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
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N
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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
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IU ? LOT 9 ^
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(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
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10
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1
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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