3656 Greensboro DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3656 Greensboro Dr
Lot: 8 Block: 5 Addition: Greensboro 2nd
PID:10- 30901 - 080 -05
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replace
Description: Air Conditioner
Applicant/Permitee: Signature
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Comments: Questions regarding electrical perm
952- 445 -2840.
Permit expired without required inspections. Letter sent 2/03/09 CE
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Ronald W Wacker
3656 Greensboro Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA079922
09/20/2007
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3656 Greensboro Dr
Lot: 8 Block: 5 Addition: Greensboro 2nd
PID:10- 30901 - 080 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Ronald W Wacker
3656 Greensboro Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
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
Building
EA091554
10/09/2009
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3656 Greensboro Dr
Lot: 8 Block: 5 Addition: Greensboro 2nd
PID:10- 30901 - 080 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Ronald W Wacker
3656 Greensboro Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
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
Building
EA092397
12/22/2009
ePermit
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ??
PHO N E: 454-8100
BUILDING PERMIT Receipt ? To be used for ;;L' ?g;y(;/GAR Est. Value $92,000 Date NOVFt"=RER 17
SiteAddress 3656 cWENsBGF0 nIZivB
Lot r- Block 5 Sec/Sub. GREENSBORO 2110
Parcel No.
ac Name JOIi M1LLZR CQN3TjiUCTlOH
; Address 18133 CSDAR AVF . ?UtJTFI
° City F3M. Phone 4:2-7001
¢
.o Name_
? Q Address
? City _
yVj W Name _
z g Address
u
aW Clty_
I hereby acknowledge that I have read thYS applicafion and state that the
infoEmation is correct and agree to complX with all applicable State of
, Minnesota Statutes and City of F:agan Ordinances.
' Signature of Permittee
A Buirding Permit is issued tat-11 L+$R ?UHytR11 iflh
on the express condition that all work shall be done in accordance with all
applfcable State of Minnesota 5tatutes and City of Eagan Ordinances.
BuNding Ofticial_
OFFICE USE ONLY
On Site Sewage OCCUpancy A-3 N-l
MWCC 5ystem ! Zoning R" 1
On Site Well (Actual) Const V-2r
City Water (Allowable) V"N
PRV Required # of Stories
Booster Pump Length 45
Depth 54
S.F_ Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit .542.00
Planner Surcharge 46.00
Councit Plan Review 3 7t•00
Bldg. Off. SAC, City 100.W
Variance SAC,MWCC 550•?
WaterConn. S?.QQ
Water Meter
C)U
67,
Road Unit 325.?
TreatmentPt 204_flA
Parks
TOTAL 126SS.Q(}
BLDG. PERMIT N
? 01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
?
20-3865 Water Conn.
; 20-3868 Water Trmt.
20-3716 Waier Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
?FnR ??5/01/90 CITY OF EAGAN ; . ....7,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for :'i!•' : W/GAR Est. Value E 0? .C10^ Date 17 ,19 -` -'•
SiteAddress ??`? ?RpE*'SP!?R? n$1YE OFFICE USE ONLY
Lot Block ? Sec/Sub On Site Sewage Occupancy R'•3/4"1
.
MWCC System
:. Zoning kY;
Parcel Mo. S
W
ll Y-N
On
e
ite (Actual) Const i
a
Name '`415Tt?''Xl•
L
CityWater
(Allowable)
Y"N
=
d dress S r' 13 AY%• sa.fT!l
A PRV Required
B
P # of Stories
h
1ib
° City Phone 4!t-2CK%l ooster
ump Lengt ?b
Depth
,
a Name S.F.7otal
? q
Address
Footprint S.F. ?
? City Phone APPROVALS FEES
?
V . Enqr./Assess. Permit g??•??
y
j W Name 46
?
? Z
Addr Planner Surcharge ?
' `
_- ess 27?'??
UZ
4 W
Cit PhOnB
y
Council
PlanReview ?
100
00
Bldg. Off. SAC, City ,
I hereby acknowledge that I have read this application and state that the
Variance
SAC, MWCC 55000
?
i
inlormalion is Correct and agree to comply with all applicable State of Water Conn. g?•? 3
Minnesota Statutes and City of Eagan Ordinances. Water Meter 57•00
Signature of Permittee
Road Unit 325.00
A Building Permit is issued ta `? 1"r f( "?ASTRU : Treatment P1 204.?
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _ TOTAL ',2655.0.0
?
_ Parmit No. Permit Holdsr Date Tslsphone #
Plumbing
H.V.A.C.
7t I 5 ?WtIa
Electric ,uG'(
Softener
Inspection Dats Insp. COR1me11t4
Footings I ,
Footings II
Foundation
Framing .?3
Roofing
Rough Plbg.
Rough Htg_ ?N
ISUL Z Gk? V? Y'4, 51?4 ? i.. ?%a G?,•r r
Fireplace
Final Htg.
Final Plbg. ?
