3655 Greensboro DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3655 Greensboro Dr
Lot: 5 Block: 6 Addition: Greensboro 2nd
PID:10- 30901 - 050 -06
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391 -5514
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
$90.00
Owner:
Craig D Navis
Nancy S Anderson Navis
3655 Greensboro Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA083487
06/10/2008
ePermit
al (i.e. debris that could block vent openings) and
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
BLDC. PERMIT N0. -7?
,
01-3210 Bldg. Permit C)
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm,
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC "7,
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 =?, J a 3
? "0 • ? 4/0'?-"MECHAI
cirY
3830 PILOT KNOB I
- Name _
m Address .
? City _
? ? Name _
c Address
f p CdY-
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Helter - M BTU
Air Cond. _ J42 M BTIi -
Vent CFM
Gas Piping Outlets #
FEE:
S/C:
TOTAL•
GAN??? ? RECEIPT # 0
EAGAN, MN 55122 DATE:
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult Add-on k1.11
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
(ADD $.50 S/C IF PERMIT
BEYOND $1,000)
ITTEE
FO : CITY OF EAGAN ,.
LS - 12.00
_ - 20.00
- - .50 -
INSPE
f CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
I SlTE ADDRESS:
PERMIT SUBTYPE:
I I, f"E-M. 114
TYPE OF WQRK:
MAJ
f t rin i
. ,
?--------------- -- - - - - - - --- ------
RECQRD
PERMIT TYPE;
Permit Number:
Date Issued:
APPUCANT:
( L? ? :' i f? :i ?i - ."'•.. h !
Permit No. Permit HoWer Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBfNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIRTEST
p1,ffs
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
._...,? ? CITY OF EAGAN • ? 3 ? ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHON E: 454-8100 Receipt 7
#
To be used for " Est. Value Date •?. :, r 1,19 _
Site Address
Lot Block Sec/Sub. `ND
W Narr
3 Addi
a City
?., AVE : ,.
,o Name
0
8! Address
P City
_ Phone
V
r W Name
? ? Address
? W City l 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 Ciry of Eagan Ordinances.
Signature of Permittee
OFFIC E USE ONLY
On Site Sewage T Occupancy
MWCC System _ Zoning
On Site Well Type of Const
City water _ (Actuaq
(All
bl
)
owa
e
# of Stories
Length
Depth
S.F. To1a1
Footprint S.F.
APPROVALS FEES
Assessments _ Permit 0
wateriseWer surcnaroe 1)
PoUce _
_ Plan Review 5
Fire _ SAC, Clry ?
Engr. _ SAC, MWCC >
Planner _ Water Conn. -?
Councll _ Water Meter
Bldg. Off. _ Road Unft ?
APC _ Treatment P1
Variance - Parks
TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable Stete of Minnesota Statutes and City of Eagan Ordinances
Building Official
Pormit No. Permit Hoider Date Telephone ?t
Plumbing
H.V.A.C. A,.?
Electric
Softener
inspectlon Dets Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. -7
Isul.
Fireplace
Final Htg.
Final Ptbg.
Bldg. Final
Cert.Occ. ?
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
Name _
Address
? c City ?
Name -
c Address.
O City %. '
Air
,
PERMIT # ? •? ;? c,
MECHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -??
PHONE: 454-8100
BLDG. TYPE WORK DESCRIPTION
t' Sec/Sub' _ f
`Res. ?- New
Mult Add-on -
Comm. Repair
? Other
Phone - _;
Block
' '?
M BTU $--
M BTU $_
M BTU $-
M BTU $_
CFM $T
# $?
$-
j ?
FEE:
S/C: _
TOTAL: _
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MtNfMUM - 1 PER PEHMIT) - 1.50 EA.
COMMIIND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TQWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-QN &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
,
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # ??--
' ? PLUMBING PERMIT
CITY OF EAGAN RECEIPT q
3830 PI
OT
I
KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Addre "?
r-- BLDG. TYPE WORK DESCRIPTION
Lot -? Block Sec/Sub Res
1New
. .
