3695 Greensboro DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3695 Greensboro Dr
Lot: 5 Block: 3 Addition: Greensboro 2nd
PID:10- 30901 - 050 -03
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Line
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Applicant/Permitee: Signature
PERMIT
City of Eaan
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Kevin C Wilson
3695 Greensboro Dr
St Paul MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA079334
08/17/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est Value Date
Site Address
Lot ? Block Sec/Sub.
Parcel No.
ac Name '
3 Address . ° City Phone - ` t • . .
? Name
.o
o Q Address
? City Phone
"W Name
W y?
F
_z. 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
appticable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officia
O FFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowabte)
PRV Required * of Storles
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
t '!d V 17
19
?
)..
.5
_?ii•
. '. J'?
? .
. . %t;: .
.
- Permft No. Permit Holder Date TaNphona ?t
Plumbing tz' "4.-?
H.V.A.C.
L
Electric . / ?
Softener
Inapection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. ?
Rough Htg.
isui. - :'f i - 9- P- 7 -
Fireplace
Final Htg.
Final Pibg.
Bidg. Final
Cert Occ. ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Diap.
;
11Wd3d 30IA!!3S li3M3S
s
:a6jeyoing ;
, 'seOu :?? 3iwJad 1
e
? i
ua8e3 W 43 e41 411m 1Idi :daa
1
?,aa8.U2.701 110? ?Ul ?? ::77MW ?
?I?,.'`'???W;? :??:.i. .i:?." . ,.. t. , . 7?t':.._ -:x . ??.'; ?' ?a .a
Mr ,,,..,+s?--.,?."+.:: a7G .'rw.7fF?"y'C.- . °.qj _ .
CITY OF EAGAN ? :A 17866
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121
PHONE:454-81U0
BUILDING PERMIT Recelpt #
D=
=1 ,000 MAY 14 90
Est. Value
To be used for Date 19
3695 CItBEli3DM Dx
Site Adiess
!U
OFFICE USE ONLY
Lot Black Sec/Sub.
Parcel No. occupancy
2
i - FEes
GU?'
HAWTHQRIE on
ng - 25.00
i
Name (Actual) Const - Bldg. Permit
W
; UMMIORO Da
Address (alowable) _
surchar9e • SO
0 Cj RAW Phone 223-3435
ty # of Stories
h
l ? Plan Review
? engl
a Name DeP?h - SAC, City
,o
o ?
< Address S.F. Total -
SAC
MCWCC
o
? Clty Phone S.F. Footprints - ,
t
S
O
5 Water Conn
ewage
n
i
e _
W W Name On 5iie well - Water Me1er
zZ Address MwCC S stem _
<W Ci Phone
ry Ciry Water
PFiV R
i
d _ Acct. Deposit
S1W Permit
re
equ _
I hereby acknowlege that I have read this application and state that the 8ooster Pump - 51W Surcharge `
information is correct and agree to comply with all applicable State o1 3
Minnesota Statutes and Ciiy of Eagan Ordinances. Treatment PI
Signature of Permitee -? APPROVALS
Road Unit
? ????
GUC Planner
A Building Permit is issued to: -
Park Ded.
on ihe express condition that all work shall be done in accordance with all Cou^cil -
i
C =.QQ
applicable State of Minnesoia Statutes and City o1 Eagan Ordinances. Bldg. Off, _ op
es
T??
Building Official { ? Variance - TOTAI
I BUILDING PERMIT
To be used tor DZCK
Site AddCess 36915
Lot S Block
Parcel No.
CITY OF EAGAN ;?f!
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512
PHONE: 454-8100 4 ? ??
Receipt #
Est. Value =1,000 Date MAY 14
Sec/Sub
W Name -"" " '.."",.
? Address D
0 City RAGAN Phone
,a Name $?
;? Address
City Phone
; W Name
? ; Address
i W City Phone
OFFICE USE ONLY
Oecupancy
Zoning
(Actual) Const
(Albwable)
A' of stones
Lengih
Depth
S.F. Total
S.F. Footprints
On Site Sewage
on site weu
MWCC System
Ci1y Water
PRV Required
Booster Pump
APPROVALS
Pianner
council
81dg. Ofi.
Variance
17866
19 90
_ FEES
?
Bidg. Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Conn
Water Meter
Acct. Deposit
SJ1N Permit
SNV Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
2s.oo
•SQ
1.00
I hereby acknowlege that I have read this application and state that the
infortnation is correct and agree to compiy with all applicable State o1
Minnesota Statutes and C9 of Eagan Ordinances. Signature of Permitee
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.
t
Building Official ?
PermN No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.VA.C.
ELECTFlIC
Inspection Date Insp. Comments
Footingsl
Foundalion
Framing
Roo(irg
Raigh PIb9.
R.%9h H19•
Isul.
Fxeplace
Fnal Hlg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
peck Ftg. .1
Dedc Final !
aU 0
weli
Pr. Disp.
3 •
,r<'TAGAN Permit No: 9177 Datec
..,b Road Meter No: Size: S g o?1S
.J: do:. e1199 ' Reader Date: 22 ? /(2 ' 97
Eagan, MN 55121
Site Address: 3695 Gre&.
Plumber. Plvinotitl-A
Conn. Chg: 525.0130Ara
Acct Dep: 15. p}}Aw -z-w ftt °f•?
1
?'E
Permit Fee: 10 • ()? n4 .
? .
Surcharge: -SZEGI j ? ?EL) IJjg?eejqkWty with the City of Eagan
Tr. Piant 1 "0• Ordinances.
Meter. .
Misc.: By
INATER SERVICE PERMIT
Date: % . 27,P
Permit No; C
ioad 7545?1 " - Date:
BIP No:
I
City Chg: ?,:•. - ?L '?1ra'??'n'Y"'
Acct Dep: Y?•Ttt ???.- r ply with the City o1_
? ? . ??C.?"
Permit Fee: ? nces, ?-?Si irr.harae: ,
SEWER SERVICE PERMIT
? CITY OF EAGAN NO 17$66
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /0 11%05
BUILDING PERMIT Receipt# ?-
To be used for DECK Est. Value $1,000 Date MAY 14 ,? g 90
Site Address 3695 GREENSBORO DR
L0t 5 81ock _3 SeC/Sub.GREEN5SOR0 2ND OFFICE USE ONLY
PBfCeI N0. Occupancy - FEES
Zoning -
w Name GREG HAWTHORNE (ACtuapConsl - BIdg.Permit 25.00
o AddfESS 3695 GREENSRORO DR (Allowahle) - S • 50
urcharge
City F.AGAN Phone 993-3435 x ot Stories -
12' Plan Review
Length
Name SAME Depih 161 SAQCity
zF
$
a Address S.F. Total -
SAC, MCWCC
? City Phone S.F. Footprints -
Walar Conn
On Site Sewage -
w Name On Site Well - Water Metar
,
?v flddfBSS MWCCSystem -
?aW
Cily PhOne
Cirywater Aml Deposi[
-
SfW Permit
PRV Required -
I here6y acknowlege thal I have read [his application and slata that ihe Booster Pump - S/W Surcharge
inlormation is correct and agrea to comply with all applicable State ol
Minnesota Stalutes and CitY of Eagan Ordinances.
i'?
? 7reatment PI
L
.
Signature ot Permitee I ?T?Xr+?o_ APPHOVALS Road Unit
A Building Permit is issued to: GREG HAWTHORNE Planner - park Ded.
on the express condition that all work shall be done in accortlance with all Council
1
00
aPPlicable State of Minnesota Statutes and CitY
of Ea9an Ordinances. BIdg. Oil. _ Copies .
?
???
BuildingOfficial _\.Qd?,'?I?I
I
Variance
- TOTAL
2b.50
,. . CITY OF EAGAN N°_ 14 317
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
° PHONE:454•8100 Receipt# / ry8, i/,Yo/-Cd
BUILDING PERMIT
19
Tobeusedfor SF DWG/GAR Est.Value $115,000 Date OCTOBER 19 87
Site Address 3695 GREENSSORO DR
Lot 5 elock 3 Sec/Sub. GREENSBORO 2ND
Parcel No.
m Name JOSEPR MILLER CONST
? Address 18133 CEDAR AVE SO
° City FARMINGTON phone 431-2001
o Name_
?Q Address
? City_
Ww Name
_? Addre
aw City_
I hereby acknowledge that I have iead [his application and state that the
intormation is correct and agree to comply wiPlica6le State of
MinnesotaStatWesand it of Epgan " ?nc .
Signature of Permittee
A Building Permit is issued to: QBEPfl_MILLERSI9NS1____.
ontheexpressconditionthatall orkshallbedoneinaccordancewithall
applicable State of Minne ta StaWtes and ity of Eagan Ordinanws.
BuildingOfficial
l
OFFICE USE ONLV
On Site sewage _ Occupancy R3
MWCCSystem X Zoning Rl
On Site Well _ (Acfuap Const Vn
Ciry Water X (Allowable) Vn
PRV Required _ # of Storie5
BoosterPump _ Leng[h bZ
Depth 34
S.F. Total
footprint S.F.
APPROVALS FEES
Engr./Assess Permit 548.50
Planner Surcharge 57.50
Council Plan Review 274.25
Bldg. ON. _ SAC, City 100.00
Variance SAC,MWCC _5-Z,5,00
WaterConn. 525 00
Waier Meter - E1Z-00
Road Unit _ 305_00
Treatment Pl 180.00
Parks
$Z
SSZ.ZS
TOTAL ,
- - - - - - - - '??C? ?' ? ' ?- FED 2 6 2009 ?
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reouirements
3 registered site surveys showing sq. R of lot, sq. h oF hase; and all roofed areas
(20°h maumum lot coverage allowed)
1 Soils RepoA if proposed building is ro 6e placed on tlisNrbed soii
2 copies oF plan showing 6eam 8 window sizes; poured found desig ip ???
1 setof Energy Calculafions
3 copies of Tree Preservafion Pian if lot platted after 711193 -
RimJOistDetailOptlonsselecfionsheet(huildingswiN3orlessunJUL?
3
Minnegascomechanicalvenfilationform Plans are consiaerea puoicc u,
I
Date _'?_/
Site Address 9'5- ?r r Q- ?-' ti S Q 6?
Description of Work
L
gSIL
Multi-Family Bldg _ Y<N Fireplace(s) _j?5 0 2
Property Owner (C Cvti A/ l-a c..` r, e e -? lIZ ( L S3+'L Telephoqe #(
Coohactor
Address X lN °l"1
State /A Zip U-1 7
City
?Z d c?--' g? b [}
Telephone tf (65"0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
- Minnesota Rules 7670 CateQON 1 - , New Energy Code Worksheet
Energy Code CategOry . Residenlial Ventilation Category 1 Worksheet
(J submission type) Su6mitted Submitted
. Energy Envelope Calculations Su6mitted
In ihe IasT 12 months, has ihe City of Eagan issued a permit for a similar plan based on a masier plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Coniracior
Sewer/Water Contractor
apply for a
Permit
Telephone #(
Telephone #(
the infoi
sA'6
'4/ S
e;
N
that the work will be in contormance wim me oramances ainu wu??
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.
RemodeVReoair ReauiremenGs
2copiesofplanshowingfooAngs,beams,joists Office Use OnN
CeRafSurveyRecd
Y _
isetofEnergyCalculationsforheatedadditions
T?ePresPlanRerd
_
N
Y__N
itions & decks
oo-site septic sysfem
Tcee Pres Raquired
On site Sep6c System .
_
=Y _ N
Y'_ N
2007 03 •!6-1 c??&CL
Lou
stat the are trade secret and the reason.
3 d ??
Construction Cost 4
0 r N n UniUSte #
` _ - Telephone #(
?r? A ?w l?J?V ApplicanYs Printed Name s ignature
Ap ]icant'
DO NOT WRiTE BELOW THIS LINE
Su6 Tvues
1 Foundation
02 SF Dwelling
03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Wark Tvpes
? 31 New
? 32 Addition
Pi„ 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch(3-sea.) ? 31 Ext.Alt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 10 OS-plex ? 18._.Deck ? 23 Poroh (screenlgazebo/pergola) ? 36 Multi Misc.
? 11 10-plex ?19 LowerLevel ? 24 Storm Damage
? 12 12-plex ? 25 ?'Miscellaneous
? 35 Int Improvement ? 38 D'emolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demalish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant .
DeSCI'IptlOfl: Water Damage _ Yes
Valuation
Plan Review/y 100% or _ 25°a
Census Code L?/ 3y
SAC Units -?
# of Units
# of Bidgs -
Type of Const 1213
Occupancy G.t MCES System i
Zoning City Water
Stories ` Booster Pump ?
Sq. Ft. PRV ?-
Length " Fire Sprinklered
Width
Faotings (new bidg)
Faotings(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
REQUII2ED INSPECTIONS
_ Sheefrock
Final/C.O.
?- Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wal]
Building Inspector
3-vxit;?---13U
?
7-7663
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City OF Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWc(ion Reauirements
3 regis[ered site sumeys showing sq. R. of lot, sq. ft. of house; and all roofed areas
(20 k marimum lot coverage allowed)
7 Soils RepoR i( proposed building is to be placed on disWrbed soil
2 wpies of plan showing beam 8 window sizes; poured (ound desiqn, etc.
1 set of Energy Calcula6ons
3 copies of Tree Preservation Plan if lot plafled after 711193
Rim Joist Detail OpUOns selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilafion fortn
?`?l? &,i
RemodelfReoair Reouirements Offce'.Use Onlv
2 copies of pian showing footings, beams.joisls Cedof Survey Recd Y_N
1 setof Energy Calculations for heated additions Sals Repwt Y_N
1 site survey for additions 8 decks Tree Pres Plan Recd Y-_ N.
Addifion - indicaterfon-sifesepficsystem TreePresRequired Y _N
Od site Sephc System Y. _ N
Pfans are considered oublic inforrriation unless vou state thev are tradCegecret and
hAson.
Date t-?/ Jo / V? Construction Cost
SiteAddress 3G Q,? CY[C3.e,?, sr3p rc? ?/'. \r`C_ Unit/Ste #
f-7 r^-C?, ..
Description of Work r"f?-
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 ?
2
Property Owner ?? 0 P?-
01, U, e C.-\ ??L S' u n
Telephone #( Z
?° , ? T?.,?-e w ??„ ?r-? ? M-<- s?.?.-?
Contractor v?. a z. L
/"t
,{
(
??li G 2 L Va, (' u--,Lu L-(--
Address /'?
CitY ? G'" I'L
State i/11 /? Zip 1 -1 Telephone #S Y 1"l U 2-- r'I °I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mionesota Rules 7670 Catewri 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilatian Category 1 Worksheet
(Jsubmissiontype) • New Energy Code Worksheet
i
Submitted Subm
tted
• Energy Envelope Calculafions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar ptan based on a masier plan? -
_ Y _ N If yes, date and address of master plan:
'Licensed Plumber rt?
. ? Telephone #( )
Mechanical Contracfor Telephone #( ?
Sewer/Water Contractor 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 pennit, and work is not to start without a
permit; that the work will be in aceordance wiYh the approved plan in the case of work which requires a review and
approval ofplans.
!1? e ?? h L / ?
ApplicanYs Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage 1( 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Mulfi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Buildirtg ? 42 Demolish Foundation ? 45 Fire Repair
? 3S Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Wndows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCI'iption: WaterDamage_Yes
3 '3
Valuation Occupancy MCES Sys}em -
??
Plan Review /i 100% or 25%
Census Code 3fy Zoning p D City Water -
SAC Units " Stories ? Booster Pump -
# of Units ^ Sq. Ft. 338 PRV
# of Bldgs Length /A Fire Sprinklered -'
Type of Const ? W dth 3?
REQUIltED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
Footings (deck) FinaUC.O.
? Footings (addiYion) FinaUNo C.O,
? FoundaYion ? HVAC
Drain Tile Other
Roof
Ice & Water ? Fina] Pool Ftgs Air/Gas Tests Final
--
Framing Siding _ Stucco Lath _ Stone Lath _Brick
?
Fireplace * R.I.
1CP.irTest ? Final -
Windows
,X Insulation _ Retaining Wall
Approved By: , Building Inspecfor
------------------- - --- ---- -------
BaseFee --------------?--------- -------------------- --------------------------------- -------------------?-r----- - ----
(lNri.v 83.1 ;- 3:X,O& /j?
Surcharge S ?g h'o
Plan Review 3?? ? ?` ? 33o s
?-
MC/ES SAC q L?yy
City SAC `3/
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
, _,.c:YINS
- SERVICE
EAGAN, M NNE?SO? ALE55 22D
LEGAL DESCRiPTION;
SCALE:1"=30'
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N 89055b6'W ?} I
, 109.32
LOT 5
LA i 4
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LEGEND
DENOTES IRON MONUMENT
DENOTES WOOD HUB SET
pcti0T£S E
NPui
EVA
TIO
EL
DENOTES PROPOSED SPOT
ELEVATION
,,-- DENOTES DRAINAGE DIRECTION
I hsroby cartify that this survay,plan or
report wos propcrad by me or under my
direct supervision and that I am a duly
Reqistared Land Survayor under the
Laws of the Stata of Minnesota.
SITE PLAN FOR:
JOE MILLER CONST.
LOT rl-, BLOCK --3-, rQEEniSB RQ 2nd ".
ACCORDING?QKOTA RECUC
THEREOF OUNTY,MINNESOTA
?
?h' ?h
"J M?o
'JJ
?
L_Q i 6
INVERT ELEVATIUN AT SERVICE EXTENSION=-_ -
PROPOSED GARAGE FLOOR ELEVATION
PROPOSED FIRST FLOOR ELEVATION
Pni;?GScii 6i,SEi.iEivT f'L`vuF: `
ELEVATION
NO7E ' VERIFY ALL FLOOR HEIGN7S WITH
FINAL. HOUSE PLANS
Bradley . naon, Mn. Rsq. No. 15235
Date: IQ ?1 I8? -
• REScheck Software Version 4.0.1
Compliance Certificate
RepoA Date; 05707107
Data filename: umiUea.rck
Energy Code: 2000 IECC
Location: Dakota, AAinnesota
CwiswcUa, 7ype: Single Famity
Glaarg nrea Percentage: 6%
Heating Degree Days: 7491
ConsVUCtion Site: Owner/AgenY.
3? `1 S G-raen s?ur a Or.
DesignedContrador.
Compllance . Passes Ddazu-,ium UA_ 489 Your F;a.ie Un. 428 --> 125% Better Than Code (UA)
ceirng 1: Fiaz ceirny or scissor rtiu: 1069 0.0 44.0 za
Ceifmg 2: Raised w Energy Tmss: 330 0.0 38.0 8
Skylight 1: Wood Frmne:Doubie Parie: 7 0.340 2
Wall 1: Wood Frame, 16'o.c.: 3666 19.0 0.0 202
Window 1: vnryl Frame:Double Pane with Low-E: 211 0.340 72
Door 1: SdiA: 84 0.850 71
8asemen[ Watl 1: Maswvy BbrJc wilh Empty Cells: 832 11.0 0.0 49
Wall hegM: 8.0'
Deptli bebw grade: 7.6
InwlaUon depth: 8.R
COmpGance Sfa[emenr The proposed bulding desgn descri6ed here "s cons"sOent wifh the build'vg Plare, spectlkatiorrs. arW a4her
calculations subnutted with the pemiit appl"eation. The GroPosed Wuld'm9 has 6em designetl tD rrieet Ihe 20001ECC requirertients in
REScheck Version 4.0.1 and b mmply wiU M¢ manCatory repu"v¢menis lisletl in ttie REScheck Inspeciion Cheddtsl.
Name - Trtle Signature DaOe
J
Page 1 of 4
? ftEScheck Software Version 4.0.1
Cvompiiance Certificate
Report Date: 07131/07
Deta filerWme: C:\DOCUME-7Vui1KETU-ilDesktoplWilsan.rck
Efrergy Code: 21001ECC
Location: Dakota. AAinaesoW
Conswctia,Type: SingleFamily
Glazing Area Percentage: 7'yo
Heating Deg2e Oays: 7,491
Construcfion Site:
OwnedAgent
DestignedContrador
Ceiling 1: Flat Celling cr Sassor Truss: 1069 0.0 44.0 24
Ceiliag 2: Raised or Energy Truss: 330 0.0 38.0 8
SkyligM 1: Wootl Frame:DOUbp Pane: 7 0.340 2
Wall t: Wootl Frame, 16' o.c.: 3866 19.0 0.0 200
Window 1: Viryl Frame.:Double Pane with Low-E: 253 0.340 86
Doar 1: Solid: 84 0.850 71
BasemeM Wali 1: Mawmry Bkcc witli Empty Cells: 832 11.0 0.0 49
wen neig,e a.(r
Depth below grede: 7.6'
Insulatioo deQth:B.(T
Compliaxe Slatemenk The proposed ddidvg deesgn demi6ed here is ornsistent vdM Hm 6uNdinB PWns, speafemtions, aM ofher
calmlaBOns suMrpYted wiM Me pertnn[ appBeation. ihe proposed buiklcg has been designed to meet tlhe 2000 IECC requiremenis in
REScheck Version 4.0.1 and &) compty with ihe mandatory requiremenCS lis ' th RESchec nspecfion Checklist.?1
?-ot. /-0j
Name - TAIe 1Qnewre Dafe
Pqqe 1 of 4
Campliance Pa`sses(, , •?taximumUA'A89 7ourNomeUA'q40 '10?0°lu4Better`ThanCodB,(UA};,,.;,'I
0 Aprg :07 07 11:02a Larson Specislty Structur
Larson SAecialty Shuetures Int.
5931 Ho6e Lane
White Besr Lake, MN 55110
LLLLLarson
651 429 6761 p.1
NO. 1
I hereby certify 1ha! 4his 0-an, spectitcaea'a
or repor was preNared 5Y me or undar my
direct supervisian and triai 1 am a 6uly
licenseQ Panfassio;.a, Engineer Lawdar tho
taws of tne Stat° of lu7inneso:s.
Print Neme: De
oete B-7-p7 uoeu?se?178s1
Z
I ? 'j,' Z 4
. I
1
• 3??" ? !' ?? S?! 3?Z
I
,
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? tFA.^'WNS-LOwftq&
Lv?jui-
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?L??- C?,(A't' t O n-f
a
. Aug_07 07 11:02e Larson Specialry Structur
Larson speciaky structures Inc.
5931 Hobe L6m
VYhke Bear Lake, MN 55110
651 653 7674 Fax: 651 653 7667
LLLLLarson
.z rr
V
?58
z ¢aws '
8 d n?+•e t.? ? .?
C? 3 a '
v„?.? ..
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a?G
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651 429 6761 p.2
?i tkL?ivCi{-??,( C Cc.iwr(7..?uJ V?
Ae'ovuv cojz
N ?
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' 2 'Qo?wS
Qi d N??-t
?'d?,?y?f@?•
, nweby ceffl„1hai miS aan, specineaw+,
pr report yyas pneparea by me or under my
CjietX s:parvision and Lhat I am a cadY
Licensed Professicr.al Engineer under the
laws of the Siffie of Minnesoia.
Print Name: a? ne
Signalure'
,
06ie B"?. 7°.Z..?.?? Y 763t
65& ?3
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleasc complete for: single family dwellings & townhomes/condos when pcrrtuls aze required for each unit
,59..s?
Date , r / .41/ V7
SiteAddressqs C/[CCNSl?/??(J Unit#
Property Owner I%lq 12 I?/e ?,l S,DA/ Telephone #( bJ{ )?7 l- 7M
Contractur A 041•
N
em-e
4d <f 41
Street Address
!
Y/ '
? City
State V r{A). Zip 6S/ d 7 Telephone #( L/p? ??? b a 6 7
Band #: ? d?zi Expires: d'',?B -,44l ?
The Applican[ is _ Owner _ Conuactor _ Other
Add-on or alteration to existing dwelling unit
l ? R
Additi
l
/f S 30.00
urnace _
ona
ep
acement
--t
air exchanger
airconditioner _New _Replacement
other
State Surcharge
L $ .50
1 "G 0 2 2004
t`
U /'0 ?
Total $ q
By-?
I hereby apply for a Residenual Mechanical Permit and acknowledge that the infoimation 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 this is not a
permit, but only an application for a pemut, and work is not to start without a permit; that the work will be in ar?cordance with the
ap'pr} ved plan in the case of work w:ilch requires a review and approval of plans.
Y 1?AN
ApplicanYs Pnnted Name Applicant's ignature
RESIDENTIAL
5? ,`S 1 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Comtrudion ReaWremams
• 3 registered sife surveys showirg sa. ft, o11ot. sq. R. of house: and all roofed areas
(20%mazimum lot crnerage aliowed)
. 2 copies of plan showing beam & vnndaw sizes; poured fountl Eesign, elc.)
• 1 set of Energy CalculaGons
• 3 copies of Tree Preservation Plan if lot platted after IItf93
• Rim Joist Delatl Optbns selectbn sheel (ddgs wilh 3 or less unAs)
DATE
_ Water Softener
_ Wa[er Hea[er
? No. of Baths
51TEADDRESS 3(6q5 (}-r6'e'01s" O2, MULfl-FAMILYBLDG _Y l%N
TYPE OF WORK Gt ?4GCr? l, ya? FIREPLACE(S) _ 0_ 1_ 2
APPUCANT & c /Y6rw ?!? ??r ?r?r?v--, r.,n.?"3
STREET ADDRESS SS/Z L?.?`C?1Crno^ /GU? ifJ _CITY C.Gf Sf'&t-I STATE[.2ZIP :5' LI
TELEPHONE # CELL PHONE # FAX #
?
PROPERTYOWNER Cc_,) i /.T o-t,! TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNES01'A RliL.ES 7672
(J submission rype) • Residentlal Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelape Calculaflons Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanieal Contractor.
blechanical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
------------------------------------------------------------------°------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ord?inanc/es
Slgnature of Appltcant
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updaled 4102
?j
RemodeVReoair ReauiremeMs
. 2 copies of plan
• 1 set of Energy CakWatians tor heated addilions
. 1 sile survey fw exterior additlons d decks
. Indicate it home served hy septlc system for additions
VALUATION S -7o-3 ^?
Phone #
_ Lawn Sprinkler
_ No. of R.I. Bad
i ?
? I_
C'.- ; 7 Fee?:nt$90 C
S rp ` -33 RESIDENTIAL
BUILDING PERMIT APPLICATION
CI7Y OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reauiremenb
• 3 registerea sile surveys showing sq. tt. af 'ol, sq, k. ol house: ana all mofetl areas
(20°6 masimum Iot coverage alloweG)
• 2 cocies of plan showing beam 3 winCew ;iz?s: poured founa Cesign, ztc.?
• 1 set ot cnergy Calculations . J copies of Tree Preservation Plan if lo[;latted afler 711193
. Rim Joist Getail Opuons sNection sheet ;tldgs wilh 3 or less units)
DATE 0
_ Watcr Softencr
Wa[er Hca[er
No. of B1ths
SITE ADDRESS jV15 MULTI-FAMILY BLDG Y x N
TYPE OF WORK?e,' 12at?? V4? FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Gl`(f? `/q I r`IQ9A,-21 i'1 I .-4/
STREET ADDRESS ?SO C? LC.(?^-C.?I? CITY ? STATE N!??ZIP 5S-1 4-
TELEPHONE # 25_21?11-34&CELL PHONE # FAX # L7a-b`_0
PROPERTY OWNER ?? P.V I I'' Wi I S TE EPHONE #?DJ?I? ysZ'?S?Z'
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY -.
Energy Code Cate9orY _ M[\'\"I:tic)'1'A R['I.L:S 7670 CA"fl{GORY l M[\'\
(4 suhmission rype) . Residential Ventilation Category 1 Worksheet Submitted • New
• Energy Envelope Calculations Submitted
OCT 0 8 7002
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contraetor:
Mccki,mical sv5tcm includes:
Sewer/Water Contractor:
:air Condiuunins;
Flra[ RccovcrN5vstcm
Phone #
Phone #
['cc: 570.00
---°-------•---..._..-°-°--------------°---•°---°----------°•°---°°-• •------------------•---------------°°°--
I hereby acknowledge that I have read this application, siate ihat the information is correct, and ogree to comply
with all applicable State of,\tinnesota Sfatutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
RemodellRaoair Reuuiraments
• 2 co0ies of plan
. ? set of Energy Calculations fcr heated aadifions
. 1 srte survey'or zxrerior aaaltions 3 decks
• Indicale Lf home seNed by seplic syslem ;or additions
VALUAiION ? -- ??
Phonc n
Iawn Spnnkler
No. oi R.I. Batns
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 41132
C ` . • . ' , -4
1987 BUILDING PERMIT APPLICATIO - CITY OF EAGAN
SINGLE FAMILY DWELLINGS -
INCLDDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SQ1iVEY, 1 SET OF ENERGY CALCULATIOHS
NOT6: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGAATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MULTIPLE DSiELLINGS - RESIDENTIAL RENTAL UPdITS FOR SALE ITNITS
INCLi1DE 2 SETS OF PLANS, CERTIFICARB OF SIIRVSY - CHECK WITH BLDG. llEPT.,
1 SET OF ENERGY CALCULATIONS
C0M41ERCIAL
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: -t,(1/A)ami Valuation: Date:
Site Address 310 ??J D
nSI'r)rn bA, OFFICE USE ONLY
, I15000-"
Lot s Block ? On Sfte Sewage Occupancy R-?J
/1 d
?
1
S ??r? _
MWCC System i/ Zoning R_1
Parcel/Sub V
?Q1
. On Site Well Type oF Const
City Water t/ (Actual) V- N
Owner (Allowable) V-9
li of Stories
Address Length G 2'
Depth ,3y'
City/Zip Code S.F. Total
? Footprint S.F.
Phone APPROVALS FEFS
Contraetor( ??7?? /{?? •/ ?'(,(.(??j2/ Assessments Permit Sy8.50
VT
7? Water/Sewer Sureharge S7,S0
Address
???( Police Plan Review 2761 , 2S
Fire SAC, City I nO. U O
?,q
City/Zip Code c.?c )/53a7? Engr SAC, MWCC S o0
Planner Water Conn 525?00
Phone Couneil Water Meter 6 r?.cu
Bldg Off q Road Unit 305,00
Arch./Engr. APC Treatment P1 iBO,uo
Variance Parks
Address Copies
TOTAL s Fa .
City/Zip Code
Phone Il
S'
GAaAG?
32x ?2 '?oy M.X
j35'mT 65(? ? 12c R'6`72
aS X 30= 9SL)
Lx ?2= ZGLI
? I 0ILI X ly= 14 IqG
?ST ?LOpY?__
xrssmr ?. ?V???
4X
14&rJ2`cj
z N-o FL voe
?13sMr -- lui?l
?o4y x44= y5
1ILI"1'3Z
J
87- 2 18
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION;
SCALE:I"=30'
N
I
SITE PLAN FOR:
JOE MILLER CONST.
LOT 5,BLOCK-3-,SRFFNSEORO nd nD,
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
N 8909 32511 W a:?JO
,y0
?
LOT 5
L(71 d* 5
03'?
,hcfj?,O?O /? \\
2z? '
? -/ ?
11p'
?'y? ?'?aE v - f? \\/
i \'4 vEwqy '??? ryBK ? ?,\h
Ap "*%,iC; " i°
or C_
?G
0
a
e?
Nl?
LEGEND
DENOTES IRON MONUMENT
DENOTES WOOD HUB SET
DENOTES c.XiS'iiNG SPt`iT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION
I heraby csrfify fhat ihis survey, pian or
report wus prepared by me or under my
direct supervision and that I am a duly
Reqistered Land Surveyor undsr the
Laws of the State of Minnesoto.
L.OI F)
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = ?
PROPOSED FIRST FLOOR ELEVATION =
PnGr"vSLt7IIiaSE&iENT i'L"uOF: °
ELEVATION
NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley .0 r/¢nson, Mn. Req. No. 15235
v
Date' lo /12JRl
. , . CITY OF BUILDZNa DEPAMENT
. ' WXTERIOR ENVII,OPE AVERACiE "U 11 COMPIITAqION
(To be suLmitted Idth building permi-t applica'tion)
One or Two Family Dwelling Owner
All Other •" -r?` Site pddress
Y
Contrector 105E I(.(6p- dn"LT
Date -L(o" Phone
4B4 - I13
LIIvEAL r'EET OF
E3Q'USED FJALL ?tJoR-r, ;:?eT ft. above grade = Z9( '3.48 ?
TOTAL GXPOSr,D WALL ARr^.A SQ, FT.
0':,2UE 1711L CONSTRUCTIOiv: "Ull Value x Area
Detail h'2RME lip° ? pQ'? X SQ.
l?in'1
re£erence
"U" . 040
x
s@.
from +IUll , 07(p x SQ.
attached "U° x SQ.
sheets "U" X SQ.
uUa x SQ.
',:ZIVDOSYS: "U" Value x Area
FT. 1S •70 - 94.15 M(A)
FT. ZS 9 = 16.35 (U) (A)
FT. Zo&.SL= 1S•5;4 (U) (A)
FT. _ (U)(Q)
FT. _ (U) (A)
FT. _ (U) (A)
Aia.ce & TyPe ?i?R1f.• aN1IT "p't . SL x SQ. FT. Z/9-30 = fJ1-95' (U)(A)
of It aUff x Sq. FT. - (U)(A)
u it oUlt x SQ. FT. _ (U) (A)
n n ni1 n
X SQ.
FT. _
- M(A)
DJORS: "Ul' Value x Area
?Ia::e & Tyne -5I7-• l?`aUL , uUn G. ./¢ X SQ.
u ° _F&Mn nUu .47 x SQ.
n n uUn
n n npn ]c 3Q.
_ X SQ.
2OTai,s x%3.49 s@.
t avExnaE ??vlt
TOTAL (U1(A) V4LUES 2S8.cj' _
DIVIDED BY TOTAL WALL AREA ?9(v3•?}$ ' 087
AVFRAGE "u!' .1:15 or less for`1&2 family dwelliags
? ROOF/CEILIN(f•- . •
TOTAL,AItEA! ," Yf°sl <x
r?. Aeta3J.?irePereace .: ?_:!Q?? ?,p2.J° ?x :Sq.
;
?q
$1'it.$'C.L6C1?'6t16 LS• ...: ,:. ,../?..
-w.ovLA[MV':V?1tlLl1Ag6 : ,..:,., i .,qVq .'X.
. . ._ . ,:. . ,. ,! .
x
r. ..
TOTAL'.tU)(A) VALUES DIVIDED BY 2Z.07 =
TO'iAL ROOF/CEILIidd :,R?,A I?t7I
AVMqaE 'IU,, .025 for ventilated roofa:
FT, 9•00 = 4•8(0 (U)(p)
FT. 2•00 =/9•pj (U) (A)
FT. _ (U) (A)
FT. - (II)(A)
r•T. 258.91 (u) (A)
?
?.'
? d . t - rl -f?: ( ?5 4?.? 't„?2 ?1 ? d - ? ?'??f?'MT?T ?;?? ? •
? ' ?' ? ' ' ? - ? " ?s?i ?'d '? f, zj ?.? l i t i ? s w . '. M
? ? ? ?4x? 1 lY<? ?? t i v?
-rro?'k' ' ah.' _ .?.-e.k-?s-.F.y+4k, ?.? .,??Y:,?..n-,• ;--?.. ?tn?^ RF??'y?,s.,?.?.,.?AIfj.? ?r/+..v y..:.ry? ?+r.; 2:?
? ? ? ?????• `n, t -:'?g?? ? ? .nw ? •xf, u ?s. - ,7?` ?y't„e,`?,? k 4T H?,?"`?-r- ???^r"?n./? ?4?- /`??,?? .?'a?
? ... 1 . ?
-... r
?r
y? ?: . L..? _. ..'.? .:? ry ,...._., .'-._ +..... .4? 1M1t-,-
? ' •- ' .. .. . .. .. .. _..... ?
. .. . . . .. . _ . . ,.. _..:.. . .. _.
00'II?.
,. _ . _
. _ . oo•?b _ _. . .?Q au.dd ?9
-* o!5 •51Z
" 00 l? _ I X p'b = bZX fi7
02 •Za) = 8 X +' 8= oaJ X o2
' oo'O)6 = 21 X o•S = Sb?c4i2
o/•oz = '2 X L'Ol =S?x o2
00 •oz = -b X o•y' -?£X ox
, 00"8 = 2 X 0"? X4)f
S?oaNi
? 2SSa?
oaO15 = b ? 0'?1
?•Sb = -bx 4'11
C72+,7Z+-Zs+7s)x V? •
? ?6Ssz = .(zs+?s+?,o,+.yoi?x ?S•
Slo?-?`O
-?. s?•? 6z
x o'+I
?-s? - o1-bl x o•zi
ab•6ss'z =
F ??z+?z?zs+zs? x ?£'81
, -
??vtf 4
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
Date:
?
S
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERI?T MUST SHOW A LICENSED PLUMBER.
I/ 1 fl ??c?
t$
To Be Used For: 0 L'CK Valuation:
Site Address 3&?9s GA??NSaoRa u?
/ 2
Lot b Block ?
Parcel/Sub
Owner rjRE`j NWWTHORNE
Address 365S Cp&ReENS60fuO Pt:
City/Zip Code [-WCuWK 55 Ia3
Phone y5a- 41-7 s?
Contractor S F L ?
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
COMMERCZAL
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL L) Q
APPROVALS
Planner
Council ?
Bldg. Off.
Variance
8-7- Z18
TRI-LAND C'O.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION;
SCALE:1"= 30' AINI
I
L.O'i 4 LOT 5
S?0
N 8905555" W
` 109.32
,-
?/
I? .
?O
I??
/ o
?-
,
Y' .
?b h
DA, vEW4 Y
?p
c? \
\?Z M
SITE PLAN FOR:
JOE MILLER CONST.
LOT _5L, BLOC K--3-, GRF NS80R0 nd ADn,
ACCORDING TO TNE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
j"koPO;EL
LEGE D
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
CEid07ES Ea{STiid"v SPCT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hareGy certity that this survoy,plon or
report was propared by me or under my
direct supervision and that 1 am a duly
Reqistered Land Surveyor under ihe
Laws of the Stata of Minnesoto.
8rodley 0 y(¢nson, Mn. Req. No. 15235
vI
Dote ? 10 r 1 2I Rq
C°
J
0&?
L. Oi 6
f"
INVERT ELEVATIUN AT SERVICE EkTENSION=
PROPOSED GARAGE FLOOR ELEVATION = -? P)
PROPOSED FIRST FLOOR ELEVATION = _ &
FnC?GsEu 6A."°+Ei.iEiti i
ELEVATION
NOTE= VERIFY ALL FLOOR MEiGHTS WITH
FINAL HOUSE PLANS
czys u„ / ,-?r- r-- ,a `-- ?_ r-
? e 64.'e r\
DEuSuN?N ?lml.`4?T10? TOP CHOfl05: 2x4 FL #1 No wone Df knols alloWed la plete afea. X-lOCiltiql Leri b RigM -
<?r=•v?.?n+.t?.?.e..d?:?e,.?.,;e..
il
db
p
d
7A
d
? BOT CHOHDS: 20 FL #t
AllplatestobesymmetrieabouttheJoint TCO.686.49tt.21129278.f523Sa
pw
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e
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Y
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2G04 RESlDEINTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 FILfisT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete Tor modificatir..ns to existing residential dwellings.
lS" sZ
?
Date WILSON, KEVIN
3695 GREENSBORO DRIVE
Site Street Address EAGAN. MN 55123 Uf11t #
(651) 452$512
Property Owner Telephone # ( )
---
'
NOR
Contractor 612 827-4033
Telephone # { )
Address 2905 GARFIELD /4V"?', SO, _ City
State Zip
_
--
The Applicant is: Owner Contractor _Other
'I Alterations to existing dwr.lling $ 50.00
_Add fixtures to roorns, zxciudirg wa!er softener and water heater
_Septic System Abandonmen?
Water Tumarcund (add $121.00 .f a 5i8" meter is required)
LOther
:
L
Water Sefs:2>;-:E,r INa?er Heater $ 15.00
X +'eplacem,;ni acidi[iona;
-
-
_ Lawn Irrigatfcn SysPem }?PZ_ new _ repair _rebuild $ 30.00
State Surcharc?e
- _? - = , °- _ - - ------ $ 50
il
? 77
lS,SO ?
$
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete
and accurate; that the iNOrk will be in conformance with the ordinances and codes of the City of
Eagan and the plumb':ng cocles; that I understand this is not a permit, but only an application for a
permit, work is not to start withou2 a permit and work will be in accordance with the approved plan in
the event a plan is recluired to be reviewed and approved.
nt ,
?Je Aa???.`------- /
ApplicanYs ?r:nted Narr,e Ap??Ws-Sig ria ure
?lb?) I()
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan 1VIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction ReQUiremenis
3 registered site surveys show?ng sq. R. of IoL sq. ft. of house; and all mofed areas
(20°k maximum lot coverage allowed)
1 Soils Repod ii proposed building is to he placed on disWrbed soil
2 copies of pian shawirg beam 8window sizes; pouretl found design, etc.
1 set of Energy Calculalions
3 copies of Tree Preservation Plan if lot plaHed after 771193
Rim Joist DeUil Optians selectian sheet (buiidirgs with 3 or less units)
Minnegasco mechanical venfilaGon form
RemoddlReoair Reauiremenls
2copiesotplanshowingioo6ngs,6eams,joists OffiCe Use DnN
CertofSaNegRecd
_Y -.N
1 set of Energy G2lculafions for heated additions Sals Report ?
T2ePresPlanftecd -
Y _N
isitesurveyforaddi6ons&decks
Addi6on -irMicate il on-sAe seplic system
Tree Pres Reqmred ,
_
Y -_N
On-siteSePfizSYsiem _Y:_N Pfans
Date -7 _/ I ?--
Site Address
i6 7
{ S Cl-- r t eti5 ?ar- J
trade secret ana zne
caagcructiao co5t ? (?-, 0 ? d. J t) -
i r .i „P UniGSte #1
f?
Description of Wark I')c
Multi-Family Bldg _ Y? N Fireplace(s)? 0 Z
?C@?? ?,?, ?J? S?)????' ? ?? ?'
Property Owner Telephone #
,
Contractor
Address e-1 City
f'-1 ni zip SSn Telepnone a(G sl ) 4' 0 1- 9 9 6 6
State
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7692
- Mianesota Rules 7670 Cateeorv l - , New Energy Code Worksheet
Energy Code Category . Residential Ventilation Category 1 Worksheet
(4 suhmission type) Submitted Su6miried
. Energy Envelope Calculations Su6mitted
In the lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber c V' ? Telephone #(
Mechanical Contractor Telephone #j
CJya Telephone #(
Sewer/Water Contractor
I-e
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 of plans. ?
plicanYs Printed Name Applicant's Signature
\
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
x 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
0 32 Addition
X 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) Q 31 6ct. Alt - Multi
? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroaf , ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to applicant
D25Cflption: WaterDamage_Yes
Valuation 3on1> ?
Plan Review I"' 100% or 25°/a
CensusCode y347'
SAC Units
# of Units
# of Bldgs
Type of Const F73
Occupancy R -.3 MCES System ?
Zoning , D City Water ?
Stories r Booster Pump `
Sq. Ft. - PRV -?
Length - ? Fire Sprinklered ?
Width
REQUIItED INSPECTIONS
_ Footings (new bidg)
Foo6ngs(deck)
? Footings (addirion)
Foundation
Drain Tile
Roof Ice & Water Final
y? Framing ?
Fireplace _ R.I. _ Air Test _ Final
? Insulation
Approved By:
Base Fee " "
Surcharge
Plan Review
MGES SAC
City SAC
Utiiity Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 OS-plex
? OS 06-plex
? 09 07-plex
? 10 OS-plex
? 11 10-plex
? 12 12-plex
? Sheetrock
FinaUC.O.
? Fina]/No C.O.
?- HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Laih _ Stone La[h _Brick
_ Windows
_ Retaining Watl
Building Inspector
V-1 61-oS'zT
C,
?
3
7?s7D
2007 RESIDENTIAL PLUMBING PeRMir aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Ju1y / 16 / 2007
Site Street Address 3695 Greensboroi)rive Unit #
Property Owner Kevin Wilson Telephone #( 651) 1159-$532
Contractor R C Plumbing Telephone #( 952) 652-2933
Address ?,910 tihect.ar hvPnue City N_3.+f49 o3C1. State MN Zip 750$7
The Applicant is: _ Owner X? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee inciudes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water7urnaround (add $136.00 if a 5/8" meter is required)
x Other Movinrz laundrv and adding (t) sillcork -
Water Softener Water Heater . $ 15.00
_ new _ re¢lacement
Lawn Irrigation _RPZ _PVB ,new -repair ____rebuild $ 30.00
State Surcharge $ .50
Totaf $ )0.50
I hereby apply for a Residential Plumbing Permit and acknowledge that the informatlon Is compiete and accurace; mac me
work will be in conforrnance with the ordinances and codes of the City of Eagan and the plumbing codes tha
understand this is not a permit, but only an application for a permit, work is not to start without a a +?rW vpyl t? i?
accordance wiYh the approved plan in the event a plan is require be review d and approved. ? ? 6 ?? ?« I I
?
Richard J. Nybo ,lUL 1 7,2007
?
AnnliranPs Printed Name ApplicanYs Signatu
?ug ut ur 1 i.vm Lmsun opnumry ouucwr
Wrson 5pecialty StruCtureS lnc.
5937 llobe LflnC
White Bear Lake, MN 55110
L 651 653 7674 Fax: 651 B53 7687
LLL Larson
VJI TLJ V/VI P.L
.19TQdTr
SEP p 6 2007 IU
V2, rr
? 58
2 rlows ' ?
8 b r?+•[ cf , .
C? 3 ° • ?
L'
Copa+,?-
lilkCi+-C!+-bAlL ?N'fl•ru?US
Ar?b?R/Q GO? l?
apu?d? .,
Pi d ????-r
N&1.LfG?4?
.,
, ?weM carffY thxt this aa,,, spedficamn,
pr report was prepare0 Lb/ me or under rny
CirECt supervision and 'u'lart I am a duly
Licensed Professicral Enaineer unCe?the
lav+s of the Seie of Minnesaia•
Print Name: a rte C. L.ar?!
Signalwa
Qmetwo 8-7-0-7 ??,6icarise0 7BS4
Avg 07 07 11:02a Lerson Specislty Structur
Nlrz
Larson SAecialty Struetures Fnc.
5931 Ho6e Lane
Whit6 9ear Leka, MN 55110
b01 4Ly O/DI F+•,
I hereby certify that th+s p!an, spacmcM"",
or repor vras PreFared by me or uodar Piry
direct supesvision ancf trat 1 am a 6uVy
Licensad Piufossio :a: Enginaer wuler the
laws of tne Stat° of Sv7i1neWa
Print Neme: vne C. ? --
Si9naW?reUale 7881
I? 'S_
7 Z 6
, 2- f ' ?l s'I 3'Z
??2 DS F? ?
,
.
JlTt??VA?eo ti+?.???
? PIL^?lEL!{.? S- l- O W?-
L?/ ?
<-77y'-`
? ?L A'?'tD
2007 RESIDENTIAL BUILDING rERMLT APrLrcaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CansWCtion Reouirements
3 registered site surveys showinq sq. ft. of bt, sq. tt. N house; and all roofed areas
(20qo maximum lot cweage allowed)
1 Soils Repod'A proposed building is to be placed on distur6ed sal
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preserva6on Plan rf bf plaked after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less unifs)
Minnegasco mechanical ventilation form
RemodeURenair Reouirements Office Use.OnlV
2 copies of plan showm9 foofings, beams, joists Ced of Survey Recd _ Y _ N
1 sel of Energy Calculations for heated addihons Soils Repod .: Y _ N
1 site survey fw addi6ons & decks Tree Pres Plan Recd Y- - N,
Additlon- inNcafeifomsifesepficsystem TteePresRequired _Y- _N
Ou-siteSepLC;System _Y - _N
PIAI'1R aY? COIISitSP_rPfj bllflllC_ IIlf01'1778Y10(1 iIIlIBSS VOII StBtB tFI@V i3C@ tC8C1@ S@Cr2t 811CI tF18 1'8cl$OII.
ction Cost ? d?u U U
u
Constr
Date?
/
j
?
?
_
Site Address 6'?- "s r; 3 r v r'V c Unit/Ste ff
Y ra
Description of Work (4 G ?ew 12-{A?'wcL?Cb L w'S^I'°
?,, Crc,.r-
d- 3 p? t,
Multi-Family Bldg _ Y? N Firepiace(s) _ 0 _ 1 _ 2
Property Owner lCe?...? ?' /•` a?,. r Q?.? L"",; L S'? ? Telephone #( b S i) 3 7?' 7 3 9c?.
COntraCt01' L(/G /'C1JJ CA
Address 9,(,qa' City ? (?- 14
State /Vk /L? Zip 5-?3 Telephone #(G y l) o a- 9
? y G G
S ? 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category . Residential VenGlalion Category 1 Worksheet • New Energy Code Worksheet
(d submission type) SubmiBed Su6mitted
. • Energy Envelope Calculations Submitted ,
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I hereby apply for a Residential Building Permit and
Telephone #(
Telephone #(
Telephone #(
the information is complete and accural
SI&Jn<
c
,arr
e;
that the work will be in conformance with the ordinances and codes of the City ot hagan ana tne ?itace oi rviN
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
a val of pi s. --
/?rc?.
Applicant's Printed Name Applicant's Signature
????lb
2007 RESIDENTIAL BUILDINC?i PERMIT APPLICATION
City Of Eagan ?
3830 Pitot Knob Road, Eagan MN 55122 _ p(? p
Te)ephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reouirements
3 registered sile surveys showing sq. fl. of IoC sq. R of house; and ail mo(ed areas
(20 h maximum lot coverdge allowed)
1 Shcs Report if proposed building is to be placed on disNr6ed soil
2 copies of plan shovnng beam & window sizes; poured found design, efc.
1 set of Energy Calculatlons
3 copies M Tree Preservatlon Plan if lot platted after 717193
Rim Joist Detail Options selection sheet (buildngs wiTh 3 w less units)
Minaegascu mechanical vertilation fam
RemodelfReoair Reouirements
2 copies of plan sharing foo6ngs, beams, joisfs
1 set of Energy Calculafions fa heated adtlitions
1 sile survey for additlons 8 decks
Addrfion-irMlcate if on-sife sep6'c system
' I36.vo
Offce lJSe OnN
CertofSurveyRecd -. _ Y _N
ShcsRepod Y _N
Tlee Pres Plan Recd Y _ N.
Tree Pres Required Y _N
Ofi=SiteSephc$ystem - _Y N
Dl.nc nro rnncirlarorl nivhlir infnrmatinn IIf1IPRA Vnil Ct.9tp tF1EV HI'E tfBd@ SOCCet dYICI tY19 r@2SOI7.
Date1?/
Site Address
- b ?7 Construction Cost
UniUSte #
-?
Description of Work
Multi-Family Bldg _ Y? N Fireplace(s) B _ 1 _ 2
Property Owner Telephone €1(
Contractor
Address
State '
Zip Cih'
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential VentilaUon Category 1 Worksheet . New Energy Code Worksheet
(dsubmissiontype) Submilted Submitted
• Energy Envelope Calculations Submitted
In the last 12 monihs, hasYhe;City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N., If:yes, date and address of ma?ter plan:
Licensed Plumber - Q Telephone # ( J _
Mechanical Contractor "- "CT 2? 2007 Telephone #(
Sewer/Water Contractor
a Residential Building Permit aod
Telephone # (
that the information is comp4ete and accurat
that the wark will be in conformance with the ordinances and codes oi the CiTy o2 tagan ana tne ?5cate oi rviN
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. ?
ApplicanYs Printed Name
. r
DO NOT WRITE BELdW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex
? 08 O6-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
? 13 16-plex
? 16 Fireplace
? 17 Garage
;B,' 18 Deck
? 19 Lower level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 37 Ext. Ait-Multi
? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Misceilaneous Work TVpes
? 31 New
x 32 Addition
? 33 Alteration
? 34 Replacement
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bldg) - Give PCA handout to applicant
DBSCfiptiDfl: Water Damage _ Yes
?, !!!?
360
,
Valuation Occupancy R _3_ MCESSystem
Plan Review /?? 100% or _ 25°/a ? ),G°G T/2C -
Census Code Zoning P10 City Water
SAC Units - Stories " Booster Pump ?
# of Units ' Sq. Ft. PRV
# of Bldgs - Length ? Fire Sprinklered
Type of Const Ea_ Width
REQTJIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
? Footings (deck) FinaVC.O.
_ Footings (addition) ? Final/No C.O.
Foundation HVAC
Drain Tile Other
Aoof Ice & Water Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding ^ Stucco Lath _ Stone Lath _Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
_
Insulation _ Retaining Wall _
Approved By:
Building Inspector
ease Fee
Surcharge
Plan Review ?
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
_,c:YiNG SIT E PL AN FOR:
sERVICES JOE MILLER CONST.
EAGNA M NNESOTA DOODLE55122ROAD
LEGAL DESCRIPTION; LOT_5_,BLOCK '?, ?RFFNSBQRQ ?nd?D.
ACCORDWG TO THE RECORDEN7Y,MINNESOTA
THEREOF DAKOTA .--?+??}1
SCALE= I" = 30 REVIEWEa
BY:
N
DATE: _3?'2---
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BUILDING INSPECTIONS DiVIS10N
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DENOTES IRON MONUMENT
DENOTES WOOD HUB SET
.:ctJ.77E5 EX;STiN.3 SF:+i
ELEVATI ON
DEIVOTES PROPOSED SP07
ELEVATION
,?- DENOTES DRAINAGE DIRECTION
I huaby certify that this survey,plan or
raport was praparad by me or under my
diracT supervision and that 1 am a duly
Raqistered Land Surveyor under ihe
Laws of the State of Minnesota.
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INVERT tLEVATIUN A7 SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = - 9/1
PROPOSED FIR57 FLOOR ELEVATION
FnC?vScu Gi+SCi.iEiS T FLi:un
ELE VATI OPJ
NOTE' VERIFY ALL FLOOR HEIGNTS WITH
FINAL HOUSE PLANS
Bradley nson, Mn. Re9. No. 15235
Date. lQ /12?R? -
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA106792
Date Issued:09/11/2012
Permit Category:ePermit
Site Address: 3695 Greensboro Dr
Lot:5 Block: 3 Addition: Greensboro 2nd
PID:10-30901-03-050
Use:
Description:
Sub Type:e - Water Softener
Work Type:New
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Jolene Mehle
17484 Goodland Path
lakeville, MN 55044
952-953-4643
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin C Wilson
3695 Greensboro Dr
St Paul MN 55123
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
- Use BLUE or BLACK Ink
�-----------------
� For Office Use i��
I �
Cit of Eao�� ; Permit#: �
� �� �
6 � Permit Fee: � ,. �
3830 Pilot Knob Road � �
Ea an MN 55122 � Date Received: "����
Phone:(651)675-5675 �������� I I
Fax:(651)675-5694 p�� 1 Q 1015 ' sta�: '
�-------------�-���e.�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION ��,1�
��;.
Date: 1� ��L Z-a�✓ Site Address: ����� C`1 f'��w�`��c� � � i�N Unit#:
�� � �f
� t' '�,��: Name: �c�.YV�,�`� ��b�P v� Phone: �� ��Q / � Z� �
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� ���������
; ���iNlt@P �,;s: Address/City/Zip:_ ��O�� C'I c��YlS�n rt7 �C , L o��l r�.,n . N1 nP '����-�
�� ���
�.���$ Applicant is: Owner Contractor
���`� � � � (' �
��� Description of work: I v�a►.� ��'��Y'� };� t ��G
'�`Yp+��f W+�Ck ���
~�= Construction Cost: Zd(� Multi-Family Building: (Yes /No�)
k��� .��<'r
: ��� Company: ct:
,�
:�.;:
`Co1���aCt��
Address: City:
�:;`.
State: Zip: P Email:
T ���ry
k,
x��r�'� License#: Lead Certificate . I
w��-F
If the project is exempt from lead ce ification, please explain why:
f��«i r,d �7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a pertnit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
N4TL:plans and si�PAor�i�g documents tha#�ra��t submif are consit�ere��,�e pr#b!f'�`��form�fion:;Pontiants tr� :
th�in�ormation i»ay�e class�f;�ed�s non��7ic if you provldeNspecific��is+�ns fi�at Wou/d permit the C3ty t+� ���
, � w. . � � w ��
� � �� �r=-�conctu�te that#he �-�C�. .,��tla se��ets.���'� ,
CALL BEFORE YOU DIG. Call Gopher State One Call at(651�454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.ctoqherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x ��d`iM �5 ����`Y� x I`►�„!..
Applicant's Printed Name Applicant's Signature �-
Page 1 of 3
I
� � �� l� l� n-�ns �afL� � ( (�,/
DO NOT WRITE BELOW THIS LINE ` �� [ �p�
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage Porch(4-Season) Exterior Alteration(Multi�
_ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement Siding Demolish Building*
� Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
� ���
DESCRIPTION ��
Valuation � Occupancy � G -�/ MCES System –"' �
Plan Review Code Edition O/`� SAC Units —
(25%_ 100%� Zoning ��,a City Water —
Census Code ��3�! Stories –�—, Booster Pump --
#of Units 1 Square Feet _f_� PRV —
#of Buildings 1 Length /� Fire Suppression Required —
Type of Construction � Width �_
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES � �J�j ,�RG fri � /y'� �J.`Lf� �"
Base Fee 2� �°
Surcharge
Plan Review y 7 k
MCES SAC
City SAC
Utility Connection Charge
SB�W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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� � T�� -�.��a c o. T � �� R: �3Li���
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S��V��:��`i ���5 �..�r�-�s��-o l�
JUE MILLER CONST.
. . i2fi0 YANKEE DOOQLE ROAQ
EAGAN, MtNNESOTA 55122
LEGAL DESCRIPTION� �oT�,..,s�o�K�, S�FN�SgORd 2nd AQd.
ACCORDING Ta THE REC4RDED PLAT
S�ALE� I��= 3Q� THEREaF DAKOTA �pUNTY,MlNiVES{3TA
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r�,�s� N 8909 325„w i��� .
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. __ . ,.. .. .�.� ,�i.��-�.:� e i 4t`,i:�..i��t
LEGE D j��T �VaTiaN AT SERV{CE EXTENSIOlY=
o DENOTES IR MONUMENT PROPaSED GARAGE FL+DOR ELEVATI4N= �
a DEN4TES WOOQ HUB SET �?flP4SE0 FtIiST FLOOR ELEYATI4N =
t���E0T�5 Ex3STl�V� S��T �-��=���SA�C3�Ei�T �'L�OR �
ELEVATION ELE VAT!ON
DENOTES PROPOSED SPQT
ELE VAT i ON
�-- pENaTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLGOR HEtiGhtTS WITH
FItYAL HOUSE PLANS
l hersD�t certity that this survey,plon or
�e por t w�s pr o pared #�y me o r under nny
�lirect supervision and tha! I am a dulY gradlay nson, Mr�. Re�. No. 1:�235
Q Re�istared Land Surreyor unQet tha t� r 2���
� Law: af the State of Minnesoto. Dote�„ ��._.�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164139
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 3695 Greensboro Dr
Lot:5 Block: 3 Addition: Greensboro 2nd
PID:10-30901-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James B Noren
3695 Greensboro Dr
Eagan MN 55123
Archer Exteriors
324 Concord Exchange South
South St. Paul MN 55075
(651) 775-7017
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173600
Date Issued:11/19/2021
Permit Category:ePermit
Site Address: 3695 Greensboro Dr
Lot:5 Block: 3 Addition: Greensboro 2nd
PID:10-30901-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
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 -
James B & Brooke E Noren
3695 Greensboro Dr
Eagan MN 55123
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature