971 Greensboro Lane
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA080703
Eagan, MN 55122 . Date Issued: 10/25/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 971 Greensboro Lane
Lot: 6 Block: 3 Addition: Greensboro 1st
PID 10-30900-060-03
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Mark D Bonstrom
1920 County Road C West 971 Greensboro Ln
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
?------ .
' CITY OF EAGAN » . . _ ?
".15182
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PH ON E: 454-8 100 .
BUILDING PERMIT Receipt#
To be used for z'40GAR Est. Value ? t''?= ir Date JUN}.- 14
Site Address `' 71 t*???:NSRn)?+.) !. OFFICE USE ONLY
r•;
GHEENSSOIdf? 1S'1'
Lot Block 3 Sec/Sub On Site Sewage
` Occupancy
,
. MWCCSystem Zoning
Parcel No.
On Site Well
(Actual) Conat y?_p?
x
i'LLER C0IVST2l'CTI0N
Name
Citywater x
(Allowable)
V-?
W
3 •
Address ,,H?Z qVF; PRV Required # of Stories
° , •- , ?_o 0,
City F?;; Phone Z _ 2 l Booster Pump Length 4&'
Depth 471
°C
.o
Name
S,F.Total
? Q Address Footprint S.F.
r°C- City Phone APPROVALS FEES
W
U W
Name Engr./Assess. Permit
? Z
y- Address Planner 5urcharge
?'?'
uZ
a W
Pity
Phone Council Plan Review
1013
Bldg. Off . SAC, City .
I hereby acknowled
e that I have read this application and state that the
Variance
SAC,MwCC
5
g
infoRnatiorf is Correct and agree to comply with all applicable State of WBter Conn. 5 g0. ('o
Minne;ota Statutes and City of Eagan Ordinances. b)? i;,,
Water Meter
Signature of Permittee Road Unit 325• 0,
.A Building Permit is issued to: •" )L ti1 iL"f( CUNSTF:I f,'1 l Treaiment P1 204,ii:
op the express condition that al I work shall be done in accordance with all
applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Parks
'??
Buil(fi rtg Official TOTAL
01-3210 Bldg. Permit
? 01-3422 Pian Check
01-3445 Surch./Adm. ?
r- 01-3446 SAC/Adm.
? 01-2155 Surcharge
?- 75-3860 Road Unit J -? ' -
, 20-2275 SAC
20-3885 Water Conn.
20-3868 Water Trmt.
` 20-3716 Water Meter
20-2252 Acct. Dep.
-y 20-3713 Water Permit
- 20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
'-?
TOTAL `?? ? ? ?
CASH,RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? DATE i G+ V ?g 1
`kECEFVED
FRou L
AMOUNT
U
? CASH
'13:,CHECK
?
wr+
?,,Q ? ? ? . .. ..:, White-Payers CoPY
, velww--Posang copy
? Pink-Ffle Copy
& DOLLARS
100
Thank You ev C
• PERMIT # ' ? ?? ?
PLUMBING PERMIT
CITY OF EAGAN RECEIPT#
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
rRACT PRICE: PHONE: 454-8100
Site Address
L
t ' Bl
k S
b
/S
o
ec
oc
u
? Name f, ;: ? .1?. _ . /: . ? -, •??..
? Address
c ?-
Ciry Phone`r'?
? Name_-?-•_.`
; Addres#. ? ' ? __.?., ? ,• ;
0 Cit)V: Phone'._)
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINiMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYON9 $1,000.00) ?
'
. , . -
SIGNATURE OF PERMITTEE
FOR: CITY OF
BLDG. TYP4 . WORK DESCRIPTION
Res. New "
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N(?e FIXTURES
t
C
3
00
' TOT/L
loset - $
er
.
--
Wa
?Bath Tubs - $3.00
?Lavarory - $3.00 ?
'. Shower - $3.00
? Kitchen Sink - $100
Urinal/Bidet - $3.00
7
;
Laundry Tray - $3.00 -
?Floor Drains - $1.50 ?
Water Heater - $1.50
-Whiripool - $3.00
_LGas Piping Outlets - $1.50
?
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=
'
Rough Openings - $1.50 FEE:
STATE S/C: 4GRAND TOTAL: =.
, _ .
CONTRACT PRICE:
Site Addr.ess
Lot Biock
m Name ?
