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957 Greensboro LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 957 Greensboro Lane Lot: 9 Block: 4 Addition: Greensboro 2nd PID:10- 30901 - 090 -04 Use: Description: Sub Type: e - Furnace Work Type: Replace Description: Furnace Comments: Permit closed without required inspections(s). Letter sent to applicant on 2/17/09. (pf) Fee Summary: Contractor: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952- 445 -2840 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Owner: Bert C Westerman 957 Greensboro Lane Eagan MN 55123-2247 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA079548 08/30/2007 ePermit - Applicant - BLDG. : 01-3210 01-3422 01-3445 01-3446 k. 01-2155 !7-3860 20-2275 10-3865 ? 20-3868 20-3716 20-2252 E R M I T 0. I`t 0 :1` • V ?. ? ? ' Bldg., Permit Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. 4:ater Meter Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL 4 ? CASH RECEIPT ? ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 T DATE 19 ? i• RCCEIViD FIIqA AMOUNT $ & DOI.LARf 1 oo ? CASH C] CHECK ev wnice-Pave?: covy Yellow-Po:tinq Copy Pink-File Copy ThankYou 1 . i. PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: T-PRICE:, PHONE: 454-8140 ? Name ao Address ? c City t. Name T_ ? Address. p City , TYPE OF WORK - Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping Outlets # BLDG. TYPE Res. ? _ Mult Comm. , Other FEE S/C: TOTAL• WORK DESCRIPTION New ? - ? Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkilAlT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ' I 51GNATURE OF PERMITTEE ? PLUMBING PERMiT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Site Address `? / Lot 81ock m Name ? ? Address c Ciry. Name 3 Address _ ..:. . ? FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.SQ S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMIT q RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO.? FIXTURES TOTA -Water Closet - $3.00 S TBath Tubs - $3.00 ? Lavatory - $3.00 ? - Shower -=$3.00 =. _4Kitchen Sink - $3.00 ! UrinallBidet - $3.00 ::?:Laundry Tray - $3.00 ' Floor Drains - $1.50 ± ? - Water Heater - $1 50 : Whiripool - $300 -LGas Piping Outlets - $1.50 / = (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 P t 0 ,- rrva e isp. - $1o.60 =Rough Openings - $1.50 =r ! ` ril -1-?- SIGNATURE OF PERMIi'TEE ? FEE STATE SlC: 5 J FOR: CITY OF EAGAN GRAND TOTAL• ' CITY OF EAGAN '; 40 85 '- --•--' ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE• 454-8100 . - / " , i BUILDING PERMIT Receipt To be us@d for Fst. Value Date_ Site Address `° ',7'-?!; . i'" r'.' ; ro L(; Lot Block 'Sec/Sub. 614•EN^'&;RQ ZND Parcel No. ? Name so-I l;1Li,ER CONST z Address Av`; SU o City Phone 431- 0U1: I ¢ o Name , ? i Address P City Phone adaress I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY On Site Sewage _ Occupancy MWCC 5ystem _ Zoninp On Site Well Type of Const City Water _ (ACtual) (Allowable) ik of Stories Length Depth S.F. Tofal Footprint S.F. APPROVALS Assessments Water/Sewer Fire Engr. _ Planner _ Council BIdg.Off, _ APC _ Variance _ Signatura of Permittee .. . • ,1?.r i A Building Permit is issued to: all work shall be done in accordance with all applicable State of Minnesota Building Official FEES Permit Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Copies TOTAL K3 ic ? ?- Y on the express condition that i City of Eagan Ordinancea Permit No. Pe?mlt Nolder Dste Telsphone ?t Plumbing H.V.A.C. L- `> /ld Electric Softener Inspection Date Inap. Commsnts Footings I Footings II Foundation Framing Roofing Rough Plbg. _ z" Rough Htg. p y,K.7 ?-, Isul. a Fireplace Final Htg. .? ? • `( - Finat Plbg. Bldg. Final ??r a-, b • !? • Cert.Occ. ?, ? Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CITY OF EAGAN SEWFR ; 3830 Pilot Kno0 Road P.O.<B'ox? 999 - PERMIT NO ? Eayan. IOIN 55121 , DAfiE` , Zonift Rl No. of Units: Owner. Joe Miller Const. Address: Plumber iERVICE PERMIT 10203 . g_ i. ;? i agree to comply wnh t$,e#tWat?gQ* call b"A"nar9e: 5-2 5_ nnp, Ordlnances. TELEPHOrJE - ELECTU60016MAIc: 1 5_ n?Ipti_ it REC?UIRED h? _ sopd- BY Miso.'Charges: Date of Insp.: TntaL`• Insp.: Dete Paia:.- _ - • --. ? CITY OF EAGAN Permit No: '05' pate: 9-15-i. ' 3830 Pilot Knnb Road Meter No: ?A3_ 3 SiZe: v Rack P.O. Boxg1199 Reader Na 10 9P Date: /'n ./.S-$7 Eagan, MN 55121 e Miller Conet. Site 34 Conn,Chg: 525.00pd wARV? 1 _5 . `i;.) _ d g. Acct. Dep: a. of Units: Permit Fee: 2o.:- 1ng ca 1QCal tltllttw Surcharge: • Y • tFer?l?? Tr. Plant I30, Q Meter. ?______ ?v 1 wlth fhe City ol WATER SERVICE PERMIT CITY OF EAGAN Permit I 3830 Pilot Knb6'Road P.O. Box 21199 Eagan, MN 551?1 Owner. Ja2 ? .r Site ,4ddress: 9? Gx`ens Plumber. ?'1g?ut1S ». Size: Date: ?fl .ti ? Conn. Chg: "?`''?+?? Zoning: ?1 ?{ ; Acct. Qep: P?? No. of Units: Permit Fee: `? ?? Surcharge: '??a 1 agree to comply wilh the City of Eagan Tr. Plant " ??? Ordinances. Meter. 57 _ (lt3n?? M i sc.: By WATER SERVICE PERMIT ! i CITY OF EAGAN 3830 P?llot 14nob Road ? P.O. Box 21189 _ ?" " .'?,,.`? to comply with a of Insp.: SEWER SERVICE PERMIT PERMIT NO.: 1 '??'??? DATE: }? '- L No. of Units: 1 Connection Charge: ? ? ? • uuA? Account Deposit: ??a Permit Fee: iU . ?C?pd Surcharge: . SCk? Misc. Charges: ? Total: Date Paid: '1 Meter No: I Reader No: ? ? 2?3.? ?E r,...?.. 1 NO PRV REQ[iIRED , t CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N o_ 14085 ?/ ry (p / BUILDING PERMIT . PHONE: 454-8100 Aeceipt # CO b! • To be used for SF DWG/GAR Est. Value $66,000 Date AUGUST 26 l 987 SiteAddress 957 GREENSBORO LN Lot 9 glock 4 Sec/Sub. GREENSBORO 2ND Parcel No a Name JOSEPH MILLER CONST = Address 18133 CEDAR AVE SO o Ci}y FARMINGTON phone 431-2001 o Name_ oQ Address ? City_ a W Name_ ? Address u W City_ I hereby acknowledge thaT I have read this that the information is Correct and agree to eo State of Minnesota StatutdMnd CIN of66'c Signature of PermitteeSG A Building Permit is issued to: all wOrk shall be done in accorda e with all Building Otticial aplication and state )19 wi•th all appliceble 1ofdIfIHOCBS MILLER CONST pplicaMe State of M OFFICE USE ONLY R3 On Site Sewage Occupancy MWCCSystem X Zoning Rl On Site Well Type of Const y City Water X (qctual) (Allowable) 7f of Stories Length iQ Depth 46 S.F. Total Footpnnt S.F. APPROVALS FEES $ 384.50 Assessments _ Permit Water/Sewer _ Surcharge 33-00 Police Plan Review 199 - 75 Fire SAG City ?_?n n0 Engc SAC, MWCC 525. Q Planner WaterConn. ???t5Q Council Water Metar _67. 0 Bldg. Oif. Road Unit 305. Q0 APC _ Treatment P7 iBo.?0 Variance _ Parks Copies ?. TOTAL $2•311•7S on the express condition that nnysota Statutes and City of Eagan Ordinances. ? This repuest void G?? 18 ?nths (rom / ? D 418 Aequest U le Fire No. RouAh-in Inspectmn R Q eA? ?Reatly Now ?J{Wdl NoufY ??spec- ? Q Yes ?No ?-?lor When Ready Licensed Electncal Con(ractor I hereby request insOection ot abo?e OW°ef elechical work inslallwrl nrSheet Atldress, Box or Roule No. Crt/Y' ?? C /?? X ? e U T / c On o. Townshlo Name or No. qang¢ No. Cow??y j?VOO 7`?V Occupant IPPINTI Phone No. h'i "/ o Co,?sY. cr,`c,r? Pooyer Supplier Address a Electncal Convacto, ICompany Namel + ? ? ` ' Commctor's L,cense No. Er7 ? re??t c ri Ma?lmg AdJress (ConVactor or Owner Makmg Ins?ailauoN /+uNor ed S?enature (Contrac?odOwner Mzkine Insi211aLOn1 Phone Number mdw SOiq S9pTE BDApD OF ELECTRICITY THIS INSPECTION REQVEST WILL NpT Grie s-Midway Blda. - floom N.191 BE ACCEPTED BY THE STqTE 9pqqD 1821 University Ave.. St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 842-0800 ENCLpSEO. REQUEST fOR ELECTRICAL INSPECTION f. EryB-00001-06 ?j 1 See inslracbons lor compl¢lin9 this twm on back of Vellow copy D 4 l.$ C7-8 "K" Be/ow Work Covered by 7his Request FAd Neo. Type of BwlOing Apoluancea WireA Equrymenl Wi•ed Home Ranye Temporary Service Duplez Water Heater Lightiny Fixtures Apt. BUilding Dryer Electne Healin Cominercial Bldy. Fumace Silo Unloe?der Industnal 01Ag. Air Condrtioner Bulk Milk Tank Farm ONer p, i y .tn, 15nentvl t er SUCCiIy Other Othn, Compute lnspection Fee Below - ? - N Fee ServiceEntranca5iie tt Fee Feeders/5ubfeeders M Fee Cvcwts -DO 0 to 200 qm s 0 to 30 Am py O OPO 0 to 30 Am s A6ove 200 qmps 31 [0 100 Ainps 31 to 100 q Swimminy Pool Above 100-Am s Above 100_Amps Transtormers Irngation Boorns Partial,`Other F Srgns Special Inspectwn S// T T Rertwrks a 5 dJ O AL El?1' 1 r v- HouBh-m ( [Dpaie ?, the Elec F xl r /Uti? ? In certify spector_ hethe reby Y inal ??' /? ( t?j spection?has been ? // i.. A\ ?J.lJS? Oe. I (Ob reuueet roi018 mon1M Irom I ? ' . 0 1987 BIII ING PERMLT 9PPLICATIOH - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SEPS OF PLANS, 3 CERTIFICAiES OF SORVEY, 1 SST OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOME04TNER MUST DESIGNATE W$ICH ADDRESS IS DESIRED. NO CHANGfiS WILL BE 6LLOWED ONCE BQILDING PEAHIT IS ISSQED, MOLRIPLS DWELLINGS - RESIDENTIAL RENTAL DNTTS FOR SALE iT@DIRS INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SDRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO.MERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ILQ/1 FN.Tfl1 Valuation: -va Date: A-/q-Rr] Site Address q67 Au/roid'j,Q z/'1. Lot q Block 4 Pareel/Sub AIjMI/nA OnJ Owner Address City/Zip Code Phone OFFICE DSE ONLY On Site Sewage` Oecupancy MWCC System V Zoning t2-? On Site Well Type of Const City Water L7 (Actual) y-N (Allowable) ll of Stories Length 39.0 Depth y(.,o S.F. Total Footprint S.F. 9PPROVALS FEFS Contractor y Address W?'?, :?-Lb , City/Zip Code Phone `A3A ' Arch./Engr. Address City/Zip Code Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Permit 3$ .S0 Sureharge 33 • 00 Plan Review J q Z, 2S SAC, City 100,00 SAC, MWCC 5ZS,00 Water Conn 57-,o0 Water Meter ir, ?7,o0 Road Unit a ,oD Treatment Pl I gD.oo Parks Copies TOTAL s- Phone 7f G?koRbE 22x22.=?{?yx/2= SffoS? ? ouse• . zs/?_x 17= y3y 3? x J7 1,!Z _?- _ - _ 20 ?3s?nT ay X 3`1 uxs= C?-?? l- /ono x?y= t?rfflaf-. 65352 '? ; ? . 1 , CITo OF BUILDIN6 DEPAR2MENT ' kXrERIOR ENYII.OPE AVERA(3E "U" COMPIITATION (Zb be submitted with building permit applicatioa) 0 wne r One or Tvro Family pll Other n"'eiiin8 9Srj GksAwss6?P Contrac W r LI1:EAL : t;ET OF ?? EiL•'0SED ?'?? ?:,^UL `?:.LL CQP??S,T*? I I+: "" Value x Area J?nit .P43 Detail :e;erence from attached s?eets u1J n Site Address ? ANe - Date 3' Phone nbJGF}£`?n above grade = lrl142-- 50 L TOTAL i;{*'OSt,D WALL ARnA SQ. FT. x SQ. 1:1 FT. IQp5.70• L•d (U)(A) X Sa. FT, 93.SD=? (U) (A) ?U)?A) x SQ. FT. II .ZO=?,el2?._ (U)(A) x sQ. FT. _ (U)(A) x SQ. FT. _ (U)(A) x 5q. FT. _ •,.I1rD0SVS: "U" `lalue x Area S p. O- FT 5- (U) (A) ':e !? Tyne ??U?LL??iN1/Z???i? .SZ „ Q. x . k11)LA) 4 „ n nUn x SQ. FT. _ (U)(A) n upn. n x SQ. FT. - (U)(A) - ? jilUll ti x SQ. - FT. - ADORS: "U" Value x Area :i?- :e & Tyoe H 11 n n Sn . (y?jOL. uUn • /7 x SQ. liull 147 x SQ• x SQ. -IIpn x SQ. TOTpt,s 1SI2-50$Q• pVERA(3E "U" FT. Z.oO =--,'r•E?L(U)(A) FT•?C? (A) FT. _ (U) (A) FT. (U) (A) r'T. /L/.±& (U)(A) TOTAL (U)(A) VF.LUES 1?919 _ OQQ Ul DIVIDED BY TOTAL WALL AREA ISI49 SO ? pVi.RAG'r; "Ull ,115 or -lesa foT 1&2 family dwellings ROOF/CEILING: TOTAL AREA: ?•n? Z?;,pp(U)(A). tail reference 1 •OZ x SQ• ?'?-- -(U) (A) De "Un x SQ. , from - pttached sheets. X SQ. FT. _ _(0)(A) Describe onenittgs,? ' - ''Ull x SR• FT•?- - - (U)(A)- . in roof. " nIIll x SQ. F2, Y7AcLcJ 000 z5' CIO CU? ) (U)(A) VALUES DIYiDED SY S,dO _- TOTAL R007/CEIi.Ii:G :.]:FA ? AVERAGE "Ull .025 for ventiinted roofa. ?Ir Determiaing If0ll valuee at Roof, Wall, Rimo and Conc. Hlock ROOF/CELLIN4 1 . ) Interior Air r'ilm z.) 5/81, ayp. aa. 3.) Insulation 4.1 5•) Exterior Air Film (STILL) R VALUE 0.61 -56 3$•00 .6t "p" _ 1/R= i`OTAL (a)= 39-78 ?- WALL 6.) Interior Air Film 7.) 1" GYP. Bd. 8.} Insulation 9.) ZS/3z" BwL7-RiiE 10.) Masonite Siding 11.) Exterior Air Fi2m R VAI,UE 0.68 .45 ?4.00 z674 .17 l'Ult = 1/R= .043 TOTAL (R)=Z3.OI RIM 12.) Interior Air Film 13.) Insulation 14.) 211 Fir Rim Joist 15. ) z6/3zd Bvrc7- 217E 16.} Masonite Siding 17.) Exterior Air Film (R) VALUE O.G$ 14.00 1.88 Z.67 .17 upu c 1/R= TOTAL (R)a z4," r? 1 FOUNDATION 18.) Iaterior plr Film 79.) 20.) 21.) 12" Concrete Block zz. > v,vbEP- "P-" 23.) Exterior Air Film R VALUE O.($ 1.28 S•oo .17 IIUu = t/R= . 14D TOTAL (R)= 7-13 i , Er."r tJAu. l4.so X ??}tllo+z4+?? - 147- o0 9.SO x Uzfi1Z+?7? = 389.s0 ISIo, sp -?- . X C 34+34 t" 3(0+3?) = q fv7 n? Sa/s7' •83K ?34+34?-3?t3?J = 1/Co,Zo?- ??nlDows I? X 3 C? _ `f, o X Z = zo X3c? = S•o x g = z? x 3? = ?.o x 4 = Zo x48 = (o•7 X z4)(4g = 8o x 4 = Lbaws 3 ° s7L . Z $ 57Z. • z l.oo Zi.ao 42, v o ? g4. 0 0 S. ao Zo, o 0 24-00 Z(".Sa 3Z. o0 J/n g0 *-- 00 z4 X 34 = S/lo t2 x 1Z = 144 s x 8 = 40 l,000 ? NEr w,4 E? H• LESS ?v?r. , 43. So )! lo.zo n wDw'S !I o•80 , Dob?S 8g.oo 1510. So ikS, 70 ?-- CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION DRYPF': PAYMM QF FEE AT TIME OF aPPLIcAxIoN DOEs Mr oCNszzTM r,prROVat, oF rERMrT. rrWncriox oF sF.Wx Anro/OR WA= nNISrarramrON5 Wiid, AiOT BE SC[ED- ULID L16TJ.ZL PERNffT HAS Bffi?1 APPROVFD. _ P ease Print 1) PROPERT7C ADDRESS: /,d<a 44t'-- LEGAL DESCRIPTION: %LVC/n.iUCx/buDalviSiOR Or '1'aX YdY'Cel ill #) 5 . IF E7QS'PING STRC'CIL?RE, DATE OF ORZGINAL BL!ILDING PERMIT ISS[`ANCE: - PRFSPNP ZONING/PROPOSID L'SE: (NYm )Cear [] COMRCIAI./RETAIL/OFFICE 0 R-1 SINGLE FAMILY ? INIIJL'STRIAL 0 R-2 DLPLEX (Ztvo Onits) [l INSTIZS)TIONAL/GOVTRNMENT ? R-3 'IUWMOLSE (Three + Units) ( Units) R-4 APARTMENT/CObIDOMIDIIUM ( Units) 2) NF1ME: :ac /A4 lci- -? ADDRESS: /8/33 e.•0a- CZTY. STATE, ZIP: ?yr,y„?.„ ,CoJ PxoNE•_ ys.?- 3) • c?• NAME. For City Use . ?-s, Plg I.?c Plumbers License: ADDRFSS: ,23TLD Expired CITY, STATE, ZIP:_ inv ? I?bt rECOTd?d PHONE: .55`F-- 7G 7S MASTER LICENSE# ?pl ? 6qS Sta?itial 4) ?? • i?• -- rArE:_ ADDRESS: ` CITY. STATE. ZZP: PHONE: • i •g} u a• ?• : a • ?? - a? - [3--CONNEC."rION TO CITY SEFlER Q?'MNNECrION M CZTY Fp1TIIt ? OTFIER ' • 6) u • t Ey'PLE',ASE HOI,D APPROVID PERMIT F'nR PICK-0P BY ONE OF ABOVE ---'- -- -- [:3 PLSASE MAIL APPROVM PERMIT TD 1. 2, 3. 4, ABOVE .; (Circle one) 7) r. r. • ??9e,,._? ?v?-.Q++a.J D. , _. F4R -CITY USE ONLY PERMIT # ISSUED . O S 3 Pd w/Bldq. Permit FEES: $ $ Z SEWER PERMIT (INCLUDE SURCHARGE) $ $ IU S? WATER PERMIT (INCLUDE SDRCHARGE) $ /O 7, O-V $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ 0--o ACCOUNT DEPOSIT - WATER $ $ WAC $ a--Z) $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRCIVK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ '0 v $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ G-ZJ TOTAL RECEIPT 1 3 3 RECE PT DOES LTILITY CO[VNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY? F I YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC . I Q NO ROADWAY" MLST BE ISSLED BY THE ENGINEERING DIVISION LIST AS O D O . A C N ITI N. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; T?c.?c.e? TITLE: DATE: ? g7-/81 TRI-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAO EAGAN, MINNESOTA 55122 SITE PLAN FOR: JOE MILLER CONST. LEGAL DESCRIPTION- LOT-?--,aLocK a, GREE4Sf300-0 s?CONo awo. ACCORDING TO THE RECORDED PLAT THE-REOF DAKOTA COUNTY,MINNESOTA E -' I"= 30' ti N q6° 24'45"E /21.40 o QRA/NqC.E ANO U7) ?R EASEMeN'r 5 T n IU ? LOT 9 ^ I? Q N Q c. 7S??r j7' Z N I?,,, ?P__• ? 3 , v 0 io ? ?h ? ?Z Y ' o ; 10 1 I M ? (N I I e '?_6? _- I _ a O I o (910'6) '?t,.81 (90810) N N 45° 52' 14" E GREENSBORO _ LANE I.EGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION (908•0) OENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION 1 hseEy certity thct tAls surwy,plan or rsport wos preparsd by ms or under my direct supervisian and that I om a duly Re9(stersd Land Survoror under tAe Laws of ths State of Minnesata. Bradley J?fsn on, Mn. Req. No.1523b pa,e: 9?ip 18,7 INVERT EI.EVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION= PROPOSED FIRST FLOOR ELEVATION = PROPOSEDBASEMENT FLOOR = ELEVATION NOTE ? VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLRNS 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?bO.SO ' cirr oF eacnN 3830 PILOT KNOB RD - 55122 CQ?? ar? I00 651-661-4675 New Conshuclion ReaulremeMS RemotleUReoalr Reaulremenh 4m > 3 reglateretl site surveys showing sq. H. of loT, aq. H. of 1ioWe 2 copies of plan and gl raoled areas f20% mnximum lot covemae anowem 1 sef of energy calculatMns for heated atltllHOna > 2 coples of plans (show bepm & winciow sizes; poured fid. design; efc.) 1 aHe survey for exfeda aUdNtans 8 decks D 1 set of enargy calculallpns % 3 coples W tree preaervallon plan If lol plaMed aHer 7/1/93 DATE: -1 - 3 I- 2 0 Oa CONSTRUCTION COST: fl O d DESCRIPTION Of WORK: n-F-w d-e Cv. I( mulfl-famity bldg., how many units? STREETADDRESS: 9 S-1 (D 'rGL'YlS ?brD t-GI-VI LOT: q BLOCK: q SUBD./P.I.D. #: 61`CCY1 ?b0YD )hd TrGIGII ` In Ra,v+dCtl! H- emmtvli vi- Pr,or,an: LO5I -La eg-o4aI PROPERiY OWNER COMRACTOR ARCHITECT/ ENGINEER wst FiraT SheetAddress: q 5-1 brL-e- hC b ovt? L2Vit. Clty EA.C?_n State: HV`j zip: SSl 2 Company:_ VVT?I-ht? Cbns-M,t c-h svL Phone #: I 5 2 440 • ?-? S b (area coae) Sheet Addreas: G Gblo (A Bv\ dyWA,AP v Dv • Llcense #lbvq lL EXp. City va State: N[ fJ ZiP: ss 3? 8 Company:_ Telephone #: ( Sheet Address:. CNy Name: Regishaflon #: _ Sfate: 7J p: Sewedwater licensed plumber (N insWllinn sewerfwaterl: Phone #: I hereby acknowledge fhat i have read this applfcaHon, stafe thaT the Infortnafion ia cortect, and agree lo comply with a0 applicable State of Minneaota Sfahdes and City of Eagan Ordlnancea. Signature of Applicanf: OFFICE USE ONLY Certificates of Survey Received _ Tree Preservatfon Plan Received _ Yes _ No Yes _ No - Not Required J1L 3 ! 4?1 BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-piex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-piex WORK TYPE ? 31 New 32 Addition ? 33 Alteration ? 34 Repair OFFICE USE ONLY ? 13 16.plex ? 21 ? 17 Garage ? 22 ;P 18 Deck 0 23 ? 19 Lower Level ? 24 Plbg _Y or _ N ? 25 ? 20 Pool ? 30 Porch (3-sea.) Porch/Addn.(4-sea.) Porch (screened) Storm Damage Miscellaneous Accessory Bidg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units ? No. of Buildings Const. (Actual) S (Allowable) s - 3 UBC Occupancy P. Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVAL5 Planning Building Ulk Engineering sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered ? 31 Ext Alt - Multi ? 33 Ext. AR - 5F ? 36 MuRi V3 P? Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/VV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC 67-r6i TRI-LAND 00. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL SITE PLAN FOR: JOE MILLER CONST. DESCRIPTION: LOT-9-18LocK 4, GRE6N35QRp SECOND AOD. ACCOROING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY, MINNESOTA ALE : I " = 30' 3 N 46° 24'45" E _ 12t4o rl ? ? ?Q ?o Q° Z. : M ti o Dm.nr1i4ae- A,,,n U ??EASEMeN_7 5 ? LOT 9 I 51 0 L ? fn 3 b0 io ?n ?h ' O 10 D I -{ I 1 ei f I ,o - __., 0 „v-o. 115.81 -- N N ?45° 52' /4' E GREENSBORO LANE ? - LEGEND e DENOTES IRON MONUMENT * DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION f90eko? DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I her*hy cQeYify tMt tAls arwy,plan or rsport was proporsd py nK or under my direct supervisian and that I am a duly Repisfsred Land Survtyor under tho l.cws oT the State of Minnesato. , INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION = PROPOSED FIRST FLOOR ELEVATION = PROPOSED BASEMENT FLOOR = ELEVATIOM NOTE * VERIFY ALL FLOOR HE{GHTS WITH F1NAL HOUSE PLANS Bradley J?