Mult
Add-on
.
Name
0.9 Comm. Repair
76 Address Other
c City(,? Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NOFIXTURES TOTdL
?%
`
ater Closet - $3
00 ` '
W
? ./
_
Name .
3 Address ?
' =Bath Tubs - $3.00
?
b
Lavatory - $3.00
CitY,7-?r?7?,.,y,?? Phone??? ?ghower - $3.00
? _?-Kitchen Sink - $3.00 -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3-00 ?
=Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ? Floor Drains -$t.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES -?Water Heater -$t.50 '-%
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 i
MINIMUM - COMM/IND FEE - $2p.00 ?Gas Piping Outlets - $1.50
? STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
?(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
/
a
Private Disp. - $10.00
-
d??y --__,Rough Openings - $1.50 J
SIGNATURE OF PERMITTEE FEE:
I
STATE S/C: Sa
FOR: CITY OF EAGAN GFiAND TOTAL: ?. ?- =? •
Cnob Road
1og
551 ft
PERMIT NO.:
- No. af Units:
.. ,.... 5 9 6
7
i agree to oomply wifl? fhe City ot Eagan
O
di
1??Q.04nd
Connection Char
e:
r
nances. g
Account Deposit:
Permit Fee; ?
sY Surcharge: q
pate of Insp.: ` Misc. Charges:
Ihgp,; Total:
Date Paid:
---
?, _.. , ......,?-?-,,.,,-•,,.--...,.__.__
--sf CITy OF EAGAIV ParmitHo: 9044
' 3830 Pilot Knob Road - Meter No: Date: 9-I5-87
P.O. Box;2119b • Size:
Eagan,.•MN 55121 Reader No: Date:
Owner. Jpe : `il.ier Gonst.
SiteAddress: { T
77
? Conn. Chg: --`' S (}onl
Acct. Dep; Zonin
15.00 pd 9' - ??
? PermitFee: No. of Units: i
1Q.d0?d
? Surcharge: .5il"d
Tr. Plant 13 U, Qp 1, - 1 agree to coroply with the City of Eagan
Meter.
Ordinances.
Misc.:
BY
?
?. _- _ - WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 9'=+=• D15.._ e 7
3830 Pilot Knob Road ?e:
Meter No: -39?a? ,6:i .S6 9 Size: '7
P.O. Boz 21199 Reader No:
Eagan, W1N 55121 Date:
Owner. L2 ' iller c;onst.
SIt@Addf@S3:-,%E?.?S C`reenshnrn Tlri c? T 5 R(, rr??r1
Plumber. "7vrnorerli
Conn. Chg: _ 525.OOnc ¦V NIILiv pIs% `F
Acct. Dep:-- 15. 00 ?j(1g. C I??¢
:?ot? ?
Permit Fee: I O 0? ' . ELECT??
Surcharge: 5i ?ft"WyYlth the Cfty of Eagan
Tr. Plant. 1??? 'prdinances.
Meter.
Misc.: B ?
Y
WATER SERVICE PERMIT
r.vr opl[.[Tll1.Y" Eagan, SAN 55121
? k' f
Zoning:
Owner. Joe Mill.er Conet.
Address: -
Site Address;
Plumber. _ 1 agrae to comPlY wkn th r c?,;4 n 'ncu1 uti+lities ioo . OQpd
^e
Ordinances. ?@C?f?C?4$?i? [9e? --5?5? 9Ap?
j ?
TElEPHO?E - €.LEG?????eg? A@
0
R?' y,? { lt? vSU?Ch'arge rAB?iei--
?' Misc. Charges; ? -
Date ot Insp.:
Insp.: ns?e oe;a. • ? ,?,.?
CITY OF EAGAN N! . 13 9 7 3
3830 Pllo[ Knob Road, P.O. Box 21-199, Eagan, MN 55127
PH ONE: 454-8100 ry
?j
BUILDING PERM
?IT
Receipt# ???/
/
To be used for SF DWG/GAR Est. Value $68,000 Date JULY 24 1987
Site Address 3655 GREENSBORO DR OFFICE USE ONLV
GREENSBORO 2ND
Lot 5 Block 6 Sec/Sub OnSiteSewage Occupancy R3
. MWCCSystem ? Zoning R1
Peroel No. On Site Well Type of Const
?
City Water X (ACtual)
a Name JOSEPH MILLER CONST (Allowable)
W
z
Address 18133 CEDAR AVE SO # Of StOfl85
Length
70
? City FARMINGTON phone 431-2001 Depth 21,
SF. Total
, p Name SAME ? Footprint S.F.
?a Address APPROVALS FEES
f City Phone Assessments _ Permit $ 391.50
4
water/Sewer Surcherge 7
_(l0
W W NamB Police _ Plan Review 1 Q S- 75
? i
x-
Address Fire SAC, City
- 7 nn np
??7 Engc _ SAC,MWCC 59S n0
aw City Phone pianner _ WaterCOnn. S.?„?S np
Council _ WaterMeter 67?0
I hereby acknowledge that I have read this application and atete Bldg. Off. _ Road Unit 3g5,N0
thattheinformationiscorrectanda9reetocomplywithallapplicable APC _ TreatmentPt nn np
State of Minnesota Statut "pnd City of 4`O ?Jinances. Variance _ Paiks
Signature of Permittee Copies
rornL
2 32 .25
A Building Permit is issued to: JOSEPH MILLER CONST on the express condition that
all work shall be done in accorda ce with all I ble State of nesota Statutes and Ciry of Eagan Ordinancea
Building Official
Tpis request void ?
18 ?n,hs from
D 419 0 4,c
Reques? Da?e Fire No. Rouph-in Insper.tion
Reqmred?
Inspec-
?Aeady NowgWill Nntity
(]
?7- p p, ?Yes ?NO ,
mrWhenReadY
g Licensetl ElecVical Conlractor I heraby raduesI inspection oi ebove
? Owner electrical work installed at:
Sveet AdAless, Box'q"foute No.
:3(055 (o?ens 6n'-'&o Gitv
ecvon o. Township Name or No. Rznge No. Counly, j_?
ra?.RKo ?
Occu t (PfiINT) // /
? o e /?r? ti CGft 57' Phone ?/_ ^dd./
.L
Power Sup0lier r?
.'d/ 4'14 C?f C 1" Adtlress
EleclnCon(ractor 1 mpany Namel _
? A .c Cuntractor's License No.
?//6 /o•-?
Mailinp AtlJress ICo vactor ar Owner ng Instailationl
?soa ?a?,?
Auth rized Signa[ur omr todOwner Ma ing Installationl Phone N?mbeiF 6//
??%1
iJ / Ci
MINNESOTA STATE 90ARD OF ELE NICITY THIS INSPEGTION PEQUEST WILL NOT
Grigpa-Midway Bldg, - Room N•791 BE AGCEPTEO BV THE STATE BOAND
1821 Univerailv Ava.. St. Pnul, MN 55104 UNLESS PPOPEP INSPECTION FEE IS
Phone16121642-0800 ENCLOSEO.
VREQUEST FOR ELECTRICAL INSPECTION . es-o-oo/?oi-o?
1 See inslruttions tor complating this fwm on beck oi yellow copV. L' ?l /!?3?
D41904 "R" 8elow Work Covered by lhis ftequest
Now Ads NeD-?TVOe ol BuilEing i1P0liancne Wired EquiVment Wired
Home Range Temporary Service
Duplex Water Heater Liqhtiny Fixtures
Apt. Building Dryer Electric HeaUn
Commercial Bldy. Fumace Silu Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tenk
Farm ome, per., y ome, (SVeddv)
1 er SUCCify Oiher 011,i?r
Compute lnspectlon Fee Befow
k Fea Service Enlrence5ize n Pee Fenders/Subinxders N Fee Circuits
?1. 0 to200qms 0 ta30qms Otn30Am,s
Above 200 qmps, 31 to 100 qmps 31 to 100 Am s
Swimming Pool Atwve 100_Amps Above 700_Am?s
Transformers Irrigation 8oorris r 5 Partial•`Other Fee
Signs Special Inspection sV
$ TOT
'
?^
ppp `
R¢marks ya- A
,
E
?
7• /?r? ?r)
?? "N
Hough-in I, Ihe Elecvicel
InsOectoq hereby
certity thet [he nbove
Final Date fnspection has been
(0 '1(5 notaa. i
Riie reQUasl voiC 18 montlre trom
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
/ See inshuctions (or complelirg lhis torm on back of yellow copv. ~• f????5
E 'gL 5 4 ' X" Be/ow Work Covered by Ihis Request
Nsv? AAd Nep. Type of Building Appliancee Wirod Equipmant Wire!1
Home Runge Temporary Service
Duple.x Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unluader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm otner nen v Otne, i50c10y1
t ?.r Succi Y OtOnr ptber
Compute Inspection Fee 8elow
M Fee Sarvice EnbanceSize X Fee Fexders/SUGlenders N Fae Circuits
0 to 200 Amps 0 to 30A m s 0 in 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Ahove 100-Am 5
Transformers Irrigation 8ooms Partial,"Other Fee
Signs Special Inspection O?U
S
TOTp
Rerteirks ?. ? / '
5 ?
Roueh-in D:rte ?.the cvic
? ? Inspector, ereby
final
L" certify thet the above
inspeclion has bean
,r? ae made.
mis repuesl voiG 18 moNhe Irom
rnis ea.es vo,a 5?l80
18 nwnths trom
E 9 2 rl a
8.3 %v5
ve rvo. nouPn-in mspecuon
/(J{? Reyuired? Qrfieatly Nuw ? WiII Nntify Inspec
1;5-(n-' Cl 0 nyes Rl NO lor When fleaAV
[p Ucensed Elec[rical Contractor 1 hereby requast inspection ol ebove
? Owner elacfrical work instelled et
Sveet Atldress, 6oz or Route No. City
i Y'O /7, ' ?h)
!c M1ip Nnme or No.
ff ftange No. uy
? N
H
Occupam IPR?NTI , Phone No.
J (-) 7
Power SuDVlier Atldress
Electncal Convactor ICOmVany Namel Con??actor's License No.
Harrison Electric Inc. " 421867
Mailing Addre.ss Convactor or Owner Making Instailationl
364 Mo n Avenue No. Mpls., MN 55412
Author ed ?Bn r ntractodOwner MakV Installation) Phone Number
1 521-0520
MINNES TA STATE BOAPD OF ELECTRICITY THIS INSPECTION REQU[ST WILL NOT
Griggs•Midwav Blde. - poom N-791 BE ACCEPTED BV THE STqTE BOARD
1821 Universitv Ave.. St. Pxul. MN 65106 UNLE55 PROPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
UZ0q
RESIDENTIAL MECHAIVICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for. Single Family Dwellings & Townhomes and Candos when perntits are required for each imit
3Q - Sb
Date-Lo/il/ 03
Site Address
Unit #
Property Owner / AV I _5 Telephone #
Contractor / J1 D/ J__:;/C-( m Li i, " - & '
Street Address i/J lr1__ ST . City M J
State Zip 55633 Telephone # J -7 ``-( I 7 -7
Bond #: Expires:
The Applicant is ` Owner x Conhactor
? _ Other
d -on, modification or alteration to existing dwelling unit DE g ? 0 T? $ 30.00
fumace replacement ?
OC T 2 7 2003
air exchanger
air conditioner _ New _ Replacement By
other
State Surcharge $ .50
Total $
I Lereby apply for a Residential Mechanical Pernut and acknowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry oFEagan and with the Mechanical Codes; at I understand tlus is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work a?ill e in accordance with the
a oved plan in th e of k wluch requires a review and approval of plans.
G v?
Applicant's Printed Name Appli6anYs Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122 /
651-681-4675 ) -?) S
New Construelion Reauirements RemodeURemir Reauirements
• 3 regis(ered site surveys slwwing sq. ft. of lot, sq. fl. of house; and all roofed areas . 2 capies of plan
(20°h mazvnum lot wverage allowed) . 1 set ot Eneyy Calculations tor heated additlons
• 2 copies of plan shmving beam & window s¢es; poured found design, etc.) • 1 sRe survey far e#erior additions 8 decks
• i set of Energy Calculations . Indicate rf home served hy septlc system for addNOns
• 3 copies of Tree Preservatbn Plan if lot platted afier 7/1193
• Rim Joist Detail Options selection sheel (bldgs wilh 3 or less units)
DATE //- ?Z ' '-) 2. VALUATION sy .?/ a "
SITE ADDRESS 36S,5 MULTI-FAMILY BLDG _ Y k N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS
&.el?`_ /?I STATE RN ZIP S` /o '
TELEPHONE#?77-7,f/i CELLPHONE#6i2--Sa-Y-o15?75J PAX#151-7??-1,Y71
PROPERTYOWNER_Cz-m
'? !&"? TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL'SOTA RULI:S 7670 CATLGORY 1 MINNESOTA RliL1;S 7672
(J submission type) . ResidenUal Ven6lation Category 1 Worksheet Submitted • New Energy Code W orksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing sys[em inclucies:
Water Softener _
Water Heater _
No. of Baths
_ Pho[1E #
Larm 5prinkler
No. of R.I. Baths
Fee: $90.00
Mechanical Contractor: Phone #
Mecfianic;il syslem includcs: Air Condifionii*,1 i? Pcc: $70.00
Heat Recovery Systcai
?._.. r ., K.,?
Sewer/Water Conhactor: ; . . - Pho Jne #
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.
SignatureatAppllcant
.__------- __----_------- -------------- ------------------ _----- -----__..__----- __---------- ____._----- -------- -.... -
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updaled 4/02
I:
- UTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: eusLprNe
Permit Number: 031740
Date Issued: 0 q/g g /g g
SITE ADDRESS;
3655 GREENSBORO DR
Lp7: 5 BLOCK: 6
GREENSBORO 2Nn
P.I.N.: 10-30901-050-06
DESCRIPTION:
ermit Type FIREPLACE
o„r?k Type NEW
434 ALT. RESIDENTIRL
;?--
?
REMARKS:
PERMIT
NO
?'? m ?I I?
#
2N . '6?'?' ?
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
7ota1 Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
FIf2ESIDE CORNER INC 16332561 2009991 NAVIS CRAI6
2700 N FAIRVIEW AVE 3655 GREENSBORO pR
ROSEVILLE MN 55113-0847 EAGAN MN 55123
(612) 633-2561 (612)456-9107
?
I tser-et+k"f„'ackriawl
..' i Yr'?°a M7i1 ??;b h;
=tnqan Rg I A I Yhl?
APPLICANT/PERMITEESIGNATURE - 'ISSUEDB:SI ATU
CITY OF EAGAN
440 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE: , PERMIT FEE: .SO
DESCRIPTION OF WORK: ? CONSTRUCT NEW FIREPLACE _ ALTF.RATIONS TO EXISTING
INSTALL GAS INSERT ONLY
STREET ADDRESS:
_ INSTALL GAS LINE ONLY
OTIiER:
?