AddresS t '•.
L. c Ciry
\
? Name - ?
? c Address
O CitY
TYPE OF WORK
Forced Air
8oiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets
Other
N.-Ilk .
MECHANICAL PERMIT 'RECEIPT # CITY OF EAGAN -, 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
PHONE: 454-8100
I??' ? MBTU
M BTU
M BTU
M BTU
CFM
#
FEE:
S/C:
TOTAL•
B
LDG. TYPE WORK DESCRIPTION
`. (' i
?` ?
- Fies.
New
? - Mult Add-on
Comm. Repair
Other
FEES
RES
HVAC 0-100 M BTU
$24
00
1 .
ADDITIONAL 50 M BTU -
.
- 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
PER PEf
'
M
(
- 1
n
i
l
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES - 1.50 EA.
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE
ALL ADD
ON 8
-
-
REMODELS - 12.00
? MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARCE PER PERMIT
ADD $
50 S/C IF PERMIT PRICE
E - .50
(
.
GO
S
BEYOND $1,000)
?
?J !-i
, ,
... ?
I
. . . . . .,..:p
__ .- -•.-- I
J`- SIGNATURE OF PERMITTEE
FOR: CITY aF EAGAN
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 •PHONE: 454-8100
BUILDING PERMIT Receipt?
To be used for Est Value ' 'Date ' ,19
Site Address
Lot Block Sec/Sub. `' '' t•'?`•'??r j`'f'
Parcel No.
aUL hi E.t.eR
°C Name
.o
z1-
` Address
0
? City Phone
Address
City _
Phone
I hereby acknowledge that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
5ignature of Permittee --
t?.;;.? A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicabie State of Minnesota Statutes and City of Eagan Ordinarices.
OFFICE USE ONLY
On Site 5ewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
Ciy Waier (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
FOOtprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner 5urcharge
Council Plan Review
Bldg. Off. SAC, Ciry
Varlance SAG, MWCC
Water Conn.
Water Meter
Road Unit I
Treatment P1
Parks
I
TOTAL +. .
_ Pormit No. Psrmit Holder Date Telsphono #
Plumbing ?; r7 v ? ?7?. ? ,/?
H.V.A.C.
Electric
Softener
Inspection Data Inap. Commetlt8
Footings I ?
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. 711s Qr
I5U1. 1?-24- 'Pa f [it
Fireplace a
Final Htg. i4o
Final Plbg.
Bldg. Fi1181
Cert. Occ.
, 7l _
Temp. LP
Deck Ftg.
Dbck Final
Well
Pr. Disp.
JFEAGAN Permit No: 97-21', Date: '
.?-Su ?ifot Knob Road Meter No: 3 Size: U?
P.O. Box 21199
Eagan, MN 55121 ' Reader No: s 3 Date:
Owner. Jae 1``i11er Canst,
Site Address: '171 ?!-.nsboro I.at?F? [,7 p3 F„I„ .,_, _?•,,-:z'a
Plumber. '. P1lmbinQ
Conn. Chg:
Acct Dep:
Permil Fee: _
Surcharge:
Tr. Plant l^,
Meter.
Zoning: _
No. af Units:
I agree to comply with the Ctty of Eagan
Ordinances. X
WATER SERVICE PERMIT
CIT!'.oFt/koAN PermB No: 10880 Date:'
3A30 Pllot Knob Road B/P No: -?'? ?
P.O. Box 21199 j???' pate: h`-?1 ?ef' r r ,t_.
Eagan, MN 55121
Owner. . ., ',iller ^.orlst.
Site Address: c. t> ro _ Lane L6 B3 Greensboro
Plumber:
MwCC: 550.00pd
City Chg: Z()O, OOpd
Acct Dep: 5' oopd
Permit Fee: ? ` p
Surcharge: 7517P7
Zoning-
No, of Units: s
I agrae to comply wfrth the Cfty of Eagan
Ordinances.
By
SEWER SERVICE PERMIT
? CITY OF EAGAN Permit No: 1!' p8 t) ?
Date: ,_29-88
3830 pllot Knob Road 131P Na Date: & - 1 s_S2
P.O. Box 21199,
Eagan, MN 55121
x
Owner. '' -
Site Address: *+;r
? .L-_ ? _? _ r . r - •y 4??,d6,=e
Plumber:
MWCC: _.5.50?10 as•-' Zoning- rt
City Chg:
No. of Units: ?
Acct. Dep:
Permit Fee: 1 agree to comply with the CHy of Eagan `
Surcharge: . eU,pd Ordinancea. t
SEWER SERVICE PERMIT
Conn. Chg: ' 12 • Q?
,.
Acct. Dep: 15-(Mpj.
Permit Fee:
Surcharge:
Tr_ Plant 1.1h..').j--4
Meter. + 004-"
Zoning: T' "-
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
Misc.: By
WATER SERVICE PERMIT
CtTY OF EAGAN Permit No: 9734 Data E"19 3830 Pilol Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
T h i s requesl void OJ4'J
pn p? y(,
18.
wn[h wm
s4f -?
E ?n? 7?
eequest ate I rv¢ rvo. R
I Insver.tion
G Heq rted> ?Ready Nuw)Will Novly InsPec-
7 f? O? ??es ?No ?or When fleatly
jgtLLicensed Electncal ConVactor I hereby reowest insoaelion of ebova
? Owngr electrical work instelled al:
St
et Address, Boz or Rou[e Na.
re GtY
?
( 2'; l.G?
ecUOn o. owns ip Name or No. ange No. County
D?412??
O
c
cupantlPPINTI Phone No.
y
-
G O E I?L'i f'(!G ?OA? O
Pow¢r SupVlier Adtlress
C,4,& .)-
ElecVical C h ctor 1 mOanV N e) Conhactor's License No.
Mailinp AdJ ess (COnLa tor or Owner Makmg Inslallation)
. /2.,P 411 ? SS 3
Aut onzetl S,gnalure (COnhacloJOwner Mak?ny Installalion) Phone Numb.r
NESOTK STATE BOARD OF ELECTRICITY THIS INSPECTION flEQUEST WlLl NOT
t9s-MiAweV Bltle- - poom N-191 BE ACCEPTED BY THE STATE BOARD
1821 Universilv Ave.. St. Peul. MN 56104 UNLESS P0.0PEN INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
JSEQUEST FOR ELECTRICAL INSPECTION llill. QE8-0?0!00C,1-06
1 See instmcbms lor com0lelin9 Ihis form on back of yellow copV. a?J -3 /0
E 2 0 2 7 5 "x Be,oW Work Covered by 7hfs Reques7
Adtl flep. TvDe of 6widmg AoPliancea Wi,etl Enuwment Wired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt Bwlding Dryer Electne Heatm
Commercial Bldg. fumace Silo Unloader
Industnal Bldg. Av Condrtioner dulk Milk Tank
Farm Other peri y Ihcr ISn?'nifvl
t.r, pec.? Y 1he, Other
Cnmoute lnsDectlon Fee Below
p Fee ServicaEntrence5¢e tt Fea Feeders?5ubieeders N Fen Cncarts
? 0 to 200 qmps 0 to 30 Am s Q 0 tn 30 Am. s
Above 200 q`ppy 31 to 700 Amps 37 to 700 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation &ooms PartiabOther Fee
Signs Special Inspection
S
TOT
6
flemerks /Jss f,,,_ ?
1
i n?
XouBh-in th cal
?^ • ?p InsPecbr, heraby
cervty that the abova
Fi^el 0?e Q? inaVecpon has bean
1 I meAe.
mn recuest voia 18 montln iram
CITY OF EAGAN rJ! 151 8 2
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILbING PERMIT PHONE: 454-8 700
Receipt# U'7? ?EJ
To be used for SF DWG/GAR Est. Value $102, 000 Date JUNE 14 1 y 88
Site Address 971 GREENSSORO LN OfFICE USE ONLY
Lot 6 Block 3 Sec/5ub. GREENSBORO 1ST On Site Sewage - Occupancy R-3 M-1
MwCCSystem X Zan;,,g R-1
ParcelNo. V
N
OnSiteWell (ACtuapConst -
a Name SOE MILLER CONSTRUCTION Ciry Water X (Allowable) V-N
= Addr2SS 18133 CEDAR AVE PRV Required _ # of Stories
° City FARMINGTON Phone 431-2001 Booster Pump _ Length 48'
DePth 47'
, p Name SAME S.F.TOtal
ou Address FootpnntS.F
u<
P
City phone
pppqOVALS
FEES
ww
Name Engr./Assess. Permit $80.00
51
00
l i
i-
Address Planner
- Surcharge
- .
29
1? Ci[ Phone
y Council PlanReview 0.00
a?' eldg OH SAC,City 100•00
I hareby acknowledge that 1 have read this apphcation and state that the Vanance SAQ MWCC 550.00
4OWormation is correct and agree to compiy with all apphcahle State of Water Conn. 550.00
Mmnesota Statutes and Cit f Eagan Qp?lrnanoes
Water Meter
67.00
Signature Of Permrttee LuP
Road Unit
325.00
A Buiiding Permit is issued to JOE MILLEA CONSTRUCTION 7reatment Pt 204.00
on the express cond ihon that all work shall be done in accordance with all
applicable State of
/?Minnesota? StatuItes and?
City oi Eagan Ordinances
'
' Parks
2,717.00
,
,
I ( 1 JA..(A Iy
Bwlding OFficial ! 1/I lA(1
1 11 e.
_ TOTAL
?
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ~
? SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS F08 SALE UNITS A OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OE ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
10 2L(?Paz), ?y
To Be Used For: ? Valuation:Date: - -'D O
Site Address
Lot lfJ Block 3
Parcel/Sub
Owner
Address
City/Zip Code
?.?.? OFFICE OSE ONLY '
On site sewage Occupancy M'1
MWCC system Zoning R- I
On site well Actual Const Y-N
City water ? Allowable V -H
PRV required Ik of stories
-
Booster Pump ` Length Hg?
Depth
S.F. Total
Footprint S.F.
Phone
Contractor
Address
City/Zip Code,_771,('n--r - d dl-?
Phone r,7! ?
Arch./Engr. _
Address
City/Zip Code _
Phone Ik
APPROVALS FEES
Engr/Assess Permit 580,00
Planner Surcharge S/,oa
Council Plan Review 2 40.oa
Bldg. Off. / 13 SAC, City
D
/00, 0
Variance SAC, MWCC p.oa
Water Conn SSo,oo
Water Meter 69, ou
I Road Unit Z ,oo
I Treatment Pl 2o4,ee
' Parks
Copies
TOTAL
? VqC uA'Vt,O r,-A
G.4g,q-6-E"
r
zV K zLf = s?? X/v= ?o6y
?srn-r
z g x 24 = O2
7-?,X i3? 26b
..--
932 ?c ? 3 = /Z !/G
IsT Fi-mon.
vwtr : R3L •
?'12 Y 2 3%i = ? S
?
?S?)X y1=y6893
af-tiB?
K = G7Z
2 K 1`I _ Z Ss
?-
? ?D k 44> 34300
.?--
? D-z? ooa
. ? '
88-089
TJRI - LAN D C 0.
SURVEYING
SERVICES
YANKEE DOODLE ROAD
AN, MINNESOTA 55122
LEGAL DESCRIPTION:
Scale: i"=3d
SITE PLAN FOR:
JOE MILLER
CONSTRUCTiON
LOT 6 ,BLOCK?.,GREENSBORO ISTADD'N
ACCORDING pQK??ARECOCO
UNTY,MINNESOTA
THEREOF H
P r-D
p
nate--??--r
7,'i 'jAi d ENGIN't-;EFiITiv DEPT
p 46'48,?
A=50I I'53"
L =38.07
R = 419.64'rec
912.02
?---?
?
? \ L 6T
AFO \
\
F??? ?914x72
:.. ?.. . t
LEGEND
915..5?52
Y0Q \,::,\
\?\ T C?\
914.a2 ss,
915?22 155 S -`57Q
0
\0
915 02 y Q?' 1
O
?
c'a 15 Cs?
9?
,?9 a.s
)
0
= 90
42'
L= 31
,
.
R=j 2Q00
.
?N \P442 Z/
? HUB
? 912.22
\ 6.5Qs
GARAGE FL \
913x52 j
o DENOTE$ IRON N10PiUdAci:'T
o DENOTES WOOD HVB SET
DENOTES EELEVIATION?T
DENOTES PE?EVATIONPOT
? DENOTES DRAINAGE DIRECTION
I hxsby c*rNfy that this survey,plan or
report was prepcrsd by me or under my
direct supervision and fhat I am a duly
ReOistered Land Survoyor under the
Laws of tho Stote oi Minnesota.
