976 Greensboro LaneBLDG. PERMIT N0. 4 SyJZ C>
_ •? ,=
.,?' Zeye? ?,. „ ', ? .
01-3210 .
,
; ?LL?> ,?
. ' Bldg. ?ermit •. .;-
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit v
20-2275 SAC ?
20-3865 Water Conn.
20-386$ Water Trmt.
20-3716
20-2252 Water Meter
Acct. Dep.
?
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ?
11-3855 Park Ded. ?
TOTAL
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 oate Issusd:
Control No.
9u.tt.a1 "
??1,3s6
•9/09/92
(612) 681-4675
SITE ADDRESS: APPLICANT:
9Tti QReEMFunrt1KD I.AMIF ,',Cli/drYCN CpNS7. RAVIa
HttEFN'iBORQ IST (612) 447-8808
PERMIT SIBTYPE: TYPE OF WORK:
!ii}',f t.W! f !N1!yN A1.7"ERA1'TON
?
f?.?------------- - - - _- - -
- -- - ------------------ - I
Psermft No. Permlt Haklsr Dr4e Telephoro 3
S/W
PLUMBING
HVAC
ELECTRiC
ELEGTRIC
Inspectfon Da2e Insp, Commerrts
FooNngs I
Foundation
Framiing
O ?
Roofing
Rough Pibg.
Rw,gn ?ttg. jo z
Isul.
Fireplace
Final Htg.
Qrsat Test
Fnal Plbg. PIb4. Inspector - Natify Plumher
Gonst. Meter
EngrJPlan
Bk#g. Finsl
DeCk Ftg.
Dedc Fnat
Well
Pr. Disp.
? a??? -
PE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS: 1.". r ,.? •,ir,y??.?.?..:?? v
k f.r 1" ° 1• F3t ()(J
I
. 1,I4kFWSE1E1pU i.ANE
E N 14 E E N1.k3()R [) !ST
? PERMIT SUBTYPE:
I 1 r :11 1NC,
ON
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
ttUtt!?
r>
f?.1 1439
01 104147
APPLICANT:
r•. i:: , ,, i ??, ? t+l tJ I P9 i
(#.i1.?) ik?l-?6b1N
TYPE OF WORK:
iit _.i. t: 1 tI I ON
fr!".1'RTN
tCtilt?f CNt3f
Pertnk No. Permit Holder Date Telaphone N
ELECTRIC
PLUM8ING
HVAC
inspectlon Dete Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING ?l?ra r,r
?U
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL .
I
? CONTRACT PRICE:
I
I Site Address
i Lot Bloc
I
I v -
Name
?
c Address
Ci
ry
Name
3 Address
i p City
PERMIT # 97_= ?-=1
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 59122 DATE: :4-1
PHONE: 454-8100
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
SIGNATURE OF PERMITTEE I
FOR: CITY OF EAGAN
?
BIDG. TYPE WORK DESCRIPTION
Res. ' New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
i_Bath Tubs - $3.00
_-Lavatory - $3.00 - - ?
° Shower - $3.00
Kitchen Sink - $3.00 `
Urinal/Bidet - $3.00
j Laundry Tray - $3.00
- r Flow Orains - $1.50
% Water Heater - $1.50
Whirlpool - $3.00
TGas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMM
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL• >
PERMIT #
. ' ' . MECHANICAL PERMIT . ;
RECEIPT #
CITY OF EAGAH
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE 6
CONTRACT PRICE: PHONE: 454-8100
I Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block 4. Sec/Sub 'll
I R? LI
New
,
°
' Name ? Mult Add-on
- Comm. Repair
? Address
Other
? c City RuD S?1??, Phone
FEES
? Name - ?• RES. HVAC 0-100 M BTU -$24.00
3 Address ADDITIONAL 50 M BTU - 6.00
? p City ?a &'d ,1 Phone UDES A/C ON NEW
CO STRUC ON
? GAS OUTLETS
MINIMUM
PER PERMI
i - 1
(
n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
' Forced Air -1QA M BTU APT. BLDGS. - COMM. RATE APPLJES
il
B TaWNHOUSE & CONDOS - RES. RATE APPLIES
o
er M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
' Unit Heater M BTU $ REMODELS - 12.00
Air Cond. M BTU $? MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PE
PE
Vent CFM RMIT - .50
R
PERMIT PRICE GOES
Gas Piping
? Outlets # 1 ? sp BNp $? ???
Other
FEE:
' D ?
??
??
/
h.?ru??
S/C: s? SIGNATURE OF PERMITTEE
TOTAL• ab. D
FOR: CITY OF EAGAN
DAVIDBAIM'?1R?R 452-1953 CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
,I PHON E: 454-8100
BUILDING PERMIT
To be used for
Site Address
Lot Block
Parcel No.
m Name
W
3 z Address
° City Phone "-?
,p Name
0 ` Address
0. Ciry Phone
r pc
yVj W
W Name
F,
= o Address
?= City Phone
tW
APPROVALS
Assessments
Water/Sewer
PoliCe
Fire
Engr.
Planner
Council
OFFICE USE ONLY
_ Occupancy
_ Zoning
_ Type of Const
_ (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
_ Permit
_ Surcharge
_ Plan Review
_ SAri, Clhl
_ sAC, Mwcc
_ Water Conn.
_ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
that the intormetlon is correct and agree to comply with all appilcable APC _ Treatment P1
State of Minnesota StBtutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
ali work shall be done in accordance with all appliceble State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
EstValue Date
Receipt
PkIL 27
rf r ef n
,19
Sec/Sub. 1`. ! On Site Sewage
MWCC System
On Site Well
City Water
Psrmit No. Permit Holder Date TeIephona it
Plumbin9 G14
H.V.A.C. <f l1' Cc G? /?L? i ?:y ?• 7
Electric : I95 ?7
Softener 2 ?
Inspactfon Dsts Insp. Comments
Footings I
Footings II
Foundation
Framing , -
Roofing
Rough Plbg• -
Rough Htg. dr
Isul.
Fireplace
Final Htg. ?
Final Plbg. XbW ?
Bldg. Final
Cert.Occ.
Temp.
Deck
Ftg. /
he
Deck ? ??,?
Well j
Pr. Di
EAGAN SEWER SERVICE PERMIT
rt KnoltRoad (? , ;.,.1
a1 f9# PERMIT NO.:
aproe to comply wFth tM City of Eagan
Insp.:
No. of Units:
Connection Charge:
Account Depoait: -
Permit Fee:
Surcharge:
Miac. Charges: -
Totsl:
11?? rf?1J.
,
' OF EAGAN Permit Na 8738 p flte: 5-I
i Rllot KnqD Road Meter No: Size:
do)j 2-1199 Reader Na Date:
m, M "5121
r'zatura Udzs.
Zoning: r1
No. of Units: 1
Fee:
•"'?'`? I agree to compFy wtth the City of
`)OFO Ordinances.
leter.
lisc.: By
WATER SERVICE PERMIT
?
CITY OF EAGAN Permit Na 7'j a Date: c 7
3830 Pttot fCv.atr Road Meter No:.347L 11?i'? °? g Size: 4RE`/el.,A?
P.O. Box 21199 Reader No: O?P 6 eZ /?S Date:
Eagan,./MN 55121
Owner. ;•. ; •, ;
Site AddrRgg: i
_ ? ?+?? -
01-,,e,. ?Iort?•trut, . .:,:?;os
Conn. Ch 5 2 5.?? 0 . ing ?a11 ?''`"+. GAS Etc. R1
9. ?
Acct Dep: ' •' ? o. QfJJnlt?
Permit Fee: f- ?' • `' ? ?`{ 1"
Surcharge: 56*9 I agree to comply wllh the Citr of Esgan
Tr. Plant ? ' ? • 1) (FA -- T Ordinan
Meter. ?7. 0';a
Misc-- By
WAT ER SERYI E PE MIT
y?6 )V-ae-?l 9-r 42 - ?
CITY OF EAGAN
? iOFFICE INFORMATION MEMO
TO ` DATE TIME
FRO
P ONE N REG VED BV:
as here to see yo
Please call Will call egain
Returned your call
ACTION REMA /MESSAGES
c
Review and see me ?
Review antl comment
Prepara reply tor my sig
1,7
Reply and send me copy
For your approval
For your inlormation
For signature
As we discusaed ?
Asyourequested
Take appropriate echon ?
Return
FILE ? DISTRIBUTE - OVE
PHOTOCOPY: L/
ONE SIDE ONLV COLLATE
NO. OF COPIES HEAD TO HEAD
?
STAPLE
DATE NEEDED HEAD TO FOOT (Other)
TYPING:
ROUGH DRAFT RUSH
DATENEEDED SINGLESPACE A FINALCOPV
DOUBLESPACE CARBONS
?
??
. , r?..?."
A/Z
.
?
_?
, CITY OF EAGAN N? 13 5 2 0
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55721
PHONE:454•8 100 Q
BUILDING PERMIT Receipt # c? ??
r,?c
Tobeusedfor SF DWG/GAR Est.Value $85,000 Date APRIL 27 ?9 87
Site Address 976 GREENSBORO LN OFFICE USE ONLY
Lot 12 Block 2 Sec/Su6. GREENSBORO 15T
On Site Sewage
Occupancy
? R3
Rl
MWCCSystem Zoning
ParcelNo. OnSiteWell _ TypeofConst
CiTywater (ACtuep
a Name FEATURE BLDRS (Allowable) p
W
z
15513 LOGARTO LN * Of SIOfIQB
Addrass Lengtn
o City B' VILLE phone 435-8443 oeoth 50
F
Totel
S
.
.
, p Name SAME Footprint S.F.
?a Address APPROVALS FEES
P City PhOne qssessments _ Permit $ 451.00
47
5
" m Water/Sewer _ Surcharge _ .
0
w W Name Police _ Plan Review 50
_ 225
tz
a
Addfass Fire SAC,City .
-??&??
U Engr. _ SAC,MWCC 5
aW City Phone Pianner _ WaterConn. 525.00
Council _ WeterMeter 147 0
I hereby acknowledge that I have read this application and state Bldg. Of(. _ Road Unit 305.no0
thattheinformationisc c.?andagreetocomplywithallap0licable APC _ TreatmentPl _?e0
State of Minnesota tutes? d City oi Eagan Ordin nces. Variance _ Parks
? Copies
SlgnetUf@ of PefmitteB TOTAL ?0
A Building Permit is issued to: FEATliRE LDRS on the express condition that
all work shall be done in accordance with all ep
plic? le State of M in
n sota Siatutes and City of Eagan Ordinancea
_J?
1
Building Official
?
r ?.
M =(y/??1??,;2 REQUEST POH ELECTRICAL INSPECTION ea-ooooi-os
•, , If, Sae rnstruc4ons lor com01ebn9 this lorm on back ol vellow co0v" 7"'S??'lo/?
n 1? 5 X" Below Work Coveied by Ihis Request -
F.TA fleo. TVOe ol Build,ng Aoobancea Wired Eqwument Wired
[fl
I %(UfQS
I10 U1110At]P.f
ulk Milk T&nk
# Fea ServicaEntrence3iza n Fee Fanders/5ubfeetlers M Fee Cucuits
Z,W 0 ro 200 qm s 0 to 30 Am s 0 tn 30 Am os
A6ove 200 qm)s 31 to 700 qmps - 31 to 100 q y
Swimmmg Pool Above 100_Amps Above 100_P.m s
Transiormers Irrigation Boortis „7j Pertial- Other Fee
wgns apeaai inspecvon
nemerks p ?[ 5,?/ TOTAI F ?/ ?
ifr.r, S10 /
?he Elac??/
• ?10?? Inspectoq hereev
certity thet the above
Final D:?1 insoaction nas eean
maea.
TNB reQueat
_ n 17 / j
REQUEST FOR ELECTRICAL INSPECTION y E.B-00001-06
.? ? See insirucbons for completing this form on baek of Yellow capv. / y.JpJW '7
D ' 3 1?95 X" 8efow Work Covered by Ihis'Request
Add Re0_ Type ot Builtling ApPliancea Wved Equiumen[ Wved
Home Range Temporary Service
Duplex Water Heater Liyhuny Fixnues
Apt. Bwldmg Dryei Electri,, Heatin
Commercial Bldy. Furnace Silo Unloader
Industnal Bldg. Air Conditioner Buik Milk Tank
Farm otne.r peu v ttntr ISnec,fyl
t nr Sucufyl O[her O*ho,
Compu[e lnspectian fee Below
N Fee ServmeEntranceSiza H Fea Fexders/Sabiaeders Cvcurts
U to 200 Am s 0 l0 30 Am s 0 tn 30 An+
Above 200 qmps 31 to 700 qmps
B 31 to 100 qm s
Swimming Pool Above 100_Am s Above 100_Am s
Transrormers Irrigation Booms Partial-"Other Fee
Signs Speciallnspecuon (y
$ s
TO
-
Nem?rks /? TAL
?;;
• r
Nouph.in Date
I, [he ElecVicel
Insoecbr, hereby
cerLfy chat the above
Final Dnte {pspection hes been
• ,y ?/L?/ ?aa.
Thm repuest rolC 18 monthe Irom
This requesl void? TZ) ?? /!?- U?? ? ./Srrl?? ,/
18 mon[hs trom ^f'
/ ?? T
D 12 2 0
RepueS: Date -_ ?
/' ? ?j
- " ire No. Rouph-m InsVecbon
Repwretl ?
?RCatly Now QWill Nuuty Insuer
h
t
(?
/ Yes [] No or W
en Rently
? Lieensed EIecVical Convactor I hereby request inspeetion ol abova
O
wner elecVical work inslailed at
Street Address, Box or Houte No. CrtY
P/ d 19'l??
ectlon o. Towns ip Name or No. ange No. Coonly
Occu S IPBINTI
? phone No.
Power un?lier Atltlress
? '
?•
'
ElacVical Contraaar ICompany Namel ConVncmr's Lfcense No.
eri ? d?! i 9.?s- ?
MaihnB A dress (COntractor or Owner Makinp IASlailationl
?? ?n n.
Author? d Signamre IConhdctm/Own Makine Installation) Pho e Nomber
MINNESOTA STATE BOANU OF ELECTqICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midway Bldg. - Room N•791 BE ACCEPTED BV THE STATE BOAND
1921 Univarsitv Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS
Phone16121642U800 ENCLOSEO.
This raquest void 7 / J 3?V %
18 menths fmm /?
a,?,
0 3195 /2?1y ?5 ??* /
? •?u^ ? Requ"ireA> -- '-'-IQNeaAy Nuw Wdl NoLfv lnspec-I
?Yes ?No for When Peady
?Licensed Electncal Contractor I hereby request mspecUOn oi abova
Owner eleUncal work ins[alletl at'
Stre
et
A
ddress. Box or Roure No. Citv
?
± ?
/
ecbon o. Townshi0 Name nr No. Rnn9e No. County
OccuUan[ (PqINT)
dC--e:,CeZ,, Phone. No.
q3 s- a y43
?ower $uDVi,er Address
? ?
Electrical Con[ractor ICOmpapy Namei Cnnhactor's Lwnnse Nn.
AsaPm n ? G l
Mailmg AV1Jress (CoMracinr or Owner Making Insiailatmn)
. ??-L
Authonzed SiBnature ICOnhnctod nr.r Makmg Instalialionl
cil, Phone, Number 'J
MINNESOTA STATE BOAflD OF ELECTRICITY THIS INSPECTION REQUFST WILL NOT
Griggs•Midwey Bldg. - Noom N•197 BE ACCEPTED BY THE STATE BDAflD
1821 Universitv Ave.. St. Paril, MN 55104 UNLESS PROPEfl INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSEO
? ya-- ?Do2o?mz?
Fequest Date Fre No. Fouqh-in InspecMwn
Re retl,
? Reatly Now?NAI Notlty Inspeclor
R
o
W
? Ves C No hen
eacly
IA hcensed contractor ? owner hereby request inspection of above elechical work at:
ob Aetlress (Street. Box or Raute Ny.?
C L City
?
?
,g,?c
7 .? y?
Sedion No TownsM1ip Name or No Range No CouMy L
l??l? 0Ap-
Occupant (PRINT)
v? ? r?4 • !? .+?
a?-??ir e s% Phona No.
f<Sl -/9 5-.3.
PowerSuO?her ,
?
k
O Atltlress
d,
g
Eiecmcal Gonnaclor (Comp`any Ndame) ,
'?
?
' ConhaMOirS Ocense No.
i
f C
f F t /QC
/ ? ? ?? S
Maning Aodress onhacmr or Owner Makmq Installaion)
F5? 5?
?
23
AI
S3
e
g
r 7
.
A?
Authonzetl Signawre o tractor:pwper Maki alla n) Ph Nu er
7 lOJ, f 7?
MINNESOTA ST BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwa kg - Room S173 BE ACCEPTEO BY THE STATE BOARD
1821 OniversRy Ave.. St. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 602-O800 ENCLOSED
/$/,? QX REQUEST FOR ELECTRICAL INSPECTION
J4 732 ? S¢e mstmclions lor completmg this brm on back of yeUOw copy
"X" Below Wdrk Covered by This Request
Qp?e
? ; ?? EB-ooooi-oe
ew Atl Rep. " TypeofBwldmg App6ancesWue4 EquipmentWiretl
Home Range Temporary Service
Duplex Water Healer Electric Heating
Apt. 8wlding Dryer Other (Specity)
Comm./Industnal Furnace
Farm Air Condnioner
Omer (syecity) ConVa 5 Remarks
srn?• ? n,'s
Compute Inspection Fee Below:
# Other Fee # ServweEntranceSrze Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps ]
0 to 100 Amps
Transformers Above 200 _ AmpS Above 100 _ Amps ,
Signs msoec+or§ use omv TOTA}?
Inigation Booms 7 n?- a?J
Special InspecUOn
AlarmiCommunication THIS INSTALLATION MAV BE ORDERED DIS O
NECTED IF NOT
Other Fee I
COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-?n ?1
Final e?? ?
OFFICE USE ONLY ?iThis requesi voia 18 montbs Imm
INSPECTION RECORD C°nt °"° 1036
CITYOFEAGAN PERMITTYPE: aurLorNG
3830 Pilot Knob Road Permit Number: 001365
Eagan, Minnesota 55123 Date Issued: 0 9/ 0 9/ 9 2
(612) 681-4675
SITEADDRESS: LoT: iz BLOCK: 2 APPLICANT:
976 6REENSBORO LANE SCHWEICH CONST, qAVIO
GREENSBORO 15T (612) 447-8806
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
ALTERATION
F-
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Control No. 1036
BUILDING
001365
09/09/92
SITE ADDRESS:
976 GREEN560R0 LflNE
LOT: 12 BLOCK: 2
GREENSBOftO 1ST
DESCRIPTION:
%Buzlding Permit Type
Building''Work Type
UBC Oecupancy
BASEMENT FINISH
ALTERATION
R-3
F-
•'?
?
`? =-.jt?,`
.. c_.!
REMARKS: C
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$35.00
$35.50
CONTRACTOR: - Applicant - sT. I.I OWNER:
SCHWEICH CONST, DAVI? 14478808 000360 BAUMGARDNER DAVID
17160 HAMILTON DR 976 GREENSBORO LN
LAKEVILLE MN 55044 EAGAN MN
(612) 447-8808 (612)452-1953
I hereby acknowledge that I have read this appli.cation and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
I L -
I - ? G ? (?tJfl 11 if,?,(y
? APPLICANT/PEFMITEE SIGNATU E - - - - - - I UED B (SIGNATUAE ?
PERMIT # .
REACTIVATE
I'IC4
CITY OF EAGAN
1992 BUILDING PERMIT
681-0675
fs u
APPLICATION „ ,,
AUG ? ?? Reco
"?A? q -?
SINGLE & MUITI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAI 2 sets of architectural fl structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of manth in which re uest is made r lot chan e is re uested once ermit is issued.
Date Valuation of work fo2.? rFO 0
Site Address: ? ?7 Z,f???j.s,?.e
STREEi SU[TE /
Tenant Name: (cortmercial anly)
LOT 12 BIACK ? SUBD. P.I.D. o
Descri tion of work: LeMCn'"1- rj N t5 a
The applicant is: O Owner Contractor O Other coes«+ne>
Name _ „Q.91)01S409oFJ2 0AJiO Phone r1.r.i- 19.f?
Property uST FIRST
Owner pddress _q 7 G -e??=wS dSo2o
STREE7 STE N
City rGAA.) State Zip
Company I),4 d/'o (50N5-7" Phone Il S'7 - cfv?
Contractor Address !l j6 (J 4Ari-i <<TU''v A/Z License #n o 0 3C07 Exp.
City _ Z-4 krl//LL?-? State /hti' Zip S;5'vY?
Company Phone
ArchitecU
Engtneer Name _ Registration #
Address .
City State Zip
Sewer 3 water licensed plumber . Processing time for
sewer 3 water permits 1s two days onee..area as been approved. •
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.
Signature of Applicant:
,.._ PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: 8urLpzNe
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 9 6
(612) 681-4675 Date Issued: 01 / 0 9/ 9 7
SITE ADDRESS:
976 GREENSBORO LANE
LOT: 12 BLOCK: 2
GREENSBORO 15T
P.T.N.: 10-30900-120-02
DESCRIPTION:
(ROOFSNG)
ermit Type
q?;k Type
SF (MISC.)
REPAIR
434 ALT, RESIDENTIAL
y-- ?7t
Z
A? , , .
?
V.
s?? , a r +
;?:?"
a,sm
???i re14 q' ? ?-??, aA.?..F
i
,14 11--,s a@?i? I? ¢
RENiARKS:
FEE SUMMARY:
VALUATIqN $5,000
Base Fee $99.75
Surcharge $2.50
Tntal Fee $102.25
.
CONTRACTOR: - Applicant - sT. LIC OWNER:
PANELCRAF7 OF MN INC 17216628 0002179 BAUMGARDNER DAVIp
3118 SNELLING AVE S 976 GREENSBORO LRNE
MINNEAPOLIS MN 55406 EAGAN MN 55123
(612) 721-6628 (612)452-1963
4
i h`e.r?#?y 4e?k=nII?zusdg? -
; . `. xnf?rmlktia#i
. ? , .
S?at?a.tesantlG??y' ?s°f ??ga.?r [?rc?rfi?ncas x ? _ `
APPUCANT/PERMITEE SIGNATURE
??
I?sUE`?D V: S Q!NATU E
11S11L. CITY OF EAGAN ? I O
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
881-4675
? 3 registered site surveys ? 2 copias ot Plan
? 2 copbs oT plans (inGude beem & window saes; poured tnd. design; etc.) ? 2 aite aurveys (exterbr additiona 8 dedcs)
? 1 energy calwletions ? 1 energy cakuWtlons for heated additions
? 3 copies W trea presarvation pian if IM platted aRer 7/t/93
raquired: _ Yea _ No
DATE: I Z I A Iq& CONSTRUCTION C05T: ?577' LV
DESCRIPTION OF WORK: ?Ctt-/ (Jrf"' /! Q 1 YSn KCXJ("
STREETADDRESS: L?7& ?reensboro ?-"e,
LOT _f I BLOCK SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
,Id
3(o
ARCHITECT!
ENGINEER
Sewer & water licensed plumber:
change are requested once pertnit is issued.
Name:%&U=Q/rd/?? DAViGC Phone #: 0SCq" ?9S'3
. .1,.. .
Street Address- `71(0 CErF f'/"I S0o I 0 &.-"'r +C?,
City: Eogm4 State:.Lnt2 zip: Ssia3
Company: ?Ctnle r.I?QGf Phone#:
Street Address: ,31 l G ?ShC l!i /?Q A ?icense #: a? 7?1
city: Mi nhe.a?o?i S State:. rnr? Zip: ??06
Company:
Name:
Phone #,
Registration #,
Street Address-
City: State: Zip:
Penalty applies when address change and lot
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 SNatutes and City ot Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
BUILDING PERMIT TYPE
OFFICE USE ONLY
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
o 04 SF Porch a 09 12-plex ? 14 Fireplace o 21 Miscellaneous
a 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
0 31 New ? 3 Alterations ? 36 Move
0 32 Addition 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVAL3
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
1,0Z , Z5'
Valuation: $ 11577,00
% sac
SAC Units
(2>szo - ??
1987 BQILDING PERQlIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
IACLDDE 2 SETS OF PLANS9 3 CERTIFICAYSS OF SO&VSY, 1 SET OF ENSRGY CALCOLATIOYS
NOTS: ADDRESSES FDR CORNEfl LDTS - CONTRACTOR/HOMEOANER MOST DESIGHAiE BHICH ADDBSSS
IS DESIRED. NO CHANGSS WILL SE ALLOWED ONCfi BUZLDIDTG PfiRMIT IS ISSDED.
MULYIPLE DWELLINGS - RFSIDENTIAL RENTAL ONIRS. FOR SALE DNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC6TE OF SQEVEY - CH6Cg iiiTH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMRffiRCTAi"
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 7VA,,-- ? Valuation:
Site Address ?
Lot /-7 Bloek i?2
Parcel/Sub
Owner 0
L?..Lu? "OAn)
Address 7ai., City/Zip Code &44^?K. YlvI,
s
Phone Vl > 5 - ?Lt 4.3
Contractor
Address
City/Zip Code
Phone 4 3 5--$f4
Arch./Engr. _
Address
City/Zip Code
Phone 0
???---
On Site Sewage
MWCC System ?
On Site Well
City Water ?
9PPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Hldg Off
APC
Varianee
Date: L( 2
Occupaney K-3
Zoning
Type of Const
(Actual) ?L
(Allowable) _2Z:
# of Stories
Length 5Z
Depth ?
S.F. Total
Footprint S.F.
FSES
Permit
Surcharge 42 9'
Plan Review 7-25. ?
SAC, City ICx:)'
SAC, MWCC 525
Water Conn 525
Water Meter U7
Road Unit OS.
Treatment Pl ( bp.
Parks
Copies
TOTAL ?a ,
2Cp X J2-° ??JS2 x ?`? ` ?°c??(?, ??` •
- .:; .
S 2E) x l2. = C?33?
g???Z
t3 i-lvS
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
FE ATURE BUILDERS
/
1?S
'd
`
?
/
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\
?
R r °
S7o R/
O?c??
R6'.
F
.?.
/
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,
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4f \
P?
? esx
O?Oti\?
h
?p?h I
.43
L
?
4
PROPERTY DESCRIPTION
LOTJZ, BLOCK-Z-,
GREENSBORO FIRST ADD.
aecordinq to the rscordad plat fMrsof
DAKOTA CawMy, Minnasoto
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
9060DENOTE3 EXISTING SPOT
50W)DENOTES ELE VATION
PROPOSED SPOT
ELEVATION
? DENOTE5 DRAINAGE DIRECTION
l harsby csrtify ihat thfs stvvey, plan or
roport was prepared by ma or wndsr my
dirnet supervision and Mat I am o duly
Reqistered Land 5urveyor undw tM
Laws of the State of Minnasota
Bradlsy
Dafe . -
Mn. Raq. No.16¢35
?
SCALE: I" = 30'
,
PROPOSED GARAGE FLOOR ELEVATION e?y
PROPOSED FIRST FLOOR ELEVATION = t
PROPOSED BASEMENT FLOOR
ELEVATI ON
NOTE ' VERIFY ALL FLOOR MEiGHTS WITFI
FINAL HOUSE FLANS
.
iQ p,a,
\ ?o
a?
Y,
SQ'?,0
\ ?'IVQ? \ ?l
?
??. . . • . . ' . . . • , . .
• . ? /°-ensuwa avn.opx aviw?cc •u" O"urkttoa .
F E AYuCH D E R S(c oN 7R4?-TORy-
' B N i C
t l
,y
r?-
?., -• ° . . w : ?nX . o ?-?, ?a?.2rt,?.i,?ite.u?lo .?'? . - /?? U ?;,7
q?- ?
,?t yarectpcion o! ?sopecc7e 1et.,??loel?a"??Ad?icisr er
i[ts AdOrosr -c-'e"''J •
. . '
1VLRACL LIMBAL TiLi OE !¢lQT,OD.
. . @OBip YALL AU AWVt'CtADE . ----?'
Ida lwel ? 6y = lrllht e! wll •? ??1 ??
ifeeal it. ot traneA vall abow ir?d?
:to jeist erea ? ' . /? . . ?. .?
. ua..i u. ar .u. / 2; • . : ?sR?,t ef ?., - . .
, ? . '. • .,?
la.al " : *ss nc et v.u^? ?-
Lioesl jt. oi Isassd vall aLow sssdt 'n = t?f S?? = .
Liaeal ic. e! sason? v?il ?bevs srse?s 6siih , . . .. ?•
AL wll aru aDove sraAs Ue1+dls4t vludO1m md loot's . '?
. , ' ; .
vinOWSi Aid
. »' . . . Uke i trpe
' w •
.ti
. ? r
.. ? ?
? •
?• • •
•? ?
? .? .•
M ?
• ? « ¦
w •
• M
. .M M
. ? .«
• r •
s
.
,
¦
w ?
?i
+Ow , ' ? •
?
?
'-
MV
C
(
?
?
?
i(
I?
Il
)t
I) ?
.. - . ?? . ?^-
?
. ?ppgSt I1r?0 s ° tve1sa ? . ? ',' • • p. tt. i[
? M ? l r •.. . ' sq. ?t 7c ?0? . . (U)
'' M t '.? '. ?q. t??x ?.?? ? • ' ?l%?
r ?_ .. ? ii . ?q' •!t , ?fr'???
cw/y?? a'h1" ralua ? d:' .f'••.ti . .
..
• mF. ?t'1' T""$?:?T?V ? AltO . . . r T . . . .4 ? ' ..
?pAlSEp YAL1. (eot+l otes leUR . . •? : . ? "'?' .t .,
.•
epenint, lrnminR wembcrs Lt• ,: :• • ;• • ••
?•. Oetatl rofer-ya31. rie jolat s:oa imaont7? • '"??w•?(?:.." N)
?q.
m ? (11)
. ' 'ee [coe !t.
• .
? ?et?efind S??mi?r wom! ?•rK !n v?ll !9• ?t• ? « ' • •?, • (1?1
' ?hoets tt?,01F1 nro? ?4• !t. ro . • (11)
r A i0• ?L' ? .? , '
. . • ?j? wr?a ebevnSi s`.? - '?
• . i ?/ •? ::'? r?zT?
. i.
' • • • "7'Al. kall Area Inelu8lNt ? j'/? W• .?AL
a Oours l?.?-? 5+-3: ?. •"F'.?..
vspa?
• . .
. ??
1MA1. U)?1 VA1.1?FS
' , / s ??• !?p'
' pl\')PEI? CC TO'AI. ItALL Al:t • .
' AVF.RACE MU~ . XtAJMA •37 PT SlA8 tOT 1 i T LpIIy AilI1?11}.'6 .
.?lialwua,.=7 oi 1axiM !ne a13d4o-4'chor UvlldtnrA
„ _. . - ? ? ... ../:
!DR • .. . .
. , •. , . . .
,,...,?......ate, tb
> . ... .` -. .C -.
THC T07AL ENYELO?C C'\LCUL.ITIO. ;l100
The regulncions s[ate tha[ aicernaCiva overall "U" valuse for butldinR ?ee[ione ire peznltl+aLle
lf it ix chn'%n ti'a< <t'° tocal building envxlope hea[ lo:s/?siu dues noc ezcced that of a
NIn11ar Eu1lJing tha[ s+ee[s the scgulation "U" valu= rax:=u=,. ln thta eose, ve vill constJer
nnly the w.1I1's and roof/eeiling eriterla, asauming [na: the ienalnder of the Du11A?.np rce[a
reguloctu-i requirer.ents. .
A. Totel heat loss as decio,eeL (valls and roof/eeiling) SYU/hr. dcgree P.
. palte - UoAO ? Average "C" ot
wall asca=bly : sverage vatl aren s9...ft•
c? .
Root/Ceiling ? UoAo ?AvezaRe U"
oi eelling YaveSage ee111ng arca s4• ft.
_ , . .
. . . ' . TOTAL -
6. Yo[nl heot loss it desl5ned Co meet [Ue regulation ninim+w (valls and roof/ceiling) '
Yelle ? L A ? nimum required •
0 0 Hl "U" value of vall x sverage vall ares s9.'ft. ?
' Aoof/Ceiling a UQAo ? lSinimum xequired
value of •' ' .. " . teiling x aoerage 2eiling nrea ' ?.sq: ft. ?
. .. . ' , . .• .. • . . ?W?AL ? _.
• ._. . . .._ ._... . . .- .'_ : ?; . .
. . • , . . ,. . _ _..?_ _ .. -
, The folloving tablc nay?be used as a Sene=al g"ide line for :. • detcrmining ellovable percentage of vall openings when lwes[
^0" vnlue ia estaLllshed. _ : . • - ' . , ? ; `. ' .
? :.
'
. . . :' ' :/ d. •' X .
0 enin are:+ ??a• f[•) X 100
open3ng in ?sll '
Openiug F vall area above grade (sy. Ft.)
d for
The follouins taAlc II'°Ycrr,entaeIIOfBZOOeopevinSs e vhenp lovesi
determining allowahlc p G
' "U" value is established. . . + -`• -. •• • : •
X Roof
. 2 ;
o
1
Opening L W
llinimum
R-Yaluc ot
220 q O
,n uc Rnuf 20. n
x
OpcninL.rra (:: ft )
.a .. :
• . '
(sy. ft.) . x 30o - ---==
ocnin in vall
r p
ppeniy; A roo[/ceilin_. nr .
prepa=ea by: Dennis J. l.unski
. . flvildinn Ins?e('tor
.? ,
...• . `'. ?,I?? ?? '.`Y.1YG ?J?• .???u ?
R-V:?L?
?? iuP ttru?i?:;? a:o?Lern • ""-l
. . Too \'iLv
??
Lil:
Slieathin3
soFt voud S I I /.
y^ ary v,ii
2ntertor nlr filn
.?)
_-6J-7p?
J. ?0
.68
. . . ' ' TOTA1 R
0- 1/&
FRd1tID 53aLL • .. . • ? ? '.
Exterior?air filv
Siding' ?:67. '' .
?
1 Sheathing
4bact Snsulat3on ?1-.L--:-----
- • ' • ' • • .45. •
s;" ?e: v ??,?+ ? ? „ "'_"' • . .
. . , .. 68?
?interior nir fll . .
.' .. ' ? . . • . ' ' T(1Tl1 R ' ?? ^ • ?S
?RIM 70? ZST ARLk- . . . . .. • . . . . . ? ? ?.
$xterlor alr ftlm .--? ? ?•-^-?-
$id1n3
" Sheathinp ' • _ ? '
, . . '. ,. 1.88 .
i " soft v n
. . , ,?
.1v 1
. ? . .68
In[crior nir f11 ? .
. . . . ? TOTAL A? L y? L S
Oy
}tA50:IRY NA1.6 • Exterfor e!r ftlm -?17
J.2-8
12" eonarete hloek
Ineula[ton
Intcrior air filo '68
. fRA.4L? " nF:YI1ER1 Tt7 tlALlS
Fxr.rio' +lr flln
? -5ldtng
TOTAL R. 7• I3
' _.. ... . ?u
' .?.y_
E 7.5
., ?
Slab oa grade .
^ ro . o r
Grade. . r
"' a•??.?1? Tiia. &7.5
. . .
Enterlor a1r Eilv •92 '
. ?
7y^ ylyvond S k° 9.Ttielc boacd -66
Insulatlon
2aterioiatr film ? ' ? • ' '.92 • .
. . . . T07AL R
U ? 3/x ' . . 'D.? . . . .
Inculation sl,atl fiave a miaimum R-Value of 7.5 and mmi .
extend horizon[ally (as illustrnted) or vcrtieally a
distancc equtvalent to the de9lpn frost line; that Ss:
Zone 2 - ? [eei 6 1ac6es ' lnc"latlln FUall have a aSnSmun H-9alue of 7.5 around d+e ?
pccic,c:cr of s1aD on Erade flonrs.
/? . . .
. ' . . . ( k:QOF CF:tLLN,•
rJge j
.Ou[sld" tL_fZlm • .61
Inaula[SOn _?. _??
y" Dryvall .6S
. : i' . .
.1
,
Outside air film .61
Insulatlon ly" Dtywall .. . . . ,45
Interioz sir ftlm .. ' . .61
. . . TLITAL R = .
Outside nir fiim
fjyyjlr nP ?n?fine•' .33
Insulwtion
fiood deeking
Intcrior air film . .bl
. . " . '' 70TAL E a
. Up 1/R • L°
C0OF,MtilhC: / / v ? ,. aq. ?t.•
' : ? . ..
. . . :.. ... . .. ... .
'
.
7
OTAI. AP.EA: . ? 7c sq. ft. (V) (A)
.
Uctdil rc[rren:e ' .?.?x aq. f
from aLov.+. T[. (U)(.')
DeserIbe oPenings -..?.. x Fq. ft. (U)(;•)
in roof .?., z aq. ft. (tl)(A)
sq. ft. (U)(A)
(U)(:.)
??.. x sq. f[.
A100 ea V
':c.
rornLs ._
.
TO]'N. (U) (A) VAlAF.S
_ o? AVC. °U•? '
/
!nvtn:.n RY TO"IN. 1:00}/ •
CEIL1I:C ACEA
Ap};gpC! "U" .OS tor vcntilatrd roofz ' .
JO [or 1J1 ot':cc c^r.+truction .
\O7'E: 7f avcrnLr ^U" v:iluca a3 ralculntrd du no[ nare t,tc F.npcrgy Co<!a rcquSrea.rnts, t
.... .. . _ . .. „_.. , ._ ......_ . __ .. .
-1nCerior air [ilm .61
. joTwR - S.G?
o - i/e
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*RYPS: PAI'MP:Nr OF FF.E AT'TZME pF
ArrLicATioN DoFS Norr ooNsri?
APPROVAL OF PEE2I4IT.
P ease Print)
1) PROPERTY ADDRESS: Q7ti rr?orghnrn ?
LEGAI, DESCRIPTION: Lot 12 Block 2 Greensboro lst Addition "
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRL'CZ[.'RE, DATE OF ORIGINAL Hi.'ILDING PERMIT ISSLANCE:
(Month/Year)
PRESENf 7ANING/PROPOSID USE:
? COMfl1EFtCIAL/RETAIL/OFFICE Q R-1 SINGLE FAMILY
? IDIDCSTRIAL ? R-2 DL'PLEX (Tuo T-Inits)
? INSTIT[:TIONAL/GOVE'Lti,' ? R-3 ROWNFIO(!SE (T.hree + Lnits) ( Lnits)
? R-4 APARTMENP/CO?OMINIUM ( Units)
2) DUV%E' nrpr}hriip Marhaniral Tnc_ G\?_
ADDRESS:__7640 146th Street
CITY, STATE, ZIP:_ Apple Valley, MN 55124
PHOLNE: 4 3 2-017 5
3) u c ?•
NAME:_ Mprthrllr_Manhqniral TpC.
RDDRES9: 7640 146th Street
CZTY, STATE, ZIP:. Apple Valley, MN 55124
PHONE: 432-0175 MASTIIt LI(ENSE# 2443M
? Active
Ecpired
Not recorded
Staff initial
4) oe• • o M1-
NA"E: Feature Buildes's
ADDRFSS: 15513 Logarto Lane '
CITY, STATE, ZIP: Burnsville, MN 55337
PHONE: 435-8443 ,
-5) i ? a• ?• • ?• : ? • o? :ti a?
? CONNECTION 7V CITY SE.S+]ER ? CONNECTZON M CZTY WATEft 0 OTI-IER ' .
6) PLEA.SE HOLD APPROVID PII2b'IIT EC)R PICK-OP BY ONE OF 11BOVE - -
? PLFASE MAIL APPROVID PERMIT TO 1,02 3, 4, ABOVE
(Circle one)
7) r? u• • „? ?,/l C?,
K70=-M e/,o/o-i
INSrncrioN OF sE,M ANDIat WATEt
itzsrAra.p.TTON.s wIM rur sE sclED-
UIUNPII, PERhIIT HAS BFEIN
APPROVID.
. FOR CBT'Y IJSE OIVLY
PERMIT # ISSC'ED - '
U37-?
Pd w/Bldg. Permit FEES:
$ S-D
$ $ -D
( 7?
$
s
$ $
$ $
$ Lr?O
$
$
$
$ S
$ $
$ $
$ $
$ $
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLL'DE SL'RCHARGE)
WATER METER/COPPERHORN/OCTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOC'NT DEPOSIT - SEWER
ACCOUNT DEPOSTT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRCNK SEWER ASSESSMENT
LA'PERAL BENEFIT/TRL'NK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
$ S TOTAL
RECEIPT RECEIPT 1
DOES DTILITY CONNECTION REQOIRE EXCAVATION IN POBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL'BLIC
Q
ROADWAY" MUST BE ZSSUED BY THE ENGINEERING
NO DZVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
, DATE : 5
- •.
aL 1;Z CI'TY 0F EAGAYI
PLUMBING PERMIT
SUBD „ (612) 681-4675
REBIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON 'r
REPAIR _
CITY USE ONLY
RECEIPT C) Ll LI'
DATE ?-
ALSO, FOR TOWNHOMES AND CONDOS
owxEx xnriE:
r
SITE ADDRESS: cc
INSTALLER: ll.? i L? i G!?A.S ? jLLVICl tN I'heCPc !
LilDRESS: Le 6 l'% -
GITY: l"Z.IP:
PHONE C' - -
1 ?
SIGNATURE OF
_Y1r
T?TA
?? .CCJ
3 c?
3 0c
STATE SURCHARGE .50
TOTAL: S / S SCf`
??? ?? r nnwennrwr.
kLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALjTNDi1STRIAL BUILDINGS. ALSO FOR MfJLTI-FAMILY
BUILDI:iGS WHEN SEPARATE PERMITS ARE NOT REQUIRF.D FOR EACH DWELLING UNIT.
W(?RtC DESGRIPTION:
OWNER t?AME:
SIlE ADDRESS: ?.
TENANT :7AME : . -•-- .
SUITE #: '
INSTA;.LER:
ADDRESS:
CITY:
PHONE
FOR:
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
( SIGNAT'URE)
COMPLETE THE FOLLOWING:
N0. FIXTURES EA.
REPAIR/ADD ON 15.00
? SHOWER 3.00
:L WATER CIASET 3.00
SATH TUB 3.00
1 IAVATORY 3.00
_ KITCHEN SINK 3.00
IAUNpi2Y TRAY 3.00
_ HOT '1'[TB/SPA 3.00
WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
I o'rttER b?.s:tic
WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
CITY OF EAGAN
. . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PILIOT KNOB RD - 55122 ? v /, J
851-681-4875 ? +?
•New ConshucHOn ReaWremenla Remodel/Reoair ReaulremeMa
? J replsfered alte wneys ahowlny fq. ll ol bt, aq. R. W house
and go roof6d arAas (A096 mmdrtwm l01 coveroae cllowem
D 2 copiea ot plans (alww baam 8 wintlow aizea: poured fnd. d"gn; efa)
> t set a enerpy calaeoMana
> S eoplas of hee presarvaMOn plan H brt Walled aHer 711/93
DAiE: 2-y zono
2 copies of plan
1 sef W energy cdailaHOns 1a heaftd adtllflons
t ftte wrvey tot extedor addlMaa ! tlecks
CONSiRUCTION COST:
3/00 °0
DESCRIPTIONOFWORK: I?.ueit Co,asM"eh o.J'I.?ow.3srzc deSaT-4dd 0 I??7 c jjny .S.vN?+cL
STREETADDRESS: 97(o aRee.?Is,&O,zo La.u,< ?
LOT: - BLOCK: 9- SUBD./P.I.D. g: GYCCh CLYO I S? -
Name: ?9x¢1icod %.JY Phoneu: 65-/-99y-//d8
PROPErm us+ flRr
OWNER
SheetAddress: 9?/G G.eea.?6c?to LNNL
Cly tA ySfote: m^? Zlp: SS/z3
Company: /??' G'¢?p¢ ^?/?Y Phone q: t6s/ 70 2- SiZ/8
(area code)
COMRACTOR
Sheef Address: / 987 1?.9,? A/y? lJcense 8 2s39 Exp. 0.z000
Ci1y ST PAu/ State: m^e
ARCHITECT/
ENGINEER Compuny: Name:
Telephone i: ( )
Sfreet Addtess: Regishaflon 0:
CNy
State:
ziP: Ss,
vP:
Sewerlwater licensed plumber (H installina sewar/water): Phone #:
i here4Y xknowledpe ttwt I have read thfs apPIicalbn, dote Mw11he bnfortrwtbn is cortecf. and ogree b comPM wMh an applioable Stak
o} MlnnewM Sfalufea and Ciy of Eagon Ordinances.
? Signalure of AppOeanY.
OFFICE USE ONLY
CerGficates of Survey Received _ Yes _ No '
Tree Preservation Plan Recelved _ Yes _ No _ Not Required
? ?os% _ , . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122 ?(o o
851•881-4875
•Ngw CauhucNaf Reauiretnenh
9 3 reylileretl sife wrv6ys fhOwiny fq. 8. ol bf, aq. 8. of haqe
and gorootetl areas (20tY. maxlmum lof coveraae allowe?
a 2 coples a akns (anow beam e vnnaow wsx aa+rea ma. aesiyn, etc.)
a 1 tef of eneryy calculaMone
D 3 eoples d hae preaenoMon phn tl bt plalted aHer 7/1 /93
Rertwdel/ReDair ReauiremeMa
2 coples d plan
1 set of eneryy edcula6ons for heated addlNOns
t qre wney ror extedor admflona a decks
cnh: a- 5'- zoo a, conisrnucnoN cosr: 3 t ob °'
DESCRIPfION OP WORK: Closo- -Ad6 q:ew-
STREETADDRESS: 976 C??"NS?dRO
LOT: I a-- BLOCK: ?- SUBD./P:F?D. t:
Ir o c)
PROPERTY
OWNER
rneet
CNy .
5?.2
CONTRACTOR
ARCHIiECT/
ENGINEER
sneet
City ,
Telephone #: (
Slreet Address:,
citY
Name:
Regishaflon
Seweriwater licensed plumber (if inatallina sewer/waterl: Phone #:
1 herebY xknowledye Mwl I have read lhis appitcalbn, slate ihaf Ihe 6domaflon is ? and ag
ot Minnesola Sfahites and CHy of Eaflan Ordirwnces. ?
Signalure of Appfica .
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required
wNh atl appBCable Stale
?ZAs,
Cc.
z
)
o /w0--0-
?a.?xst? 1 S ? ,-' -
Pho u: 6s/- 99Y-//B'8
L
tate: Lp: -fS/z3
?
?r P,one #:
(area eode)
a0 • licensei Z539 Exp, Vzi zcva
Sfate: m Z)p: .Ss% Zs?
State:
JReac;9vcr.l* oT:gin&l 1?utl" Perrmito . -- I
1988 BOILDING PERMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURYEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDZNG PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOAVEY - CHECS WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: TJeGL Valuation: -1e?AOD Date:
Site Addre99 "1/IV fj( WJ1i OFFICE USE ONLY
Lot ? Block G+•rnefaovb
on site sewage
_ Occupaney
CC system _ Zoning
Parcel/Sub On site well _ Actual Const
City water Allowable
Owner 'PXVid ?rNld? PAV required _ Ik of stories
Hooster Pump _ Length
Address 97L 4vrrnsb om Dr'i %1e. Depth
S.F. Total
City/Zip Code ? S 5 l2 3 Footprint S.F.
Phone y 5 Z- ?9 S3 APPROVALS FEES
Contraetor Engr/Assess Permit N G
Planner Sureharge
Ad3ress Conneil °lan Rsc1eU
Bldg. Off. SAC, City
City/21p Code ' Variance SACt MWCC
Water Conn
Phone Water Meter
Road Unit
Mch./Engr. Treatment P1
Parks
Address Copies
I TOTAL
City/Zip Code
Phone #
? 11 10 1
d [ . Y I .
?% ' d: ?1
5G A k u 4.
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BAurrwa?p?? • q?? GReenK?oao c?NE • £ ' ? { °
--- --- ---- !'1? Ysa.-lq??_.?----- ?--?-- -
RECORD OF COMPLAINT
Date ? -.2 3 ` ?Q
C,omplaint taken by
Type of building 5 F h
Name
Address
Lega] des _
Complaint
Action taken
Comments
Signature
Phone number ySa ? / 1?5-i3
BUII..DING COMPLAIIv'T GUIDELINES
• When a complaint is received, get the address, name, phone number, and a genera] idea
of what the problem is. p
• Ailways have two City employees present to (1) verify the conversations, (2) offer
additiona] opinions, and (3) lend credibility.
• Get 'both sides" of the story if there is a conflict.
• Ask other inspectors and City employees if they are familiar with the address or the
problem.
• Contact other agencies or depanments (ie. Dakota County Human Services, 431-2424;
police department; fire department), if necessary.
• Provide hand-out materials if they are available.
• Maintain a record of inspections and conversations on a City complaint form.
RECORD OF COMPLAINT
DATE:
COMPLAINT TAKEN BY:
NAME: Vql?
U
ADDRESS: 0( -7G A
PHONE NO.:
-- ---- - - --
-- -- -
COMPLAINT:---??Ls-c,?Z?Z?u'?S?_?.?'L?t_?e?a?__we?..-'1"
----
ACTION TAKEN:
' COMMENT
TYPS OF Hl1ILDINGe
LEG9L DESCRIPTION:
------
?
//-?------- --
SIGNED: --
_._
-- ----- ----?
------- r---.
RECORD OF COMPLAINT
DATE: 9/6/41
COMPLAINT TAKEN BY:
N9ME: RITA BAIIMGARDNEK
ADDRESS: 976 GREENSBORO LANE
PHONE NO.: 452-1953
COMPLAINT: ROOF PROBLEMS. HOME IS 4 YEARS OLD. ROOFING CONTRACTOR REFUSED TO
TOUCH IT BECAUSE OF CODE VIOLATIONS. TOLD HOMEOWNER TO CALL CITY
INSPECTOk.
BUILDING CONTRACTOR: FEATURE BUILDERS
ACTION TAKEN:
,
COMMENTS:
TYPE OF BUILDING: SF DWG/GAR
LEGAL DESCRIPTION: ,i12, s2,.GREENSBOBO 1sr i
SIGNED:
RECORD OF COMPLAINT
Date ?' 23` &
Complaint taken by a 6
Type of tiuilding -?/" Q
Name
Address M G'rern??0/'d L,17
L.egal description
Phone number LSZ `I pS z
Complaint l Pk k 4ro.,WP C4 -1: re-
Action taken ?/z, tl, e Ci fe Da ?, 6-9/ a-..x 9-/ 7- I/ a<,cd
0 bS'e.^vccQ Jt o eac(? [ii o/d-?;ma, c -t' fc /,? R: ta to '--// - t?4P
Comments ?eh 1,r?or. 7r6,i"* f fo
f ?c C'f ????'oH
Signature
BUILDING COMPLAINT GUIDELINES
• When a complaint is received, get the address, name, phone number, and a general idea
of what the problem is.
• Always have two City employees present to (1) verify the conversations, (2) offer
additional opinions, and (3) lend credibility.
• Get 'both sides" of the story if there is a wnflict.
• Ask other inspectors and City employees if they are familiar with the address or the
problem.
• Contact other agencies or departments (ie. Dakota County Human Services, 431-2424;
police department; fire department), if necessary.
• Provide hand-out materials if they are available.
• Maintain a record of inspections and conversations on a City complaint form.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124967
Date Issued:07/15/2014
Permit Category:ePermit
Site Address: 976 Greensboro Lane
Lot:12 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-120
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Anthony Axelrod
976 Greensboro Lane
Eagan MN 55123
(651) 994-1188
Clear Choice Restoration
487 Owasso Hills Dr
Roseville MN 55113
(612) 226-7170
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164148
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 976 Greensboro Lane
Lot:12 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-120
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Anthony Axelrod
976 Greensboro Lane
Eagan MN 55123
(651) 447-9610
Brigley Roofing Inc
13585 Gardenia Path
Apple Valley MN 55124
(651) 458-5760
Applicant/Permitee: Signature Issued By: Signature