> C?.?S I
LOT r BLOCK SUBD./P.I.D. #: 4WnUkiY inll
APPLICANT: (circle one only) OWNER CONTRACTOR
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name:
Signature: ?
Street Address: ? ? ?
City: ?iQ
Company: E
Signature:
Street Address: 77?
City: ? am(9 ( I 1 P
Companv.
Name:
Signature:
Street Address:
City:
r
Phone #: 1-4-, L) - 2/0 7
fil ! U' Zip: 5?-?/,2,21
License #:
Zip: ?
PhnnP ft•
State:
Zip:
?-?
92
1987 BIIILDING PERMIT APPLICATION - CITY oF EAG9N
SINGLE FAMILY DWELLINGS
INCL[T?E 2 SSTS OF PLANS, 3 CERTIFICATSS OF SDRVEY, 1 SIIT OF ENERGY CALCOLATIOHS
NOTE: ADDRESSES FOR COHNEF LOTS - CONTRACTOR/HOMEOANER MQST DESIGAAYE AHICH ADDRESS
IS DESZRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSDED.
MOLTIPLE DiiELLINGS - RESIDENTIAL RENTAL ITNITS FOR SALE UBIIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SORYEY - CIiECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAfERCI6L
INCLUDE 2 SETS OF ARCHITECTURAL & STEiUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: ? Date: !v-Y 7
Site Address 3?oS S?/,?ylQ?j(9Z,Q ? OFFICE USE ONLY
Lot ? Block On Site Sewage Occupancy 12 3
g./ _
MWCC System ? Zoning R I
Parcel/Sub On Site Well Type of Const
City Water ? (Actual) Tz:
Owner (Allowable) -?-
# of Stories
Address Length ?O
Depth ?
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROV9iS FEFS
Contracto ?. `? ,QQJI Assessments Permit -; ? •-?b-
Water/Sewer Surcharge 4,
Address Police Plan Review l`is ?S
Fire SAC, City l00 .
City/Zip Code Engr SAC, MWCC $ ZS
Planner Water Conn 525.
Ph i ??? -?n Q? Council Water Meter ?
Bldg Off Road Unit 305-
Arch./Engr. APC Treatment P1 1??p_
Varianee Parks
Address Copies
TOTAL ?.
City/Zip Code
Phone al
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?. ?•vented
TRI-LAND CO.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
JOE MILLER CONST.
LEGAL DESCRIPTION: LOT 5,BLOCK 6, GREENSBoRO SEGO/vDADD.
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
N
ScALE : I"= 30'
N O°26'11"W
85.00 9 27
5
F U') I
15
- la?wj-:g -4:?E'
! ?? T 4 Z LOT 5 h
wI
W
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% -}- ,Va,CrNERN SrArt?IDH 7C? ?
0 7 N EASEMENT
aQ
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GP?GE ? pR
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P1 k?
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8g?s 85.00 g78'3
N o• z6 ,1, w
rg
GREENSBORO DRfVE
MQ
_
89'1.9 RrM
. 8? ?. r .??
LEGEPiO
o DENOTES IRON MONUMENT
* DENOTES WOpD HUB SET
DENOTES EXISTING SPOT
EIEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hersby csrtify that this survey,plan or
report was prsparad by ms or under my
direcT suparvision and that 1 am a duly
Repistered Land Surveyor undw the
Laws of tho Stute of Minnesota.
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 8uy o
PROPOSED FIRST FLOOR ELEVATION = 89v. A
PROPOSED BASEMENT FLOOR = S74.r?
ELEVATION
NOTE ' VERIFY ALL FLOOR HEi6HTS WITH
FINAL HOUSE PLANS
o. u eQ
Brodley . wenson, Mn. Rep. No. IS23b
Dar.: 461e,JRn
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
!aOTF:: PAYMEEBTP' OF FEE AT TIi+1E pF
APPLIcrMorr noES Nom coNs-riTM
apPROVAu, OF PERMsr.
irtsencr=oN oF sDM Arm/CR wAMR
jt S iSATTON$ WILi, ND'p EE $CHm-
ULID [7NFII, PII2MLT AAS BEM
APPROVID.
P ease Print ^^^^ ^'
^
?1) pROPERTY ADDRESS: _ 3(p SS (s°rce'La •-
LEGAL DESCRIPTION: ,$ (P ^
%++vu/niucx/auAa1v1s10A OY' '1'dX YdTCEl ID #)
If' E}QSTING SIRCC.'MME, DATE OF ORIGINAL BL'ILDING pERMIT ISSi'ANCE: :
PRFSEPTt ZONING/PROPOSID LSE: (Mon ear
[] COi44El2CIA1/REfAIL/0FFICE
Q IPIDL'S1RIAi,
n INSTI7[)TIONAL/GOVERbA1ENpP
dR-1 SINGLE FAMILY
Q R-2 DOPLEX (Two Cfiits)
? R-3 TOWDIIHOT-ISE (Three + Units) ( Lhnits)
Q R-4 APARTMEN'P/CONDOMINIOM ( Units)
2)
NAME: J a` ?i ?l? bC°o ,td f'
aDDxFSS:
CITY, STATE, zIP: ?av...t.-r4o?
PHONE: 5(3 a- ,200 /
3) ' m?• NAME:_ For City C?se ,.
Iti N to u Plimibers License:
aoDxFSS: ? /4.2 ;z 8 23 6 L), Active
CITSt. STA2E, ZIP:_ N Exprea
Not recorded
,
PHONE:_ 55?3(?7i MASTFM LI(ETISE# N,z&oS '
Sta "f Initial
4) ?• ' • ?..v.i?:
NAPE:- .?a...? 9r
_ ADDRFSS: •
CITY, S"PATE, 2IP:
PHONE:
'S) , '' r' •?' :a •a• - a?
B''CONNEC!'ION 1O' CITY SEWER [?3,=mu=ION TO CITY WATER
6) PLF,ASE HOLD ApPROVFD PEE2MIT F'OR PICK-OP BY ONE OF ABOVE ------
PLFASE ? PI.EASE MAIL ApPROVID PERMIT 7D 1, 2, 3, 4, ABOVE '
(Circle one) 7) - : ,
:-FOR -CITY USE ONLY •- PERMIT # ISSUED •
IlJ ? - -
Pd w/Bldg. Permit FEES:
$ $ ?D "•5? SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ?d • SZ'? WATER PERMIT (INCLUDE SDRCHARGE)
$ I? 7`Q v $ WATER METER/COPPERHORN/ODTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ') C% ACCOLNT DEPOSIT - SEWER
$ $ IrS ' O Z' ACCODNT DEPOSIT - WATER
$ ? Z $ WAC
$ ?i z-f ' Cr7J $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER: •
TOTAL
._. 75-16
RECEIPT RECEIPT ?- °
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSDED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWIIVG CONDITIONS:
APPROVED BY: TITLE:
DATE :
i
F?Dm. B4 L E I-?? ?-?
E
/ InI I I iarn ?nl.aC.?r _
--
oll
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- --
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----
--- ?----------------_-_____-_------_._---_._
-------------------
3?$.? Cc?.r_i-?Y ?l?nl.??
-
-
-
?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163505
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 3655 Greensboro Dr
Lot:5 Block: 6 Addition: Greensboro 2nd
PID:10-30901-06-050
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 -
Craig Tste D Navis
3655 Greensboro Dr
Eagan MN 55123
(651) 456-9107
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164535
Date Issued:10/01/2020
Permit Category:ePermit
Site Address: 3655 Greensboro Dr
Lot:5 Block: 6 Addition: Greensboro 2nd
PID:10-30901-06-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Craig D Tste Navis
3655 Greensboro Dr
Eagan MN 55123
(651) 456-9107
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature