3707 Greensboro DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3707 Greensboro Dr
Lot: 2 Block: 3 Addition: Greensboro 2nd
PID:10- 30901 - 020 -03
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Rybak Brothers Construction
2206 East 117th Street
Burnsville MN 55337
(952) 405 -8871
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Thomas Rybak
3707 Greensboro Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
al (i.e. debris that could block vent openings) and
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA087342
11/10/2008
ePermit
CASH RECEIPT
CITY SJF fAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 ?
REGEIVED
FROM ?
AMOUNT $ ? I
? -
& DOLLARS
?oo
[]CA5H Q CHECK
POR ? I
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
?
. BLDG. PERMIT N0.
_ ' -- ?
01-3210 Bldg. Permi ?
01-3422 . Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2I55 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
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE: PHONE: 454-8100
Site Address ' ? ` Y
Lot = Black ? ?Sec/Sub
? Name
? Address +
N
c
City Phone
? Name
3 Address • ?
p City hone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TQWNHOU$E 8 CONDO - RES, RATE APPUES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(AQD $.50 S!C IF PERMIT PRICE GOES
BEYOND $1,000.00)
j , .
-1= ? s ? u.;
SIGNATURE OF PERryihTTEE
FOR: CITY OF EAGAN
PERMIT#
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRiPTION
Res. New X
Mult. Add-on
Comm. Repair
Other -
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FU(TURES TOTAL
Water Closet - $3.00 $
---Bath Tubs - $3.00 ?
-- Lavatory - $3.00 % Shower - $3.00
?Kitchen Sink - $3.00 f
Urinal/Bidet - $3.00
I_Laundry Tray - $3.00 ?
Floor Drains - $1.50
Water Heater - $1 50
Whirlpool - $3.00
4_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-,_Rough Openings - $1.50
FEE: '
STATES/C: `•`
GRAND TOTAL• ? ; ? ,;
. , MECHANICAL PERMIT
? -7 '4 ?
RECEIPT #
CITY OF EAGAN g ?
3830 PIIOT KNOB RQAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: T
PHONE: 454-8100
I Site Address
Lot? Block
/Sub BLDG. TYPE WORK DESC,RIPTION
?J
? Res. New
- -tyll
S '
I Muit Add-on
? Name .
;
7
R Comm. Repair
N I
1-
,Fe
Address (1 S// F L
City BwOPn/S111f/. Phone -D Other
FEES
? Name
A z RES. HVAC 0-100 M BTU -$24.00
ADD
T
O
AL
M BTU
c
O ddress
City 16W?A.L51/?_,4 Phone I
I
N
50
- 6.00
DES A/C ON NEW
CONSTRUCTION}
MINIMUM
1 PER PERMIn
GAS OUTLETS
1
50 EA
-
-
(
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 100 M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler • M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
I Unit Heater M BTU REMODELS - 12.00
? Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
V
t
C STATE SURCHARGE PER PERMIT - .50
en FM $ (ADD $.50 S/C IF PERMIT PRICE GOES
? Gas Piping Outlets # .50 BEYOND $1,000)
Other
?
I
i FEE:
S/C: ?Q SIGNATURE OF PERMITTEE
TOTAL•
I
!
i
FOR: CITY OF EAGAN
;..?• - ?? ? CITY OF EAGAN q .1g 18
' 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for ` Est. Value Date ___________ ,19
Site Address
Lot Block Sec/Sub.
Parcel No.
a Name W
; Address ?`
° City Phone -,. -
,o Name
0 (J
Address
Ciry Phone
Name
Address
City Phone
O FFICE USE ONLY
On Site Sewage
MWCC System _ Occupancy
_ ZOning
On Site Well Type of Const
City Water _ (Actuan '
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessmenta _ Permit
Water/Sewer _ Surcharye
Police _ Plan Review
Fire
Engr. _ SAC, City
_ SAC, MWCC
'
Planner Water Conn. ?
Council _
_ Water Meter !
,
I hereby acknowledge thet ( have read this application and state Bldg Off. _ Road Unit
thattheinformationiscoRectandagreetocomplywithallappllcable APC _ TreatmentPl
State of Mlnnesota Statutes and City of Eagan Ordinancea Variance _ Parlcs
Copies
Signature of Permlttee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
Permit No. Permit Holder Dste Telephone it
Plumbing
H.v.ac. ?/??.
Electric 0?
Softener
Inapactfon Date Insp. Comments
Footings I
Footings II
Foundation
Framing ia? ?
Roofing
Rough Plbg.
Rough Htg. d
Isul. O7
Fireplace -??
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ. 11.1p.,v7
,.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilo! Knob Road
P.O. Box 21199
Eaqan,;MN 55121
Owner.
Site Address: 3707 C
Permit No: 9119
Meter No: 3fa- -3 il 7
Read$r No; a R ? ?7{??d?
reensboro !?rive L2 E3 G
r Exc-/Ol-Berq Const.
Date: 10-5- _ ;
Size:
Date:
Conn. Chg: 525 nn„d *wr nnt??q%./ T.;1
Acct Dep: 15 •(}?Pd RPff1fP fIiA4ln[7 QQh. 6ce"itie$ I
Permit Fee: 10 .00,pdr€? Gr-+ punn??LECTRIC • GAS Etc.
?
Surcharge: 50Re i ?c lag??o?aynpbr,wRh the City of Eagan Tr. Plant-1_ !' .?)On I?..J3? 1.? W -
Meter. • ?????pzl
PERMIT
1±?
%-.onn. Lhg: 56)1. 3
15.Ot3 c]
?
Acct Dep:
Zoning: T
Permit Fee:
: ?flf1D? No. of Units:
Surcharge:
Tr
Plant I agree to comply with the Citp oi Ea
an
.
Meter. g
Ordinances.
Misc.:
W
Br
?
AT ER SERYICE PERMIT
CITY OF EAGAN Permit No: 10-'' -, Date: •'-S'$?
3830 Pilot Knob Road g/p Na. 76- ?, 2 f -
P.O. Bdx 21198 . ! Date:
Eagdn, MN 55121 "
Owner. , !;
SiteAddress:? " ?re4L.nsbc.:n. *,11: E.vP I,2 33 ?eensbcro :.I
MWCC: ; Ic , {
City Chg:
Acct. Dep: `' • ,1
Permit Fee: _ 10.00
Surcharge: 4
Zoning•
No. of Units: -
I ayroe to comply with the Clty o} Eagan
Ordinances.
SEWER SERVICE PERMIT
__ T . -?-? --, . _ •- -.. , - • -.+?.»?a.-..?a..?
CITY OF EAGAN permit No: 9119 I0-5-87
3830 P(lot Knob Road Date:
M
P.O. Box 21199 ?er Na - Size:
Eagan, MN 55121 Reader No: date:
REQUEST FOR ELECTRICAL INSPECTION Ee-oo'o/oi-oa
IIl, See insvuctiens for comoleting this form on beck oi yellow coov.
D Y I'?Sl 1 7 "X" Below Work Covered by This Request
1NewlAddj Nep.1 'Itipn ol BuilOinB I APDlinnce! Wiretl I EquiVment Wired I
I I I 1 Uuplex 1 I Water Heater 1 I Liohtinu Fixtures I
uommercial dldy. Fumace ? ? Silo Unloader ?
InAustrial 81dq. Air COnditiDner Bulk Milk Tank
p Fae Service EntrenceSize b Fee Fexders/Subtenders # Fee Circwts
1 0 to 200 Amps 0 to 30 Am ?s 0 to 30 Am. s
Above 200 qmps 31 ro 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Booms ,.7Q Partial.'Other Fee
Signs Specfal Inspection
HerrNrks $ 5&5* tE[j?
RouBh-in D'rte
? ?y
?
? I.the ElacVical
42 ?'
/o ? Inspector, hereby
Fi
l certilV that the nbave
na
( C;aly ` inspection hes been
?
? ? ? mede.
Tnlf request vold 18 months Irom
This reques[ vald `? p 5
18 nwnths from
D 21407 Hequest Oa?e ?? Fire N. ou h-In
?? Pp Insuer.tion
POUiretl?
?ReaAy Nuw?Will Nntity bispec-
g]Yes ?N "r WhPn p tlv
Licensed Electncal ConVactor ?
I hereh
r
t i
ti
i
y
eqUBS
nspBC
on o
ebove
Owner
elecGical work installed at:
Streec Address, Box or?ule No.
3767 (?rc?s?aom 16n. City
ecuon o. iownship Name or No. qanBe No. Counly
Occupant IPqINT)
c?cp"e vrS Phune No.
c/3? = FS4?? 3
Power Supplier Address
1? RK07? ??e 2<c,
Electrical Cnn[ractnr ICompany Numel
/rn i c ?n Convar.tor's license No,
Mailmg AdJress (ConVactor or Owner Maki y Ins[ailation)
7(?,75' (L', /<,) / 3 -
Authori d Signature ( on[ra tor/Owner aking Ins[allatinn) Phone Number
MINNESOTA STATE BOAqD OF ELECTRICITV THIS INSPECTION REQUEST WIIL NOT
Griggs_Midwey Bltlg. - qoom N•191 eE ACCEPTEU BY THE STATE BOAPD
1821 Universitv Ave.. St. V»ul, MN 55100 UNLE55 PNOPEN INSPECTION FEE IS
Phone16121642-OBUO ENCLOSED.
` CITY OF EAGAN N2 13 9 8 8
3830 Pflot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE: 454•8100 ? ? 0 2;),j
BUILDING PERMIT Receipt #
Tobeusedfor SF DWG/GAR EstValue $121,500 Date 1ULY 30 ,1987
Site Address 3707 GREENSBORO DR OFFICE USE ONLY
2 3 GREENSBORO 2ND
Lot Block Sec/Sub On Site Sewage Occupancy R3
. MWCCSystem XL. Zoning R7
Pefcel No. On Site Well Type of Const v
Ciry Water X (Actuaq
?-
a Name FEATURE BUILDERS (Allowable)
w
=
Address 15513 LOGARTO LN x of Stodes
Length 2
o Ciry B' VILLE phone 435-8443 oePtn
F
Total
S
.
.
, o Name SAME Footvdnt S.F.
Address APPROVALS FEES
i City Phone Assessments _ Permit $ 569.50
61
1- Water/Sewer _ Surcharge -n0
Ww Name Police _ PlanReview 984 5
ti
i
Add?BSS Fire SAC,City t nn.np
q
u Engc SAC,MWCC
- 595_O0
aw City. PhOne Planner _ WaterCOnn. 995_tl0
Council _ Water Meter 67 _ np
I hereby aCknowtedge that I have reatl Ihis application and state Bltl& Off. _ Road Unit 109, 00
thattheinformetioniscortectandagreetocomptywithallapplicable APC _ ireatmentPt 180.00
State of Minnesota Stat and City of Eegan Ordinances. Variance _ Parks
Copiea
Signature of Permittee ?.?. r07nL $2, 617 • 25
A Building Permit is issued to: FEATIi E BliILDERS on the express condition that
all work shall be done in accordance with all ap ': tate of M i soia Statut s and City of Eagan Ordinance&
Building Official
a
.. y' i
1987 BDILDING PfiRMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLZNGS
INCLDDE 2 SfiTS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCOLATIONS
HOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOHNER MOST DESIGNAYE WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSDfiD.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UAITS FOR SALE QNI?S
INCLUDE 2 SETS OF PLANS, CERTIFZCATS OF SDRVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C0LM4ffiRCIAL
INCLUDE 2 SETS- OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECZFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 'XP? /4»e- C64, Valuation:
Site Address 3767-Ar.aie??,04 _ OFFI
Lot Block 3 On Site Sewage_
MWCC System
Pareel/Sub ?,?.?Q,(?Md ,? yc? cr•o?ewccs,? On Site Well
?? City Water
Owner
Address
City/Zip Code
Phone
Contractor ?ale'T? 91111v?
Address
City/Zip Code f]?? Ss337
v
Phone _ * 3,5-. Sr 4 ti.3
Arch./Engr.
Address
City/Zip Code
Phone #
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Date:
Occupaney
Zoning ?(- /
Type of Const
(Actual) ?
(Allowable) g
# of Stories e*-
Length So
Depth 3 Ff
S.F. Total
Footprint S.F.
FEBS
Permit 569. SD
Sureharge 41i, o?
Plan Review 9s4`_ 9S'
a.???
SAC, City JoO,
SAC, MWCC saA. O°
Water Conn ss.i . °°
Water Meter 67.°0
Road Unit 30?c- pO
Treatment P1 ?
Parks
Copies
TOTAL a2(oJ?, 1?
A' Xoz a-- =
? y .r 16 =
x yo =
,5L.6, s x ?6 =
yo X /? _
aaXa";,- _
3°8- ?1' ??
v? ?y x S ?
? va X sk
?-,- ?
, G
= /'7,
99651.
ya ? n ?fy ? /?l? 6 Sd
?yo x `?/= a?;/?o
7
yg?l X /y = e=-.) 77G
/ A/) s 6e, ° 0
87- l6v
TRI=LAND CO.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SIT-E PL AN FOR:
FEATURE BUILDERS
LEGAL DESCRIPTION: LOT-1-,BLOCK 39 GREEN580R0 SECOUDADD.
ACCORDING TO THE RECORDED PLAT
THEREOF bAKOTA COUNTY,MINNESOTA
? a..
r
. ??
U
N 89° 55' S5" W
117. 2/1
o`
?
L1101 r,
LAJ
z?
-T
oQ
0
2
ARAINAGE ANb UTILITy
N ? EASEMeNT „
? O N
?
Y ?
LOT 2
?
L63-04(-
1
? ?,
?
N
is 22,
4o6xl{
1 75
?
I ?
k??
???
a
h
?
? Ly r?
J4= /4009 06„ o ?
x2
"Z
?
GREENSBORo
QR?VE
?
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby ce?tify thatfhis survey,pion or
rsport was prepored by me or under my
direct suparvision and that I am a duly
Reqisfered Land Surveyor under the
Laws ot ihe State of Minnesota.
F?!! No W/o
LG7 3
N
Sc,oLE : I"= 30'
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 91fr0
PROPOSED FIRST FLOOR ELEVATION _ ?
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITM
FINAL HOUSE PIANS
.?.?a„?,. n ..e.,.?.?..
Bradley wsnwn, Mn. Req. No. 15235
Date - ?/2??&17
aV V .Z`'l?es s..- i 1 + a-e ?. aa ri r?.lf1Y JL.AY14.a.y,
";! _ •
?"??
MMatMy,UN "+94 -- EX7ERIOR?fNYELOPE kVERAGE 'U" COMPOTATIONk
?. . ? _ ' .
OWNER
r- r
SITE ADDRESS
CONTRACTOR Fes102E ?u1LDERS DATE '7IJ' PNONE 63S-?s7b ? .
..,;? >; , .. . . . F . . . . ' . . .
,
Determine working square footage of each.
- .,
. _ • :,
1. Total exposed wall area ...... 2537.qlo sq. ft. x .1 l? Z'7 IZ
2. Tota1 roof/ceilin9 area .... 1353 sq. fi.'x o1La I
. Total exposed wall nrea above floor R Z.IIo
,.
.
a. Total wall window nrea ...:.......................
b. Total door area .................................
t. Total sliding glass door area ....................
d: Total fireplace wall area ........................
e. Total wall framing area (average 10%)...:........
f. Tota1 net wall area above floor .................
g. Totat rim joist area ............................
Tota1 exposed foundation area ? I OZ..9lc
h. Total foundatioa window area ............. C1.4 .`1 S.
i. Toal net foundation area above grade ............ ,
Oetermine "U" value of each wall segment.
a. 2-t9 , l.e x"u" . 5 - 11416
_
h. 3 g X"U" , 13y a .'LS
c. y? X"u"?_ = 2 z
a. y8 x°u" . 3 U = ! 7.28
' . e•= 190. Y4 x"t1" *091s = 17.3Z.
f. 1ini3q tD x"u" . oy 3= loq. 83
y. Z?o.S x°ull ? by ? ? I o
n. ? q.ys x^u„ , 55 = 5' Iq
t. q3.5j x °u•
3..........
.. .-4??3r1.??'?.?..7ata7 <rizp
' If item #3 is the same as,
of SBC 6006(c)2.
?
JF? ..r "
1L 3.f' PY ? y'h _
? ?. ..
Le
ar less ihan item 11, you have met the intent
. ;.
.., .
: •
Determine "U" value for each roof/ceiling segment.
j ? X lout, --.-
k. 135.'3 x "Uii
1. I 2, I rlx"u" . oZZ = Z4.']
a ..................................Total = ,o'L
j. Total skyiight area ........................ -
k. Total roaf/ceiling framing area ............ 13 4;,3
1. Total net insuTated roof/ceiling area....... 1 217 .Ft
If totaT of $4 is the same as, or less than 02, you have met the intent af
SBC G006(01.
To utilized the total enveTope system method, the values established by the
sum of items #3 and $4 shall not be greater tfian the sum of itens 81 and #2.
J?
f,
Total exposed roof/ceiTing area = ?3 S 3
Total gross roof/ceiling area = t 3 5 3
1.
3.
+ 2.
+ 4.
14ATE&ZALS T.SerT. Sesistance "Rn
Exterior Aia i I7
Siding 1Katerial ,45
Sheathing
Insulatiaa
Sheetroclc ? y5
Interior Air ?to S
Studs L •$ r1
Rim 1? 89
Conc. Blks. /• Z
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*T01?3: PAYMFTTP OF FEE AT TIME pF
aPPLscATIox noFS Nar oCNSTIIUTE
appxovar. oF PERMrT.
INSPF7CPION OF SENM ADID/C2 WA=
INSTALLATIONS WIIS. NOT 13E SQHED-
ULID 0MIL P'IItMIT AAS BEaI
APPROVID.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
P ease
Print)
1) pROPERTY ADDRESS: 3 70 7 ? 2 r ?E A&002,6 D2
LEGAL DESCRIPTION:
. tLOLini0cx/5uba1v1sion or Tax Parcel ID fj
IF EXISTING SiRCY.ZLIRE, DATE OF ORIGINAL BLILDIIV3 PERMIT ISSL`ANCE: .
Mon ear
PRFSENf 7ANING/PROP0.SID L?SE:
[] COhIINERCIAL/RETAIL/OFFICE
INJC'STI2IAI,
n INSTIIL"1`IONAL/GpVII2NMENT
? R-1 SINGLE FAMILY "
? R-2 DLPLEX (4tvo IInits)
R-3 MWNHOL?SE (Three + Units) ( Units)
? R-4 APARTMENT/COAIDOMIr1IUM ( Units)
2) ?
ADDRESS:
CITY, STATE. ZZP:
rxoNE: -,f 7 7 t-
3) NAME: (} L- Q G Go ?? • For City Use ..
S?L s'i Pltmibers I,icense:
ADDRESS: oo ? f T ST . Cr • Active
CITY, STATE, ZIP: A/a 'I ?l? 14 - E c14 <<,c' y V? ,-? s'-s Nbt recorded
0
??:_? 3 Z- 96 .2 °N MASTER LIC.ENSE# 9/{ij `?' St Inltial
4)
•• • i?•
NAME:_1CE.gY-u2E ? 02
ADDRFSS:
CITY, STATE, 2IP:
PxoNE: 4f s- yJ •
'S) " a' ' ?' : a • aa ??
?. CONNECi'ION 10 CITY SEWII2 ?CONNE)CTION TO CITY WATER C] OQ'HER '. .
6) ?? • • ? PLEASE HOLD APPROVFD PERNIIT FCR PICK-UP BY ONE OF AHOVE --''_ -
? PLEME MAIL APPROVID PERMIT TO 1.(14 3r 4. A&7VE
(Circle one)
• u• i. ? • • ? ? r •? • - a i?• . n n ?M.N• • • a?
a?'.OI\ Ii?• l?l a 1 11 ?{. V .
FOR CITY USE ONLY - >
.
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ /L?- 5 O SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ( ?-S G WATER PERMIT (INCLUDE SURCHARGE)
$ ? o C' $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ Z S^/ 6? $ WAC
$ J , $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRIINK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ r? C'c, c, $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ?,? % 7• C%? $ J l ? C TOTAL
RECEIPT RECEIPT
DOES OTILITY CON NECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISIO
N. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWI[VG CONDITIONS:
APPROVED BY:
TITLE:
DATE :
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) m?
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•661-4875
New ConshucMon ReaWremeMs Remodel/Reonir ReaWremeMs
? 3 registeretl Nfe surveys showing aq, fl. 0/ lot, tq. k. of houae 2 copleE of plan
and QII roofed areas (2U% maximum lof coveraeo allowe? i sei rn ener9r caicuAanons ror nearea audieons
? 2 coples of plans (ahow beam & wintlow sizes; poured fid. tlesign; etc.) 1 fife wney for exfeAor atlchlions & tlecks
D 1 sef of Bnergy calCwanone
? 3 Coples of free preservation plan If lot plaNetl aHer 711/93
DA7E: ? b- l Ca - 00 CONSTRUCTIaN COST: (no
DESCRIPTION OF WORKCA.Y Dt'1- fGOt" I} multi-(amlN bldg., how many unfts?
STREET ADDRESS: 3-7c)7 G reens?cciro L>r t ve1
LOT: ? BLOCK: -3 SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ?Ll CX?11 ?OYYI Phone N: lo' ; I -`Y5Z - 7i3a4
FirSf
SheetAddres3:37L7 GreeGskCXro br,ve-i
cny Eo.qw-\ sta,e: mN zip:
Company: Phone #:
Horizon Exteriors (atea COdej 5
1333 Larc Industrial Bivd.
Sheet Address: Burnsville, MN 55337
(612) 890-3900 LlCense # cpcc)? o??a Exp. ??.)p
_ I
Clry
State:
Company: Name:
Telephone q: (
Sheet Address: Reglshailon #:
City
Sfate:
Sewerlwater licensed plumber (if installina sewer/water): Phone #:
Zip:
Zip:
I hereby acknowledge Mat I have read Mis application, sfufe ihat the infortnafion „cortect, and a e t compy wtlh all applicable S1ade
of Minneaota Staiutes and City of Eagan Ordinances.
Signalure of Applieant
OFFICE USE ONLY
Certfficates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140016
Date Issued:11/18/2016
Permit Category:ePermit
Site Address: 3707 Greensboro Dr
Lot:2 Block: 3 Addition: Greensboro 2nd
PID:10-30901-03-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Jeffrey N Currie
3707 Greensboro Dr
Eagan MN 55123
Roof Time, Inc.
6190 White Drive
Prior Lake MN 55372
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179310
Date Issued:09/28/2022
Permit Category:ePermit
Site Address: 3707 Greensboro Dr
Lot:2 Block: 3 Addition: Greensboro 2nd
PID:10-30901-03-020
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Jeffrey N & Christine E Currie
3707 Greensboro Dr
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature