4575 Maple Leaf CirCITY OF EAGAN
Addicion CNF.S
(tVb l}1n,-
Lot 36 Bik 2 Parcel 10 17150 360 02
Maple Leaf Circle State Eagan, MN 55122
Improvement Oate Amount Annual Years ' Payment Receipt Date
STREET SURF. 1 1982 262.21
STREET RESTOR.
GRADING
SAN SEW TRUNK 941 23?. Qn - S?. ?0 ' p4
*.SEWER LATERAL C _
1 / 5 •
WATERMAIN
*WATER LATERAL ly 8
WATER AREA ? /D O
STORM SEW TRK Sd 19$1 351 , 10 70.22
*VSTORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 24879 6-1-91
WATER CONN. 13,35.00
BUILDING PER.
sa,c 525.00 24879 6-1-81
PARK
CITY OF EAGAN Remarks
Addition CfHES MAR EAST FIRST ADDN. Lot 35 Blk 2 Parcel 10 17150 350 02
oWner ?- X -? Street 4574 Maple Leaf Circle State Eagan, MN 55122
Improvement Date Amount Annual Years 'g Payment Receipt Oate
STREETSURF, ql 19 2 1311.0'T 262.21 5
STREET RESTOR.
GRADING
SAN SEW TRUNK Jl'/I 19$1 _{$O: QO,. ,
? 56.00 1 1 S . ?
*SEWER LATERAL
WATERMAIN
*WATER LATERAL 1981
WATER AREA ?
STORM SEW TRK 198 351.10
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
sAC 525.00 24879 6-1-81
PARK
7--:
CITY OF EAGAN
9795 Pilot Knob Rood Eagae, MN 55122
PHONE: 454-8100
BUILDING PERMIT ReceiPt .#
Slte Address
Lot Block Sec/Sub. l
Parcel #
of
W
Z
3
0
?
z?
OV
u?
?
Name
Address
?.. . . ..:...? w?_ _ _ ?
Name
Address
Nome
Address
N° 6686
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grnde ? Depth ft.
Appro rals Fees
Assessment -
Woter 8 Sew.
Police
Fire
Eng.
Plonner
Council
Permit
Surcharge
Plan check
SAC
Woter Conn.
Woter Meter
Road Unit
I hereby acknowledge thot I hove read this opplication and state that Bldg. Off.
the informction is correct ond ogree to comply with oll applicable
Stata of Minnesota Statutes and City of Eagon Ordirances. APC Total
Signoture of Permittee
A Building Permit is issued to: on the express condition that
oll work sholl be done in nccordonce with oil applicoble State of Minnusota Stctutes and City of Eagon Ordinonces.
Building Official
r.mir # Daee h...a ?.MM+..
Piumbing _) 41- ?C -.2 - ? ?,?`C
Mechonical 4 Z'
INSPECTIDNS DATE INSP.
Rouph-In
Finol
Footings Date Insp. Date Insp.
Foundation
ro _ ins.
7/?{ 'kl Plumbing `?
MetMnicol
7
?
? rj •
Final 2 ?&y
Remarks:
0• I 3?'/ G?-?'L ?``. t/--?' _? v?''
? ? r -71kixt, ?
Raceipt ' PLUMBING PERMIT
CITY OF EAGAN
Fil1 in numbered spaces
Type ar Prini /egiWy
1. Date 2. Installation Cost
3. Job Address T Lot VBlk.
4. Owner
TractC"?
5. Contractor Phone
6. Address -
7. City State Zip
8. Building Type: Residential b
9. Work Description: New b?
10. Describe
11.
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governinq this type of work.
Signed : ifor
Rough Final
? Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Commercial ? Institutional ?
Add ? Alter O Repair 11
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
Permit No.
Fee
S/C
ToL
I •
Reoeipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fae
Pill in numbered spaces S/C
Type or Print /egiWy
Tot.
1. Date y i 2. Installation Cost
? .
