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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