3675 Greensboro DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3675 Greensboro Dr
Lot: 10 Block: 3 Addition: Greensboro 2nd
PID:10- 30901 - 100 -03
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA085865
09/05/2008
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.50
Owner:
Julie A Blair
3675 Greensboro Dr
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
- Applicant -
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 Knab Road, Q.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
Ta be used for Est. Value '4 , i i%• Date
Site Address 367' DR
Lot 10 Bfock Sec/Sub. UiiEEP?bB0140 liiD
Parcel No.
? Name FERTt RE Bt'ILiIERS
3 Addre55 I,' niAR`f'(1 i.; :
a City Phone
, o Name
? u Address
P City a Phone
"W WW Name
~ Z ?ddress
U?
s W City Phone
s
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinances.
•
Signsture of Perm"rltae '
A Buiiding Permit is issued to: A1 i _;jC;Rg
on the express condition that all work shall be done in accordance with all
appliceble State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
OFFICE USE ONLY
Orr Site Sewage Qccupancy
MWCC System r Zoning
On Site Well (Actual) Const V'" •`
Gity Water x (Allowable)
PRV Fequired # of Stories
6ooster Pump Length ? 0
Depth 50,
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 550•00
Planner Surcharge 47•00
Council Plan Review 275•00
Bldg. Off. SAC, City 100• CK)
Variance SAC, M WCC 550• oo
WaterConn. ?50•00
Water Meter ? 7. 00
Road unit 325.OU
Treatment P1 204•00
Parks
-'00
'?
TOTAL i
?
..
?
CON
Site,
lot _
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHQNE: 454-8100
? Name 1/; ,? . //,?:• ;?li f F (,(JV
-
? ? y
'
m Address '+,?'
?-'
c City Phone
?
Name
3 Address
p Ciry Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.Q0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF PERMITTEE
FOR: CITY OF EAGAN
DATE:
BLDG. TYPE WOR
Res. V New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TQ?AL
-,/_Water Closet - $3.00 $
Bath Tubs - $3.00
r Lavatory - $3.00
?Shower - $3.00
?' ?
Kitchen Sink - $3.00 ?= •
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
?Floor Drains - $1 50
? Water Heater - $1.50
l
$3
00
? WM
l
poo
r
-
.
50
Pi
i
O
tl
t
$1
=G
.
ng
e
s -
as
p
u
(MINIMUM - 1 PER PERMIn
?Softener - $5.00
well - $10.00 ? ?
Prfvate Disp. - $10.00
=
Rough Openings - $1.50 PERMIT # -
FEE: '
STATE S/C:
GRAND TOTAL• -'^ lv
• . . _ i j /?_?`'
PERMIT #
MECHANICAL PERMIT
• RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? J??? ?•??? ?
CONTRACT PRICE: PHONE: 454-8100
' Site Addy?ss 1?
? Lot Block. s
ec/Sub BLDG. TYPE WORK DESCjtIPTION
?
r
Res.
New ?-
? Name ; Mult Add-on ;
? Add[?ss ' Comm. Repair
Oth
c City ?'`,c ti?.1'W
,?
?
one er
_
FEES
? Name
1
" 13 RES. HVAC 0-100 M BTU -$24.00
c Add[9?S ADDITIONAL 50 M BTU - 6.00
p City -L?z,y' - )11 Phone INCLUDES AJC ON NEW
C
ONSTRUCTI N
GAS OUTLETS
MINIMUM
PER PEF
tlT
0 EA
(
- i
ln/
) - 1.5
.
TYPE OF WORK ` COMM/IND FEE - 1%OF CONTRACT FEE
Forced Air I
v M BTU ?f •U ? APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM $
, (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYONO $1,000)
Other
FEE:
/ ?
/ ?
,
SJC: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
?
- - ------- - - -- --°--- -- -- - - --__?.__ _- - _ __-...,??_-..J
`tk,---•?.? .
BUILDING PERMIT
To be used for
-. ,
Receipt #
Est Value Date ,19
Site Address Lot Block Sec/Sub. ' 7
Parcel No.
a Name
W
3 Address
° City Phone
a
o Name
?
? ` Address
?¢- City Phone
WW Name
F W
? n Address
? W City 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 City of Eagan Ordinances.
Signature of Permittee
.?
A Building Permit is issued to:.
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Bufiding Official
CITY OF EAGAN
3830 Pilot ?nob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
On Site Sewage
MWCC System
On Site Well
ciri wacer
PRV Required
Booster Pump
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
X
x
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC> City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
1. _.
,
S3u.[.K
5 ?, . .
LV• .
T,-7--;, +
_ • Permit No. Permit Holder Date Telephone ik
Plumbing
H.V.A.C.
Electric
°?
E cssr?
Sottener
Inspectlon Date Inap. Commants
Footings I 6l> ??
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ? '
Isul. ?
Fireplace
Final Htg. ZS - ?? 0 ? ?(
Final Plbg.
8idg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN • Permit No: 9744
3,?30 Pf1ot Knob Road Date:
P.t;.:Box 21199 • ?eter No: Size:
Eagan, MN 55121 Reader No: Date:
Cnnn. Chg: ,??0 flQed
Acct Dep:
-- Zoning:
Permit Fes: No. of Units: _-?_
Surcharge:
T
? agree to comply with th
r. Plant e
Meter. Ordinances.
Misc.: ?
BY_
WATER SERYICE PERMIT
? CITY OF EAGAN Permit No: 10 2, 30 Date: 7-7-r; 7
3830 Pilot Knob Road B/p No: ?7Date: f,--1 5-? "•
P.O. Box 21199
Eagan, MN 55121
By
? SEWER SERVICE PERMIT
CITY OF EAGAN Permit No: 9744 Date: 7 -4-88
3830 Pilot Knob Road Meter No:??? 8 0?? Size:
P.O. Box 21199 • Reader No: 0? P 2-- Ir 9 Date:
Eagan, MN 55121 /
Owner. i eature BuiZciera
Site Address? 36T5 Greensboro
ro
Conn. Chg: 550.00nd
Acct. Dep:_ 15. 00pd
Permit Fes: - 1.0. 0,0rd
Surcharge:
Tr. Plant_ 2 04 0 )p,l
Meter. i
Zoning: _
No. of Units:
I agree to comply with he Clty of Eagan
Ordina es. ..
By 4?"'
WATER SERVICE PERMIT
MWCC: 5 5C . OOVt' Zoning.
City Chg: 100•00P,' No. of Units: L
Acct. Dep: iS • 00Y`'
Permit Fee: 10•I agree to comply with the City of Eagan
, Ordinances.
Surcharge:
BLDG. PERMIT
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 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
O
V
c
TOTAL
r
CITY OF EAGAN ? Na 15191
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PFIONE:454-8100 -ir..llo
BUILDING PERMIT ? "'0' Receipt# ?
7o be used for SF DWG/GAR Est Value $94,000 Date JGNE 14
Site Address 3675 GREENSBORO DR
Lot 10 eiock 3 Sec/Sub. GREENSBORO 2ND
Parcel No.
m Name FEAT[JRE BUILDERS
? Address 15513 LOGARTO LN
? City BURN SVILLE phone_ 435-8443
, o Name SAME
? a Address
? City Phone
wW Name
?
ig
Address
4aw Gity Phone
if5i reby acknowledge that I have read this application and state ihat the
information is correc[ and agree to comply with all applica6le Sfate of
Minnesota Statutes and C' f Eagan Ordi?nances?J. Signature of Permitlee
A Building Permit is issued to: FEATIiRE BUILDERS
on ihe express condition that all work shall be done in accordance with all
applicable State of/ ?M-in.n.e_sota S1aWtes and City of Eagan Ordinances.
Building OHicial
OFFICE USE ONIY
on sRe sewage _ Occupancy
MWCC System X Zoning
On Site Well _ (Actual) Const
Ciry Water X (plloweble)
PRV Required _ # of Stories
Booster Pump _ Length
Depth
S.F.Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bidg. OH. SAC, Ciry
Variance SAC, MWCC
WaterConn.
Water Meter
Road Unit
Treatment Pl
Parks
TOTAL
79 88
R-3 M-1
R-1
V-N
V-N
50'
50'
550.00
47.00
275.00
100.00
550.00
550.00
67.00
32'2..QD
204.00
2,668.00
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
% . 11, See instructions (or rompieting this form on beck of Yellow coOV.
Itz- Ej?-2- Q "X" 8elow Work Covered by 7his Request
Ade Reo. Tvpe oi Builtling Apolinnces Wirea Eqaiument Wired
Home Range Temporary Service
Duplex Water Heater Li[?htiny Fixtures
Apt. BuilAing Dryer Elec[rii; HeaLn
Commercial Bldy. Furnace Silo UnloaAer
InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm Nn, peu v .tnc, ISnncltN
t nr SUCdtY Other Other
Compute lnspection Fee Below - -
p Fee Serviee EntreneeSiza p Fea Fexders/Subleatlars Circuits
Z, (b 0 to 200 Amps 0 to 30 Am s 0 in 30 Am>s
Above 200 qm ps 37 to 100 Amps n 37 to 700 Am s
Swinming Pool Above 100_Amp Above 100_A?nn
Transrormers Irrigation Boortis j sz? Partial."Ot
I ? I S'gns ' I-.. ISpecial Inspection'S
pertwrks TOT n q
certity that tha abov
inspection has bean
mede.
This request vaid
18 mpnths from
E 26 9 2 0 L , 6 31,?? a Mk
ReQUest Dale Fire No. Rouph-in Insyection
Requ retll
08eady Nuw ?y
y? Will Notify InsVec-
7- ?j
O
1
Yes ? No
/? tor When Reedy
UrLicensetl Elecvical Con4actor 1 hereby request insDaction oi above
? Owner electrical work instelled at Streat Adaress, Box or Houte No. Ciry
7 S?r? en.S ;y'o df ? ? a n
ecuon o. Townshlo Name or No. Ranpe No. Counl /
'??Q/??? !
OccupJt (PHINT) ?J
? Phone No.
! ?Lt r'?
d'?S
Powe.r.
Suovlier /
C ? l??lG
Address
AL?i"/?1 I ?dl ? 7^Gm
E?ecvi<a? ConVacmr (CompanY Namel CoMrar,tor's License No.
-?? L?' cI c:
Mailinq/ Address (Conhactor or Owner Making Instailation) 7
-
14
R
LP
LC' _
2 W ,
Autho - ed SiBnamr ICOnnactodOwner inB Installa[ionl Phone NumJber / ?
?! ?- CJ c/0 7
MINNESOTA STATE BOARD OF ELECTRICITY TMIS INSPECTION HEQUEST WILL NOT
GriB9s-MiAway Bldg. - floom N-791 gE ACCEPTED BY THE STqTE 80AND
1821 Universitv Ave.. St. Paul. MN 56104 UNLESS PNOPEH INSPECTION fEE IS
an....e rei,% aa,.nann ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ^ es-oooopi-os
IF See insM1UCtians lor comoleting this form on baek ot Vellow coOY? ? r-Y?p
6 9 "K" Below Work Covered by lhis Request
Nina Fdd Nep. Type o1 BuilEing Appliancae Wired Equipmant WireA
Home Range Teniporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric Heaun
Canmercial Bidy. Fumace Silo Unlonder
Industrial Bldg. Air Conditinner Bulk Milk Tank
Farm omP', pew v Oine, ?Snc?;fy1
t er Sucu y Othcr Oini.r
ComP«te lnspectian Fee Below
k Fee SarviceEntraneeSixe ft Fee Fexders/SubleeJers M Fnrs Circuils
U ta 200 Am s 0 io 30 qm s 0 tn 30 Am s
ove 200 qnipy 31 to 700 Ainps 31 to 700 Am s
A
fmming Pool Above 700_Amps Above 100_Amps
Transrormere Irngation Booms Pdrtial.-0ther Fee
Signs Special Inspection
S
!&?