3. Jab Address Lot Blk. 1 Tract ? "•
4. Owner
5. Contractor ?•e1 r4ee!18IIi c-' Phone '• ?? -1='???
1 6. Address 7600 KeriTlebeC D2`iVG
7. City ? State ? Zip ?
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New [3 Add ? Alter ? Repair ?
10. Describe Fuel Type '",
1 11.
No. Equi ment BTU - M. Ea.
Forced Air No. EQUiament CFM
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
? Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
« Approved CITY OF EAGAN 464-8100
? - - -•.
,. • • . , CITY OF EAGAN
' 3795 Pilof Knob Road Eogan, MN 55122 N2 6687
PHON E: 4648100
BUILDING PERMIT
5ite Address
•? `
Lot Black Sec/Sub.
Parcel #
o, Name _
; Address
b
Ci
a Name _
Address
Nome _
Address
I hereby acknowledge that I have reud this opplication ond state ihat
the infonnation is oorcect nnd agree to comply with all applicable
5tote of Minnesoto Statutes ond City of Eagan Ordinances.
Receipt #
Erect 0 Octupancy
Alter ? Zoning
Repair Q Fi?e Zone
Enlarge ? Type of Const.
Move O # Stories
Demolish ? Front ft.
Grade ? Oepth ft.
Approva Is Fees
Assessment _
Woter & Sew.
Police
Fire
Eng.
Planner -
Council
Bidg. Off. -
APC
Permit °
Surchorge Plon check
SAC
Water Conn. ?
Water Meter.
Road Unit
Total
Signoture of Permittee I
A Building Permit is issued to: on the express condition that
oll work sholl be done in nccordante with oll opplicable Stote of Minnesoto Stotutes and Ciry of Eagan Ordinnnces.
Building Offlcial
7 Ideal Ave. So.
.' ? •
- ,
r.mM # nea i«.d ?.mnr«
Plumbing .2 s3 & - ,2 ,
Mechunical '1C5Q s' '7 -ZZ -8"(
INSPECTIONS DATE INSP• Rou9h-In Final
Footings Dote Insp. Oote Insp.
Foundation
-
- Plumbing -8/
rr?
ra /Z- Mechanical
Final & '
Remorks: ? ? Jf
O-/3-8'?
/
//`0`7a Z? ??-r.!'.?i- ??.u7-?--??ww
.????
0-?t-r k.A) -t,?
_-
INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE: $0!
3830 Pilot Knob Road Permit Number: 02"1 {!•?Eagan, Minnesota 55122-1897 Date Issued: 0 4 /:' 4 1'
(612) 681-4675
SITE ADDRESS: ? :JISd-350-02 APPLICANT:
LUT + 35 BLOCK r .
MAPLE 4EAF CIR HA,Nt;KE;AVis;8 DU11ALD
:•?tt:.i f4AR FAf3Y 1:35 (t,12 ) 686-'7355
PERMIT SUBTYPE:
Iif"''H:
TYPE OF WORK:
N @; i1
P007'I HGS
PJNA.1i
-1
.
I -_
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
lnapectfon Date Inap. Commenta
FOOTINGS
FOUND
FRAMING
RQOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BQARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN
3795 P31ot Knob Rood
Eogon, MN 55122
Zoning: -
Owner: _-
Address:
Site Addreu:
PI umbe r:
PERMIT NO.:
DATE:
No. of Units:
I agree to eomplp with the Citr of Eagan Connection Charge:
Account Deposit:
Ordinonees.
Permit Fee:
Surcharge:
Misc. Char9es:
By
Date of Insp.: Total:
Insp.: Date Paid:
.
CiTY OF EAGAN
3745 4'ilot Knob Rood
Eagaa, MN 55122
Zoning:
Owner: _
Address:
Site Address:
Plumber:
Meter No.:
Size:
Reader No.:
1 agne to oomptr wiNh Nhe Cily of Eagon
Ordinaeces.
By
Date of Insp.:
Connection Charge:
Account Deposit:
Perrriit Fee:
Surcharge:
Misc. Charges:
Totol:
Date Paid:
WATER SERVICE PERMIT -
PERMIT NO.:
DATE:
No. of Units: -
CITY OF EAGAN
3795 C' lot Knob Road
Eagan, MN 55122
WATER SERVICE PERMIT
? PERMIT NO.:
DATE:
- No. of Units:
vwner;
Address:
5ite Address:
Plumber:
Meter No.:
Size:
Reader No.:
I ayree to eompiq with the City of Eagen
Ordinances. •
By
Date of Insp.:•
Conneciion Chorge:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Charges: -
Total:
Dote Paid:
InsP.:
CITY OF EAGAN SEWER SERVICE PERMIT
3796 hiot Kno6 Road PERMIT NO.:
Eagan, MN 55122 DATE:
Z?ing: No. of Units:
Owner:
kddress:
Site Address:
Plumber. .
1 agree to oaeplY wifh the C+lY of Ea9oa Connection Change:
Ordinanoes. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. CFtarges:
Date ot Insp.: Total:
Insp.: Date Poid: •
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
-1 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements RemodellReuairReauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; an?ll roofed areas • 2 copies of plan
(20% maaimum lot coverage albwed) . 1 set of Energy Calculations for heated additions
• 2 copies of Dlan showmg beam & window saes; poured found design, etc.) . 1 sile survey for exterior addi6ons 8 decks
• 1 sel of Energy Galwlations . Indicale if home served by septic system for additmns
• 3 copies of Tree Preservation Plan if lot platted afler 7/1193
•' Rim Joist Depil Opfions selectlon sheet (bldgs with 3 ar less units)
DATE !I /';i,_0 /?-OO I VALUA[ION S GI 60. 'o
JOB SITE ADDRESS ?S 75 ` 5?57 ? N'la?P! .? L115i4 ,c7 C11e_GL,C
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 1414-,42-
TYPE OF WORK fIREPLACE(S) _ 0_ 1_ 2
APPLICANT T???G?UN(`? qL?SSOCff{-7'?S PHONE# G?l? 75l
ADDRESS ST. Lo?tS P? ZIP CODE S S W(o
ivt Y
PAGER # CELL PHONE # FAX #
G/ c -# ao a-1?-c? 91?
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNF,SOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULP:S 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing Systcm Includes:
Mechanical Contractor:
Mcchanical Systcnt Includcs:
Sewer/Water Contractor:
_ Air Condiuoning
_ Hcat Recovery Systeixi
Fee: $90.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this opplication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan s.
Signature of Applicanf
Certificates of Survey Received _ Tree Preservation Pian Received _ Not R ired _
- Updated 1l01
Wa[cr 5oftener
_ Waler Hcater
_ No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
CIT1f OF EAGAN
3795 Pilot Knob Roed Eegan, MN 55122
PHONE: 4548100
BUILDING PERMIT APPLICATION
Site Address 4?1;1 A°114le Leea Vircle --{?-
Lot ?- Block _2- Sec/Sub. ChEB M8r FflBt 1?/
Porcel # 10 17150 360 02
w Ncme Trend HOmeBs ZAC.
Z Address 7417 Ideal Ave. So.
° - - - '
p Name
?
oO Addre
Name "G114 •'
Address 1129 Cl
,.- Burnsville
I hereby acknowledge that I have read this application and state that
the informotion is aorred gno ogree to comply w' h all appliwble
State of Minnesota Stotu City af ogan r inances.
Signature of Pertnittee ? ^?-
N? 6686
Receipt
Erect [I Occupanry R3
Alter ? Zoning R2
Repair ? Fire Zone Nk
Enlcrge ? Type of Const. V
Move ? # Stories
Demolish ? Front 41 ft.
Gmde ? Depth 2g ft,
Aoorovala Fees
Assessment -
Water & Sew.
Police -
Fire
Eng.
Plonner _
Council _
Bldg. Off. -
APC
Permit 11 S.W
SurcMrge 19.90
Plan check56•90
S,qC 525 _ 00
00
Water Conn. 335,
Water Meter 60.00
Road Unit 185_00 ,
7ora1 1296.00
A Building Permit is issued to: on the express condition tFwt
all work sholi be done in acco w?tb al Iicable Stote of Minnesotu Stotutes and City of Eagon Ordirwncea
Building Official
S. r,J N =AAn L 35 + f30 ? c,m ,I,Y ??? Include z Sets of plans,
1 site plan w/elevations &
1 i? BUiLDiNG PERNIIT APPLICATION 1 set of energy calculations.
? -
Zb Be Used Fbr uation J'7rrOd Date
---
Slt.2 PLIdL'eSS ?? ?? 'v LE `-. //5'•
Lot J,< slorac a, sec./sub. L?b?cs SrtReE
Parcel #: //1 171.r0 _&d D3-_
Qaner: 141?'
Ack3ress: 7'/f?/7 lgit- &-d , _
City/Zip Cocle: CEIv` i?1?F ?il2N`E' cf,5?/6 _
Phone #: 4-1 - 3 h c," F
Contractor: ?E RI Z) '5?s
Address: '7¢i 7 /1? /y-oE so .
City/zip Code: ??% - ?[?B?E ?SO/%
Phone # : 4-1's-q
Arch./Eng.: LJE/?7,V 6:7e°?lCE
AddreSS:
city/ziP coae: t?.)R,ts?rUE
Phone #: 9?50 -?L6')-6
OF'FICE USE ONLY
Erect ?^ occupancy R3
Alter Zoning 0.
Repair Fire Zone A/,0
Enlarge _ TYpe of Const.
Nbve # Stories
Demolish Front
Grade Depth
APPROVAI: FE ES
Assessments a/ Permit
?9ater/Sewer Surcharge 1 g
;
Police Plan Check sG
Fire SAC k6`19 157
glq, Water Conn. 3?
Planner Water Meter GO
Council Road Unit
Bldg. Off.
APC
- nrrAL %P Rq I uo
?/%d/ri flf `9-?"
crrir oF eACaN
3795 Vi1W Knob Read Eagan, MN 35122
PHONE: 454-8 f 00
BUILDING PERMIT APPLICATION
N° 6687
Receipt # `e` "" ?z
Te be uaed 4or } DjjpLEX Est. Volue 38?000 Dote Jl1i1E 1 _, 1981-
5ite Address 4579 Meple LEaf CiPCle __}
s Erect
Q R3
Otcuponcy
Lot _35 Blotk _2 $ec/Sub. C?8 IY?BP EflBL ?h Alter ? Zoning R2
Parcei # 10 17150 350 02 Repair ? Fire Zone NA _
Enlorge ? Type of Con:t. _ 0 -
rc Name ??d HOIDeB? InC. _ Move ? # Stories
Z Address 7417 Ideal Ave. $O. Demolish ? Front 41 ft.
? Ci Phone 459-3628 6rode ? Depth 28 ft.
? Name Own2T Approrala Foes
0
?U Address
Assessment -
Pertnit 1_
Cit Phone Woter & Sew.
P
li Surchorge
k5 '
Pl
h
?w Name ce
o
Fire on c
ec
SAC 525.00
335.00
1; 0 Address Eng. Water Conn
.
?'00
aw Ci p?m Planner WaterMeter
1
Council Rood Unit
I hereby acknowledge that 1 have read this applicotion and state that gldg. Off.
the information is torrect agree to comply all applicable APC Totul ?7qL-?
?gan / rin.
$tate of Minnewta StatujE?gn?
C} Jof
?
A
J
Signature of Pertnittee ? V
A Buiiding Permit is issued to: TTe d on the express mndition thot
all work sholl be done in ocwrdon ith oll ppl' abie Stcre of Minnesota Statutes and Ciry of Eagan Ordirronces.
E?Q C? ?»
v
Buildin
Offidal
-_
_
g
CITy pg EAGAN Include 2 sets of plans,
1 site plan w/elevations &
tI.
?° g(7II,pING pEAMIIT APPLICATION 1 set of energy calculations.
i?
Zb Be Used Fbr Valuation Date
site Paare ss 9 ? T9 - ? CbF e, OFFICE USE ONLY
Iot?sslocx ?- sec./sub. ?-Y4e E, Erect occupan°y ?i 3
Parcel #: 950 D1L-
Oumer: I.fJL'
Ackiress: `/Y/7
ssoi6
City/Zip Code: ??7•4?c C?,?9?E, `Y`/i.,W.
Phone #:
Contractor: yL'E.J? ?-flvit ?5' IiJC? Pddress:
City/Zip '
Phone #: .
Ar:]Z. /IIzq
P,cidress:
City/Zip
Phone #:
Alter Zoning
gepair Fire Zone
Ehlaige _ 'Iype of Const.
Nbve # Stories
Demolish Front ft.
Grade DePth .? g ft.
[vater/Sewer
Police
Fire
Eng.
lannar
Council
Bldg. Off.
aPc
Surcharge
Plan Check
SAC ?
Water Conn. Z Z.T
Water Meter -.?il-Oa37-
Road Unit
TOTAL r? C ?d c)
Lir
IY?-9c? c ?, _
COde: ctJ(J,L?.c%IlLLE- _
8?0 ? ?6 ?2,(?-
2005 RESIDENTIAL MECHAMCAL PERMIT APPLICATION
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are requirad for each unh
(
Date
e,
SiteAddress LeCd
? L.(r Unit#
rr M
Property Owner V Q ! ' I Q? V- rl f''
Telephone # (6s (p
I'a
Contractar
s & AIR CONDITIONING C0
.
Street Address 410 WEST LAKE STREET
City
MI , MN 55408-2998
State 612-824-2656 Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner !\ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
ent
l ? R
l
Additi
` f
ep
acem
ona
urnace _
f
air exchanger
? airconditioner X\New _Replacement
other
State Surcharge $ .SO
$ ?? • ?O
Total
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 the Mechanical Codes; that I understand this is not a
permit, but only an application For a permit, and ork is not to start without a pe rt; that the work accordance with the
ap?e in th c se of , r?ich requires a view and approval of pi n .?
?
Applicant's Printed Name ? Applicant's Signatre --- -"' -, I j 2r"_
?
-- ? J
.? .
OWNER
EXTERIOR ENVEI'OPE AVERAGE "U" COMPUTATION
SITE ADDRE55
CONTRACTOR ?A, 0_ k?o ArrL-i- DATE PHOAtE 4 36 'L S
Detei-rnine workin9 square Footage of each.
1. Total exposed wall area .,,,. _C,a_3t,.06 sq, ft. x? °17 a[???1]
2. Total rooF/ceili;rj area ..... rQ20.00 sq. ft. K.05' •
7ota1 expo5ed vail area above floor = t07DOU
a. Total wail uindow area ........................... 131?9 63?'
b. Total door area ,. ........................... 4 0-02
c, Tota1 slidiny ylass door area ................... -So Q
d, Total fireplace wall area........................
e, Total wall framiny are-a (average 10%).......... .. g
j? P
f. Total net wz11 area above fioor ......... 361
g. Total rim joisC area ............................ t L
Total ezposed foundation aiaa = 6 0 .00
h. ToCai foijndatic: E,indow area ..................... ?-?
i. Toal net foundat i r,n a rea above gra6e .,.. ... ,.,.,4.0
DeCcrnl'rne "U" value of each :.e.ll segment.
L, f r X ?iUn .., -51
b,.____ 40-0 L _ z "Uu a AL,..Z?i?
c. _i a o 4_ z "u" ? SS = 44.02
d . X ituH r--- lll-?
Q • X "Up - ` 7-
??r!
f, 15la Z> X "U^ •07 • B66t34
9._ &)(-iZ x „Ua .. 04 • 5-41o
fl . -- X 11 U p - a
1, ?' .08 X "U" ' 47 • 3 f,
3 .............. t.1,?i,: ??,..,...,..,,,Tota1 • Z 2-
If item 13 15 the sama as, or less than item 41, you have met the intent
of SBC 6006(c)2.
• .
'otal exposed roof/ceiling area • (c2 4, o 0
j. Total skyliqht area .............................
k. iotai roof/ceiling framing area (average 10%)...
_.,
1. Total net insulated roof/ceiling area..,.,,.,,., l D 2 D?
Determine "U" value for each roof/ceilin,q 5e9ment.
j K "U" ¦
k. X "U" •
I , L OZG.GJ6_ X"U" IV ? = S^%Op
4 .................. 1.P.20.-L1G.,,.,,Total ' LSL?•
If totat of 44 is the same as, or less than 02, you have met the intent of
SBC 6006(t)1,
Alternate Building Envelope Design
To utilize the total envelope system method, tne values established Dy the
sum of items R3 and 04 shall not be greater than the sum of items ll ana 02.
1 ,,__129._....----- 4 2, Jf ? 4 D =V-0?4 (,
3. 2il 2-q 7_ + 4.5?/. 0 d _= 3 43>
1804 Melody Larre 890-3063
Burnrville, Minnesote.
WEPJA CO. PLAN SERVICE
EO ANOERSON
AACHITEGTUftAL OE8IGNING AND PLANNING
O+fltB:
1129 Clift Road Office.
Burnwille, Minnesota 8964636
I
NcR7?}
NC.
sGk??= f"'4??
aIeruC4s sEbwu ae?
aWo ou AW f.ssuMBD
4`IdM.
B5,z. !
Qf?t °L.di
jo 30
?
. ?
IL
I?
J
?11
?
S1-
?
T?.
3c I 30
I.t5Cy:5l,t D
-FkoPOSEi? ?n,e;Q1+?e Fl.. ?rU-'h/. 9&,3
Wooo NuP? ¦ ??oPotc-v ?YY?a.tj Eutu'? ?I.?V ?-?
$xtS'(r!??a SPOj '?1??/, yy.5 ? P¢a?m ??S M 7 F?o? ??E11. ??^•D
q¢.4rt-?es.lsc Di?=G'(IOf.1 ?
I hereby certify that this is a true and correct representation of
the boundaries of:
Lot 35 and 36, Block 2, CHES MAR EAST FIRST ADDITION,
according to the recorded plat thereof, Dakota County,
Minnesota.
It also show the location of a proposed house thereon. As surveyed
by me or under my direct supervision thisj8th day of May, 1981.
. . ....... .... ...._... .,,.?.?s.,_
ta Registration :30. 5065
\
CfTY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
V /'v 55 i D s`
BUILDING
027360
04/24/96
SITE ADDRESS:
4579 MAPLE LEAF CIR
LOT: 35 BLOCK: 2
CHES MAR EAST 15T
P.I.N.e 10-17150-350-02
DESCRIPTIOI3:
A;^
;
rmit Type DECK
r-k Type NEW
? 434 ALT. RESIDENTIAL
?? `-„e' ,, a90w? ?s?Iel E?? am aek;?e ??^? §
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REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$45.00
$.50
$45.50
CONTRACTOR: OWNER: - Applicant -
HARGREAVES DONALD
4579 MAPLE LEAF CIR
EAGAN MH 55123
(612)686-7355
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APPLICANTlPERMITEE SIGN{y7dRE
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- IS DBY??I•.P/RE ??
3830 PILOT KNOB RD - 55122
lifit?r996 BUILDING PERMIS ;? i$ATION (RESIDENTIAL)
New ConsWdion Reauiremenls RemodeUReoair Reavirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 sita surveys (exterior additions 8 decks)
? 1 energy calculalions ? t energy calculalions for heated additions
? 3 copies of tree preservation plan H lot platted after 7/11/93
required: _ Yes _ No
DATE: AfP 2 1L ! $. 1'?56 CONSTRUCTION COST: I /1 2 ° ° ` G G
DESCRIPTION OF WORK: R, eMO v F E x ( s 71 (v U r? r c k- 1-3 u+? n 'V &: L- D CC S:? -
STREETADDRESS: 571:j /`-I)oPLE L??9F Cl2c4LE ??"AGl9A/ /yy 55j2"3
LOT 7? BLOCK 2 SUBD./P.I.D. #: c• H & 5 "'t <I (2- t-69 ST [ S i /4 n7)
PROPERTY Name: 00,?'AL n w. NPP12G-rL c-AvE 5 Phone 6?-6 -73 S S
OWNER ""* ""'T
StreetAddress• `f s -7 `y MAnl- F LFF}r= K«F
City: C?G?y State: My Zip: SS /2'3
CONTRACTOR Company: Phone #:
Street Address: _ License
City: State: Zip:
ARCHITECT! Company: Phone #-
ENGINEER
Name: Registration #:
Street Add
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State: Zip:
Penalty applies when address change and Icl
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY LHAEPIR ?Cert ificates of Survey Received Yes No 8 Tree Preservation Plan Received Yes No _ _
?
vrrn,[Z v?? vI.a.I
1?. ?' ? ?? • J?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex o 14 Fireplace ?
? 05 SF Misc. ? 10 = plex ?15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
0 32 Addition 65?P2 34 -Repair- ? 37 Demolition
GENERAL INFORMATION
c.?
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM/ Surcharge
Treatment Pi.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Valuation: $
,. t. ? ,. ..;,r -
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit Z9
% 5AC
SAC Units
r
N
?
Ln
ul
7
J
I
?
u
2
O
?
Q_
?
a
LO
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2
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2.
SITE PLAN FOF7 -
MR. + MRS• H ARGREAVES
4579 MAPLF LEAF CIR.
EAGaN , MN 5 5I23
PRO P, z' D. 10-17I5-0•35'0 02
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructim Reauiremdtls
3 registaed srte surveys shvseg aq. R of bt, sq. ft ol house: anE all rwNed ams
(20%ma+mmum bt mvarage allowed)
1 Soils Repqt iF praposed budGmg is to ba DWoed an disWrbed soil
2 copies W plan shwring 6eam 8 windax saes; poured fiund design, etc.
1 set of Energy Calculetians
3 capies of Tree Presevation plan if bt platted afier 7/1193
Rim Joist DeleO Options selerAOn slreet (huikliigs wBh 3 w lass urrils)
Minnegasco mechanical ven6lation furm
?, o0
RBIIIOdBVRBGBI! REUUIfBffl811t OffiCB USB OIIIV
2 capies of plen shann9 bo6n9s, 6eams, jdsls Cert of Survay Recd _ Y_ N
1selofEnBrt?yCelculationsforheatedatlcXtions SoikSRWort _Y _N
1 aite survey for additions & dedcs Tree Pres PWn Recd _ Y_ N
Addition-inoGcaleifonm7esepticsysfem TreePresRequireE _Y _N
On-dOeSepUcSyBem _ Y _N
/43r7 /
Plans are considered ubiic informatinn unless ou state the are trade secret and th
e reason.
Date oO -7 Coastrucdon Cost 0?1
SiteAddress 4/25`76 M/?L? L.?/Y"?`
0 Unit/Ste #
Descriptioo of Work _
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owuer J L+L- ,4 S'1 jJrY` )Me t u; ,r TelepLone # (?sl )
4?j :7 - q (p -74
-
•
B7Adget Est@rlpff
Contractor 8017 Nicollet Ave S.
Addres: Sloomiugton, MN 55420 City
State PH: 1-877-310.1742
_ FAX: 1-952-887-1659 'ip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateoorv 1 _ Minnesota Rules 7672
(?J submission type) • R??ential ventllation Category 1 worksYieet . wew Energy Code worksheet
Submitted Submitled
• Energy Envelope Calculations Su6mitled
In the last 12 months, has The City of Eagpn issued a pertnit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan: __.
Licensed Plumber
Mechanical Conhactor
Sewer/ W ater Contractor
{ L _t
Telephone # (
7elephone # (
Telephone #(
- T uyy,J +.,. " ..w.uc;uiiM ",,,LuLig ,-cru,« ana aacnowieage mat me mtormation is eomplete and aecurate;
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 permit, and work is not to staR 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.
(?? (? ?
v T?l•97?%?.1 C}i'lL?//7Fr
ApplicanYs Printed Name ApplicanYs ' nature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118097
Date Issued:10/28/2013
Permit Category:ePermit
Site Address: 4575 Maple Leaf Cir
Lot:36 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-360
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 .
Ted Mckinney
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 -
Jeffrey S Meixner
4575 Maple Leaf Cir
Eagan MN 55123
(651) 983-6794
Cityside Exteriors
1623 Norwood Dr.
Eagan MN 55122
(651) 379-9899
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121830
Date Issued:04/15/2014
Permit Category:ePermit
Site Address: 4575 Maple Leaf Cir
Lot:36 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-360
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Jeffrey S Meixner
4575 Maple Leaf Cir
Eagan MN 55123
(612) 203-0115
Window World Aka Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
5073566021 09:55:25 10-18-2017 2/5
Use BLUE or BLACK Ink
For Office Use ill. d
City of Etas Permit#: CI
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 , Date Received: /
Phone:(651)675-5675
buildindinspectionsOcitvofeaoan.com OC i 1 8 2017 Staff:
L
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: IC). I B• I-1 Site Address: 4515 MCcple lex 4 Gtr Unit#:
Name: �'�f:VE.5C.�, F c rl c i oJ'1 Phone:(obi . 011O. 053-1
Resident/
Owner Address/City/Zip: 4515 t tc,.pte Lec 'r Cr-ectr1, I-'ItJ 551)3
Applicant is: Owner x Contractor (c).
Type of Work Description of work: I ns+z l I (.eO c+oC i n i Icv d vc tr.-i•;1c, t gctr►tp
Construction Cost: 4,15-7,00 Multi-Family Building:(Yes /No>( )
Company: AtYlviCO V..11-4.4F:yvon✓K Contact 1n1PrNriti
Address: 501
Contractor R011in�Vihc.v 1...1,3 BSc City: Pin I�1c,r�1
State:Hit) Zip: 5 (c 3 Phone:601.556S4Email: Wf'nc1 e CArrEyircun
License#: 13C 3 '1; i 5 Lead Certificate#: ►JF}T ICI-10%05-t
If the project is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
in the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supportingdocuments that you sutimk.are considered to be-publiclnfantatlon. Pardons of the
information maybe classlifed as non-public if you-provide specific masons that woulld permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at vnvw.citvofeacian.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 160
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locales of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information Is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
x C?ripieCrlkSk...l x UOon.tJt
Applicants Printed Nathe Applicant's Signature v
Page 1 of 3
5073566021Li
/����� �f i� Ct 9:56;11 10-18-2017 3/5
w ` /-`�
DO NOT WRITE BELOW THIS LINE ill6 416
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family __ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level Pool _ Accessory Building
—
WORK TYPES
_ New _ 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 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%100%_J Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O.Required
Footings(Addition) *A. Final I No C.O.Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool: Footings __Air/Gas Tests Final
Framing 30 Minutes 1 Hour ); Drain Tile ill
Fireplace:_Rough In Air Test _Final Siding: Stucco Lath Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
—
Reviewed By: 1:1 ,Building Inspector
RESIDENTIAL FEES
Base Fee t lj P
Surcharge
iv
Plan Review .. %01
MCES SAC
City SAC
Utility Connection Charge
SSW Permit&Surcharge
Treatment PlantL/ i t / ./'� .
Copies 0 . )( 1'-6" ;y i (7
TOTAL t
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173624
Date Issued:11/22/2021
Permit Category:ePermit
Site Address: 4575 Maple Leaf Cir
Lot:36 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-360
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew J Simcakoski
4575 Maple Leaf Cir
Eagan MN 55123
(715) 817-3691
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature