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3716 Greensboro Dr. ._ , _ . BLDG. PERMIT N0. l _li{` Lfii / . ? -1 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 Metez 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? Y OF EAGAN Pilot Knob Road n, Minnesota 55123 681-4675 INSPECTION ZEC4RD ? PERMIT TYPE: Permit Number: Date Issued: ftlt 1 I!i I M?? N ,• ?, ? ?, i ? ' SITE ADDRESS: 1 , i 114 .t;iik., I „? . ,, l:r ? N .i{ili:rl tilc h411 PERMIT , SUBTYPE „ : , I .ii ? .?. . ??....t?... ? ? i TYPE OF WORK: INSPECTION „ . D. Akh ', , a ^,f_I'nl ? F hit, tiit f f t f. 11r l LRt 1.MFr0 ?.?..??. Permit No. Permlt Holder Dete Telephone # S/1N PLUMBING I /ALAilill 0/ HVAC ELECTRIC $ OU ELECTRIC Inspection Dete Insp. Comments Footings 1 Foundation Framing ? . 3 v Roofing Rough Plbg. 3 D Rough Hig. Isul. Fireptace Fnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Ergr./Plan Bldg. Final • . Deck Ftg. Deck Final wau F*\ ?3 -? ? 'T#? ?E cF TYhS fmffil-T Pr. Disp. _ OF't7't6 • ?-Pd ? (?1?. k/ •? . MECHANICAL PERMIT O? CITY OF EAGAN RECEIPT # ?/()3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ Site Address Lot !5 ? Block m rvame _ ?a Address c City ? L Name _ c Address 0 City - Forced Air Boiler Unit Heater ' Air Cond. Gas Piping Qutlets # Other BLDG.TYPE Res. ` Mult Comm. ? M BTU $? M BTU $? M BTU $__ M BTU $_ CFM $- FEE: S/C: TOTAL: Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCL.UDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 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 REMaDELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND S1,000) OF EAGAN ? :+ CONTRACT Pti Site Address ? Lot _15--_ m ? N c d c 3 O Name _ Address City '4 Name PLUMBING PERMIT CITY OF EAGAN RECEIPT # `?" ? ?- ? ` 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ???? 7A? 7 Sec/Sub BLDG. TYPE, Res. WORK DESCRI. P110N' New ???? Add-on Repair 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 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) L*ta- ? SIGNATURE OF PERMITTEE__ ? FOR: CITY OF EAGAN Comm. Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING N. FIXTURES TOT ?Water Closet - $3.00 th Tubs - $3.00 -3 Lavatory - $3.00 ? S?ower - $3.00 Ki!chen Sink - $100 -? , U,inallllidet - $3.00 Laundry Tray - $3.00 ? , Floor Drains - $1.50 ? J Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 S ' (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE: 6 Z" STATE S/C: ? GRAND TOTAL: ' SU -7p'" PERMIT # . t . MECHANICAL PERMIT GTY OF EAGAN RECEIPT # . 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ nurQecr o014rF• ounuc. eae_ninn ? m Name c Addre; p City - Forced Air. .?.` ?? M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU ? Vent T CFM f Gas Piping Outlets # -?- [ Other f h r BLDG. TYPE WORK DESCRIPTI Res. New ? Mult Add-on Comm. Repair , Other FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU ,(RES. HVAC INCLUDES A/C ON NEW CONSTRUCTIOM) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) COMM/IND FEE - 1% OF CONTRACT FEE APT. BLOGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLJES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE S/C: TOTAL: - $24.00 - 6.00 1.50 EA. i t - 12.00 - 20.00 - .50 , ?- SIGNATURE OF PERMITTEE 4 ? ., .. , % , CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 , PHON E: 454-8100 BUILDING PERMIT Receipt To be usedfar Est. Value pate ,19 Site Address Lot Block 5ec/Sub. •- t?'?'?;:'? < ,D Parcel No. ¢ W 2 3 0 JOE i•:ILLER CL'NST Phone °C0 Name ? < Address ? City phone yVj W Name FW ?? Address z City phone a W I hereby acknowledge that I have read this application and state Signature of Permittee _ A Buiiding Permit is issued to: all work shall be done in accoi Building Official ce with atl applicable Stato OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const C+ty VVater _ (Acluap (Ailowable) # of Stories Length ? Depth - S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit Water/5ewer P li Surcharge R f ?- Pl o ce Fire _ ev ew an _ SAC, City Engr, _ SAC, MWCC Planner _ WaterConn. Council _ Water Meter Bldg. Ofi. _ Raad Unit APC _ Treatment Pi Variance _ Parks Copi6s TOTAL on the express condition that Iinnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Telaphons X Piumbing ?O 2 ? H.V.A.C. Electric Softener ? Inapection Date Insp. Comments Footings I 1?17177 ? 1 Footings II Foundation Framing ?,2 Roofing Rough Plbg. ? Rough Htg. Isul. ? Fireplace ? Final Htg. 6 Final Plbg, Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. . , , . . r. ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 C. PHONE: 454-8100 4; 1? BUILDING PERMIT Receipt # T_ -....,.a ._. DECK ?_. .,_.._ $i •000 ,,...,. Jlfllt 6 Site Adless ?'aw 2ND Lot Block SeclSub. Parcel No. R W Name ill: Address _ o Citv Phone Name _ Address Address City Phone I hereby acknowlege that I have read Ihis application and state that the intormation is correct and agree to comply with all appiicable State of Minnesota Statutes and Ciry pt Eagan Ordinarlpes. Signature of Permitee RAEN SUSR A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of MinnesotaAtatules and City ol Eagan Ordinances. 17967 1 OFFICE USE ONLY Occupancy - FEES Zo^+ng - =25.00 (ACtual) Const - Bldg. Permit • ? (Allowable) _ Surcharge M oi Sfories 4119s R i Pl Length an ev ew s Depth SAC. City S.F. rotei - sac, Mcwcc S.F. Footprints - On Site Sewage _ Water Conn On Site Well - yygter Meter MWCC System - Acct. Deposil City Water - PRV Required _ SAN Pertnil Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Planner - Park Ded. Council -- 1.50 BIdg.OH. _ C°pies • Variance - TOTAL Pem?N No. Pem?N Holder Oate Telephone # WATER SEWER PLUM8ING H.V.A.C. ELECTRIC inapKtion Date Insp. Comments Footings I foundati0n ' Framing aoorr,y ?s?+ ?bs- rto?,gn ric9. lsul'. Fireplace Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final o? Foy. ? 7 oedc Final I? o p T Well Pr. Disp. CITY Of EA16AN Permit Na 8 3830 PilotKnob Road Date: -`- 15-?7 P.O. Bo? 21??99 Meter No: Size: Reader No: '. -? f?°c& gan, MN 55121 pate: Ea Owner. Joe Miller i,onst, SiteAddress! 3716 GrePn=h^,.,, nn. Chg: 525, . , cali,j6Q?ttlltl@S ` cct Dep: 15 , r,'? ? rmit Fee: 10.0 D ? urcharge: i_?k ( ?p?? ' M7r• Plant 1$0, pQ ?; comply with the Clty of Eagan Meter. Qrdina es„ Misc.: - B .r Y ? WATER SERVICE PERMIT CITY OF. aAM -?? 3630 PileF'lCnob Road SEINER SERYICE PERMIT RO. 8px2.1199 ^r PERMIT NO.: I019?' Eagar, MN 55121 DATE: ' -}.5-47 Zoning: R1 - Owner. Joe Miller No. of Units: 1 Const. Address; to oomply Wnh the 761 100.00pd TELEAHQNE- REQUIR! te of Insp.: Date CITY OF EAGAN SEWER SERVICE PERMIT 383 frot Knob Road P.Ox ^c1199 T PERMIT NO : Ea+gan, MN 55121 DATE: 1 Zoning: 1-1 No. of Units: 7oe `•?iller Const. Owner. ,.? Address: 16?Y` sboro Prive L5 n4 _,reensboro II Site Address: DI??t n p1umbin z Ptumber. 100,00pd I agree to comply wRh the City ot Esgan Connection Charge: " - Account Deposit: Ordlnances. Permit Fee: Surcharge: • Misc. Charges: By Total: Date of Insp.: Date Paid: InSp : CITY OF EAGAN Permit No: 904 ? Date: 9•-15-97 , 3830 PiEot Knob Road Meter Na: Siie: P.O. E4x 2,a199 ' Reader No: Date: Eai .,an, MN 55121 nwnpr JOe Z:fllSr 4'AnAt _ 51t2 Plur ? Conn. Chg: -''::? • Ug od•` Zonln F3 g. ? Acct. Dep: I5.00 ? No. of Units: I Permit Fee: 10-00d Surcharge: - S:)Ad I a r t l it t T 163 Of g ee o comp y w h he City ol Eagan r. Plant • ), c: Ordinances. Meter. _ F-:7 i1,,? : Misc.: B Y VUATER SE RVICE PERMIT -- _*1 CASH RECEIPT CITY OF EAGAN - 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE l ? 19 ? Racewcc J ?/ / /L / /f- , I T ??i 4L FROM ?'? ??1 ` f! l?I? f-C I.?c.?r.•?1?? AMOUNT $?? • & ooLuws ? 100 ? CASH [?] CHECK ? rOR L ? %', •, ? ?1•C: r?,-r. ,?? 4? ? . / f-? FUND COD6 AM NT : : r.•' -r * i ? • ;S f ? •- - ? i i Thank You ; . BY White-Payers Copy Yellow-Postinp CopY Pink-File Copy CITY OF EAGAN Np _ 17967 3830,pilot_Knnb Road, P.O. Box 21-799, Eagan, MN 55721 PHONE:454-8100 C 3192 BUILDING PERMIT fteceipt u To be used for DECK Est. Value $1,000 Date JUNE 6 i g 90 Site Address 3716 GREENSBORO DR1VE 5 4 GREENSBORO 2ND Lot Block Sec/Sub. OPFICE USE ONLY PBfCBI NO. Occupancy - FEFS a ALFRED C& KAREN L BAKER Name Zonin9 (Aquap Const - Bldg. Permil $25.00 o AddfBSS SAME (Allowable) - Surcharge .50 City Phone 452-5984 # of stories - Z1 5 Plan Review Length . o Name SAME Depth 2?5 SAq Ciry , a Add?ess S.F.Total _ MCWCC SAC o ? City Phane S.F. Faotprinls _ , S H'ater Conn On Si1e ewage - ?w Name OnSiteWell - Wyt¢rMeler Address MWCCSystem - qccl.Deposit a W City Phone city waier - R i d SM' Permit PRV equ re - I hereby acknowlege that I have read this application and state thal the Baoster Pump - SM! Surcharge inPormation is correct and agree to comply wifh all applicahle State ol Minnesota SlaWles and City > agan Ordinances. 7reatment PI Siqnature of Permitee APPROVALS qoad Unit A Building Permit i5 issued ALFRED ^. & t ZE o: Planner - park Oed. on the ezpress condition thal all work shall be d ne in accordance with all o Councii - 1 50 qqq ??? applicable State of Minnesota tatutes and Ciry f Ordinances. Bldg. Ott _ Copies . ? e 'PZ?•00 8uilding Oflicial Variance - TOTAL - ? CITY OF EAGAN + N° 14018 3830 Pilo! Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHONE:454•8100 ?y l K BUILDING PERMIT Receipt# ? / Tobeusedfor SF DWG/GAR Est.Value $119,000 Date AUGUST 5 1987 Site Address 3716 GREENSBORO DR OFFICE USE ONLY 5 4 GREENSBORO 2ND Lot Block Sec/Sub. OnSiteSewege _ Occupency R3 MWCC System x Zoning $.1 Parcel No. On site weil Type of Const V_ City Water 7 (ACtual) a Name JOE MILLER CONST (nllowable) V W z Addreu 18133 CEDAR AVE SO # Of StOfIBS Length -?? ° City FARMINGTON phone 892-1010 oepth ? 44 Total S F . . Nem2 SAME Footprin[S.F. j Address APPpOVALS FEES m 1- City Phone qssessments Permit $ 560.50 59 50 Water/Sewer Surcharge . ? W w NBmB Police _ Plan Review 2R0 Z5 t z x- Address Fire SAG City - 1 00 _ 00 5Z5 00 i Engc _ SAC,MWCC . -?00 aw C ty Phone Planner _ WeterConn. Council _ WaterMeter I hereby acknowled9e that I have read this application and state Bldg. Off. _ Road UnH 305. 00 thattheinformationiscorrectandagreetocomply IthallapPlica6le APC - TreatmentPi _z+w_0Q State of Minnesota Statute nd City of Ew rdina ces. Variance _ Parks Copi¢e 5 Signature of Permittee 70TAL A Building Permit is issued to: J E MILLER CONST on the express conditlon that all work shall be done in accordanc?e with all applic le te of M i nnesot?'$tatude? nd Clry of Eagan Ordfnances. BuildfngOfficial .?i ? ?f_ ?lO i X / JThis reQuest void 9/g/8?7 00/ 7 77/°Z5 ? a `.% D?4n1915 ,,-d Peque st ate. Fire No. Rouph-in InsoecGon Raquiretl? [?eady Nuw Q WIII Nntrty Inspec- +? 3 ?/ 9 ki Yas ?NO tar When Ready Licensed Electrical Convactoe I hereby request ins0ection ot above ?Dwnpr electrical work insuilledaC Street Address, Box or Noute No. ? ? ? CitY ?A 4/1 -o ,?ens o• 371 ecuon o. TownshiD Name or No. HanBe No. Goun/t1y` Y Occupant IPRINTI / oe /0 ?/vn ?onST qq /)OO/ PhQ11°? ?` Power Suypplie1r- /^ Atldress ,,[j?? b6lGri G /Ca.?1?iC !z+'1 , Electrical nnVactor (Company Name) C???rac?or's License No. /YI i(?n? t Mailinp Address ICOMractor o ner MakinB Instailationl . 3"7 ? ,oon, 50a ( o2 Au}??rr{i?? d? ?Si?B^aIDre ra or/Owner Ma iny InstallaGOnl n A\lbC , ? lliv ?. Phone/ nNumber??,/ /O THIS INSPECTION flEQUEST WILI NOT MINNESOTp STATE BOARD OF L CTPICITY BE ACCEPTED BV THE STATE BOAND Grigga•Midwey 81dg. - Maom N•191 IINLESS PAOPEN INSPECTION FEE IS 1821 UniversitV AVe.. Sl. Paul, MN 55100 ENCLOSED. Phone 16121 642-0600 5j9/Y- 7 REQUEST FOR ELECTRICAL INSPECTION #Vh .eye-?o/oooi-os Ir See inshuctions br completirg this form on beck of yellow coPV. //??-y D4,1 91 5 "X" Below Work Covered by lhis Request FA'A ReO. `TVDe of 9uilAing Appliancea Wirod Equiyment Wired Home Runge Temporary Service Duplex Water Heater Liqhtiny Fixtures Apt. Building Dryer Electrie Heatui Conrnercial Bldg. Fumace ' Silo Unbnder Industrial BIAg. Air Conditioner 8ulk Milk Tank Farm Otnqr vno y Oihei (surr.lrv) suc??rv mer an„, Compute lnspection Fee Below - M Fae ServicaEnhancaSize H Pee Faxdars/SUbfeeders k fee Circuits / 0 to 200 qm s 0 to 30 Am ps D 0 to 30 Am. s Above 2 00 qinps 31 to 700 Ainps 31 to 100 qm s Swimmin Pool qbove 100_Am s Above 100_Amps Transiormers Irngation on.s $ PartiaL?Ot e Signs Speciailnspection S ty? R¢m?rks ? ?[J TOT A FE???/1 Q??' Houph-in D e I. the EI al .. -J 7 Insuecbr, heraby cerlify Ne[ the sbove Fnal / P ???. _ • ?? /in. 6 inspection has baen iC/yt.?,? mnde. mis revumt vom 18 momne hom i ._.- "X" Be/ow Work.Covered by This Request es-oooai-os 79 Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporery Service Duplex Water Heater Electric Heating Apt Building Dryer Load Management Comm./Industrial Furnace Other S eci Farm Air Conditioner Other(5peciy) Contrectofs Remarks: 6fFSC1;2E11j-r F-/AJrsH Compute Inspection Fee Below.• # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps v7Y Transformers Above 200_Am s A 100 -Am s Si ns mspamor's Use oniy: TOTAL Irrigation Booms 6- ?0 ,Qf C?,SD S ecial Ins ection 6 Alarm/Communication THIS INSTALLATION MAY B RDE D ISFONNECTED IF NOT Other Fes COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby certify that the above ins ection has Roughin VCI/l ZdtoA N p been made. F'"ai oa?a ? ?g OFFICE USE ONLV this requesi void 18 monihs from neQUEST FOR ELECTRICAI INSPECTION 4U 6 10- $ee insiructions ror completinp this brm on back of yellow capy. ? 7079 R est D e Fi No. Rough-In Inspaction RepuireE iVOU must cell inspector whan reetly) Inspecllon Other Than Rough-In ? Reatly Now 0 Will Notily Inspecror J 55 Yes ? No Date Rea(iy I'iglicensed coniractor ? owner hereby request inspection of a6ove electrical work at JoD Atldress (Stree6 Box or Route No.) Ciry ,37& Gf_iTNs,647AO D2, ?-7?GAN Sectlon No. Township Name or No. Renge No. County Occupam (PRINT) CµiP 13RKEIL Phone No. 4S7 - S98q PawerSUpplier Atltlress ' Electtlcel Contracror (COmpeny Name) Contraclor's Licenae No. ?Iz wa,W611, ezE?rR?c ?,u cA Z Mailing AtlGress (COrtlrector or Ownar Making Insl Ilation) IsyV3 SR,uo?i(-L r.1Ji5DEnl ?&raIcf 1va/ 5?'3'17 Authonzetl Signalure (COntrecto/r/jOwner Making In Ilation) Phon?e Number ?[ ( q Q 61 (? c T /- l 3 MINNESOTA ATE BOARD OF ELECTRIqTV 0?? THIS INSPECTION REQUEST WILL NOT Grlgge-Mltlw Bltlg. - Room 5428 BE ACCEPTED BV THE STATE e0AR0 1821 Unlvaralty Aw., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. This rHquasl voitl ?j, y/O' [? le monms t.om ??` ? a?? E 4 3 816 .G .5 )9// OS'7 Hequesi Date ? Fire No. Rouph-in Inspeclion Requ red? ? Insc- eaAy Nuw Q Will Notify, Pe h ?Yes ?NO [or W en_fleady ?Licensed Electrical Contractor 1 hereby raquest inaoection of ebove Ownnr elecFical work installed at: Street AtlArass, Box or Rovte No. 3 7/(;?5 /= ,cJSs?'a ?v !Jl-- Ciry 5 A-(1-4 N ecuon o. Township Name or No. flanBe No. Counry */l? ?? OccuOant IPR?TI ? /l P Phone No. Power SuDPlier Adtlress EleCon[ray?or IComOany N&mel ` Contracmr's License No. D L c??i Mailing AdJress (COnhactor or wner Makin9lnsmiletioN GT uthorized Signature ICOntract /Owner Making Installationl Phone Number MINNESO TATE 60AX0 OF ELECTflICITY TMIS INSPECTION REQUEST WIIL NOT Grigps-Mi waY Bltlg. - Roam N-191 BE ACCEPTED BV THE STATE BOpflD 1821 Universitv Ave.. St. Peul. MN 55704 UNLESS PflOPEfl INSPECTIpN FEE IS ENCLOSEO . Phonelfi121642-0800 NEQUEST FOR ELECTRICAL INSPECTION ' See instructions lor completi?g this form on beck of yellow copy. ee-ooooi-os E 43816 "x" Below Work Covered by 7his Request . d Re . 7V-P% ol Builtling Appliancea Wired Equiument WireA Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader InAustrial Bldg. Air Conditioner Bulk Milk Tenk Farm tn?, oe,J v emE:, isl,c,fv) t .r Syecify tM1nr Othe, C-omuute lnspection Fee Below N iee Service EntrenceSize A Pee Fenders,'5ubfeeders N Foe Gircuits U to 200 Am s 0 to 30 qm s 0 tn 30 Am Above 200 qmps 31 [0 100 Amps 31 to 100 Am s Swinttning Pool li ?? Above 100_Ain s Above 700_Am 5 Transrormers Irngation Booms S Parti t er ee Signs Special inspection S , 73 ` TO A Remnrks /C i j /FEV / NouBh-in Date ?, IhB IeCtNCAI Inaoectoq h.by iinal ertify that the above i ? inspeccion has been ? ? mede. (hla reouesf voitl 18 montM Irom ? 53?,°? a RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConstrucNon Reauiremanh . 3 registered site surveys showing sq. ft. of lot, sq. It. of house; and all roofed areas (20% maeimum lot coverage allowed) • 2 apies of plan showing beam & window sizes: poured found design, etc.) • 1 set at Energy Calculatians . 3 capies of Tree Preservation Plan if lof platted aRer 711/93 • Rim Jaist Detail Options selection sheet (bldgs wiN 3 or less units) DATE -I I Zz- I O z- i I -3.-I 5 RemodellRenair Reauirements • 2 copies of plan • 1 set of Eneryy Calculatiois for heated addilions • 1 site survey for exlerbr addNOns & decks . Indicale if home served by septic sysiem for additions VALUATION :!Sooo- Oc) SITE ADDRESS 3-1 11-0 U rLC ne? no,- 0 7 r MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK ?/ (""N 0-, oo ?-' FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Tc'? c , k r-? 2 ? STREET ADDRESS q°\ g o? e??o 31 v D CITY STATE_ZIP TELEPHONE # 4Ss-\ CELL PHONE # FAX # PROPERTY OWNER CY1 TELEPHONE #?I52 'LQ 43 q ---------------------------------- ------------------ ---------- -................................ COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ?IINNESO'fA RULES 7670 CA"CECORY I MINNESOTA RiJLCS 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Ener9y Envelope Calculatlons Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. Mechanicai system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Fec: $90.00 Phone - ee: I111 2 6 7002 ?. ? Phone ev-- ---- ----°-------------------------------------------------°-----------------------------------------------°---------------- 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. Slgnature of OFFICE USE ONLY _ Water Softener _ Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Certifcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 025151 Eagan, Minnesota 55123 Date Issued: 0 2 J 21 / 9 5 (612) 681-4675 SITE ADDRESS: Lo r: 5 B L 0 C K: q APPLICANT: 3716 GREENSBORO DR BAKER ALFREfJ GREENSBORO 2N0 (612) 452-5984 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION FRAMING D. . INSULATION .A ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBINfa OR ELECTRICAL WORK PERMIt cuiz Lq CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u z Lo r Ne Eagan, Minnesota 55123 Permit Number: 025151 (612) 681-4675 Date Issued: 0 Z/ 21 / 9 5 SITE ADDRESS: 3716 GREENSBqRO DR LOT: 5 BLOCK: 4 GREENSBORO 2ND P.I.N.: 10-36901-050-04 DESCRIPTION: ldingL,permit Type ldin•g W'o.rk Type ` -. r? , . ???. .. :. r -` ??- o tJ? BASEMENT FINTSH ALTERATION REMARKS A SEPARATE PERMTT I5 REQUSRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 GONTRACTOR: OWNER: - Applicant - BAKER ALFRED 3716 GREENSBORO DR EAGAN MN 55129 (612)452-5984 T Merzby acknouledge thaG I havo read ttris applieataon and' state thet tMe informatian is eorrect and agree to evmpty with all applicable State o-f Mn. L 5tatutes ar[d City of Ea9an Ordin.ances:4PLI J 6ai? -Amn R pg 1 a'v CANTlPERMITEE SIGNATURE ISSUED :51 ATUR l CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?'? ?? ?0 igLi 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-46T5 New Construe[ion Reauirements RemodeUReoair Requirements ? 3 registered sde surveys ? 2 copies of plan ? 2 copies oT plans (include beam 8 window sizes; poured tnd. design; etc.) ? 2 aRe surveys (exterior addklons 8 dedcs) ? 1 energy calculations ? 1 errergy calculations for heated adddions ? 3 copies ot tree preaervaNOn plan 'rf lot plat[ed after 7/1/93 required: _ Yes No DATE: ?"? I? C? Is CONSTRUCTION COST: I I ? D? DESCRIPTION OF WORK: STREET ADDRESS: - ? If (/) LOT BLOCK SUBD./P.I.D. #: jt,&11d-6y W PROPERTY OWNER CONTRACTOR Name:62 kP,?°' Phone #: .. _ FRa.. ,?. Street City: State: Ml v Zip: 511 J-3 Company: ??0 Y710 Phone #: Street Address: City: State: ARCHITECT/ Company: ENGINEER Name: Street Address- City: Sewer & water licensed plumber. change are requested once permit is issued. State: License Zip: Phone #: Registration #• Zip: Penalry applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail appliqble State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Ww 5 , . ? U 198? BIIILDING PERMIT APPLIC9TIOH - CITY OF SAG9N SINGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PLANS, 3 .? , OF SQ1tVEY, 1 SET OF ENfiRGY CALCOLATI09S DiOTE: ADDRESSES FOE CORNEE LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGHATB WHICH ADDRESS IS DFSIRED. NO CHANGfiS WILL Bfi ALLOWED ONCE SIIILDING PERMIT IS ISSIIED.f M[TLTIPLE DWELLINGS - RFSIDENTIAL RENT9L DNITS FOR SALE 0@6I4S INCLUDE 2 SETS OF PLANS, CERTIFSCATE OF SDRVSY - CHEC[{ iIITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COi`49ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS, $2,000 LANASCAPE BOND +I q To Be Used For: Valuation: Date: -7-9-97 Site Address Lot S Block ? Pareel /Sub lw (n ,p md'?, Owner Address City/Zip Code Phone Contractor Address 13L 4So, City/Zip Code?Yyt(fJ7Q/C?J) Phone g`Ii - j U/ o / Arch./Engr. Address City/Zip Code On Site Sewage_ MWCC System ? On Site Well City Water ? 9PPROV9L5 Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Varianee Oceupancy (? 3 Zoning 2 I Type of Const (Aetual) ? - (Allowable) ? 16 of Stories Length e Z Depth 44_ S.F. Total Footprint S.F . FEES Permit So ??. Surcharge S;'?.so Plan Review ZBJ.Zs SAC, City . `t212 SAC, MWCC 5;z S Water Conn SZ5 Water Meter (0"1 Road Unit ?ps Treatment Pl 1'sc>. Parks Copies TOTAL Phone 4l 2Co ,? r>o -`7,?-,D 45 Z4v 1 ?C x zz ? 306 x ?- ZZx 3C? = c?c? o x?2 ? ] 12('?) 20 ?4x 2 2='10b I 3 Ss2_ 0 , , I - ?????? ? TRI=LAND C0. SITE PLAN FOR: SURVEYING SERVICES TO,E' 1411LL,ER CONST 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT-s ,BLOCK ±, ctZ+crASoxo aw ACCORDING 70 THE RECORDED PLAT THEREOF 4Wo7"A COUNTY, MINNESOTA GRE£NS,BORO DRlY? 0 M MS? 0 s a?• ss' os?"?' '^ 8s a° .Q ? ?}--- ° JrJ M ? ? r M •I AD 0 '? ?,• ?j` A 1 ? , ' ? I I ? I o I f3 1 A , ?. $ ? . 5 (909'.3'? .0') 4 loT S I w y 8soa s as•sd' oyN'C- LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTIIVG SPOT ELEVATION (909<3) DENOTES PROPOSED SPOT ELEVATION ?- DENOTES DRAINAGE DIRECTION I hreby certify fhat fhis survsy,plan or rsport was prepared by me or undsr my direct suparvision ond thct I om a duly Rogistsred Land Surveyor under ihe Laws of tho State of Mienesota. 1 ? , a 0 : . ? v ? ? N .SCAI..?' /"-30' )--- INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION= PROPOSED FIRST FlOOR ELEVATION= PROPOSED BASEMENT FLOOR 9oy,:o ELEVATION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS Bradlsy J. 60ensoo, Mn. Req. No. 13235 DaW_ "? (2R/81) r ' - nulLll1110 llEPART41E11T / -7 s EXTERIOR ENVE10pE AVEl2daE "U" COIIPUTATIpN (Tb be eubrai:tted with building permit applicatio.n) Or.e or 'Two Family pwelling All otliQr awner , Sfte Addresa Contructor Date Phone LItlEAL FECT OF ExPOSEb vInLt, f to abo ve grade ? 7, qO9 Tl7TAL EXPOSED IYALL AREA S@. FT. OPAqUG WALL COIISTRUCTIUla1 IIUII Value x Area .,.? . De tail n1 E reference ° flp ll . O'?-' x 7( s . FT. Zz ?• O ??)(A) from ` RIn? ,_ fpu- ? = o x 4 9R. FT. ?(U)(A) attaclied . llUtf p 0 x Sq' FT.-ID,SP, SU) (A) slieote z S4• FT. - jU)(R) (U) (A): VlIIJDptiYSt ?? II U Vnl 8Q. - ?U)«) ue x Aroa rIake & xyra ,t it n 11 n o DOOI?S t 4lnice & n n „ ,?? ,:Uu„ .4r x se. uU nUii X 8@. z 8Q. "U" Ve1ue x nrea Type ? n n ?- uuu X SQ. x sR. I I U I I x SR. - x Sq, TOTAI„9 ToTAL (U)(A) VALUEB AYEBAUS tipvi z1g.71 n DI4IDED BY TOTAL ?7/1?,L Af?? z9?3.C03 •-?-,? nvvitnat; ?luo ,1 ?5 r leos ROOF/CEILINOt TOTIU, AItEAt Det i ior 1&2 Iqmily dwellinge =-(U)(A) FT. FT. S-e ="` ?. F'T. (U)(A) ?r. _ (U)In) _ (u)(A) FT. (U)(A) Fr. 2.ce ( u ) ( n) FT. - (U)(A) F1'.--?_- (U)(A) f'x._ Z/?_ ?=?u) (n) a 1 roferenca i trom ^ffufl ^167Z liUlt x 9Q. FT. '/Z(O _ - 13• (U)(A) "` attuched sheets. Deacrlb '-- 9Q. FT. ft?(U)(n) e opeuinGe =` in x'oof. n?n"--_---x x n ------- - 8Q. FT. sQ. FT - ?U)?A) ...?_ -__ Uu a .- SQ. F'T = ?U)(A) TaTAL (U)(A) VALUEB DIVIllCD 'fo'1'AL BY . T 0,?S !P 11 . Z3. (U)(n) 5 4 ?(--?Cu(A) I?OOF/CEILIIIa nREn 11z(n -o?-j AVERA4G If .02$ - ?or ventl.laEed roofe. ? . X 3 = 7.50 I0-3; x(sZ-rszt Z(o + 2?? = 7-$57.45 S?o x 8_g3 - 44• /S Z o 3 3 -? E?D eo?i e . c . (0 9 (5 z* sz?Z.(p?-?? x(sZ+-sZtzcp -?-Z(,,) - Z?o-sZ .g3X s = 4-?S Z?°?'• (v] + \4r4,oto? z7xl4 = 2.cv 1 fa X 3 Co = 1.0 zox3(o = 5.0 zo,c48 = (v .7 Z4 x 48 = S. o Zo )((00 = g• ¢ ? 57?• WlZ S•C. • z? S?(.? ?? Pxt,o LVz, X Z. _ ?c Z X .3 X 9 )< 8 11 %?bf->, "Ac-FT /1 0.00 lp.oo 00,10 7z,oo (?7, z o 185. 10 4- = 3S.oo = Z/,oo = 4z•a p 98•00 ? J??7 EXP?D ?/ ??'osS ?c.?. L?ss ?o?Je. I I 1y,IDW'S iL-L 91 lo4.sZ zroq-.cn7 ? (v5Z•z9. 185. ? o ?S.oo zzffl•,?74 ? ?r Z?v X ?o - 78? X ZZr. = 3og 1X14 = 14- j.sX 1(o - 2q I/z(a•oa- : Determining "Ull valuea at Roof, Wall, Rim, and Conc. Bloclc ROOF/CEILII36 1.) Interior Air E'ilm 2.) 5/811 ayp. Bd. 3.) Inaulation 4.1 5.) Exterior Air Film (STILL) R VISLUE ` 0.61 .56 `}d : o0 .6i °uu = 1/R= .OZI 'TOTAL (R)=4,,5Z7g ?- YlALL 6.) Interior Air Film 7.) 1" GYP. Bd. 8.) Insulation 9.) $oILT-P-17z?- 10. ) Masonite Siding 11.) Exterior Air Film R VALUE o, 68 .45 11:a0 0.0 ?f - .67 .17 uUn _ 1/R= TOTAL (R)= Z.?'.D) ?- ? RIM 12.) Interior Air Film 13.) Insulation 14.) 211 Fir Rim Joist 15.) p urc.T- e rT? 16.) Masonite Siding 17.) Exterior Air Film R VALUE 0.68 )q.oo 1.88 Z. 6- .17 uUn = t/R= 04p TOTAL (R)= 7-4.?Tr FOUi7DATI0N ' (R) VALUE 18.) Interior Air Film O.F$ 19.) 20.) Plgetd'41,1,. /tt,tpr( ll.oo 21.) 12" Concrete Block 1.2$ 22.) 23.) Exterior Air Film .17 nUn - 1/R= ,07(p TOTAL (K)= f ?•1? 1 ? 1990 BIIILDING PERMIT APPLICATIDN CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLING5 COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 9 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 2 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Date: ?e •y'??? Site Address 3/16? Lot 6 Block ? Parcel/Sub dj?Ee\157Spa? ADpN, Owner Aw.¢aQ C'. .1 ?j?g:Al lL. 13r1/ag. Address 3-)« Dfz: City/Zip Code Phone L-Is ?- Contractor Address 5AVy-P- City/Zip Code Phone SrIk"-L. Arch./Engr. Address City/Zip Code (` oooa OFFICE USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit 125. C)' Allowable Surcharge +S? # of stories Plan Review Length oZ??z SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well _ S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV Park Ded. Booster Pump _ Copies ? SUBTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off. Variance Phone # TRI-LAND C4. SITE PLAN FOR: SURVEYING SERVICES ,J'pE /y/LL,ER CONST 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: Lors ,gLOCK *, GRE,E.KtBoRO aw ACCORDING TO THE RECORDED PLAT THEREOF DAd'cTA COUNTY,MINNESOTA ? - _ , GREENSB01?4 DRJYC o , s a?• ss' o?' ? '^ MIS i ? I O I ?i ! f3 ? A , 'I $ S ' r9o9 3? '?? It. ? o ,f M ? i M w ? \1 61 \-- - ? J ? ?»U ? I zor ,S ? IK 9tMNAif?uT/LlY/ E.?ffHCM-? _ ? N ? bs. 00 .s es-rs' oyNE- LE_GEND o DENOTES IRON MOIVUMENT * DENOTES WOOD HUB SET DENOTES EXISTING SPOT (909.3) DENOTES ELEVATION O PO ED SPOT ELEVON ' e- DENOTES DRAINAGE D RECTION I Mrebp certify tAot this survey,plan or repat wos preportd br me or under my dirsct supervision crb thot I am a duly Repistered Land Surveyor undw ihe Lows of tAe Stote o} Minnesa}Q, 1 ? \ a . 0 ? ? V v ? 6 N J^,^ ; /r?.Jr0, INVEI7T ELEVATION AT SERVICE EXTENSION= PROPOSEp GARAGE FLOOR ELEVATfON -,7Z- PROPOSED FIRST FLOOR ELEVATION _ 91?..r PROPOSED BASEAAENT FLOOR Ro?l:o ELEVATION NOTE * VERIFY ALL FLOOR MEtGHTS WITH FINAL HOUSE PLANS Bradley J. 60gnson, Mn. Req. No. 15235 aate: '712R/f3Q CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION DAT?': PAYMN:NP QF k'EE AT TIMf; OF APPLIcalzoN ooEs Nom caus2zTM APPROVAL OF PERNIIT. INMMoN oF sEWM Arro/CR wP,M IRSTAUAMoULS WIIS, N02 BE SCHED- ULID [IIUII, PERNIIT HAS BEIN APPROVID. ------------------ P ease Print 1) PROPERTY ADDRESS: 3714 '- LEGAL DESCRIPTION: S IF E7QSTING SlRL'CISJRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: . (hhn ear . PRESELVt 7ANING/PROPOSID L'SE: C'a44ERCIAL/RE7'AIL/OFFICE "R-1 SINGLE FAPffLY - 0 IPIDL?STRIAL r-I R-2 D[!PLEX (11?,o IInits) ? INSTITSJTIONAL/GOVERNMENr ? R-3 ZDWM005E (Three + Units) ( L?nits) . d x-a apAxxmEar/coNoorurnUM ( vnits) z) ? rAME: ?- aoDREss: 1 R ! 33 (°-e??? ?u? cixY, srr.xE, zzP:_ ?d»,TK -/, J mJ PxoNE: S?3a- aoo/ 3> • r ?? NAME: nDnxFSS: %Yaa F? a3?D ? .9?L .rJ CITY. STATE. ZIP: VAhiouA4 /19:4) PHONE: 5'.59-367SI I+IIASTER LICETISE# Plim?s License: Active Ekpired Not recorded St?Ins.tial 41 •• • i?- NAN]E:_ _ ADDRESS: , CITY. STATE, ZIP: PHONE: • 'S) +? ?: • ?• : a • si • ?? 'CONNFX.TION 1O CITY SEWER ca-106NtisC,TION ZU CITY WATER OTHE2 '- 6) ?? • ??• PLEASE HOLD APPROVF9 PEEthffT FY)R PICK-fIP SY ONE OF ABOVE ..'.. -_ ? [3 PLF.ASE MILZL APPROVID PEk2P1IT TC) lr Z. 3, $. AH0VE ? '? ?/? (Circle one) 7) . FOR -CITY USE ONLY PERMIT # ISSOED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SIIRCHARGE) $ WATER METER/COPPERHORN/ODTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ fs ? ? ACCOONT DEPOSIT - WATER $ ? z S $ WAC $ ?LS •cr-2) $ sac $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL 33 RECEIPT RECEIPT? ' DOES UTILITY CONNECTION REQL7RE EXCAVATION IN PUBLIC RIGfiT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : CITY USE ONLY 3y" 9 L BL d RECEIPT o? SUBD, ?Ii,uo.,alVrc0 DATE: 7995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet ' minimum - 1 Rough Openings Water Softener Private Disposal ' Dakota Cty. license U.G. Sprinkler * home under const. Alterations * to existing Water Turn Around STATE SURCHARGE TOTAL SITE ADDRESS: r OWNER NAME:firFr`? -'-1- Xor INSTALLER NAME: STREET ADDRESS: ?(o Er-ee,,)sbo rp Dr, CITY: STATE: ZIP: ? a3 PHONE #: ( ? 5 - 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 = 3.00 = 20.00 = 20.00 0 50 S`TU PERMITTEE OfFICE USE ONLY L BL RECEIPT #: SUBD. 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ? all commercial/industrial buiidings. ? muiti-family buildings when separate permits are IIat required for each dwelling unit. DATE: CQ"- Q?( - -! 5? CONTRACT PRICE: WORK TYPE: _ NEW DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contrad price, whichever is greater. State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1°h STATE SURCHARGE TOTAL SITE ADDRESS ?L : . TENANT NAME: OWNER NAME : INSTALLER: ADDRESS: -147 t.) 1 -4- VI/e I I-) a.?G/ o ij y? e CITY: Y) STATE• Z P: ?55111-J 4q/11 PHONE#: `tJ? ? ?`?1 71? SIGNATURE: ?, LICANT OFFICE USE ONLY DATE' REPAIR STE. # IMETER SIZE: DATE: INSPECTOR: (OH-7o RESIDENTIAL MECHAlYICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when pemuts are required for each unit c.u .36`'5z Date°I ? 4 , (_)3 Sit _3?? I CF' &K?-en 5 ?^ Add ' V-0 _1?ltr ' U it # e ress - n Owner P t l h # T ) 45 ? 45I 9? roper y one ( e ep Contractor `W k11'J l-? P/lj( {'Y1 hi kl 4- Street Address _Jag ?.CV{'}? ( ! ! ? ? ? ` City State /!AV Zip 5.5d3 Telephone# ?1v5 i, ?f 3?7-?-! I? Bond #• Expires: The Applicant is _ Owner _ Contractor _ Other Add-on, modification or alteradon to eaisting dwelling unit $ 30.00 ? furnace replacement air exchanger air conditioner _ New _ Replacement other State Surcharge $ .50 ' I ? 30 Total Il I i , ? - -? $ I hereby apply for a Residenrial Mechanical Permit and acknowledge 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 with the Mechanical Codes; that I understand ttus is not a pemrit, but only an applicarion for a permit, and work is not to start without a pe t; that the work will b m ceordance with the approve lan in the case of work wluch requires a review and approval of plan,s,/. ? _ " ? ? S?,i / , x ?t1)?1? ApplicanYs Printed Name ' Applicant's Signature City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (657) 6755675 Fax: (651) 675-5694 2009 RESIDENTIAL BUILDIN/G PERMIT Uate: .1'' !?CLI 7 l,' SiteAddress: 3214 vr«f$"'v'?,q & Tenant: Suite #: RESIDENTIOWNER Name: AlL'.'/Jwkzr Phone:KSl? Z 2- 6-1177 AddresslCity/Zip: ._) ?/G ?rGLrn51!??? r ,• ?An Applicant is: _ Owner X Contractor TYPE OF WORK Description ofwork: F C' n 5L°- ConstructionCost: &0 0 Multi-FamilyBuilding:(Yes_lNo? 11 A n 5t j CONTRACTOR I - License #: !/ Name: t_? ?/ . Address: - (3 J ? n4•er t. Cit : f 5 ? State: ? Zi y Phone: Contact Person: / /? K? lC {+?(? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residerrtial Ventilffiion Category 1 Worksheet • New Energy Code Worksheet Category Submiffetl Submitted submissiOn type) • Energy Envelope Calculatioru Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 supparting documents thaf you submit are considered fo be public informaUon. Portions a€ ` the information may be c/assffieal as non-publlc' Jf you provide speclfic reasons that would permit the City #a concJude ?at the 'are t'rade secrets. i hereby acknowledge that this information is complete and accurate; that lhe work will 6e in confonnance with the ordin ces and codes of the City of Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is nol to sta withoyy?rmit; that the work will be in accordance with the approved pian in the case of work which requires a review and approval of pla?. // x /10i114 xFR????? ApplicanYs Printed Name A icanfs Signature ---------- ? ForUrice:Use ? j Permit#: !l D?4/ o`- j ? Permit Fee: ? Date Received: I Staff: ? I APPLICATION 1 Page 1 of 3 -------- I 6,0ffce':;19se 44 I ? Permit #. ? ? Permit Fee: I I ? Date Received: ? I I I Staff: I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?- a -a J Site Address: 5716 (?!'Cl lnS TenanY: RESIDENTlOWNER Name: Phone: Address / City ! Zip: Appfcant is: _ Owner XContractor TYPE OF WORK Description ofwork: Construction CosLd IS 6e) Multi-Family Building: (Yes No CONTRACTOR Name: n License #: `r-3? 7 l- ( - ( U CJ -T. Address: 7/ f ip: 3 7 Z City: J65 1, Sta te: 1 / ? ?? Phone: U/2-' !/e / I Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaory 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plum6er: 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 tbaf would permit the Crty to' :- `"` conclude thaf#he` are trade secrets 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 wRh the approved plan in the case of work which requires a review and approval of plans. X X ApplicanYs Prinled arAe q plicanYs ignature Page 1 of 3 ----------------I For Office Use Permit City of Ea EdIl Permit Fee: 3830 Pilot Knob Road e~ ~ / ; Eagan MN 55122 Date Received:"y Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION A\, Date: tR L Site Address: 6 714 61( 5 btl' c Tenant: Suite t~ t t RESIDENT I OWNER Name: Phone: (5i Z Z 6"'i73 %°ec r 9 Y ' s~ Address / City /Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work:' Construction Cost: g llt) C Multi-Family Building: (Yes No CONTRACTOR Name: 10n S~= License Old / Z 1 3 6 & 1. +:'er Address: City: r k /State: / Zi : - y Phone: Contact Person: J Jr l / -e L 4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted 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. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina ces 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 sta witho ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan AIJ x Applicant's Printed Name A icant's Signature Page 1 of 3 /J . " For Office Use fiQ City of EU fill Permit I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~-a-t99 Site Address: 3716 'n S y C Tenant: Sui a RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: W/1', )d tic Construction Cos Multi-Family Building: (Yes / No CONTRACTOR Name: J hn License Address: 7 City: 91 n IZl /L State: Zip: _J 3 7 Phone: 1Z / D l Dt / ( Contact Person: Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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. 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. x ~C- x Applicant's Prin ed Na e A licant's ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA119407 Date Issued:11/27/2013 Permit Category:ePermit Site Address: 3716 Greensboro Dr Lot:5 Block: 4 Addition: Greensboro 2nd PID:10-30901-04-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Alfred C Baker 3716 Greensboro Dr Eagan MN 55123 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA144101 Date Issued:07/12/2017 Permit Category:ePermit Site Address: 3716 Greensboro Dr Lot:5 Block: 4 Addition: Greensboro 2nd PID:10-30901-04-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Alfred C Baker 3716 Greensboro Dr Eagan MN 55123 (651) 226-4473 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144811 Date Issued:08/10/2017 Permit Category:ePermit Site Address: 3716 Greensboro Dr Lot:5 Block: 4 Addition: Greensboro 2nd PID:10-30901-04-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Alfred C Baker 3716 Greensboro Dr Eagan MN 55123 (651) 452-5984 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167985 Date Issued:04/05/2021 Permit Category:ePermit Site Address: 3716 Greensboro Dr Lot:5 Block: 4 Addition: Greensboro 2nd PID:10-30901-04-050 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. *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 - Alfred C & Karen L Baker 3716 Greensboro Dr Saint Paul MN 55123--224 (651) 226-4473 Tacheny Exteriors 49 S Owasso Blvd W Little Canada MN 55117 (651) 481-1466 Applicant/Permitee: Signature Issued By: Signature