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3731 Greensboro Dr.?? I ? BLD6. PERMIT N0. 01-3210 Bldg. Permi 0,1-3422 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 Meter 20-2252 Acct. Dep. 20-3713 Water Pezmi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL . . PLUMBING PERMIT CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 ITRACT PRICE PHONE: 454-8100 Site Address ,i,/ Lot _t;?_ Block ? Name ? Addre c Ciy ,f: Phone ? Name 3 Addre O CitY ; FEES P COMM/IND FEE - 1% OF CONTRACT FEE ' APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMMJIND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMIT # (/ L ' Y RECEIPT q 2EL- l DATE /`' BLDG. TYPE ? WORK DE!qRfPTION ? Res. ? New Mult. Add-on ? Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. , FIxTURES TO l -_?Nater Closet - $3.00 _ZBath Tubs - $3.00 --S __2Lavatory - $3.00 Shawer - 53.00 - 5, Ki?chen Sink - $3.00 -? UrinaliBidet - $3.00 EyLaundry Tray - $3.00 ? Floor Drains - $1.50 ?Water Heater - $1.50 % - % - Whirlpool - $3.00 __?_Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMII) Softenar - $5.00 Well - $10.00 ? _ Private Disp. - 510.00 { _3Rough Openings - $1.50 y - ? ? SIGNATURE OF PERMITTEE FEE: STATE S/C: ? J a ., , FOR: CITY OF EAGAN GRAND TOTAL• ??•' ?, . I m I Name ? Name ? 3 Address, _ p, City ? TYPE OF WORK Forced Air Boiler Unit Heater I VenL Gas Piping Outlets # Other PERMIT # MECHANICAI PERMIT RECEIPT # CITY OF EAGAN ,- ?- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: f ?--? PHONE: 454-8100 TYPE WORK DESCRIPTION LDG . B Sec/Sub? ? - . Res. New - Mult Add-on - Comm. Repair r • Phone ' - Other FEES RES HVAC 0-100 M BTU - $24 00 'L c -' i . . ADDITIONAL 50 M BTU - 6.00 -' ? Phon ` (RES. HVAC INCLUDES A/C ON NEW ' CONSTRUCTION) ' GAS OUTLETS (MINIMUM 1 PER PEkilAlT) - 1 50 EA . - 4 `- ? M BTU COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & M BTU REMODELS - 12.00 M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE: S/C: TOTAL• SIGNATURE OF PERMITTEE t ? OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-81 00 BUILDING PERMIT Receipt# To be used for -- ? Est. Value • ? ' ? ?'?? Date ? ? • ?•° ' Site Address ' Lot Block Sec/Sub. Jj`?' Parcel No. cc Name • CONST W , 3 Address ° City Phone ? j , o Name z?- ou Addre ? City_ tiAME Phone Address City _ Signature of A Building Perm aU work shall be Building Official Phone that I have read this 0 r-O and W19 19 OFFICE USE OMLY On Site Sewage _ Occupancy ?_ MWCC 5ystem _ Zoning On Site Wefl ? Type of Const City Water _ (Actual) (Allowable) # of Stories Length Depth S.F. 7otal Footprint S.F. APPROVALS FEES Assessments Permit ' `' WateUSewer Surcharge Police _ Plan Review Fire _ SAC, City Engr. _ SAC, MWCC Planner _ WaterConn. Courtc+l _ Water Meter ! Bldg. Off. _ Road Unit iywitn au appncaDie rea ment _ 1 Ordinances. Variance _ Parks Copies TOTAL APC T t P on the express condition that Minnesota Statutes and City of Eagan Ordinances. ' Permft No. Psrmi! Molder Date Telephons ?t Plumbing H.v.A,c. Electric Softener Inspection Deta Insp. Cvmmenh Footings 1 Footings II Foundation Framing Roofing Rough Plbg. o%,/ Rough Htg. ?4f Isul. Fireplace Final Htg. E /f • Final Plbg. Bidg. Final Awo? Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. . . -.P•.,. . . •_ ' . v?r?'i ?a^ .???- . ..-._ _ "; ?" ?- '_ .' r_,?-.?-r?.?_."? .? 905t' Qate: ' 15-R7 OF EAGAN Permlt No: Pilot Knob Road Meter No: Size: Box 2119& ? Reader No: Date: in. MN 55121 Idress; 3731.. ,r? t ar- *'_i__e +rl, L^ f'ras»Qbnrn TT-- er Plynut? ? 1mbinn 525 .Oc?d Zoning: '' -- Chg: ? )ep: I5.':?OPd No. of Units: Fee: 10.000 ar e. I agree to comply wlth the City of Eagan I n ? C? . Ut1pd Ordinancas. 67 on .- ay WATER SERVICE PERMIT CITY aF EpapN SEWER SERVICE PERMIT 3830 Pibt Knob Road P.O. BoX 21W PERMIT NO.: Eayan, MN 95121 DATE: Zoning• rI No. of Units: joe i'iller r.onst. Owner. Address: g CXeens ro 1-271 ? Gre?nsbor? :'Tive Site Address: Pl?utfi P umhin` ? Plumber. l7 0 2 9 . i 525. aovd- I ogres to comply with tha City of Es9an Connection Charge: ZS oQDd ? Ordlnances. Account Deposft: Permit Fee: . SQp? Surcharge: Misc. Charges: ` ? Tatal: Date ot Insp.: Date Paid; Inap,: GTY OF EAGA" 3830 Pllot Knq6 Road p.0. Box 21789 . +- Eayan, MkI55121 Zoning: '- 71 Owner. 3ae Address: 3 7, Site Addresa p Plumber. _ „ I agrse to comply ? OrdMances. ,I ? Date of Insp.: - Insp.: SEWER SERVICE PERMIT PERMIfNb•.: ? OAfE,' , ? 1 No. of Units: II . OOpd 10o lOCal t?tiiitt?s %1C_%ffWon Charge: r Account Deposit: BY &A)*: , Surcharge: Mfsc. C.harges: TotaT` Date Paid: REQUiRED CITY OF EAGqN Permit No: 9050 Date: 4- 15--87 3830 PNot Knob Road Meter No: 3 9v S3 41 87 Size: " °? ?f P.O. Box 21199 ' Reader No; A...Q??T Date: Eagan, MIq 55121 Owner. Toe ' onat_ _ SlteAddrBSS: ?731 nrn ?lriv T.4 ?? (,roQngiinrn TT Conn. Chg: D . '1 '' = jMin j`? Acct. Dep: 15. cil? ?1 ??. ??: 1. Permit Fee: I0. - Sng yG ,?S ?tC' Surchar e: • •? 1 a ply wHh the Citp ot Eagan Tr. Plan 13 a. ?? il r e? c??. Meter. 67 ? Misc.: By WATER SERVICE PERMIT '-+-) q '-4 9 Renewal By Andersen 350-73rd,Ave. NE Fndley, MN 55432 763-502-4777 , #MN20130983 RESIDENTIAL LDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681-4675 New Construction Reouirements • 3 registered site surveys showing sq, ft of l04 sq. R M house; and all roofed areas (20% macimum Iot coverage albxed) . 2 copies ol pWn showing beam & window s¢es; poured found design, etc.) • 1 set of Energy Calcula6ons • 3 copies of Tree Preserva6on Plan il lot platted a(ter 711193 . Rim Joat DeWil Options selection sheet (bkgs wifh 3 or less units) DATE 04 •OCA - O ( l0-30-0/ RemodellReoair Reaulremenfs . 2 copies af plan . 1 set of Energy Calculations fw heated addNOns • 7 site survey for exterior additions & dedcs VALUATION (EXCLUDING LAND) t0bl?F JOB SITE ADDRESS?1 ?) k &(.¢.-2iC1SIOCZm -z) t'iLLJ? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER atU..A TYPE OF WORK ?QQ11?fao 01_, pQ?ipr('Y?(5 lA.7j`?M FIREPLACE(S) _2 _3 APPLICANT ?,?,?,? ? -_dsnnn axi `(a C?YIi(l9POPHONE# SQL'?Q5'(Q0q1 ADDRESS ZIPCODE 55qo-o PAGER # CELL PHONE # Phone Lawn Sprinkler No. oFR.I. Baths NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Category _ MINNE50TA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Pluinbing Systcm Includes: Mechanical Confractor: Mcchanical System Includes: Sewer/Water Contractor: _ Water Softener _ _ Water Heater _ _ No. of Baths - Air Conditioning - Heat Recovery System Phone # FAX # Fee: $90.00 Fee: $70.00 Phone# ^ _ a- -?,o All above intortnatfon must be submittetl pnor to processmg ot appucaGOn. 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 Ordinanc Slgnature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated i101 CITY OF EAGAN N2 141 19 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? ? n u^G? BUILDING PERMIT ' PHONE:454•8100 Receipt # 0' ? To6eusedfor SF DWG/GAR Est.Value $107,000 Date SEPTEMBER 3 19 87 SiteAddress 3731 GREENSBORO DR Lot 4 elock 2 Sec/Suh. GREENSBORO 2ND Parcel No a Name JOE MILLER CONST I ? Address 18133 CEDAR AVE SO ° City FARMINGTON phone 431-2001 o Name SAME 'ot Address m i- City u? ww Nan i n Add Q w City I hereby acknowlec that the Information State of Minnesota that I heve read this Signature of PermitteeJ_1 of A Building Permit is issued to: " " all work shall be done in accordan e with all Building Official OFFICE USE ONLY On Site Sewege Occupancy R3 MWCCSystem = Zoning R1 On Site Well Type of Const V Ciry Water ? ri _ (ACtuap _ - Vn (Allowable) # of Stories ? ? Len9th ?? Depth S.F. Total FootDrint S.F. APPROVALS FEES Assessments Permit 524 50 WatedSewer Surcharge : 0 -- - Police PlenReview 76T. 2 5 - Fire SAC, City rou .DO Engc _ SAC, MWCC 525.00 Planner WaterCOnn. Council WatarMeter 6-7.-00 - ation and state Bidg. Off. _ Roed Unil 5. o 0 ---To -- - lhallapplicable APC - TreatmentPl 1BD . 0O i "anCes. Variance _ Parks copias 1-4?2?5 tr TOTAL , CONST on the express condition that pq)le State of MinAesota Statutes and City of Eagan Ordinances. ? ;EQUESTVFOR E LECTRP CALg INSP?ECTIONck o+ vailaw caPV. ea-ooooi-os D' ? n- F1-8 5 6 "X" Below Work Covered by 7hfs Requesf Add Rep. Type ol BmlOing APpliancea WvaC EquiVment WireA Home Range Temporary $ervice Duplex Water Heater LiyhUn, Fixtures Apt. Bwldinq Dryei Electric Heahn Commercial Bldy. Fumace Silo Unloader Industnal Bldg. Air Condrtioner 0alk Milk Tenk Parm otnn, per.r y eihu, ISncuiyl t nr Succify Other pihcr ompute Inspection fee Below p Fee SarvmeEntranca3ize n Fee Faxders/5ubfexders i ixa Clrcwes QO 0 to 200 Am s 0 to 30 Am s .O 0 tn 30 Am s Above 200 qmps 31 to 700 Amps 31 to 100 Am y Swimming Pool Above 100_Am s Above 100_Amps Transiormers Irri ation Booms ?, Partial.'Other Fee Signs SpeciallnspeCUOn S? j ? TOTA EE NerrNrks .„ . , ?/ Foogh-in ^ Onte i, the al k?j,? ? Inspacbq hereby «? certifV thet the above Final Oate `?/] insPecLOn has baen . k mede. Thu reauest void 18 monllm from C / l1 This request voiE/?//?/?? / 1J? [i? ? I?da4D 18 nwnths from Lf/ O O D 418 1g,2 HeQUesi Date Fire No pooph-in InsDecbon / NeqytreA? ?Reatlv Nuw W.II Noufv InsPec- ?? ?? ? y 7 O ?es Na r When qeady icensed Eleclncdl Conlractor 1 hereby repuest inspection of ebove ? Owner electncal wmk unstelled at. Sveet Address, B ox or Route No. Crt , p ,. 2 /- Cs fFf f o `?" ?I? ecLOn o. TownshiD Name or No. RAnge No. Cowily Occupant (PflINT) Phune No. '' h"!'- ? > 7`? uc7` ? Pow¢r Suppber J ress ?dd 0 1,w C Elac[ncal Contractor (ComDany Name) Conhar,tm's License No. c Mailine p.tldress (Convacmr or Owner MaWng Instailation) c7 5-0 D-(..c> (f _ f1 c/ L/ a T,j Y?// II . Y S S3 7 Aw rized Signature (COntracmr Owner Makinq Installation) Pho e Number NNESOTq 5 E BOARD OF ELECTPICITY THIS INSPECTION qEQUEST WIIL NOT lor ??e9s-Midwey Bltlq. - floom N-1 97 8E ACCEPTEO BV THE STqTE BOAflD 1821 Universitv Ave.. SL Paul. MN 55704 UNLESS PPOPEN INSPECTION FEE IS Phon¢(8t2) 642-0800 ENCLOSED. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 --------, i For ? Permit #: ? 3 A4&3 j I PertndFee: ?? I ? Date Received??? ?a ; I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Tenant: Suite #: RESIDENT ! OWNER Name: j??1o ?-u-•? ?-cw-G?G?L ? Phone: Address 1 City / Zip: J 7? ? lJ ?"'2QNliS ?1 lT''0 ? V' ' Applicant is: _ Owner ?G Contrador TYPE OF WORK Description of work: , )Id f i'i rn 4" w? n' ? ConstructionCost: 1SkU0il G-? Multi-FamilyBwlding.(YesNo/L-) CONTRACTOR Name: I, 1J1?? ?d?vbwr?in,?• License#: 20C73S1`'I[S' _ - Address. 3 643 lnJwt?(0,41 Tn-- City: State: H v` Zip: 55 ? L3 Phone: (o I L` F?C ? 5- 3 F173 Contact Person:?Wti ??T? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Cdt@gory Submitled Submitted (4 submission type) • Energy Envelope Calculations 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 8. Water Contractor: Phone: NOTE: Plans and supporting documenfs Lhat yo_u_submiL are considered to be pubiic information.. Portiorts'of r _= the information`may be`classiiied as non-public'N you piovide speciric reasons;fhat would permit the City fo , ??. conclutle that the are frede: secrets. I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; Fhat I understand this is not a percnit, but only an application for a permit, and work is not t art without a permit; that the work will 6e in accordance with the approved plan in the case of work which requires a review and app of plans. x 1?4V ? ? SJI? I C,?l E?- x ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 Site Address: 7033 2007 RESIDENTIAL PLUMBING PeRMiT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 AFe Please comolete for modifcations to existino residential dwellinas. c9n i5?66 oo, Date 9? I alF I_0-7 SkeStreetAddress 37!31 EIYEP11g{'oYp b/'. Unit# PropertyOwner lnnirloTl,o, /VIQMPif Telephone# (W)R,-ri?0"ajDq Contractor GitAZ.- R. a Plurnbirta #- j-fea-Fi Q Telephone# (QS'j,? 7Ct7-?1000 Address 22oa Clty Y State(IV ZipC-dan, The Applicant is: _ Owner & Occupant X Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-buiit $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener andlor water heater at the same time. N you are insfaNing ontv a water soHe?tter and/or water heafar, do not complete this section; move to the neM section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 516" meter is required) Other: Yiater So#iener X Watar i-iaafer y $ 15.00 4 , _ new ? replacement Lawn Irrigation _RP2 _PVB _new _repalr _rebuild $ 30.00 State Surcharge $ .50 S 15.50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the intormanon is compiete ana accurace; mac me work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Sf'eAhani2 Dook4.4 wg4L44 "-) Applica Ps Printed Naine Applican s Signature 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagau 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfian Reauirements RemodeUReoair Reauirements Office Use Onlv 3 registered sHe surveys showing sq. R of lot, sq. f4 of house; and all roofed aRas 2 wpies of plan Ced of Survey Recd _ Y_ N (20% maximum lot coverage allawed) 1 sef of Energy Calculatbns for heated atlditions Tree Pres PWn Recd _ Y_ N, 2 copies of plan shawing beam 8 wlndow s¢es; poured found design, etc. 1 site survey for edditions & decks Tree Pres Required ' _ Y_ N 1 set of Energy Calculatbns Addition - irMicate d onsite septic system On-site SepGc System _Y _ N 3 copies at Tree Preservation Plan if lot platted afler7M193 Rim Joist Defail Optlons selecfion sheet (buildings with 3 or less unils) Date '3o 018Ne Construction Cost Site Address 3-+'3% Unit/Ste # Description of Work Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner okLI. .Q ??C a-C l VI Telephone #( Renewal BY Andersen Contractor _ 1920 County Rd. "C" West Address Rosev'tlle, MN 55113 State 651-264-4777 License # 20130983 Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catecorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheel (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculalions Submided Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. 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 Statutes; I understand this is not a permit, but only an application for a perntit, and work is not to start without a permit; that the work will be in accordance with the approved p)an in the case of work whi', "re?q? and appro 1 of plans. ??- L'i ( rNSOA A plicanYs Printed Name City i Al'O"/i?? ?I ? ? ? °J 4 I Ij UL 0 5 2(}05 'L i Signature By I ••"•"•,v?•,y iuv a.a.o? rna. ro? a11 446b lQSP1?IT14l1 ?Y8tYU13it?7tStY . sund t aooi . . - Cicy of Eagm - 3836 PiItrt Knob Itoad • Eagan, IvQr 55122 To Whom It May Crntcern Eider 7ocs to ??? ?? bniIcTiag per,m;ts forRenotival by Andeisen_ Piease alIow Elderio na P?ide this sorricc for ns in Bagsa. ITiia mffi?atizatian is vaiid for emy date bcyond 6/6/0I; untiI a?`oU gv? by AndCMn MMU= exprftdY mvokas it ln wriftg to the City_ , ocrr est this authoxitiation bo accepted-expe?donsly, aa W not delay in the ` .' dinS Pabmi.ta auY fitrthcr. Plcasc caII mc If thcm at+c '?nB of contactcd at'f63-502-4706. 'nY Yu?ona.. I can lxi I Your }mm9diatc attcntiott to thLs mattcr 3s & ated, Kiolid R Rau n Manager Ranowal bq Anderscn Coiporatiott QW.: Knrn-F.Ttte.r 7nnec tKJ?f?(i?+?-?C4 {.[ ?G.Y acvy ? mi? ? Received Tiie Jun. ). 1107Pm wUU RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatruction Reouiremenh . 3 regislered site surveys shovnng sq. ft. of lot sq. R. nf house; and all roofed areas (20 % maximum lot coverage allowed) . 2 co0ies of plan showing 6eam 8 window saes; poured found design, elc.) . 1 set of Energy Calculalions . 3 copies of Tree Preservalian Poan if lot platted afler 711193 • Rim Joist Detail Optlons selectian sheet (bldgs with 3 or less units) DATE ???-cf?,Z SITE ADDRESS _:?_73/ MULTI-FAMILY BLDG _Y v_N TYPE OF WORK <T l? , R-/r_0F- FIREPLACE(5) _ 0_ 1_ 2 APPLICANT h <mt? STREETADDRESS ?9co IV?Ae "q? CITY4Z&f?_STATE ?/r?ZIP-<0101 TELEPHONE # 7G3 3/I-030y CELL PHONE # fAX # PROPERTYOWNER ?? lylfirh?-/1 TELEPHONE# -?i,?-- / ------------------------------------------°---------------------------------------- COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULF:S 7670 CAT'EGORY I MINNESOTA RiII.ES 7672 (J submission type) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheel Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contraetor: Mcchanical systcm includes: Sewer/Water Contractor: _ .Air Conditioning Heat Recovery System Phone # Phone # ---------------------°----------------------------------------------------------°°----- I hereby acknowledge that I have read ihis application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _ Signature of Applicant ?uN i °r ?0°2 OFFICE USE ONLY _ Water Softener _ Water Heater No. oFBaths RemodellRaoair ReauiremeMs . 2 copies of plan • 1 set of Eneryy Calculalions (or heated additions • 1 sile survey for exterior addAions 6 decks . Indicate'rf home served by septic system tor adAifions _ Phone # Iawn Sprinkler No. of R.I. Baths VALUATION 9i 6 7S '0?- Fce: $90.00 Pee: $70.00 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 CITY USE ONLY PERMIT #: RECEIPT DATE: 2002 RIESIDENTIAL MECHAiNICAL PERMIT x?PP1.ICATI0AT crrY oF EasAu 3830 eaar Krros Ru £AfiAN MN 55188 651-657-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITEADDRESS: ?' 6Q61E2jS60R-2 2)Q i- YSlo- q/a OWNER NAME: TELEPHONE #: Z05- INSTALLERNAME: S'UPG-?102 60,,J'TRA'e_7DQ5 //--Jc TELEPHONE#: STREET ADDRESS: (S?I a I 7?a?i'-'r/ *vZ5 /-,/J CITY: STATE: /yJL) ZIP: 1?2S7aCL Place a check mark next to the permit work type Add-on, modification o Iteration existinq dwelling unit $ 30.00 x• furnace replacement • •airexchanger x• air conditioner • other Nature of work: 0?eR( (?R sF- Hv poeo 01 oez CA-RR, C-AZ 3 r-P-AO a State Surchar e $ 50 Total s '10 ? S ATURE OF PERMITTEE 1/U2 .:: . icr??? Y 1987 BQILDING PERMT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ' INCLIIDE 2 SSTS OF PLANS, 3 CERTIFICATSS OF SIIgVEY, 1 SfiT OF ENERGY CALCQLATIOHS BOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGHA2fi AHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSDED. M[TLTZPLE DidELLINGS - RFSIDENTIAL INCLUDE 2 SETS OF PLANS, CEA 1 SET OF ENERGY CALCQLATIONS CO.+HERCIAL RENTAL OFiITS FOR SALE DBTiTS OF SIIRVEY - CHECg WITB BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANUSCAPE SOND & STRUCTURAL PLANS, SET OF To Be Used 7or: fi0.(0 t1 l Valuation: ??, vvV Date: 1"194' Site Address 3-1?, Q.6JUM.0 Ih, Lot ?t Block Q Parcel/Sub ,& ) Owner Address City/Zip Code Phone Contraetor? Address City/Zip Code Arch./Engr. Address City/Zip Code Phone ll /D 7, 000 OFFICfi DSE ONLY , On Site Sewage_ Occupancy 3 MWCC System ?/ Zoning ? On Site Well Type of Const City ilater P-? (Actual) V-N (Allowable) V_!J ?i of Stories Length G$,D Depth 28.0 S.F. Total Footprint S.F. APPROV9LS FEES Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off 9/z APC Variance Permit 2 ,50 Surcharge S 3.50 Plan Review z 62 • 2.5 SAC, City 100,00 sac, Mwcc 5 z5- oo Water Conn 525.00 Water Meter 67•00 Road Unit 305.00 ' Treatment P1 o.ao Parks Copies TOTAL a?5 Phone 431 -aao I v GA?nGE • r ?- 3yxay = yr?, x ? 9-79z. ILSmT, I s^ ? 2Ayp z8x3?fc 99;)- x?oz r 97?oy s- I o6?4G a . 877- 184 TRI-LAND'C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: TOE /"1141-ce GG/l&r. LEGAL DESCRIPTION; LOTL,BLOCK7- , &9LQIBOM zN°AOMV ACCORDING TO THE RECORDED PLAT THEREOF PA'oO COUNTY,MINNESOTA ? 9?,J ?. iYo'IB'O??".W. /? yy 'k N \ LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSEO SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hxeby csrtify that this survey,plan or report was prepared by me or under my direcT supervision and ihat I am o duly Reyisfsred Land Su?voyor under tAe Laws of ihe State of Minnesoto. INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION = 1?lL.-5 PROPOSED FIRST FLOOR ELEVATION =? sU _ PROPOSEDBASEMENT FLOOR y`- ELEVATION NOTE * VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS Bradley J.G6#Gr aon, Mn. Req. No. 13236 Date ? 81 Z 6? Q? As I 7)3 . , ? - •• ?- One or Tivo Family /tl l 0 th er n?La.ullva Uh;YI1H7Y9li11'P ,EXTERIOR'ENVII.OPE AVEFtA(3E "Ulf C0I3PUTATION : ,. % (To,be-submittedwith;building permit'appllcatioa) ; Dwe111nB ? Oamer Ir r Sfte Addreae ?? ? l^2EYf? ar o? r .-.Q Contractor r?j(,Let_- Cpisa: Date 1 Phone LIIIEAL ERPO ED FE ?OF ft. above grade = TOTAL EXPOSED WALL AREA Sq. FT. OPAQUE WALL COtiSTRUCTION: "ll" Value x Area Detail: 'iU" O 3 x SQ. FT. .3 D- 7¢•5( 0 (U)(A) reference liull x SQ. FT.(v,3 (U) (A) from p/!4'1 np" . x SQ. FT.5? z?2.4U)(A) attached FIUTT x Sq. FT. _ (U) (R) sheets °U'f x SQ. FT. - ' (U)(A) uUn x 8q. FT. - ?U)(A) WIIZDOWS: " U" Value x drea AfAlte & Type n C?I'YJ ?nUn •Tq x Sq. FT. (02.10- 79.4-7 (U)(A) u it uUu I x S@. _ FT. _ (U)(A) u n uUn 8 S@. FT. _ (U)(A) x SQ. FT. = (U)(A) , DOORS: "Ulf Value x Area ' bia':e & Type n _27r-IAJS.uLnUff x Sq. FT. iD0 =$•g (p)(A) u n n ?,4?70 upu .47 x Sq. FT. 2ib0 = 11?7.(U) (A) n u ,IUII x s2. rMr. (U)(A) npn x Sq. ° FT. _ (U)(A) TOTALS 2L(09•LO Sq. FT. (U)(A) AVE TOTAL (U)(A) Z I VALUES lQl ? , DIVIDED BY TOTAL V'IALL AREA 7Z AVLRAQE "U".,115 or less for 1&2 family dwellinga ROOF/CEILINa: i TOTAL AREA: Detail reference liUll x SQ. FT. SZ =' 9•g (U) (A) from attached sheets. ?lUu loUlt • x SQ. FT. . (V)(p) Describe onenings ,• ??U?? x SQ. FT. ? (U)(p) (Uj(A) in roof. npu 8 Sq. FPT. _ (U)(A) TOTAL (U)(A) VALUES DIVIDED ? BY 19•97 = 9S2' ?'? 19•99 ?i,?> " TOTAL ROOF/CEILI1d(3 AREA AVERA(3E "Ulf ,025 for ventilAted roofe. ? 1 1. . ?g.3?x ?34+34+z8+Z8? CowC , ' _ . _ - • .(o7x ?34t34,?Z8?Z8?-._= 93,o8 ? El m. -:ro,sr , 83 x?(?+?St y(, tsln? = za5. S? ?- W?crbov? ?X14= Z.?X3= 7.80 l?x? = 4.o X ?- _ 16,,oo zoxtoo = s,4 )c (o = . _s4 4.0 z4x48 = 9.0 k 11 = SS.oo 3? S-rc., ?r1T= zLoo Z$ 57L?e. = Zl,oo (v= ;WTio ?i ?7 Zo5:84 - - .. .. .-. . ? . - 73+ , --WALL SEC'1'iOB-- . . . ? .. Determi,niag•l'II" values at Roof# Wall, Rimg and Conc. Block ROOF/CEILINCi i.) Interior Air r'ilm 2.> 5/811 ayP. sa. 3.) Inaulation 4.) 5.) Exterior Air Film (STILL) (R) VALUE 0.61 .56 '900 .61 u1Jn a IIR= ?OZ. iOTAL (R)= 4S.7g WALL 6.) Interior Air Film 7.) },' aYp. Bd. 80 Inaulation 9.) 10.) Masonite Siding 11.) Exterior Air Film R VALUE 0.68 .45 f914Po 2.oQ- .67 .1? nUII _ 1/R= TOTAL (R)= Z3,D f r RIM 12.) Interior Air Y'i1m 13.) Insalstion 14.) 211 Fir Rim Joiet ts.) 5o?1-pi 7E 16.) Maeonite Siding 170 Exterior Air Film (R) VALUE 0.65 15,00 1.88 z;64 .17 u1Jn = l/ga TOTAL (R)= Z4.11 ?r FOUNDATION 18.) Iaterior Air Film 19.) zo. ) ?-N ?1KIp??A 21.) 12" Conorete Block 22.) 23.) Exterior Air Film R VALU 0.68 /oa 1.28 .17 upn e 1/R. .D??O TOTAL (R)-13,J3 CITY OF EAGAN APPLICATION FOR PERMIT .SEWER AND/OR WATER CONNECTION NCYrR: PAYMUfC OF FEE AT TIME OF ArrLIcATzorr noEs Nar COrszMM APPROVAL OF PERDILT. xNSPncrioN oF sBM Arro/CR WMa T1ISTATJATTON$ je]UL Mj' $E $(,'fED- ca.Fn tnvrn. PERMrT HAs sM aprxwFn. --- -- --- -- P ease Print 1) PROPERTY ADDRESS : 37 -3/ ° .n,sIzro 1- •- LEGAL DESCRIPTION: q 2 vision or IF F;7QSPING STRC'CIL?RE, DATE OF ORZGINAL BPILDING PERMIT ISSCANCE: ' Nbn ear PRESENT 7ANING/pROPOSID LSE: COMMERCIAL/REfAIL/OFFICE ? IPIDC'STAIAL n INSTIIUTIONAL/GOV?NT B--fi-1 SINGLE FAMILY M R-2 DL'PLEX (TWo Units) R-3 70WNHOLSE (Three + Units) ( Onits) Q R-4 APARZYV=/CONDOMIDIILfi1 ( Units ) 2) ? NAME: Xe'r- In.//cl- G?°evsf AwDxFSS: /8133 L°aov CITY. STATE. ZIP: G.ZSn,; r? {a,J PHONE: -13a- aZBD? 3? • c ?• NAME:_? rHm?,iLr P'c 5•??- ADDRFSS: CITY, STATE, ZIP: PHONE: .'159-3(. :2f MASTER LICINSE# /?/?Olos Active bcPired Not recorded Sta f7ntial ? q) ?• • i?• _ NAME: AnDxFSS: . CITY, STATE, ZIP: PHOfIE: . 'S) ?? r • ?• : a • a? - ?? E?'CONM=ON TO CITY SEWER 0--dONN=ON TO CITY WATER ? dPHER '. .' 6) ?? ' • r MPIE,gE HOI,D APPROVID PEE2NIIT FC)R PICK-IIP BY ONE OF AB(7VE --` ?-- Q PLEASE MAIL APPROVID PERMIT TD 1. 2. 3. 4. AHDVE (Circle one) 7) FOR -CITY USE ONLY PERMIT # ISSUED d <S`?? Pd w/Bldg. Permit FEES: $ $ /D -5 U SEWER PERMIT (INCLUDE SURCHARGE) $ S WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLDDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOONT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ U ? $ WAC $ $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ Ia e^v 0 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: .s ... 7 7' UZ) $ TOTAL - 7-7-02-2 - "2? a 33 RECEIPT RECEIPT ' DOES UTILITY CONN14,CTION REQLIRE EXCA VATION IN PDBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING . AS A CONDITION. SLBJECT TO THE FOL LOWING CONDITIONS: APPROVED BY: TITLE: DATE: •......I , rv.1 auv ?s.ov rna IVo 0 I1 9487 1SriiVLPINL CYALYL151[.7CN 7une 7, 2001 City of Eagan 3836 Pilot gnob Road Eagan, MN 55122 To Whom It May Concern; Elder 7ones is authorized to pull building permits for Renewal by Andersen_ Please allow F1der Jones to provide this serviee for us in Eagan. This auchcnization is valid for any date beyond 616101; until aRenawai by Andersen manager expressly revokes it in writing ta the City. I reqnESt this authorization be accepted expeditious]y, as to not delay in the grocessing of ovr buIlding pcmiits any furthcr. Plcasc cail mo if thcin arc auy questions. I can Ue contacted at 763-502-4706. Your immcdiate attention to this matter is appreciated. Sincerely, 0bst nna nd R. Rau allation Manager Renewal by A,ndersen Corporation C'r.: Kara_F.ide.r Tnnec ??4 ?•??..?? =II=A ?? ??AL ? Fu017c aota etlan.7?,?5 Received Tiine Jun. 1. 1:07PM tm UUZI UU'L 1 - - Use BLUE or BLACK Ink j For Office Use My Permit of Eapn , I Permit Fee: b6 3830 Pilot Knob Road I Eagan MN 55122 i Date Received: 2- t I ~ I Phone: (651) 675-5675 Fax: (651) 6764694 i staff INFLOW & INFILTRATION PERMIT APPLICATION - Plumbing / Sewer & Water Date: Site Address: rrA,,? fa PAA Tenant: Suite-#: Name: f P one: RESIDENT 1 OWNER Address JCity /Zip: 7 6r q iv 80a6 -OIL J4 Name: _ to e.S i s I h r h z f v ,`Le 5 Ti s License f~ C J$ CONTRACTOR Address: P. 0 F) "1 a City: State: k/ Zip: .5 S i Phone: S i- g 5 s Contact: I- Ye t c ~At) 4 Email: _YYm i Kz h t.s s ,2 i 5; I f PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK ^ 6,,_ Sump Pump Repair Repair x Other Other. DESCRIPTION Description of work: J'}2 I -T f d i~ FEES ° r w Ch e c v( f -c 560.00 / Each (includes $5.00 State Surcharge) L + TOTAL FEE $ (D r Gl 0 *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaaan.com/infiow, 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.oopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that yt,h+e workSwill be in accordance with the approved plan in the case of work which requires a review and approval of plans. 0- c Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough-In _Final � ,� � Use BLUE or BLACK Ink ' I r---------------- � For Office Use I � � Permit#: ,� / /�/� � Clty of �� RECEIVED ; . o`/ ; Permit Fee: C�- 3830 Pilot Knob Road � c � Eagan MN 55122 Jl�� 014 � Date Received: ! � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I I -------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �� Date: � J `f Site Address: �� r� � C�re�.�s b�YC) �� 4!- Unit#: �: Name:_ ��'�'�,-1` ��'V'c�l�-'�- ��'�� Phone: ��1 —��"�'"C��O� � Resident/ � � Owner ' Address i City/Zip: �7�I �j''�� YO �✓"— Applicant is: Owner �Contractor g ��, :Type of Wol'k Description of work: �i l�L�leti�— l�-Gvi.IIG� Construction Cost�� f Q� �v Multi-Family Building: (Yes /No� Company: ��^� �d U�-�' c�.(n.e- Contact: ��( ��"Vte.� ContractOr Address: �� t?�l�� c�-til City: � vr,�.` State:�"'�- Zip: ��12�3 Phone: �LL �!S c�7�mail: � U S@ �-�1 ��'c7w� License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additiona in ormation) �� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are consideretl to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the;City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build' g Code must be completed within 180 days of permit issuance. X�►91.�1 'I�'t ��t�.e.v,- X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 �731 �n.c�,�vvl�oa-v �?� � /� 5�5�3' '� DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) �Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/GazebolPergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" _ Addition _ Move Building _ Reroof _ Demolish Interior X Alteration _ Fire Repair _ Windows _ Demolish Foundation �' Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation �� Occupancy �� MCES System Plan Review Code Edition ��:�:r�yt,P��7 SAC Units (25%_100%�) Zoning � � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction ,/��lti Width ��— REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: �� , Building Inspector RESIDENTIAL FEES Base Fee t.�"�� Surcharge ��j��nt Plan Review �� (" ��r1�l�r�� MCES SAC � � v City SAC �, l�' `' �...- �r Utility Connection Charge r� �� S&W Permit& Surcharge � � `�� Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA132566 Date Issued:08/21/2015 Permit Category:ePermit Site Address: 3731 Greensboro Dr Lot:4 Block: 2 Addition: Greensboro 2nd PID:10-30901-02-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - 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. 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 - Stephen Mardell 3731 Greensboro Dr Eagan MN 55123 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163388 Date Issued:08/28/2020 Permit Category:ePermit Site Address: 3731 Greensboro Dr Lot:4 Block: 2 Addition: Greensboro 2nd PID:10-30901-02-040 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. 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 - Stephen Tstes R Mardell 3731 Greensboro Dr Eagan MN 55123 Kremer Brothers Construction Co. 516 Second Street, Suite 202 Hudson WI 54016 (715) 554-2600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174587 Date Issued:02/07/2022 Permit Category:ePermit Site Address: 3731 Greensboro Dr Lot:4 Block: 2 Addition: Greensboro 2nd PID:10-30901-02-040 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Stephen R & Charlotte P Tstes Mardell 3731 Greensboro Dr Eagan MN 55123--224 (952) 240-2845 Walter Mechanical 517 W Travelers Trail Burnsville MN 55337 (952) 895-1992 Applicant/Permitee: Signature Issued By: Signature