Bldg. Final
Cert.Occ. ZS ?
Temp. LP
Deck Ftg. ?''q?
Deck Final
Well
Pr. Disp.
PERMIT #
PLUMBING PERMR RECEIPT # `
CITY OF EAGAN ? 3830 PIIGT KNOB ROAD, EAGAN, MN 55122 DATE: 7Site Address
Lot Block
? Name
? Addre
c Ciry
L Name
3 Addre
O Ciry _
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8. CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. ?- New
Mult. Add-on
Comm. Repair
Other
RES. PIBG. ONLY - COMPLETE THE FOLLOWING:
NO., FIXTURES TOTAL
Water Closet - $3.00 $
?Bath Tubs - $3.00
e Lavatory - $3.00 ?
Shower - $3.00
% Kitchen Sink - $3.00 *
Urinal/Bidet - $3.00
' Laundry Tray - $3.00
TFloor Drains - $1.50
' Water Heater - $1.50 '
Whlrlpool - $3.00
Gas Piping Outlets - $1.50 ,
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Oisp. - $10.00
" Rough Openings - $1.50
FEE:
STATE S/C: GRAND TOTAL:
PERMIT #
. MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 1{
?
CONTRACT PRICE PHONE: 454-8100
Site Address
r , . - .
BLDG. TYPE WORK DESC IPTION
?
Lot
Block Sec/Sub ?
?
Res.
New
Name Mutt Add-on
l ?
Add
s Comm. Repair
v
' c re
?
Ciry ' .
Phone Other
Name F ?
'' `' `S = ? -•`-? ??' • FEES
RES. HVAC 0-100 M BTU - $24.00
c Addres
?? '?/?'1 ? ? ?8 •
ADDITIONAL 50 M BTU - 6.00
O City ?'? ?' • Phone '? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PEFiMIT) - 1
50 EA
!
TYPE OF WORK -
.
.
COMM/IND FEE - 1oi6 OF CONTRACT FEE I
Forced Air M BTU ?•? APT. BLDGS. - COMM. RATE APPLIES I
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM $?-
'
? (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # $ 1• BEYOND $1,000)
Other ,
FEE: ?J•? ?'?l'//. ?"
f,I% ?!
I
?
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
' . - . ,., . ' 4. . ' . . ..
• t CITY OF EAGAN +•'? i•??.3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for FIIZEPI.ACE Est. Value =1 rOW Date MwY Z
Site Address 3636 CRdl=W
Lot ? Block s SeGSub.
P?rnel Ali.
W Name JUE MlWR CONSZRUCTIOM
? Address - 18133 CEDiAS AVE 3
0 Cit F?Tp6Y0N
y Phone 431-20;;1
, o Name hIDWOT TIRHPIJICB Qp
o? Address 5205 MIY 169 !1
? City pLYMUTH Phone 559-5900
Phone
I hereby acknowlege thal I have read thisapp1 ication and state that the
information is correct and agreqe to comply kith all applicable Stale of
Minnesota Stalutes and City t-Eagan Ordinance?!`
Signature of Permitee
A Building Permit is issued to; FI RPt.Cp rn
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Offitial
OF FICE USE ONLY
Occupancy _ FEES
Zoning _
(Actuaq Const _ Bidg. Permit 25.00
(Al1Owable) - Surcharge • 50
# of Stories -
Length _ Plan Review
Depth _ SAC, City
S.F. Total _
SAC, MCWCC
S.F. footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
City Water _ Aoct- DePosit
PHV Required _ S/W Permit
Booster Pump - S/yy Surcharge
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council ?
BIdg.Off. _ Copies
Vauiance - TOTAL 25.50
permit No. Permit Molder Date Te{ephom N
WATER
SEWER
PLUM8ING
H.VA.C.
ELECTRIC
hqpwtion Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Hlg.
Isul. -
Fireplace ? Q hs t c I? ?? ?J .S
Final Htg. S 7
Orstal Test
Final Plbg. Plbg. Inspector - Notify Plum6er
Const. Meter ,t,T
EngrJPlan
Bldg. Final ? z
Deck Ftg.
Dedc Final
Well
Pr. Disp.
TY -OF EAPpN Permit No: 118 1.1 / 21 ! F38
Date:
3830 Pilot Knob Road
Meter No:
P.O. Box 21 f 99 r 2 Size: m
Eayan, MN 55121 Dogder iyo: Date: ? ?g
Owner. - ??
SiteAddress:
Plumber L8 HS C?CF.r??(SBOi.;;}
Conn. Chg: _$ 550.00 pd Zoning:
Acct Dep: 15 OD od
Permit Fea ? 0 b0 pd No. of Units: 1
Surcharge: 0 nd
Tr. Plant 1 agree lo
compl
y with the City ot Eagan
Meter.
6 7 00 ? c1 Ordinances.
Misc.: 7?_?
gY-,??"'?
WATER SERVICE PERMIT
----? ?.
