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3703 Greensboro Dr Use BLUE or BLACK Ink r----------------- For Office Use I Permit#: I City of EaRan 47 Z010 I I Permit Fee: (o 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Staff: I I Fax: (651) 675-5694 I I _ 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Ldl Date: h A 0 tqi Site Address: peC J~- • vim' Tenant: \1 6l pmtld AtLl L All Suite RESIDENT/ OWNER Name:' Phone: Address / City / Zip: ? ®N am 'j~~j Applicant is: Owner Contractor TYPE OF WORK L Description of work: Construction Cost: Multi-Family Building: (Yes / No X) Name:' License Addres ' y: 1 61 State: NIAI Zip: e P o Contact: Email: COMPLETE THIS AREA'ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to j conclude that the are trade secrets. 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.gol)herstateonecall.org 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 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. (1, ca x 014 C- ~O Sr7 r\ x Applicant's rinted Name App t's Signature Page 1 of 2 DO NO WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous 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 49 Occupancy '1 AG-. 2 MCES System Plan Review Code Edition AA-z SAC Units (25%0_ 100%_Iz~ Zoning )9191 City Water Census Code 43 y Stories Booster Pump # of Units Square Feet 1V PRV ` # of Buildings Length 16- Fire Sprinklers Type of Construction _ Width /40 REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final ! C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector aT, RESIDENTIAL FE Base Fee !gyp Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 T RI - LAND CO. J~ SITE PLAN FOR SURVEYING SERVICES 4TOE MILLER CON5T. 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 ~,e~FrttssoPo LEGAL DESCRIPTION: LOT A-, BLOCK 0-9 ACCORDING TO THE RECORDED PLAT THEREOF ~4~P~► COUNTY, MINNESOTA 900x6 X 0?0 sj- M"'c 887O6 porvQ ~9n 1 x 5) /-30,96 . o~trk~c~. ~ urrc.►r/ ,~rE.~l~ ~ilF w; ott I.ruk~ aZCk ~A -D /r /X L, I`LSS ! ~tl!• n/!v lay ~9jJl ga~A O C] 1 sy5 N d " Wiz J am 4 "V NAT 17a~# 6 a ro ~ VACAtM7 j~4Sr S-plv~tv~IZ l rx,sr'~ y;%cK s jJiZIvri9N~ l rAA v 3a u HOUSE r ; ,I fr~a , B~Ur2 y1 Aiirt ^JO Joe5Lxz. fFTlNc~(Rb ro f~lS' LI, 9rzxa y '~ro~,s y SY R v c rurort r / >riUX Gq 1 q ~ a 3z. ~ ~ ao ,h a / SCALE J EAGAN REV! D BY' DIVISION LEGEND INVERT ELEVATION AT SERVICE EXTENSION I o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = 5p, D, n DENOTES WOOD HUB' SET PROPOSED FIRST FLOOR ELEVATION = DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR - ELEVATION ELEVATION C9a8><r DENOTES PROPOSED- SPOT • ELEVATION DENOTES DRAINAGE DIRECTION NOTE - VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Bradley n, Mn Reg. No 15235 Registered Land Survaxor under the Laws of the State of Minnesota. Date ~r,~e/ --;-- BL G. PERMIT N0. 01-3210 Bldg.. Permi 01-3422 Plan Check .01=3445 Surch./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 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL I/zy?.???> L PERMIT# L. " ? ? ` ? { L MECHANICAL PERMIT RECEIPT # ??•?, ? ,' ?' '`• _ - • ?? CITY OF EAGAN g 3830 PILO T KNOB ROAD, EAGAN. MN 55122 DATE '' + f ? CONTRACT PRICE: PH NE: 454-6100 ? Site Add?ress BLDG. TYPE WORK DESCRIPTION ? Lot ? Bloqk ? ec/Sub Res. New ? Mult Add-on Name ` ? ?? Comm. Repair ? , t . - Addres Other c CityPhone FEES ? Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone - ? (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA. { TYPE OF WORK COMM/1ND FEE - 1g'o OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES ., t 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 ? I Vent CFM $ . (ADO $.50 S/C IF PERMIT PRICE GOES ` Gas Piping Outlets # $ BEYOND $1,000) ? ? Other FEE - S/C: SIGNA R OF P EE I TOTAL: I FOR: ITY OF EAGAN ? Site Address - ? Lot ?- Block i Name TYPE OF WORK Forced Air M BTU Boiler M BTU i 1..:4 u...,4... K A OTI 1 FEES HVAC 0-100 M BTU RES -$24 00 . ADDITIONAL 50 M BTU . - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEftMIT) 50 EA - 1 . . COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES ? MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ; REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - ,50 ' 50 S/C IF PERMIT PRICE GOES (ADD $ . BEYOND $1,000) ' .?- ?- 3 ` SIGNATURE OF PERMITTEE .e FOR: CITY OF EAGAN F-- 1` • , I ? CONTRACT PRICE: I Site Ad?l( (J - ,? ? v z u 'rKw S Lot Block -? Sec/$ub ? , - ' c- 7-,-• / '?'. :: l? -,,_ Name ? ' ?' ? ? AddreSS e` ? c City'? Phon ? - 47 v L Name (D Addyess ) 3 p : - Cify Phone'ja.z ar u"I FEES COMMIIND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMMlIND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES aEYoN $1,000,00) SIGNATURE OF PERMITTEE ti FOR: CITY OF EAGAN r1G7. rLaM. VnL¦ ? vvmr?cc rra. Ni3? FIXTURES ?_Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 ,U,inal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 -Whiripool - $100 -LGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 D $ 0 00 ?SD Pnvate isp. - 1 . =Rough Openings - $1.50 FEE: Z STATE S/C: 3' S) GRAND TOTAL• ` 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 uaed for Est. Value Date Site Addreas OFFICE USE ONLY LOt BIOCk S8C/Sub. - On Site Sewage _ Occupancy MWCC System _ Zoning PerCel NO. On Site Well _ Type of Const .? Ciry Water (Actuaq _ a Name (Allowable) v u+ it of Stories 3 Address Length ° City Phone Depth _ Total S F . . o Name Footprint S.F. ? ` Address APPROVALS FEES ? City PhOne Assessments _ Permit I ? WateUSewer _ Surcharge ? W¢ Name Police _ Plan Review I z z - Address Fire SAC, City - u= Engr. _ SAC, MWCC ? c W City Phone Planner _ Water Conn. I Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinfortnationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl State af Minnesota Statutes and City of Eagan Ordlnances. Variance _ Parks Copiea Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that I all work shall be done in accordance with all applicable State oi Minnesote Statutes and City of Eagan Ordinances Building Official Permit No. Permit Holder Data Talephons x Plumbing H.V.AC. Electric le 0 Softener - Inspection Date Insp. Commenh Footings I ? Footings II Foundation Framing R Roofing Rough Pibg. Rough Htg. Isul. Fireplace ? Final Htg. Final Plbg. ? ? Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pllot Knpkb Road P.O. Box 211p9 PERMiT NO.: In i 97 Eagan, MN'tg5121 DATE: Zoning: j 1 No. of Units: I Owner. 3oe Miller Const x-_--' Site Addr Plumber. iVV • 00132. I agree to compy wlth?the City of Eagan Connection Charge: 52S00, ' Ordlnancea Account Deposit: _3A -yj??? P Permit Fee: 10 a(?nd Surcharge: 54d BY Misa Charges: Qate of Insp.: Total: InSP•: Date Paid: CITY '1FEAGAN Permit Na ' 04 7 Date: `? - 15 - ?? 7 3830 Pitot Knob Road Meter No:- Size: P.O.tBox 21199 Reader No:ll 4 D7 7tl 9 cC Date: /O -/ S-8 7 Eagan, MN 55121 Owner. 3or ?`ilic?r :;onst. SiteAddress: "703 Greensbozo vrive L3 ?33 GreenSLnro II Plilmhnr- Plvmouth Plumhino _ Conn. Chg: `2 5. 001)d N11 A[%1?«n+ i.. Acct. Qep: 15 00 ?dC?p? pr'a 1 ? Permit Fee: Tn ? a ? ECTR?G' ??? Surcharge: T P 30 1 ?a?? t6c?iti with the City of Eagan OO i l 11 r. lant _ . ac r n r e8, Meter. Misc.: By WATER SERVICE PERMIT OF EAGAN Permit No: Date: 9-15-87 Pilot Knot? Road Meter No: Size: Box 21199 ,. Reader No: Date: . m, M ' ,;121 4 I.3 nn. Chg: . -'"5. 00? ::t. Dep: ? ` . %nd rmit Fee: I0`00pd rcharge: .5' d Plant ' • 0 4r)(" Zoning: - No. of Units: I agree to comply with the City of Ordinances. Meter. Misc.: BY WATER SERVICE PERMIT cinr 0 EaGArr - SEWER SERVICE PERMIT 3830 Pilot Knob Road ` ' - PERNf1T IVO:: P.O. Box 21199 Eagan, MN 55121 DATV Zoning: r No. ai Units: _ , , Owner. - . Address: TT - ens! Site Address:- 0 e Plumber. - 5 7 ? ???e ¦ „? 7_;1p . OOpd ?i?1? (, 1. ? c1 A?1Con Charge: .. Yv t with t 1 agree to comPly ce i he G y ? 8efore digging ca'?k?1t??Q?*": • - nan s. Ord TELEPHONE-ELE?'??? • ' __ BY Q_?F-? 1 l 14 K r ti Date oi Insp.: Insp : RESIDENTIAL I " BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 C/ 651-681-4675 sbn_ New Cons6veUon Reauiremenh • 3 registered site surveys showing sq. ft. of lot, sq. %. ol house; and all roofed areas (20%maximumlotcoverageallowed) - • 2 copies af plan showing beam & window sizes; paured found design, etc.) • 1 sel of Energy Calculalions • 3 copies of Tree Preservatian Plan i( lot platted aRer 717193 • Rim Joisl DetaB Optioia selection sheet (bldgs wAh 3 w less uniLa) DATE RemodeVReoair Reauiremenh . 2 copies of plan • 1 sel of Energy Calculations foi heated additlons • 1 sile survey far extenor addrfions 8 decks . Indicate if home served by seplic system tar additions VALUATION $1,400.00 JOB SITE ADDRESS 3703 GREENSBORO DRIVE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER RICHARD & t.'ANA HANSON TYPE Of WORK REPLACE (1) CASEMENT WINDOW PIREPLACE(S) _ 0_ 1_ 2 APPLICANT MON-RAY, INC PHONE# 763-546-8625 ADDRESS PAGER # 801 BOONE AVENUE NORTH GOL'DEN VAI:I:EY CELL PHONE # CODE 55427 FAX # 763-546-8977 NIE1' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Cateyory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Warksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: _ Water Heater No. of R.I. Baths No. of Baths Mechanical Confractor: _ Mechanical System Includes: Sewer/Water Contractor: Phone # Phone # $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 _ Air Conditioning _ Heat Recovery System CITY OF EAGAN nJ? 14015 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 B ILDI G /y?(f / U N PERMIT Receipt # ?o / 0 To be used for SF DWG/GAR Est Value $88 ,0o0 Date AUGUST 5 19 87 SlteAddress 3703 GREENSBORO DR OFFICE USE ONLY GREENSBORO 2ND Lot 3 Block 3 Sec/Sub On Site Sewage Occupancy R3 . MWCC System X Zoning Rl Parcel No. On Site Well Type of Const v Ciry Water X (ACtuaI) m Name JOE MILLER CONST (AUOwable) w = Address 18133 CEDAR AVE SO # of Srorles h 6 ° City FARMINGTON phone 431-2001 Depth a F Total S . . , a NamC SAME Footprint S.F. ?Q Address APPROVALS FEES m? City PhOne qssessmenta _ Permit $ 461.50 ? Q Water/Sewer _ Surcharge 44 _ 00 W W NamC Police _ Plan Review 730, 75 ti _- Address Fire _ SAQCiry 100-00 2 0 Z En9r. SAC,MWCC 5 5. 0 ? W City Phone Pianner = WaterConn. 525.00 6 Council _ WaterMeter 7.00 I hereby acknowledge that I have read this applicatlon and state Bldg. Off. _ Hoad Unit 305.00 thattheinformationiscorrectandagreetocompl??y?withallapplicable APC - TreatmentPt 180.00 State of Minnesota Statute ?nd City of F?p'ordin nces. Variance _ Parks La Signeture of Permittee % Copies TOTAI -$2 , _43 ?Z5 A Building Permit is issued to: J E MILLER CONST on the express condition that all work shall 6e done in accordance with all ap c ble State of M i sota`St tgtes and City of Eagan Ordinancea Building Official e ?- Cl/ K? REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing ihls tarm on back of yellow copy. ? 56169 `X" Below Work Covered by This Requesi EB-00001-07 ..• S?sg? ew Atld Rep. Type of Building AppliancesWred EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer ONer (Specify) Comm./Industrial Fumace Farm ' Air CondRioner Other (speci(y) ConttaMOr§ Remarks'. Compute Inspection Fee Below: # Other Fee # ServicaErrtrance5ize Fee # Circuits/Feeders Fee Swimming Pool D to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Slgns Inspectork Use Ony: TOTAL IrrigaNOn Booms Special Inspection Alarm/COmmunication Other Fee b I, the Electrical Inspector, hereby Rough-in oe certifythattheaboveinspectionhas been made. F;mi 6- OFFICE USE ONLY This request wid 16 months hmm yiaa iss 9,*2,'D e) ? 0 56169 . ,3 " n' ?. °° , 3 6 Request Date ./ y}?! ` 2 D" Fire No. Rqgh-in InspecUOn Requiretl? Q(Reatly Now ? WII Nofify Inspector When Reatly7 l V ?/ ? ?es No I fYlicensed contractor O owner hereby request inspection ot above electrical work at: Jo0 Mdress (Streel Boz or Roule No.) 3 2 B 3 OP? a A..'S ba f--v 0h Cily p?-?? ? Seclion W. Township Name or No. Range W. Counry?.^? } 1?-i J?'?AA / /* OccuOant (PRINT) ? /?-N S o !J Phorre No. Power Supplier D?I-/e ?"? AGtlress ? ? -d A-?2s?c r u 7 - ? 1 Ekcvi rac5or (Canpany Name) cc-f?v+?! r G. Contractar5 Licensa No. d 4?0?'YG Y-3 Mailing Atltlress (CoMreMa or Owrrer Malting Installetion) ' t A 3 ?. ? T ?- Authai ' naWra (COmraclor r Makin InstellaHOn) __ ?Y . _ _ .• . . _ _ _ __ ?or?e Numbar ?/ ? (? ? `?' "'? ? ? MINNESOTA S70.TE BOAPD OF ELECTHICItY Grigga-MlEway BWg. - Hoqn S-773 7821 Unhrersiry Ave., SL Paul, MN 55104 Phone(612)BM12-OBpp THIS INSPEC710N REQUEST WILL NOT BE ACCEPTED BYTHE STATE BOARO UNLESS PflOPER INSPECTION FEE IS ENCLOSEO. This repuest voitl 9/?? 18 mon[hs fwm / cy D 41 ,?' 0 Peques ale /// IFire Np, Rouuh-in InsVection ?y fle?iredT nNo ?or ?Ready Nuw7,? Wiil NWholify Inspec- 7 Yes / en qeady Licensed Eleclrical Contmcbr 1 hereb y repaest ins0ection of ebove Owner eiectricel work installed at Street Atldress, Box or Route No. CitY ?Q? s orro ectmn o. Townshio Name or No. RanBe o. Coun1X Or,couant IPflINTI Phone No. Power SuOVliefr ? Addressj? !?(fY'I7I /ef Elechical Conh ctor ICom ny Namel Con?rnr,to?'s License No. /o - ? Mailin Address ICOnvactor or O Makin stailationl ;a ? 5`s33r7 ? ,n Auoriz d Signature ICo ractor Owner Making Inslallation) Phone Number -gF1J -?'iG// I THIS INSPECTION REQUEST WILL NOT 'NNESOTA STA OAPO OF ELECTRICITY ,es-Midway Bldg. - Noom N•191 BE ACCEPTED BV THE STATE BOAFD Inive.silv Ava.. St. Peul. MN 55104 UNlESS PNOPEN INSPECTION FEE IS `512) 642-0600 ENCLOSED. ?/? ?/8? REQUEST FOH ELECTRICAL INSPECTION « EBJ-?00j0?0[^1'-0/6 If See instrac[ions for campleting this lorm on beck ot vellow copy. 4 / / O? Y aL D4 1i!i1$ O "X" Be/ow Work Covered by 7his Request Add fleD TVpe ot 8uiltling AOUlinntes Wired E4uiUmen1 WireA Home Range Temporary Service Duplex Water Heater Ligh[iny Fixtures Apt Building Dryer Electric HeaUn Commercial 81dy. 4 Fumace Silo Unloader Indusirial Bldg. 1 Air Conditioner Bulk Mfik Tank Farm omr. aec, v -in.,, isuec,tv: t er Su77 V tnnr Oihijr Compute lnspectlon Fee Be/ow p Fee ServiceEnfranceSize k Fee Feedars/5ubtexders # Pee Circuits 5 U to 200 Am 5 0 ro 30 Am s / 0 to 30 An+ ns Above 200 qinpy 31 to 700 Amps 31 to 100 A s Swinming Pool Above 100-Amps Above 100_Am?s Trans*ormers Irrigation Booms PartiaL'Other Fee Signs Special Inspection 5 TOTA flemarks • ' L F Nough-in Dte ,?he Electn • ? } /??J? nspectoq hereby certifv ?hat the above 1 Final e pection hes been . Y1?3 da. Thle reauesl volA 18 montlq hom RESIDENTIAL Vl ? BUILDING PERMIT APPLICATION lc?q CITY DF EAGAN ?? 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4675 New Construction Reouirements • 3 registered site surveys showing sq. fl. of lat, sq. ft. of house; and all roofed areas (20%a maximum lot cwerage allowed) . 2 copies of plan showirg beam 8 window srzes; poured (ound design, elc.) • 1 set o( Energy Calcula6ons • 3 copies of Tree Preservation Plan if lot platted aker 7/1193 • Rim Joist Delail Optlons seleGion sheet (bldgs wilh 3 or less units) DATE t-t J-^-.,-c- oZ--- Water SoFtener _ Water Heater _ No. of Baths It ?'o SS , o e) SITE ADDRESS 3-703?'C?r-SS ?E` MULTI-PAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT (y-*-g Qt9c?'^3 + S'rL e-n5 ?2.. STREETADDRESS CITY P47p2- STATE/-*-eZIP 5-`{YZ TELEPHONE # E71635SS?° ''oHi CELL PHONE # 16ta? 34,3- 7ob-/ FAX # I PROPERTY OWNER L4"^'_4,_ ? "'S ° "q TELEPHONE # -------------------------------------------------------------------°-------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA KUI,LS 7670 CATEGORY 1 bIINNESOTA RULF.S 7672 (J su6mission type) • Residential Ventllation Ca[egory 1 Worksheet Submitted • New Energy Code Worksheet Submined • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing systcm includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 ..... _...--°----------------- °------------- °--° °--°------- °-------°---°--------°----------...... _.......-----... I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with alI applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant -------- °°-------- ---------------- __.....__..__------- --___--_-•__._------------ ____..._____--__• OFFICE USE ONLY CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 RemodeUReoair Reauirements . 2 capies of plan • 1 set of Eneryy CalcWations for heafed additiom • 7 site survey for exterior addiGons 8 decks • Indicate'rf home served 6y septic system for addiGons VAWATION Phone # _ Lawn Sprinkler No. of R.I. Baths ? ? ? vo '51 / ? 1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IACLDDE 2 SETS OF PLANS, 3 •. t OF SQRVEY, 1 SET OF ENfiRGY CALCO[.ATIOHS NOTE: ADDHESSES FOR CORNEH LOTS - CONTR6CTOR/HOMEOSiNER MDST DESIGAATB WHICH ADDRESS IS.DFSIRED. NO CH6NGES WILL BE ALLOWED OHCE BDILDIHG PERMIT IS ISSIISD. MOLTIPLE DFTELLINGS - RESIDENTIAL RENTAL DNITS FOR SALE iTNIYS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVSY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL 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: /(,lw _4?ML Valuation: 14-1-? Site Address 370 Lot 3 Block ? On Site Sewage` MWCC System ? PareellSub ? On Site Well City Water ? Owner Address City/Zip Code Phone Contractor y Il,(S(L,(37'1Z?l , Address ILL Ld[A Q,Q,AQ, ? , City/Zip Code?kL,jJ4 /,ys-S`i' Phone '7'31 `a 00 1 Arch./Engr. Address City/Zip Code Phone 11 APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Date: 7 -9 / Occupancy -- Zoning 2• 1 Type of Const (Actual) ? (Allowable) :2?r 1F of Stories Length (02. Depth 4 g S.F. Total Footprint S.F. FE&S Permit Sb Ca? 9 Surcharge Plan Review SAC, City _J oo. SAC, MF1CC 57?. Water Conn SZS. Water Meter 67. Road Unit 305- Treatment Pl I&O. Parks Copies - TOTAL o? • b? K.S8 = ?? 8 . r? ? 2- ?- TRI-LAND C0. SURVEYING SITE PLAN FOR: SERVICES tiTOE MILLER C01UST. 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 ` LEGAL DESCRIPTION: LOTA-,BLOCKJL, r-EAMWsoeo sECavv ACCORDING 70 THE RECORDED PLAT THEREOF?I9E,'P77 COUNTY,MINNESOTA ? M N ? 9pr+'0 S ? / Oti / /o ryha ? 9vox6 C9arX5: 11 " ExisnnNGq,4a?F (9oex \ ` ) q ?.` ?i2 39 UGN ?s $?•pp ? 906 LEGEND o DENOTES IRON MONUMENT a DENQTES IKOOD HU9 SET DENOTES EXISTIN6 SPOT ELEVATION (9°b'0 OENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hareby certify that this survey,plan or rsport was prepored by ma or under my direct suparvision and that i am a duly Reqisfered Land Surveyor under fhs laws of fhe State of Minnesota. 87- Ilo7 ea 7 k6 Po'+o L!3 T 4 VACMr7 N ? SCALE ? a INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION = 94-i PROPOSED FIRST Ft00R ELEVATION = 9??119 PROPOSED BASEMENT FLOOR = ELEVATION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS Bradley J. S4enson, Mn. Req. No. 15235 Date - ???9/8') S? / / / `?1 I .v B9' SS:sS°E /30.8G - -- - -- ?? LOT j 9? ?y• . S ? 9io ? -- L V ? . CITY OF SUILDIIdd DEPARTt•IEIiT KXTERIOR EIIVEf.OPE AVERA(3E "Ull C014PUTATION .?} (To be submitted with building permit application) -flgJ? 31? One or Two Family Dwelling All Other Owner Site Addresa Contractor 4k?,f4= (?('j?(/?jT Date -(p Phone ? L?NE,",L FEET OF , EXPOSED YlALL 5?rI,Uo(?Ko ?.'?Wy' rt. 8bove grade = TOTAL EXPOSED 1YpLL ARE SQ. FT. OPAQUE WALL CONSTROCTION: "U'l Value x Area ?fv0 WAc.J- IIuII . D x sq . netail , reference ?I m V?Ull x Sq. from LONG liUll , x SQ. attachsd liUl' x SQ. shaete upn x SQ. IIUII x S@. WINDOWS: "IIll Value x Area FT. ? - (U) (A) ?.-1?° SU)cA) FT. - (U)( ) FT. - (U) (A) FT. _ (U) (A) MQ(u) (A) Make & TYPB ar Mv.K' `JIVIUII ? SZ x SQ. FP.)4 IIUII x SQ. FT. _ (U)(A) ° n aUII x SQ. FT. _ (U) (A) IIUII x sq. r~r. _ (U)(a) Do0R5: "U" Value x Area 1•face & Type 'iUll x SQ. n o npli x SQ. u n uUu x SQ. n n nUn x SQ. ToTats ZI L3 sq. AVERA4E "U" TOTAL (U)(A) VALUES DIVIDED BY TOTAL S;IALL AREA LIZ?j ?. AVERA4E "Ull ,115 or less for 1&2 family dwellinge FT.7,RZ (ll)(A) FT. _ (U) (A) FT. - (U)(A) FT. - (U) (A) F'T. ZZO.?3 (U)(A) ROOF/CEILINas ?a Z TOTAL AREA: Detail reference ISIIll . oZ1 x SQ. FT. 14?z = Z9. (U)(A) from IOIlll x SQ, FT, . (U) (A) attached sheeta, $lUll x SQ. FT. ? (U)(A) Deecribe ooeninga °Uit x SQ. FT, (U)(A) in roof. IlUor x SQ. (U)(A) TOTAL (U)(A) VALUES DIVIDED BY Zq ,?,Q, Tr?t45 7f1. ?V?A> TOTAL ROOF/CEILIN(i AREA I?b T. 3 , 0 7,) AVERA4E "U" .025 for ventilated roofe. s . _ . . . ._ --Y7AI,L SECTION-- -' Detormining "U" valuee et Roof, Wall, Rim, and Conc. Block R00 1.) 2.) 3.) 4.1 5•) F/CEILIN4 Interior Air f'ilm 5/811 ayP. sa. Ineulation Exterior Air Film (sTZtL) R VALUF 0.61 .56 4f.Oc:> .61 nUil _ 11R= ? Oz.r TOTAL (R)= ?.S 71 .?- WALL 6.) Interior Air Film ?.) P ayp. sa. 8.) Ineulation 9.) F301t'r=P'17-6 10.) Masonite Siding 11.) Exterior Air Film R VALUE 0,68 .45 19,00 l. 61 .17 upn ? 1/R=. . Oct--? TOTAL (R)= RIM 12.) Interior Air Film 130 Insulation 14•) Z" Fir Rim Joiat 15.) f-01?r- r,7-E 16.) Maeonite 5lding 17.) Exterior Air Film R VALUE 0.68 19,00 1.88 z 6? .17 l'U'l a 1/R= , 00 TOTAL (R)a z4 41 _.t_ ? FOUtIDATION 18.) Interior Air Film 19.) 20.) 21.) 12" Concrete Block 22.) 23.) Exterior Air Film R VALUE 0.68 J/. 00 1.28 .17 ???,? _ ,/R_ . , o7 T'DTAL cft>= ?,3,1? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION DF)TF: PAYMf.NTf OF FEE AT TIME OF nPPLIcrazoN DOES rUr aONSTITUTE nPrPxovar, oF PERMIT. IxsrEMorr oF sDM Arm/? MOR INSTALLUroNs waa. Nar ER saHm- ULID UNTIL PII2MIT HAS BFEN . APPR(7VID. P ease Print 1) pROPERTY ADDRESS: _ 3723 LEGAL DESCRIPTION: 3 IF EMSTING STRCY,'!S]RE, DATE OF ORIGZNAL BL'ILDING PERMIT ISS['ANCE: ' . PRFSEUr 7ANING/PROPOSFA LSE: hYm ear ? COhPERCIAE./RS'PAIL/OFFICE r7 IPIDI7STRIAL Q INSPIZLTMfIONALJGdVER1DEN'p B-IR-1 SINGLE FAMILY ? R-2 DLPLEX (T4,o L?nits) R-3 YOWNHOLISE (Three + Units) ( Pnits) ? R-4 APARTMENT/CObIDC)MZfIIUM ( Units ) ? -- - 2) NAN1E: .Sc ?Jj, /lcr- Eo,?,S f- AonxFSS:_ I S l 3 3 C"?- A? CITY. STATE, 2IP:_ PHONE: 3) • c ?- ivAhE: ADDRESS CIT1'. STATE, ZIP PHONE: S Sg- 31o7J MASTER L3CENSE# .M?o6 S? Active Expired Alot recorded -=ratlal ? 4) ?_?? a•:.??7?,.i!"?e? -- NAME7 5'NAr _ ADORESS: , CITY. STATE, ZIP: PHONE: '53 " ?' • ?• : ? • ? ?? Er-CONNEC."I'ION T0 CITY SEWE[t ?NNEC2ION TO CITY WATER OTIIER '. 6) ?• i- [R-15LEASE HOLD APPROVFD PEE2NIIT FC)R PICK-UP BY ONE OF ABpVE ---'- ---- PLE'.A5E MAIL APPROVID PEf2MIT RV 1. 2. 3. 4, ABOVE (Circle one) ' » FOR -CITY USE ONLY . , PERMIT # ISSUED ?o ql 7 . Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLLDE SURCHARGE) $ $ /O• ? WATER PERMIT (INCLUDE SCTRCHARGE) $ (o ? ? $ WATER METER/COPPERHORN/O[:TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOLNT DEPOSIT - SEWER $ $ 45` 6--b ACCOC'NT DEPOSIT - WATER $ -?J Z } • lY? $ WAC $ ?oZS CrZ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATEftAL SENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ I3d'?f U $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: C7 $ TOTAL ,-772-33 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDSLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC ROADWAY" MLST BE ISSLED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : 6517390267 DEC-02-2009 WED 01:51 PM I,AMPERTS 116517390267 P.001/003 ----U86 BLUE or BLACK ink City of Eajan k- - I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 l 1 Fax: (651) 675-3694 1 state I 2009 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~020~ Site Address: Tenant: Suite 0: RESIDE=NT / OWNER Name: Zr&-W-10 VP Phone: Gy sl 46r Address/ City/ Zip: f12 f s~dt Ll~w~ . Applicant Is: A Owner Contractor TYPE OF WORK Description of work: .S Construction Cost: o2aaa 0 Multl-Family Building: (Yes l No((-) CONTRACTOR Name: l 0AILO.7r License Address: City: L ; zr.4*0 State: Zlp: S tK~.~-1 Phone: Ay 73gy- Contact Person: f.✓T COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit 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: NdTE Plans al~d supporting documents that yoy su$mlt are ~QnSIdIriN(iPCii pfj lfiir»tBtTPtitiaissq~€ the informafion mays be classifl'ed. as rfon pubUc IfYo'u prAVlde speclllrr ;~aeasts~s ~tttat tNAff(d,; l7 if'tfie twit to, fx lj.p y y~ ~A CY.fTtrjTtlY~.`.~{/lTd~ k!-fiST ..~(1 X.f~l.NL~ ~P1V ~~$~I L 6 Y 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.aoaherstateonecall.orn I hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordinances and codas of the City of Eagan; that I understand this Is not a permit, but only an application for it permit, and work Is not to start without a permit; that the work will W in proval plane. accordenc with the approved plan in the case of work which requires a review and ;pipdnrnature V 06- Ap Itcant's Printed Name s StsPage 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA167486 Date Issued:03/17/2021 Permit Category:ePermit Site Address: 3703 Greensboro Dr Lot:3 Block: 3 Addition: Greensboro 2nd PID:10-30901-03-030 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Joy C & Randy S Thompson 3703 Greensboro Dr Eagan MN 55123 Superior Builders Inc 6361 Sunfish Lake Ct Ste 400 Anoka MN 55303 (651) 615-0065 Applicant/Permitee: Signature Issued By: Signature