3691 Greensboro DrCITY '" ? ?- -
OF EAGAN •r•.?v w
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHON E: 454-8100
BUILDING PERMIT Receipt
Tobeusedfor SF DWG/GA!t Est.Value ???????-U Date UECFABF:r 17 19 i:7
Site Address 3691 CRp.gNSa0R0 UR
Lot ? Block 3 Sec/Sub. C'R`"ENSBORO
Parcel No.
o? Name JC3E MILLES COiVST = Address t8133 CEnAi? A4F
o Cty EP.kMINGTOii Phone 431-2oU1
¢
o Nan
,
v i Add
? City
City
I herebMacknowledge 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.
Signatur,e of Permittee
.
A Building Permit is issued to:-=
on the express condition that all work shall be done in accordance with all
applicable J?ate of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
On Stte Sewage Occupancy ? j
-
MWCC System ^ Zoning ?
--
-
On Site Well (Actual) Const Vn
City Water X (Allowable) yn
PRV Requlred # of Stories
BoosterPump
l.ength ?
Depth ?a.
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ' 4S 1 . ?
4
Planner Surcharge --2-
5-
Council Plan Review 2
' 50
BIdg.Off. SAC, City IW'0C
525.00
Vartance . SAC, MWCC
Water Conn. 525.00
Water Meter 67.UU
?
00
"6
Road Unit -
"
Treatment Pt Lbi).QU
Parks
TOTAL
BLDG. PERMIT N0.
01-3210 Bldg. Permi
01-3422 Plan Check
,01-3445 5urch./Adm.
01-3446 SAC/Adm.
?01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 L:ater Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
I
[;t?f tt2t'L+/J t;JD ?-c
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1„ , ,
• i la .I;; et ,'Iffi
PERMIT SUBTYPE:
? t, ? ...
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
I?k , , . , i ? . , ? , ? r• ? i ?
TYPE OF WORK:
Nl W
trl '.?? ?< 11'' i 1 i1N 14,A`.)
INSPECTION DA • .•
. t r+ ?
Permit No. Permft Holder Date Telephone i
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inep. Comments
Footings I
Foundatlon
Framing
Roofing
Rough Plbg.
Rough Htg.
isul.
Fireplace
Flnal Htg.
O - ?GE
Orsat Test
Flnal Plbg. Plbg. Inspector - Notliy Plumber
Const. Meter
Engr./Plan
Bidg. Rnal
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est Value " `Date ,19 Site Address
? :3t)Pl": ,
Lot Block Sec/Sub.
Parcel No.
ae Name '
3 Address
0 City Phone
¢
o Name
.
? 6 Address
1- City Phone
Name
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 ot Eagan Ordinances.
Building Ofticial
OFFICE USE ONLY
On Site Sewege
MWCC System Occupancy
Zoning
'
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
tti
Dep
S.F. ? _:
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner 5urcharge
Councit Plan Review
Bldg. ON. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
. Permit No. Permit Holder Date Telephons if
Plumbing
.
H.v.ac.
Electric
Softener
Inspectfon Dats Insp. Comments
Footings I
Footings II .. 3rZ,?ov t0 ?L, tlw
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
F1nal Plbg.
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
--------- --- -?
e :" - , r . - -.r- . '.t ,. L•?
PERMIT
' , . MECHANICAL PERMIT ?
CITY OF EACAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address " r- BLDG. TYPE WORK DESCRIPTION
Block
Lot 4- S
p/Sub - -
, , ?
_ i--
Res. New
`
M ult Add-on
- Name
? Comm. Repair
? Address
?
Other
c City ( Phone
FEES
c Name RES. HVAC 0-100 M BTU
ADDIT
O -$24.00
6
00
AddreSS I
NAL 50 M BTU .
-
p City Phone U U? {RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
i PER PERMIT - 1
50 EA
(
-
) .
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Ajr (. ???•?:
Farced
(k
BTU
- - ?' -? ? APT BLDGS. - COMM. RATE APPIJES
- _ 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 # BEYOND $1,000)
Other
FEE
S/C: SIGN,4`iURE OF PERMITTEE
?
? TOTAL•
FOR: CITY OF EAGAN
PERMIT #
Site Addre I ', L '2?(
Lot _? Block S
.
Name
? Address
c City ? Phone /
Name ?
c Addr l ?
3
0
city . ? " Phone U
, FEES
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHaUSE & 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)
t
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PLUMBING PERMtT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
""-,' - 0 '? BLDG. TYPE,? / WORK DESCON
ec/Sub Res. v New ?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOT
ater Closet - $3.00
ath TubS = $3.00
;avatory - $3 00 '
Shower - $3.00
Ki!chen Sink - $3.00 -s
Urinal/Bidet - $3.00
-T
aundry Tray - $3.00
___f loor Orains - $1.50
_1VVater Heater - $1.50
Whirlpool - $3.00
-?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMM
So(tener - $5.00 ?
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL• ' vU
cIrr oF EaGaw
Permit No: _l. C)4'
3830 Pflot Knob Road g1p No. ?: . Date:
P.O. Box,21199 - Date: 71 ,'--?? •
Site Address:
?
MWCC:
Ci ? - Zoning• _
ty Chg? ,.- No. of Units: -
Acct. Dep: Permit Fee: '- • ?L?p,' I agree to comply with the C
Surcharge: • ^ ?' Ordlnances. ? of ??an
Misc.:
SEWER SERVICE PERMIT '
OF EAGAN Permit No: 932` Date: '
Pllot Knob Road Meter No: giZec i
Box -ti1gQ _ Reader No: Date: ?
Owner. Joe r1.i11ez Coust.
SiteAddress: 3E9I Grelhisboto i';r.Jv?t 1.1 Plumber
Conn. Chg: ' ?'' . d0pe- r`I
Zor?ing:
Acct Dep: -". d No. of Units: ?
Permit Fee: 10. O0pt3
Surcharge: '-50pLI 1 agree io comply with the City o1 Eagan
Tr. Plant 1 ` C)• 00Pd Ordfnances.
Meter. 67 _ nnTA
? WATER SERVICE PERMiT
CITY OF EAGAH PermR No:
3830 Pilot?Cnob Raad Meter No: Date:
P.O. BQZ 21199 ? b?/T Size; ?,?'f I?o a/t
Reader No: Date: ,3-/0 - d d
E8991n, MN 55121
Owner. Joe ' j.iler i,onst.