T
O
N
errarks ? LF E
f(? ?I
floueh-in ome I, 'hll. ricxl
Inspectoq heruby
certify that the abova
Final 121% nspection hes bean
tv inada.
thia feQuesi voiC 18 montlm irom
This request void
18 mo mhs from [L CY /h?/e O p '/
O
E 21069 on 6?3
rHequesf Dzie ? F re No. Rough-in InsVertion
Re uYes' ?No ?RcadV Now?Wiil Nn?ifv. InY ec
I a lor When Reatl
NLicensed Elec[rical Contrector I hereby requast inspection of above
Owner elecbical work installad aY
Sfreet Address, Box or Boute No.
3C
?s' '
?
' Ciri J
ca? rl
?
p
r re ?
,
c
ec?wn o. Township Name or No. Range o . Coun
OccupoN, IPPINTI Phone No. ?
[ r? 5
Powe upplier,
n j/
Address
?
?
6! ? ! /
\ C.? r ,
Elec cal Contractor (ComDan N el Cumractoe's cense No.
=
`
-5,??'? ?c ?d C • 5
3
O ?8
MailinB A
d
ress (Convactor or Owner Maki ne Instailation)
^
?
7
A
zed Sipnawr (Co clor Owner ing Installation) Ph ne vmher
7
/1 ?'7 W
MINNESOTA STATE BOARD OF ELECTRICITV THBEISACINSCEPTED eYPECTION THE REQSTAUEST TE WILL NOT
BOAHD
GriaBS-Midway Blde. - Aoom N•191
1821 Universi<v Ave.. St. Peul, MN 55104 UNlESS PNOPEN INSPECTION FEE IS
Phone16121642-0800 ENCLOSEO.
-?-o9 o?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX 9 651-675-5694
New Construction Reauiremems RemadelfReoair Reauirements Offlce Use Onlv
3 reglstered sife surveys showing sq. ft. of lot, sq. fl. of house; and ali roofed areas 2 copies of plan Cerl af SuNey Recd _ Y _ N
(20% maximum lot coverage allowed) t set of Energy Calalations for healed addi6ons Tree Pres Plan Recd . _ Y _ N.
2 copies of plan showing 6eam 8 window sizes; poured found design, etc. i stte survey for additions & decks Tree P2s Requi2d . Y N
1 set ot Eneigy Calculations Add'dion - indicete ifar-sne sepfic system On-site Septic System _ Y _ N
3 copies of Tree Preservation Plan rf lot platted aRer 7M193
Rim Joist Deta7 Options selectlon sheet (buildings with 3 or lass units)
Da[e(:)% / 07q Construction Cost 060. -o
SiteAddress ?LO'IA5 0_'d_ (1S h0p C) t-? Jci_, UoiUSte #
?
Description of Work k`,1 _
Multi-FamilyBldg _ YN Fireplace(s) ?0 _ 1 _ 2
Property Owner c- \k- n Telephone # (??? )`t ??? 3 3 1 J? ?
Contractor
Address City
State ?
Zip C? Telephooe# (6?5l ) yc? "? - 3530
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitled
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheel
SubmiKed
in ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y ? N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
; ?J, ISlili
le #:('lflc b ei'9?Pq
Z=IJJ ? 1)
ae # I _1a t..J
I hereby apply for a Residential Building Permit and acknowledge that the iaformation 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 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 licant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01of_ plex ? 09 07-plex J i,a 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneOUS
Work Types
QI 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundafion ? 45
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46
? 34 Replacem ent •Demolition (Entire Bldg) - Give PCA handout to appllcant
Valuation Saa - • ? Occupancy U MCES System _
Plan Review 100% or 25%
Census Code ,I 'l38 Zoning pD City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length 2q Fire Sprinklered _
Type of Const Y/3 Width ?'z-
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
?0 Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
FinaUC.O.
LO FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: J57) , 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
)z Xz'{X/?l.oo =ye3z.-
j =va i;nq S u pp"lz .?Z` 761o34
cp3v 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675 FAX # 651-675-5694
?p o0
New Consimdion Reauirements
3 registered siie surveys showing sq. ft. of IN, sq fl. of house', and all roofed areas RemodeUReoair Rewirements
2 copies of plan
Cer1 of 5u?e?? Reed
:Y „_,N.
(20%maximum bt coverage allowed) 1 sef of Energy Calculetions for hwted addiiions $[k?Resf?iSn ReGtl _Y ?N.
2 copies of plan showiny 6eam & window s¢es; poured found design, etc. i site survey for addilions & decks Tree Fr85 Repnited •;?' ?. N
i set of Energy Calculations Add'Rion - indicate if onsde septic sysfem Dn-sitE SOpMe:System
3 copies of Tree Preservation Plan if lot platled aiter 711193
Rim Joisl Detail Options selection sheet (buildings with 3 or less unils)
Date,-)
/ ConatructionCost 1r00• a?
_
Site Address r UniUSte #
Deacription of Work ?CY-?? J' 1 i ? G O
Multi-Family Bldg Y? N Fireplace(s) ? 0 2
Property Owner a-N (^ Telephone #( )
Contractor dn \A-Y J
Address U? C'-) City l av,(,w.? ?'?
State ???5 Zip S ?S?O Telep6one #((,,&() Y?3? ?`?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Mimiesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted SubmiHed
• Energy Envelope Calculations Submitted
In fhe iast 12 months, has the City o( Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #{
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the 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 ofplans.
,-- ??'Ac? 1A? v"
Applicant's Printed Name
A6ff c Ys S' tur
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation 4g=aWo :c1
Plan Review 100%or 25°h
Census Code L L
SAC UnRs
# of Units
# of Bldgs
Type of Const u 1??
? 13 16-plex ? 20 Pool
? 16 Fireplace ? 21 Porch (3-sea.)
? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 18 Deck ? 23 Porch(screen/gazebo)
? 19 Lower Leve1 ? 24 Storm Damage
Pibg_,Yor _N yb, 25
[ Miscellaneous
s'(a?3 ioo on/y
Int Improvement ? 38 Demolish Interior
Move Building ? 42 Demolish Foundation
Demolish Building' ? 43 Reroof
`DemolNion (EMire 81dg) - Give PCA fiandout to appficanrt
Occupancy ::a k) MCES System
Zoning p TI)
Stories
Sq. Ft. ?
Length
Width
City Wffier
Booster Pump
PRV
Fire Sprinklered
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 . Multi Misc.
? 44 Siding
? 45 Fire Repair
? 46 Windows/Doors
REQiTIRED INSPECTIONS
FinaUC.O.
_ Footings (new bldg)
Foorings (deck)
? Footings (addition)
Foundation ? J
Drain Tile
Roof Ice & Water Final
_ Framing -
_ Fireplace _ RI. _ Air Test _ Final
_ Insulation
Approved By:
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W PeRnit & Surcharge
Treatment Piant
License Search
Copies
Qther
Total
r --, r ?•<x 2 ? ? ? ?/
j ??
00'V(7V
TRI-LAND C-O..
'SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
" a ??,?,?; ? ., _?1p' •1
ylJ ?
?
GE
M
LEGAL DESCR I PT ION: LOT M, BLOCK 3, GREENSBORO 2nd ADD'N
SCaIB: I"=40'
......?':? :::
\ 20.00,Q
90Q5
\
r
es?
rec ?? i -'C
899.8 ? l`? \
T m% \
Ur)
c 0 ?.
B 4X2 O 8943-
•?y ?
G
?
LEGEND
145.61'
ro• ?-N88-° 2 30 E ?
a?6K4 ?5 3
? B98„4
SITE PLAN FOR:
FEATURE BUILDERS
, /e r \ IO
y?? ?z
? y?+? ? J „898.1 ,.:
/ \ ?._ ?? . t i '•i i`'?i
..: ?•. ?LL.•-
22 896x0
_- 6 162i ??
7.a
N?5%
97.0
HUB GPRpGE
1 F?R.
?1 891.2 :..•..? i i
o DENOTES IRON MONUMENT
? aENvTES WOOD Hlii3 Sc i
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIREC710N
I hereby certify that this survay,plan or
raport was prspared by mr or under my
dirsct supervision and that I am a duly
Raqistared Land Surveyor under the
Laws of tha State of Minnesoto.
A P "
EAGAIV
E D
DEPT?
INVERT ELEVATtON AT SERVICE EXTENSION=
PROPOSED GARQGE FLOOR ELEVATION • .?g,qxS
i'itOFOSEU PiiiST FLGOk ELEVATIUN _
PROPOSEO BASEMENT FLOOR
E l.E VAT I ON
NOTE'• VERIFY ALL FLOOR HEIGHTS W17H
FINAL HOUSE PLANS
9radley ,Ql/,S,'wenwn, Mn. Req. No. 15235
Date -
2005 RESIDENTIAL BUILDING PIItMrT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauirements RemodeVReoair Reauirements
3 registered sile surveys showirg sq. ft. of lot, sq. fL ot house; and all roafed areas 2 copies of plan
(20% mazimum lot cove(age allowed) ap -t set of Eneqy Calculatbns for heated adc
2 copies of plan showing 6eam 8 window sizes; pauretl found desi9n, etc. 1 site survey for atlditions & decks
1 set of Energy Calculatbns Ad0iUon - iridicete if onsife sepfic system
3 copies of Tree Preservation Plan if IM platted ailer 711193 Rim Joist Oetail Optbns selection sheet (buildings with 3 or less units)
Date
Site Address -3 V ,-{e,e i}?ild ? Construction Cost 00n
UniVSte #
Description of Work ki? L II +
Multi-Family Bldg _ YN Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner rlv) Telep6one#(0-I )
Contractar hrJ X_?
Address z-?US 13 h?- ?-
State u Vvx3-J ?.J
Zip 5??(?kOg City??lSL?r.?.?? f-
Telephone#(`j 23?390 a
COMPLETE THIS &A ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Min sota Rules 7670 Cate o] _ Minnesota Rules 7672
• esidential Ventilation Calegory 1 Worksheet • New Energy Code Workshaet
(Jsubmissiontype) Submitted Submitted
Energy Envelope Calculalions Submitted
Have you previousfy
fee applies.
Licensed Plumber
Mechanical
Sewer/Water
a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
Telephone # (
Telephone #(
Telephone
r17?
luN 2 i zuu, u
I hereby a ply for a Residential Building Permit and acknowledge that the info ation is complete an ccurate;
that the work will be in confozrnance with the ordinances and codes of the City ?of +=n_and the Stte of MN
Statutes; I understand this is not a permit, but only an application for a permit, nnowithout a
permit; that the work will be in accordance with the approved plan in the case of o requires a review and
approval of plans. -- - '
Appiicant's Printed Name A-pp icant's Signature`
VOP
(? ? : -11 {-?->-
_Y =N
-Y.: ?_ N.
_Y _N
_Y _N.
-7`
OFFICE USE ONLY
Suh Types
. r `
? Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of_ plex ? 09 07-plex 0 77 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. Ait - SF
? 04 02-plex ? 70 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 16-plex ? 19 Lower Levet ? 24 Storm Damage
? 08 04-plex ? 12 12-plex PI6g_Y or_ N? 25 Miscellaneous
Work Types
p 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 14 -I Occupancy U MCES System
Census Code Zoning City Water
SAC Units Stories I Booster Pump
#of Units Sq. Ft. ?qz) PRV
# of Bldgs ( Length 2? Fire Sprinklered
Type of Const ? Width I 2%
REQUIRED INSPECTIONS
? Footings(new bldg) FinaVC.O.
_ Footings (deck) p Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof X Ice & Water 4 Final _ Poo{ _ Ftgs _ Aii/Gas Tests Final
K Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation _
_ Retaining Wall
l
a
Approved By:
m/
m , Building Inspector
------------ -------- --
---- -----
---- - ------------- -----
----
- ------- ------------------- -
--
Base Fee ---- -
? z x zo" Klb- 06 = 36, `10-
-
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Jul 12 05 10:00a Ted Larson
• ?I 'SERVICES
JKEE DOOOLE ROAD
MINN6SOTA 55122
?
v $ fjjVV L?
?
?
, q • ? ? .'? .
. f ? ? . • V???• J
P•z
LEGAL DESCR i PT ION: LOT Q , BLoCK 3, GREENSBORO 2nd ADYN
ACCORDING TO THE RECORDEO PLAT
THEREOF DAK07A COUNTY,MINNESOTA
Scafe: 1"=40'
IN??F-C d lR.,irp,••?
......' i
952-926-2e78
FEATURE BUiLDERS
6
A ?[O ???AG( ?` ?/
N88°1 30 E ?
'*4 i
\ v • -?
20.00'iD
898x4
\ ?-90Q5
v ?; s9+
%TBC .8 ,l ? o_ ?
03
8 x2 C) 894
:
?f? •'y ? ?,
G
?
E D
DEPT,
LEGEND jNyERT ELEVATIOM AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSEO GARAGE FLOOR ELEVATIONv G- -
a DENOTES WOOD HU8 SET PFlOFO5E0 FIRST FLQOR EI_EVATION 6r F?
DENOTES EXlST1NG SPOT PROPOSEDBASEMEMT FLOOR =
ELEVATION EL,EVAT1 ON
DENOTES PROPOSED SPOT
ELEVATION
3
t12 o
Q
z
o / 'n ?' •ti;?j:a?? ?'+Fwi
esaxo '°?, , : • /
?e97.4 ?ro2? /
,
0 3
1649
? ?9-9-7.0
HUB
GPRP?E
B9T.2 .?. f. .
CLAIM VOUCHER -REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO:
ADDRESS:
Best Buy Construction
2605 132' St. W
Rosemount, MN 55068
PERMIT # 69787
RECEIPT #/?ATE: 91679 7/18/2005
REASON FOR REFUND: Contractor no[ doing work
VALUATION: $4,000.00
TYPE OF REFUND:
Buildin Permit Base Fee 0801.4085 $97.25
ConsWCtion Meter Dep Refund 92202254 $
Curb Box DeposiY Refund 92202253 $
Fire S ession Perrnit 0801.4096 $
Mechanical Pemd[ 0801.4088 $
Plan Review Fee 0720.4222 $
Plumbing Permit 0801.4087 $
SAC (MC/WS) 92202275 $
SAC (City) 9379.4681 $
SAC (Admin) 0801.4246 $
Sewer Perntit 6201.4532 $
Surchazge 90012195 $2.00
Treahnent Plant 6101.4685 $
Water Permit 6101.4507 $
Water Me[ers & Radio Read 6101.4509 $
Water Su ply & Siora e 6101.4680 $
Other (Invoice) 0501.4228 $
Total $99.25
I declaze under the penalties of law that Uus account, claim, or demand is just and that no part of i[ has been paid.
IW? 07/29/2005
SIGNATURE DATE
PERMIT
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 675-5675
Site Address:
Lot: IO Block:
PID: 10-30901-100-03
Use:
-
?$
i =
''An
3675 Greensboro Dr
03 Addition: Greensboro 2nd
Permit Type: Building
Pemut Number: EA069787
Date Issued: 07/18/2005
Description:
Sub Type: Garage
Work Type: New
Description:
Census Code: 438
Occupancy:
Construction Type:
Zoning:
Square Feet:
Remarks' Plan reviewed by Tom M. (JH) Elechical forms at Ciry HaII $1.00 -
? Call State Inspector 952/445-2840 for inspections.
Fee Summary: Valuarion: $4,000.00
BL - Base Fee 9715 0801.4085 Surchatge - Based on Valuation
Total Fees:
2.00 9001.2195
$99.25
Contractor: - appl;ca„t - Owner:
Best Buy Conshuction JULIE A BLAIR
2605 132nd St W SG Lic.: 20459033
Rosemount, MN 55068 3675 GREENSBORO DR
(651) 423-3803
EAGAN, MN 551232260
I hereby acknowledge that I have read this applicarion and state that the information is conect and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
ApplicanUPermitee: Signature
Issued By: Signature
o0'vC)V
TRI-LAND CQ..
'SURVEYING
SERVICES
1260 YANKEE DOODLE ROAO
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
FEATURE BUILDERS
LEGAL DESCRIPTION: LOT 10 ,gLOCK 3, GREENSBORO 2ndADD'N
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
Scale: I"=40' w
......' j ::
\ 20.00? sQ
?90Q5
Q 8c
TBC
899.8
? N.
CP ? \
' 13" o,
G? ,/ Ifj
\ \ 2\? QtO pP??
145.61
0` ??6?ry, ? / N 88° 21 30 E
O ? 896*4 I53
/98%4
O
, Z
89
cn
153 ?
C 0 ?iLo' j6?
8 4x2 ? 894.7
L
m
LEGEND
o DENOTES IRON MONUMENT
? C+cNvTcS W8t'iD HliB S'CT
DEN07ES EXISTING SPOT
ELEVATION
DENOTES PROPOSEp SPO7
ELEVATION
? DENaTES DRAINpGE DIRECTION
I her?by certify that this survey,plan or
rspori was prepared by ma or under my
direct supervision and that 1 om a duly
Reqistered Land Surveyor undsr ihe
Laws of tha State of Minnesoto.
Mn. Req. No. 15235
?? ? ' • {; ??• ,??1
898x0
- -? 6 \62? /
3 ; s GAARpRE
1 89T2 ... • ? • .
, ..... ? i
?? R0?E D
By - ?
Da e
EAGAIV ENGITiiERXIVG AEPT,,
INVERT EtEVATION AT SERVICE EX7ENSION=
PROPOSED GARAGE FLOOR ELEVATION = `i.9Y
PkOi?GSEU FiRST FLt7o?t ELEVATIUN = ??963J?,'?
PROPOSED BASEMENT FlOOR =
E L.E VAT I pN
NOTE ' VERIFY ALL FLOOR HEtGHTS WITH
FINAL HOUSE PLANS
8radley ent
Date ? 6 1b
PERMIT # S-1 ? - -7! ? ? 3 v RECEIPT DATE:
2002 RES1QENT[aafgL PLUMBINfi PERMTI' APPI.ICATION
CITY O£ £Afil4N
3830 eaoT iciuos Rn
$r1flAN, MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permi[s are required tor each unit,
backflow preventer for irrigation system
SITE ADDRESS: Sbgt {'/7
OWNER NAME: : 3- ." l.l.[ TELEPHONE #: lo5 / - 4-r=?-4- ,S3 / 3
(AREA COE)
INSTALLERNAME: TELEPHONE#: b.3&S 134 D
2
STREETADDRESS JIo?D U6bD kb (AREA CODE)
cIrr: FGaa vi STATE: M IlI ZIP
_ SEPTIC SYSTEM, new/refurbished (requires rivo sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTfNG DWELLING UNIT, INCLUDING:
_ Adding fxtures to lower levels or room additions, excluding water softeners antl water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditionaL' _ water soflener ? water heater $ 15.00
State Surcharge $ 50
!5
S?
TotaI = $ •
JUN
2002
u
I bereby acknowledge that I have read this application, statethatthe information is correct, an agree to complywith all a i ble City of Eagan ordinances. It
is the applicanPSresponsibilityto notiTy the property owner that the City ot Eagan assum o liability for any damages ca ed by the City during its normal
operetionai and maintenance aetivities to the facilities consiructed under this permR vilh; ?property.fri§htA_ nt ..
I' 1l02
SI&ATQRE OF PERMITTEE \j
? e
1988 BUIVXUG PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS lff t ql
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENT9L UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
7 SET DF ENERGY CALCULATIONS
COhMERCIAL
INCLUDE p SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
I
-aA? g"a q?p JU?y 141998
To Be Used For: r7-en,,,r Cv-?, Valuation: 7]?7ra'0- Date: 6112z $$
Site Address 3675•A-Le?-bn ,
Lot / 6 Block 3
Pareel/Sub i?l.eeina.pj21,4
Owner 9> Q.ZI..a S??
Address
City/Zip Code
Phone
Contractor si., ?
Address ! 5-57 3 e. ,
City/Zip Code
SS
Phone 1¢ 3 S- B Lf-4
Arch./Engr. _
Address
City/Zip Code
Phone 11
{j??Qpf-' OFFI
On site sewage_
MWCC system 4,?
On site well
City water
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Occupancy ' ? %"•"
Zoning 9-)
Actual Const V/V
Allowable ViY
# of stories
Length 3`O
Depth 5. S
S.E. Total
Footprint S.F.
401?I.y
Permit 0
Surcharge
Plan Review 2?5?
SAC, City /O "
SAC, MWCC !00
Water Conn ? 1 D
Water Meter
Road IInit 3 2S
Treatment P1 2041
Parks
Copies
TOTAL ? •
2 ?. S?i ?? ?-' ?? ? ? •
C? 1 fx. ?'? ?y <
•f ??-3c= ??d ,?/y = 7 J?yO
.Ss ? t
.w .,--
yak zs.?= ia La
ly;3X/'-/ 3- -zaY,v9
3h ?
1
? 3j g jo, "', a
., . . -
. . ..., ti .
.. AU &ja 191? z 2 L spelm I t ?, , Aw.
, _ - Residential Designers & Planners
14530 Pennock -Apple Vailey
. 432•2044 EXTERIOR ET]VEL,OPE AVERAGE °U" COIN7PUTATION
MAN2 --7
PLaN N[IfqBER
Detesmine worldrF square footage of each.
1. Total exposed wall area...... SIqO, 89 sq.ft. X
2. Total roof/ceiling area.. ... . sq.ft. X ,.z7Zle
Total exposed wall area above floor = 1 qZS.(-
a. Total wall?window area .................. 1',5,1,
b. Total door area ......................... 3s
c. Total sliding glass door area........... 3 8
d. Total fireplace wall area .............. -
e. Total wall framing area (average 10%)... 197 ,5
f. Total net wall area above floor.........
g. Total rim joist area .................... 13S,z
Total exposed foundatior area = ?p
h. Total f?undation window area............
,
i. Total net foundation area above grade.. 7r7
Determine "II" value of each wall sepnent,
a. g ]fUn ,sZ_ = 91,1
b•. 3.f g irUn
c. 3fI g ifUll , SZ? = 191
d. ^ g uUli ? - _---
e. 191,IS X nUu I$?=i
f• i??5{??? X
TTfI
flV
.?L'ry
? ?BJir,
9• x flUff
h. -? g IIUII
i. rI
'7 X nUn
eoi, _
3. 'ro'raL ................................. = tit•y
If itan N3 is the same as, or less than iten #1, you have met
the intent of.SF3C 6006 (c) 2.
-1-
.
i
Total exposecl roof/ceiling area
Total gross roof/ceilirg area = -
J. Total sk,ylight area ........................ -'
k. Total roof/ceiling framirg area............ 13-3•1
1. Total net insulated roof/ceiling area....... II9 B.(.S
4.
Determine "U" value for each roof/ceiling seg[nent.
i . g nU"
k. 1?3.i X nUn
1. 119 X nUn
1.l?29i = ZL,??
2YYi'AL ............ :................... = 2 , <,-
If total of #4 is the same as, or less than #2, you have met
the intent of SBC C006(c) 1,
To utilize the total envelope systan methoci, the values establishe3
by the stun of items #3, and #4 shall r.ot be greater than the stsn of
itans #1 and #2,
1.
+ 2,
3. + 4. _
A7aterials Thermal Resistance "R"
Exterior air,,,,,,,
Sid.ing mateMal, , , , ,
Sheathing,,,,,,,,,,,
Insulation,,,,,,,,,,
Sheetrock............
InteMor air,,,,,,,
Studs ..............
Hirn ................
Conc. Blocks,,,,,,
-2-
APFLICATIQN FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
? NOl'E: PAYMENP OF FEE AT TIME OF ^^• y
; nrPLxcr,xIoN ooEs nOfr cau- :
i Sf11Sl1E APPAGVAL OF PIItPIIT. ?
? IN.?`YflCIZON OF SEWM AN]/OR NWTIIt
; irurniuTTONs wn.r. rxrr ss SCEDnM ;
[!CICSL PIIiFIIT HhS BEF?] APPRWID. *
dtv fwRkex+t?f4w vr?Ylrt'Xexllfr+feRiet?flleeex?4
OF eC7gCIP9
(PLEASE PRINT
1) PROPII2TY ADDRESS: ...36 %S t?2EE,oJS?on_ C .d2 .
T•FY:AT• DE5C12IPTION: . . . . .C..ID? ? tSL 3 ? - 2. EE„iS8'v2 0? 2
or
IF EXISTING STR[:C'IY]RE, DATE OF ORIGINAL BUILDING PERMIT ISSDANCE:
Nbnt Year
PRESIINI' ZONING/PROPOSID OSE:
Q .CONP'IERCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY
Q INDTISTRIAL ? R-2 DL?PLEX (3Wo L?nits)
Q,INSTI'IL?TIONAL/GOVERDA7ENT ? R-3 TOWN[IOL?SE (Three + Pnits) ( Lnits)
Q R-4 APARTMENT/COPIDOMINIUM ( - L'nits)
.
2) NAMEo 2ESN62 EKC •
AnDxESS: _/ o si a.a c o« r,-JC ri •
CITY, STATE, ZIP: . A . v. /O,j . S'S/?
PHONE: ?f 3'' - 8,77-5"
3) ff[Ki7._.rw
nArE: QL - 8E? G•
ADDRESS: 6 `!oo i 1; i '=
CITY, STATE, ZIP: _4,U. %11v,,, .. . ?S/,7 y....
PHONE: -v3 ? - 96 ? 9 MASTER LICENSE #
4)
NANIE: F6k4ru 24 D C 02 S' .
ADDRESS:
CITY, STATE, ZIP•
PHONE:
??e,?turlec?. IZ?? •
Ij Active
Expired
Not recorded
? ? • w • a?, ? ?. : au??kT?4taae
5)
21 CONNECPION TO CITY SEWEE2 f,71 COIVNECTION 2C) CITY WATEEt O OTHER
6) V m?iTT? zz-zv? .P
* THE GOLD COPY OF 74IE pERNIIT WII.L BE SENP DIRFXTLY TO PUgi,IC WORKS 7U FACILITATE ME1ER PICK-LP.
*t PLF.FISE AIJAW ZSaO WORKIb7G OAYS FOR PROCFSSING. SOMIDONE EROM TfIE CITY WILL CONTACr YOU IF MRRE
* ARE ANY PROSLENIS.
FOR CITY USE ONLY
PERMIT # ISSUED
.
7?
Pd w/Bldg. Permit FEES:
$ $ ! O•.S-D SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /(?• 572) WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ 5 SD v-? $ wAc
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
'7
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK LJITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SU BJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
, -,
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
New Constructlon Heaulremema
• 3 registered sNe sunreys showing sq. ft. af bt, sq. tt. of house; and all roofetl arees
(20% maximum bt c(yverage allowad)
. 2 coplas of plsn showing beam 8 winAOw sizes; poured fountl design, etc.)
. 1 set ol Eneigy Cakulations
•. 3 copies of Tree Preservation Plen tl bt plattetl afler 7/1/93
.?' Rim Joist Detail Optbns selectbn sheei (bldgs wBh 3 or less units)
DATE V -`7 UZ
4,
APPLICANT
STREETADDRESS?}??-?????
TELEPHONE #';_ eLL PHONE #
HamodaVReoairReauhemeMs / r/ ??
• 2coplesofplnn 7"a.
. 1setWEnergyCa?uk?tionsforheatededditions I
• 1 sifesurveyforexlerioraddhrons&decks
. Indicate d home served by sepfic system for atldtlbns
? G7
VALUATION
MULTI-FAMILY BLDG _ Y "fJ
_ FIREPLACE(S) _ 0 _ 1 _ 2
? <A+` + CITY&EflS_ VI v?,_STATE '--
FAX # _ - - •
PROPERN OWNER `F"k(l k 610t-'V TELEPHONE # 198V- 4S y- 3 3! 3
-------------------° ---------------------------------------------°-------------------°--°--
COMPLETE THIS SECTION FOR "NEWM RESiDENTIAI BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLR.FS 7670 CATF.GORY 1 MINNESOTA RULES 7672
(4 submission type) • Resitlentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confracfor. ___
Plumbing system includes:
Mechanlcal Confractor:
Mechanical system includes:
Sewer/Water Contractor.
_ Air Condiaoning
- Heat Recovery System
Phone #
I hereby acknowledge that I have read this application, state that the Inform
wiTh all applicable State of Minnesota Statutes and City of Eogan Ordinance
Signature of Applicant
...................... ......... --......... _....?_.__.___.?..._...r.?.r..____...
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Fee: $70.00
?(? f?p F ,
Jura f q
is correcT, and agree?to comply
Not Required _
Updated 4102
? ia? I
75
New Constructlon Reauiremenh
• 3 registered site surveys showiig sq. R. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)• 2 copies of plan showing 6earn 8 window sizes; pfwred fomM desgn, atc.)
• 1 set of Energy CalculaUons
• 3 copies of Tree preservatian Pian it lot platted arter 711193
. Rim Joist Detail Options selectbn sheet (61dgs with 3 or less unid)
DATE
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MQAnN".,YUNITS? SF
PROPERTY OWNER Q,udA- 1?
REPLACE(S) _ 0 _ 1 _ 2
PHONE# q5A - 9.55' 91??Q9
ADDRESS b%S SMAA-A? LAmk?-_A mN 553rf3 ZIPCOOE5523 q. ?'L_
PAGER # CELL PHONE # FAX # 95A -93s 96yy
NEW RESIDENTIAL BUILDING ONLY - PILL OUT COM
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet S
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanieal Conhactor:
Mechanical Sys[em Includes:
Sewer/Water Contractor.
Phone #
Phone #
? ? T m
MAR 1 1 2002
&D
Fee: $90.00
Fee: $70.00
All above information must be submitted priar to processing of application.
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with alf applicable State of Minnesota Statutes and City of Eagan O es. Signature of Applicant rdina_ ( 11
Certificates of Survey Received _ Tree Preservation Plan Received N t Required _
Updated 2002
RESIDENTtAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
659-681-4675
_ Water Softener
_ Water Heater
_ No. of Baths
RemodeNRaoair RenuiremeMs
. 2 copies of pian
• i set M Erteqy CalcWations for heated addRibft ?- • • . _ ., _ _ _
• i site survey for exterior addilions 8 decks . Indicate if hane serveQ by septic system /aradditions
VALUATION ?81 ! ll9CS D O
Phone #:
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
-------?--- :
. .
18- CD1 9D8- 16
I11s Iler's uide
Upflow / Horizontal & Downflow / Horizontal,
Gas-Fired, Direct Vent, 2-Stage Condensing
Furnaces with Variable Speed inducer
*UX2B060A9362A "UX2B080A94 "UX2C100A9482A
"UX2D120A9602A "DX2B060A9362A DX213080A9422A
*DX2C100A9482A *DX2D120A9602A
• Flret letter mey be'A° or'T"
ALI, pLases of thia installation muat comply wikh NATIONAL, BTATE ANID LOCAL CODE3
IldPORTANT - This Document is cu»tomer property and ia to remain with thia unit.
Please return to service i?'ormation pack upon completion of work.
?
CERTIFIEG /
•DX2
q
A14
L1 ~
CHECK POINTS
DOWNFLOW
wst
ROIY
rgT
Job Name 7L `? ¢'
Job Location ?
Installer
Unit Model No. ?Z
Nameplate Yoltage
Minimum Circuit Ampacit
Maximum Fuse Size __a
Electrical Connections Tig
Supply Voltage (Unit Offl.
COOLING SECTION
Refrigerent Lines: ?
Leak Checked7 Gd_? Properly Insulated? 1a /
Service Valves Backseated? Service Valve Caps Tight7 Q
CondenserFan Checked7
Voltage With Compressor Operating
AND PERFORMANCE CHECK LIST
_ Job No. Date
L- City-EAe'- A AJ State
- City S[a[e
Serial No. -g 3 N? l*/yL? erviceman
Amps:
Supply?c! _ Condenser Fan ?. ?
Compressor ??
Indoor filter Clean? Gd' Indoor Blower RPM
S.P. Drop Over Evaporator iory)
Contlenser Entering Air Temperature
Discharge Pressure Suction Pressure
Reirigerant Charge Checked? IR,-
THERMOSTAT
Calibrated7 lid? ProperlySet? bl? Level?
1
------ ------------------
t 3 2 S M
-----------° ----------
1kll27/20@0 22:28:Sfi
NaT GRS
FT 96.2 °F
Co a Fpm
EFF 35.2 :
ca2 s.; x
02 11.6 %
GRFT 0.07 ifiH2O
E7C/R L@7.3
.
FT fi2.9 °F
L'Odf ------ PPro
SMK#: ______
(,O1N ? eR4
# 00745314
________
t 3 2 6 M
1@/"c8/2008 02:08:30
NPT GRS
FT 107.2 °F
co , Fpm
EFF 89.1 •
G02 6.1 %
02 10.1 %
DRFT @.10 inH2O
EX/R 81.5 %
RT c6.3 °F
CDaf ------ PPm
SMK#:
41 p to-e
------------------
# 00745314
-------------------
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121678
Date Issued:04/11/2014
Permit Category:ePermit
Site Address: 3675 Greensboro Dr
Lot:10 Block: 3 Addition: Greensboro 2nd
PID:10-30901-03-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Kelly Meyer
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 -
Julie A Blair
3675 Greensboro Dr
Eagan MN 55123
Hause Construction, JG
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162935
Date Issued:08/05/2020
Permit Category:ePermit
Site Address: 3675 Greensboro Dr
Lot:10 Block: 3 Addition: Greensboro 2nd
PID:10-30901-03-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 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 -
Dave L Srock
3675 Greensboro Dr
Eagan MN 55123
(440) 503-0000
Pch Construction Llc
7327 Borman Avenue
Inver Grove Heights MN 55076
(507) 340-7491
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167741
Date Issued:03/29/2021
Permit Category:ePermit
Site Address: 3675 Greensboro Dr
Lot:10 Block: 3 Addition: Greensboro 2nd
PID:10-30901-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Dave L Srock
3675 Greensboro Dr
Saint Paul MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature