3785 Greensboro CtBLDG. PERMIT N0.
-• qldg--.- 01-32?0- Permit f?
01-3422 Plan Check c
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC 4?? ?
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 . ?. I h
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EACsAN, MN 55122
CONTRACT PRICE: ? G((. D.-" PHONE: 454-8100
SiteAddress
Lot Bi,ock ? Sec/Sub
Name
?o Addres
_
c City 01,- -' 1? ne ?t???C cf
Name' 41 /? ?? •? ti - .< ,
c Addr ? ? _-o - -
;
p J
City ?.+ 4 _11 Phone'S«'?L
?
FEES
COMM/1ND FEE - 1°Yb 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 RICE GOES
BEYOND $1,000.00)
?J
51GNATURE OF PE ITTEE
PERMIT # 42,12 2
RECEIPT #
DRTE: 7
BIDG. TYPE WORK DESCRIPTION
Res. New .7
Mult. Add-on ?
Comm. Repair ' -?
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 S ? 7
Bath Tubs - $3.00
Lavatory - $3.00
Shower - 53.00
Ki?chen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - 53.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
? Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
-?-?,
FEE: --
STATE S/C: I
FOR: CITY OF EAGAN GRAND TOTAI: `
INSPECTION RECURD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
;?7Bb
A1tEENGHORO
!. O 7 r 6
aREeNSgoaa cT
19T
?' SUBTYPE:
PERMI .
4.1r. ?.
` ? ?`? s? • - ..
?' -
PERMIT TYPE:
Permit Number:
Date lssued:
pLQrK i 2 APPLICANT:
'AvNOUR
(612) 464-59H1
TYPE OF WORK:
Control No. 014 3
H11 [ (.f1LN11
eadt?l?
A3/31/Jx
a Amr- s
_ri r W
?
?
Pumlt No. PennR Holder Oste Teleplane t?
S/1N
PLUMBING
HVAC I
ELECTRIC
ELECTRIC
Inspectlon Dab 1nsp. Commenb
Faotings I
FourKlation
Framing
Roofing
Rough Plbg.
Rouph Hig.
Isul.
Ftrieplace
Flnal Htg.
Orsat Test
Final Plbg. Plbg. Inspedor - Notiiy Piumber
Const. Meter
EngrJPian I
i
Bldg. Fnal
Deck Ftg_
c)
Deck Final
Weil
C??J %1 GL.. ??
Pc Disp. r,r.?C?/LJ? G?^f-cs 2tirMG? ? .?J /
7/
v
,? ; s .,n? ' . .. - .. , : , Lr. s,.... ,Y.. . ,;.. ... .
? ..
9
i1
PERMIT # 3
MECHANI CAL PERMIT
RECEIPT #
qTY OF EAGAN
3830 PI LOT KNOB RO AD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address TYPE WORK DESCRIPTION
BLDG
.
Lot Block Sec/Sub '
R
"
es.
New
m Name
Mult Add-on
! Address • Comm. Repair
c City k ? Phone' aher
Name -% FEES
?
3 Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU 12.00
? _
ADD(TIONAL 6 M BTU 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
I Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 ?
Afr Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM
I BEYOND $1,000.00)
Gas Piping Outlets #
Other
I
' -
FEE
S/C: SIGNATURE OF PERMITTEE i,
TOTAL•
FOR: CITY OF EAGAN
3830 Pilot Knob Roadl P.O. BoEx?2G-A1 9, Eagan, MN 55121 N2 1G701
PHONE 454-8100 `
BUILDING PERMIT Receipt # 1 -
To be used for S F DWC/GAR Est value $ 6 4,0 0 0 Date S EPTEMBER 29 , 198 6
SiteAddress 3785 GREENSBO RO CT Erect Occupancy R3
LotA Block 2 Sec/Sub GREENS90R0 1ST Remodel ? Zonina YD
.
Parcel No. Repair ? Type of Const u.pJ
Addition ? No. Stories
¢
JOSEPH MILLE
Name
R CONST
Move ?
Lengm 45
3 18133 CEDAR AVE SO Demolish ? Depth d6
Address ?
° pr. Sq. Ft
City F,TitZ:".ICiG? $9 2-1010 ?
Install
I hereby acknowledge that I have read
information is correct and agree to c<
Minnesota Statutes and City of Eagar
Signature of
A 6uilding Permit is issued to:
all work shall be done in accc
Building Official
Assessment _
Water 8 Sew.
? Police
Fire
Eng.
Planner
Council
?thatthe Bld Off.?
State of 9'
APC
Var. Date-
Permit '0' '' ,& J • "" I
Surcharge 32.00 ?
Plan Review 162.50 +
SAC ?0 0
?
Water Conn. 500.00
Water Meter 63. 50 j
Road Unit 290.04
Tr. PI. 156.00
Parks
Copie 0 ?
Total , 104 .
on the express condition that
and City of Eagan Ordinances.
I " I PermR No. I PermH MoldK I Date I TNtphone # I
Dab
Plbp.
Hty.
Final
Occ.
Ftg.
Frmq.
Disp.
,
Site Adess - % -* =
Lot Btock
m Name
ao Addre
c City _-
? Name
3 Addr$
p Crty /
PERMIT #
PLUMBING PERMIT RECEIPT # ' CITY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
? BLDG. TYPE WORK DESCRIPTION
Res. v New ?f
5 Mult Add-on
- Comm. Repair
Other
NO./ FIXTURES TOTAL
W
t
Cl
t - $3
00 s
a
er
ose
.
__TBath Tubs - $3.00
01- /, !0 -7Lavatory - $3.00
Shower - $3.00
=Kitchen Sink - $3.00
- $10.00
- 20'00
- .50 Urinal/Bidet - $3.00
-?Laundry Tray - $3.00
__TFloor Drains - $1.50
/ Water Heater - $1.50 ?
Whirlpool - $3.00
?_Gas Piping Outlets - $1.50 ?
Soitener - $5.00
Well - $10
00
.
I FOR: CITY OF EAGAN
rrvate Disp. - $10.00
? Rough Openings - $1.50
FEE
STATE SIC: ' `5 J
GRAND TOTAL• o SU
CITY OF EAGAN SEyVER SHtVlC•E PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonirg: No. of Units:
Ownsr: _
Address: - ?
$ite Address: -_?•-_e: I"--? t?.? hr. ?i
Plumber.
1 pIN [e eesplr wNii !Iw Cihr oi EeleO Connmtctlon Chorpe:
/1aouM Deposit:
' Pemdt Fes:
Suerjwrps:
, gy Mlac. Chorosst
; Date of Insp.: Tatal:
lnw; DoRa Pold:
?
?crrr or- EnGaN WATER SERYICE PERMIT
_ ft ? n. R
•'' 3830 Pilot Knob,Road pERM1T NO.:
P.O. Box 21199 i 1 17 -? E
Eagan, MN 55121 DATE:---
R Zonin ?i No. of Units:
g:
, Owner. „ '-'
<
, Address:
.r Site Addess:
; Plumber. -
" Meter No.; Connection Charge: ? J_ Ot?nd ?
S?ZgAccount Deposit;
Permit Fee: SQ?
` Reader No.:
.: I ayree to comply wRh the Cfty of Eayan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
' Date of Insp.: Insp•:
CITY OF EAGAN WATER SERVICE PERMIT
' 3830 Pliot W.ob Road
• P.O. Pox 21199 ' PERMIT NO.:
Eagan, MN 55121 DATE: 1 1-17-8 G
` 2oning: No. of Units:
? Owner: jgo *!
Address:
Slte Add@SS: ! v7 n ?oanc}? pTO LSt
??.?-r`' -? ra an r -
Plumber. ?T l
Meter No: harge: 5[l?1 t1,?= r1
Size: 11/7e c)C e O/' ftaftp. nt Deposit: 15 Q0?
0
Read
er No.:I agree to comply wNh tea ?y??? n
Ordina ces. i?'+- v'( V jRE?scfar e: 00nd
? Tota1" '
g Date Paid:
Date ot Insn.: . Insp.:
Thisrequestvoid /'79??
16 mon[hs (rom ?9
64811 ? 3 a , ??s?z.o,
Rnque3t Date e No. ?ough-in InsUection ^.1ef/- e,g?ired? ?HeadY Nuw Will Nolily, InsVec-
'h + i?1L/? - EI!/ ISUVes nNn [or When Neady
UY licensed Electrical Conlractor 1 hereby reouest insoection of above
? Owner elec[ricel work inatalled aY
Street Address, Box or floute No.
-5 ?7 BS (!c7,&een5 Baj_o City
ecuon o. Townshio Name or No. ange o. Coun y ?
Otc? ant (PRINT)
?oe mlller Phone No.
Qq3- 1D10
Paw Supplier
G??o?- Elec, Atldress
?30o
aao`'A
Electrical Contrectpr ICompany Name) .
/Vlydland j51EC4-r,G Conv»r.mr's License No.
lbfo ^,1.
Mailing AdJress IContractor or Owner Makine Inslailationl
5a? W eo a? ii?a- Burhsv6l
Authoriz,qd SiBnature (COnhactor/Owner Makfng Installation)
1
Phone Number
?JD -
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT
GriqBS-Midway Bltlg. - Room N•191 BE ACCEPTED BY THE STATE 90AND
1821 Universitv Ave.. St. Peul. MN 56104 UNLESS PPOVEH INSPECTION FEE IS
Phone (612) 662-0600 ENCLOSED.
??/??$? REQUEST FOR ELECTRICAL INSPECTION ? Es-00001-05
L'
/ See inavuctions br eomoleting this Porm on baek ol vellow copy. / 7 q rya
P 6; A QaI "X" 8elow Work Covered by lhrs Request PlewAAAtlI Rao.I TvPe ol Buil4ing I Aoulionces Wired I Equipmenl Wired I
ex
Ik Milk
p Fee Service Enbance5iza H Fee Faxders/Subfeeders k Fex Circuits
/ Oto200Ams O[o30Ams 30 0 tn30Ams
Above 200 qps
m 31 to 100 Ainps a ,/D 37 to 100 A s
Swinming Pool Above 100_Am s Above 100_AmPs
Transformers Irrigation Boorc4 . _S-6 Partial'Other Fee
? I I Signs ? I JSpecial Inspection ?$6-^ Sa I /???
emarks Q? TOTAL FEE.
flouBh-in Dar?
?he Elecicica ?
.r?
'7QnsDectoq heraby
certify [hat the above
Final /? / ww ?'ite 7 ?uection has been
3830 Pflot Knob R diTP.O. B x 2G-A199, Eagan, MN 55121 ,v a 12701
?. ' PHONE:454-81D0
BUILDING PERMIT Receipta
7o be used for SF DWG/GAR Est. Value $ 64 ,000 Date SEPTEMBER 29 19 86
SiteAddress 3785 GREENSBORO CT Erect Occupancy R3
LOt6_Black Z secisub. GREENSBORO 1ST Remadel ? zonin9 pn
Parcel No. Repair ? Type of Const VN
Addition ? No. Stories
w Name JOSEPH MILLER CONST Move ? Length 45 3 nad.ess 18133 CEDAR AVE SO Demolish ? oepm dG
o Int Impr. ? Sq. Ft.
Ciry FARMING$?? 892-1010 Instau ?
¢ SAME Approvals Fees
i a Name
$ ¢ Address
? Ciry Phone
w W Name
?i
?a Address
z
i w
Ciry Phone
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner-
Council
Permit 9 j°J • vv
Surcharge 32.00
Plan Review 162 . 50
SAC 575.00
Water Conn. 5 0 0. 0 0
WaterMeter 63.50
Aoad Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.9/z9/86 Tr.PI. 156.00
information is correct and agree to comply with I applicable State of
Minnesota Statutes and y of Eagan Ordirta. , I APC ParkS
Signature of
Var. Date , Copies
? Total $2.104.00
A Building Permit is issued to: J SEPH MILLER CONST on the express condition that
all work shall be done in accordany with all applica ot Minneso Statu and City of Eaqan Ordinances.
Building ORicial ? ?.?
7757Z
RemodellRepair Reouirements
2 copies of plan showing foo6ngs, beams, joists
1 set of Energy CalculaGOns for heated addi6ons
1 site survey for addi6ons 8 decks
Addifion - indicafe if on-sife sepfic sysfem
? 130, L?d
s-.?-
ORce Use OnN
Cerl of Survey Recd _ Y _ N
SailsReport _Y _N
Tree Fres Plan Recd _Y _N.
Tree Pres Required _Y _N
On-site Sep6c System _ Y _ N
neg
Plans are considered public information unless ou state the are tf?a se 1t?i1d"the reason.
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consirudion Reouiremmts
3 registered site surveys showing sq, ft. of lol, sq. R. of house; and ali roofetl areas
(20%mazimum lo[ coveraqe allowetl)
1 Soils Repo?f rf propnsed building is m 6e placed on disWrhed sal
2 copies of plan showing beam 6 window sizes; pouretl (ound design, elc.
i set of Energy Calculations
3 copie5 of Tree Preserva6on %an if lot platted after 711193
Rim Joisl Detail Options selecGOn shee[ (buildings wiN 3 or less unils) .
Min asco mechanicai venfilafion fortn
Date Construction Cost
Site Address '3 7 ?y U?'?%1S 6o,r p Ct, IInit/Ste #
Description of Work ? Peq'
Multi-Family Bldg _ Y? Fireplace(s) 2
PropertyOwner ??- ?1Wtfi?a^ i `h,'cGCelephone#(&?J
Ls-T'"11_ 1)61"V
,)
•M r? ; N/ G
(
?
Contractor ? /'[9
Address (5-r hS
?
^V G& City
Sta[e i Telephone # (G.f) )
tK w t'6Kl -3LW7
? 6eb- r?4 ay uJk
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submitted Su6mitted
. Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, dafe and address of master plan:
rl r ?
Licensed Plumber ri } Telephone #(
Mechanical Contractor UR 2-5- OO? _ Telephone #(
Sewer/WaterContractor / 16? Telephone #(
I hereby apply for a Residentiat Building Permit and acknowledge that the information is complete and accurate;
that the work will 6e in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wo[k 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.
--
--?
Applicaoi Printed Name Applican Si - .
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plez ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 0301of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn.(4-sea.) ? 33 E#.Alt - SF
? 04 02-plex ? 10 08-plex X( 18 Dedc ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New O 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ..
?
'17? 32 Addifion
? 36
Move 8uilding
? 42 Demolish Foundation O 45
Fire Repair
X
a 33 Alteration ? 37 Demolish Building• ? 43 Reroof . ? 46 Windows/Doors
? 34 Replacertl0nt 'Oemolition (Entire Bidg) - Give PCA handout to applicant
D@SCfiptiOn: Water Damage _ Yes
i)
Valuation Occupancy MCES System
Plan Review kf 100% or 25%
Census Code c-? ? Zoning City Water
SAC Units Stories Boaster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width •
REQUIFtED I NSPECTIONS
Foo[ings (new bldg) Sheetrock
? Footings (deck)
? _ Final/C.O. .
y
Footings (addition) ? Final/No C.O. .
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool Ftgs Air/Gas Tests Final
_ Frazning _ Siding _ Stucco Lath _ S[one Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: Bu ilding 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
?/ U ? ?
GREENSBORO
i_0 T
SCALE: I" = 40'
_• \?` x
tn
N Cp?
C"
o N
?o
z
I 4??
? -
0
< ..-j
230.00
EAST
1b:
?yCOURT
N?
. ?
l ?°
l
\ L-90.78
? A-8604,1'02"
t?L 'C
o, a y" ? M aD
o Q in
N LO
M
110
z
--- ? ? a
,
p r.•?fG ?IC ?? l07 i L
PROPERTY. DESCRIPTION WESCOTT RQAD
LOT-5, BLOCK-2,
GREENSBORQ IST ApD.
occordlnq to..the recorded plat ihoreof
DAKOTA Caunty, Minnasota
- LEGEND
a DEN`JTES IRQh lS.MSUA4ENT
a DENOTES WODD HUB SET
DENOTES ExISfING SPOT:
0.E VA710N
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINA6E DIREC710N
Y
?
r
r y
? yr
LOT 6
/i
PROPOSFD fARAGE FLOOR ELEVATION • Als,S
PROPOSED FIi2S7 FLOOR ELEVAT?ON = $BLt
i'ROPOSED 9RSElAENT FLOOR Y 833s ?
ELEVATIOW
NOTE ' VERIFY' ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
RESIDENTIAL
BUILDING PERMIT APPLICATtON
?? lD CITY OP EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewConsWclion ReauiremeMs
• 3 regislered sde surveys showing sq. R. of lot, sq. ft. of hrouse; and all roofed areas
(20°h maximum lot wverege allawed)
• 2 copies of plan showing 6eam 8 window saes; poured found design, etc.)
• 1 set of Eneyy CalculaGons
. 3 wpies of Tree Preservation Plan if lot platted aRer 7/1193
• Rim Joist Detail Opfions selectbn sheet (bldgs with 3 arless units)
DATE O ` l/J -Oa
SITE ADDRESS
TYPE OF
APPLICANT
STREET ADDRESS ' /" IZ) / / 00 ( / )? t- ?
TELEPHONE #???`?II -3U4b:ELL PHONE #
#
la?
ATE)MZIP?c?
PROPERTYOWNER C4.(6e_ &Uf64i TELEPHONE#?
COMPLETE FOR "NEW°" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINM?SOTA Ri JI.F-S 7670 CATEGORY 1 MINNESOTA RiJI.ES 7672
(J submission type) . Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: ____
Plumbing systcm includcs:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Pee: $90.00
Fee: $70.01
I hereby acknowledge that I have read this application, 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 /NVI
OFFICE USE ONLY
_ Water Softcner
_ Water Hcater
_ No. of Baths
Phonc #
_ Lawn Sprinklcr
No. of R.I. Baths
Air Conditioning
Heat Rccovery System
9 9? a=
RemodeVReoalr ReauiremeMs
. 2 copies of plan
• 1 set oF Energy Calculations (ar heated add'Aions
. 1 site survey for exterior additions 8 decks
• Indicate rf home servad by sepGc system for additions
VALUATION ? `fUJ -GY?
C? MULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
:
PERMIT
CITY OF. EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
BUILDIN6
000129
03/31/92
SITE ADDRESS:
3785 OREENSBORO CT
LOT: 6 BLOCK: 2
6REEN360R0 1ST
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEw
Building Length
Building Widtte ,
r-
1?
1 . `_?\ ! , ?rf
20
12
J '
L urW (10 ? 431 )q 2
FEE SUMMARY:
Base Fee $25.00 COPY $.50
Surcharge $.50 Total Fee ;26.00
Subtotal $25.50
CONTRACTOR:
?
PERMIT TYPE:
Permit Number:
Date Issued:
OWNER: - Applicant -
SEYMOUR JAMES
3785 GREENSBORO CT
EAGAN MN
(612)454-5981
I hereby acknowled9e that I heve read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
` --3"{'Gfi' •Y. r?ted-??f/.L7
Ir PLICANT/PERMIT E'SIGNATURE
ISSUE Y: SIGNATURE
Control No. 0143
PERMIT #
. . }.???
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
Y?a4 .?-v
b,U'L-Q 3l-_V4
AAR 2 3 RECO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy af energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 3 3 ?9.2- Yaluation of work ?l '10
Site Locatian:
STREET STE S
7enant Name: _5?h irrI-S <S'Z'ym0?k--
LOT ? BLOCK
1 SUBD. IF
FI.D. &
Descri tion of work: 1,14-w cc,K
The applicant is: P Owner ? Contractor ? Other (Describe)
Name S E7 A- ?r+ 4jL-s Phone
Property LAST FIRST
Owner pddress 3 7 d' S G'sz ?(-radS'f3a& a
STREET STE #
City ? 14c- Anl" State Z;P SS`I?-3
Company Phone
Co ntractor Address License # Exp.
City State Zip -
Company Phone
Architect/
Engineer Name Registratinn #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has 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: ?n-?-?----
v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 Two family
? 04 Multi-fam. T.H.
O 05 Apt. Bldg.
woRK rvPE
qt 31 New
? 32 Addition
? 33 Alterations
? 06 6arage/Accessory
? 07 Fireplace
19 08 Deck
0 09 Basement Finish
? 10 Swim Pool
O 34 Remodel
? 35 Repair
? 36 Tenant Finish
GENERAL INFORMATION
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem
? 15 Public Fac.
? 37 Move
0 38 Demolish
O 99 Undefined
Occupancy ?- 3 Basement sq. ft.
Zaning lst F1. sq. ft.
Const. (Actual) 2nd F1. sq. ft.
(Allowable) Sq. Ft. totai
# of Stories Footprint 3q. ft.
Length a On-site well
Depth lz, On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site [Z Footing
? Wallboard ED Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee as.oo vawec;oo:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Copies ,Sp
Other
Totai:
, ,.? . .
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
.
SU VEYING• SITE PLAN FOR:
SERVICES JOE MILLER CONSTRUC'TION
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
GREENSBORO
i_t7 T F)
SCALE: I" = 40'
.,ec. ?
`L?,?
? ,?
0h
? c
3
N _I
?M
N ap
O C"
?
z
0
?
?
/ LOT 6
t--------
Q ? ,['Drqin.?a ?nJ Vi?61y F?aYm?nt?
230.00
EAST
?yCOURT
N ~
?
o. tiZ
, (La 90.78
Aa86941102"
\
s.u`°
1?o
w
0U)
? f- 3z I aa?
y- - 0
? z
----j Iio
O a
PROPERTY. DESCRIPTION WESCOTT R4gQ
LOTS2, BLOCK-2-,
GREENSBORO IST ADD.
occordinq to fhe racorded plaf fhereof
DAK07A Caury, Minnesota
LEGEND
DEP:OT?& lRQN PAOMUAENT
DENOTES WOOD HUB SET
DENOTES EXISTING SP07
0.EVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION
P!?OPOSEp GARAGE FLOOR ELE1/ATIOH ¦ RRd.S
PROPOSED FIkST FLOOR EIEVATION ¦ 83c.n
PROPOSED BASEAAENT FLOOR • JW-t o
ELEVA710N
NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hveby certify thot this survey,plon or
raport wos prepared by ms or under my
direct supervision and thot I am a duly
Reqiatered Land Surveyor under th•
Laws ot the Stata of Minnesota.
/ j',L
Brodley . JvAwenson, Mn: Rep. No. 15235
ootr: 8- /9- 86
{
a?{ r '
HOTB: Ai.i.
)0/
1986 BOILDING PSRIQT APPLICATZON - CITY OF EAGAA
M03T BE LICE9SED iiITH THS CITY OF EAGAN
3INGLE FAlIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
MOLTIPLS DWELLIHGS - HESIDENTIAL
INCLUDE 2 SETS OF PLANS, CEE
1 SET OF 6NERGY CALCULATIONS
C019MRCI9L
RENT9L iJNITS FOR SALE DNITS
OF SDRVSY - CHECB iiITH BLDG. DEPT.,
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: ?j`J?JQ Valuation
Site Address -3-7
Lot 6 Block O?
Parcel/Sub
Owner
Address
City/Zip Code
Phone
,
Contractor
Address ,C5.
City/Zip Code
Phone ?
Areh./Engr. _
Address
City/Zip Code
Phone #
6/d
Date: -Z
Ereet g? Occupaney 9-?
Remodel Zoning plxp
Repair _ Type of Const VAI
Addition 8 of Stories
Move Length r/?
Demolish Depth ?
_
Int.Impr. _ Sq Ft
Install
APPROVALS FE&S
Assessments Permit
Water/Sewer Surcharge
Police Plan Review ,
Fire SAC
Engr Water Conn ?
Planner Water Meter 2
Council Road Unit 79 b
Bldg Off Treatment Pl /S"(m
APC Parks
Variance Copies
TOT9L ?
?7--
NOTE: ADDEESSES FOR CORNER LOTS - CONRRACTOR/HOMEOBNER MOST DESIGNATS iIHICH ADDHfiSS
IS DESIRED. NO CHANGES i1ILL HE ALLOfiED ONCE BIIILDING PERMIY IS ZSSDED.
1 i ? ? ?•
3V '7 /Z 7? ??? S 2?L27 ? ?4 .
?Z422= R12=
/OxIO= l50? &-co 10
(96
s
?'
86 -/.?"p
TRI-LAND C0. SITE PLAN FOR:
SURVEYING -
SERVICES JOE MILLER CONSTRUCTION
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
i_l7 ! 5
SCALE: I" = 40'
..ek" '
. \CK 'C
r
`CK ^_J<•
\ V /?J `??4
?4 Vr
?
• ,?a:? ??
3
N _
Nto
N ?
Z
0
e?
GREENSBORO
o,y? COURT
N ~
1 ?
tiZ
L= 90.78
0=86°41'02
\
r /?? \ O /U 6
? 10
a 't ` . ?
? /
-4,0?lk' w
/ LOT 6 I
to
/
?---------- ?
-° ? ..,/ v4;kiy f.aorr??nt?--- 3
EAST
XL)
0
M
Z
PROPERTY, DESCRIPTION H/ESCOTT RQAD
LOT-36, BLOCK-2-,
GREENSBORO IST ADD.
oceordnp to the rscaEed plaf iMreof
DAKOTA cau+ty, Minnesoto
LEGEND
E}Elk'DTES I1R0ld MONUMEkT
DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
0.E VATION
OENOTES PROPOSED SPOT
ELEVATION
DENOTES ORAINAGE DIRECTION
I hrWy cerfity ihaf tAl: survey,plon or
roport was preporsd by ms or un0or my
direct supervision and thot I am a duly
Reqisfsred Land Surveyor unda fhe
Laws of ths State of Mfnnesota
Bradley ,K',0x*nsonq Mn:, Rop. Na I5235
Date : 8' /9- 86
PROPQSED GARAf3E FLOQR ELEyAT10N•,HRAS
PROPOSED FIRST FLOOR ELEVATION ¦ BRc-n
PROPOSED BASEMENT FLOOR • sE1- o
ELEVATION
NOTE ' VERIFY ALL FLOOR HEICsHTS W17H
FINAL HOUSE PLANS
• CITY OF SUILDING DEPAR71•iENT
" E:CfERIOR EflVEI.OPE AVERAGE "U" COI•iPUTATION
(To be submltted with building permit application)
One or Tva Famlly Uv:elling Owner
All Other Site Address
Contractor 3?,-FEPf{ ???GF? ( c4/Sr
_# SS - /oo
Date
Ph o ne
LItiEkL z EET OF ? /
EXS'O:;ED 1':ALL SEE 'I??2,L? E71' ft, above grade = Z?Of'jg,00 ?
TOTAL c:;L°OSED :'iAI,L ARi:e1 S!Z,
J:':. . U
? Getail
re:erehce
from
attacned
sheets
CJi:SCF.O °U" Value x Area
_ Eg AwlE 'Iu,o .O¢3 x sQ.
Ccivc "U" . 076, x ;iZ.
?lirl , npa . 040 x SQ.
npu X S%Z.
nUn x 5Q.
n n
]C $ Q.
'.7II!D0';JS: "U" `/alue x f.rea
FT. l(o`?iZ.ZC;. 7404 (U) (A)
FT. 9(048- •37, (U)(k)
FT. ll`J-SZ= -7(U)(A)
FT. _ (U)(A)
PT. - (U)(p)
FT. - (U) (A)
t•ia:<e & TyPe !41,vt- C5.01'T "pll x S@. cT.._.L.oo = 93?8 (u)caj
n_ - npu x SQ. FT. - (U)(A)
"U„ x 5Q. FT. - (U) (A)
n n npn x SQ. FT. - (U) (A)
f\iO RfS: °lf" Vnlue ? f.ro :i •
:iz?:ce & TYoe Sjc..
,
_. l,wivG. npu . .?`? ._ ... .. X. gQ, ..FT. 417. oo = &•S(v (U)(A) -. :......
,,
. PAT io uuo
•47 x 5:2.
FT. z-oo (U)(p)
n n npn x SQ. FT. - (U) (A)
n u
_ niJu
x SQ.
FT. _
(U) (A)
TOTALS zoZ>'F.oo SQ. r'T. /53.43 (U) (A)
" AVERA(}E "U"
TOTAL (U)(A) VAI,UES 153.¢? _
DIVIDED BY TOTAI, ';IkI, 07
L AREk ZOpg_oo
aVF;kaaE: 11U,K ,?t5 r less for 1&2 family dwellinga
ROOF/CEILIN(3 :
r?3
T02AL AREA: IOOZ
Detall reference •oZ? x SQ. FT. fOOZ. _ z?•oq- (U)(A)
from x SQ. FT. . (U)(A)
attached sheeta IIUII
.
Descrlbe onenings
flUff x SQ.
x SQ. FT.
FT. = (U)(A)
- (U)(A)
in roof. x SQ. FT. - (U)(A)
TOTAL (U)(p) VALUES DIVIDED BY 7o-7AL?P
71 .0¢ 1ooZ N,f? ZI'a} CUrA\
?
=
'f0':'GL R00?/CEG ;,}:,A ?OOZ
o
? ?
AV ' • ? .
v
hFc„GE U.025 for ventilr:ted roofe.
11 VoRK SWcET "
? s F-xPO.5,--n c?aqc.c
14. So X( 38+38 + 34+34? = Z oS8 00 .-?
i
Co4C .
.?7X ?38*38+-34t34-? = 9(0.48-?`?'
?r?n TorST
. S?Jc ?38t-38t34t3?? = 119•SZ ?C
WrrlDow S
lbx3z?= 4•o X 4 = 1(0•CX?
ZoX3G= 5,0 ?( (o= 30°0
Z4x 3? _ ('7.0 x 4= zg.rao
z0x48 = ?.7 x 4= z&. so
Z4x 4,5 x 4= 3Z, ov
/ZS• So *
D??S
3= sn.. w?5-L. = ZS.oo
Z$ STC. SE?2. = 21. o0
PR-rio - 42.00
91. co ?-
VET E( ? tJswc. EQ vac.S
&9os-5 [?1Au Z,os$. o0
JE55 Co,?IC . qb. ¢ g
lt ?IM1- I7q.5?
I, wDw?s ?z$-go So
i, Dao2's 9Loo -'
Zo?
SZ
J
(
-
?
v
R??F
Z? X 38 ? 4/Z
9 x ro = 9 0
J?OOZ•?
' --WALL SECTIOS--
Determining '-U" valuea at Roof, Wall, Rim. and Conc. Block
ROOF/CEZLIN4
1.) Interlor Rir r'ilm
2.) 5/8,, ayp. sa.
3.) Insulation
4.)
5.) Exterior Alr Film
(STILL)
R VALU:
0. 61
.56
44.OD
.6t
"U" = 1/R= .OZ f LOTAL (R)= 1S• 7g
'NALL
6.) Interior Air Filu
7.J }u GYP• Sd.
8.) Insuletion
9. J ? z" $urLT- 917E
10.) liasonite Sidino
11.) Exterior L,ir rilm
(R VRI,U?
0.68
.4$
f9•oo
Z•oj
.67
. 1 '1
l/R= . 0¢3 TOTAL (R)=Z3.0/
RIM R VALUF
12,) Interior hir tYLn
13.) Insulation
tq.) 211 Fir Rim loist
15.) ZS/3z' borv- P_,:c-
16.) Maeonita Siding
17.) Exterior Air Film
0.68
!9•00
1.88
z, 04
.67
.17
nUu = 1/R= .04d TOTAL (R)=z4.cf4
FOUNDATION
18.) Interior Air Film
19.)
zo. ) K-?l St,?PP?t?
21,) 12" Concrete Block
22.)
23.) Exterior Air Film
(R) VALUE
0.68
P. o0
i.zs
.17
npn _ 1/R= .O7& TOTAL (R)=J3.?3
.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*OTP3: PAYMRNf OF £k:E AT TIIM OF
ArriscATzoN noFS Nom oorsrMM
APPROVAL OF PII2NIIT.
nvsrEcriorr oF sErM arm/oiz WATER.
rrscmnr._ramrpNS (qIId, N()T BE SCFED--
UI.ID ONPII, PII2MiT AAS BEM
APPHOVED.
------------------------------
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E7ISTING ST12LMRE, DATE OF ORIGINAL BL+ILDING PERMiT ISSCANCE:
?
PRFSENr ZONING/PROPOSID LSE: Mon Year .
? CO'MCIAI'/f2ErAIL/OFFICE ? R-1 SINGLE FAMILY
? IPIDOSTRIAL ? R-2 DLPLEX (7S.o 0nits)
n INSTI2L'TIONAL/GpVERBAg3•pr ? R-3 ZOWNHOUSE (Three + Units) ( Units)
. ? R-4 APAR=PP/COND0k1INiUM ( Units)
2) ?
NAM:
ADDRFSS:
CITY. STATE. ZIP:
. PHONE: "- OSp(?
• 3) NA,,E: S'4rn E /1S ?.2 For City Use ..
Plinnbers License:
ADDRFSS: . Active
CITY, STATE. 2IP:
i . F7tPised
PHONE'
M
ASTER LICENSE# Not recorded
St? 1t1d1
4) O"O • i?-
? NAME'- ???
?/ ?p
. ADDRESS: . .
CITY. STATE, ZIP: Fj.??p?? ? ? ?,? )'!' 1p
PxorE:_
-5) ? r• ? r • ?• : ? o? - ??
? CONNECTION M CITY SEWIIt C41 CpNNS[TION ZU CITY WATF32 ? (YT[M '. .
do?
6)
'? •-?'? PLEASE HOLD ApPRpVE9 PEiN1iT FY)R PICK-UP BY ONE OF ABOVE
? pr.En?IL? APPROVID PEEtMIT TO 1, 2, 3. 4, ABDVE
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ /D..SO
$ $ /D, SO
s Sv $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ 156 .?? $
$ $
$__/&W5D $ .
SEWER PERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLUDE SORCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOLNT DEPOSIT - SEWER
ACCO[?NT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRL'NK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
. 6,7003 od7 /
RECEIPT RECEIPT
DOES UTILITY CO[VNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSCED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
#:?_d. O-D
ed ?;sa ([A-Aj
New Consiruction Reauirements RemakllReoair Reauirements
i
(
l l?Nwe lke dnht
CerLnt Survey Recd
': Y
N
3 registered site surveys showing sq. fl. ot lot, sq. R. of house; and all roofed areas
(20%maximumlotcweregeallaxed) 2 oop
es o
p
an
isetofEnergyCalculationsforheaiedaddtions FteePt2SPlanROCd _
_1`?hli
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres ?'eqwred
1set of Energy Calculations Addifion - indicateifon-sitesepficsystem Oh;siteSeptig,SyStem. ?X,_N?
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joisl Detail Options selection sheet (buildings with 3 or less unils)
Date // I/ -;2 / U
D._
Construction Cost Z UVU'
Site Address ? 73-S G vc-e'"`s d>° `'O r"-\' . Unit/Ste #
Description of Work 1121a c
MuUi-FamilyBldg _ YZIN Fireplace(s) 2
PropertyOwner Tu Y'" Ccr-.•'? u"', C'° Telephone#(GS?
Contractor ? Pp, ?
Address ' -' City
State Zip i Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilatlon Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Su6mitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the 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 Conhactor
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 conforrnance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name A jitts S
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire 81dg ) -Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100%or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump.
# of Units Sq. Ft. PRV
# of Bldgs Length T Fire Sprinklered
Type of Const Width
T
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plumbing
_ Foundatlon _ IJVAC
_ Dnin Tile Qther
Roof _ Ice & Water _ Final _ Ppol _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?IS-S v
v;s?
Date/// 17 / aOUS
Site Street Address 3 7,:R? Unit #
PropertyOwner o?/+ (farr, Telephone# ((ns? ?-16_Y-3917
Contractor 0u-w-P/7 Telephone # ( )
Address City State Zip
The Applicant is: 'VOwner _ Contractor _Other
Septic System - ew Refurbished Submit 2 sets of plans and MPC license
? Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If vou are installinq onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing. " ------
?
_Septic System Abandonment • _ ` ?
. ?'? 1 v n'1?-
-Water Turnaround (add $125.00 if a 518" meter is required) _
I
I
Other: -
I
Water Softene Water Heater
new replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ? 5-156
I here6y apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
?
?' "
Applicants Printed Name Applic t's Signature
" la,a?? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilat Knab Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons[rudion Reaulrements
3 registered site surveys showing sq. fl. of lot, sq. fl. ot house, and all wofed areas
(20°k mmimum lot coverage allowed)
2 copies of plan showing beam & windax sizes; poured found design, elc.
1 set of Energy Calalations
3 copies of Tree Preservation Plan if lot platled afler 711/93
Rim .bist Detaii Opiions selection sheet (huildings with 3 or less units)
__ .......
RemodeUReoair Reauirements 6tficeUse OhN
2 copies of plan Cp.r?ai'SuNgyRecd ?Y ,?N
1 set of Energy Calculations for healed additions TreePres PIenR2Ctl _Y _N,'-
1 site survey for additions 8 decks TtgO eresR eqwred Y ...?I?
Addifion - indicafeifon-sifesepticsystem Drrsi?ESBpticSysiem _Y _;N,
''n9V4-o11_ ?17, [)--(,A._
Date lIg I05? Construction Cost ¢/ <29c)
SiteAddress -w975- &'reP756CYv Cf UniUSte #
Description of Work f}ly-ctGlitPd GV e 0-fArr)
Y?
i
Bld 2
1
l
(
)
Fi
_?o
g _
Multi-Fam
ly _
ace
s
_
rep
4.
Property Owner Telephone # ((o
Gsl - /a?ab- fsNby ofee?
Contractor 0.,67 P/'
Address City
State Zip Telephone # ( }
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeoiv 1 _ Minnesota Rules 7672
Energy Code Category
• Residential Ventllatlon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submilted
in The last 12 months, the City of Eagan
Y N If yes, date and _kZ Licensed Plumber
Mechanical Contractor
Sewer/Water Conhactor
for a similar plan based on a master plan?
Telephone # (
7 )nn?
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 ordinances and codes of the City of Eagan and the State of MIV
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 wili be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applj96nt's Printed Name
? -
Applic ' Sigi
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex x 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screenlgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-pleac Plbg_Yor_ N ? 25 Miscellaneous
Work Types
O 31 New
32 Additian
?O 33 Alteration
? 34 Replacement
Valuation Le D
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy 1,/ 1 MCES System
Plan Review 100% or 25%
Census Code
SAC Units
# of Units
# of Bidgs
Type of Const v_
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
Footings (deck)
_?X Foofings(addition)
I,< Founda5on
Drain Tile
Roof Ice & Water Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIItED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: , 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
)_O6 Xl?
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SU V?Y IUG• $ITE PLAN F4R:
SERVICES JOE tNILLER CONSTRUCTION
4655 NICOLS RQAD
EAGAN, MINNESOTA 55122
GREENS80R0
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PROPERTY. DESCRIPTION WE$?OT'L _JIQAQ
LOT-ti, BLOCK-2-,
GREENSBORO IST AQD.
xcordfnq to_th• racorded plat Thereof
DAKOTA CourAy, Minnecota
LEGEND
a DEN'JTE& lRQh 4!^.,MU0.4EtlT
? 0@NOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVA710N
OENOTES PROPOSED SPO7
ELEVATION
? DENOTES DRAIh1AGE DIRECTION
I hWrsby certlfy fhat ihls atrvey,plan or
report wa: prepared py ma or under my
direct supervisirn and that I am a duly
RsQiatered Land Survoyor undar tha
Laws of tha State ot Mlnnasatn.
COURT
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A-86°41'02"
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pROPOSED GkRAGE FLOOR ELEVATION¦ &B.S
PROFOSED FIkS7 PLOOR ELEUATION ¦ Ba?_
pNOPOSED 8A5ERAENT FLOOR •i-°-
ELEVATION
NOTE' VERIFY ALL FLOOR HEIGHTS WITN
FINA,L PtOUSE RLANS
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f /illYfu' !! 4. .vr--
Bradioy JvAwenson. Mn'. Req. No. 13235
Dote'. ?' /Y- 86
`73?ac?
2006 RESIDENTIAL BUILDING rERMIT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagau MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructiion Reauiremenis
3 registered site surveys showing sq. ft. of lol sq. R, of house; and all roofed areas
(20% maximum lot coverage allowed)
2copies of plan showing beam & window sizes; poured found design, etc.
7 set of Energy Calculations
3 copies of Tree Preservatlon Plan if lot platted after7/1193
RimJoistDefailOpGOnsselectionsheet (buildingswiN3orlessunils)
Minnegasco mechanical venGlation (orm
vK sq. . 5 ? :3
374? 9(?,
:
o?r ? use o?
Certo(SurveyRecd Y-_N
7reePresPlanftecd . .._y_N.
. . .. .
TreePresRequ"ued , ... .....
_Y-._N
OnsdeSepticSyslem? --_Y _?N
Date b? l? l b? Construction Cost 4'i ql?bo
-
Site Address
TJ ? t' J S b ?
0'?p Unit/Ste #
Description of Work
Multi-Family Bldg _ Y1,,IN Fireplace(s) /0 _ 1 _ 2
Property Owner ?7 I6ut ??lG p Telephone #((`o?( 7
_ '4
Contr or Oy?
4(
1 416tw-4 4t
Address ? City
State 0 ? Zip Telephone #? 2) 7 7,J ?O Z-
i
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(d suhmission type) Submitted
. Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 monThs, has 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 wil] be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ?
? G? Z jWt O tq iGr>
Appli t's Printed Name A plic s Si ia
RemodeVReoair Reavirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heatetl addiGons
1 site survey for addiGons 8 decks
Add'rtion - indicate if onatte septic sysfem
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 03 01 of _ plex ? 09 07-plex ? 17 Garage X 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New
A 32 Addition
? 33 Alleration
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuIG Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to applicant DesCl'Iption: Water Damage _ Yes
Valuation 130,5;,0 ?
Plan Review. 100% or 25%
Census Code l/ 311
SAC Units -
# of Units
# of Bldgs -
Type of Const _17 4?
Occupancy h •3 MCES System
Zoning City Water ?
Stories ? Booster Pump -'
Sq. Ft. PRV ?
Length ? Fire Sprinklered
Width 16
REQUIRED INSPECTIONS
_ Footings (new bldg)
Footings(deck)
? Footings (addition)
_ Foundation
Drain Tile
Roof k- Ice & Water _X Final
? Pranung
. Fueplace _ R.I. _ Air Test _ Final
y Insulation ?
P.pproved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
_ Sheetrock
FinaUC.O.
FinaUNo C.O.
? HVAC
Other
_ Pool Ftgs AirlGas Tests Final
_ Siding„_ Stucco Lath _ Stone Lath _Brick
Window's-
_ Retaining Wall
Building Inspector
2 ?'5r-
Pertnk #
Permit Date
REScheck Software Version 3.7.3
Compliance Certificate
Project Title: 4 Season Addition
Report Date: 05/03/06
Data filename: C:\Program Fles\CheGdREScheckVull_house.rck
Energy Code: 2000 Mlnnesota Energy Code
Location: Dakota County, Minnesota
Construction Type: Single Family
Glazing Area Percentage: 11%
Construction Site:
3785 Greens6oro Court
Eagan, MN 55123
Owner/Agent:
Troy Delmonico
Martinez CoryoraHOn
3785 Greensboro Court
Eagan, MN 55123
651-454-3417
troyQmtzcarp.COm
DesignedContractor:
Jeff Meyer
Meyer Home EMancements
612-978-7562
Compliance: Passes naaximum UA: 477 Your Home UA: 419 -=122% Better Than Code (UA) i
Ceiling 1: Flat Ceiling or Scissor Truss: 1184 38.0 0.0 35
Skylight 1: Metal Frame:DOUble Pane: 9 0.330 3
Skylight 2: Metal Freme:DOUble Pane with Low-E: 9 0.330 3
Wall 1: Wood Frame, 16' o.c.: 140 19.0 0.0 7
Door 1: Solid: 20 0.010 0
Wall2: Wood Frame, 16' o.c.: 90 19.0 0.0 4
Wintlow 1: Above-Grade:Wootl Frame:Double Parre: 7 0.330 2
Door 2: Solid: 20 0.010 0
Wall 3: Wood Frame, 16' o.c.: 140 19.0 0.0 8
Wall4: Wood Frame, 16' o.c.: 282 19.0 0.0 13
Window 2: Above-Grade:WOOd Frame:OOUble Pane: 27 0.330 9
Wintlow 3: AboveGrade:Wood Frartre:DOUble Pane: S 0.330 3
Window a: Above-Grade:WOOd Frame:Double Pane: 8 0.330 3
Window 5: Above-Grade:Wootl Frame:Double Pane: 16 0.330 5
Wall5: Wood Frame, 16' o.c.: 482 19.0 0.0 27
Window 6: A6ove-Grede:Metal Frame:Double Pane with Low-E: 9 0.330 3
Window 7: Above-Grade:Metal Frame:Double Pane with Low-E: 9 0.330 3
Wall6: Wood Frame, 16° o.c.: 112 19.0 0.0 5
Window S: Above-Grede:Vinyl Frame:Double Pane with Low-E: 24 0.330 8
Wall 7: Wood Frame, 16' o.c.: 150 19.0 0.0 7
Window 9: Above-Grade:Vinyl Frame:Double Pane with Low-E: 20 0.330 7
Window 10: Above-Grade:Vinyl Frame:Double Pane with Low-E: 8 0.330 3
Window 11: Abave-Grade:Vinyl Frame:DOUble Pane with Low-E: 8 0.330 3
Wall 8: Wood Frame, 16' o.c.: 112 19.0 0.0 4
Window 12: A6ove-Grade:Vinyl Frame:DOUble Pane with Low-E: 8 0.330 3
Door 3: Glass: 42 0.330 74
Wa119: Wood Frame, 16' o.c.: 456 19-0 0.0 23
Window 73: Above-Grade:Vinyl Frame:Double Pane with Low-E: 18 0.330 6
Window 14: Above-Grade:Wootl Frame:Double Pana: 14 0.330 5
4 Season Addition Page 7 of 4
Window 15: Above-Grade:WOod Frame:DOUble Pane: 17 0.330 4
Window 16: Above-Gratle:Wood Frame:DOUble Pane: 21 0.330 7
Wall 10: Wood Frame, 16' o.c.: 462 19.0 0.0 26
Window 17: Above-Grade:Vinyl Frame:Double Pane wi[h Low-E: 18 0.330 6
Window 18: Above-Grade:Wood Frame:DouDle Pane: 21 0.330 7
Wall 11: Wood Frame, 16' o.c.: 345 19.0 0.0 20
Floor 1: All-Wood JoisVTruss:Over Outside Air. 224 25.0 0.0 9
Floor 2: Slab-On-Gratle:Unheatetl: , Insula[ion Depth: 0.5' 128 5.0 124
Fumace 1: Forced Hot Air: 90 AFUE
Air Condifioner 1: Electric Centrel Air. 15 SEER
Compliance Statement The proposed building design described here is consistenl with the building plans, specifications, and other
calculetions submittetl with Me pertnit application. The proposed building has been designed to meet the 2000 Minnesota Energy
Code requirements In REScheck Version 3.7.3 and to comply wfth ihe mendarory requirements listed in the REScheck Inspection
Checkl?_
?
'J-
Builtler signer Company Name Date
4 Season Addition Page 2 of 4
0 W ind wash barrier on wall separating house and garage is sealed.
? Loose fill insulation is prevented from entering the eaves.
? Insulation on skylight shafts and walls exposed in anics is supported on the unconditioned side.
Ank Insulatbn:
? Aroc access panel insulated to R-38 tor ceiling panel and R-19 for wall penel.
? Anic cartl attached to framing near access opening.
? Notification of attic R-value and date of installation pos[ed near building permit inspeclion card.
7his is a summery onty. Other requiremenLS may appy. See Me Minnesota Energy Code. Duestlons? Call the Depanment of Public
Service Inlormation Center at 651-296-5175 or 1-800-6573710.
2006 RESIDENTIAL MECHANICAL rExMIT ArrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemilts are required for each unit
Date/// i L-? /0(,_
Site Address 37 3J GnePNS -6,) /1 p Cz- Unit #
Property Owner tm? -_pc 1(414 vi r? c-rl Telephone #(6 S/ ) YS "( ' 3 y? 7
? D
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner _ Contractor _ Other ?- 1
-- -___ ?
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _ Replacement New
air exchanger
air conditioner
eat pump
other CIU 5 ?i?r? 40 54afsP
__L?/l
P ?l
G N
State Surcharge $ .50
t
l
T $ 30.SO
o
a
I hereby apply for a Residential Mechanical Pemut and admowledge that the information is complete and accurate; that the work will
be in confonnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pemut;thal the work will be in accordance with the
approved 1' the case of work which requires a review and approval of plans. --?
Applic*'s Printed Name Applic 's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114049
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 3785 Greensboro Ct
Lot:6 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Ashley Harrington
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 -
Carrie M Bourasa
3785 Greensboro Ct
Eagan MN 55123
Cedar Creek Construction
23383 Redwood Ct NW
St Francis MN 55070
(612) 564-6888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127849
Date Issued:10/16/2014
Permit Category:ePermit
Site Address: 3785 Greensboro Ct
Lot:6 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
George L Williams
3785 Greensboro Ct
Eagan MN 55123
(910) 985-1166
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136854
Date Issued:06/02/2016
Permit Category:ePermit
Site Address: 3785 Greensboro Ct
Lot:6 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
George L Williams
3785 Greensboro Ct
Eagan MN 55123
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140776
Date Issued:01/20/2017
Permit Category:ePermit
Site Address: 3785 Greensboro Ct
Lot:6 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
George L Williams
3785 Greensboro Ct
Eagan MN 55123
(910) 985-1166
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168012
Date Issued:04/06/2021
Permit Category:ePermit
Site Address: 3785 Greensboro Ct
Lot:6 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-060
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
George L & Vanessa I Williams
3785 Greensboro Ct
Eagan MN 55123
(952) 891-1919
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature