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3723 Greensboro Dr
Use BLUE or BLACK Ink r I For Office Use 1 1 Permit 1 City of EaEd I I Permit Fee: 3830 Pilot Knob Road 17-1 Eagan MN 55122 I Date Received: I I 1 Staff: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 L _ _ _ 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: _10 [j*,_ Site Address: 7 02 Tenant: Suite 5a; C9a1`NJ~ RESIDENT / OWNER Name:~'~ Phone: 5I ~Lf Address / City / Zip: _2>7 k 2B~. aka CONTRACTOR Name: N4 t o License ,'{-b l 7-~ Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK - New `Replacement _ Repair - Rebuild Modify Space _ Work in R.O.W. Description of work: 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 $ 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Appl ci ant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final ? Y CASH RECEIPT , CITY 4F EAGAN 3830 PILOT Ky08 ROAD •EAGAN, MINNESOTA 55122 DATE t 19 7 RCC6IVED IROM AMOUNT $ I ? CASH Q CHECK row B Y e coLLwws 1oo White-Payers Copy Yellow-Potting Copy Pink-File Copy Thank You BLDG. PERMIT N0. Z4 0I-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 20r3865 Water Conn. 20-3868 k'ater Trmt. 20-3716 4:ater Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded, TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # ' - .+ ' To be used for .- ? i, iEst Value F 1'v 5. U(1k: Date DEC(sadE$bt 30 19 :7 SiteAddress 3723 GkF;}i:??Milk'1 URIVE Lot Block ? Sec/Sub. GREENsBORO ZND Parcel No. Q Name FgA'CU!{6 BLDRS ; Address 15513 I.uGAxTO I.N 0 City B'VLLLI: Phone 4}5-6-443 . o Name _ , ? 5AME ? Q Address ? City Phone ¢ W z G z w Name _ Address City - 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 Giry of Eagan Ordinances. Signature of Permittee A euilliing Permit is issued to: !' U11_kE FSL' ILUtFiS 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 OHicial.. _ OFFICE USE ONLY On Site Sewage Occupancy x s MWCC System x Zoning RI On Site Well (Actual) Const Vn City Water x (Allowable) yn PRV Required * of Stories Booster Pump Length 54 Depth 36 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ? 515. ? Planner Surcharge 52•00 Council Plan Review 257.75 Bldg. Off. SAC, City 100•00 Variance SAC, MWCC 525.00 Water Conn. 525.04) water Meter 67.00 Road Unit 3as-Q(,) Treatment P1 ? Parks TOTAL a2e527.25 Site Address { - Lot Block . ? ? Name -ia Address c City ? Namet 3 Address p City 3830 PILOT KNOB Phone . FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 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 OF .+- OF FOR: CITY OF EAGAN PERMIT # PERMIT RECEIPT # :AGAN D ), EAGAN, MN 55122 DATE: 44-8100 BIDG. TYPE WORK DESCAIPTION Res. ' New Mult. Add-on ? Com m. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaliBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ? Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: ? GRAND TOTAL• i PERMIT # • ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: fie CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIP710N Lot ?'? Blook c/Sub -:'>? Res. New ?i " ' MuJt Add-on No Name °-' Comm. Repair co Address Other c City ? Phone . FEES ? Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDfTIOfVAL 50 M 8TU - 6.00 ? O C??Y Phone {RES. HVAC INCWDES A/C ON NEW , CONSTRUCTION} GAS dUTLETS MINIMUM 1 PER PERMIT) 50 EA 1 ( - - . . TYPE OF WORK COMMfIND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ; Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM CaMMERCIAL FEE STATE SURCHARGE PER PERMIT - 20.00 - .50 Vent CFM (ADO $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other , , FEE: ` I , S/C' ? SIGNATURE OF PE MITTEE TOTAL: . FOR: CITY OF EAGAN ? PIUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 458-8100 Phone FEES COMM/IND FEE - 196 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 PEFiMIT - .50 (AQD $.50 S/C IF PERMIT PRICE GOES I FOR: CITY OF EAGAN ? PERMIT # RECEIPT # DATE: BLDG. TYPE WOHK DESCRIPTION Res. ? New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: O. FIXTURES N TOTAL 7 Water Closet - $3.00 S / Bath Tubs - $3.00 I __tZ__Lavatory - $3.00 - ___?