SiteAddress: 3691 Greenshoro Drive ; -?I?,?, I ;?;?,,-; ,-•.,
; I
Plumber PlVmouth P1u e?p
Conn. Ch 5?5. UO d
Acct Dep9' 15.00 pd RPfore
Permit Fee: _ 1• .. )0 d ?
Surchar9e: .?0 d???E-?'yt-
Tr. Plant 13 O pppd ElWe61Yc th the City of Eagan
Ordinancea.
Meter. r
Misc.:
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 10470'
Date: '-$-?r•
3830 Pilft Knob Road B/P No: £` Date:
P.O. Box 21199
Eaf,$ah,'MN 551Lt1
Clwnor
L6 B3 Greeasboro II
Chg:
Permit Fee:
with the City ot
SEWER SERVICE PERMIT
. CITY OF EAGAN N°_ 14 5 0 6
3830 PilotKnob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt #? 9 9 & g
To be used for SF DWG/GAR Est Value $85, 000 Date DECEMBER 17 87
19
Site Address 3691 GREENSBORO DR
Lot 6 Block
Parcel No. _
3 5ec/Sub. GREENSBORO 2ND
w Name JOE MILLER CONST
= Address 18133 CEDAR AVE
a City FARMINGTON phone 431-2001
p Name_
?a Address
? City_
UQ
w
Name
W
w
i? Address
a W Ciry Phone
I hereby acknowledge that I have read this application and state tha[ the
information is correci antl agree to comply wilh all applicable State of
Minnesota Statutes antl C?it/y/pyE agan Ardina s.
Signature of Permiflee ?<--
A euilding Permit is issued to: .TOE MILLER CONST
on the express condition that all work shall De tlone in accordance with all
applicable State of Minnesot tatutes antl Ciry Ea4an Ordinances
Building Otticial_ ?
?-
OFFICE USE ONLY
On Site Sewaga _ Occupancy R3
MWCC System X Zonin9 Rl
On Site Well (Actuap Const Vn
Ciry Water X (qllowable) Vn
PRV Requiretl _ # of Stories
BoosterPumD - Length 56
oePtn 40.33
S.F. Totel
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit S 451.00
Planner Surcharge 42.50
Council Plan Review 22$.50
BIdg.Off. SAC, Ciry 100.00
Variance SAC,MWCC 525.00
Water Conn. 525.00
WaterMeter 67.00
Road Unit 305.00
Treatment Pt _.1$_Q.90
Parks
TOTAL $2,421.00
//?G/?? ' REQUEST FOfl ELECTRICAL INSPECTION epa?-?00001-06
See instructions 1or complating this form on back ot Vellow coFV.
?.+?
?1 "1gO 6 61 "X" Below Work Covered by This Request
AAa Neo. Tvoe ot Builaing Aoolianeee Wired Equiumenl Wired
Home Runge Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer EleCtriC Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tank
Farm om,?r oer.i y OIhenr Isnnr,itvl
t er uecify t er Othc,
Comnute Inspection Fee Below
N Fee SarviceEnbanceSiza p Fae Feaders/Subleedens k Fne Circuits
.00 0 to 200 Am s 0 to 30 Am s 44) O 0 m 30 Am s
Above 200 Amps 31 to 100 Amps S ae) 31 to 100 qm
Swimming Pool Above 100_Am 5 Above 100_Amps
Transiormers Irrigation Booms ' Partial.'Other Fee
Sigis Special Inspection ??
TOTAL
r-t
em?rks i
t ?
1 rcG
RouBh-in ihe Ela ri
Inspectoq ne?9Ey
Final q ertily [ha? the nbove
e mspection has been
?mBde.
This reauest valG 18 montha irom
This reduesf voitl ///p/O?
18 ?nths from / p
_D 80661? /,; ,
re No.
Ir -?> ISFt7Cn? ?.
v I eq retl! IUReaAy Nuw Will Nn?i(y Inspec-l
/?? ?N t Wh P Ay
(/ j?y
cieuncal Contrac[or 1 herab re
? UN,nef v uuest ins0ecfion of nbove _
elwctlcul u....b I
_. _._
5(ree[ AAdress, Boz or Route No, ...._.?.?........?.
6
?
ecv
o. Townshame o
qTnge No.
OccupentlPRINT) PhOtl N
r`ruc?^- .v G/3/- ?oa ?
Power SuGVlior r Atltlress
-
Elecv`? nva r ICOmvany Na &1
a S?n L '
•
omrectoi s License No.
I
M
O4116
/D
ailine AdJress (Confractor or Ownar Making Instailation)
?'S3 >
A. mized SiBnaturo (ConVactor Owner Making Installationl Phone Number
ainie noqqD OF ELECTRICITY iH15 INSVECTION qEQUEST WILL NpT
Griggy.Midwav Bldg. - qoom N•191 BE ACCEPTED BY THE STATE BOARO
1821 Universitv qve., St. Peul. MN 55104 UNLESS PROPEN INSPECTION FEE IS
Phone(612)692-0800 . ENCLOSED.
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
, Telenhone # 651-675-5675 FAX # 651-675-5694
aew Gonstruction ReauiremenLs
3 registered sRe surveys showing sq. fl of lot, sq. R of house; and all roofed areas
(20qo marimum lot cwerage allowed)
2 copies of plan showing heam & window sizes; poured found design, etc.
7 set of Energy Calalations
3 copies of Tree Preservation PWn'rf lot platted aHer 711193
Rim Joist Dehail Options uleclion sheet (bldgs with 3 or less unils
RemodellReoair ReauiremenLs
2 copies of plan
1 set of Energy Calculations for heated addiGons
1 site survey for addiGOns & decks
Addifion - indicate Mon-site septk sysfem
y, ? ?W,;}t
3 /
Date 'T 1 e4 truction Cost ? a 4:5) fl d
C
-
Site Address a E6 -a-) .S ons Unit/Ste #
Description of Work
V t
0
Mulri-FamilyBldg _ Y11?N Fireplace(s) p 0 _ 1 _ 2
Property Owuer iI 'Pd (f [zz / , /,/ Telephone # ??) 73? ^ 6 ! 1 ?
ll l4 A
l
f l A/
Cantractor Cr ,.
E
/? J /
Address-3?
2 Alf t?
11Z
t1 ? ? f
City ?? +? ?l
5tate Af,
Zip .`U-l '2- ?
Telephone # 4,q
r
L .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Ivlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(4 submissionType) Submitted Submitted
• Energy Ettvelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #f
Telephone #(
I herehy apply for a ResidentVyBuild 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
0 ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and
pproval of plans.
.
ApplicanYs Printed Name Applicant's Si
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex q 17 Garage O 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex plbg_v or_ N El 25 Miscellaneous
Valuation
Census Code '438- y 3 9
SAC Units
# of Units
# of Bldgs
Type of Const ?
? 35 Int Improvement ? 38 Demolish Interiar ? 44
? 36 Move Building ? 42 Demolish Foundation ? 45
? 37 Demolish Building* ? 43 Reroof ? 46
"Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy v MCES System _
Zoning -D City Water _
Stories Booster Pump _
Sq. Ft. PRV _
Length Fire Sprinklered _
Width
? 30 Aceessory Bi
? 31 Ext. Alt - Mu
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS
_ Final/C.O.
_ FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
_ Footings (new bldg)
Footings (deck)
= Footings (addition)
Foundation
Drain Tile
? Roof Ice & Water ? Final
, Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By: ?
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
_, Building Inspector
-- --------------------------------------------•
145.11 ?
- 'i
?.
C1
•
?
Edina Realty Title
www.edinarealty.com
Closrng Documents:
Property Address: 3691 Greensboro Drive
Eagan, Minnesota 55123
Purchaser(s): Linda A. Kinn
•
Se!!er(s): Sylvester Henry Boeckman and Sharon Kay
Soeckman as Trustees of fhe Sylvester Henry Boeckman Trust
Closing Date:
ERT File #:
Closer Name:
Closer Address:
Closer Phone:
Closer Fax:
Closer e-mail:
8/4/2004
439426
Renee/ohnson
520 Commons Drive
Woodbury, MN 55125
651-702-5906
651-702-5910
reneeiohnson@edinarealty.com
0
vIINNESOTA Department of Revenue
PE-20
??y.t mn ?ameb?, r,.t m?eme m?a?i p?? .tl /37 cw+m, nn>+?
?TER HENRY BOECICMAN TAUST
TER HENAY AND SHARON I(AY BDECIMAN, TAUSTEES? y s??? ?IG`?? Y?? a-/'r?S
?bl.???st emmai
y Newc2tl•es Poylime"cre
KINN.LINDA A. 3624 RICHMONO ALCOVE
/
WOOUBUAY, tR. 55129 '?Ilosi - 731
4,N1 add.:.. w rv.obcmeolp'op.yp.mF m.d Gryaaw?Ab Cw.ry
3691 GREENSHORO DRIVE, EACAN, MN 55123 DAKOTA
, Dolealdeedo?mnlroa leeeld.snpllanolpropeMpu:CMmed?lor,blockondplel,p?0lqdOtopleao(IM1elegaldeiclpllon?
8-4-04 LOT 6, HLOCK 3, GREENSBORO 2ND ADOITION -
:inoncialarrangamanfs
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n Type eF acquisitien (chack all fhaf apply)
]°ua°`e cdgl?»?? ? P oc: `p'o, e?r., 4 a.??? ? Hem? aae.a ?Se e i i o;i:)
? Pmvnry n a 9A o. mM1emm- E s,- o nligroos or cnor,mbk ? Co.2.m.ene. e, IaKloron ? BN?r vvrcM1OUd w,nol Im.,... a,ly
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Type of property eransferred (check ull thet apply)
J io,a?M
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? mrd ordn„aU,, ?
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41 Planned use ef property (check one)
? Rn?dmuol, r?gk IemM II yeu &.,k one ei 1M bu. bozea belew, yau mun mmDlete uh.dvb W]Op and aXaah Ino Mi, a.nifio-
? Ruldmedduples inpAx ? A?9mblo?? IC,°m?e?6eN'd'Irvlol
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-
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Aelhod of financing (cemplefe only if seller•finaneed, including a conhect for deed er nssumed mortgege)
en:t. eno„qp.a_rn:iia ?ro,mirwrmmro, om.vie?yi,?.,p..m
M'o, d b,o.N deeE evnoipmcnme a^???pelendmimen nowinefl.or ofpwmen?? Ibollamlp?y^ene
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Aekre ?M1o1 ihe inlormatien an Mp b.m 6 nve, ro-l and mmplna ro l6e Wrt af my kmwbdq and bliN.
+n.Y?.l or ecd $a-". os,nm.p?r oon
?
BOeCk7
C/p
fO
C/OSe
C/osef A
Closer f
C/OSe
Closer e-
. A. U.S. Oepartment ot Housing B. r e o/ Loan
. i0d Urban DBVBIopMBh!
• L FHq 2.1 ] FMHA 3. [%] Conv. Unins.
l. VA 5. Com.lne.
. 6. FIIe Number ]. Loan NumNr
a39L26 W251d3394
' Settlement Statement B. Martpafle Im. C.q No.
C Nob: This faim if Nrnished Io pWe you e nitlemenl ol eduel feltlemenl coele. PmounLL paiE to ana Ey Ine nenbmenl
agentereehawn. iromemaiketlt'POC")werepaNOWtlEeIM1eGming: meyaraehownhera/orinbrmafion
u oseeeMarenotlncluaeElnlM1etatals.
limple. LlntleA.Ninn,326<RlchmontlAlww,WOOGbury ,MN55139
E.Nom. af9eIbr. SylveslerHanry BOeckmenTruat
F. Nams ol LanOer: WatlE Savinge antl Laan Nsodalqn, 4101 Wisemen BoukvaN, BMg 203, San
AntoNO. TX 78251
G.PropeMLoeNlon: Lm6,9iock3,GreanaCaroYndAdEn
3691 Gmenslooro Drive, Eopan, MN 55120
H.Settlament ABenF. EUIneReallvT0le(95218I0-5200 TIN: 41 15567I1
PIaCe01Sap1amenL 520CanmomOnve,WmEOUry,MN55125
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101. GonVeclaakaprkp 335.000.00 101. Canipdaeba0nce
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Form No. 37-M Trustee's Deed
By IndWiduallsl
DEED TA% DUE HEREON: 51,105.50
Date: August 4, 2004
FOR VALUABLE CONSIDERATION, Sylvesier Hemy Boeckman and Sharon Kay Boeckman, as Tms[eefsl of Sylvesler
Henry Boeckman Tmst, Crantor(sl, herehy convey(s) to Linda A. Kinn, a married person, Grantee(s), real property in
Dakota Covnty, Minnesola, described as lollows:
Lo[ 6, Black 3, Greensboro Second AAdition, Dakota Cowty, Mimesote,
rogether with all hereditmenis and appurtenances 6elonging ihereto, so6ject to ihe (ollowing exceptions:
easemenls, mnvenants and restric[ions of record,
CheSk bos i( applica6le:
The Seller rercifies Ihat the seller does not know of any wells on ihe desoibed real pmperry,
? A well dlsdosure cenificate accompanies Ihis document.
? I am familiar with the propeM descri6ed in [his instrument and I cetlify that ihe status and number nf wells on
the described real properry have not changed slnce the iast previously (iled well disdosure cetlificate.
T s[ee(s) ?
?
? $y(vest Henry Boeckman
?,
• Aflix Deed Taa Stamp Here Sharon ay Boe man 2
Slate of Minnesota `
County a( Washington ?
The foregoing instmment was acknowledged before me on 814/2004 by Sylvester Henry Bceckman and Sharon Kay
9oeckman as Tmsree(s) of Sylvesler Henq' Boeckman Tmst, Granbr(s).
=RENEE ? p:
NSON lic
d IG NATUREOFNOTA0.YP IC OROTHEROfFlOAI
Jan.J1.211p8
CM1eA here if perl of all af iM1e land Is Rogia?red (TOrtensl ?
. TexSm mis(arlFerwlpmpeMdeKnhedinMiflnrvumenl
sYOU1E Ee senl b IinlcWe rame aM iEdress ol Gnnlre):
THISINSIRW1FNi WASOMfIfOBY?NMiEANOADDRESA:
Edina Realry Title Linda A. Kinn
6800 France Ave. South 3691 Greenshoro Drive
Edina, MN 55435 Eagan, Mimiesota 55123
BOPamai
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Permit Number
REScheck Compliance Certificate
2000 IECC
REScheckSofiware Version 3.6 Release 1
Data filename: Untitled.rck
Checked By/Date
CITY: Minnesota Lake
STATE: Minnesota
HDD: 8239
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.18
DAT'E: 09/ 17/04
COMPLIANCE: Passes
Maxunum UA = 222
Your Home UA = 220
0.9% Better Than Code (UA)
Ceiling 1: Fla[ Ceiling or Scissor Truss
Wall 1: Wood Frame, 16" o.c.
Window 1: Wood Frame:Double Pane with Low-E
Crawl 1: Solid Concrete or Masonry
Wall height: 4.0'
Dep[h below grade: 3.5'
Insulation depth: 1.5'
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value -Fa .tor j,JA
1469 40.0 0.0 43
1533 19.0 0.0 76
272 0313 85
112 10.0 0.0 16
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed ro
meet the 2000 IECC requirements in RES checkVersion 3.6 Release 1(formerly MECchec? and to comply with the
mandatory requirements 1 n the S c re kInspection Checklist.
Builder/Designer Date ? ? " (
: U-L??tv D c o.
? SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
10
LEGAL DESCRIPTION; LOT 6,BLOCK 3,GREENSBORO SECOND ADDITION
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
?q I
-! `
` ? \ s
04P?jV ' DRAINAGE fi
\?UTILITY EASEMENT
\
S 55° 05? 03E
LOT 6
SCALE : I" = 30'
II !
I ) 1 ? w
(fl
?
0
0
0)
K)
EXISTING TOP I z
BIOCK 911Y6 I
-- _ J
N
908r3
GARAGE
z z'
DRIVE
OWv. I
75.68
a=13°18'S1"
w
o(D
O?
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O
%t 0)
M
z
HUB ELEV.
909.'5
9p9?a-?
X 907"ITBC -"
3(p'7I GREENSBORO 90 j'QrBc
LEGEND
o DENOTES IRON MONUMENT
* DENOTES WOOD HUB SET
911x6 DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATiON
? OENOTES DRAINAGE DIRECTION
I hereby certity fhat tAis survey, plan or
report was prepcrad by me or under my
direct supervision and that 1 am o duly
Repistered Land Surveyor under ihe
Lows of the Stote of Minnesota.
9os"a
17'6"
HOUSE
SITE PLAN FOR:
JOE MILLER
CONSTRUCTION
9oa'a I
,
m ?1
- •I
-..?--I
I
? 903'2
14' L--- --
io I
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INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSE.D 6ARn.GE FLOf?R E! EV,a,rInN _ Rn.
PROPOSED FIR57 FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR
ELEVATION
'NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PI.IINS
J5
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Swenson, Mn. Rep. No. 15235
Date : I I&A9'7
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete foc Single Family Dwellings
Townhomes and Condos when pennits aze required for each unit
?',?a.SO
Date -(:j
Site Address `,?II? ` C??.c??i?dC"C? ?(' • Unit #
-
rY\ t\J S 5 Z 2z. 6 0
Property Owner S t_? „ Telephone # (?OJ ( ) 45 Z. - c1 'rJ ?7-S
?
Contractor
StreetAddress 2 tJL? pS City D, QSQlrOkl1
State R\1\j Zip ,,014SSTelephone# (GS) ),32Z-Q19Z- (o
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or al teration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
Total $ ?. S U
I hereby apply for a Residential Mechanical 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 Mechanical Codes; that I understand tlils is not a
pemvt, but only an applicarion 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 appioval of plans.
Applicant's Printed Name Applicant's Signature
RESIDENTIAL
5 2 ? BUILDING PERMIT APPLICATION
CITY OF EAGAN ?
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Construction ReauirameMS RemodallRewir Reauiremants
• 3 registered sAe surveys showirg sq. ft. of lol, sq. R. o( hause; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Ene(gy Calculations for heated additions
. 2 copies of plan showing beam 8 window saes; poured fouiM design, etc.) . 1 sile survey (ar exterior additians & dxks
• 1 set of Eneryy CalcWatlons . Indicate if home served by septic system for additions
• 3 wpies of Tree Preservation Plan il lot platted aRer 7f1193
• Rim Jaisl Detad Oplions selectlon sheet (Wdgs wilh 3 or less units)
DATE D Z VALUATION 17
? L?' yg
SITE ADDRESS 3? f I 6R&fA)5 QA.PD DR • MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK-5S oo F FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS lo6-85 "r'N ?.aN,5 A !i
TELEPHONE # 9t5.?' I7y-tdra 35--CELL PHONE #
FD&NPksa.s_STATEMNZIPCS?S?i? ?o
FAX # ?'1?0• 97Y - /3`8 °1'
PROPERTYOWNER T?ea?'e l.joeckM*.J TELEPHONE# G61-905=1778
?
------------------------------------------------°---------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES07'A RULPS 7670 CA1'LGORY l MINNESO'I'A RUI.1?S 7672
(+lsubmission type) • Residential Ventilation Category l Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Su6mitted
Piumbing Confraetor: ___
Plumbing system includes:
Mechanical Contractor:
Mcchanical systcm includes:
Sewer/Water Confractor.
:1ir Conditioning
Heac Recovery SysCem
Phone #
Phone #
----°--------°-°--°--° ----° ----°---------------------------°-°----°--°--------•
I hereby acknowledge that I have read this application, siate that ihe information is
with ail applicable State of Minnesota Statutes and City of Eagan Ordinances.? ,
Signature of Applicant
OFPICl? USI+: ONLY
_ Watcr SofCencr _
Water Heater
No. of Baths
_ P}IOIIE # ,
Lawn Sprinklcr
No. of R.I. Baths
Fee: $90.00
Fcc: $70.00
andc
to comply
Certificates of Survey Received - Tree Preservation Plan Received - Notl9Equired?
1 Y odatetl 4I02
e ? o("
1987 BDILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLDDS 2 SEfS OF PLANS, 3
OF SQRVEY, 1 SST OF ENERGY CALCULAYIOHS
NOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOIiiNER MIIST DESIGHATS AHICH 9DDRESS
IS DFSIRED. NO CHANGSS WILI. BE ALLOWED ONCS BOILDING PERMIT IS ISSQED.
MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL QNITS FOR S9LE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CEiECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C0.MRCIAI,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date: ? ? O7
. n , .
Site Address OFF
Lot CO Block
On Site Sewage_
?? MWCC System L/
Parcel/Sub On Site Well
City Water V
Owner
Address
City/Zip Code
Phone
Contractor
Address
2 -
City/Zip Code,
Phone O/ -
Arch./Engr.
Address
City/Zip Code
Phone lk
APPROVAIS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
Occupancy R-3
Zoning
Type of Const
(Actual) V- N
(Allowable) V-N
# of Stories
Length ,00
Depth y0,33
S.F. Total
Footprint S.F.
FSFS
Permit yS/•pp
Sureharge /42-50
Plan Review 225, 50
SAC, City 00. 00
saC, mwcC 52 , o0
Water Conn 526,00
Water Meter ,OD
Road Unit DS UO
Treatment P1 o.Do
Parks
Copies
TOTAL o? ?
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18xx= iyy
?6xH= !oy
34x`1 13(,
18X56 /pos
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1 356 'X 5e = ?$'? by$
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TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAO
EAGAN, MINNESOTA 55122
io
LEGAL DESCRIPTION: LOT 6,BLOCK 3,GREENSBORO SECOND AODITION
ACCORDING 70 7HE RECORDED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
DRAINAGE &
^\ (3CUTILITY EASEMENT
\
? S 55° 05? ?
LO T 6
SCALE : I" = 30'
UOI I
??? .
? ?w
u-)?
oLC)
Ih rq
?
EXISTING TOP
BLOCK 911"6 I
---J
N
908'4
17'6
HOUSE
SITE PLAN FOR:
JOE MILLER
CONSTRUCTION
W
i () (D
O?o
rn O
908"4
15' q 0)
?
?
- m
18? m
909'2
io ?- ?
o --
GARAGE
22'
DRIVE
_ ?1 wv. I
uU 75.68
p=13018151
)7"ITBC
^^`0? I HUB ELEV.
2 909.`5
?s
o i
9p9n-
GREENSBORO 9a?
LEGEND
o OENOTES IRON MQNUMFNT
a DENOTES WOOD HUB SET
9111e DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION
I hereby cnrtify that ihis survey,plan or
report was prepared by me or undar my
direct supervision and that I am a duly
Repistared Land Surveyor under iha
l.aws of ihe State of Minnesota.
Bradle) (/DJ'. Swenson, Mn. Req. No. 15235
Date ? 12 lj4l89
908t3
INVERT ELEVA710N AT SERVICE EXTENSION=
PRpP011;Fn GAR4.GF FI,QnR Fi cV?eT!nN= 9ii.5)
PROPOSED FIR57 FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR = 10 . o
ELEVATION
7JOTE? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
kot'L ; uc' riUILll1N(3 DEPARZS-IEN?
' • . EXTk:RIOR EHVklOPE AYERp(}E l'Utt COMPUTATION
? (1b be auhmttted with building permit ap.plication) ?
. %
One or Tra Famlly Dwelling Owner*
All Other ' Site Addrees
Contractor 10 pate (p phone
LINEAL FEET OF
EXPOSED YlALL ft, above grade
TOTAL r;?LPOSED :YALL ARc,A SQ, F_T.
OPpQUE WALL CONSTRUCTI01t: "U" Value x Area -
Detall "Un / x SQ. FT. V (U) (A)
reCerence - ?ito 'lu" x 52. FT. (U) (A)
from "U" x SQ. FT. _
attached (U)(A)
sheeta ?u X S@. FT. _ ?U)(Q)
x SQ. FT.
liU" x 5 FT. -
a• - (U)(A)
WINDOWS: "U" Valuo x Area
Make & TyPe S FT. ?cJ?
11 n - Q• -L_L.C_= P/ U (U ) (A )
n it nun x SQ. FT. - (U)(A)
u n liUn x SQ. FT. _ M(A)
npn X SQ. FT. _ M(A)
DOORS: "U" Vnlue x Aree
14a;ce & Tyae 5• ,iU„
n n x SQ: FT.?= (U)(A)
ff x S FT. 3(A) fluit u o uUu x SQ. FT. _ (U)(A)
_ x SQ, FT. _ (U)(A)
'CJTALS Sq. rT._ (U)(A)
AVERAaE '?U??
TOTAL (U)(A) VALUES 'L?•?? -
DIVIDED BY TpTpi, ti/AI,L AREA
AVERp(3E "U" ,115 or lesa for 1&2 famlly dwellinge
ROOF/CEILIHQt
TOTAL AREA:
Detail reiereace „U„
from X 9q. FT. _ (U)(A)
attached aheete.
Deecribe o
eni
-" Y
-?"-?f x SQ. FT. (11) (A)
SQ. FT,(U)(l)
p
nge
in roof. „u„
„
„ x sR. FT. a (Q)(A)
II z 3Q. FT. ? (U)(4)
TOTAL (U)(A) VALUES DIVIDED BY /?f?j? (?
?xJ10!/ rf!?cl.eJ ' ,p C?l>
l)
TflTAL ROOFICEILIN(i AREA 3;o
AVERA4E °IIIO ,025 for ventilated roofe. ?
---
.
; -- _ ? _
-- - _ -- - _ _ ?
?
? --
-- - --
- ------- - -- -----
-
- -
--
? --
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- -
?=
=
?
--
-
-?-X-?;? -
_.
--- -
- _
- - -
-
- -
- - - - -- _ =-- =_ = _ - - _ -- - -- - - - -- =
_
----
-
-
-
-
?
--
- 171, - - ? -
; -
L -
l - - - -
-- - - --- - - - - - - - - - - -
? .
'
_-' _ _-
_
'-
, _ ..
_
_ -
_
'
' _ _ _ _ _ _ _ _ ' - _ _ ' _ _ _ _ _ ' _ _ -
?? - - ?w"7?Xr?lz ! --- - - - -- - - - - - - - I
- -- - -
-- -
-- -
- '
?, ?
? _ _ - - -- - -
- - ??
_?? -- / - -- - - - - - -- - -
?? fw.2°x4S? - - - - - -- - -- - - - - --
??
?? Jur- ° - ,? - -- - --
-
-- -
- -
-- -
-- -
-
?.
--
?
??
-- - - --
_ - - -- - - -- - - - - - -- -
??
?
- - - - - - -- - - - - -
o - - - - - - - - - -
- -
.
, D
?? - -- -- - --
- -
- -- -
- - - - --- _ _ - :
r;
-
71
5
!S
1
71
- - - - 1)
- - - - - - - -
71
1f
I
]0
f
-
]I
- - - - - - - - - - - - -
? 77
It
- ]5
- li
- - I)
- 7i
- 11
/E
7
1
7
i
t
1
7
1
7?
J:
]1
11
71
71
q
•i?o.< cov.ei.u ?.o? ?« v..
,
?
,
?
5
6
1
1
a
?
?
?
?
Dotermining "U" values at Roof, Wall, Rim, and Cohc. Block
? ROOF/CEILIPiQ It VIL,UE
i
I 1.) Irtterior Air r'i1m 0.61
2. ) SlB" QyP- I3d. .56
3.) Znsulation ,?A
1}. ) '7?'iDD
5•) Exterior Air Film ,61
(STILL)
uUu _ 1/R= 'i'oTnL (R)= 4,,S.7C7
WALL
6.) Interior Air Fllm
7.) P' Gyp, Bd.
8.) Insulation
9.) &vk.T- r- I TE
10.) MASOnite Siding
11.) Exterior Air Film
(R VAI,UE
0.68
.45
!9-cn
2• 6?1-
. 67
.17
itUit = 1/R= .04-3 TOTAL (R)
RIM
12.) Interior Air Film
13.) Inaulation
14.) 2" Fir Rim Joiet
i s. ) Px.>K..-r- R,-r?
16.) Masonite Siding
17.) Exterior Air Film
R VAI,UE
0.68
19•00
1.88
Z.67
.17
ilun _ 1/R= .ip TOTAL (R)= Z777
FO U17 DATION
18.) Interior Air Film
19.)
20. ? 1l s?r?
21.? 2" Concrete Block
22.)
23.) Exterior Air Film
R VAI,UE
0.68
1!•oo
1.28
.17
"U" _ ,/?_ . 07?o ToTai, (R)= 13.r?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
LOT: 6 BLOCK:
3691 GREENSBORO DR
GREENSBORO 2ND
PERMIT SUBTYPE:
FIREPLACE
APPLICANT:
3
FTREPLACE SPECIALIST
(612) 451-1970
TYPE OF WORK:
NEW
DESCRIPTTON (GAS)
BUILDING
023776
06/02/94
INSPECTfON r. . ..
ROUGH-IN FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
? ?6 5 S
?- /U
@23776
06/02/94
SITE ADDRESS:
3691 GREENSBORO DR
LOT: 6 BLOCK: 3
GREENSBORO 2ND
P.I.N.: 10-30901-060-03
DESCRIPTION:
( G A S )
ilding?--.eermit Type FZREPLACE
ilding Wa.r_k Type NEW
???v oC? ?c?cg?n
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicent - sT. LIC. OWNER:
FIREPLACE SPECIALIST 14511970 0003924 BOECKMAN SYIVESTER
1200 9TW AVE 3691 GREENSBORO DR
_S ST PAUL MN 55075 EAGAN MN
(612) 451-1970 (612)452-9595
T hereby acknowledge that I have r^ead this applicetion end state that the '
' information is correct and agree to campiy with all aRpLicable Stats af Mn.
? 5tatwtes and City ofi Eagan Ordinances. . J
de4n ?
?- ?oun R,Oall 17?d
APPLICA TIP MITEE NATURE ISSUED?BY SIG-FATURE
CITY OF EAGAN
???? 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ?
Valuation of work l5 O o
site Address: 3w' G 2ae r1.s bo 2a
STREET SU1TE #
Tenant Name: (commercial only)
LOT t BLOCK ?
1
SUBD.
P.I.D. #
Descri tion of work: rv,sfw GL o '*R'7 P(,/- 640
I'
The applicant is: 0 Owner Btontractor ? Other (Describe)
Name oeok vH av. SvGve s7.e Q. Phone y5a
Property LAST FIRST
Owner Address 361471 G-?r.ho e_o .D 2-
STREET STE # .
CityZa. State Zip
Companyrl'(Re La ?i S?eGir L;3TS Phone ?iP
Contractor Address J.-2oD ??Q.•.e S. License # 31 a Exp.
City .S_.S?L. State M Zip.J 0 -?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?f
Signature of Applicant:
OF
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN, MINNESOiA 55121
PHONE: (672) 454-8100
Special Assessment Search
Date: January 15, 1988
Requested By: Re: Greensboro 2nd
Dakota County.Abstract Co 10-30901-060-03
On the attached -form is the City's response to your search
request on the identified property. The information includes the
original amount of the assessments and the payoff amounts of the
assessments on the parcel. In addition, pending assessments are
included for improvement projects that have been ordered to be
installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
WAZVER/DISCLAIMER:
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and using information on
the attached form and for all other consideration of any nature
whatsoever, any claim against the City or its employees rising
therefrom is hereby expressly denied. Pending assessments cannot
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
Very truly yours,
SPECIAL ASSESSME
Attachmeq LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNt1Y
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? ` .,_ dr,, Fnr-rrJ c:?r l- r,r.;a_.+!s:.k;?rc
APFLiCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
,
? NOTE: PASQffESlf OF FEE AT TIME OF
'
APPLICATION WF5 NOT CON- .'4
&'fI1V1E APPRCVAT. OF PIIiFIIT. ?
? It15PHCPSON OF SEFII'R APD/OR WATER i.
; intsrr,cv,Tiazs wua. Nor aE scEnE¢ED ;
lT7PII. PEI7PIIT HAS B@] APPRWID. t
f R?tsfrf?fleeKef ff?f f trfeeif ?tetif4ie?r
oF eagan
(PLEASE PRINT
1) PROPERTY ADDRESS: lso4c> ?h.
T•FY;AT• DESCRIPTIONI . . . . . . . f?- . .?i. . . . . . . . . . . . . . . . . . . . . . .
Lot B oc S division or Tax Parce ID )
IF EXISTING STRC?C7Y7RE, DATE OF ORIGINAL BUILDING PII2NIIT ISSLANCE: .
Mont Year
PRESENT 7ANING/PROPOSID USE:
Q CONA1EEtCIAL/RETAIL/OFFICE ':_LJ'R-1 SINGI,E FAMILY
Q INDC?STRIAL ? R-2 DUPLEX ('itvo Lnits )
Q INSTITUTZONAL/GOVEMETYi' ? R-3 TOWPII-IOC!SE (Three + IIaits) ( Lnits)
Q R-4 APARTMENr/CONIDOMINIUM ( L'nits)
.
2) NAP'1E: aG Of, lk r- Co,?St
ADDRESS: L$!33 C'ea{et, .'g,.. S.
CITY, STATE, 2IP: ?ry4?'yy?%n.r
PHONE: ?/- ?po(
3) i: 7?• NFIIAE: ?fs. 1Dltr
1
AoDxaSS: -rra9a 2.4" w.?,
CITY, STATE. ZIP: ?.
?/4b /?_ - 9* dvt A1A? PHONE: A1q3- .2',(7 (1 MASTII2 LICENSE # ?1sG ?
ij Active
Expired
Not recorded
St Itutia
4)
NArE: 4, cx \:
P,onREss:
CITY, STATE, ZIP:
PHONE:
5) s ?, a •?, i •"e ??e
??CONNECTION TO CITY SEMR Q'CONNECTION TO CITY WATEE2 ? OTiIER
6) Em cc. 23 E7
******?*********?***********?**********.?*?**?**??*****?*?********?****************:**:r??****?**+,r*?
*
* TIIE GOID COPY OF 'IIIE PERNRT WIIS, BE &ENP DIREC'iZY TO P[)BLIC WORKS 'PD FACILITATE M= PICK-UP. *
? PLEASE ALLAW '1W0 FARKING DAYS FC)R PROCFSSING. SOMEONE FROM Tm CITY WILL CONPACP YO[! IF 2gIERE ?
* ARE ANY PROBLF.MS. r +
r?*?? ***?*,r* ***?+*x*«*+r***+**?*?+**,r**,??***? *,t* ***:t,r+**x**t*x,et*??**+,c*t**t?*??**?* **+?*+t**?*+**,t?t*y
? FQR CITY USE ONLY
PERMIT # TSSUED ,
5'.3 Z -2- .
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLLDE SURCHARGE)
$ $ WATER PERMIT (INCLLDE SDRCHARGE)
$ $ WATER METER/COPPERHORN/ODTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?j • ?TJ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ S z S' O'2? $ WAC
$ (? 2 5- - GrZI $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ /?J 6Cr? $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ 13 !5? S -4-/ U'z> TOTAL
_7?9
RECEIPT RECEIPT# -
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEIV A"PERMIT FOR WORK WITHIN PDBLIC
F7 NO ROADWAY" MUST BE ISSLED BY THE ENGINEERING
DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
?
1999 BUILDING PERMIT APPLICATION (RESIDENTIA )
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
J 651•681-4675 ?
New ConsfrucFion Reauiremenfs
? 3 regisfered sfte surveys showing sq. fl. oi lot, sq. R. of house
and all rooled areas (20% maxfmum loT coveraae allowed)
* 2 copies ol plans (show beam 8 wfndow sizes; povred tnd. design; efcJ
> 1 set of energy calculaNons '
> 3 copies of free preservaBO plan M lof plafted alter 7/7/93 . DATE: ?
DESCRIPTION OF WOR
Remodel/Reoalr Reautremenls
2 copies of plan ,
1 set ot energy calculations for heated addNions -
1 sNe survey tor exterfor addNfons 6 decks .
CONSTRUCTION COST:
r
? - STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D.#:
Name: ki %?'r'?????7?7? Phone #:
,
PROPERTY La? ?? Flnt
OWNER ???
Street Address: C
Zip: .
CONTRACTOR
City Z?-- .} ki??J State:
ARCHITECT/
ENGINEER
&z)-
(area code)
Licens #C,uXiO Exp.
Zip:
%one Telephone #: area code ( )
Name:
Sfreet Address: Regisfiroiion #:
City State:
Sewer 8 water Ilcensed plumber (reauired for new conztruction onlv):
f enalty applles when address change and lot change is requesfed once permlt Is Issued.
i hereby acknowledge that I have read thfs application, state that the Information is
State of Minnesota Slatufes and City of Eagan Ordlnonces. t
Slgnature of Applicanf:
OFFICE USE ONLY
Zip:
agree io compiy with all applicable
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Cfty ,???? State: ?
OW
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
659-675-5675
Please complete for modifications to existing residential dwellings.
lx? ( :S', . ?_o
Date
?
?
o 1{
Site Sfreet Address.???Ir t???S ?/ ??
G Unit #
PropeityOwn Telephone# ?
Contractor Telephone # ( )
Address City State Zip
The Applicant isc ?!Ow?er _ Contractor Other
Fterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required) -
Other.
W
ter Heater
Water Softener $ 15.00
new L--?replacement
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge
[ 50
JAN 2 a 2005 I
E
'
g/..5
Total
,
;
I hereby apply for a Residential Plumbing Permit and ackn By edge- a? nation is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, kut only an application for a
permit, work is not to start without a permit and work will be in accordant*,with the approved plan in
ent a plan is r,equi ed to be reviewed and approv
the v
?.????G
ApplioanYs Printed Name Ap icanYs 5ig tur
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION ?so?
3830 PILOT KNOB OAD, EAGAN MN 55122
659-675-5675
Please complete for modifications to existing residential dwellings.
Date ` / 1 /__<1 ! 192? r
Site Street Address?E??"? unit #
Property
Contractor
Address _
d
The Applicant is: O ner _ Contractor
Telephone # 4(A /)
Telephone # (
City State Zip
_Other
Altere i ns to existing dwelling $ 50.00
plumbing fixtures (excludes water softener andlor water heater--complete next
section if installing these appliances).
Septic System Abandonment
_? ter Tur around a?dd $125.00 5/8" rpeter is require
L?Other
Water Softener _ Water Heater $ 75.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total
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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the t a pla is requi t? reviewed and approv?
Z?? JAN 1 2 2005
ApplicanYs Printed Name Applicant's gna re
-? 33L, 4
a ?0(p RESIDENTIALBUILDINGs
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWd'an Reauirements
3 registered sife surveys showirg sq. R of lot sq. ft of house; and all roofed areas
(20% mazimum bt wverage allowed)
2 copies of plan showing 6eam 8 window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preserva6on Plan rf lot platted after 711/93
Rim Joist Detail Options selection sheet (buildings wBh 3 or less units)
Minnegasco mechaniplventilationform
RemodeVReuairReauiremenLS 2 copies of plan showing footin9s, beams, joisls
7 set of Energy Galculations for heated additions
1 site survey foraddAions & decks
AddRbn - indicate Non-sife sepfic sysfem
?w o-o
15/r 2 . ,d?
OfficeUseOnlv
CertofSurveyRecd _Y _N
Tree Pres Plan Recd Y - _ N ,
TreePresReqmred .:'.. -._Y. _N
On-sde Septic System : _ Y _ N
Date --IN tion Cost %23
Construc
Site Address
< ?
Unit/Ste #
<
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property owner r ,,/
6/U/U Telephone
Controctor r
Address co City
State Zip . - T lephone # 07) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minneso[a Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculations Submitted .
In ihe last 12 months, has the Cify of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone # ('Iunj1 )? CM
Mechanical Contractor u u MAY 0 9 2006
Sewer/Water Contractor
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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of pl ns.
z; ?ix"WAI
Applicant's Printed Name ApplicanYs 5ignature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16rplex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex k 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
? 31 New
19 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Buiiding* ? 43 Reroof ? 46 WindowslDoors
'Demalition (Entlre Bldg) • Give PCA handout to applicant
DeSCfiptlOn: Water Damage _ Yes
Valuation d'a?
Plan Reviewn// 100% or
Census Code 3`/
SAC Units -
# of Units ^
# of Bldgs ?
Type of Const ?
Occupancy R MCES System ?
25% n
? ?
Zoning N City Water
Stories ' Booster Pump `
Sq. Ft. M PRV ?
Length /H / Fire Sprinkiered
width 13 /- C"
REQUIRED INSPECTIONS
Footings (new bldg)
? Footings(deck)
_ Footings (addition)
Fouttdation
Drain Tile •
Roof tce & Water Famal
_ Framing
_ Fireplace _ R.I. _ Air Test Final
_ Insulation j
Approved By:
Base Fee "
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
_ Sheetrock
FinallC.O.
FinaUNo C.O.
HVAC
Other
Pool Ftgs Air/Gas Tesu Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
.
7 AE-LA1V D C 0.
SURVEYING
? SERVICES
1260 YAtVKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
JOE MILLER
CONSTRUCTION
LEGAL DESCRIPTION; LOT 6,BLOCK3,GREENSBORO SECONp ADDITION
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
. h? ?
hn
o??'ljV - DRAINAGE a
\,? O?' UTiLITY EASEMENT
\
? S 55° O5L 0!?
LOT 6
SCALE : I" = 30'
I_:) I (
101 I -
w
( o!?
I o?
W MO
I C.) T v- 90804 908"4 , IT ?
? 0 I ?763B 6 ?SI
lV z
O ? HOUSE f0
_ kt
CY) Q P ' M
EXISTING TOP ?
'v
I ? m I
BLOCK 911?6 I '8, cp GARAGE N m
14 2 - - - o? NUB ELEV.
--?J ' -?'--- -- 22? 909.'5
_ 9?'o I
10 I m DRIVE
0
90813
10.00 75_68
N 50058'04"W 6=13018151" 90 9hq
? 907"ITBC
3b q 1 GREENSBORO . 9p>?
IEGEND
o DENOTES IRON MONUAIENT
a DENOTES WOOD HUB SET
911?6 DENOTES EXiSTING SPOT
ELEVATION
DENOTES PROPOSED SPO7
ELEVATION
?- DENOTES DRAINAGE DIRECTI6N
I hereby cnrtify that this survey,plan or
report was prapared by me or under my
direct supervision and that I am o duly
Repistered Land Survtyor under iha
Laws of the STnte of Minnesota.
INVERT ELEVATION AT SERVICE EXTENSION=
PRpPQSE!'1 6ARp.GF FLOnf? ri cVqTI[1N_ 911
PROPOSED FIR5T FLOOR EI.EVATION =
PROPOSED BASEMENT FLOOR = o'
ELEVATION
'NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PI.ANS
Bradle)q. Swenaon, Mn. Req. No. 15235
Date : 19 A4 7
2007 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. R. of house; and alI roofed areas
(201% maximum lot coverage allowed)
1 Soils Repod'rf proposed building is to 6e placed on disturbed soil
2 copies of plan showing beam & wintlow sizes; poured found design, etc.
7 set of Ene[gy Calculalions
3 copies of iree P2servafion Plan if bt plat[ed atier 7/1193
Rim Jois[ Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechaniql ven6lation form
RemedeVReoair Requirements
2 mpies of plan showing foo6ngs, beams, joisGs
1 set of Energy Calculations for heated additlons
1 site survey for addi6ons 8 decks
Addition - indicate tl on-site septic system
Telephone #(
Pians are considered ublic information unless ou state they are trade secret and fhe reason.
Date i / 4? Construction Cost
Site Address Unit/Ste #
u -f yNt-t-' AVu %" A16 *S
v
+
Description of Work O Y
l7p,
? ? ? ?J
Mu16-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ,L /? JJ_? / ?7
Telephone # (t2J?
6 / 2!- /a ',
Contractor TL
Address City z?/
State ?/`-7 ? Zip ? Telephone # (i?6n /'?I•- ? l!7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I herebv apvly for a Residential Building Permit and
Telephone #(
Telephone #(
?o'o6
v
x/Yr
Office Use-Onlv
Cert of5urveyRecd _Y _N
Soils Report ? Y N
Tree Pres Plan Recd -Y _ N.
TreePresRegWred _Y _N
On sife Septic.System. .. _ Y ._ N
the information is complete and accurat
e;
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 pernut, 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.
L,`? JA ,
Applicant's Printed Name phcant's Signature