-'' CITY OF _EA?rAN Permit No: 112 58 -
3830 P11o1 Knob Road' g/,p No:
P.O. Box 21199 . ?§ Eagan, MN 55121
Owner j0f4;, MILLER COIVST
Site Address: 2656 GREENSBORO DR.. I.R _ R-
CC: ? 550.00 pd
Chg: 100 QO a-!
. Dep: 15.00 p?
iit Fee: - 10 00 gd _
harge:
Date: 11J21d88 1
Date:
R-1
No. of Units:
I a9res to cOmply with fhe CHy of
Ordinanceg, '
Bv_
SEWER SERVICE PERMIT
P.O. Bi
Eagan,
Acct Dep:_
Permit Fee:
noad Meter No: 1- uate: - • & •: ,^ -
t 99 ,• %ader No: Size:
5512i --- Date:
S:0.00 uii
Zoning: R-1
15.05 :,:?
d No. of Units: I
Tr. Plant ' -' I agree to comply 204. t:• with the City ol Eagan
,?
Meter. ardinances.
Misc.:
ey
_ WATER SERVICE pERMlT I
a
- -A
- BY
SEWER SERVICE PERMIT
,
Mwcc: 50. o^ ., ;
City Ghg; YCp, Gp Zoning• T
p, 15. ori Pr: No. of Units: '
Acct. De
Permit Fee: agree to complr with the City oi Eagan
Surcharge: Ordlnances.
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box3t-199, Eagan, MN 55121 N? 15877
BUILDING PERMIT PHONE:454•8100 ?'qaa7
Receipt #
To be used for SF DWG/GAR Est. Value $92,000 Date NOVEMBER 17 ,1988
SiteAddress 3656 GREENSBORO DRIVE
Lot a Block 5 Sec/Sub. GREENSBORO 2ND
Parcel No
a Name JOE MILLER CONSTRU^TION
W
3 Address 18133 CEDAR AVE SOUTH
° City FMGTN. Phone 431-2001
a
.o Name SAME
? Q Address
? City Phone
.?
ww
W
Name
t-
i ? Address
u
a zw
City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree t compl with all a icable State of
Minnesota Statutes and City of, ances?. A '
Signature of Permittee - r ?--?
A euilding Permit is issued to: JOE MILLFR_CQNSTFII.^,.T?nN
on the express condition that all work shal I be tlone in accordance with all
applicable State of Minn o StatuteLft Ciry of agan Ordinances.
Building Official_ - _ - ?-
--
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCCSystem $_ Zoning R-1
On Site well _ (Actuaq Const V-N
Ciry Water ._x (Allowable) V-N
PRV Required _ a of Stories
Booster Pump _ Length 46
Dep[h 54
S.F. Talal
Footprint S.F.
APPROVALS
En9r./ASSess._
Planner _
Council _
BIdg.Oif. _
Varience _
FEES
Permit
SurCharge
Plan Review
SA0. City
SAC, M WCC
Waler Conn.
Water Meter
Roatl Unit
Treatment Pt
Parks
TOTAL
542.00
46.00
271.00
100.00
_559_e_Qo
_5SSZ-QO
-fiZIlO
__32.1..QO
- 204.-00
$2b55..D0
CITY OF EAGAN Np . 1$993
e 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PERMIT PHONE: 454•8100
BUILDING n t3 (Q ?
'
, Receipt # l
C
Tobeusedfor . FIREPLACE Est.Value $1,000 Date MAY 2 , 1991
Site Address 3656 GREENSBORO DR
Lot 8 Block 5 SeclSub. GREENSBORO 2ND OFFICE USE oNLY
ParcelNo. - occupancy _ FEes
Zoning _
w Name JOE MILLER CONSTRUCTION (ACtuaqConst Bldg
Permit 25.00
-
.
? Address 18133 CEDAR AVE S (Allowable) 50
0 Suroharge .
City FARMINGTON Phone 431-2001 8 of Slones _
Plan Review
- Leigth _
o Name MIDWEST FIREPLACE CO Dapth SAC
Cit
_
,
y
0? Address 5205 HYIY 169 N S.F.TaWI _
City PLYMOUTH phone 559-5900 S.F. Poolprinls _ SAC, MCWCC
? On Site Sewage _ Water Conn
ez Name OnSiteWell
- WaterMetar
?a Address Mwccsystem -
AaL Deposit
5 W CityPhone City Water _
PflV Required - S/W Permit
I hereby acknowlege that I have read thisp lication and slate Ihat the Boosler Pump SNJ Surcharge
information is correct and agrto w ply rth all applicable State of
MinnesoW Stalutes and Ciry 'Eagan O in ce Treatment PI
SignaWre ot Pertnilee APPROvALS Road Unil
A Building Permit is issued to: - MIDWF.ST FTRFP[ ?" 68 Plannar - park Ded.
on ihe express Condition thal all work shall be done in accordance with all Council
appliwble Slate of Min
nesota Statutes and City
ot Eagan Ordinances. BIdg.Oft _ Copies
?