/en on, Mn. R*q. No. IS238 Dote: 8r?P 1 817 M Q ? u a , n ?? a';?' RESIDENTIAL BUII.DING Permit ApplicaNou City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 4lw.as New Constructian Reauiremenb Remodl+Reoair Reauiremen5 Ofice Use OnN 3 re9sterad site wrveys slwwing sa. ft of bt sq. ft al house; and LB moffld areas 2 apip o1 plan Cert of Survey Reod (20% maximum Wt coverage allarred) 1 aet of Ertergy Cakulatlana fw heated additions _ Tree Pres PWn Recd 2 capies of plen slqwing beam 8 wiMOw aizs; poured (ound design, etc. 1 sit9 siwey for additions & decka _ Tree Pres NM Reqd lsetolEneigyCakulations Addfion-irqicateilon-sdesepgc syxfmn _OnaiteSepficSystem 3 copies of Tree Praservatlon Plen H bt pletted after 7f1193 Rim Joiel 0amil Opdons salettion aheet (bltlgs wiM 3 w bss unBs Date 3 Site Address ? S 7 c,- t e n sb_? o Conatrucdon Cost ? I S D t., UniUSte # DescripdonofWork kEM??t ?u p????htc= /??o j-- Multi-Family Bldg _ Y_ N F}replace(s) _ 0 _ 1 _ 2 Property Owcer ?Gv? ? 4r1.- .-+w,r? tl? Telep6one#((d51 ) 0 `/UI Contrector ?vrt c Ay , r i„lS Address $$?0 7y State /yNni N Zip S S 4 4?' CIty A?r,?k /„Vv. Puik Telephone #( 76 3) S66 •- ?f S? S' COMPLETE TNIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 ?r 9U???? ?) • Residentlal VentlWtion CaOegory 1 Waksheet SubmiCed . Energy Envebpe Calwlatlons_§ybmillFd,'1 Licensed Plumber Mechanical Confractor R MAR 1, 4?? Sewer/water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code WoAcsheet Submitted Telephone #( Telephone #( J 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 permit, and work is not to start without a permit; that the work will be in accordance with the approved plazy,in Jh e c?e of work which requires a review and approval of plans. i ?? (/ ???? SC G,,r? r I. ApplicanYs Printed Name City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 957 Greensboro Lane Lot: 9 Block: 4 Addition: Greensboro 2nd PID:10- 30901 - 090 -04 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Home Depot at Home Services, The 5169 Winnetka Avenue North New Hope MN 55428 (763) 367 -9740 PERMIT City of Eaan If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040 BL - Base Fee $2K Surcharge - Based on Valuation $2K Total: $70.00 Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Ramdal Hemmerlin 957 Greensboro Ln Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $69.00 0801.4085 $1.00 9001.2195 Building EA075375 10/05/2006 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139532 Date Issued:10/26/2016 Permit Category:ePermit Site Address: 957 Greensboro Lane Lot:9 Block: 4 Addition: Greensboro 2nd PID:10-30901-04-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Bert C Westerman 957 Greensboro Lane Eagan MN 55123--224 Roof Time, Inc. 6190 White Drive Prior Lake MN 55372 (952) 447-7663 Applicant/Permitee: Signature Issued By: Signature