?
?.?
lo VERT ELEVATION "FT SERVICE EXTENSION= o0
, ROPOSED G9RAG_ FLOOR ELEVATION •
PROPOSED FIIiST FLOUR ELEVATION =
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE : VERIFY ALL 'FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Brodley J. S son, Mn. Req. No.15233
Dats -
,1%
Ons ur Twn Family
, CITY OF BUILDIN(i DEPARTMENT
E]fTERIpR ENVII,OPE AVERA(iE l'U'l COMPUTATION
(Tb be stibmitted with building perm3.t applica'tion)
Dwelling Oxaer
All Other Sita pddresa ? B(,ev-z 11
A.? AbD'/?.
Contrector Date phone
po"(A/_7o1?1 -Tr. S 5- / D L
LINEAL FEET OF
EXPOSED WALL Yt, above grade
'IC)TAL EXPOSED WpLL ARc,A SQ. FT.
0';,qUE li'AI,L CONSTRUCTI01d: "U" Value x Area
Detail 4RAr+1E liUu .P¢? x SQ. FT.-1s'z•4s ? T193 (U)(p)
reference "U" • o7Co x SQ. FT, 9(c,48 = 7.3-Z (U) (A)
from liU" • 04,C-7 x SQ. FT. 20 . = U) (A)
??
attached "U't x SQ. FT. =
sheete U;(Aj
nUn x SQ. FT. _ (U)(A)
:'?INDOWS: "U" Value x Area
Make & Type J,V{,uL. CSyhT "Ulf •5Z x SQ. FT. 5•7-0= So•I$(U)(A)
u u nUu x Sg. FT. _ (U)(A)
n °IIII x sQ. FT. _ M(A)
n n uU n
x
S@. _
FT. - (U)(A)
DOORS: "U" Value x Area
:ie:te & Type
n ?477-, JASPJL, IIUfI , J4' x S@. FT, .oo = 6,S(O (U) (A)
n
?? n ?a'rio uU^ ,A7 x SQ. FT. q2•OD = !9•7?(U)(A)
np° X SQ. FT. _ (U)(A)
n n x SQ. FT. _ (U)(A)
MTU.s 2359.64 sQ, r•T. Zoa.z7 (u) (A)
AVERAD
TUTAL M(A) Vl,I,UES ZOO•Z] _ '
- .084
DIVIDED BY TOTAL tIpLL AREA Z3S9 (p?
AVERA(ic: "Ult ,?) r less for 1&2 family dwellings
ROOF/CEILING:
TOTAL AREA: fz
Detail reference flUff •OZ/ X gQ, FT, 141z -?9,65 (U) (A)
from nUn x S@. FT. ft (U)(A)
attached sheete. ovUle x SQ. FT, a (U) (A)
Describe oneriiriga "Uft X SQ, FT, a (II)(p)
in roof. ovIIle x SQ. FT, = (U)(A)
TOTAL ( U) (A) VlII,UES DIVIDED BY Z9? (? _ z;?,?( Z9 !? CV?d\
r1 j
TO'.1'y ROO°/CEILII:G :,REA J4/Z,
AVFRpGE fz,02$ r ventileted roofe.
.
--WAI.l SECTION--
Determining 11U81 valuee at Roof, Wall. Rim. and Conc. Block
ROOF/CEII.INa
1.) Interior Air r'i1m
2.> 5/8,, ayP. sa.
3.) Insuletion
4.)
5.) Exterior Air Film
(STZLL)
(R) VALUE
o.6t
.56
i4D o
.6t
nUo = 1/R= .OZI 'iOTAL (R)= 4-ri.•70
?-
WALL
6.) Interior Air Film
7.) 1" QYP. Sd.
8.) Insulation
9. ) 254zn guu?'r P_t1F
10.) Ma(sonite Siding
11,) Exterior Air Film
R VALU
0, 6$
.45
i9•ce
Z.09-
.67
.17
rrAft = 7/R= ,042? 'LbTAL (R)=Ao/
RIM
12.) Interior Air Film
13:) Insulation
iq,) 2" Fir Rim Joiat
15.) *522, $UI.T rTe
16.) MAsonite Sid ng
17.) Exterior Air Film
(R) VALUE
0.6$
14.00
1.88
2-6?4
.17
uun = 1/R= .Ocj,O TOTAL .(R)=l4 ?t
rT
?
FOUNDATION
18.) Iaterior Air Film
19.)
zo. > ?.'-!! :7??PIED
21,) 12" Concrete Block
22.)
23.) Exterior Air Film
upn ? 1/R= .070
(R) VALUE
0.68
//. o0
1. 28
.17
TOTAL (R) _ ?3.?3
d OoRK %ef-Tn
ExP?
J8.33 X( 28+z,??of?z4) ?
9.50
X( Zotzo) _
,?. .
?,9 79•64.,
380.?4
5
,;?E
.83x(5b+sfv+4"+4fl)_ Zc?6•43-?7
Wir1>OL,.t?-
zox3(o -- 5.00
Zlf xL4 = 4•??
74x4S = S. o0
2ox&a = 8.4
29Xlaa - lo.oo
P-A ?8 = ?•?
?
3°S?tv?lS.L. _
2$ ?7G • 5? • -
X 2 = 1D o0
X g = ??.?
x 7;
x ? ? 15•Zv
X
5= 3o. ov
17-00
J5?.2o 4,-
z8.oo
zl. o0
q.Z•oo
TlST 61?? VA", 6qo,4?,.
?.ESS Caw?. 96.¢$
u ?ilYl 2o5•`FS
Il wbt»j J?•?
? bcaKS 91•oa
?00 . . .
z??4s=. . t,?sz
13xzo- ?
z,31irr, 61f
-SgJ?
?? ? ?.Z•?S ?
.
APFLIC?ATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
:. ............................
NJi'E: PAVIENP OF FEE AT TIME OF
APPLICATiON DOFS NC1P CON-
i S1T1[R'E APPIiGVAL OF PIItMIT. ?
?
; iNseFrriaa oF sEWM nrm/on RAM +
:
t I[YSPAIdATIONS WIId, N()(' gE SCmUf.ED '
s L1N3'IL YIItMIT FIAS HEQd APPROVID.
dtV ff:et?tfsr?+f?tty?f.3rff?3Me?ife?tR?x+k
oF ecic?can
(PLEASE PRINT
1) PROPERTY ADDRESS: c?71
IF EXISTING STRLICTf1RE, DATE OF ORIGINAL B[?ILDING PII2MIT ISSUANCE:
Mon Year
PRESIIVT ZONING/PROPOSID LSE:
Q CONA7E[tCIAL/REPAIL/OFFICE I R-1 SINGLE FAMILY
Q INDL'STRIAL ? R-2 DLPLEX ('IWO L'nits)
Q INSTITUTIONAL/GOVERNPENT Q R-3 TOWNIOOSE (Three + Units) ( Units)
Q R-4 APARTMENP/CODIDOMINILM ( L?nits)
2) ? NAME: t-
ADnxESS: 1$/33 ?.sw ?.-- S
czTY, STATE, zzP: ?v?k•„ ? .Wr4-u,J IW
PHONE: y 3 ? ?
For City Ose
3) UA-NUEA NAME: Pl rtme s License:
ADDRESS: Active
F?cpired
CITY, STATE, zzP: ?n L"-- ?lAU v L-Not recorded
PHONE: MASTER LICENSE # f'YJ ,?t 0?Q ? St Initial
Y
4)
rAME: 54-Atl-? As Q.,
ADDRESS:
CITY, STATE, ZIP:
PHOLVE:
5) ?
G2<06NNECTION TO CITY SEWER ?VI'ION TO CITY WATER O QTHER
6) ? wh?9?? ?•? 6-)e-498
?*******?***?*?*?***?,?***?*?*******?*?****?**??****?*****„*******?************?*********?*?********
*
* THE GOLD COPY OF THE PII2NffT WIIS, BE SENf DIRFCIIS,Y 1O PUBLIC WORKS TO FACILITATE METER PICK-DP. ?
PLEASE AISAW 7[+A WORKING DAYS FOR PROCFSSING. S 7ONE FROM THE CITY WILL CdAFfALT YW IF TfERE *
* ARE ANSt PROBLENLS. +
?*?**?*******?*?********??:*,+**?*x**?**,r++**?**?+*****?******+r*??,r,r,t*+**?************+*****++,r*+**+t
FOR CITY USE ONLY
PERMIT # ISSDED
y 7?S_
Pd w/Bldg. Permit
$
$
$ ?.7•00
$
FEES:
$ /C? - .S-Z)
$ /O-?
$
S
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (I[VCLUDE SCRCHARGE)
WATER METER/COPPERHORN/OLTSIDE READER
WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?S•CJ? ACCOONT DEPOSIT - SEWER
$ $ 0 d ACCODNT DEPOSIT - WATER
$ ? rS?Z • o-?) $ WAC
$ o $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ?o d $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
s!q 7I n o $ TOTAL
A{ 73 7
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES
Q
NO IF YES, THEN A"
ROADWAY" MOST BE
DIVISION. LIST PERMIT FOR WORK WITHIN PUBLIC
ISSL'ED BY THE ENGINEERING
AS A CONDITION.
SUBJECT TO THE FOLLOWI[VG CONDITIONS:
APPROVED BY: ? t60-Z?-7c-'
TITLE:
DATE:
{
?-----------------
I FiiwOffice=Use,
? Pertnit #:
I Permit Fee:
I ?
? Date Received: ?
I ?
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: `'LS SiteAddress: q71 V'?(-6t056y--0 Lh
Tenant:
Suite #:
RESIDENT / OWNER Name: -L 1 Gt/lL (h,,id /4r'G?J' 3 ovlZ6vtit Phone:
M1V .5?S jZ ,3
Address 1 City I Zip: y 7 j CldGFiv? 5l?O? L[? A5_"4',
?
Applicant is: _ Owner )C Contractor
TYPE OF WORK Description of work: ??p(D_F
/
Construction Cost4 v ? 5 0 oc?
?- - Multi-Family Building: (Yes No ?
CONTRACTOR Name: ?Ut (.?Cn-I-?5YI'U47 C-x4e?jvr.S License #: Z-05 I "t (aD Li
Address: 3//3 ? i SS 7+'u; 1
City: t J&X7MGr- State: M l/ Zip. S?d n?
Phone: 2L -(?cSz( Contact Person: &11_1` L
COMPLETE THI5 AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Categorv 1
_
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submisSion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Pians and sopporting documen;s thaf you submit ace considered fo be pubfic information. Portions of _
ttie information'may be classirled as non-public'if you provide specific"reasons that would permif fhe Cify fo
?
concludethatlhe aretrade'secrefs:
I hereby acknowledge that this information is complete and accurete; 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 apphcation for a permk, and work is not to start wRhout a permR; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. <JV'4W4
x ?) Vb-Eih x
ApplicanYs Printed Name Appli Ps Signat e
Page 1 of 3
Use BLUE or. BLACK Ink
; Permit x'759
•
of 146
1 Permit Fee, l
3830 Pilot Knob Road
Eagan MN 55122 CL 1 Date R ived: 7 c l ;
Phone: (651) 675-5678 1 staff: i.
Fax: (651) 6754684 1
2011 RESIDENTIAL BUILDING PERMIT APPLICATION'
Date: Site Address' CY7~ 6f-906M5 9,09.0 &nIV0
Unit
Name: 1301yo- Yk 44,4 g r- Phone: S"f 1~4-
RESIDENT / rT
OWNER Address I City / Zip: q 1vf7+EE A/5; 4b ✓20 C.~ 5_5_/u~ 3
Applicant Is: ' Owner Contractor
TYPE OF WORK Description of work:r~ C C i~ 6E1_t90 /Z
Construction cost f -7 -7J . - Multi-F#mily Building: (Yes / No
Ile
Company: T
CONTRACTOR` Address: J` 46 ~'i City: S
State: / ZIP: Phone'
License 3'O 3S0 0 Q Lead certificate
If the project is exempt from lead certification, please explain why` (see Page 3 for additional information)
COMPLETE THIS AREA OW IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued wpermit for a.similar plan based on a master plan?
,Yes '_No if yes, date and address of master plan:
Ucensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor...
Phone:
Or, QuipqII11111
Nl;
CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 4b4-0002 for protection against underground utility damage.
Cail.48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora
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, ptrt only an application fora permit,:4nd work is not to start without a permit; that the work will be in
accordance with the approved plan. in the case of workvhich requires a,review and approval of plans.
x S Et/c - /2 x.
Applicant's Printed Name Applic is Signa re
Page 1 of 3'
Use BLUE or BLACK Ink
e------ 7-- 4
"Iy of Eagn RECEIVED ; Permit D v
3830 Pilot Knob Road JAN 10 loll I Permit Fee: J
Eagan MN 55122 1 Date Received:
Phone: (631) 675-5675
Fax: (651) 67565694 staff.
j
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address.
Tenant:
Suite ile:
RPSIDENT 1 OWNER Name: Phone: 6.S/
Address / City / Zip: G 1 -L S S'i y~
CONTRACTOR Name:.MiLBERT CO1y my INC.dba CULLIGAN WATER
Address: 1801 50THST EAST city: INVER GROVE HGTS
State:' MN Zip: 55.077' Phone: 651 "`45.1.-2241
Contact BILL.MILBERT, Email:
TYPE OF WORK "_New replacement _ Repair _Rebuild _ Modify Space ._Work Inko.W.
Des;c lion work:..
PERMIT TYPE REtIDENTIAL
Water Heater ater Softener
Lawn Irrigation RPZ / _ PVB) Add Plumbing Fixtures Main LovVer Level)
Septic System Water Turnaround
New
-Abandonment
RESIDENTIAL FEES: .
$55.00 Minimum Water Hdeter, Water Softener, or Water Heater An Softener (includes $5.00 State Surcharge)
$33.00 Lawn Irrigation`(inciLides $5.00 State Surcharge)
$55.00 Add Plumbing Fixtutes, Septic System Abandonment, Water Turnaround* (includes $5.00 State,Surcharge)
'Water Turnaround (add $166.00 If a 518" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU Did. 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 bf underground utilities.. yir mooherstateonecall.oro
I hereby aduwMedge that this IrOr mation is complete and accurate; that the work will be In ooMormance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only 'an application for a permK and work is not to start without a permit: that the work WN be In
occordance with Mp approved pier' in the case of work which requires a review and approval of pions
/I
X / x
Applicant's Printed Name Appl ipplkAfs, Signature
e: r~
tiFORGG~OFFICEy,USE 9 q , Revlewedt-B~Y. Ra"ts
#Requrenspus+ dog .(J_ t f= -a ~sa'
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use
I Permit I
I
City of Ea~~~ I~=
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Staff: 1C1
Fax: (651) 675-5694
2012 MECHANICAL PERMI~Tj APPLICATION
Date: 2 Z-/3 Site Address: n 'i
Tenant: Suite
n 9 0 6
94V Y9 3
RESIDENT / OWNER Name: ~ ~ I~ r M1 °ooCN1-t62 IJnlaA,-\ Phoe
Address / City / Zip: G N..'J -s 6. (1 o c /-j t-1 S s / Z
Name: A/ACV\ (M 120 fpi- f t~l
License I\ S 7('1 Y/S CJ
CONTRACTOR Address: G 19 Co rg>~tn 3o,,'J 4 b-k S City: ~}1?; COY -t►-r1-I ~
State: f j Zip: Jr S' Y)-I Phone: 2, Y66 r/
Contact: Q 2 Lc- W -e- Email: M cz L Lew,.9 k0cll 4 (om nos e
New Replacement Additional Alteration Demolition
TYPE OF WORK Description of work: I'Mio t0- O 0 `f:>r" i dr &.`1`' A / f C-
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 Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 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 $10,010-$11,010 Permit Fee requires a$ 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._qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which req/uir~es a review and approval of plans.
x ~llt~ 0 U e_ A~c C /Y x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119955
Date Issued:01/06/2014
Permit Category:ePermit
Site Address: 971 Greensboro Lane
Lot:6 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark D Bonstrom
971 Greensboro Ln
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:Building
Permit Number:EA128260
Date Issued:11/03/2014
Permit Category:ePermit
Site Address: 971 Greensboro Lane
Lot:6 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Clinton Dawson
971 Greensboro Lane
Eagan MN 55123
(612) 386-0249
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167352
Date Issued:03/10/2021
Permit Category:ePermit
Site Address: 971 Greensboro Lane
Lot:6 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Clinton & Julie Dawson
971 Greensboro Ln
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