1
BuiltlingOHicial /
- IIP:tI(} ? rn_CI
Variance
- 70TAL
25.50
WdtM 1nsDect°`
ReadY? 1
? L REQUEST FOR ELECTRICAL INSPECTION
?7 O ? See instmdions tor completing ihis lorm on back of yellow capy.
6 r o15 "X" Below Work G"overed by This Request
E0-00001-08
ew Add ep. Typeof8uilding ApplianCesWired EquipmentWited
Home Range Temporary Service
Duplex Waler Heater Electric Heating
Apt. Building Dryer Other (Speciy)
Comm./Industriai Fumace
Farm Air Conditioner
Olnar (sVecAy) Convactor's Remarks'. ,C ?
Campute Inspection Fee Be/ow: /?
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ AmpS Above 100 Amps
SignS insoectors Usa only: l TOTAL
Irriqation Booms /(ra0 ? , ?0
Special Inspection
AlarmiCOmmunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R019"-'n ? oaie
certify that the above inspection has
been made. F;f1ei
OFFICE USE DNLY
This request voW 18 monRi4 Irom
/ .. _
. REQUEST FOR ELECTRICAL INSPECTION
ll? See instructions for completing ihis form on Oack of yellow copy 1494,
Z 85 72 6 •x' Below Work Covered by This Request _3, 1 4n/Vzft-...
ew Add Rep. TypeoiBuiltling AppliancesWired EquipmerriWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olherjspectify) ConVactor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnfranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 10o Amps
Transformers Above200-Amps Above100_Amps
SigflS Inspeclor5 Use Oniy: TOTAL
Irrigation Booms ?8. ?
Special Inspection
AIarMCOmmunication V
Other Fee
I, the Electrical Inspector, hereby Rouyn-"
certiry that the above inspection has
been made. F;,,ei ( oate ?
OFFICE USE ONLY
This request void 18 manths irom
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date
Site Address Unit #
Property Owner __?.('? ???d.?? Telephone # &61 ) 627 15 `'J(o
Contractor ??Vl)'lLn \,kl Q(]G Q
Add
I
Ci
??{fYl
ress
.
ty UJILVI,
State { Y `? Zip Telephone # (DQ)
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.D0)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
? Lawn irrigation system
?' }
_ Water softener Water heater
+^rf`'' I'? 15.00
_ replacement _ additional
i
B? $ 50
State Surcharge
Total $ <5U
I hereby 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 with the Plumbing Codes; that I understand this is nut 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.
V)?,.v..s U JeL,?. ?? ??= -
Applicant's Printed Name AppiicanPs Signature
sqoi RESIDENTIAL
BUILDINC PERMIT APPLICATION h`5.
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constnuetlon Reauirements
• 3 registered sHe suneys showing sq. ft. of lol, sq. R. of house; and all roofed areas
(20°h maximum lot coverage allowed)
• 2 copies of plan showing beam & window s¢es; poured found design, etc.)
. 1 set of Energy Calculations
• 3 wpies of Tree Preservatbn Plan if lot platted after 7/1193
• Rim Joist DeUil Oplions selection sheet (bidgs with 3 or less unihs)
DATE F/9l47-2
SITEADDRESS ?bs?0
TYPE OF
APPLICANT___&tVo14?J _0,
MULTI-FAMILY BLDG _Y J(N
_ FIREPLACE(S) _ 0 -)C 1 _ 2
STREET ADDRESS 3656 GJ?E.?N-t',BOyeo l2.2 CITY ??IW STATE/y%VZIP
TELEPHONE # 45407-9'5g CELL PHONE # FAX #
wkra- 651:205-49P10
PROPERTYOWNER 4N44_0 ZOn?fl WAG.r.£.C TELEPHONE# 6S/-??'I-9S?37p
COMPLETE FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNrSO'1'A RiJLES 7674 CATEGORY 1 MINNESOTA RUIT,S 7672
(J submission type)
Plumbing Confractor: _____
Plumbirg systcm includes:
. Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
_ Water SofLencr _
_ Water Heater _
1Vo. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
Heat Recovery Syslem
Phone #
Phone #
ssia3
• New Energy Code Worksheet Submitted
P'ee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant . -4,4`4 41 Vade.L_
---°------------------------------------ ------------------ ..__--------_.-----• °-- -
- -- -°•------------------°--------°--------- ---------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RemodellReoalr Reauirementa
. 2 copies of plan
. 1 set of Energy Calculatians for heated additians
• 1 site survey for ezlerior additions & decks
• Indip[e if hwne served by septic syslem for addidons
1S
'PVALUATION k' y?0' 3-0OD
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
? .
SINGLE FAMILY DWELLINGS
Jh ? 7?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/AOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. N0 CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SdLE UNITS 11 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COM9ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
0j 1Q?
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCU W_%
LATIONS
14
1988
MOV
? ?
To Be Used For: ' ZQ Valuation
? Date: /? ?U '-pD
Site Address ?
000?
OFFICE USE ONLY
Lot ty ?
Block
On site sewage
Occupancy R-3 M-?
MWCC system _
r/ Zoning R-I
Parcel/Sub PiiC??y.J"9-I? ? On site well Actual Const V-N
City water ? Allowable N/-h(
Owner PRV required tk of stories
Hooster Pump _
_ Length
Address Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone
Contractor -
Address ??z &rw LC,(J,,?L. )'
City/Zip Code
Phone `1`-5, ? `aC17 ?
Areh./Engr.
Address
City/Zip Code
APPROVALS FEES
Engr/Assess Permit J'rU Z,pC
Planner Surcharge ,OC
Council Plan Review
Bldg. Off. [11/Ifo SAC, City /00 , Dt
Variance SAC, MWCC
Water Conn ? OG
Water Meter
Road Unit , OJ
Treatment PlZpy,ov
Parks
Copies
TOTAL
Phone !t
I' , vALLkA'rroQ
r..-_..?.._.?
Z`?X2?,- 5z8X ??'= `7392
?6X y6= ??qG
`6 X SS = 6'.(
Iz X ? = ?2-
r---
1332 yc?3? ??131?
Hou?
2X?1 = 1?1
13a?X 4q? L6yu?(
9lIS?Z..
??? ?
365? ??a;A?a `T)R "
GREENSBORO
TRI-LAND C0. SITE PLAN FOR:
SURVEYING
SERVICES J OSEPH M I LLER CONST.
1260 YANKEE DOODLE ROAD
EAGAN,.MINNESOTA 55126
LEGAL DESCRIPTION: LOT$,BLoCK5, GREENSBORO 2NDADD'N.
ACCORDING TO T RECORDED PLAT
THEREOF AK' ? COUNTY,MINNESOTA
x
Scale: 1"=4d
DRIVE
87Z4TBC
881.9TBC
882.3 NO°26'
0
S 5 --
io'p
EX.HOUSE
GA R. F L. = 8897
-7
j
10' 0
-1 ?
a?
?t
LEGEND
-w.v. s
- ? - -?
I_ 8837 863.9
24
I fvGAR.
N ?
i I
I m 14' i
PROPOSED ? I
I I
I N HOUSE N
23.8 10.17 I
12? '_o ?'----
T 881., --- 682.9 t
?
\ 9eorQ / ae.OS
` LOT
1 8
88-193
2
V za'p
EX.HOUSE
GAR. FL=B&U.9
+ ?
? ? ?
??\?
:3
29' (?)
- NO°26'f I"W
85.00
\
1
-?.?• ?a ?
,,.,\. _-;, r Ir'
?GAN
? DRAINAGE 8 UTILITY
EASEMENT
o DENOTES IRON MONUMENT
* DENOTES WOOD HUB SET
OENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I harsby carfify thaf this survey,plan or
report was proparsd by me or under my
direct supervision ond that I am a duly
Reqisfersd Land Survlyor unMr ths
Laws of tAe Stote of Minnesota.
Date
Swensoe, Mn. Ray. No. 15235
PROPOSED SPL17 ENTRY WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 885•I
PROPOSED FIRST FLOOR ELEVATION= aaR.b
PROPOSED BASEMENT FLOOR = 882-6
ELEVATION
NOTE'. VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Ravised 1o raise basement elev. per
city req. 12-02-88
one or Two Family
All Other
t;l'lY ur' SUILlliN(3 llEPA1tTMlill'P
k:XTH:RIOR ENVF3,OPE AUERAaE IIU II C014PUTATION
(To be suhmitted ivlth building permit application)
Dwelling Ownar
Contractor
JI:
Site Addresa _LD7y? SLO;?14 5
.???RO ZN D ADa 1 ,
Date Phone
LINEAL FEET OF lI
EXPOSED VIALL 5GE ???o?K ft. above grade = 2 57-O-Od lbs
TOTAL EXPOSED WALL AREA SQ. FT.
oPAqUE WALL CONSTRUCTION: "Ull Value x Area
Detail 04 3 x SQ.
reference (''na'''' °U° 1070 K SR•
from F,) m °U°-? x SQ.
attached ifU° x SQ,
sheets liull x SQ.
lipll x SQ.
FT. I .ZD. 77, O(U)(A)
FT. )07,7_0= 0•14 (U)(A)
FT. 132.So= 5,31_(U)(A)
FT. _ (U) (4)
FT. _ (U) (A)
FT. _ (U) (A)
WIidDOWSS "Ulf Value x Area
Alalce & Type
n u CS19)T ::Un x
- SQ. FT, b-?}-.$0 = lO9.s0 (0)(A)
u n np?? x
' SQ. FT. _ M(A)
n u fluff
x S4. FT. _ (u)(A)
uun
x sq. FT. _ (U)(A)
DOORS: "U" Value x Area
t•ta!ce & Type _!271,, 1NS6f(. r "Ull . x SQ.