_Shower - $3.00 " / Kitchen Sink - $3.00 Urinal/Bidet - S3.00 Z Laundry Tray - $3.00 ? Floor Drains - $1.50 - ?Water Heater - $1.50 ? Whirlpool - $3.00 Gas Piping Outiets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 -A-Private Disp. - $10.00 __;?_Rough Openings - $1.50 FEE: ?STATE S/C: GRAND TOTAL: ? CITY OF EAGAN : 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 i Site Address Lot Block Sec/Sub. Parcel No. a Name W ; Address ° City Phone .0 ? -- ? i Address ? City Phone u °C y? W Name FW ? z- Address Z City Phone aW 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 Ciry of Eagan Ordinances. Signature of Permittee A Building Permit is issued to:_ ---_ _ ` - on the express cond ition that al I work shall be done in accordance with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official _ OFFIC E USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of 5tories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES I Engr./Assess. Permit Planner Surcharge Council Plan Review I 8ldg. Off. SAC, City Variance SAC, MWCC I Water Conn. Water Meter i Road Unit I Treatment P1 I Parks TOTAL Permit No. Permit Holder Date Tslephons # Pfumbing N:V.AC. Electric L/WW !'?'' ? /'???•?5?? ?? ? ? Softener Inspsction Qste Insp. Comments Footings I Footings II Foundation Framing Fioofing Rough Plbg. Rough Htg. ,y Isul. Fireplece Final Htg. 44i, c_ Final Pibg. Bldg. Final CertOcc. FR,qJy()M(, INSpK71oN: Temp. LP » M Deck Ftg. ic-itoS DIN- • Deck Final C>VER WINAoW BAYS Well Pr. Disp. 3830 BUIIDING PERMIT r„ ?o f- 3-SEASON PORCS Site Address 3723 CRYF.NBiSpRO pA ? Lot Black 2 Sec/Sub. ?E' Parcel No. fY OF EAGAN ? , P.O. Box 21-199, Eagan, MN 55121 40NE: 454-8100 . :_.;? ?t-`• Receipt # -? ;6 ,000 oate AUG 2 3 OFFICE USE ONLY W Name ?RY d LUAl?1N AI.bEAKA ? Address 3723 CREEHSHOxO QR City EAGAN Phone 688"9477 , o Name ?c•navac avaa.ucaus O? Address 15513 ?M LN a City a?MVILLE Phone 452-5950 l F W W Name ? ; Address <W City Phone I hereby acknowlege that I have read this application and state that the intormation is correci and agree to comply with all applicable 51ate ol Minnesota Statutes an4City of Eagan Ordinances. Signature oi Permitee A euilding Permit is issued to: PUTUIliE BUi?ERS on the express condition that all work shall be done in accordance with all applicable State of Minnesoia Statutes and City of Eagan Ordinances. Building Official , Occupancy Zoning (Actuaq Const (Allowable) # of 5lones Length Deptn S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System ciry water PRV Required Booster Pump APPROVALS Planner Council Bldg. Olf. Variance Bldg. Permit Surcharge Plan Review SAC, City SAC,MCWCC Water Conn Water Meter Acct. Deposil S/W Permit 5!W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 18293 90 FEFS 81ooo 3.00 84.00 Permit No. PermR Holder Date Telephone # WATER SEWER PLUMBING ?azi• 20 °-' H.V.A.C. ELECTHIC Inspection Date Insp. Commenis FOOtirlg3 I Foundation Framin9 7 O ? Roofing Rough Plbg. Rough Htg. ?sul. 3 - S Si vS Freplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspedor - Notify Plumber Engr./Plan Bldg. F,nal Dedc Ftg. Deck Final Well Pr. Disp. Epgan, MN 55121 Owner. Feature Site Address: nr Plumber. "rc.L3? .r iit Nfl: 105 59 Na " . ? , ? Date: - Date: 1 F? " 7Y'na.S:.i'.t'iCY ;, ' I MWCC: 52 5- On°? Zoning, ? City Chg: 100. ooFd No. of Units: ? 5 ' C lFd Acct Dep: 1: ?F I agree to comply with the City o1 Eagan Permit Fee: ! , r Ordinances. Surcharge: M i BY sc.: SEWER SERVICE PERMIT ? CITY OF EAGAN Permit No: 9411 pate: 3830 Pflot Knob Road Meter No: 5ize: n P.O. BoW21199 Reader No: Date: Ealan, MN 55121 Owner. `r'o. tttri. r;t:rs .... ... . 771? ^rc+c+nc}nrn M4vs+ T.1 Rf) creetisboro II Conn. Chg: l Zonin9: 1 Acct Dep: c p " 00 ' No. of Units: p ?. Permit Fee: Surcharge: r'? a I agree to comply with the City of Eagan Tr. Plant p' Ordinances. (- ? n,, • Meter. ?'- Misc.: BY WATER S ERVICE PERMIT CITY OF EAGAN Permft No: Date: 4 ?B ?? ?Qo c K 3830 Pilot Kito¢ Road Meter Na Size: P.O. Bitix 21199 Reader No: 411 _ Date: r--X -ser Eagan, MN 55121 , Owner. - "^ i_ ?.,, > , ,•. .: Site Address: Greenshnrc ,. rive L. lumber 'r?she -qi r.? Const. on. i onn. Chg: cct Dep: No.,Af W?3its: ' ermit Fee: ?,?/ urcharge: ?1 ai4compty with the Eagan r. Plant ? U - Ordl es. , eter. Misc.: B WATER SERVICE P RMIT ; , - CITY OF EAGAN N°_ 14 5 3 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 BUILDING PERMIT PNON E: 454•8100 Aeceipt u (7 q 0"2 "T Tobeusedfor SF DWG/GAR Est.Value $105,000 Date DECEMSER 30 1 y 87 Site Address Lot-? _ E 3723 GREENSBORO DRIVE 2 Sec/Sub. GREENSBORO 2ND Parcel No rc Name FEATURE BLDRS ? Address 15513 LOGARTO LN o City B'VILLE phone 435-8443 ¢ Name_ o0 Q Address ? CitY_ W W w Name ? _? I Address aw City phone 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 StaWtes and,"y Eagan Ordinan?s. ? - i Signature of Permittee 7?@-Ll.a?-An ?TJ (m.4 A Building Permit is issued to: FEATIiRE BUILDERS on the express condition that all work shall be done in accordance with all applicable S[ate of Minnespta Eotytes and Citypf?Eagpn Ortlinances. Building Official OFFICE USE ONLY R3 On Stte Sewage _ Occupancy MWCCSys[em X Zoning Ri On Site Well _ (ACtuaqConst Vn Ciry Water X (Allowable) Vn PRV Required _ # of Stories 54 Boostef Pump _ Leng[h 36 Depth S.F. Totel Footprint S.F. APPROVALS FEES $ 515.50 Engr./Assess. Permit Planner Surcharge 52.00 Council PlanReview 257.7$ Bldg. Off. SAC, City 100.00 Variance SAC,MWCC $25.00 Water Conn. 525.00 water Meter 67.00 Road Unit -?ry,.00 Trea[ment Pi 0.00 Parks TOTAL ?2,527.25 GITY OF EAGAN ND 18293 3830 Pilot Knob R c P.O. Box 21-199, Eagan, MN 55721 BUILDING PERMIT PI40NE: 454-8100 Receipt # C/ Q? 1? /0 To be used for 3-SEASON PORCH Esi. vatue $6, 000 py1e AUG 23 1990 Site Address 3723 GREENSBORO DR Lot Z Block 2 SeGSub. GREENSBORO 2ND Parcel No. w Name LARRY & LUANN ALDERKa ; Address 3723 GREENSBORO DR ° City RACAN Phone 688-9077 o Name FEATURE BUILDERS ?? Address 15513 LOGARTO LN City BURNSVILLE phone 452-5950 ? ww Name ?? Address a W City Phone I hereby acknowlege that I have read this application and state that ihe information is corred and agree to comply with all applicable State of Minnesota Statutes and f Eagan Ordina(n'?ce?s.? SignaWre oiPermitee - ?-?= ? =??71?S.?s?.- ?.' A euilding Permit is issued to: FEATURE BUILDERS on the express condilion that a11 work shall be done in accordance with all applicable State of Minnesota Statules and City ol Eagan Ordinances. Building OHicial OccupanCy Zoning (Attual) ConSt (Allowable) # otStories Length Depih S.F. 7otal S.F. Footprinis On Site Sewage on sne wen MWCC System Cily Wa[er PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY FEFS Bldg. Permit 81 • 00 Surcharge 3.00 Plan Review - SAG City SAC,MCWCC Water Conn - WalerMeter Acct. Deposit S/W Permit - S/W Surcharge Trealment PI Road Unil - Park Ded. Copies - TOTAL R4_DO ??? ?. REQUEST FOR ELECTRICAL INSPECTION ee-ooo/o?i-os / J /? ? Sea instractions tar campleting this lorm on back o1 vallow CoFY. ?;??[(i ? a???, 2?? 8 '"X"' Be/ow Work Covered by lhis Request aed Rea. T?oe of Buiieine noorao?es w??ed Equipn?ant Wired Home Range Temporary Scrvice Duplex Water Heater Liyhtiny Fixtures Apt. BuilAinc? Dryer Electri? Heatm Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other .pen v O?her ISnacifVl t er Specify Ot er O?hur Compute lnspection fee Below k Fee ServiceEntraneeSixa H Fee Faeders?5ubtaeders N Fne Gircui?s (jj) U to 200 Am s 0 to 30 Am s ? 0 tn 30 Am ? Above 200 qmps 31 to 100 Amps 31 ro 100 A $wimming Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Booms Partia .' r Fee Signs Special Inspection S?? T TAL FEE Rem3?ks i / L.? Rough-in r ?? ?? . t Ele ' I Inspector, he?eby c rtify thnt the abova I Final ? ?' ???r p ?nspection ?as been ?, r l '?? made. T?is reaueat voltl 1B monlha from This ?equest vaiG hn p? 18 rtqn[hs from ?/Yl?//] 'Sy ' - ??e rvo. ttouPP-?n Inspection Reqmretl? E]Re:eAy Now?Will Notify Insoec1 d? es 0 No Ior When Reatly ? LiCensed Eleclrical ConVactor I hareb e Owner Y r quest insDection of above ? B?ACI???nl wnr4 inc alleA .. Sveet Address, eaz or qoute No. 27 Z3 r?e?ns ?rc? L, n CHY ecbon o. Township Name or No. Range No. Count Occu?t (PRINT) Phone No. Power SuPOlier / Adtlress /YZ C/l-?c Electricai Contracmr ICOmpany Namel Cnntractor?s Lic nse. No. Mafli Ad a Y! ?s - n/9 ess IC.Moc[or or Owner aking Instailat)ionl 7CC7 S ?Ll ? q l e? / ? 3061a 'C ' , Auth?r' etl S?enawre I oMractor/O ner ing Ins[ailation / , ! , / Phon um er ^E-viq>iqTE 00Aqp OP ELECTRIGITY IHIS INSPECTION ftEQUEST WILL NOT Griggs•Midwey Bldg. - Room N-191 BE ACCEVTED BV THE STATE BOAPD 1927 Universitv Ave.. St. Peul, MN 55104 UNLESS PPOPEP INSPECTIpN FEE IS Phone (612) 642-0800 ENCLOSED. epe-ooooi-o REQUEST FOR ELECTRICAL INSPECTION glan? ? See inshuctions tar comDleting this brm on back of Vel low coCV• p U? ?? fi 9 5 91 "x' BeloW Work Covered by 7his Request M8,4AdJI pap.I TyOe ol BuilCing I AvPliontea Wired I . Equiyment Wired I [fIC p Fee Service EntrenceSize Fae Fexders/SUhfextlers N Pne Circuits U to 200 qm 5 0[0 30 qm s 0 to 30 Am s Above 200 qmps 31 to 700 Amps 31 to 100 Am s Swinmiing Pool Above 100-Amps Ahove 100_AmPs Transrormers Irrigation Boort, s Partial.Other Fee n ?S ?-p _?? 1 I I 'Signs ? I ISpecial Inspectio TOTA L6? ?a? Nemarks ?l 1 i. ma Final j.ertiiy that tha above insoaction hes baen made. TMn repueat voitl 18.rrnnths Irom ?tl //// D - 7 9 5 91 RequeStDa:e . Frte No. Rou9h-in Insuection Repuiredl ~ EDReady NawZWill Nntity, Insuer.- I pqYes ?No tar W ReadY ? Licensed Eleclrical ConVector I herebv request insoection of above Own er elecvical wark inslalled et SVeet Atldress, Boz or qoute No. City 372- 3 ree.n /?? ?a?ar1 ecuon o. Township Name or No. qanBe No. County I )O-alll Occpu?uunl (PflIN?T) ??Q ? ' Phone No. Gf e / S Powe $uAPlier Atldress Electri al Contractor lCompany Namel Convector'. icenso No. s,o? n F'i? nc_ OY/g?- 3 Ma-ling Ac dre?i??c[or or Own r Makine Instailationi S w [A thd I(Com, 1/0t y InStalla?iun) 2 2 MINNESOTp STqTE BOARD OF ELECTqICITV THIS INSPECTION FEQUEST WILL NOT Grigga-MiAway Bldy. - Room N-191 BE ACCEPTED BV iHE STATE BOAND 1821 Universitv Ava., SL Peul, MN 56104 UNLESS PPOPEF INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. "; 0/?;;/ sY5 00,/%/4? Y zsy.szs 5e 1981.(J ,- ?o°° ? a _ o ReQUest Date Fire No. Rough-in Inspectian q????l ? Ready Now .ClWill Notity Inspedw d T d? Wh R ? - en ee I,@'censed contractor ? owner hereby request inspection of above electri work af: ? '7V JoG Atltlress (Sireat, Box or Roule Seclion No. I TownshiD Name or No. Range No. I CouMy ? Ocwpant RINT' Phone No. PowerSu AOOress ? ? Elecvical ConVazim COmpany Name) ? Conl or5 L' sa No. 9?s --3 Mailing Atltlress onvaclor or Owner Making Instellation) 76?> Autlhori?efd SlgnaWre IContractorlOwnar Making Inslallation) -- I/ Pnone N mber MINNESOTR STATE BOAqD OF ELECTRICITY THIS INSPECTION REQl1EST WILL NOT Grlggs-Mltlwey Bltlg. - qoom S-1TJ BE ACCEPTED BV THE STATE BOARO 7821 UnivenHy Aw., SG Vaul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(814) 602-0800 ENGLOSED. G?1/?Jr/Cl? REQUEST FOR ELECTRICAL INSPECTION ??o y, eep-oo?ooi-oe ? ? Se4instmctions lor completing this form on back oi yellow copy. s 90 d?5 a 12 8 1. Q?/?/so "x" Below Work Covered by This Request ??a 5 e AG? Rep. TypeofBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer O[her (Specify) Comm./Industrial ' Furnace Farm Air Conditioner Omer (speciy) Conhactor5 Femarks: ? Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee A' Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to too Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs inspectors Usa oniy: ?? TOTAL Irrigation 8ooms z0 Speciallnspection ?? /V Alarm/Communication THIS INSTALLATION MAY BE ORDE D DISCONN E p Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rougn-in " ^-w certity that the above inspedion has 6een made. F;nai oa?e ? OFFICE USE ONLY This request vaitl 18 monlhs irom `?0ALi3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements Remodelrtieoair Reouiremenfs Office Use OnN 3 registered site surveys showing sq. 8, of lot, sq. ft of house; and all roofed areas 2 wpies of plan Cert of Survey Recd _ Y_ N (20%maximum lot covefage allowed) 1 set oi Energy Calculalions for heated addNOns Tree Pres Plan Recd _Y _ N. 2 copies of plan showmg beam & window s¢es; poured found design, etc. 1 site survey for add'Aions & decks Tree P25 Required _ Y_ N isetofEnergyCalculations Add'rtion-indicafeilon-silesepticsystem On-sKaSeptic5ystem _Y _N 3 copies of Tree P2servatlon Plan'rf bt platled afler 111193 Rim Joisl Detail Optlons selection shcet (bu8dings with 3 or less unfts) Date U l? l0? ? Construction Cost ?Z 2 Site Address Ga(?'.jJ,5l,7(J90 n UniUSte # Description of Work 1N574f& 64,5 PJ56-ltl Multi-Family Bldg _ Yk/N Fireplace(s) _ 0 t 1 _ 2 Property Owner Telephone #)07 'U Ly0 Contractor Address 1q 3ctcl KO nS-ii 4rT0J PNL' City 54f/IW, State Zip )b Telephone #(5-X,) S~1/?4//Y -KI T COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code WoAcsheet (Jsubmissiontype) Submitted Submitted . 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( ) Telephone #( I hereby apply for a Residential Building 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 the State of MN 5tatutes; I understand this is not a permit, but only an application for a pe t, and work is not to start without a permit; that the work will be in accordance with the approved plan ip the cqs?f work which requires a review and approval of plans. Applicant's Printed Name Applic t's Signa 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY GALCS # 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. C s-??=c,-• Po?Kl,? ?? ?Y?'-?QA, `'?''"'"'""?, AU G 2 i RECo 6peo To Be Used For: ?? Valuation:?? Date: g/v`tCJ/90 site 6adress 3W 3-?ik.er?-e2c- ? Lot a Slock 0, Parcel/Sub ./a'IQEn?v_?'r-?.c•' o( /u,. C.mkka" Oconer ?ql ?J (,?yr.?i I.???u?. Address City/Zip Code ?A"v\ 2?j Phone 6 Contractor ??„?c,??a?., ?j,W,?Q.?.Q.? Address / City/Zip Code `i5-:? -S9Sv Phone 1-i-55"- gq ys Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit Allowable Surcharge 3 # of stories P1an Review Length 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 S[IBTOTAL APPROVALS Penalty Planner TOTAL ? Council B1dg. Off. Variance ?5k is = Zz? .? ? ., , - ya 20 = ? z2a •? a P _ '??' - i'RI-LAND ?'7. SURVEYIN( I SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LOT 2 LEGAL DESCRIPTION; Lor? ,BLocK? , GREENSBORO 2nd ACCORDING TO TH RECORDED PLAT THEREOF DAKO COUNTY,MINNESOTA N 89°55' 55"W 0 \ ? 2? ?\ Q '? \ o ? ?Q. ?L `^ VI 3 3? cA N ? o ? O 1 Z c -? o -1 Lli I I ?E SCALE = I" = 40' LEGEND SITE PLAN FOR: FEATURE BUILDERS 0 ? gp33 ;? pROP? $E ? 32 GPR 4\0-6? 1M i ` o L7EiVuSES iRON MONUMEN7 o DEN07E5 WOOD HUB SET DENO7ES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ?- DENOTES DRAINAGE DIRECTION i hareby certity tAot this survay, plan or rsport was prepored by me or under my direct supervision and that I am a duly Reqisterad Land Surveyor under ths Lqws of ihe Stote of Minnesota. Bradley yt??ISwenson, Mn. Req. No. 15235 f? Date : l7_12B(8n INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION = YI PROPOSED FIRST FLOOR ELEVA710N = PROPOSED BASEMENT FLOOR = ? . ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS ? ?ol ? 1987 BQILDING PEAMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IHCLiTDE 2 SETS OF PLANS, 3 OF S[iRVEY, 1 SET OF ENfiRGY C9LCOLATIOBS D10TE: A?DRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGAATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCB BIIILDING PERMIT IS ISSQED. MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL ONITS FOR SALE ITBIITS INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SQRVSY - CfiECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CA?iMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE EOND <<XD REC 2 9 9997i To Be Used For: Ct,-yv,--q-, ? Valuation: $z-eng-- Date: Site Address 37 a 3- Lot -? Block ? . Parcel/Sub WU't-a" 2A?J D-0? Owner a-o- ?J- Address City/Zip Code Phone Contractor q.1r.? &""_ Address / 0 _ City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone l1 l(15UOU- "rr On Site Sewage_ MWCC System ? On Site Well City Water ? APPROVALS Assessments Wa.ter/Sewer Police Fire Engr Planner Council Sldg OfF APC Variance Oceupaney R-3 Zoning _ P.-T- Type of Const (Actual) V-nf (Allowable) V- N ll of Stories Length ?- Depth S.F. Total Footprint S.F. FBES Permit $/$ .5-0 Surcharge $2,00 Plan Review 25? SAC, City 100? Ou snc, riwcc s25,ao Water Conn 52 00 Water Meter 67, 00 Road Unit 05, 00 Treatment Pl gJ p, DO Parks Copies TOTAL ` YAL uATidN _--?-_ a GARqG? 22xZZ = 14 8y xIZ= SSOB L?sEnnEN r ?Z X z.5, goo 18 X 13= Z3y J034 X !y= IUUr,(- I sr ?FL w,e 32 nzs = gov i x x ??r = zsz 2 xI = I y Z x? = i 4 --- / OSO x H4 = 4752o ZND FLOoCi 32?c2? = ?'3Z Xwy= 3??? ?6 y c//Z ? ?ti. ..?.. TRI-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: FEATURE BUILDERS LEGAL DESCRIPTION; LOT? ,BLOCK? , GREENSBORO 2nd ACCORDING TO TyE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA N89°55'55"W 120.88 0 0 LOT 2 3 cp N 2N I N `? Q0 ? Z ! OI ? gp 3P I lL \ ?? ?FtOA?}?E \-- GPR \ ?2 910 LC? I 3 SCALE = I" = 40' LEGEND a DENOTES IRON MONUMENT ? DEN07ES WOOD HU6 SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hereby cerfify ihat this survey,plan or report wcs prapcrod by me or under my direct suparvision and that I am a duly Reqistered Land Surveyor under the Lnws of the State of Minnesoto. INVERT EI..EVLITION AT SERVICE EXTENSION= PROPQSED GARAGE FLOOR ELEVATION = -ra? PROPOSED FIRST FLOOR ELEVA710N = RI?, 8 PROPOSED BASEMENT FLOOR = Royay ELEVATION NOTE, VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS Bradley pk/j5wenson, Mn. Req. No. 15235 Date - lz-12B(8n , W \0 7 o .WJ 1'u%n acnrw.. . . . . . . 7W W.t10U18kN1 ..._ :`..;'•, ople i?uwr. Mn ee+u EXTERIOR ENYELOPE tiYERAGE "U" CWMPUTATION ? fi. .a ?<<r • ONNER FEATu2? T.l?? LD62S ??a ?'2 ?i-vw' ? n.?*? a-?.?"t-s" SITE ADDRESS _ PLAki? 7- I 787 hkl- .3 7a 3-?-uw' ?n CONTRACTOR SArAe,. DATE PHON: W3 ? 8L9-?3 Determine working square footage of each. . 1. Totat exposed wall area ...... 7-039 sq. ft. x? ll 2. Total roof/ceiling area .... _ lo8c? sq. ft."x Total exposed wa11 area above floor ? I 808 A. Total wa11 kindow area .........:........:........ iq 3 ? b. Total door area ................................. 38 c. Total sliding glass door area .................... . qo ' d: Total 4ireplace wall area.......................... 1c? . e. ota wa]1 framing area (average lOZ)...:........ 160.8 „ f. Total net wa11 area aDove floor ................. 1391 , • g. Total rim joist area ............................ 7-31 .,. Total exposed foundati4n area = 9 9 ? h. Total foundation window area..................... L.. . i. Toal net foundation area abpve grade .......,.... 93 .• . Determine "U" value of each wall segment. • a• 143 X aiuil • `? . b. -r,tS X nun . 139 = s. Z , c. yp Xliusi , S5 = ZZ d. I rr x°uli .Zo a 3. 2 e•__ lf3o.8 XOull , 09(0 = 11 - 3.,? . A uV" . Q_IS a y. 231 X°U° •' h. (s X"U" . SS s 3.3 t. 93 X °u" aS.z 3........' ...... ............... ....... Total 9. ? If item 03 is the same as, or less than item 01, you have met the lntent of SBC 6006(c)2. • • ?15 t....lOTdl ? CXpOSEb r f/ceiting area ? j ? I d? .`b'+-? ? :? 1>-?y Tota1 gross roof celling area • ..?_ . . ,? , J.; 7ota1..,.slcylight.area _...:..:,. .. :i?.....:::. - 3 _' . ?. . ,, ` .. k: Totat roof/ceiling framing.area .:........:. ? p? } 4 ,h.. i . ? . .. i i « :. ]..._Tota7 :.net insulated roof/ceilfng area....::. .,>? -..' .?..' .. . . y. . ' s . .' -- . .? c. ? ., . . _?? .: .,.??.. ?;: ? • Determine "U" value for each roof/cei]1ag segnent. ? .. ., . . . • . {• . .p ? ... X,:MuM -j'p?: :.s.. . c_ . r.. .=iC ? ? . ?p? • d - -I f . , . . . . . . , . ?. . . •.. ? . - ... ._ ' ?t' X °V" X uVa, . e,Z.L... .a .. ,- ... > _ ? . .. . 4 ....... ........................... TOLdl • , .. , ?, .. ? . • . • If totaT of #4 •is the ?same as, or`less than?02. you' have met the, intent, of .'• SBC G006(c)i•. . _ . . , . 7o utilized the Lota1 envelope system method, the values.establlshed by the sum of itans 13 and /4 shall.not be greater than the sum of ftems 11 and 02. ; . _ ? . . . . ? ' ? , , ti. ? 1. .... # . 2. . --- • ---- ` ... . ' ? • - ^ 3. • + .4. ? . . . ](ATEBIALS • ?'Therm. Eeaiatanos "En _.. ... EScterior Air . ? ?•` ' : ? Siding 7[etarial ?. ff r SheathinB Iasalatioa . . 1i . . . . • Shse4rook . ? Intarior Air . .. . . • Stxda ??? ' . . ... &ij? Co:?n. Slks. 1 + Lf.... ' . . . , . . . .. : ?._.._ , . . .... ... . ? • . ,.. .., . . ? , , . . . .. • .. , ? . . . ' . . . . . . . , " • , . . . • • . • .. . • .,...?...?.._....?.,_.,:.,,,... ' . - --- -`-,__..:.,._-,_ . .,..?.,.?..?..._.....,...?.. .?•v.._..,.?.. _ - -- -- _ -.-- --- , . ?'. ..N ' " . .. .._. - ?... APFLICATION FOR PERMIT SEWER AND/OR WATER COIVNECTION * „. , .. t NO'1'E: PAYr437r OF FEE AT TSME OF ? R APPLICATiON OOFS NOT CON- y i STI7[fl8 APPRU/AL OF PII09T. '. • ; UMsencriaa oF MVER nND/ox MXTm ? :. ? ItLSMQdelTIIXdS WIIS. N7f BE SCEDOLQI .*? t[1N1SL PIItPIIT HAS BEQd ppPROVID. t ai+at+ff3fftf??t?etirityr?+atafwrtKers+ oF engan (PLEASE PRINT 1) PROPERTY ADDRFSS: .?? 2? Cn R£?iJS?3 0 2m lJ.2 • i,FY;AT• DESQ2IPTION; or IF EXISTING STRL'CTC'RE, DATE OF ORIGINAL BUILDING PERMIT ISSOANCE: hbn ear PRESENT ZONiNG/PROPOSID USE: Q CONPMERCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY Q INDLSTRIAL ? R-Z D(!PLEX ('Itao Clnits) Q;INSTI7[]TIONAL/GOVERNMENT Q R-3 TOWNAOUSE (Three +,Orlits) ( Units) Q R-4 APARTMENT/CODIDOMINIUM ( ['nits) 2) ? NAME: 2 Es sl.E? GKC • ADDxESS: las3 Qa 4o„?.?.. (-/z • CITY, STATE, ZIP:^?f??t PHONE: ?i .? 2- P7 7 S? 3) ' 5:0• NAME: ADDRESS: CITY, STATE, ZIP: C5 t -?L2(, PFIONE: e? 32 ^c10?? ? MASTER LICELVSE #?G?/b?I Active F?cpired Not recordec Sta In 4) NAME: F6.4rw2E i3'-025 . ADDRE,SS: CITY, STATE, ZIP: PHONE: 5) ? (1 . .aj• 1 •'? a?e ? CONNECTION TO CITY SEWER M CONNECTION TO CITY WATEF2 f--l OTfig2 6) ? `--xa-•.? /'? ?? ? ? :2 1'p8 *******?***?****??+**,?******?**********?***?****:?**************,?++********************************?? * THE GOLD COPY OF 7HE PERMIT WILS. BE SETTr DIRECPI,Y TO PUSLIC WORKS TD FACILITATE METER PICK-UP. ? PLEASE TaLLOW 1W0 WORRING DAYS FOR PROCFSSING. SOMEONE FROM TfE CITY WILL CONPACT YOiJ IF 74IERRE * * P12E ANY PROBLEh1S. i ?**********?*?******?***************?***?**+*****?****+,****?**??**?***?***?***??*?*???*?*?*****???*; FOR CITY USE ONLY PERMIT # ISSDED ?? . Pd w/Bldg. Permit FEES: $ $ ?G52' SEWER PERMIT (INCLDDE SURCHARGE) $ $ WATER PERMIT ( INCLDDE S[]RCHARGE ) $ In 7.6 o $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER 0 $ ? ZS ll d $ wAc $ IrZS 'UZ) S sAc $ $ TRONK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ I3o 'o-1) $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $ 13 I 7.OG) $ ?760 TOTAL g L??3 _ 35z RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN POBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LZST AS A CONDITION. SUBSECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: cZZ-//P CityofEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 L Use BLUE or BLACK Ink For Office Use //relD3 Permit #: Permit Fee: (Y (J 00 Date Received: Staff: 25/0-/i2 INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / )( Sewer & Water Date: / ' v ) 3 Site Address: Tenant: 372.3 6 V -e 5 )9 0 v Name: Address / City / Zip: 7 7 Z 3 Suite #: Phone: ( / Z) Y32-- r/ 7 3 f Name: 6W4License #: Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair r G (" v ,,.•r (� 0 19 Cil Other: Description of work: -' `J ` `! G J ` "" p f �- L' 1 e 1— j©�/ FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.gooherstateonecall.orq 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. J2arSP% Applicant's Printed Name x Applicant's Signa tti e FOR OFFICE Required Inspections: Under Ground < Rough- 41111'City orEa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEivED FEB 18 2016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 2/3/16 Site Address: 3723 GREENSBORO DRIVE, EAGAN, MN 55123 Tenant: Suite #: Name: K & S HEATING, AIRCONDITIONG & PLUMBING INC Address: 4205 HWY 14 W City: ROCHESTER State: MN Zip: 55901 Phone: 507-361-2332 Contact: HEIDI BROWN Email HBROWN@KSHEATING. COM New XX Replacement Additional Alteration Demolition Description of work: XX Furnace XX Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ 60.00 TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum includes State Surcharge $70.00 Underground tank installation/removal *If contract value is GREATER than $2,010, Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ =$ =$ Permit Fee Surcharge* TOTAL FEE 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 RICK KEEHN Applicant's Printed Name x� Applicant's Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA135708 Date Issued:03/31/2016 Permit Category:ePermit Site Address: 3723 Greensboro Dr Lot:2 Block: 2 Addition: Greensboro 2nd PID:10-30901-02-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Patrick D Dorsey 3723 Greensboro Dr Eagan MN 55123--224 (612) 432-4739 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165689 Date Issued:11/16/2020 Permit Category:ePermit Site Address: 3723 Greensboro Dr Lot:2 Block: 2 Addition: Greensboro 2nd PID:10-30901-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Patrick D Dorsey 3723 Greensboro Dr Eagan MN 55123--224 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167910 Date Issued:04/01/2021 Permit Category:ePermit Site Address: 3723 Greensboro Dr Lot:2 Block: 2 Addition: Greensboro 2nd PID:10-30901-02-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Patrick D Dorsey 3723 Greensboro Dr Eagan MN 55123--224 Applicant/Permitee: Signature Issued By: Signature