983 Greensboro LaneBLDG. PERMIT ti0.•'?.?,?
r-,-.,
01-3210 Bidg.- Perm9
01-3422 Plan Check
01-3445 Surch./hdn:.
122-
01-3446 SAC/Adm. ?
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Metei
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TpTAL
? CASH RECEIPT .
• CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MaN-VE3flTA 55122
i
? 19
RCC61YtD
FROM
AMOUNT $ ,I
A? DOLLARf
?oo
F]CASH ,(aCNECK
POR
BY . j /1, ''L_v7.l
White-Peyers CopY
Yellow-POSting Copy
Pink-File Copy
Thank You
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12977
PHONE: 454-8100
BUILDING PERMIT Receipt #
Ta be used tor S" D?d'GPGAR Est Value $79,000 Date i)3?t= F;:•:13L:!2 1_ ? , 19 ??1
SiteAddress 983 G:t2FEir1SBOiiO LN Erect Cj? Occupancy _'13
Lot 8 Block 3 Sec/Sub. GRFENSBORO 15T Remodel ? Zoning R1 Parcel No. Repair ? Type ot Const 11
Addition ? No. Stories
W Name JUaEPH MILLER I:ONST Move ? Length 46
Z 18133 CE7AR ??V?£ SU Demolish ? Depth 4-1
3 Address Int Impr. ? Sq. Ft
O rw:.i.r.?n% ? nt n -
¢ StVl$ APProvais
Z o Name
0 Q Address Assessment
~ City Phone Water & Sew.
U¢
WW
?
U ?
Q=
t W
Police
Name Fire
Eng.
Planner
I hereby acknowledge that I have
information is correct and agree
Minnesota Statutes and CitX of E
Signature of
all applicable State of
BIdg.Off. 44/'6°/0'
APC
Var.
Permit *
Surcharge
Plan Revie
Water Conn. 500• 001
Water Meter 63 . 50
Road Unit 290, 4 Q
Tr. PI. 156.00
Parks
Copie {
T.,._1 . y . 00 1
A Building Permit is issued to: on the express condition that
all work shall be done in accordanCe with all applicable Sta?p of Minnesota Statutes and City of Eagan Ordinances.
Building Official
? PKmB No. PKmR Holder Data Tdephone, k
Plumbinp
C
.?-:i•'u'CQ -.7
H.V.A.C. •
GC.clr3
O 1
?
Elactric
SoMener
InspecMon DaM Imp. CommNtb
Footlnysl ?
FooNnys II
Foundetion
Framing
RoMlny
Rouqh Plbp. _ ? 44 •Y /3
Rouqh Hty. -j'14
Insul.
Finplace
Final Hty. ? 4?IA!f
Flnat Plby.
Bldq. Flnal •
c«+. occ. V/y
o.ck Fty.
Dock Frmy.
WNI
Pr. Disp.
.,j?+*. ri.? .
. . . . . _?' . . -.?- ?,..
. . , .' `-e_- .. .. . . ... .. ;.
d.[.. . .. . . . . .
. . , , PERMIT # -
MECHANICAL PERMIT RECEIPT # ` -
CITY OF EAGAN ? ,
3830 PILOT KNOB ROAD, EACaAN, MN S5121 DATE ??-
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
R
N
?
Name ew
es.
M
lt Add
?
Address -on
u
ir
C
Re
pa
omm.
c City Phone pth
ef
Name FEES
?
c Address ' RES. HVAC 0-100 M BTU - $24.00
p Ciy Phone ADDFT NAL M BTU - 6.00
ADD-ON AIR COND. 0-24 B7U - 12.00
ADDITIONAL 6 M BTU - 6.00
T1rPE OF W?RK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 14'o OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PEFiMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlats M
Other
FEE
SIGNATURE OF PERMITTEE
S/C:
roTaL
FOR: CITY OF EAGAN
r?.- • r, , _
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
rRACT PRICE PHONE 454-8100
Sibe A ess Z 0
Lot Block
m Name
? Addre?
c City _
? Name
3 Addre;
p CitY -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
v
Res. New
Mult Add-on
Comm. Repair
Other
NO FIXTURES TOTAL
=Water Closet - $3.00
--4_Bath Tubs - $3.00
Lavatory - $3.00 ?
Shower - $3.00
1 Kitchen Sink - $3.00
Urinal/Bidet - $3.00
1 Laundry Tray - $3.00
-LFtoor Drains - $1.50 ?
? Water Heater - $1.50
Whirlpool - $3.00
% Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50 '
?
FEE L7
STATE S/C: ?
GRAND TOTAL.
`' ?
? N.
T.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address
Lot _?"?
- Name _
?o Address
c City _
IVame _
3 Address
0 C'ty
-
COMM/IND FEE -1q6 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
(ADP $.50 S/C IF PERMIT PRICE GOES
PERMIT # ? ? ?5 -12l
RECEIPT k 72" 7/,/P6- 7
DATE: Ifs ] & I--?18 7
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3 00 ?
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Orains - $1.50
Water Heater - 51.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00 ? Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL• 1 ?v
P.O. Box ?1199 ° • PERMIT NO.: 9517
Eagan, MN 55121 DATE:
Zoning: 1
oe rt er Const, No. of Unib:
Owner.
Address:
SiteAddress: " ??e?g oro -ar.e ,, ?reensboro I
o,. es s.: pa .
Plumber
qe x?-- ?lo t111t1eS Luu. vUpd
t agree to comply wli,h fh IOti,ru ?r?? Charge: 475.0012d
Ordinmces, tietol?? E??CTRi?ic "c
?f'De sit: 15. OQ
- TELEpNONE • Fd---
?-`? io. ot?Rd
IR?D $?r iunt
RrQUrcharge:
BY Misc. Charges:
Date oi Insp.: Total:
InSp-: Date Paid:
I' cmr oF EAc,o?N WATER SERVICE PERMIT
3830 rlot Knob Road 8366
j P.O. Box 21199 PERMIT NO.:
Eayan, Mq 55121 DATE:
2oning: Ri No. of Units: 1
Owner. Joe Miller Const.
Address:
SiteAddess: 983 creensboro Lane L8 P,3 Greensboro lst
Plumber. Tom ?iessian Plumbina
Meter No.: on Charge: 500. OOpd
Ze: is . 0Opd
? . G g'st'tu'C??.'?'i. A. ? 14 . OO pd
eader No.: - y Re?mlt Fee: ? , 50pd
` -
ayree to comply wMh theiG0y Wiagan ?u'rcfiarge:
dMances. 005Upd meter
' Total:
Date Paid:
te o} Insp.: Insp.:
CITY OF EA(3AN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55;T DATE:
Zoning: No. of Units:
Owner. J°e "'.i er Co nst.
Address:
Site Address:?o?
Plumber.
I ayree to comply with the City of Eagan
Ordlnancea.
BY
Date o( Insp.:
Insp.:
Connection Gharge: 475. Qflpd
Account Deposit: 15. aupd
Permit Fee: 10. 00pd
Surcharge: • S0pa
Misc. Charges:
Total:
Date Paid:
_?.
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 . PERMIT NO.: 83f,S
Eagan, MN 55121 DATE: 1-21-S'
Zonin9: rzl No. of Units: '
Owner. Joe Mf11er Cenat _
b@r Tnm flesclan P1tisnh 1sigJ, ?
r No.: Connection Charge: {QO f)Opd 1
.00:
Account Deposit: 1 s
d d
p
.
er No.: Permit Fee: IQ 04A
ie !o comply with the City of Eagan Surcharge: SOTd
iances. Misa Charges: 156 nt)213 '?^
Total: 53• SoDa meter
Date Paid:
of Insp.: Insp.:
CITY OF EAGAN
N2 ?1
12977
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121
PHONE:454-8100
BUILDING'hERMIT . .
Receiptp
To be used for SF DWG/GAR Est. va?ue $79, 00 0 pa?e DECEMBER 16
Z
1g 86
,
SiteAddress 983 GREENSBORO LN Erect C? Occupancy R3
Lot $ elock 3 Sec/Sub. GREENSBORO 15T Remodel ? 2oning Rl
Parcel No Repav ? Type of Const. V
. Addition ? No. Stories
= Name JOSEPH MILLER CONST Move ? Length 46
W
j oemolish
18133 CEDAR AVE SO ? Depth 47
o Address
In(. Impr.
FARMIN('pRPP 892-1010 I
Cit
t
u ?
? Sq. FL
y ns
a
o Name SAME
i
? Q Address
• City Phone
?Q
w W
Name
?
u Address
o
z
a
w Ciry Phone
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 gt ol Eagan OrdinpFf,".
Signature of
A euiltling Permit is issued to: J?65EPH MILLER CONST
all work shall be done in accordan e with all applicable Sl of Minnesc
Building Official D
Assessment Permit $ 31U. U U
Water&Sew. Surcharge 39.50
Police Plan Review 185.00
Fire SAC 575.00
Eng. WaterConn. 500.00
Planner WaterMeter 63.50
Council RoadUnit 290.o0
BIdg.Off.12/16/8 Tr. PI. 156.00
Var. Date Copies
T,,.q, $ 2.17 9. 0 0
on the express condition that
and Ciry of Eagan Ordinances.
Th.s re9uest vaid ?/?o'[/S/
18 nnnths from ^'f
? 80806 z u Q3 z- c,
Rgquest D81e I " Fva No. Noaph-,n InsPer,UOn
He urted?
OReady Nuw [?`/?ilI Notify InsDec-
? s.? g
1
Yes ?No
I
lor When fleady
? Licensed Elecuiwl Contrnctor 1 heraby roQUeet inapection ot ebove
Owner elechieal work instelled ae:
Street Address, Boz or Poute No.
C1Y3 r h 6or?
Larlen, C ny
GL ?.
ecUOn o. Townshio Name or No. Range o. County
&
bf
Occupant(PRINT)
Jo M;
iler Phone No.
?9a -lo?v
Power Supplier Atldress
`?
ofa. 30o aao
Electncal ConUactor IComOany Namel
/Vl;dland Elec-Fric. Conirar.mr's License No.
-01-
Mailing Address IConvactor or Owner Makine lnstailetioN
a5oo W L'o Pd 4A BurKsvdlif?
AuMor SiB?ature ( ntracto wner Ma ng Instal atuon) Phone Number
? j
MIN SOTA STATE BOARD OF ELECIIi1CITY THIS INSPECTION"PEQUEST WILL NOT
Gripge-Mitlwev Bldp• - Noom N•19Y BE ACCEVTE? BY THE STATE 90APD
7821 Univsrsitv Ave.. St. Peul. MN 56700 UNLESS PPOPER INSPECTION FEE IS
Phone(6121fi42-O800 ENCLOSED.
2/?7 REQUEST FOR ELEC?TRICAL INSPECTION ee-oo?o^o?yi-oa
? Sea insbuebone lor compleling Ihis fwm on beek of yellow eopy. ?9J /1,1
? 80806 "X" Below Work Covered by 7his Request
AAd NeD. Tyoe o1 Builtlmg ApOliancas WiraE Eqmumem Wired
Home Range Temporary Service
Duplez Water Heater Lightin, Fixtures
Apt. Bwldmg Dryer Electric HeaLn
Commercial 81dg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Fyfm ther Oeci v t er (SPi'cily)
t r Suem y ONer Other
ompute lnspection Fee Belaw
p Fee ServiceEnbanee5ixe tl Fee Feeders/3ubleaders k Fae Cncwts
0 ro200qm s 0 [o30Am s Oto 30Am s
Above 200 qm ps 31 to 100 qmps ? , pD 31 to 100 Amps
Swimming Pool Above 100-Am s Above 100_Am s
Transformers rrigation Boorc.s Pattial. Other Fee
SignS SpeciallnspecLOn
S `
TOTAL F
RertNrks I ? f,?
Rouph-m O'1e I, tha Electnc
Inspeetor, heraby
cerpfy that the abova
Final ? te G7 insoection hes Eeen
mBtlB.
(01s repueat vold 18 monlM Irom " ? `'
PERMIT# ::? ;)- (? 1-4 C?;- RECEIPTDATE:
2002 MIDEPTL4LL PLUM$IN6 PEfiM1T APPLiCATION
CIT'Y OF EAfil4N
3930 PII.OT [{NOB RD
EAHAN, MA 55122
651-691-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: 1 03 v VCmS ?oVD Loi?
OWNER NAME: : G?_• rnl {? uve.z?s TELEPHONE #: 66 I_ c*93- 9565
(AREA CODE)
INSTALLER NAME: ' S`?`C-VQV1 S 1 TELEPHONE #: (P Ia O01- b"' toc)
STREET ADDRESS: -1 (d ^ (AREA CODE)
7•
CITY: G VZ.1'\yp-LL? STATE: rn? ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter'rf needed -$118)
Other:
_ RPZ: new installation/repair/rebuild 30.00
lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
b
$ ?3D 5
rotat
I hereby acknowledge that I have read this appliration, slate thatthe information is correc[, and agree to complywith all applirable Ciryof Eagan ordinances. It
is the applicanPs responsibility to no6fy the property owner that the City of Eagan assumes no liabilily for any damages caused by the City during Its normal
operational and maintenance aclivities to the facilities constructed under this permit ' hin ' property(fight of•way/ea ment.
ro
SIGNATURE OF PERMITTEE 1102
. •r ??? -
? ? 7 ?.
•• 1986 BQILDING PEIilIIT APPLICATIOB - CITY OF EAG9N
AOTBz ALL C06TRACTOaS MOST BE LICBN.SED IiIT$ TH6 CITY OF EAGAA
SIHGLS FAMIILY DAEI.LffiGS
INCLUDE 2 SETS OF PLANSO3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiifiLLIliGS - HffiID%NTIAL
INCLUDE 2 SETS OF PLANSt CEH
1 SET OF ENERGY CALCULATIONS
RENTAL DdITS FOE SALS OaiITS
OF SIIRVEY - CHECg BIT$ BLDG. DBPT.s
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS 9ND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date:
Site Address ?4
Lot F Bloek-'31
Pareel/Sub 'J, LQ/}'I,a(?'j,f) / <t-
Owner
Address
City/Zip Code
Phone
Contraetor?
Address ),?/,
City/Zip Code
Phone 89a
Arch./Engr.
Address
City/Zip Code
Phone #
Erect ? Oecupaney R•3
Remodel Zoning (Z11
Repair _ Type of Const SL
Addition # of Stories
_
Move _ Length 4(-
Demolish Depth 4"1
Int.Impr. Sq Ft
Install
6PPROVALS FSG4
Assessments Permit -10,
Water/Sewer Sureharge 39. -
Police Plan Review ( & S
Fire SAC 5-75,
Engr Water Conn 500.
Planner Water Meter (015.so
Couneil Road Unit 29 O
Bldg Off Treatment P1 15cn.
APC Parks
Varianee Copies
TOTAL
HOTE: ADDHESSSS FOR CORNEB LOTS - CONTRACTOR/HOHEOiiNER MQST DESIGNATE iiHICH ADDRSSS
IS DESIESD. BO CH9NGLS i1ILL BE ALLOiiSD ONCE BOILDING PERMIi IS ISSIISD.
2G ?G _
2_4K2Z
S-6 = c09 3&8
4'4- ° ZS rG
S Z8 x (Z = C> 33G
?8S2C)
..
.
86-zrL
TRI = LAND C 0. , SITE PLAN FOfZ .
SURVEYING
SERVICES JpSEPH N!lI.LER CONST.
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
.
. ?
,`
`?
? ?. ?Fe ?
?
K', 0?11
. '
/? lJ ` ? ?.,
\?"
O CS, ? ?? \
?i sl
o??o ? ; .
,
,?
%?
LOT0 , BLOCK?-R '
GREE NSBORO I st ADD N.
xcordina to t1N neadaA PIa1 tMreof
DAKOTA co"yoMinnesota
I.EGENQ
o DENOTES IRON MONUAEMT
a pENpTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES E?ROPOSED SPOT
ELEVATION
? DENOTES DRAINAfiE DIRECTIGN
1 Mnbp coAity thot tNs wwy,pian or
repaf wcs propond by n» or wider my
dlrut supavbion ond fhat 1 am a duly
Reqisfersd Lood Surr"or undK fM
Lmn of rhe Stae of Minnesota
Bradley J. %Wson, Mn. Rtp. No. IE235
DOf f ".
t
?
I ?
1 /
e'r ,
?
?
?
SCALE; I° = 30?
Y,) I
PROPOSED (3ARAOE FLOOR ELEVATION ¦ q07
PROPOSED FIRST FLOOR ELEVATION ?
PROPOSED oASOMENT FLOOR •
ELEVATION
NOTE* VERIFY ALL FLOOR HEIliNT3 WITN
flNAL HOIISE PLANS
• .. ° CITY OF BUILDINa DEPARTI4ENT v y
, • •• • }:7CtERIOR ENVII.OP& AVERAGE IIUII CAMPUTATIOH
. '(1b be suhmitted aith building permit spplication)
One or Trro Family Dwelling Owner
All Other Site Addresa
Contractor Date Phone
FA
I?FA?X 2r:
LINEAL FEET OF ?
E7POSED YlALL ?iE "Ooi :K ?WECTft. above grade = 25ZC7. tvO
TOTAL EXPOSED WALL AREfl SQ. FT.
OPAqUE WALL CONSTRUCTIONS "U" Value x Area
Detail Ig glUts .043 x SQ. FT. .LO77, D(U)(A)
n n
reference ?
? z
SQ'
)(A)
?'--?Q- R.14 (11
??
f
from x
:
S. U)
(A)
FT. 13Z.89=_ -•
otin X
attached $Q. FT. = U)(?)
itto
sheete
p
Q
u
n x S
. FT. _ (U)(A)
WIND01VSS "II" Value x Ares
hfake & Type 'I?SULeSIf1T "U'i x SQ. FT. 44.SQ= (0&;*o (U) (A)
n n nUn x S$. FT. - (U)(A)
n n nUa x SQ. FT. _ (U)(A)
n u npn x SQ. FT. _ (U)(A)
DOORS: "Ull Value x Area
I•]a;ce & TYPB 5!TL. IIISLx , "II" •I?}" x SQ. FT. Q,Oa
?OSLO (U) (A)
" " _PA17n #gUlf_ .47 x SQ. =
(U) (A)
FT. 2-tacp
?Y
n v npli x SQ. _
FT. _ (U)(A)
"11" x SQ. FT. _ (U)(A)
TOTAL& Z3Z0-00 SQ. F'T. I SB• SeO (U) (A)
AVERAGE ItUl l
TOTAL (U)(A) VALllES _
D
??8
IVIDED BY TOTAL WALL AREA Z324i00
AVERAGE IOU ? lesa for 1&2 familq dwe 11 inga
ROOF/CEILINas
TOTAL AREA: Z(p0
Detail reference IIUII x SQ. FT.JZl00 = 2(O? 4RU)(A)
from t4Tn x SQ. FT. ? (0)(A)
attached sheeta. @fUll x SQ. FT. ? (U)(A)
Deacribe openinga "U+f x SQ. FT. _ (U)(A)
in roof. IIUII x SQ. FT, a (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY 21y*9.(p
rA>
T7?tL?j ??? Jq,? 2/p. Cu W?
TOTAL ROOF/CEILINd AREA I2(p0 •dZI
AVERAGE "U? ,029 or ventilated roofs. -
/g•s x ( 34+34+4/v?9lv? L z?Zo.f,o?
Co? c+
• ?7 ? (34 t-3¢+ 41v t940) _ 107. Zo ?
?i!n To?sT
. 83 ?(34 f 3?- t 4lo+Qlo? = I 32 • 80 -?
WIl1 PDws
Ilnx3lo = 4.o x 4 =
ZOX31a = 5, o X (v =
24 x 3!0 =- !v. o x 4=
Z¢X4$ = g• ? X lo =
2ax?S = 0-7 x 4 =
i5pj-ts
3° Sm• w6.c..
Ze Szc.' S6p?
(19 ° D?•-rIo
1l0. o0
3o.op
Z4, o0
98,00
2(v. go
r44.ao
= ZS,oo
- zr.no
= 4Z.ov
9!•a0 ?
Nt'T EMEZ ?tL SQuAu.s
C°leo5'S w,q/, L Z 3ZO• o0
G?SS Cot/c, lol.zo
r? 91m
?
1NDW S
t3z,80
go
-475. So
?
?? Dc?ie'y 91,00 ?
+849: zo ?
n ?'-
z?n
B x B = ?4
I z?o.w 4)k
I ROOF/CEILINU
? 1. ) Interior Air P'ilm
2.) 5/811 ayp. Ba.
3.) Ineulstion
4.J
5.) Exterior Air Film
. (STILL)
R V11LUE
0.61
.56
4-too
.61
uUn a 1/R= IOZ? 'i'OTAL (R)' t577g
WALL
6.) Interior Air Film
?.) 1" 47P. Bd.
86) IneulaEion -
'9.) .?rL7?-rITC
10.) Masonite Siding
11.) Exterior Air Film
R VALU
0.6$
.45
19,00
1.6?
.17
itUll a 1/Rn.. TOTAL (R)= r
.5.O!
RIM
12.) Interior Air Film
13.) Ineulation
14•) 2" Fir Rim Joiet
15.) .PavltT- 'e1-r0!F5-
16.) Maeonite Siding
170 Exterior Air Film
R YALUE
0.6$
I q,ov
1.88
Z?67
.17
ttpu a IIR= TOTAL (R)=
...1..
.?
FOUIiDATION
18.) Iaterior Air Film
19.)
zo. ) K-ll STiewPFD
21.) 12" Coaarete Hlock
22.J
23.) Exterior Air Film
R VALU
0.68
f/. OD
1. 28
.17
ItVll a lIR_ TIOTAL M° /3.1J
Detormining "U" valuee st Roofg Wall, Rimp and Conc. Block
. , ?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*TOTE: PAYMRM' OF FEE AT TIME OF
r,rPisCATIoN noFS rAm ?UTE *
AePxoVAr, oF Pmhmr. ;
INSPF]GTION OE' SESdZt ADID/OR WA'QM *
r
TT1SI`ATTATTQjQ$ WrjL NCYP $$ $(HED-- *
*
ULED L7NPII. PFItNUT FAS BF.N1N *
?
APPRdVFD. *
*
r
r
*
P ease Print
1) PROPERTY ADDRESS : ?y
R b -3 )G) p L -s ? Q fyo
LEGAL DESCRIPTION: ?6 3 `? r Cz C' h 0 (? 0 "
Lot Block Sub ivision or Tax Parcel ID
IF E7QSTING STRLY.'lLR2E, DATE OF ORIGINAL BL'ILDING pII2MIT ISSL'ANCE: '
?
(Nbn
Year)
RGENf ZANING/pROPOSID C?SE:
PR
Cl COP'II"IERCIAI./RETAIL/OFFICE a) R-1 SINGLE FAMILY .
C2 IDIDC'STRIAt, r-I R-2 DUPLEX (7wo L?nits)
? INSTIIL.'TIONAL/GOVII2IZjENr ? R-3 20WNiOUSE (Three + Units) ( Units)
R-4 APARTMEDPr/COPIDOMINIPM ( Units )
2)
' ' 'Q?•r' L? [dF1ME:
ADDRESs:_ Z-z
ciTr, srAxE, ziP: ? e i L= /12 .ti
PHONE: ?9D ? ?1 7 `7
• 3) • u ?: ?'• A7AM: T
{ 1`-7 14 tG e5S / ?f"?+? For G.ty Use .
. Plimibers License:
AoDxess: )?.l d u9 C _ve
CITY. STATE, ZIP: P P .E //g I /? ??-o E
ired
recorded
PHONE: (p cgMAS'PER LICIIVSE#
Yta Initial
a) •• . ??• ?1
?//? 2 C?
?
_ AoDREss:
CITY. STATE, ZIP: 43 U?'t: ,$ ? i//f. r•'i ?
PHONE:
•5) i v t a• •?• : o a? • a?
? CONNE(.'rION 7O CITY SEWIIt I? CONNf7C,TION rM CITY WATII2 ? OTUR '. .
6) n • • r PLEASE FIOLD APPROVID PERMIT FOR PICK-C?P BY ONE OF ABOVE ------ ---
PLEASE MAIL ApPROVID PERMIT 7O 1, 2, 3, 4, AHOVE
7 ? ? ? • (Circle one)
)
¦--a? ?
r r• u• • C( ? '-
-r- ? Q_ ??
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SORCHARGE)
$ $ WATER PERMIT (INCLL'DE SDRCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?S•Ct-G ACCOONT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ ??U U O $ WAC
$ 9 7 `? ' U-b $ SAC
$ $ TRDNK WATER ASSESSME[VT
$ $ TRCNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BEN°FIT/TRLNK WATER
$- $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ !ze1 C` cS? $ S^?? ?? TOTAL
7L) a Z
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PLBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST SE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: /df 7
?
1999 BUILDING
3?1 WS?
New Conshueflon Reaulremenh
-qqqqppp?
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Remodel/Ileoafr Reauh?e?
? 3 regMered sXe surveys showing sq. R. of lof, sq. R. of house
and glj roofed areaa [20% maximum loT coverax allowed)
D 2 eoples of plam (show beam i window sizes; poured Md. deslgn; etc.)
? 1 seT of energy talculotiona
D 3 copies of hee preservaHon plan 6 bi plaifed alfer 7/1/93
DATE: qlI t;` 1 I
Name: t"ee6 MaAPrione#: fp51-Ce83-J565
Last FGd
DESCRIPTION OF WORK: A-8c? n4'1 ?1?)LC{130l"l. Y-OOVY1 /L'avl K0'/YlP
STREETADDRESS: qQi3 C?r?'P?"?Sb'(XC1 LlS._ne
LOT: 'F' BLOCK: ? SUBD./P.I.D. #: Q-1
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: 9?6 L!TC?oKn
City LiA cp ,4, State: Zip: .5s ? ?
Company: Phone #:
(area code)
Sheet Address: llcense # FxP•
City
2 copiei ot plan
1 sM of energy calculaNona for heafed addlHons
1 sHe suney for exteria addlNOns 6 decks
CONSTRUCTION COST: #30-(ED#004
State:
Compcny: Name:
Telephone #: area code (
SfreeR Address: Regishafion #:
CMy
Sewer i water Iieensed plumber (reaulred for new eonskuction onlvl:
State:
Zip:
Zip:
Penally oppltes when address change and lot change Is requested once permff is issued.
1 hereby acknowledge fhaF I have read this applicaHon, sfate that the IMormaNon b correet, and agree to comply wtlh all appiicabl
S1ate of Minnesota Stafufes and CfFy of Eagan Ordlnances.
, Stgnafure of Applleant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No SEp i 5
T2e Preservation Plan Received
- Yes No
- _ Not Required
)j Y
7mm""'77
BUILDING PERMIT TYPE
OFFICE USE ONLY
. • ?
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 27 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage JI( 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
O 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
JK 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
X 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demol ition permit
GENERAL INFORMATION
5• 1J ?
Const. (Actual) Basement sq. ft. Census Code
3
(Allowable) = Main level sq. ft. SAC Code o I
UBC Occupancy R• 3 sq. ft. No. of Units
Zoning P•D sq, ft. No. of Bldgs
# of Stories f sq. ft. MC/ES System
Length ? sq. ft. City Water
Width Footprint sq. ft. 3A4 Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Bui lding ? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ?7S'
Total: S(?q .
c?(.
Oop ---
Valuation: $ ?1
Il,XZ4 = 384 x 5-4 = 2o) 73G e:e
.
SAC Units
% SAC
,
I-2 Family Residentia! Bui/ding
RESIDEIVTIAL "COOKBOOK" WpRKSHEET
Appl'cant Name
,, 4 P??1Z
e ,? r?sa ?
sa
? on
e
? Dale Shhment of Compliance: 8uilding Ollicial Use
? ?J
3-
k
to
Applicant Ad rcss
Y?
( The propoud building design reprcsemed in Ihcse
d
l
i
i
?t
583 ocumen
s
s cons
stent with the building plem,
?? 6-1-, - 12- 7 speoificelions, and othcr calculaflons submined
Building Ad ress: ' with the permit application. The propoud
building has bcen daigned lo meet the
i
rcqu
rcmenLS otthe Minnesma energy Code.
i
rnN S?l;z
3
-
.
ApplicanUEngineer
MINIMUM REQUtREMENI'S for "Cookbook" Option:
Entry Doors 1-3/4" solid wood w/ starm Ceiling with energy truss R-38•* Rim joist R-19
doot br equivalent (Min. 7%," top plate to sheathing)
Faundation Windows' Insulated Glass w/I/2" gap in Ceiling with low heel truss R-44*• Floorover R-24
wood or vinyl frame unconditioned space `
*Include squaro foomge in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing
to determine above grade Window U-Value.
--insmacwn rerrormance at wmter uesign Conditions
?
WlndowandboorArea ' 100 : 0-:1_% WINDOWU-VALUE: . 2?
As'/o of ExposM Wall Area lbme Crade Window and Grme Wa11 Arn Wlndow ARoor Area Sootee: NFRC or ASHRAE 1993 Handbook
FotledetlonWlndow/Door Area
t ?
1 MAXIMUM WINDOW U-VALUES
Check Wall
Typt Uedl WALL TYPE MARIMUM WINDOW AND DOOR AREA % OF EXPbSED WALL AREA
12% 14% 16°h 18'/0 20% 22°/a ?% 76'/0 2$% 30% 32% 34°!0
TYPEA 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.4'7 0.41 0.36 0.33 0.30 0.27 0.25 OZ3 0.22 0.20 0.19
PE B 2x4 framing, R-IS insulation, sheathing R-5 or greater. 0.52 0.45 039 0.2 26 0. .2 .21 020 018
UK PE C - 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 036 03 026 12 0.19 0.18 0.17
PE D 2x6 framing, R-19 insulatian, sheathing R-5 or greater. 0.56 0.48 0.42 j E 031 0.28 0.26 . 4 0.22 0.21 0.20
E E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 038 O.30 0.28 0.25 023 0
PE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.32 0 29 0.27 0.25 0.23 0.22 0.21
i his table contains interpalations of the values in the Cnergy Code, Pert 7670.0475, sunp. z.
This is a summary only. Olher requirements may epply. Sx the Minnesola Enagy Code. 215/96
QuestionsT Call Dcpanment of Public Service Information Center at 612l296-5175 or 1-500/657-3710.
QP,??
66 - Z 1Z
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOFr .
?.
JOSEPH MILLER CONST.
, i
`?
3
pROPOSED OIWAfiE FLOOR ELEVATION • qo?
PROPOSEO FIRST FLOOR lLEVATION •
PlqPOSED lABEIENT FLO011 •
ELEVATION
LOTS-, BLOCK-0--i -'
GREENS80R0 I si ADD N. SCALE ; I" - 30'
xeoranq to tM neadad Plaf 1Mreof
DAKOTA. c?y. Mfn»so?a i ?'- , ? ; • _
?4 r l ? -- YJ J
LEQENQ
/ a
?'p? ? / ?? `? ?
? r
K? ?/?01
F6'10
% /
0
Fo A/ v?. \ ??l r/ ?'
o ?o ?(k, '
t a
? r?
? r?
PROPERTY DESCRIPTIOM'
o DENOTES IRON MONtNENT
o DENOTES MIOOD HUB SET
DENOTES EXISTINB SPOT
ELE VATION
DENOTES 6'ROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE OIROCTION
I Mnbp certify thaf tAis arwy, plon a
report xos prepand py nM or undor mr
dirwt supervblan and fhat 1 am a dWr
Registered Land Surwror undK fM
Laws ot tM Sfate of MimewTd
?: VERIFY ALL iL00R HEIGMTS WITH
F1NAL Hal1SE r1.AN8
8?adNr J.
Daft '._l:
?
Mn. Re p. No. Ia235
CITY USE ONLY
L ? BL ?
SUBD. C-i A 1 A NS?I C?"i n? I S?
RECEIPT#: I v 9 ?3 1
RECEIPTDATE. S ' l ?
PERMIT #
1999 PLUMSINF PERMIT (it£StDENTIAL)
crrY oF E,tsAu
S$SO PILOT KN09 RD
EA6RN, M1V 5.5122
(651)681-4675
Please complete for: ?' single family dwellings
? townhomes and condos when permits are required for each unit
9 backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G8s i in outl2t * minimum -1 3.00 X, _ $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x = $
? Minimum fee alteretions to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30 00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 . x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under construction 5.00 x = ?u
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
TOtdl --? --? ----?
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------ ---------- ------------------ ---- ---------------------------------
-
-
-
-
-
-cati-on, state that the information is covect, and agree to comply wifh all applirable City of Eagan ordinances.
- I- -have-
- -N-is- -appli-
-read -
I hereby acknowledge-that-
It is the applicanl's responsibility to nolify the property owner lhat the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance aclivities to the facilities construcled under this permit within City property/right-of-wayleasement.
SITE ADDRESS: V c?'
OWNER NAME: : C Le 21 e SS TELEPHONE
( A ODE)
INSTALLER NAME: cil l?? I???? I? I T LEPHONE #:
(AREA CODE)
STREET ADDR SS: -
CITY: - Pprml? STATE: ZIP??()
SIGNATURE OF PERMI TEE
- 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
` CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-8814675 L-I -1 4
New Conahuctlon Reaulremenh RemoCel/Reoalr Reaulrements
> 3 reglstered alte wneri Showiny eq. lf. 01 bf, sq. R. ol house 2 copies of Plan
and gfi roofed areai (2016 ma)lmum l01 eoveraae albwad) i set a energy cmcwanona ror nea?ea aadieons
> 2 coplas of plans (show beam & wintbw sizes; poured fnd. design; etc.) 1 stle wrveY ror exledw addlMOns & tlecks
> 1 sel of energy calculatlons
% 3 coples ot hea preservatlaf plan If lW plattetl oHer 7/1/93
DATE: CONSTRUCiION COST: ? I () U ? • ?? ?
DESCRIPTION OF WORK: 601 e- cV--
STREET ADDRESS:
LOT: 3?
Lj--\
BLOCK: ? SUBD./P.I.D. #: G-\J-Ll? 2VJ
Name: Iv tee' ( Phone #: (aS l -(p $3 ' 4 SS S
PRoPErtrrv Lad Fl?
OWNER Sheet Address:'?,93 Gmf-N'\', T'b
• Clty t:-7('-4ca't State: 11'\&] LP:
Company. Phone #: _
(area code)
CONTRACTOR
Sheet Address: Uce^? ? Exp'
CHy
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone i: ( )
Sheet Address: Regisfration Y:
Cliy
Siate:
Sewerlwater licensed plumber (if insWlflna sewer/waterl: Ph°ne #:
Zip:
Zlp:
I hereby acknowledge Ihaf I have read this applicafion, sfate thaf the infomwtbn is cortect, and agree lo compy wilh a4 appflcable Stah
of Minpesota Statufes and Cily of Eagan Ordlnances. /J
Signature of ApplicanY. ?-
1 f
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Recelved _ Yes - No _ Not Required IJ" '
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundatlon ? 07 OSplex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? OB 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex x 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storrn Damage
? OS 03-plex ? 11 10-plex PI6g _Yor_N ? 25 Miscellaneous
O 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory BWg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition 0 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to applicant for demolition permit
? 31 Ext Alt - MuRi
? 33 Ext. AR - SF
? 36 MuRi
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code Ryq:
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupancy ?I? sq. ft. City Water
Zoning sq. ft. Booster Pump
' PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building T4&_ Engineering Variance
Permit Fee Valuation: $?_
Surcharge H
Plan Review
License T
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: -l L3
SAC Units
% SAC
.
,?.
e6-zrL
:r1=LAND C0.
SURVEYING
SERVICES
4655 NICOIS ROAD
EAGAN, MINNESOTA 55122
SI T E PLAN F OfZ .
c.
JOSEPH MILLER CONST.
,
•,,
t t
?
;? ?'s4
r?
? ?
yFFo
oX`?'
?
?' 2 "0
ti
g
/
?
/
Cs
/.
.\
. ?'o° /
?
s/
/! ll
LOTSZ, BLOCK.?,
GREENS80R0 I st ADD N.
aeeordna fo tM neord?A Plat iMnof
DAKOTA
LE_ (ijQ
o DENOTES IRON MONtJMENT
e DENOTES WO00 FIUB 8ET
DENOTES EXISTING SPOT
ELEVATION
DENOTES FROPOSED SPOT
ELEVATION
f DENOTES DRAINAQE DIRECTION
I AN?b?r ce?tliy fhaf tNs wwy,plon or
r?port wa prepand br nM or under my
Oirect suparvisian and Mat 1 am a duly
R•pishred Land Surwyor und?? iM
Lairs of fM StMe of Mimesotn
F .„ t,
ti ?
Fo Ai
oo
SCALE; 1 11 = 301
/-a. r /-i'.. YJJ
PROPOSED fiARAfiE FLOOR ELEVATION¦ GTOrl
PROP08ED FIRST FLOOR ELEVATION ¦
PlqPOSED OA8lMENT FlOOR ¦
ELEVATIOM
NO?TE : VERIFY ALL FLOOR HEIGNTS WITM
FINAL HOtlSE rLANB
Brvdley J. V#tlton, Mn. Req. No. IS238
Dafe:
Use BLUE or BLACK Ink
r
For Office Use I
Permit Z 3o`/0
City of Eanan o ~a l
Permit Fee. I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: l
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 1V1 ktc' , Phone:
Resident/ yy q
Owner Address / City / Zip: V- 1
Applicant is: Owner Contractor
Type of Work Description of work: ( i a'l
Construction Cost: Multi-Family Building: (Yes / No )
Company: I0z7o"4~ (L)A<, Contact: C0
Contractor Address: (Z~01 City: ~rl4J-
State: Hnl Zip: Phone: , 3614mail: f sQ-t76irn 10 lC~-) l /
License I c ca n Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
i
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstateonecall.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 understa d 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
accord e with the a roved plan in the case of work which requires a review and approval of plans.
Extterior•work autho zed by a building permit issued in accordance with the Minne a St a ilding Code must be completed within 180
days of perm is nce. rtc i}'
","'J 7J
Ap licant's inted Name Applicant's Signature
- Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155970
Date Issued:06/11/2019
Permit Category:ePermit
Site Address: 983 Greensboro Lane
Lot:8 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Michael D Ness
983 Greensboro Lane
Eagan MN 55123
(000) 000-0000
Midwest Exteriors Plus Inc
6451 Sycamore Ct N
Maple Grove MN 55369
(763) 427-9696
Applicant/Permitee: Signature Issued By: Signature