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3780 Greensboro Ct q k Use BLUE or BLACK Ink I For Office Ilse I lion /_5 Y_ Permit#: City of Ea 1 Permit Fee:--? - -f' ~ J~ i I 3830 Pilot Knob Road Eagan MN 55122 RECEIVED j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I W "'A MAR 1 ! 2011 1~--------- 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Op Date: b Site Address: (rr h.~c C+ Unit M a Name: J6 r #--&Q oc V C-r Phone: t S - 1 J7 RESIDENT / I_ OWNER Address / City / Zip:.3D7190 GX az.r..~7Ur~ ~ Applicant is: Owner _X_ Contractor TYPE OF WORK Description of wor • L~ CCU Y' c i r - _<e-e- Construction Cost: f3 7 LV Multi-Family Building: (Yes / No ) Company* r6P%-- 4- Contact: _Jt>>~ .sc_u, r z Address: f 2 (ri 7 1~l D'J City: m c~ D 6mrT2~f=. CONTRACTOR State: In /r Zip: J e ,:A i I Phone: S U ' 3) S El License 2 0& 3$9 ( Lead Certificate Does this project require Lead Remediation? ❑ Yes 10 No (see Page 3 for additional information) If no, please explain: fe7,-J1' 93 3 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: 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 the 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.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 requires a review and approval of plans. lz~~, 1- "d x _ icl" ITC ' =.~,JL x Applicant's Printed Name Applica 's Signature Page 1 of 3 --7 o 6 i (i s .bokD (24- DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation - Fireplace - Porch (3-Season) - Storm Damage Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family) - Multi - Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of - Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES - New - Interior Improvement _ Siding - Demolish Building* - Addition - Move Building _ Reroof - Demolish Interior - Alteration _ Fire Repair _ Windows Demolish Foundation - Replace - Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION -jig Valuation C Occupancy MCES System Plan Review / Code Edition SAC Units (25% 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC ~ City SAC Utility Connection Charge S S&W Permit & Surcharge Men Treatment Plant V Copies TOTALi f U Page 2 of 3 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA076875 Eagan, MN 55122 . Date Issued: 03/06/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3780 Greensboro Ct Lot: 9 Block: 2 Addition: Greensboro 1st PID 10-30900-090-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651-344-4253 cilienthal@controlledai r.net Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $50.00 0801.4088 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air Bradford Everling 21210 Eaton Ave Julieanne Everling Farmington MN 55024 3780 Greensboro Ct (651) 460-6022 X253 Eagan MN 55123 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature BLDG. PFRMIT N0. ? : '?i ? 7" ' v5 • _,•- ? d. G? z? ?/j C 1 ? . ,. . . . , _ - 01-32.C0" ' ? B1dg: ?Per?mit 01-3422 Plan Check 01-3445 Surch./Adm. .? ? 01-3446 SAC/Adm. ? " 01-2155 Surcharge ? 17-3860 Road Unit ZO-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? ? " ? _...?r.. ?,. . INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: ;'i ? t t+ t NE, 3830 Pilot Knob Road Permit Number: "• t' ` t''' i Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: • ? ?;t ??? f :',t 1,F:f 1 P4'.(.tii• ?, ?; ?,1tt? '? 1 11i 1 ??i 1"+I?; I ra? , ?, ? f ?y?.:l<.,i?:ti 2`,! r«, t.• ) I1.1?-BFi;'B . ? PERMIT SUBTYPE: TYPE OF WORK: , , . :<! F'A 1 ii Pertntt Na. Pernsit Halder Dete Telephone M ELECTRIC PLUMBING HVAC Inspectlon Qate Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TE$T INSUL GYPBOARD FIREpLACE FIREPIACE AIR TEST FINAL PLBG f. Z7, Q7 FINAL HTG OASPif TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL in??h , ?- z-g7 MB CITY OF EAGAN ' • ' 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice ;Located at S7? ° « jS #?, ? v c? . I have this day inspected fhi$'structure and these premises and h?ve fourid ?Ihe following violations of city codes govefning same: c 4L/. When corrections have been made, please call 454-8100 for inspection. Date Inspector Cfty of Eagan DO NOT REMOVE THIS TAG ,I , ; PERMIT # y - • ' PLUMBING PERMIT i CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRIGE: PHONE: 454-e100 Site Address 7k Lot ?Z_ Block ? Name ?.? ? Address c City • e .:. Name Phone ,ftm 1-.4.a? Phone FEES COMM/IND FEE - 1R6 OF CONTRACT FEE APT. BLQGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPIIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG. TYPE WORK DESCRIPTJDN Res. ? New ? Mult. Add-on Comm. Repair Other RES. PIBG. ONLY - COMPLETE THE FOLLOWING: j NO. FIXTURES TOTO?k ? ?Water Closet - $3.00 Bath Tubs - $3.00 ? ^_?Lavatory - $3.00 v ? / Shower - $3.00 _LKitchen Sink - $3.00 Urinal/Bidet - $3.00 -:71-aundry Tray - $3.00 - :>? Floor Drains - $1.50 _4Water Heater - s1.50 Whirlpool - $3.00 :::ZGas Piping Outlets - $1.50 5 (MINIMUM - 1 PER PERMII') Softener - $5.00 Well - $10.00 Private Disp. - $10.00 . ; Rough Openings - $1.50 SIGNATURE OF P€RMITTEE II f FOR: CITY OF EAGAN FEE: STATE S/C: GRAND TOTAL: ?. . , , PERMIT # MECHANICAL PERMIT RECEI CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address -` BLDG. TYPE WORK DESCRIPTION , Lot Block ?Sec/Sub R v S, es. ?--- New m Name Mult Add-on ? 2 Address • Comm. Repair c City T ? , ?? ? iPhone Other FEES c Name i ? RES. HVAC 0-100 M BTU -$24.00 Address ADDITIONAL 50 M BTU - 6.00 - ' O CitY ?Phone ? i ? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTiON) G S O A UTLETS (MINIMUM - 1 PER PERMin - 1.50 EA, ' TYPE OF NWRK - - -- -- - COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ' M BTU ` t APT. BLDGS. - COMM. RATE APPUES Boil TOWNHOUSE & CONDOS - RES. RATE APPLIES er M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. ' M BTU MINIMUM COMMERCIAL FEE - 20,00 Vent CFM ,q?, STATE SURCHARGE PER PERMIT (ADD $.50 SiC IF PERMIT PRICE GOES - .50 Gas Piping Outlets # ? r BEYOND $1,000) Other FEE: ' ._ S/C: SIGNATURE OF PERMITTEE ` TOTAL• ? FOR: CITY OF EAGAN ? " CITY OF EAOAN CONTRACT PRICE Site Ad ess Lot m ?vai ? ? Add c CRy For PERMIT # 3830 PILOT KNOB RQAD, EAGAN, MN 55122 I RECEIPT; PHONE 454-8100 DATE: ? City FEES COMM./IND. FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RE5IDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Res. New Mult. Add-on Comm. Other Repair 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 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Orains - $1.50 Water Heater - $1_50 Whirlpoel - $3.00 Gas Piping Outiets - $1.50 (MINIMUM -1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 O ERMIT FEE: ?- < ATES S/C: jv? GRAND TOTAL: ? '• 3830 Pibt Knob R d! P.O. Bo 2G-Ai99, Eagan, MN 55121 N2 13294 PHONE: 454-8100 BUILDING PERMIT Receipt # To be uaed ior SF DiiG/GAR Est value $105 1000 Date- ? site Address 3780 GREF:i7SBOR0 CT Erect Lot 9 &ock 2 SeciSub. GREENSAORO iST Remodel Parcel No. Repair ? Addition ? W Name tjOSFP;i t,;IT,L}':'R COr1S'P Move ? Demolish ? = 18133 CEf)AR AVP; SO Int Impr. ? W. Address icity FARh1Vi?;XkV ?9 2-1010 Install ? 87 _,cupancy Zoning ' j Type of Const No. Stories Length Depth Sq. Ft a Name 5AME Approvah Fasi = ?? Address ' Assessment Permit Y ~ City Phone Water & Sew. 5urcharge _ ? ¢ Police Plan Review F = Name Fire SAC ? n Address Eng. Weter Conn. s W City Phone Planner Water Meter Council Road Unit_ 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 Bldg. Off. Tr. PI. Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. A Building Permit is issued to: all work shall be done in acco MILLk;I2 CONST applicable State _ Copies Total .25 on the express conditlon that an OrdinanCes. wmn No. Pwmn Howe. oat. r.kwnor. x PIu"np H.V.A.C. 