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3704 Greensboro Drcirir 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 Y LOO,QCG pate Site Address ' OFFIC E USE ONLY Lot Block •-'? Sec/Sub On Site Sewage _ Occupancy . MWCC System _ Zoning : PerCel No. On Site Well _ Type of Const City Water (Actual) _ (Allowable) • a Name W ; . Address # Of StOfIQS Length ? City Phone Depth S F Total . . ¢ Footprint S.F. 0s Address APPROVALS FEES ? a r- City Phone Assessments _ Permit d F ¢ V Water/5ewer _ Surcharge i j W Name y ~ z Police Fi _ Plan Heview I x - Address re _ SAC, City i vn Engr. _ SAC, MWCC `Z City Phone Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the information is correct and agree to comply with all applicable APC - Treatment P1 State of Minnesota Statutes and City of EBgan Ordinances. Variance _ Parks Signature of Permittee Copies TOTAL 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. Building Official . • Permit No. Permit Holder Data Telephone # Plumbing t H.v.ac. 9 111?0'I Electric Softener Inspectlon Date Insp. COmmenta Footings I Footings II Foundation Framing 9.+q [?,Q Roofing Rough Plbg. Rough Htg. Isul. _ Q Fireplace Final Htg. Final Plbg. • J Bldg. Final Cert. Occ. y ,' $1y Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. BLDG:?PEIfMIT N0, i [.-? " ? • '" ` , - --, ? - r _ 01--3210 B1dg..Perm: 01-3422 P12m Check 01-3445 Surch./Adm 01-3446 SAC7Adm. 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 Lot PERM MECHANICAL PERMIT RECEI ClTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 BLDG.TYPE _ Sec/Sub Res. , Mult ? Name ' Q - Comm. Rddress 1 ' Other I c Ciiy ? Phone? Name ? c Address`_ ? '`- p City Phone L TYPE OF WORK Forced Air - M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM * Gas Piping OuUets # - Other ? , FEE: $/\i: TOTAL: WORK DESCRIPTION New Add-on Repair t FEES RES HVAC 0-100 M BTU -$24 00 . ADDITIONAL 50 M BTU . - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEHM1T) - 1 50 EA COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES . . TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT (ADD $ 50 S/C IF PERMIT PRICE GOES - .50 •:? •- . BEYOND $1,000) - ti L•-- SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN # '# . . PLUMBIMG PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address ?c; ]()..? Lot T_ Block Sec/Sub ? Name .-, y Address?„? c C'ry 4-g?fr 64 4••} Phone ? Name FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S1C IF PERMIT PRICE GOES FOR: CITY OF EAGAN PERMIT # RECEIPT k 2,,F 1-2 /2 DATE ?.':), / 41 IS -?7 BLDG. TYPE WORK OESCRIPTIQN Res. ? New s? M ult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOT! ?Water Closet - $300 Bath Tubs - $3.00 ` Lavatory - $3.00 ?Shower - $3.00 ! Kitchen Sink - $3.00 % Urinal/Bidet - $3.00 :::ZLaundry Tray - $3.00 S ?Floor Drains - $1.50 =_?Water Heater - $1 50 - Whirlpool - $3.00 ?_Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ?< Rough Openings - $1.50 FEE: STATE S/C: , • --? ?' GRAND TOTAL: ' a S G CITY OF EAGAN Permit No: Date: ' 3830 Pllot Knob Road B/P No: 77' ?date: P.O. Box 21199 Eagan, MN 55121 ' `e iSiller Const Owner._ ' )?l4 ?'LePASbQrO T -,• t v_ ?.7 T . _ <? ?I' . . • , T ? Site Address: , ? Plumber: ''iyZaouih, Pl,I"tb ; r., MWCC: ?=''?•?? Zoning- City Chg: No. of Units: ? . ,.;: •,?, Acct. Dep: iI agree to comply with the Ciiy of Permit Fee: Ordinances. Surcharge: sy SEWER SERVICE PERMIT i Pilot Knob Road Box 21199 , m, MN 55121 9110 Meter No: _ Reader No: Date: -' 3 Slze: Date: Chg: Zoning; Idl ' No. of Units: z ? I agree to comply with !he Clty o} Eagan O?dinances. s__ CITY OF?EAGAN Permit No: ';260 138tec 3830 PVot Knob Road B/ P No: Oate: P.O. Box 21198 Eagan, MN 55121 Site Address: I3 R1 MWCC: _• ? nrrore ?rr?nc ou•vvrm?y-- - ioo IE LEPH(lN E:ELEM616r=-• - City Chg: ?- Acct Dep: 1I W?pakAWly with the Citp d Eagae ..? Permit Fee: p??nce& .. ??. Surcharge: Misc.: BY . _ ? - SEWER SERVICE PERMIT CITY OF E+AGAN 3830 PIIof Knob Road P.O. 6qR 21199 Eagan, MN 55121 911n Permit No:? ?? MeterNo: Reader No: a11 or ('nnat. Date: Size: pC Date: Ihe City ol Eayan This rnuues 18 rtq nths tmm i voiJ 1r, /., 7 D 41864?? ?V (?O// 1 /!J 5./ ?oZ ??•"•°`° "°"„b°, °O°"^CO1 I hereby request insuection of ebove ? Owner eleclrieal work inetalled at: Slreet Address, Boz or Route No. City 3 7 ? - ecuon o. Township Name or No. Hanee No. County OccuuAnt (PRINT) Phone Nn. vfr _ Q eA;;- Sa- D Power SuDpliar Atldress Elec[rical Cnntractor IComVany Neme) C?ntrar,tor's License No. i?/?,?d E?%??-? ? c. o?fl r MailinB AdJress (COntractor or Owner Making Instailationl C? o- o! if t_ uP?/Stl??(F .y+a S 3' Aut rized Sipnamre (COnhactodOwner Makiny Installationl Phone Nomber r/ a - w V l SOTq S3ifTE BOARD OF ELEGTRICITV TMIS INSPECTION qEUUEST WILL NOT •Midway Bidg. - Room N-197 BE ACCEPTED BY THE STATE BDAND 1821 Universiov Ave.. SL Peul, MN 55104 UNLESS PNOPEfl INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 101.p&REQUEST FON ELECTRICAL INSPECTION es-ooooi-ohs 1 See instractions for completinW tM1is form on back of yellow wO, D'4 186 4 "X" BeloW Work Covered by 7his Request AAd e, 1Ype of Building ApOliuncm Wired EquiVrnant Wire!1 Home Range Temporary Service Duplex Water Heater Lightinp Fixtures Apt. Building Dryer Etectric Heatin Commercial Bldy. Fumace Silo UnloaAer Industrial Bldg. Air Conditioner 8ulk Milk Tank Fdrm Otber per.i y 01her ISnnr.ily) t er Succi y ther Othrer Compute Inspection Fee Below N Fee Servire Enlranea5ize p Fee Fanders/Sublexders N Fee Circuitg 0 to 200 qm s 0 to 30 Am s 60 0 to 30 Am n Above 200 qmps 31 ro 100 qmps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Transiormers Irngation &?oms p Pdrtial-Other Pee Signs Special,lnspection J flertarks TOTAL /EE?F ? ..V ? L ? Nouph-in Oxte V I, the Elacbicnl • ?? Insoecbr, hereby certity that the above Final Onte .".ction hes Ceen - a Thb reGUeat vob 18 moMtu from CITY OF EAGAN N2' 1415 7 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 BUILDING PERMIT PHONE: 454•8100 Receipt #-- "-7 3 ? O To be used for SF DWG/GAR Est Value $100, 000 Date SEPTEMBER 14 19 87 SiteAddress 3704 GREENSBORO DR Lot 7 Block 4 Sec/Sub. GREENSBORO 2ND Parcel No a Name JOSEPIi MILLER CONST = Address 18133 CEDAR AVE SO o city FARMINGTON phone 431-2001 =¢IName SAME I V V Address P City phone City OFFICE USE ONLY OnSitesewage Occupancy R3 MWCC System X Zoning Rl On Site Well Type of Const T Ciry Water X (qcWaq ? -?- (Allowable) # ot stories ?? Length Depth 4/T S.F. Totel Footprint S.F. APPROVALS FEES $ 503.50 Assessments Permit 00 -5-0- Water/Sewer _ Surcharge . Police _ Plen Review 251.75 Fire _ SAC, City i nn _ no Engr. _ SAC,MWCC 575_(10 Planner _ WaterConn. 595_(10 Council _ Water Meter _67.90 I hereby acknowledge that I have read this application and state BIdg.Off. _ Roatl Unit 305.00 ihattheinformationiscorrectendagreetoco p withallapplicable APC _ 7reatmentPl 7R0_00 State of Minnesota Statut and Clty of n OYdi?nces. Variance - Parks p?y Copies Signature of Permitt e N" ToTaL ?Z. 5 A Building Permit is issued to: JOSEPH MILLER CONST on the express condition that all work shall be done in accord nce with a/llya??bp/li?c?able Statg//?pf Minnesota Statutes and City of Eagan Ordinances. BuildingOfficial! /lX????iC A.????/ y ?a SS RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reaulwmenb • 3 registered site suneys showing sq. %, of lot, sq. N. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showirg beam & window saes; paured found desgn, etc.) . 1 set of Energy CalculaGons • 3 copies of Tree Preservation Plan'rf lot platted after 711/93 • Rim Joist Detail Optiom selection sheel (bldgs wNh 3 or less unNs) DATE 6 `o?S-c?,? RemodellReoair ReauiremeMs • 2 copies ot plan • 7 set of Energy Calculations far heated additions • 1 sile survey tor eztenor additions 8 decks . Indicale if home served by septic system for additions ao" ? VALUATION SITE ADDRESS ? OV ?r?c?/? _?6 ? C MULTI-FAMILY BLDG _ Y TYPE OF WORK ?O •?/?tD? FIREPLACE(S) _ 0_ 1 APPLICANT ?/ N _ 2 STREET ADDRESS q_-7QO CITY TELEPHONE # 7G3__5K' `O3a/ CELL PHONE # PROPERTY )??e `?'la?jer FAX # TELEPHONE # ZIP -5!?Yy/ ?sr yos-o63/ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNFSOTA RUI.ES 7670 CA1'EGORY l MIN .?7(?(J submi ssion type) • Residential Ventilation Category 1 Worksheet Su6mitted New e Worksheet Su• Energy Envelope Calculations Submitted N 2 5 ZU02 NRric6i Plumbing Contractor: Phone # ___?,,,__?__--= --•-•? Plumbing system includes: _ Water Sottener _ Lawn Sprinkler Pee: $90.00 Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Coniractor. Phone # Mechanical system indudes: Air Conditionung Fec: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # -----°-°-------°-------------------------------------------°---°-------°-------°°-------------°------------------ 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. Signature of Applicant Afl? _r.___- ___..---- .._.....____..___..------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ? SINGLE FAMILY DWELLINGS •'. C INCLQDE 2 SETS OF PLANS, 3 CSRTIFICAYES OF SQR4EY, 1 SST OF ENERGY CALCOLATIOHS . NOTE: ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOMEOTiiNER HIIST DESIGHATE WHICH ADDRESS IS DFSIRED. NO CHANGfiS WILL BE ALLONSD ONCE BIIILDING PERMIT IS ISSOED. MOLTZPLE DWELLINGS - R&SIDENTIAL RENTAL UNITS FOR SALS IIHITS INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SiJEVEY - CAECB TiiITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUC'TURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: -ruw µp7?? Valuation: ZV, u pp Site Address 3-io4 Gupms b6ro 1)e /Do, ooooi' Lot ? Block ?F On Site Sewage_ q.{1 MWCC System ? Parcel/Sub On Site Well City Water ? Owner Address City/Zip Code Phone Contractor Q(ya p?y, Address t b City/Zip Code Phone ?-1-31- a..b? f ? • Arch./Engr. Address City/Zip Code Phone # APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off `I 14 APC Varianee aD SEP 10 6br nate: Q Occupancy Q-3 Zoning K-I Type of Const (Actual) V- N (Allowable) V- N # of Stories Length 50,00 Depth Yy.33 S.F. Total Footprint S.F. FEES Permit 503.50 Surcharge 50.00 Plan Review 251•75 SAC, City /DO, Do SAC, MWCC 525, 00 Water Conn 525. 00 Water Meter 6'7. DO Road Unit 305.00 Treatment Pl Jg p, op Parks Copies TOTAL ?. S ? G AY2 Pe{??' ; ? t ' n, ` Zy.o x 22,33 = 3?G,}E/2 z 6u3l. , ' Rs m-r4lsr F-oor)- 38.OK 2?,0= Cjg? • ? , oa2 x sa= 5 9s66 ?2ND FLbo(L .?2 W.0 x 26.a = 'l2fS.' o2X!?= 3y r- r? G?, X y4= 33_ 1 9 52S . . 4n /-1`i-::0 TRI'LAND CO. SI'TE ' PLAN FOR: SURVEYING SERVICES JOE MILLER CONST 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL OESCRIPTION: LOTZ,aLocK 4,GREENSBORO SEGOND ACCORDING TO THE RECORDED PLAT ' THEREOF flAKOTA. COUNTY,MINNESOTA Sc.ALe 30' ;"8•S/q6„ . sr ? 8 / ?'g.4//yAGE A.17 ric LOT 7 I 441 / 26 , l0 ? n ?N v/ ? a \ 4 A/ ? . G, -v v ? ! N 3°334, ? q LEGEND o DENOTES IRON MONUMENT * DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hreby cerfify thaf this survey,plan or nport was prepond by nw or under•my direct suparvision and that I am a duly Repisfsred Land Surveyor undw the Lows of tM Stote of Minnesota 6 INVERT ELEVi4TION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION¦ 4//.0 PROPOSED FIRST FLOOR ELEVATION = ?(/<S PROPOSED BASEMENT FLOOR c ELEVATION NOTE ? VERIFY ALL FIOOR HEIGHTS WITH FINAL HOUSE PLANS Bradley Date Mn. Rep. No.15235 1 CITY OF. BUILDINa DFPAjt'II4ENT N7CCERI0R ENVELOPE AVERAOS.IOUn COHPIITATIOH . (7b be submitted wd.th building permfx appiication) One or""Tno'FeiailyY'Dwelliri_g - s? ?bxner All Other •&ite Addreea 3704 GR[sNSitoeo pr?, Contractor Date Phone LINEAL FEET OF EXPOSED YWLL ft• above grade a 1?5 dT? TOTAL EXPOSED WpLL AREA SQ, FT. 0?nQUE WAI,L COIFSTRU^.TI02i1 °U" Value x AI'ea Detail T'xAH1E IOUll 004-3 x SQ. Q.or?? • "U" . 071o x S@. tromrence m ??IIn , pqd x SQ. attached x SQ. x SQ* sheeLe uuu x SQ. FT._1gt7•4g • 7743 (0)(A) FT. 1648 = -3i(U) (A) FT. 20 . = U)(6) Fr. = 0)(4) FT. _ (U) (A) FT. _ (U) (A) ?JINDOWS: "IIll Value x Area MaRe & Type JA,,A04. CbyhT 'IQ" • 5Z x SQ. FT. 5.Z0 = So• I$(U) (A) " " $fUll x S@. FT. _ (U)(A) n a npu x SQ. FT. - (U)(A) u a n[Jn -Y SQ. F'P. - (U)(A) DCkORS: "Dll Value x Area 'rlase & Tyne --.477-, IuSJL"UII .'I4' x SQ. FT. 47-oo = 6•g& (U) (A) " " ?irrro n foUl*_ .47 z Sq. FT. .o = 19,74 (U)(A) n npu x SQ. FT. _ (U)(A) n n npn x SQ. - FT. _ (0)(A) TvTALs _2359.(o4sq. Yx. Zoo.z7 (u)(a) AVERA(#E stIIff TOTAL (U) (A) VAI,UES ZOQ. Z7 ? ogq. , DIVIDED SY TOTAL HALL AREA Z3S9.(o? AVERA(iE "Ulf j5 r less for 1&2 family dwellings ROOF/CEILING: TOTAL AREA: Iz Detail refereace flDff • OZ / x SQ. FT. 14lz = 29.65 (U) (A) from _ ItUto x SQ. FT. m (U) (A) attached sheete. foUll X SQ. FT. a (U)(A) Describe ogenings IlUll x SQ. FT. a (Q)(A) in roof. x SQ. Ff. ? (U)(A) TOTAL (U)(A) VALUES DIVI DED BY z L47-u-1--,1QFf q (? T TO'.AI. ROOF/CEILII:a :,12EA 1g/z ' 2 J AVYMAGE "II ,025 r ventilctted roofa. - . --WALL SECTIOF-- " Determiniag "IIlf valuee at -Roof?• Wall-0 Rim. and &onc. Block ROOF/CEII,INd 1.) Interior Air r'ilm 2.) 5/8,, ayp. Ba. 3.) Ineulation 4.1 5.) Exterior Air Film ( STIIS. ) R VALUE 0.61 .56 g'4: DOV, .61 toUu = 1/R= .oZ.I i?'OTAL (R)= 4f>•78 WAL L R VALU 6.) Interior Air Film 0,6$ 7.) }11 ayp. sa. . .45 8.) Iasulation ?Q,qv? 9.) 7Sz" 2.09- 10.) M eonite Siding .67 11.) Exterior Air Film ,17 ItUti n 1/R= ,047? TOTAI. (R)=?'r?' OI . RIM (R) VALUE 12.) Interior Air Film 0.68 13:) Insulation 15.00 lq,) 2" Fir Rim Joist 1,$$ 15.) ?el $uIL-rrTE 2104 16.) M eonite si ng .67 17:) Exterior Air Film .17 ,,,,lf _ ,rR= . vgo TOTAL (R),14.4f ? FOUNDATION R VALUE 18.) Interior Air Film 0.68 19.) 20.) 9-11 eATrjPIj?zD w,a-c.. /l.oo ? 21.) 12" Concrete Block 1.28 22.) 230 Facterior Alr Film .17 irUn = 1/R= •07?0 TOTAL (R)=13.o ?- . . .. ? . ... ? ..qr..-i' . . . . ' ' F . . . . • ' ' _ /8 33 X ? 28*2????Z4) = 9.SoX?Zot2o) _ _ ?. 9 79•l44, 3$O•oo z, 96.48 ? r ? .83x(56+slo+4gr¢g+4o? _. ?-9? ? ?,t?11f Aow`? roX3fo-r 5 0o X 2= ?'-°o Z4XL4 = 4•0o x .? = AP•00 74X 48 = S.Ob X 7= -5lv oD ZoXloo -, $•4- X 3 ^ 25•TA 4- = Io.oo ?•g X 5= . 17 00 2 $ j8 ? 3°s?? v?lS.L. - ZB•oo l? ?7L• 5?• ? Z/.op' 4z•an 9/.eic> ?k rteT EX? ? ?am-.6, ?.sss C?. 96.48 ?? ?iI17 zos-48 p IS'i.zo LCD ... 24-?4s=. 13XZo= ? .,7131; ?P•lo¢ ? l,s ?z.48 ? CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *XYPF: PA7dKF'Nl' OF FEE AT TIME OF APrriacaMoN noFS Nom oorSTzlvrE r,prxovAL oF PERNIIT. ngSPncrioN oF sEWER nrro/cxz MM IL'S?OKS WIId+ A70'P BE SC?m- UI,ID UNF]'I, PERNIIT HAS MM APPROVID. -- P ease Print 1) PROPERTY ADDRESS: 376? /,ooez?40yo LEGAL DESCRIPTION: 7 y t+.oc/cslocx/5ubaivis1on or Tax Parcel ID #) . IF E7QSTING STRL'MRE, DATE OF ORIGINAL BOILDING PERMIT ISS()ANCE: ' .. PRFSENf 7ANING/PROPOSID [?SE: (MOn ear q corMERCiat,/RErxiL/oFFIce r7 IND[.TSTRIAL, M INSTI2UTI0NAL/GOVERAAdENTp SINGLE FAMILY " Q R-2 DL?PLEX (1t,o Onits) ? R-3 TOWNHOUSE (Three + Units) ( Units) p R-4 APARZMEN'P/COAIDOMINIUM ( Units) 2) ? tuArE: J°?C- r7:Gl?- ADDRESS: CITY. STA'CEr ZIP: PHONE: Lf31-,2Oe! 3) ' ?: ?• NAN1E: AMRFSS: CITY, STATE. ZIP: PHONE: MASTER LICENSE# ActiVe Expired Not recorded Ste?initlal 4) •• ? NAh1E: cSa9-w.c ??? ?, , ADDRESS: . . - CITY, STATE, ZIP: PHONE: • -5) ?? a • ?• : a • o• • ?? e-`CONNEC.'TION 1n CITY SE,'WER 03-(,??ION TO CITY WATER J ? OTHER - I 6) '? •' • i- PLEASE HOLD APPROVFD PEEiMIT FC)R PICK-C?P BY ONE OF AB(7VE __.,.__....- Q PLEASE MAIL APPROVID PERMIT TO 1, 2, 3. 4, AHOVE . (Circle one) . F'OR -CITY USE ONLY PERMIT # ISSUED ' ?D Pd w/Bldg. Permit FEES: $ S ?C - SZ SEWER PERMIT (INCLDDE SURCHARGE) $ WATER PERMIT (INCLLDE SURCHARGE) $ WATER METER/COPPERHORN/OOTSIDE READER $ S WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ Uv $ wAc 5 ?'L 5 • ? $ sac $ $ TRDNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?0 D G-Z) $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ J 39 $ 5?' U ? _ TOTAL - 73 RECEIPT ` RE CEIPT ' DOES UTILITY CONNECTION REQUIRE EXCA VATION IN POBLIC RIGHT OF WAY? ? YES IF Y ES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q ROAD NO DIVI WAY" MUST BE SION LIST ISSUED BY THE ENGINEERING AS A CONDITION . . SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : 7 /2 ? / d / 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) G? ? CITY OF EACAN 3830 PILOT KNOB RD - 55122 T? ?1? 857-681-4875 dew Conthucfion Raarlremenh V?` I 33 Rercwdat/Reoatr Reau3remeMs ? 3 reglatered site wrveya ahowing sq. K o1 bt, sq. H. of hause 7-6-C} c) 2 caples ot plan and gfl roofed areas a% maximum bf coveraae cllowadl i aet of energy cdculatlons for heatetl dddiHOna ? 2 coples ol pkma (ahow beam d wlndow sizas; poured Ind. design; etc.) i sife aurvey for exteAOr addlHons 3 decks > 1 aet of eneryy cdeulatlons > 3 copias ol hee prefervatbn plan II lol plaRed after 7/1 /93 DATE: /G?p? ?iM1?Y CON5TRUCTION COST: DESCRIPTION OF WORK: /-uL_a nonJA n 4,iV t4nb 5id. STREET ADDRESS: -->/o b n S / t.av v LOT: BLOCK: ? SUBD./P.I.D. ri. ? Name: /VAjtC2 /V&k Phone #: aS/ yd S? a? 3? PROPERTY Lost Fild OWNER Sheet Address: 370 y 6ttien158oE'o R Ciry 1-5A&AJ State: rilk) Zip: Company: (fOj5 UJtJJDaUJz ? S7o7-AY- Phone #: !;0 Nq?l- 5-770 (area code) CONTRAGTOR ?E Sheet Address: Sao 7"e44 px ?,ar i 560 ucense # 22/s'9/9S Exp. 3-31-0l Cly b??nJS?Z[c? State: ?1.ll zip: 5S337 ARCHITECT/ ENGINEER Company: Name: Telephone t: ( Sheet Address: Regishaflon tl: CRY Stute: Sewer/water licensed plumher (H inatallina sewer/water): Ptrone #: Zip: i hereby acknowledye Maf I have read fhis applicaHon, aFate fhaf the IMomwtbn is cortecF, and agreePly wNh an appAcable Stafe of Minnesota Stalutes and CHy of Eagan Ordinanees. Signature of Applicanh ?)e OFFICE USE ONLY Certificates of Survey Recefved _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewCansWCbonReauiremenis RemodelAieoairReauiremenls - ? . 3 registered site surveys shaving sq. fL of bt sq. ft of house; and all iooted areas 2 copies of plan ? (20%maximumbtu?verageallamed) iselofEnergyCalala6onsiorheatedadditions 7t 2 wpies of plan shovring beam & windovr azes; poured found design, etc 1 sRe survey fw adtlNons 8 dedcs ! ?=x` ?,??='N lsetofEnergyGalculations Addition -iiMicafedonsdeseptkrysfem M? 3 cop'es oi Tree Pmservation Phan B bl plaHed afler 711193 Rim Joist Defeil Op6ons selec6wi sheet (bWgs with 3 a less uniis / IN Constructioo Cost ) 02 Date 12 - ??-`- Site Address / L'? Unit/5te # , ? Description of Work (1 wf ?1. C Q 1 L??\C1? Y Multi-Family Bldg _ Y?& N Fireplace(s) _ 0 _ 1 _ 2 O P hone # Tele roperty wner p RMA HOME SERVICES INC. Contractor Home Depot Installed Sales Add 3200 Cobb Galleria Pkwy., Ste. #200 C?ty ress Atlanta, GA 30339 State 763-542-8826 _ Telephone # ( ) BG20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Rasidentlal VentilaUon Category 1 Worksheet • New Energy Code Worksheet (4 submissionrype) Sybmlfled Submitted . Energy Envelope Calwlations Subminetl ?r7 6.6 U Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water ContracTor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and aclmowledge 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 far a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. ApplicanYs Printed Name ApplicanYs Signature Installed Siding and Windows LIMITED POWER OF ATTORNEY . CUUN"1 Y OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales loca+.Pd at 560 Mendelssehn Avenue North, Go'de,^, Valtey, MIV 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for ine and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Liir,ited Power of Atterney are limited solely to the express powers delineated herein and appi_y solely to the Work. This Limited Power of Attoniey shall expire and automatically be revoked on the 21 st day of Ivtay, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. I!\T W?"I"NESS WHEREOF this Limited Power ofAttomey is e.xeci.rtcd this 21 st day of May, 2003 ; David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Iiatz on this 21st day of May, 2003. Notary P ic in for the State o eorgia My Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT _„ -?+2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ??? City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when peanits are required for each unit Date t ?_ / 17/ 5 Site Address 3-1 Q'--1 a f` E en 5?30rn ? 1^ I UP_ IInit # Property Owner G ne, rn C, F"WX Telephone #((D -?'"j )) N(? S- Ob3 1 cootractor CONTROLLED AIR INC. 21170 EATON AVE, SUtTf A Street Address CARMINhTf1M IiAN 55079 ? CitY State Zip Telephone# ((o51 ) y b0- (nOaA Bond #: Espires: The AppGcant is _ Owner V Conhactor _ Other 7on r atteration to existing dwelting unit umace _Additional ?Replacement _ New $ 30.00 air exchanger air conditioner heat pump ?Z other 1-4 c.JYY1 i G7 / r= / P. (' State Surcharge $ 50 Total $ 3) .5 D I hereby apply for a Residential Mechanical Permit and acknowledge that the informarion is complete and accuiate; tktat 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 perntit, but only an application for a pernut, and work is not to s[art without a permit; tLat the work will be in accordance with tLe approved plan in the case of work wlrich requires a review and approval of PIPI. Cinc?Li LlenTW , ature App]icanYs P ed Name Ap ' t's i sjIl` Use BLUE or BLACK Ink For Office Use j I I Permit I City of Eap d I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 'ECF t/p I I Staff. I I Fax: t6511 675-5694 1 JAI ~ ~ ?09~ 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date; 1/14/11 Site Address: 3704 Greensboro Drive Tenant: Suite RESIDENT I OWNER Name: .Iasi & Tanp l`ahn Phone: 651-405-06 1 Address/ City /zip: 3704 Greensboro Drive, Eagan, MN 55122 PlumbinC License 58215-P~ CONTRACTOR Name: R C C I~ Address: 5910 Chester Avenue City: Northfield State: 1`1'~ zip: 55057-4743 Phone: 952-652-2933 Contact: Rich Nybo Email: TYPE OF WORK i New _ Replacement _ Repair _ Rebuild _ Modify Space -Work in R.O.W. Description of work: Finish ' 4 basement bath PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ J 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.gopherstateonecall.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 appro of plans. C, x Richard Nybo x Applicant's Printed Name Ap licant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In Air Test Gas Test -Final Use BLUE oe BLACK Ink I For pffice Use j Permit #:/7 Cit of Ea an I y I Permit Fee: 3830 Pilot Knob Road 1 1 Eagan MN 55122 j Date Received: I Phone: (651) 675-5675 I ^ I Fax: (651) 675-5694 I Staff: 1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: .3 7y Ll 6-P-e e,, Bari (0 r Tenant: Suite RESIDENT / OWNER Name:7CL^ e. c~_ IV'- Phone: S I - L+0 S r 0 6 31 Address / City / Zip:3 7 L~ G r- 2 erg i7 r U (or Applicant is: Owner I'l-l Contractor TYPE OF WORK Description of work: (3 u J C' M Q 1 r 'S a 1~=-1 r e- s s- ti`n u wS Construction Cost: I U o` Multi-Family Building: (Yes /No ) CONTRACTOR Name,M: C k - er L-- A 41--C- License b 7 6 Address: Cl- City: 6:-H Stater N Zip: 5 0 1 7 Phone: l5 7 c~ a Contact' /c't ,7z.. i Q w,,k L. -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 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.ciopherstateonecall.oM 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 accor4afTNp with the a roved plan in the case of work which requires a review and approval of plans. x tJ~ c~LL T c,,,+t VX J h ) , I - Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT 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 Occupancy 7I?C 1 MCES System ^ Plan Review Code Edition 7Z. SAC Units (25%100% Zoning />,p City Water Census Code 3y Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers 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 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 Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FE VS Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r For Office Use ] 11 Permit#: City of Eakan 1 1 Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I~ Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: J yn /y.` Phone: RESIDENT OWNER Address / City / Zip: Applicant is: Owner Contractor j~ TYPE OF WORK Description of work: v t t Construction Cost: `3 Multi-Family Building: (Yes No ) Company: ,."3-'`Contact: ~"~~~t J c~ t,:~ (1 1 f CONTRACTOR Address: C_/T- V'cv~4C_/T- City: Cr -t J ✓ti rr State: /V\ r'L" Zip: Phone: O tf b License .l U Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 conclude that they 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.gopherstateonecall.oro 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. 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. Apblicant's Printed Name A licant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161404 Date Issued:05/22/2020 Permit Category:ePermit Site Address: 3704 Greensboro Dr Lot:7 Block: 4 Addition: Greensboro 2nd PID:10-30901-04-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Mark Maher 3704 Greensboro Dr Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170116 Date Issued:06/21/2021 Permit Category:ePermit Site Address: 3704 Greensboro Dr Lot:7 Block: 4 Addition: Greensboro 2nd PID:10-30901-04-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Jane A Hanley-maher 3704 Greensboro Dr Saint Paul MN 55123--224 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature