 1 2 Property Owner GS "r'e_ V' -f _ lZ Aue ? N. L Telephone #((fl5 `) 330 -J43 7 Contractor H16.M V' .ll t J! ?? ?n.tSTR v ? ? Address ;?? ? p?, City vWA7'0,,V/t/L1 _ State / v`LQ , Zip<?Oo0 Telephone#687) ?tJa COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet 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 ff yes, date and address of master plan: Licensed Plumber ?nT??One #( \\\1 Mechanical Contractor ? ?TQe?l6p?ne #? Sewer/Water ContracTor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, and wark 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. Applicant's Printed Name Applic 's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ?X 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/perola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous riM '3A!.?L ?DDvL WorkTvues ? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair W / , 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg) - GivePCA handout to applican[ DCSCI'Ipti00: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code _?W Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const 1/9 Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Fmming _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS _ Sheetrock - FinaUC.O. ? FiciaUNo C.O. HVAC Ot6er Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ri,it-i-i 210UP-0 7561?3 Yleasc complete for: 2007 RESIDENTIAL MECHANICAL rERMiT ArrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 single family dwellings & townhomeslcondos when permits are required for each unit sD _ s0 Date? Site Address L?-({'4 Unit# Property Owner Telephone i! (65'/ )?3,56- IV,37 ac?r: • • Contractor A?/,D v?? n ° ? CAWnXWM Street Adc I904 Vermillion Strect City Hastings, MN 55033 State _ Telephone# ( (pj? ) Y?3 7 V? 7-7 Bond #: (C L--r .?Y ?( `Y 4 3 Expires: b dU / The Applicant is _ Owner _?Z Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or al[era[ion to existing dwelling unit $ 50.00 •? f A - urnace _ dditional Replacement _ New air exchanger / ? air conditioner heat pump other ? IS ??L?Liv JUN 2 5 2007 StateSurcharge $ .50 Total $ K o . S" 0 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; 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 approyed plan in the case of work which requires a review and approval of plans.n j? ? Applicant' Printed Name App4i anYs ' nature Use BLUE or BLACK Ink dv For Oflice U_,e City of 1 Eapn I Permit#: I 5 b~ I Permit Fee: 3830 Pilot Knob Road R~ 1 1 Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 I 2010 RESIDENTI PLUMBING PERMIT APJ)LICATIO .~Z r Date: rL, 1701P on Address: V 11rdw Tenant: Suite 3 RESIDENT / OWNER Name: %-a KLM e: 37 A~ L; NA - wh2 4. Address /City !Zip- -I ID 6fm" I)II W. ~y~ Cn~~r~t.nrna ,I"~n k E% lrc~`:~L~wt~~e~: ' v.i I :v'~v i v.`. Address: ! 04 Ve M, I I, On ~ City: 1 Gia nos State: -K-4-~I--r- Zip: 650 3~3 Phone: (0 t ' q n - L4 1-1 ContactleGl.Y n ck Email: rleanna.121DV15101 -1 j ►b)1dVLLrCL-iV,( Yo TYPE OF WORK - New Replacement Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures C RPZ / PVB) Main _ Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $!9~ 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 $.50 State Surcharge) *Water Turnaround (add $166.00 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) TOTAL FEES $ • 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.gopherstateonecall.org 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 accorda a with the approved Ian in the case of work which requires a review and appro al ns. X_ X. IM9 App ica t' Printed ame App i 's Signatu e FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA117017 Date Issued:10/14/2013 Permit Category:ePermit Site Address: 4590 Greenleaf Dr W Lot:8 Block: 5 Addition: South Oaks PID:10-71200-05-080 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 . 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 - Paula C Haugdahl Tste 4590 Greenleaf Dr W Eagan MN 55123--205 (651) 348-6351 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature