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
/
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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
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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
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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?
/
/
/
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.v B9' SS:sS°E
/30.8G
- -- - -- ??
LOT j
9? ?y• .
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. 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