4583 Maple Leaf CirCITY OF EAGAN Remarks
Addition CHES MAR EAST FIRST ADDN. Lot 34 elk 2
Owner streec 4583 Maple Leaf Circle
l.? IlVi . .ax? nv
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, ? 1982 1311, 0 262.21 524.44 A014522 -7-84
STREET RESTOR.
GRADING
SAN SEW TRUNK ?if 1981 7. . 280. OQ ..56. Q0 - 5 56.00 A014522 9-7-84
,SSEWERLATERAL •?5 ? 67 .02 A014522 9-7-84
WATERMAIN
*WATER LATERAL 1981
WATER AREA 00 A014522 9-7-84
STORM SEW TRK C 1981 351.10 70.22 5 70.22 A014522 9-7-84
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 #43208 -1 -8
WATER CONN. 470.00 it
BUILDING PER. 071 Tt
SAC
525.00
PARK
CITY OF EAGAN Remarks
Addition CHES MAR EAST FIRST ADDN. l.ot 33 elk 2 Parcel 10 17150 330 02
owr,er -0 screac 4587 MaRle Leaf Circle state Eagan, MN 55122
rno •.. 4588 Lexington Ave.
Improvemeni Date Amount Annual Years Payment Receipt Date
STREETSURF. ? 133-1.07 262.21 524.44 A014471 8-23-84
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1981 280. 00 56.00 . 5 56.00 A014471 8-23-84
*SEWERLATERAL ? V 679.06 A014471 8-23-84
WATERMAIN
*WATER LATERAL
WATER AREA /a 56.00 A014471 8-23-84
STORM SEW TRK 70.22 A0144]1 8-23-84
*S70RM SEW LAT SD 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
RDAD UNIT 260.00 #43208 5-14-84
WATER CONN, 470.00 rr ii
BUILDING PEFi. 070 rr rt
SAC
525.00
PARK
CASH RECEIPT ?
CITY OF EAGAN ?
?
P. O. BOX 21-199
EAGAN, MINNESOTA 55121 ?
, J
DATE19
wKceIveo
FROM .. C_.? ,t?. ..._
AMOUNT $ I
ti
6 DOLLARS
J [??C A??H ? ?+f?C K
FOR
c 3y ? .._} _
? • ._J -
FUND CODE AtdOUNT
/
d-L-'
? u
77
] U
? JJ .-
. ?
' Uu
C . .
Th You,
' BY
F l
/o? o .
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN •
. 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 N? , 9071
. PHON E : 454-8100
BUILDING PERMIT Reteipt
Te be Med for 1/2 D[JPfGAF'. Est.Volue $55,000 Dore A'IAY 14
4587 NAPLE LEAF CIR 3
Site Addresa Eroct QX Occupancy
?.ot 33 elock 2 ?Isub. CIIES Ntr'1R F 1ST Alter '`2
10-17150-330-02 0 Z?i?
N ??
Parcel No. Repolr Q Flre Zone
Enlorye Q Type of Const. v
FEATLJR
F. BLDRS
aWc Name Move ? # Stories
? Address? 15513 ' ?'Ivi' Demolish ? Length 24
City ?=Jr-6•J.: ,Y.Phone ? 3 Grade
? Depth 4 2 Sq. Ft.
? Name
u? Addrc
? Citv .
Name _
Addrass
City _
1 hereby ocknowledge that I have read this applicotion and state thot
the inlormotion is correct ond ogree to tomply with oll opplicoble
Stote of Minrxsoto Statutes and City of Eogon Ordinonces.
Assessment
Water & Sew.
Police
Firo
Eny.
Plonner
Council
Bldfl. Off.
APC
Sipnoture of Permittes
A Bullding Permft is issued to: '' EATI7}t1'; . • i ! ? , _
oll work sholl be done in occbrdonce with oll opplicoble Stote of Minnesota
Buildirq pffiNal
Fees
Permit • 00
Surcharpe 27 • 50
Plan check 149.00
SAG 525.00
Water Conn. 470.00
Water Meter b3.00
Road Unit 266.00
Total , 792.50
n the express condition that
of Eapon Ordinances.
Permit No. Permit Holder Misc. Psrmit No. Holder
Plumbiny P l)
H.V.A.C. ?(0 01 I? ? 1"O ??1 E,? S ?1 a? I4;
YVell
Wst?r
Disp.
Stvwr
E"?? Q 3 q o ? ? c o.
A7oeo7
Impectfon Date Insp. Other
Footinps a ° %
Foundation
Framiny
Rouph Plbp.
Rouqh HVA
Inwlstion ? ?1 (
Final Plbg. . ,? 4,67
Ffnal HVAC ZZACK ? ?•
Final
Watsr Dese*ibs Locstion:
VVall
S?war
Pr. Dbp. .
Recgipt
MECHANICAL PERM17
CITY OF EAGAN
Permit No.
) I
Fee "
i Fill in numbered spaces S/C ?
Type or Print /egibly
Tot. ' '? L> >
1. Date 2. Installation Cost
(F f1f- l"'2 ,
3. Job Address Lot-?2 Blk. ?. Tract
4. Owner r Ef17l, "2 E ?ORS ?
5. ContractorL?}/C'l)n??/? S46c Phone
6. Address
7. City r State 1'Y)4) Zip? .??T ?.
8. Building Type: Residential U" Commercial ? Institutional 0
9. Work Description: New 12? Add O Alter 0 Repair ?
10. Describe
11.
Fuel Type " S
No, EauiQment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond. •
Mfg.
:i 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: -
? ` r0-z"e?- for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt L j J f? ? PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee •
fill in numbered spaces S/C
Type or Print /egib/y
?,-
70t 1. Date 2. Installation Cost
i. ? f N i , ? ' 1 r ? ?l-Co ?1 ?'? ?.
3. Job Address .S i "' Lot3 -?_Blk. ? Tract
4, awner
5. Contractor ? vq/'f C I1//lt Phone
6. Address r?
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New Rr Add ? Alter ? Repair O
10. Describe
{ 11,
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tubs Septic Tank
" Lavatory
Softner
i Shower Well
Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 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 num6ered and approaed.
Approved CITY OF EAGAN 454-5100
• CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 9070
PHONE: 454-8700 L. f
BUILDING PERMIT Receipt # ' ??` ?' `
TA ks ?a U. 1/2 ;)UP/GAIt ;, v,,,- $55,000 r%-.- N.AY 14 io 84
Site AddrA
Lot
Parcel No. _
W Name
= Addre
g City _
w
?o
o?
u
?
Name _
Address
City -
Name _
Address
Phone
I hereby ocknowledge thet 1 heve read this applicotion and stote that
the informotion is correct and agree to comply with oll oppliGable
State of Minnesoto Statutes ond City of Eagon Ordinonces.
Sipnoture of Permittee
A Building Pertnit Is issued to:
oll wark shall be done in acco
Bulldirp Officicl !
Erect ? Qttupancy
Alter ? 2oninq
Repair ? Fire Zone
Enlarpe (3 Type of Const.
Move ? # Stories 2 4
Demolish (3 Length?2-
Grode Q Depth Sq. Ft.
Apyeovals Fees
ASSe55menf _
Woter & Sew.
Palite
Fire
Eng.
Pianner
Council
Bidg. Off. ?
APC
. l)0
Permit 27
Surcharge it 4 9? u O
Plan check _52-5. Op
SAC . 00
Woter Conn, _113.00
Woter Meter ZbC) _ 00
Rood Unit
Cl _ 79 7 . 5 Q
Totol
ort the express caxiitinn tfias
Stotutes ond City of Eagon Ordinances.
Permit No. Permit Holder Mise. Permit No. Holder
Plumbing y?¢ G ?-COC PU ? 2.- ?/.a (
H. V.a?. y c? a? .LJ 1'? ? Q?• ? 5 4°'? 7 ??
Well
Water
Disp•
Sewer
E????? '?ooo? ?? 5?F 49.So
Inapection Date Insp. Other
Footinys
Foundation
Framing
RauQtt Albg. - -Y'Y
Rouyh HVAC 1?$
Insulation -
Final Pibg.
?or?. a ?4I $Y
Final HVAC
m ?. •? ''
Final
Water Describe Location:
vrren
sBUVer '
Pr. pisp.
Receipt
MECHANICAL PERM17
CITY OF EAGAN
.? ?
Permit No.i
? ? • ?
c, r
FiII in numbered spaces
Type or Print legibly
? ?-
1. Date 2. Ipistallation Cost
d s`? F
3. Job Address yJa??? Lot Bik :?-
Fee
S/C
Tot. .: ?
Tract
i
4. Owner r c rr
5. Contractor Uk0/v E/j ? < <r ? Phone ? [? ` 0?'S ?
6. Address %C/L
7. City E/,) FitJ /lfl State /)')/1J Zip
8. Building Type: Residential ?Ee Commercial ? Institutional ?
9. Work Description: New Q/ Add ? Alter ? Repair ?
10. Describe Fuel Type /Y?
11.
No,
? E.a,ripment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
H
Mfg. r
an
ng:
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 ell ordinanc?e . and codes governing this type of work.
Signed :'w / I Lt_ ? 6 l 7 t
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ( J 3!)> ? PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print legibJy Tot ? U
1. Date 2. Installation Cost
3. Job Address lot Blk. °N
Tract
4. Owner
5. Contractor L' /? Phone
6. Address
7. CitY State Zip
,
8. Building Type: Residential 55
9. Work Description: New P?
1 10. Describe
1 11.
Commercial O Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
?L Bath tubs p
Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codgs governing this type of work.
Signed : f for
, r
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pilot Knnj Road
P. Q; Box 21195
Eagan, MN 55121
Zoning: ? R-','
Ovmer. Taature Bldxs
Nddross:
Site Address: 4537 ::aple Laaf
piLimber. Lakevill.e Plirr
Meter No..
Size:
Reoder Nc.:
Iayree M oomPly wkli Hha City of Eagan
Ordinencea.
By
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
."_ ` J..
DATE: No. of units: 1/ 2 dL
rcle I.33 B2 Ches Mar E lst
Connection Chorpe: w' v. vv pu
Account Deposit: 15.00 pd
Permit Fee: 10.00 pci
Surcharge: .50 pd
Mist. Charges:
Total:
Date Paid:
!CITY OF EAGAN WATER SERVICE PERMIT `
3830 Pilo1 Knob Fioad
'P. O, Qox 2?i93 PERMIT NO.:
5-•25 8
-
4
?iEagan, MN 55127 DATE: i
1!
Zoning:
-? No. of Units:
c
un
%
le?:--
Owner, eati-ire 31crs
AddreSS:
Lea
458 j ' T' L
3 ;_ar
?c?e I 3B<. ?:.r,t? 1 s t
5ite /1ddre??
Plumber:
,
?`
I?'
'x' dion Charge:
?on ??O.OQ pu
r No.. ,u
?-
?o
`
? 9 ne
'' ?ount Deposit: 15. C? d
.
e:
Pem+it Fee: 10.0?J pa
Reader o.: .50 pd
n
1 agroe to compyr ?+r. Ckp of ? Su?char5e: 63.00 D 3 me t er
Ordloangpc Misc. C1,oryes:
Tutal:
- B Dute Puid:
Y
dote of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55127 DATE:
Zoning: t 2 No. of Units:
Owner. i'eature M Bidre
Address:
F
4587 • , , r.eaf Circ,e L33 ik2 C!-,1.?.?• '-?„r r §
Slte Address• spl` ? ?
akeviile
Plumber: T
t aym eo eornPh? wilh !hs Qitp of !elon
Ordinonees.
By
Dote of I nsp.:
eon?,ecria, choMe: 425.00 pd
. i
Attount DepOSit;
Permit Fee: .
Surchu?!9e_ . 3 p •
Misc. CF?arpes:
Total:
CITY OF EAGAN SEVUER SERVIGE PERMIT
3830 Pilot Knob Road
P. O. Box 211943 PERMIT NO.:
Eagan, MN 5:,121 DATE: `•;
Zoning: R-)
Feature Bldre Ho. of U?,tss; _ ? duplex
Owner:
Address:
Slte Addi
Plumber.
I e!f" tu oanpy wiA Nw Chr of Ea9a,
Ordiwonep,
By -_
Dote of Insp.:
L n.tp..
ca,?,.?ion aamo: 425.00 pd
Actount Depodt: T 15 • dQ pd
Permit Fee: 1 Q. 00 pd
sa,mho?ge: _ .50 n4
Misc. Chcnpes;
Total:
Dots Poid:
CITY OF EAGAN
3830 Pilot K WATER SERVICE PERMlT
nc? Road
P. O. Box 2t1QiS ''`•' '
PERMIT NO.:
Eagan, MN --.?,121 DATE:
Zonlng: k2 No. of Units: duAlAx
Owner: Feature Bclrs
/lddress:
Site Address: 4583 Ma la Laaf Cir. cle L34 B2 Cizee Har E lat
. Pfumber: Lakeville Plb
AAeter No.: Connactlon Chorye: _ 4 7 0. 20 pd
Size: 15.00 d
Acrnunt Deposit: P
Reoder No.: Pertnit Fee: 17.00 pd
? 1 syme !o emOlp wkb 1w CiFy of E+9pn Sur=horpe: .50 pd
Ordiaanps. ?y 3 A0
ey
Dote of Irtsp.:
Mrsc. Chorges: _ • pd meter
Totnl:
Dote Pcid:
ciT AGAN
3830 'not Road WATER SERVICE PERMIT
P. O. B .13 PERMIT NO.: r
Eagen.l?, ,121 DATE: j ---:'•4
Z°Nny' r'z Mo. of Units: 'g duplex
Owrisr; Featute
Md?eas:
4
4e Address: ?vle }l
Conneciian Charpe: 'a / U . UU nd
:
AcaourM Deposih 1 S.00
Pd
da No • permlt Fee: 19.00 P'i
rw to oomPlp wifli tM Ciry of leyee Surcha?ge: d
wauw
. Mlsc. Chorges:
0
[
G i. 10 p;; met,_? i
4-
Total:
Date Paid:
te
of Ir?sp.: Insp ;
--
---
-- ---_?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
lew Construction Reaufrements RamodeVReoair Reauiremenb
3 registered site surveys showing sq. fl. of lot, sq ft. o( house; and all rookd areas . 2 copies of plan
(20%maximum btcoverage allowed) . 1 set o( Energy Calculations for heated additions
2 copies of plan showing 6eam & window sizes, poured found design, etc.) . 1 site survey for e#erior addiGons S decks
1 set of Eneyy Calculations . Indicate'rf home servad by septic syslem foradditlons
3 copies of Tree Preservation Plan'rf lot platted aRer 711/93
Rim Joist Oetail Options selection sheet (bldgs with 3 or less umGs)
)ATE A 0%a-OD?
10B SITE
VALUATION "`r 5?100,'U
F MULTI-FAMILY BUILDING, HOW MANY UNITS? ?
'ROPERTY OWNER_CA_e_SV)'a'r
YPE OF WORK FIREPLACE(S) _0 _1 _2 _3
kPPLICANT P??G?U/?? oL?SS?U?"'T?S PHONE# ?012--7S1-`??-fo
4DDRESS ?? Y d- IKlil//A?'?L /S ?J?N?i?AZIP CODE 'lJS3?
'AGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULFS 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Watcr Softener
Watcr Healer _
No. of Batlls
Air Conditioning
Heat Recovery SysLem
Phone #
Fee: $90.00
Fee: $70.00
kII above infortnatlon must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the information is
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
;ertificates of Survey Received _ Tree Preservation Plan Received
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
o„?? -?) o ,
agree to
Not Required _
Updated 1101
n_ na.te_7y? ., ft REQUEST FDR ELEC?.?'^"" ECTION EB'°°°°?A°
?'' , See ire[ruetiens tor ., m baek of pallbw eapY- -1131$Y
°e."
A n! I I n nry / Utll-hM:? Befow Work Covered by This Request
Eauipment Mi•ed
iee SarviceEnlraneeSize k Fee Feeders/5ubfeaders tl Fee Circaias
.? ?ro2ooa.?, oco3on om3o Arr?
Above 200 Am s 31 to 700 Amps 31 to 100 AnUis
Swimmi Pool Above 100- Above 100_AOW
Transiwmers Irtigation Boorts Partial•'Offier Fee
I Signs Special lmpection S?-x
Remarks ?U. 54? TOTA ?E?-o
?
ibuph-in Ua[e ?, ?ha Elxtrifal
eenih' ?het cha abova
Final r Date peeTim Ms lae.
ThIS?e4ue91vWE1Bmonpmfrom vC/ w?"/ w
18 months tram?
?
,d `q)O y
A- 07 0007 L-33 B 2- Ul-?. ?? I? ??.s??
fl¢quest Dale
?1/ /
?
?` g? Fire No.
n 1.cection
Rouph-i >
?
Ready Now?lyill Notily_ Inspec-
Q y/W?or
f-• Wh
N
O
/
l Nes ?NO en
ea
Y
4censed Electrical Gonhactor I heap? ??? irn,?hon 07 above ?
? ner electriul wwk i?tallad aL
Sveet AOdress, Box w Houre No.
- Lls-? ?g?ZdFL62P? cfAL City '
ecUOn o. Townshup Name No.
f Baoge o. Caunty
Occupant IPIiINTI Ph. No.
Power Svpplier AdAress
Elecv 1 Contracmr (COmpany Name)
? . Conhacmr s Lice.nm No.
Q1// e?-s:' -3
MaiHn tlEless (COntrocmr or Ownar Making I?rstailatio
iSsd' ?/n-??, ? •?.. s-r? /ci SS3 7
Au orized S?gnarire ( m2ct3r ner Makinp? bllation) Rhdie NurMer
e,--V,7 o
YINNESOTA $TpTE BOARD OF ELECTRICITY THIS INSPECTION PERUFST NILL NOT
Griygs-MiAwey Bldy. - Room N-191 13E ACCEPIED BY iHE STATE BOAND
7821 Univetaity Ava., St. Peul, NN 56106 UNlF55 PNOPEB INSVECTON FEE IS
Phnne 1812) 28]2111 ENCIOSEO.
REnuESr Foe ELEcrwcaL inSPEcnaN - ED? °°°°,-°•
' Sse i-Wetians1or camisti?6 tl?is fum m heek of Ysllo? eoPY.
A -n ?? ? n n ..x.. ?,? ??,k ,??Th;s R?,?.
ol6uildifw 1 AnoliemasBimd
Mi Ik
R Fee ServipEnlrem:e5iza R fye feadars/SbfaMe?s i Fae Circuits
Oro2? - 0 co30 Anips Om30Am
Above 200 A 31 to 100 A?s 31 to 100 AffW
Swimnin Pool Above 100_ Ahove 00--AmPs
Transfarmers Irt? tio? Boart?s Partial•'Other Fee
L L I Si9as 1. L - ASpecial ltispection V/Q?
TOTA
14
flouph-in ?ie
t.the ical
4asnecm., no.eey
artifY ?t tlw above
Final ? ?? J(i L inrepaetim has baen
TplaraOuow voWlBmaeMluhan U4.1010
Tfiis repuosl witl f ? a ^ O ? Y( ) (Q
78 munihs & m `?( J`T ??
A- 00t 9 0 0 ?3 -? /,3 ) c??a.,
Requ st Oate /
?/
? - / - ? Fire No_ IbupMn I?pection
IQ. jred?
'
Neady Now?ll Nolitv fnsP?-
Wh
? [
/ cs ?No
? or
¢n R¢adY
icemsed Elactrical Cantractor I hey? ??? irmpection ot aEovo-
Owner alectriol vnk :.efailed at:
Slrg!el A/d(dress, Box w flou/te? ^Na Ciry
' eqlon o. Towrhip Name or o. 11aone o_ Cwnry
Occuoant (PItINT)
?
? "U.)e No.
?yT??
Y
Pow¢r $upplier pddr¢ss
1---::q
Electriwl Contreetar ICOrapany Name! Cmtractor's License No.
Ma.linp dress ICOntractor a Owrer Makinp Instailatiml
- P?
.- .
? 7
AuMarized Signa[ure (Contrdctar r MakinV. lnsbllatiml N??d//?e N?uMer
YINtdESOTA STpTE BOpRD OF ElFC7RICiT' THIS INSPEC710N RFQUEST pILL NOT
Griqga-NidaraY Bltlp- - 11oom N-791 BE AGGEPfFD BY 7HE STATE BOAilO
1821 Univeryiq Ava.. St. Peul. YN 651 W UMIESS PPoPER INSPECTION FEE IS
Phpm 1612) 2972717 ENCLOSED.
y(?? Otf REQUEST FOR ELECTRICAL INSPECTION « EB-0000,1-04
' See instructions for completinq this fmm on bnck of vellow copy.
'"X" BeJow Wor(c Covered by This Request
A
00
• Add Rep. Type of Builtline APOliences Wired Equtument WireE
? Home Range Temporary Service
Ouplex Water Heater Lightiny Fixtures
Apt BuilAmg Dryer Electric Heann
Commercial Bldg. Furnace Silo Unluader
Inductnal Rlrin 4,r Cnrxlrtinner Bulk Milk Tank
p Fee
cre ServiceEntrenceSize
2to200qms p
)3 Fee
--9 - Feeders/5ubfeeders
0 to30Am N Foe Gmuits
0 to30Am
Above 20(,qm)s 37 to 100 Amps 31 to 700 Amps
Swimmin Pool Above 100-Am Above 700_Am :
Transformers Irti tion BooR.s Partial-'Other Fee
5pecf211n5peClion ?
-a, . -i SS?9•
??3 spector, he?aby
certify that the above
i/Gi.Tsoectlan hos been
ThlsrequeatvoltliBmontrotrom ?
?d u?r?ov ?1+3(8y
itl rmn[hs irom
A o70006 aZ tr .
Nequest Date
?"'') /?
V , ? e Fire No. Pougt?-in InsOecUOn
H reE7 '
?Ready Now W?II?Nnbf? Inspec-
Nr Wh
P
/ Yes ? No en
eaay
Lwensed ElecVical CoMractor 1 lyraby reques[ inspection of above
wner electrical work insisllad et:
Sveet Atlress, Box or floute No.
? /Y47 6 ZG--2yi ?i•e, Gry
??0'G4 it.-,,7
er,uon o. Townshi0 Name r No. Range No. Coumy
Oczt (PRINT)
?' Phone No.
Y3? ?VIV3
v.e? -.
x?o•?s
Po Supplier Atldress '
Ele ical Contractor ICompany Namel
bi??T,eIc Contracmr's License No.
Maili Address ICOmrac ? or Ownar MakinB lmsiailatwnl
ss?i ? rh u,- . 4?' .?.tJ ?s3 7a
Authonzetl S?g?ature ( ntrac wner Maki Iretallationl
-y Phone Number
545/,7 ?6S??p
? MINNESOTA STpTE BOAflD Of EIECTPICITY THIS INSPECTION REQUEST WILL NOT
GriB9s-Midway Bldg. - Room N491 BE ACCEPTEO BV THE STATE 90ABD
1827 University Ave.. St. Paul, MN 65104 UNLESS PPOPEN INSPECTION FEE IS
Phnre 16121 297-2111 ENCLOSED.
9f CITY OF EAGAN Include 2 sets of plans,
U 1 Certificate,pf.Survey xt
BUIIDING PERMIIT APPLICATION 1 set of energy cal.culations..
o?
Zb Be Used For Valuation Date S?il?f'1 ?-
Site Address: 515- $?7 3oFFICE USE oNLY
Lot 33y,3 F Block ? Sec.%sub. - Erect _X Occupancy /p 3
Zoning
Parcel #: I U J-? I S O3 1__6 2- gepayr -- -- Fire Zorie
Qaner: ??e - TYPe of Const. ?
Move # Stories
Pddress:
City/Zip Code:
Phone #:
Contractor: a?-Z4-tm
Address: i 5-5'13-?
City/Zip Code: 5-5-.'? 3`7
Phone # : 4z 3 Eng. -
Planner
Arch. /Eng. : Council
Address:
City/Zip Code:
Phone #:
Demlish Front ? ?. ft.
Grade Depth ft.
APPROVAIS ?'?
Assessments
Water/Sewer
Police
Fire
Bldg. Off.
P.PC
resmit „? 98 `o
Surcharge 0 x2-
Plan Check ? y 9
SAC
Water Conn.
Water Meter /? 3 O5
Road Unit '?/,L 9Y
ZUTAL
CITY OF EAGAN
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55727 ? 9o7i
?
, - . • PHONE :454-5100
BUILDING PERMIT ReceiPt #
Te M uead 4er1/2 DUP/GAR Est.Value $55,000 Dote MAY 14 . 1984
SiteAddress 4587 MAPLE LEAF CIR Erect Occupancy R3
Lot 33 Block 2 5ec/5ub. CHES MAR E 1ST qlter ? Zoninq R2
Parcei No. 10-17150-330-02 Repair ? Fire Zone N/A
Enlorge p Type of Const. V
a Name FEATURE BLDRS Move ? # Stories
Z Address 15513 LOGARTO LANE pemollsh ? Length 24
? citv BURNSVILLE phone 435-8443 Grode ? Depth 42 Sq. Ft._
Am?nval? iee?
,o
z?
oU
u
?
Name SAME
City _
Name _
Address
Phone
City Phone
Assessment -
Water & Sew.
Police -
fira
Eny.
Planner _
Councll -
I hereby ocknowledge tFwt 1 have read this apDlication ond stote that gldg. Off.
fhe informotion is correct ond ogree fo comply with oll applicoble
Stote of Minnewto Statutes ond Cify of Eogon Ordirwnces. APC -
Signoture of PermiMea
A Building Permif Is issued
oll work sholl be done in c
Permit 41 G7o. V V
Surchurge 27 • 50
Plan check 149.00
snc 525.00
Water Conn. _47-0-00
Water Merer -63._00
Rood Unil2fio-n0
Total $1,792' S0
CUR BL R on the express condition thn,
all plico q?Stote af Minnewfa Stafutes and Ciry of Eogan Ordinances.
Building Officiol
U CITY OF EAGAN Include 2 sets of plans,
< < 1 Certi£ic ate pf Survey &
BUILDING PERNQT APPLICATION 1 set of e nergy cal.culations.
7.b Be Used For ?A'rv_Q c Valuation Date
site Address: A/S87 ?./. oE'E'ICE usS oNLY
Lot 3 -2) Bloclc a`Z Sec./Sub. f&-# 'Erect OC OccuPancl' 3
Parcel # : I [' - / -1 I S D Alter Zoning
Repair Fire zone N?1
Owner
• Enlarge
_
e of Const.
Typ
' Nbve # Stories
Address: Denmlish Front ft.
Gxade Depth H¢- ft.
City/Zip Code:
Phone #:
Contractor: _
Acldress:
City/Zip Code:
Phone #:
Arch./Eng•• _
Address:
City/Zip Code:
Phone #:
APPROVAIS FEE.S
Assessments Permit '29$ 4ta-
Water/Sewer Surcharge R> jrw-
Police Plan Check / U 9 °'?
Fire SAC S
Eng. Water Conn. ??7D `
Planner Wat,er Meter ?n
Council Road Unit Az/ h
Bldq. Off.
APC
`iOTAL T h7y LS 0
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 N'O 0070
PHONE:454-8100 ' ?
BIIILDING PERMIT Receipt #
Te M u"d fer 1/2 DUP/GAR_ Est. Volue $55,000 pote MAY 14 , 1 y 84
SiteAddress 4583 MAPLE LEAF CIR Erect ? Occuponcy R3
Lot 34 elock 2 Sec/Sub. CHES MAR E 1ST qlrer ? Zaning Rz
Parcel No. 1 0-1 71 SO-340-02 Repair ? Fire Zone N A
Enlarge ? Type of Const. V
a Name FEATURE BLDRS Move O # Stories
-
Z Address 15513 LOGARTO LN Demolish ? Length??
? city BURNSVILLFphone 435-8443 Grade ? Depth 42 Ft
Sq
.
.-
o SAME
Approrala
F.o.
Name
Address Assessment -
r City Phona Wofer 8$ew.
G Police -
=
uw Name Fi
ra
? Address E
? ng.
,
.k,Zu City Phone
Plonner _
Council _
I hereby atknowledge thot I have read this applicotion nnd stote that Bldg. Off. _
the inlormotion is correct and agree to wmply with oll applicoble
$tofe of Minnewto Stotutes and City of Eogan Ordirwnces. APC
Per?.+? 2 9-&-- 0 0
Surchurge 27 • 50
Plnn check 149.00
$AC S25.OO
Woter Conn. 470 00
Water Meter .63_. 00
Rood Unit 260-00
Total4ill /?.' 50
Signature of Permittee - I
A Building Permit Is issued to: FEATURE BLDRS on the express condition Ihm
oll work sholl 6e done in accordo h all opp cab?e 5t M of Minnewfa Statutes and City of Eogun OrdinanceE.
Buildirq Officiol e t ? ?-?°'r?^? - - -
2006 RESIDENTIAL MECHANICAL rERMiT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit
Date '! / 1y(5/ l.Jb
Site Address ? Y
"?"f 1 n
nL 1 A l? 1 de-, Unit k
Property Owner rY l Pa4 vi Telephone # ( Ll I t !
Contractor z'
r
Cit
Street A dress y
St
t Tele
hone dft)7h 7- t V
Zi
a
e
Bond#: p
p
Expires: O
The Applicant is _ Owner V `Contractor _ Other
Add-on or alteration to existing dweRing unit $ 30.00
"
furnace _Additional Peplacement _ New
)
air exchanger
air conditioner
heat pump
ather
State Surcharge $ .50
l 50
?SL
$
Tota ]
-
1 hereby apply for a Residential Mechanical Pertnit and acknowledge that the information is complete and accurate; tha[ [he work will
be in conformance with the ordinances and codes oF[he City of Eagan and with the Mechanical Codes; that I understand [his 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 acwrdance with Ihe
app ove plan in the e of work wh'ch requires a review and approval oM?,
?i?rn ',n?? I IQ , C ,
ApplicanYs Printed Name Applicant's Signature
CERTI FICATE
9 ?
? z
ll
7 40
Q?
Q ?92; 24.95
?`
Z = ?,
? `.
J z ` J L-
O Ul
-?
OF SURVEY
E a5T
IcoZ.-ICe
LoT 39-
1 (?4 lS
Lo-r 3 3
le,
qz.33 ?
+ ppDP'osED
N
N HornE
? 4z.Sy
t? si.so.... ? 9z•3
0 ?- N
d; -1 ,o
0 LL
,
NI? lp Q
?
1 I a
N
? ?
.?
o?
i
T1ltTY EAS6MlwT ?A
0.? ••
I(e4 1??
c=A? i f'.1CV1C1VR5 shuwn are ?ei,cing grades
an.i are assumed datum.
s?.sI .. ? ? 9Z•8 OI
c\?J ?
i a ? W V
?
I N Q
`"__93 e 93•S
\
?
?
( herebv cortirv triat tui< i, a correct representation of a survey of:
Lot 13 and i.u[ S,?, !ilock 2, CHES MAN EAST FIRS'i' ADDiTION, Dakota County,
}tinnesota, accordinG; to the recorded plaC thereuf.
and that I am a July regi:;tered land surveyor under the lawa of the State of Ninnesota.
Dated [hiv LO[h day of 'rtav, 1984 C,ene L. Jacobeon, Minn. Reg. No. 773*
DR gY SCALE - I_•t o OENOTES IRON MON BEARINGS ARE ASSUMEO DATUM.
?.rJACOBSON SURVEYORS
t??t', irto I.ane LAKEVILLE, MINN. 55044
%urn.vi!:,?, '114 55337 PHONE 469 -43?8
2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construdion Reauiremenm RemodeUReoair Reauiremenfs OffiuI?
3 regisfe2d site surveys showing sq. ft. of lot, sq. ft of house; end all roofed areas 2 copies of plan
(20%maximum totcoverage allowed) 1 set of Energy Calculstions for h?ted adddions _aestP??ecd? e. `?°??+t
.--,? ?._ ?'',}1="*=.'
2 copies of plen showing beam & wiridow sizes; poureA found design, etc. 1 site survey for addi6ons & decks ?„-_ iW?r-'V?
1setofEnergyCalculations AddRion - indkafeif on-s?Tesepfksystem ?
3 cnp'ies of Tree Preservation Plan if lot platled after 711193
Rim Joist DetaO Options selection sheet (bldgs with 3 or less units
? / " /
Date ?
Construction Cost ?'?fe2
)
_
Site Address ?5e? / z loto 6/1,eM(5 UniUSte #
Description of Work
s l??e -?-
Multi-Family Bldg _ Y-X N Bireptace(s)
O
? ?C?m Te?ephone
Property
wner
t
t
`f
LI
Y
!
C f
L
l
?
?
rac
or /
oa
;
Ji?
?
Address `7 ?? ?T C / /?
-
/
?;
/
! ?Y-Y City
State / VI u Telep6one #(9?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- M,?esota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical
Sewer/Water
m P, m ? u L?
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and aclmowledge 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 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.
9/0,4 ?l/l,L?-?e?'
Applicant's Printed Name Applicant's Si re
?.
fXTERIOR ENVELOPE AVERAGE "U" COMPUTATIOH
? -s
OWNER ?i'.??•,A ? p??t?e,- _
SITE ADORESS jlS?37 -3 3 ,-yjj? cc- j(z? --?.
CONTRACTOR j'?7u 2?_?LY1R/ DATE PHOPiE `/3 sr-,8443
Determine working square footage of each.
1. Total exposed wall area .....,.j sq. ft, x
2. Total roof/ce?lin.) arca .,,., 1q'L0. d?__ sq, ft, x?,05' • G.c?o
Tota1 expoaed uall area above floor •J1¢_C-¢L'
a. ToCal wail uinJow area ........................... 13 P FG
b. Total door area ,. ...........................
c. Total slidirig ylass door area .................•• f3o. 04
d, Total fireplace wali area ....... .. ............ -
e. Total wall fra:ning ;.rea (avei•age 10%)..........., 1gR.-41'r
f, Total net wa11 area above floor ,,,,,,,,,,,,,,,,,
g, Total rim joist area ,,,,,,,,,,,,,,,,,,,,,,,,,,,, (l7_1?
Total e::posed foundation a?2a = d41?7J _
h, Totdl foundl,tiCn vindow area,. ...,.•,. "'-
i. Toal net fcundaY.ion area above grr???e ,.,,..,...•• ?
Deteniirne "U" value uf eacii ?..t.ll segment,
a. !3 F &G-X Pluit
b. 37._0 X nun •^f? ?. a 4.9 /
?. . V o 0 4 A loUn c S S/ a Y Q i Q Z
e. -- z „u„ ,
e. l99,9f X Ilu° -09 ? 1-7
r. l3?r_Gz X „Un .oc, • s'u- G
9._1l7.q Z g 1-Up py . 4•-7/
h, X °u° '
?? I 'f S" A"yA f47 i 20gi
s........ 4q.8?.?.?7? ...................Tota1 •
If item 13 is the sam2 as, or less than item 41, you have met the fntent
of SBC 6006(t)2.
./ } ? \ •
(
?otal exposed roof/ceiling area = C°f 2 6- U Q
j. Total skyliqht area ............................. ?
k. Total roof/ceiling Framing area (average 10%)...
_-•
1. Total net insulated roof/ceilin9 area,.,.,...... 'ZC1 UU
Determine "U" value for each roof/ceilinq segment.
K "U" •
?'-- -- -
k, X "U" •
1. f`?Zfi. ?lGr xev 11 ?p S' :
4 .................!9Lc???!?....... Total • ou
1f total of 44 is the same as, or less than 12, you have met tha intent of
5BC 6006(t)1.
Alternate Building Envelope 6esign
To utilize the total envelope system methnd, tne values estabtished Dy the
sum of items #3 and 94 shall not be 9reater than the sum of item6 I1 and 02.
Y
3, 2.Z3 , 5'7 + 4.? qIS U 0 '?t 9. 5"`7
Ql3 -tG51
Jaoa.aeroeq Lme 9ee9e63
84=::4_i.ei_ mota.
WEPJA CO. PLAN SERVICE
EO ANDERSON
ARCHITECTUML OCSIGNING ANO PLANNING
5397 upiotin jv>4`4" S'?'
otrica: m?&
i449^4ff Roed Office.
nurnsv'un M'nnesoca 4214536
¢Zj-37) 7?
r
? r
,,
£XTERIOR ENYEL'OAE AVERAGE "U" CDMPUTA710N
~ i
ONNER 9) 1-&o ---
SITE AOORESS _h'_S8-2 - 33 -)"AAL& lz? C4;trxL
l2 f DATE PHOWE 513 5-f3 443
V
CONTRACTOR r-p? 7u 6?YJ/!
Determine workin9 square footage of each,
i. Total exposr,d wall area .,.,,,"„?v sq. ft, x_ 07 a
2, Total rooF!c.eilir???} arEa .,,..,?, 2.q a. d?- sq. ft. x.OS' • 6.po
Total exposed rrall area above flaor =_Lq¢-C-c4D
a. Total wail uindow area ........................... 13 P 46
b, ToYal door area ... ............................. `7 0
c. Totul sliding ylzss door area ................... o• 04
--
d. Total fireplace wall area,,,,.., .................
e, Total wall frarniny area (average 10%),,,,......,, lai? 8 ..9 f'?-
f. Totat net wall area above floor ................. I 3 7/?G ?
g. Total rim 3oist area ............................ tl7_?i?
Tota1 c;;posed foundation aiea = dcl,sv _-
'-'
h, ToCdi fo!jndaticn, window area.....................
i, Toat net foainciation area above gra?!e ..,...,...,. ?
DeterniSne "U" value of each :.z.ll SegmenC.
a, l3 F6G-X "U" "53' ____ = 7C-`L6
e, 37_0 t ? z „u,l 13
c. $004 z °u^ . 5!r, , 44?oi
d . `_" X
e. 19 9.9 f_ X
f. /3~(_GZ g
g, 1 !7_ ?'L X
h. ?- X
;. 44.tiv x
u
"U"
"u"
nue
uUn
liu^
-09 = !'?
. U v . 3Yr G
. ?y . 4.7/
` -
.
. Q7 . Z0,g1
3........ {g.f f.'.9 .............. ..... Totat • ZZ -57
]f item 13 is the sama as, or less than item O1, you have aet tFce intent
of SBC 6006(c)2.
r
? , .
' t
?
'otat exposed roof/ceiting area = (°f 2 D l> d
j. lotal skyliqht area............................. k. Totai roof/ceiling framing area (average 1N),..
l. Total net insulate6 roof/ceiling area...,.......
Determine "U" value fOr each roof/Cetling Segment.
X flull ?
k, X "U" _
x "U „ ?or _ 96,00
4 .................f9.?tI??U....... Totat = - 6O
(f total of 04 is the same as, or less than 02, you have met the intent of
SBC 6006(C)1.
Alternate
To utilize the total envelop
sum of ltems #3 and #4 shall
3 , ZL3 . 5'7
Building Envelope Design
= system method, tne values established by the
not be greater than the sum of item5 11 and 02.
+ 'r9.5`7
ax.3 -3L sg
JaOlAiletotlq Lane -989-2963
B?i71arlAir+ansote.
WEPJA CO. PLAN SBRVICE
EO ANDERSON
ARGHITECTURAL DESIGNING ANO LANNING
i 397 ?pf?n ? Sf
Oftice. /,44 t,?-?
' f Rgpd Office.
9nrnsv'Ln M'nnesota 896nRU
4z3-377 5'
• I
? 2/aa
m
C
ITY
'j OF EAGAN
jr?m!jm
%
_
4 APPLICATION FOR PERMIT
? SELQER AND/OR WATER CONNECTION
(PLEASE PRIHT)
1) PP,OP?T'1I"! ADDRESS : J`P LP UT I?
T.Fr=,L DESC2I°TZC:7: dQ ---3-f?zf o6'?W
(Lot/Block/Sub3ivision or Tax Parcel I.D. Nunter)
ir E{I5='= :G Si'4L'CP':2E, Drl'I-: G_° GRI=2AL : iiIL:I.`:G
? PP,=S.-?,7 ?-1 Si:?iUT.: F?m.i:.Y • _. _.. __= ,
R-2 DUPI.EX (?Sti"0 Wi ITS )
? R-3 'IGZvNIQL'SE (TIIRc:c, + LNITS) ( LNI"_'S)
? R-4 ApAR7fz'`::'/CO=IDCd,LVi?°I ( WI:Si
? CONME.'4C7ALi^n'ETAII?OFFICE
p L'MUSTR ; ar,
Q INSTIT-UP;CNAL/GCVERn?=;
Z) APDLT(`]\,TI` (PLEaSc PRINi)
ADDRESS: / -7
CPPYr .STHTE, ZIt : °l,
PxoNE:
3) )
Pll;mER PLEASE P NT
? FOR CITY USE ONLY
I
? t7
---
?- ?
ADDRESS: PLUM?RS LICENSE:
? Attive
CZTY, STA'I'E, ZIP: Q Expired
FfNSi; ?
PHOi?7E: pLUMBER LICENSE 1'I ? Q Not oi Necord
?y?i
arr tnitia
4) OC.'C[JPAN'P/C7.'7N-rR NAh]E lrLcnac rnini)
:
ADDRESS:
CITY, STATE, ZIP:
PI ICY.VC:
5) INDICy'I'E WHICii PEP,h1IT IS BEItiG REQUESTF:'D:
? CGZIECPION 'IO CITY SD7ER
? CC..TIEC.'TIGN TO CITY WA'PER
? CII'I'..z'.R (PLEASE DFSCRIBE)
b) U::E;
? PI.&;SE F'OLD APPRWID PERPtIT FOR PIC?:-UP BY ONE OF 71BOVE
?°L-EASE ATAIL APPROVID PR?LIT 'RO 1, 2, 4 F1PClE
_ , (Circl one)
7) SICi'?1TL:<E: 44?2z&y1,j ?1 ??? DATE:
olRq:?1?HiA:/??altl?. •'' -?
.+??+? s e? r?saa ? as s?s:a nr.? ??e f.in.r??+? a?t ???saa e
. . .?
F O R C I T Y U S E O N L Y
PERMIT "- ISSUED
FEr5= $ el
$ ? p.sa
$ lo ? °"d•
$
$
$ -? Q_ a-o
$
s
S
$
$
$
SE:'iE? ncottr•?, (_•]C:.;:,7: SliRCH'P.G?)
WATER PERP1IT (INCLUDE SURCI'.ARGE)
WATER METER/COPPERHORN/OUTSIDE REauER
WATER TAP ( I:VCiiiDE COR?ORATI0:1 S:C? )
SE:'IE.°. TF_P
ACCOUNT DEPOSZT - SE:4ER
ACCOUNT DEPOSIT - WAT°B
wac
sac
TRU:IE: ?1ATE.°, ASSESSi-IE:IT
TRtiVK SEiSER ASSESSMENT
LATERAL BENEFIT/TRUNK SEhTER
LATERAL BENEFIT/TRU:Vn WATER
OTHER
$ TOTAL
$ ? ,,-w AMOU:VT PAID/RECEIPT
?
?OES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
ES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO TFiE FOLLOSJING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
w.-M BW W 30 N"W Pta Oc M ia w " w?
•
84
2/
masm,
CITY OF EAGAN
APPLICATION FOR PER:+IIT
? - SEldER AND/OR WATER CONNECTIO.I
(PLEASE P91NT)
1) PF.OPIIiI'Y ADDRESS: ?- _« hl`?LIT? C.?I }-
r.FraI, DESCRI°TIC:I:
(Lot/Block/SUbctivisicn or Tax Parcel S.D. NLunber)
it ?tIJ='_ :G ST°S,TCP :2F , Drl_'*^t. G_° ORIGi dAL : uiL^uI.`:G F?',S':'
? 1 Si?iG'? rp??t'r,y ' '---- --
YJ R-2 DLTPI.E.Y ('Iti:b U'LNiITS)
? R-3 TG[v'NHCUSE (TEu4en + WITS) ( Wi ITS)
? R-4 UNITSi
? CQti7ME.TtCIAL/RETASL/OFFICE
? LMUSTRIAL
? IbISTITLTIO.''vAL/GM&'?:"2.=,
Z) APPLIGANT (PLEASE PRI41)
NP.hIE
ADDRESS:
CZTY. ST;iTE, ZIP: ?
PFiONE:
3) PLL.'(BER
?? PLEASE Pfl N )
; FUR CITY USE ONLY
. 'I
ADDRE55: .
?-2- pLt1NQER5 LILEYSE:
?
Active
CITY, STATE, ZIP: JwLe ??/ Expired
PHOiVE: ??uait-,
PLUMBER LICENSE 1/ [= Nut r ec d
' arr niria
4) OQ=[JPPNT/C*,ZIF.:ti NAME: krLcaat rHint)
ADDRESS:
CITY, STATE,
PIfMC ;
5) INpIGATG WIIICI{ PEPJUT IS BEZNG RE.QUEST.r.D:
? C==ION iD Ci:'Y Sa7ER
? CC:.?QECfICN 'IO CIT`i SJFITER
? dI'f'.II2 (PLEASE DESCRIBE)
6) L`:DIG ::: C.:E:
? PL:`,SE F:OID ApP.RUh.., PERtilIT FDR PICi:-IJP BY ONE OF A&T,/E
?°T.&lSE ?AiL APPRO\M PER%LIT TO 1, 2 3, 4 ABCn/E
(Circle one)
7) sic`a=.?E: ?1?U???//iv'J ? oaTE: ?s = a 44-
?
??!lif.l?=:?.?Aa1is?:?F?it??f1?[l?FJ????JlJy1?fl?lhta[??. ac-a
F 0
PERti1IT = ISSUED
I T Y U S E O N L Y
Frrs= $ SET',L? ST=T.:!i:=)
$ PO. uC ° WATE:2 PERP2IT (INCLU?E SURCHARGE)
$ WAT°R METER/COPPERHORN/OUTSID: REAvE3
$ WATER TAP (INCLUDE CORPCRATION STOP)
$ SE'r7ER TpD
+5 4=07?-O ACCOUNT DEPOSIT - SET.dER
$ a ? ACCOUNT DEPOSIT - WATrR
$ WAC
$ SAC
$ TRU;VK ?QATE.°. ASSE5524E:7T
$ TRtivK SEWER ASSES5MENT
$ LATERF.L BENEFIT/TRUNK SEZ%ER
$ LATERAL BENEFIT/TRUNK WATER
$ OTHER
$ TOTAL
$ AMOUNT PAID/RECEIPT ;
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN Pt]SLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUSLIC ROADWAY" MUST BE ISSUED BY THE
f[? NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLLOTNING CONOITIONS:
APPROVED
DATE: d-•`--
qWsq tW M*Mso f?+ w4W pcW ot Wp+ ?. ?
OF
38,'10 PILOT KNOB ROAO, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
Dear Eaqan Resident :
BEA BLOAA9UIST
M
DATE:
August 20, 1985 oVw
Trypp4,e,SEGAN
JAMES A SMITH
ADDRESS:
4587 JERRV THOMAS
Maple Leaf CirrHeoooaEwncHreR
Caunal Members
LEGAL DESCRIPTION: Lot 33 - Block 2 rHOnn,asHeoces
Qty Admnstmlor
EUGENE VAN OVERBEKE
Ches Mar East lst Add. cnrcle?
RE: RZGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
It has been brought to the attention of the Public Works Department
that you have placed a structure or obstruction on the City right-
of-way in violation of the City Ordinance referenced below.
CITY
SEC. 10.32. OBSTRUCTZONS ON PUBLIC PROPERTY
Subd. 1. Obstructions. It is unlawful for any person to place,
deposit, display or offer for sale, any fence, goods or other
obstructions upon, over, across or under any public property
without first having obtained a written permit from the Council,
and then only in compliance in all respects with the terms
and conditions of such permit, and taking precautionarv
measures for the protection of the public. An electrical co:3
or device of any kind is hereby included, but not by way of
limitation, within the definition of an obstruction.
Subd. 6. Continuing Voilation. Each day that any person con-
tinues in violation of this section shall be a separate offense
and punishable as such.
SEC. 11.1. GENERAL PROVISIONS
Subd. 9. Structures in Public Right-of-Way. No buildings,
structures or uses may be located in or on any public lands
or Right-of-Way without approval by the Council. .
The public right-of-way or boulevard is that area from the curb
to your property line (approximately 13 feet) and is intended solely
for utilities and snow storage. The structure must be removed from
this boulevard area to provide for required storage and also to
protect our snow removal equipment from damage. We apologize for
THE LONE OAK TREE . THE SYMBOL OF SiRENGTH AND GROWTH IN OUR COMMUNIIY
RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
PAGE 2.,
the inconvenience this relocation may create, but it is necessary
to prevent damage to your structure and also to our snow removal
equipment. The only exception to the ordinances are mail boxes
if they are installed according to Federal specifications as
furnished by the post office. A copy of this letter notifying you
of this violation will be placed in your parcel file with a copy
to the appropriate enforcement division.
THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED
AND THE OBSTRUCTION REMOVED WITHIN 60DAY5 OF THE DATE OF THIS LETTER,
After that time, you will be subject to the fines as stipulated
in this ordinance.
The City of Eagan cannot accept any resporisibility for damage that
may occur to those obstructions that are in violation of the City
Ordinance.
If you have any questions, please feel free to call me at 454-5220.
Yours truly,
William H. Branch, Superintendent
Public Works Department
WHB:jbd
Rocks on the boulevard
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
Please complete for. Single Family Uwellings
Townhomes and Condos when permits are required for each unit
Date?/?1?
i
(? &?
? C
- it #
U
?.c? y
S
te Address
- PG/f n
Propert
Owner A,--
C Telephane # (G?h ZA?1-
,
y
_
Contractor
Address City _
State Zip Telephone # ( )
The Applicant is ? Owner _ Contrac[or _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100 00
Includes County fee. Additional consultant fees may apply.
Alterations To F.xisting Dwelling Unit, Induding $ 5000
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of sephc system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener ;L1 Water heater $ 15.00
_ replacement _ additional
H (i ( . 1
ti? ? ?; ?. •, ?, li
State Surcharge I?
i
$
50
Total
LY-- _
- -
f hereby apply for a Residential Plum6ing Permit and acknowledge that me mtormanon is compie[e ana accurace; mat me worn wni
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is nol u
permit, but onty an application for a permit, and work is noY to start without a per 't; that the work w?l be in accordance with Ihc
approve lan ' ttl¢ ase of work which re uires a review and approval of plans?
F? ? J
A p icant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA097285
Date Issued: 12/06/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4583 Maple Leaf Cir
Lot: 34 Block: 02 Addition: Ches Mar East Ist
PID:10-17150-340-02
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House & Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Window World AKA Probuilt America Thomas 1\1 Partridge
2211 11th Ave E, = 130 4583 Maple Leaf Cir
N St.Paul NIN 55109 Eagan MN 55123
(61)770-5570
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
For Office Use 1
I 1
U vv
p~ 1 Permit
t 6'J
City {
Permit Fee: d {
3830 Pilot Knob Road 1
Eagan MN 55122 1 Date Received: 1
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
-----------------J
2011 MECHANICAL PERMIT APPLICATION
Date:
Tenant: 12-176 JAMES BREEZLUI HMS
4583 MAPLE LEAF CIR suite#
RESIDENT I OWNEi EGAN, MN 55123 Phone:
952-452-3697
Nan MIDLAND HEATING AND AIR License:
413 WEST 60TH ST
CONTRACTOR Add MINNEAPOLIS, MN 55419 City:
star 612-869-3213
Conn,,,.. cman:
New !;4 Replacement Additional Alteration Demolition
TYPE OF WORK Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
_ Furnace New Construction _ Interior Improvement
PERMIT TYPE Je<~r Conditioner Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE
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.ciootiei'stiteonecall.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 no start out a permit; th the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x /cJ.~ ✓ x
Applicant's Printed cants 'nature
FOR OFFICE USE
Required Inspections: Reviewed By. Dater
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109376
Date Issued:03/01/2013
Permit Category:ePermit
Site Address: 4583 Maple Leaf Cir
Lot:34 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-340
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, 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 -
James Breezley
4583 Maple Leaf Cir
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109808
Date Issued:04/05/2013
Permit Category:ePermit
Site Address: 4583 Maple Leaf Cir
Lot:34 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-340
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James Breezley
4583 Maple Leaf Cir
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119368
Date Issued:11/25/2013
Permit Category:ePermit
Site Address: 4583 Maple Leaf Cir
Lot:34 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-340
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 -
James Breezley
4583 Maple Leaf Cir
Eagan MN 55123
(952) 452-3697
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:EA119369
Date Issued:11/25/2013
Permit Category:ePermit
Site Address: 4583 Maple Leaf Cir
Lot:34 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-340
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 -
James Breezley
4583 Maple Leaf Cir
Eagan MN 55123
(952) 452-3697
Cityside Exteriors
1623 Norwood Dr.
Eagan MN 55122
(651) 379-9899
Applicant/Permitee: Signature Issued By: Signature