'C Eiecale O , ._kZ c-i• ''Il"I? c 8oftanK Inspettbn Dala Insp. Commenb FooNnps I U.,-, Foorinqsll Foundadon Framiny s-s?-ir7 iiodfny . iRough Plbp. Rouyh Htp. Inau1. ?- !' a .. . ?.7 r Flnplsee C.?r ' Flnal Htp. ? ? ^ ? ?! 1 G --e G.?. Flnal PIb9. ? IA( Bldg. Finat Cert. Oce. Doclc Fty. Doek Frmy. WeU Pr. Disp. cmr oF eAGAN • SEWER SERVICE PERMIT ' 3830 PilollCnob Road L? 7 4 pERMIT NO.: P.O. Box 21199 Eagan, MN 55121 DATE: Z I:_L No. of Units: ? Zoning: Joe ?ii11er Const. Owner. lo comply wlth Ihe Gi1Y of Eagan Insp.: Connection Charge: Account Deposit; - Permit Fee: Misc. Charges: ?- Totai: l0U OP EAGAN Permit No:. c597 Date: i Pllot Knob Road 4iAeter No: Size: Box 21199" Reader No: Date: in. MN 55121 Chg: Zoning: - No. of Units: 4-2_87 mit Fee: 1"--v{i5? - h tfie Cit ot charge: 50a - I agree to comply wR Y Plant 1Z?0 ad - Ordinances. rter. , BY a WATER SERVICE PERMIT _ _ f, ? r- - ---T---- - -- ':?-,?"' ,?. -- ?.?-:?t???".? .:?'", ? CITY OF EAGAN SEWER SERViCE PERMIT 3830 Pilot Knob Road P.O. Box 4V4 9 g j!,?, - PERMIT NO.: ? Eagan, MN 55121 ?' ' i DATE: ? Zonira8? No. of Units: Owner. Joc }'iIler. :'onst. Address: SiteAddress: 3780 Creenstar^ T9 112 C'reensboro Plumber. H SjLm& ' i ;inn 3_ 2_S7 ?1 utilitief 100. ?,npd I agree to compiy wfthpt6q???+°?, 1? n a??Charge: Oroinances. _ ry?.E1.?CT??co ntDeposit: 1.5 `?c?gd t ?LEPN? ? QU1RED ulc?,a; s?$a gy PIE Misc. Charges: Date of Insp.: Total: InSp,; Date Paid: CITY OF EAGAN PBYmibNo: `?'r'97 Date; 3830 Pltot Knob Road Meter No: 3 P3 74 S?zliu Size: P.O. Box 2v1tsJ Reader No:,?'' ? p S D_ Date: Eagan,M''A 55121 I Qwner. .Joe ?iil:Lar Ganst . . ?ite Address: ?7??1 (`reensbora ? ourt ?,u I32 Creensbaro - ? ?jv} 1 Conn. Chg: ` :) 10 51 Acct. Dep: ? , Permit Fee: 7'1 ?' d??a ?, G('.??i`? Surcharge: ?re?.?C?omply with the City of Eagan Tr. Plant - vr?inances. Meter. Misc.: y WATER SERVICE PERMIT BUILDING PERMI To be used tor SF SiteAddress 3780 GREENSBORO CT Lot 9 Block 2 Sec/sub. GREENSBORO 1ST Parcel No. W Name JOSEPH MILLER CONST 3 Address 18133 CEDAR AVE 50 ° c;,v F?r,irrr?,?pN 192-1010 i ? Name SAME 0¢ Address ? City Phone x F w Name ? o Address a W Ciry Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with aJ I applicable State of Minnesota Statutes and of Eagon Ordi rS. Signature of Permitt ee A Building Permit is issued to: J SEPH MILLER CONST all Buildiworkng shall OHicial be done in accordance with all applicable State ineso CITY OF EAGAN _ 13290 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np PHONE: 454-8100 T ReceiptN- #G/GAR Est.Value $105,000 Date MAFtCH 2 19 87 Erect Remodel ?3 ? Occupancy R3 Zoning R Repair ? Type of Const V Addition Move ? ? No. Stories Length 58 Demolish ? Depth?R Int Impr. ? Sq. Ft Install ? Assessment Permit 41 710 . 5 U Water&Sew. Surcharge 52.50 Police Plan Review 259.25 Fire SAC 625.00 Eng. WaterConn. 525.00 Planner Water Meter 67. 00 Council Road Unit 305.00 BIdg.Off. Tr. PI. 180.00 APC Parks Var. Date Copies ' rotal 52.532.25 an the express conditlon ihat Statutes a?iry of EaAan Ordinances. S REQUEST FOR ELECTRICAL INSPECTION ?EyB-00001-05 Sea irmtractions br com0lelinp this torm on Eeck ol Veilow copy. ?n ? QOS(a 2 ""X"' BeJow Work Covered by 7his Request i MwAAdal Rep. Tyoe oi Buildino Aootianeea Wired Equipment Wired ex I I Water p Fee ServlceEntraneeSize p Fea Faeders/5ubleeders a Fee Circuits 0 to200qms 0 to30qms Ll 0 to30Am Above 200 qmps 31 to 100 qmps $, p0 31 to 100 q Swimming Pool Above 700_Am Above 100_.Qm s Transformers Irn tion Booms Pertial-'Oth -Fet? Signs 'Special In-pec[ion $;J /^O 70TAL FEI ?C FP PemBrks . 