?Q-
„ „
--CAnn up° •47 x sq.
npn x SQ
u n •
_ IOUu x SQ.
ToTaLS Z3zo•00 sq.
AVERADE IOU"
PoTAL (U)(A) VAI,UES 49S? _
DIVIDED BY TOTAL {YALL AREA Z32-0,f00
4VE1?AaE "U ,115 lesa for 1&2 family dwellinge
300F/CEILIN(1 s
COTAL AREA: Z(p0
FT. 9.00 ? (O1SCO (u)(a)
FT. 2
FT. o _?(U)(A)
FT. _ (U) (A) `
r'T. (U) (A)
)etail reference loUse:rOLf x SQ. FT. JZ1D0 = 2(u, ?aU)(p)
from npu x SQ. FT. ? ?U)?A)
ittached sheets, flUll
x SQ. FT. _ (p)(p)
)escribe apeninge °UoC x SQ. FT. (p)(p)
.n roof. npu x sq. FT. _ (p)(A)
ToTAL (U)(p) VALUES DIVIDED BY 2?p4a = T I-e7 Z?0 SQ.? Zo.g(DCUYA>
l
TOTAL ROOF/CEILINa AREA 12690 •d Zf
AVERAaE I'Ulfl ,02$ or ventilated roofe_
joP K-
?,eoss C-XP?s?D
!`f•5 x ( 34+34t9?o?-9?? = 25Zo_oo?
Cod e- ,
•(n7JC (34t-3¢t4?t4lv, = 107.Zo ?
Pn1 ?olsT
. 83 J< (,34 t 34- t 4!v ,-4? = I 3 z. go 4z,
wrr1wwS
llo x30 =
ZoX3fa =
24 K 3(O _
2¢X4-B =-
2ox?8 =
Acer-s
3° src• w/51-
2? 57j,, 5?
(0° PA-tio
= 28,00 = Z?.do
= 4z.ov
`11 • ?o ?
L6T EyrE? Ea04c.S
enR°5'S "GL Z3zo.oo ,
14?s eorlc , fo1 zo
u 91N1 13z,go
,? wuw's r44,ao -475. Sa
1844 zo ?
4. o x 4- I fo. o0
5, o X (? = 30.0p
lv. o x 4= 24, o0
8•0 ?C Cv = 98,00
/0-7 x 4 = zp. go
SME
11169
8 x 8 = ?4
/---. ?
Walli Rimt And Cottc. Bloclc
ROOF/CEILINQ
t.) Interior Air r'i1m
2.) 5181, (lYP. Bd.
3.) Ineulatiou
4.1 .
5.) Exterior Air Film
(STILL)
apn = 1IR= '1'OTAL (R)= ?S 7g
1-
YlALL
6.) Interior Air Film
7.) }u (3YP. Hd.
8.) Insulation
9.) .??rt-7=?fTr
10,) hiasonite Siding
11.) Exterior Air Film
I2 V1ll, U E
0,61
.56 .
4-f, 00
.61
R VALUE
0.68
.45
19,00
Z,0
7
.1?
npu = 1I?='-.'?i TOTAL M=
RIM
12.) Interior Air Film
13.) Inaulstion
ttl.) 211 Fir Riro Joiat
15. ) .?rr.T= f 1T?
16.) Masonite Siding
170 Exterior Air Film
R VALUE
0.68
Mv0
1.88
z 67
.17
IIUII = 1/R= TOTAL (R)= Z4 lel
L_
?
_.?
FOU[iDATION
18.) Interior Air Film
19.)
20. ) ?-N 5t?er?r?n
21.) 12" Concrete Blocic
22.)
23.) Exkerior Air Film
loult = I/B_ , p?(o
(R) VALUF?
0.68
// 00
1.28
.17
TOTAL (x)
?, '.' Determining "U" values at Roof,
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
; .. _
*NO'PL•: PA]T1ENf OF FEE AT TIME OF
t APPLICATION DOFS D1Clf RON-
SfI'IS7TE APPRGVAL OF PIIt6IIT. *
i
t INSPFLTION OF SEWEt APID/OR {VATER
IIISTALiATIO[1S WII,L NpT gE SCIDUI,FD .'t
y[1Nf'IL PII2MIT FVS BEQi APPROVID.
otV +fwt:wxy+r+aaet?f:txw?ey+x??taxw.+x?f+r
oF `cY6man
_ (PLEASE PRINT
1) PROPII2TY ADDRFSS:
T.FY;AT DESCI2IPTION;
IF EXISTING STR[1CTLRE, DATE OF ORIGINAL BLILDING P° T ISSLANCE:
PRESENT ZONING/PROPOSID OSE:
Q.C04R?ELtCIAL/RETAIL/OFFICE ,ETOR-1
Q IAIDI-ISTRIAL ? R-2
Q INSTITL'TIONAL/GOVEE2NNIENT ? R-3
Q R-4
Mont Year
SINGLE FAMILY
DCPLEX (Two Cnits)
TOWNHOUSE (Three + Cnits) ( linits)
APARTMENT/CODIDOMINIUM ( Units)
z) ? tvAME: uu Iri: llii.- eo.-sk
ADDRESS: ?133 f try'.4.e. .??? .S'
CITY, STATE, ZIP: f?(?; ?c?s ?
r
PHONE:
?j For City Use
3) •? '.k.,_?' NAME: h+oa Glr Pl reums License:
ADDRESS: x! tlctive
Expired
CITY, STATE, 2IP: w??? ?yuw /s/s/ Not recordec
?
PHONE: 5/q3 ?t?17c/ MASTEE2 LICENSE #? aqGS' Sta£ Inal
4)
MAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) p"
r
EaCONNECTION TO CITY SEWEFt ?-CONNECTION TO CITY WATER F-I CTfIER
6) ?' ?' ?,//?i??t.?(? ?DLII+?-? ? ' ? / /- /7- f'd
TrF'k :F'R]F* 1F'If'I(lk*'I(]F'R :F'If]FIi[* :F'If ih :F'I(}' :F'I('X'k1' *lF'If :F'A"XlF *'k'J( ]FIF'IF :I"A"IF'X'X*IF:Fir'X'IF 1k'If ?4"I(:1'i( :F X' :F'If f[ :F]I"k Yf]F'If #' :F'k
:F ]F :F'X'/f:I' :M'RlF'I!'k'Jf :F'X'A"k]F:F'Ri."A'If'A'tY Y
*
* THE GOLD COPY OF THE pERP9IT WIIS, BE SENP DIRECTLY 'PO PUSLIC WDRKS 10 FACILITATE MEPEE2 PICK-DP. ;
PLEASE ALL,OW 24O WpRKING DAYS FOR PROCFSSING. SOINEONE FROM TfIE CITY WILL CONfACP YOU IF 27IQ2E ;
* ARE ANY PROBLEh1S. +
?**?*********x*******+.********r?*,r*rr*****?**x?**?****??****r:***?*+*******:?******?***,r**?**?+*****;
r
FOR CBTY USE ONLY
PERMIT # ISSL'ED
?
Pd w/Bldg. Permit r^EES:
S?
$ $ SEWER PERMIT (INCLCDE SCRCHARGE)
$ $ WATER PERMIT (INCLCDE SL'RCHARGE)
$ ? 2 ? E
DER
$ WATER METER/COPPERHORN/OtiTSIDE R
A
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCODNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ ?J S D $ WAC
$ ? ?a ! $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRi'NK SEL9ER
$ $ LATERAL BENiFIT/TRtiNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ?
J $
T TOTAL
a / ??? ? / ??'?
RECEIPT # RECEIPT
DOES OTILITY CO NNECTION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN POBLIC
ROADWAY" MCST BE ISSLED BY THE ENGINEERING
Q
NO
DIVISION. LIST
AS A CONDITION.
SCBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: '
DATE : /IA
? I ,?d
November 21, 1988
JOE MILLER CONST
78133 CEDAR AVE SO
FARMINGTON, MN 55024
REt 3656 GREENSBORO DR., L 8, B 5, GREENSBORO 2ND
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIfiS - TELEPHONEp ELECTRICO G93p
ETC. - REQUIRED BY LAW
_X Your Sewer and Water Permit for the above property has been completed.
It wi.ll be held at the Public Works Garage (3501 Coachman Road) until
the meter is picked up. BE SQRE TO CALL PUBLIC WORKS (454-5220) FOR
YOIIR PERMANENT WATSR TORN ON.
Your Sewer and Water Permit for the above property cannot be completed
for the following reasons:
i Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or oecupancy allowed until further
notice.
CONA7ERCIAL PROJECT5 ONLY
_ Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coaehman Road) until
the meter is pieked up.
Please come to City Hall to pay for whatever size meter you will need
for this project. The size must be confirmed by either our Public Works
Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before
issuance.
Sineerely,
,?
Jan Severson
Secretary
JS
November 21, 1988
PLYMOUTH PLBG INC
9290 ZACHARY LN
MAPLE GROVE, MN 55369
REs 3656 GREENSBORO DR., L 8, B 5, GREENSBORO 2ND
4447 SLATER RD., L 99 B29 CINNAMON RIDGE 3RD
WARNING: BEFORE DIGGING, CALL LOCAL OTILITIES - TELEPHONE, ELECTRIC, GAS,
ETC. - REQUIRED BY LAW
X Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coaehman Road) until
the meter is picked up. BE SURE TO CALL PIIBLIC WORKS (454-5220) FOR
YOIIR PERMANEPIT WATER TURN ON.
_ Your Sewer and Water Permit for the above property cannot be completed
for the following reasons:
_ Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or oecupancy allowed until further
notice.
COPAERCIAL PROJECTS ONLY
Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coachman Road) until
the meter is picked up.
Please come to City Hall to pay for whatever size meter you will need
for this projeet. The size must be confirmed by either our Public Works
Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before
issuance.
Sincerely,
/
Jan Severson
Secretary
JS
H94.3
1991 BUILDING PERMIT APPLICATION
CITY OF EACAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCT[JRAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET.OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A YERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
-U- C.fParil,.'cE X-.., oL
To Be Used For: F„?e,p/ACe Valuation: 3Date:
Site Address ?eewSL"orw Jl'
Lot ? Block /1
Parcel/Sub '-&uxj,6ry w
Owne r 706 A r//e,,.. t_.a.v.r 1.
Address
City/Zip Code
Phone
Contractor idWC?sl J"rK!J 4c e Co .
Address /io? 1bq W
City/Zip Code
s
Phone Jo / ?- - ? •S9 - eS?IOU
USE ONLY
FEES
Occupancy Bldg. Permit ' • o
Zoning Surcharge _IjQ
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV _ Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL ?
Arch./Engr.
Bldg. Off.
Variance
Address
City/Zip Code
Phone #
4z xzl&? agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN MN 55122
? I PHONE (612) 454 8100
99CANI??
FOR CITY USE ONLY
PERMIT # ?gG a--
RECEIPT # / 4?/,3
DATE: 4 9
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS ?
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON r/
REPAIR _
OWNER NAME: lLVY?e4
SITE ADDRESS:_3?oJ?? ?atia.?oao J??.g„
IAT:F BLOCK S SUBD. "Jn?
INSTALLER: (ENZ-RYAN PIdJMB2NG & HEATING COMPANY
ADDRESS: 14745 South Robert Trail
CITY: Rosemount ZIp; 55068
PHONE #: 423-1144
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $'45- d?,
STATE SURCHARGE: .50
S-o
TOTAL: $ %S -
'p.
SI NATURE OF PERMITTEE
C0MMERCIlf.?,f?kVDPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: yIp;
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
_°ROCESSEP, n•nT.NG - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
CITY OF EAGAN
rl 4 ) .. ???
1990 BUILDING PERMIT APPLICATION ? ?J
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MLTLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
' 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE-WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
?pR 3 0 Reco
To Be Used For: _1)9 cIG Valuation: ? Date: 4V/g0
Site Address C&1EE.uS6vlo dNp ?q, OFFICE USE ONLY
Lot Oso Block S ( FEES
Parcel/Sub
Ocaner OnNAeA a 1041R W,yCWR
Aadress 3656 6AE.C4Ars4,e0 ?)A
City/Zip Code r-9? rj S/a 3
Phone ? S7 g $?s? wcek ,23P-apy!
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty IIA
TOTAL NIv
o4(p ?
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complcte for: single family dwellings & townhomes/condos when peanits are required for each unit
Date1C) /H /_?5
Site Address _U COF-Aon???S bnr-? ?y^ ? ?. Unit #
Property Owner I' 1 nV-\ Telephone #((q5) ) Co& I- G 5510
Contractor r??,.??D??d
Street Address ?c, n _GN c i- S()ii L -_ Q City E wnlrr,ln
State ?'Y1 ,,- Zip tti a ".} Telephone #( l.05 j) N Io p-!n [Za,;?
Bond #: Eapires:
The Appticant is _ Owner ? Conhactor _ Other
Add-on or alteration to esisting dwelling unit $ 30.00
vl"? furnace _Additional ZReplacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ 50
Total $ 3 U . 5 •
I hereby apply for a Residential Mechanical Pennit and aclmowledge that the informalion is complete and accunte; that the work will
be in conformance with thc ordinances and codes of the City of Eagan and willi the Mechanical Codes; that I understand this is not a
permit, but only an application for a pcrmit, and work is not to start without a permit tttat the work will be in accordance wifli the
approved plan in the case of work which requues a review and approval of 7(,/nt4 ? I ndu L,L,
Applicant's P'mr ed Name A zant's S ure
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163682
Date Issued:09/09/2020
Permit Category:ePermit
Site Address: 3656 Greensboro Dr
Lot:8 Block: 5 Addition: Greensboro 2nd
PID:10-30901-05-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ronald W Wacker
3656 Greensboro Dr
Eagan MN 55123
Archer Exteriors
324 Concord Exchange South
South St. Paul MN 55075
(651) 775-7017
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178860
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 3656 Greensboro Dr
Lot:8 Block: 5 Addition: Greensboro 2nd
PID:10-30901-05-080
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Ronald W & Lona Wacker
3656 Greensboro Dr
Saint Paul MN 55123--223
(651) 216-8279
Twin Cities Siding Professionals
664 Transfer Road
St. Paul MN 55114
(651) 255-2844
Applicant/Permitee: Signature Issued By: Signature