1 tha ElectriceY f'/33 i?saa<,o., ne.aov certily that the above Dste ' nspection hes bee. This repuest voiC -Z/ 18 months from - C 80 892 9/?2 Neyuest 02ca Fire No. Rough-in InsPedian Re rted? CReady Nuw?Will Notify. InsOec- 3?r a - g ?Yes ?NO [or When Ready ?Licensed Eiectrical Convnctor 1 hereEy raquest ineoaction of above Owner elechical work insuelled et Sireal AAdress, Box or Noute No. 3'7 0 (gr reeo 5bovo eour+ Citv ecuon o. TownshiD Name or No. HxnOe No. - Coon1 ?ako-? Occq pent (PpINT) Phone No. J0 C. Po er Supplier l a.ko?co. E lP-e, Adaress 300 otao+h Eleccrical Convactor IComOany Name) Contrar,mr's Litense No. Midlakid F,(ec+r« 41 to lo - Mailin0 AdJress (CoMraclor or Ownar Making Insteilatfon) ?sao W ?4d gurvis vi ltct__ Author' d Sipnamre (COnVaclaOwner kinB InstallatioN Phone Number M-- 6 i i MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION NEQUEST WILI NOT Oripps•Midwey Bldg• - floom N-197 BE qGCEPTED BY THE STqTE BOAXD 1821 Universitv Ave.. St. Peul. MN 66104 UNLESS PROPEF INSPECTION FEE IS Phene(6t21842-OHOO ENCLOSED. ' 1t.(,/- 7q i 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWC6on Reauirements 3 registered site surveys showiig sq. ft. of lof, sq. tt, of house; and all roofed areaz (20%mazimum lotcoverage aibwed) 1 Soils Report if proposed building is to be placed on disWrbed soil 2 copies af plan shw+m9 6eam 8 vrindow sizes; pwretl found design, etc. 1 set of Enu9y Calalations 3 copies of Tree Preservation Plan'rf bt platted after 711793 Rim Joist Detail Optiore selection sheet (buildings with 3 or less units) Minnegasco mechanical ven6lation fortn RemodellReoair Reauiremenls 2 copies of plan showing footings, beams, joisls 1 setof Energy Calculatlons for heated addihons 1 si[e survey for addition5 8 decks Add'Non - indicafe if on-sife SaPtic syslem 'OR 8 T 83A . )?/30. 6?t) Office UseOnlv CeROISbrveyReaJ:;? .` _Y _N ShcsRepOrt. :.. Y _N TteePresPl3nRecd. Y _N: Tree P?es Req?iibdY' _H On-..s?i9SepticSystem _Y'_N (l_ ?a l-Qn Date 2- Site Address J 7 0-7 o 6 r\ F C- n ).? +QC'1 r? Construction Cost 1P 2,3 !?- -7 1 - C"C C'1 C' I UniUSte # Description of Work G S2!2 Wlit, "'f ' ' ` ? `' ?? e) Multi-Family Bldg _ _ YN Fireplace(s) Y 0 ^ 1 _ 2 PropertyOwner 81- [trA S v ?lt an-gy .0, nc,_ Telephone#(uSI) (,oL? Contractor1?'i1 t? Address ? f? State /Vll w/7r .?vf? CrZe ?•^t Zip 1 '7 CityL'f?1?c Gc••aJ c Telephone#((o51) 77 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I Minnesota Rules 7672 Enefgy Code Categofy , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Suhmitted Submitted . Energy Envelope Calculations Submitted In The last 12 months, haz ihe City of Eagan issued a permit for a similar plan based on a masTer plan? _ Y _ N If yes, date and address of master plan: . Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ocdinances and codes oF the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. J /1'?t c%cie lP ApplicanYs Printed Name ApplicanYs Signature 'A DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool p 30 Accessory Bldg ? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex `r 19 LowerLevel " ? 24 Storm Damage ? 06 04-plez ? 12 12-plex r Y.CI:,-1 1 25 Miscellaneous . . '.t "'. a Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair - ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Wndows/Doors 34 Replacement ? `Demolition (Entire 81dg) - G iva PCA handout to applicant D05CrIptl011: Watar Damage _ Yes Valuation 6 7LP -0 Occupancy MCES System Plan Review -)L 100% or _ 25% Census Code ,q ,3 q Zoning City Water SAC Units Sfories Booster Pump # of Units Sq_ Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings(new bldg) _ Sheetrock Footings(deck) Final/C.O, Footings (addition) ?G Final/No C.O. Foundation ? HVAC - Drain Tile Other Roof lce & Water Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace R.I. AirTest Final Windows _ Insulation _ Retaining Wall Approved By: ( Cr'` , Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?????"? ? ? Fpk%?r; #- , RESIDENTIAL BUILDINC PERMIT APPLICATION ? L I zr ? CITY OF EAGAN "7 ,}•0 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 New Conetruction ReauiremenU . 3 regiNered site surveys showing sq, ft. of lot, sq. R. of house; and all roofed areas (20%maximum lot coverage allpwe0) . 2 copies of plan showing 6eam & window sizes; poured fouM desgn, etc.) . i set of Eneryy Calalafion9 • 3 wpies of Tree Preservalion Plan if lot platted after 717l93 . Rim Joat Delail Optrons sdectbn sheet (bidgs with 3 or less units) DATE f- tS`Il SITE ADDRESS TYPE OF WORK (2sulSL_f o FIREPIACE(S) _ 0 _ 1 _ 2 SELA fl00FING & REMODELING. +N, APPUCANT dinn FxcELsloR BLvD ST. LOUIS PARK, MN 55416 STREET ADDRESS .., u....,,,,.?„ CITY STATE ZIP iELEPHONE #6tZr323 - `?D{lo CELL PHONE # FAX # PROPERTY TELEPHONE # C:,-K?K- CflI 5 -J COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Ener9Y Code Category _ MINNESOT:1 RGLES 7670 G1'I'EGORY 1 MNVLSOT:\ RliLGS 7672 (J submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Eneigy Code Workshee[ Submitted • Energy Envelope Calculalions Submitfed Plum6ing Contractor: _ Plumbing system includes: Mechanicai Contractor: IN/(echanic<il system includes: Sewer/Water Coniractor: _ Wa[er Softener Water Heater _ No. of Baths Air Condiuoning Heat Recovery System ? MULTI-PAMILYBLDG _Y _N Phone # Iarm Sprinkler No. of Fee: $90.00 -----------------------------------------°----°..._...------------------------...--°-------------------...------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabte STate of Minnesota Statutes and City of Eagan Ordi ances. Signature of Appllcant ? ? R?.Z, - ._ ------_____---------------------.__--_----------------.__-__._.______.._------------------------------- - ------- - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 RemodellRepairReauirements • 2 coPies of ptan • 1 set of'cnergy Calcula6ons for heaied aCCitions . 1 site survey for extenor addi[ions d decks . Indica[e if home served 6y seDtic system for additions VALUATION ?6Co D?? 1 ? Pnone rt _C.ITY OF EAGAN ` 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMITTYPE: auzLozNG Permit Number: 0 3 0 6 0 6 Date Issued: p g/g g/g y 3780 GREENSBORO CT LOT: 9 BLOCK: Z GREENSBORO SST P.S.N.: 10-39900-699-02 DESCRIPTION: SIDING/SOFFIT/FACIA ermit 7ype SF (MTSC.) 10,r,,k T y p e REPAIR 434 FtiLT. RE5TpENTIAL REMARKS: FEE SUMMARY: PERMIT FM ? y i." O? i ? ?a ? - ? Ys 0-w -`? sis ?' d?si ?au:ark ??b VALUATION Base Fee Surcherge Total Fee $249.75 $8_5@ $258.25 $17,090 CONTRACTOR: - Applicant - sT. Lxc OWNER: PANELCRAFT OF MIV INC 17216628 0002179 EVERLZNG BRAD 1 118 SNELLING AVE S 3780 GREEN560R0 CT INNEfiPOLIS MN 65406 EAGAN MN (612) 721-6628 (612)988-1142 Z ?7GtY8?'ry? azk ? ?di Pqtl¢ ? APPLIGANT/PERMITEE SIGNATURE l'i Y ", ISSUED EVJSIGNATURE r1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) , 3 CITY OF EAGAN 5630 PILOT KNOB RD - 65122 681-4675 New Construetion ReauiremenM qempdeVReoair Reauirements 3 registered site aurveYa • 2 copies of plan 2 copies ot pWns (indude beam 8 window aaea; poured fid. deaign; etc.) • 2 site surveys (exterior edditiona & decks) 1 energy caiwlations ? 1 eneryy calwlations for heetetl additiona 3 eopies of tree preservatfon plan if lot platted aRer 7/7/93 requlred: _Yes _ No ' DATE: ?? 97 CONSTRUCTION COST: DESCRIPTION OF WORK ?I eq?h ?Z cPd? 211 Af G/a /y2 /m STREETADDRESS: LOT ? BLOCK ? SUBD./P.I.D. #: c ? ? PROPERTY NBme: 4v?XZIiZl/ Phone #: owNeR Street Address: 37?D ?rP?°s?f'?as?o City: a ah State: /yW Zip: f5lof CONTRACTOR Company: 4 -1 AN Phone #: Z2LZLG ZO Street Address: &f ??izA /?/? License #: Ciry: State: AI/f?l Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: $4ieBi AddPc58: City: State: Zip: Sewer 8 water Iicer.5ed plumber (new construction only): . Penalty applies when address change and bt change am , equested once permit is issued. I hereby acknowledge that I have read this applipUon and state that the infortnation is correct and agcee to c ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. . 9'/W Signature of Applicant: 44? 61 OFFICE USE ONLY Cert'?ficates of Suney Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 ( Foundation ? SF D ll 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 02 Q we ing ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace n 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move ? 32 Addition 34 Repair??p/kl', 0 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies rotal: 0?5?? MC/WS System Cky Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit $ /f", 7"7Jr.' m° % SAC SAC Units NOTEt Ai.I. /,? a,? 0 1986 BIIILDING PERNIIT APPLICATION - CITY OF EAGAN M[TST BE LICENSED iiITH THB CITY OF SAGAN 3INGLB F9FIILY DWELLINGS INCLUDE 2 SETS pF FLANS, 3 CERTIFICATES OF SORVEYt 1 SET OF ENERGY CALCULATIONS M[)LTIPLfi DTiELLINGS - RBSID&NTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF BNERGY CALCULATIONS COMRCIAL RENTAL i1NIT5 FOR SALE DNITS OF SQItYEY - CHECg WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS, 1 SET OF SPECIFTCATIONS AND 1 SET OF ENERGY CALCULATIONS, $20000 LANDSCAPE BOND IY ? O510L?10 To Be Used For: 1 La Q?? ?0 Valuation: ±jC}?? Date: a-a s- 8? Site Address Lot ,9 Bloek ? SR" Parcel/Sub p Owner Address City/Zip Code Phone Address I9%33 6dGtA Q.r,ce _?. City/Zip Code QL? /YVJYj?? ? /?SL4J`F T Phone PQQ - /o/o Arch./Engr. Address City/Zip Code Phone # Ereet ? Oceupancy (Z-3 Remodel Zoning R 1 Repair _ Type of Const Addition # of Stories Move Length ES18 Demolish _ Depth 28 Int.Impr. _ Sq Ft Install 9PPROiI9LS FEBS Assessments Permit ? Water/Sewer Surcharge Police Plan Review 7-59 ?= Fire SAC ?2S• Engr Water Conn 5 25 Planner Water Meter (07. Council Road Unit O 5• Bldg Off Treatment Pl 1130, APC Parks Variance Copies TOT9L / 1 NOTE: 6DD8ESSES FOE CORNER LOTS - CONTRACTOR/HOMEOBNEB MDST DESIGNATE NIIICH ADDRESS IS DESIRED. NO CHANGES NILL BE 9LLORED ONCE BQILDING PBRMIT IS ISSIIED. 2? n 34- 4 (oq-or? ??. TRI-LAND C0. SURVEYING SERVICES 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: JOSEPH MILLER CONST. N 89°33'49" E ? I 15.89 i 4o / ? S SCALE? I" = 40' .,F. a \ oh2 ? ?! .J C" ? T?? ? ? Bea•o N6, ?oG2s L=38 05 „ p= 36° 20? 04 ?o- ? ?y\ ? ^ p? t n w tf)_ cd? N N O > N ; ? ? 2 . ?een? 6'9,p? u?- 86T' ? DRivE s-. /"i' \ ' y?4SF 88T'S ? ? 90 00 PROPERTY DESCRIPTION ?rX ?r /PyL? l?? ?ry yo? v ?jJ ,4?q O? ?a /LOT 9 f O? V ? :Q 0 a O ? s 24p.32 N 820 t2"yl E R ADIAL I b LOT9, BLOCK? , GREENSBORO FIRST ADD. oeeordinp to the reeorded plat theraof 1W 875.9 , DAKOTA Courrty, Minnesota LEGENO o DENOTES IRON MONUMENT o OENOTES WOOD HUB SET 88810 DENOTES EXISTING SPOT ELEVATION (888•o) DENOTES PROPOSED SPOT ELEVATION ?- DENOTES DRAINAGE DIRECTION I hereby csrtify thaf ihis survey,plan or report was prapared by me or undsr my direct supervision and that I am a duly Reqistered Land Surveyor under ths l.aws of the State of Minnesota. Bradley J. 5kensoe, Mn. Req. No. I5233 Dote ? 2/271A/1 PROPOSED GARAGE FLOOR ELEVATION= ?810xP--- PROPOSED FIRST FLOOR ELEVATION PROPOSED BASEMENT FLOOR a ELEVATION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS CZTY 0r $UILDItiU llEPARTI•IEBT .. ; kXTEItI08 ENVF.,OPE AVEIiAflE ?+Us' COl•IPUTATIaN (To 6e submi:tted ivith building permit appllcAtio.n) One ai7 Two Family 'Dwelling Owner 39-Ap ? 10W6 F? EKLin? Al.l Otlier - -?--L. , sfte Address Coutrac tor Date Phone LITIEAL FECT OF EXPOSED WALU fto ahove grada = ?. • 2'OTAL EXPOSED IYALL AREA SQ. FT. oPAQUE WALI, COPIS'fRUCTIUti s "U" Vslue x Area ne tail ?,am relerenc --??'-, IIU 11 , 043 x SQ. uU n FT. qO?.oZ. g? SZ(U)(A) .o7LQ e x 3R. from .-?lEA npn 'o4f7 x Sq. FT._ J 4.7/n _ ^ FT. 2I2 9. 4$ ? p) (A) U attacited stteota npn upn x sR. _ FT. _ )(A) ?)(?) upn X sQ. FT. = (U) (h} x SQ. FT. _ . (A). YJI[JpOWSf "U" Vqlue x Aroq Ptalce & Type 1f(suL ?r L?Snih' u Q,L „ U , x SQ. nn FT. .7D _ 77zj?P (ll)(A) n n ??Un x SQ. FT. _ (U)(A) " Itut, x SQ. em. - (U)(n) DOORSt ItUll Value x x Sq. Area , FT. - (U)(A) Malce & Type Stp? ?? ?lull u n ,? ?6T1?upll .47 x SQ. (U)(A) FT. U ? o n nu xS Q. ?u FT. -- )(A) L? ? - X SQ. FT. - (U)(A) TOThLB Z? .Z SQ. FT. Z0,3.SZ (U) (A) TOTAL (U)(A) V/II;UES AVERAUE ??U?? . Z03. gZ DIVIDLD $y Tp ??nL , ? ? ? L naEn L9Zj.2+ AVEttAaL x leoe for 1&2 fnmily dtivellinge RoOF/CEILIN(]s • TOTAL AREA s dZp . Detail reference from ? ?--??: `b2 x 8Q. FT. ? L/'¢z' ?U ctttuched sheete. IIUn x SQ. FT. t )?A) ??){A) Deacribe openinga npn X SQ. FT. _ ' M(n) in rool. -- ---- itpu x SQ. FT. _ (U)(A) TOTAL M(A) VALUE9 ' DZVIllLD gp x SQ. P.T.` M(A) Zl.4z_ Trl?Ly lOZO . 'roTAL ROOF/CEIJ, 40 ntiEn lo?o .OZ / AVERA4G "U .025 r ventilt?ted xoofe. ? il ?o?K.. S?EE-r ?l 18-33 X<3?t-3o f- 34?-3?, = 7-34(D.aeJ- ?•o X 3? - /?lv.oa 3.o X?)o f 3? = 3q.oo zsz?.zg ? . C07 x C3o+ 3o t 34+??-' = gs 7 lo 3.o x(lot?? = oo P?rn So,sr ?Z47?° ? 1.(v7 x??ot3o,?3g?-?¢? = z13.7?? 1%1??Jao?..?s Zox3(o ? 5.o X 3 = Z4x3? _ ?v•o X z- _ Znx48 = ?-7 ?c 3 = z4X4B - g•px ll = zo x?o = 8•? X 4= zgx?o = ?v.? x Z = s ??s?• w/s??.. a Z g 57c.• s??. _ !S. o0 lZ,do Zo. Ip 88.00 3i:•(co P- 0,00 rss .? Zg_po a) . o0 ?a.Co.? r1Et ?x??A w?c.? e4vr?c.S w4LL zsz J, zq- (.?sS C'orl?, lz4.7to N ?1M 2?3.7(0 u k1?,W?s ISb.7a - [olg,Zz ac? ? io%`.oZ. - l,ozo -, . --wAt.L sECTxo -- Determining 11UH valuee at Roof, Wall, Rimp and Conc. Hlock ROOF/CEILI11C3 R Y U 1.) Interior Air r'i1m 0.61 z.) 5/811 ayP. sa. .56 3.) Inaulation 44?vo 4.) 5.) Exterior Air Film .61 (BTILL) uUu = 1/R= 002-1 tOTAL (R)= K,70 WALL R VALUP 6.) Interior Air Filro 0.68 7.) 1" aYp. Sd. .45 80 Insulation Mbo 9.) b„? 13? n 4 10. ) Muso ite iding .67 11.) Exterior Air Film .17 npu a 1/B= .0?.3 TOTAI, (R)=Z3.Of RIM (R) VALUE 12.) Interior Air Nilm 0.68 13.) Insulation 19•00 140 2" Fir Rim Joiet 1.88 15.) gviGT-j?i7's: 2004 16.) Maeonite Siding .67 170 Exterior Afr Film 917 opn = 1/g= o44D TOTAL (R)= 27•gT --.- ._.- .? FOUNDATION R YALU 180 Interior Air Film 0.68 19.) zo. ) k'4 577trPr'r-D ??•? 21.) 12" Concrete Hiock 1.28 22.) 23.) Exterior Air Film .17 npu = 1/g= ,070 ?-- .?- ToTai, (K)= 13.J? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECT(ON 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: . *OTP3: PAYMRnrr OF FEE Ax TDE OF : arriscATIoN DOES NoT oCNSTITUTE ; APPROVAL OF PIIiNtIT. : nasnECrIort OF sEWM AND/OR vATEa nus-rALLATTCNs wua.. rror sE sc.Hgn- : ULID UNfIL PII2FffT HAS BF,EN ; APPROVID. (LOtyslock/SUbdivision or Tax Parcel ID #) g' EXISTING STRL'C!L'RE, DATE OF ORIGINAL BL'ILDIM PII2MIT ISSL'ANCE: . . PRESENT 7ANING/PRpppSID LSE: (Mon Year C0I4lERCIAL/RETP.II./OFFICE IPIDL'STRIAI, ? INSTI2L'TIONAL/GOVIIUZIEA1T 2) NAME: ADDRESS: CITY. STATE. ZIP: PHONE: 3) • c ?• NAME: ADDRESS: CITY, STATE, 2IP: P10NE: ? R-1 SINGLE FAMILY ? R-2 DL?PLEX (Tao L?nits) ? R-3 70WNHOOSE (Three + Units) ( Dnits) Q R-4 APARZMKq'P/C0NID0MINItm ( Units) LICENSE# 4) ?• • i?- ruu?: _ AwDREss: CITY, Si'ATE, ZIP: /$-1 M v1 ) .?.?'--? -/ ? PHONE: /iS //11 ?lumbers Licensed Active ExPired Not recorded Sta "f Intlal ? -5) ?? a• •?• :a - ? ?? - ? COND]EC'i`ION TO CITY SEWER j?.? fjG CONNEX.TION DO CITY WATEA ? 0nIER ' •' 6) ?? • ? r ? PLE.fiSE HOLD APPROVID PEPNIIT F!DR PICK-UP BY ONE OF AHOVE P7SASE MAIL APPROVID PEEthIIT TO 1 2, 3; 4, ABOVE ( cle one) 7) LI // /?? FOR -CITY USE 4NLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLODE SURCHARGE) $ $ /? • ? WATER PERMIT (INCLODE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ %j • C17) ACCOUNT DEPOSIT - SEWER $ $ ?.j ?O L) ACCOONT DEPOSIT - WATER $ S z S^ ' ?? $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRDNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ApQ • U D $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ 13 2 7, d U $ TOTAL //,/ _s- 2 . ° Z sl RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUTRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE ISSLED BY THE ENGINEERING DIVISION LIST AS CONDIT . A ION. SUBJECT TO THE FOLLOWILVG CONDITIONS: APPROVED SY: TITLE: DATE : PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096386 Date Issued: 10/11/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3780 Greensboro Ct Lot: 9 Block: 2 Addition: Greensboro 1st PID: 10-30900-090-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Bradford Everling 1920 County Road C West Julieanne Everling Roseville NIN 55113 3780 Greensboro Ct (651) 264-4777 Eagan MN 55123 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Gity of Eaftafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 jut_ 2 5 2016 Use BLUE or BLACK Ink 0 For Office Use CA j /9 ��` (6 Permit #: 7 Permit Fee: �� "017 Date Received: 1 '')-'- ' t ..0 C� Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: Brad Everling Phone: 651-688-6157 Address / City / Zip: 3780 Greensboro Court, Eagan, MN Applicant is: Owner X Contractor Description of work: Build deck 16x20 Construction Cost: $11,000 Multi -Family Building: (Yes / No ) Company: Deck and Basement Co Contact: Joe Stafki Address: 6907 Logan Ave s City: Richfield 651-757-6660 Joe @deckandbasement.com State: mn Zip: 55423 Phone612 741-2289 EmailPat@DECKANDBASEMENT.COM License #: BC449287 Lead Certificate #: NAT -F107987-1 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One CaII 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.orq 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 requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Joe Stafki Applicant's Printed Name Appl' nt(2" 's Signatdre Page 1 of 3 642-6646) DO NOT WRITE BELOW THIS LINE / 3 790c1 SUB TYPES Foundation Single Family Multi 01 of Plex Fireplace Garage XG Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES X, New_ Interior Improvement Addition _ Move Building Alteration _ Fire Repair _ Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% K ) Census Code # of Units # of Buildings Type of Construction V REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: / Y> Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy __I_ c?C - 1 Code Edition Zoning Stories Square Feet Length Width Final ply? ZDIs- PP Z MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 1p Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /6X?c'' E'c1e- Is e ce rs.. p a ,S•7. 7'7` Page 2 of 3 0 3750 (oO_E6-ns.bol2o /f-790? TRI -LAND CO. SURVEYING SITE PLAN FOR: SERVICES JOSEPH MILLER LLER CONST. 4655 NICOLS ROAD EA GAN, MINNESOTA 55122 - IIY SCALE: 1" = 40' LOT 10 {888'o ealPo 88114 so` 04)rz• 'D`AN 4,c 4.5 N 89°3349" E 115.89 fi 6, c9' gam° 0 0,`% "P,x.sb 1 0 L=3895 II {g95b A-36°2004 if PROPERTY DESCRIPTION LOT...,,., BLOCK, 2 , GREENSBORO FIRST ADD according to the recorded plat thereof DAKOTA County, Minnesota L 0 DENOTES a DENOTES DENOTES (888"o) DENOTES �.-- DENOTES 85810 EGEND IRON MONUMENT WOOD HUB SET EXISTING SPOT ELEVATION PROPOSED SPOT ELEVATION DRAINAGE DIRECTION 240.3 N 820 lRADIAL i_C.1 ! 8 Taw 875.9 PROPOSED GARAGE FLOOR ELEVATION= PROPOSED FIRST FLOOR ELEVATION PROPOSED BASEMENT FLOOR E LE VAT1 ON NOTE VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS hereby certify that this survey, pian or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Bradley J. in son, Mn. Reg. No. 15235 Date�Z7/A/)