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3740 Greensboro DrPERMIT City of Eagan Permit Type:Building Permit Number:EA148779 Date Issued:04/20/2018 Permit Category:ePermit Site Address: 3740 Greensboro Dr Lot:1 Block: 4 Addition: Greensboro 1st PID:10-30900-04-010 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Joanna Nowak Mccoy 3740 Greensboro Dr Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature BLDG. PERMIT NO.. cr ( ,: ? ? .3 1 01-3210 Bldg.,Permit 01-3422 Plan Check ? 01-3445 Surch./Adm. ? 01-3446 SAC/Adm. ? 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC J0-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3$55 Park Ded. TOTAL CtTY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-81 Oo BUILDING PERMIT To be used for Est. Value ;.•,. Site Address Lot Block SeGSub. Parcel No W Name iLLk:lt CUNS1 = Address ' ,'. 3 1 ° City Phone } W I 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 Statutes and Citv of Eaaan Ordinances. Signature of Permittee _ A Building Permit is issued to: ali work shall be done in accoi Building Otficial Receipt # Date ,19 On Site Sewage ? Occupancy MWCC System _ Zoning On Site Weli Type of Const City Water _ (Actuaq (Allowabie) ik of 5tories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit Water/Sewer _ Surcharge Polfce _ Plan Review Fire _ SAC, City Engc Plann r _ SAC, MWCC W t C e _ onn. a er Council Water Meter Bldg. Off. _ Road Unit APC _ Treatment Pt Variance _ Parks TOTAL on the express condition that with all appticable State of Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Tslephons if Plumbing H.V.A.C. Electric Sofiener Inspection Date Insp. Commonb Footings I ?l Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. ?s Isul. Sif 8-7 6E- • ? Fireplace Final Htg. Final Plbg. -/g. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. AY7 , • . r - . . . . vA . ., ... . . .? - . . . . ... ' ... _ _ .w.... ... ..?.. .. , i ... CITY OF EAGAN , 18472 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE: 454-8100 BUILDING PERMIT Receipt # ? To be used for MSEMEN? Est. Value =t •500 Date OMOEER 19 19 90 Site Address 3740 GRF.F.kSA0R4 DRIVE Lot 1 Block a Sec/Sub. GREEi+ISDORO ST OFFICE USE ONLY PdfC81 NO. Occupancy - FEFS DAYB & SUE NdF.lFELI Zoning $35.00 ¢ . Name (Actual) Const - Bldg. Permit W A • t AddrQSS (IUlowable) - S 0 456 urcharge - City Phone +Y ot Stories - Ptan Review ?p ? Length o Name ? ? T Deplh - SAC City Z *IDS PKWY . ° ? ., Add?ess S.F. Total - a _ EMOU SAC, MCWCC ? CItY nr- hone S.F. Fooiprints - Water Conn On Site Sewage _ ? W W Name On Site We11 - Water Meter Addf2SS MWCC System _ Z i W City Phone City Water - Acct Deposit it S1W P PRV Required - erm I hereby acknowlege that I have read this application and state that the Booster Pump - S+W Surcharge inlormation is correct and ag?46 to comply with all applicable State of Minnesota StaWtes and City o)'Eagan Ordinances. . Treatment Pi Signature oi Permitee APPROVALS Road Unit AL N pOttSt A Buildfng Permit is iss ?d to: P?anner - Park Ded. on the express Conditibn thai all work shall be done in accordance with all Council applicable State of Minnesota St utes and City of Eagan Ordjnances. 81dg. pff. _ Copies ? • Building Ofticial /'='' `f '/ ?.. _ t Variance - TOTAL Permit No_ Permit Holder Da1e Tetephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC kv Inspection Date Inap. Comments Foolings I Foundalion F??ing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Final Pibg. Const Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final ? Ac Deck Ftg. Deck Final Well Pr. Disp. PERMIT # _ MECHANICAL PERMIT ` CITY OF EAGAN RECEIPT # ?. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? i Site Addrgss Lot + Block m Name _ ? Address ? c City ? Name c Addre O CitY - TYPE OF WORK r1 Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent ? ? CFM Gas Piping Outlets # Other FEE `='?'`'`u `_ S/C: ' - TOTAL• ,PLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTIETS (MINIMUM - 1 PER PERMIT') - 1.50 EA. COMM/IND FEE - 156 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNNOUSE & CONDOS - RES. RATE APPIJES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) \ I 1 ' . . , CONTRACT PRICE: Site Address_? y U ? Lot ? 81ock 1 ! m Name eg AddreSrs ? Ciry ? ,r Name c Ad ss 0 Ci?'=? PERMIT q PIUMBING PERMIT RECEIPT # CITY OF EAGAN . ;; 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: awntrF• asa.Rinn 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 I SIGNATURE OF PERMITTEE OF BLDG. TYPE WORK DESCRIPT)ON Res. ? New -? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N(?S FIXTURES TOT?IL Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 iKitchen Sink - $100 'r Urinal/Bidet - $3.00 ?:ZLaundry Tray - $3.00 ? Floor Drains - $1.50 -?Water Heater - $1.50 ? -= J Whirlpool - $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: l? = STATE S/C: 5 r? GRAND TOTAL: -a ? ? ? m Joe Miller Const. 4tI?F,?p to comply wlth ihe Clty ef o te d? ????? ,?.. g ?E1.EPNa??'_ - ? - --- 9041 oata -14--87 OF EAGAN RermR Na A/ Size: tga3300 Pilot K n.?b Road Meter No: Dat? Box21199 Reader No: n, MM 55121 Owner. Jce Site Address: 37 i ,. , L1 ??'•",.._- nn. Chg: 525.00 a Ik????6f cct. Dep: , rmit Fee: I Qxe tu comply with 1he CRy of Eagan urcharge: r. Plant ' ? • ` • Ordinances. ? eter. By . isc.: WATER SERVICE PERMIT .?'s. -yrt`1?cIrir oF EAoAN gEWER SERVICE PERMIT 3830 Pllot Knob Road 10191 P.O. Box 21199 .., . PERMIT NO.: _ ? Eaysn, MN 55121 DATE: Zoning: TZ i No. of Unib: Owr Add Site Plun I agree to comply vrith the Clty ol Eayan Connection Charge: 5 2 5_ Q0pd Ordinances. Account Deposit: _ 15 _ Of?nrl ,• Permit Fee: 1 n- nftpri, - ' • Surcharge: i ` gy ° Misc. Charges: j Date oi Insp.: Totai: In,qp,: Date Pald: ? OF EAOAN Permit No: 9041 pate: 9-14-$7 PNot Knob Road Meter No: Size: Box 21199 " F{eader No: Date: m. MN 55121 Joe t 11I er Coast. t nn. Chg: 525.00pd Zoning; ? l 15. t? d 1 ct Dep: ? No. of Units: rmit Fee: 10. 00pd rcharge: •501'd _ ! agree to comply with the City of Eagan Plant ls 0,0223 , Ordinancea. )ter. 67 _ flfl.,,t 3c.: BY WATER SERVICE PERMIT a 13463 py??s 5 Request D - I Fire No. in Inspeclon a o '- Yes No ? Ready Now ?WAI NoLty Inspecmr When Ready? licensed contractor ? owner hereby reque s ' spection-of above el work at Job?dtl ( . BJoyp?Pane No.) ?? ?l?l ..i U J ? ?Lj Ciry ^ / 1 A/I SectiO. NO T i0 Neme or No. Range No. OccuOa (F ) ` ld? P? No. ! ? PowerSupplier AtlEresg c? Co r?C ny ma) ` Comr or5 L? - ? Ma,h AWr ICO p 1 ? l ? or Ownar Making Instelb n `? VU Si naW COpqapioJ W aki 1181 MMNESOTA STATE BOIIFD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT GrlqgaMitlray BNIg. - Room S113 BE ACCEPTED BY THE STATE BOARD 1821 UnMnlry Ave., St PeW, MN 56104 UNLESS PROPER INSPECTION FEE IS PMnM (612) 6424800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 See msimceons 1or comvleting ihis brm on eack oi yellow copy Il M w 13 4 6 3/O y?SU 'X" Below Work Covered by This Request ???w•? ew Adtl ReD. TypeoBuilding AppliancesWired EqmpmentWiretl ome Range Temporary Service Duplex Water Heater Electric Hea[ing Apt. 8uilding Dryer Other (Specify) Comm./Industrial ' Fumace Farm Air Conditioner - Other IspecMl Convaclor5 Remarks. I I u.o'L/ Compute Inspection Fee Below. # Olher Fee # ServiceEntranceSrze Fee # Circuits/feeders Fee Swimming Po01 0 to 200 Amps lft 0 to 100 Amps Transiormers Above 200 _ Amps ue 100 Amps SIqnS InspectorS Use Ony. ? ? T Irrigation Booms J ? ? ? Speciallnspection Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee WO. COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspactor, hereby Rougl.n oei O??p`? certify that the above inspection has been made. 10 ornce use orvir This reque9l voitl 18 rtronihs irom -' NO PRV REQUIRED CITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-199, ? PH ON E: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $100,000 SiteAddress 3740 GREENSBORO DR Lot 1 Block 4 Sec/Sub. GREENSBORO 1 Parcel No. a Name JOSEPH MILLER CONST = Address 18133 CEDAR AVE ° City FARMINGTON phone 431-2001 o Name SAMF ¢ . ?` Address P City phone ua WW ~2 s? uZ aw Name _ Address Ciry_ Eagan, MN 55121 N! 14061 Receipt # 76 4f Date AliGGST 17 19 87 OFFICE USE ONLY On Site Sewage Occupancy R3 - - MWCCSystem Zoninq Rl X On Site Wen Type of Conffi v Ciry Water X (Actual) (Allowable) # of Stories Length 50 Depth 3} S.F. Total Footprint S.F. APPROVALS FEES Assessmenta _ Permit 503.50 Water/Sewer _ Surcharge 50.00 Police _ Plan Ravlew 251. 75 Fire _ SnC,Ciry 100.00 Engr. SAC, MWCC 525.00 Planner _ WaterCOnn. _525- 0 Councd _ Water Meter 67 - f10 I hereby acknowledge that I have read this application and state Bldg, Oft _ Roae Unit 4n5 _ np thatfheinfortnationiscortectandagreetoco plywithallapplicablel A? - TreatmentP7 ]An np State of Minnesota Statut C[ty of ? O inances. Variance _ Parks l' Copies 4 Signature of Permittee 707aL $2, 507. 5 A Building Permit is issued to? SEPH MILLER CONST on the express condition that all work shall be done in accordahce with all applicable Sj@te of Minnesqja Statutes and City of Eagan Ordinance& Building CITY OF EAGAN , Np 18472 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ y PHONE:454- 8100 ?y BUILDING PERMIT Receipt # / To be used for BASEMENT Est. Value $1, 500 pate OCTOBER 19 19 90 Site Address 3740 GREENSBORO DRIVE Lot 1 Block 4 SeGSubGREENSBORO 1ST . OFFICE USE ONLV PBfCBI NO. Occupancy - FEFS w DAVE & SUE HOEFFELL Name Zoning (ACtual)Const - $35.00 - BIdg.Permil ? Address SAME (Aliowable) _ 1.00 h S 0 urC arge City Phone 456-9234 sorstories - Plan Review Length _ o Name ALLEN CONST oepm - snc cdy , 0 4 14510 SHANNON PKWF., {/105 AddreSS S.F.TOtal - , m City ROSEMOIINTPhOne 423-3110 S.F.FOOlpnms _ SAC,MCWCC Water Conn On Site Sewage _ Name OnSileWell - WaterMeter Fui AddfOSS MWCC System i City Phone Cny Water qcc1. De osit - P S/W P m l PRV Required er i _ I hereby acknowlege thal I have read ihis app n nd state thal the ? Booster Pump - ?W Surcnarge informanon is conect and e to comply it I applicable State ol Mmnesota Statutes and City agan Ordi nce TreatmeM PI Signalure ot Permrtee APFHOVALS Road Unil A Builtling Perm4 is is ed ta AL [? '? N$T Planner - park Dad. on tha ezpress cond n thal all work shall e done in accordance with all Council - applicable Slate ot Minnesola utes and Cityof Eyq Or ances. ?? eldg ON. _ Copies , 00 Building Oflicial ? ?Q Variance - TOTAL TM1Is 18 m D ag Street Address, Box or Roote /No. 3'??{? i? BnS lroDr6 ? 1-i+?? ectmn o. Townshio Name or No. Renge No. C??y E'Q ct? Counl Y OcCU [ IPPINTI aP ?lln ?. Phone o. 3l- Pawer SupOber (I /? Adtlress/ /J41C0 j` ? ? /'( O-r7N?I/i4 'd?E/J ? Electncal Con a tor I?`?'anp el . /? iFd' ??G??Y ? Convactor"s License No. , G MailinB A.dJress IContractor or Ownoy(dakine ? stailat?onl .',?Saa Ca?n ? s? a c:l t/'J , Au[horiz iB?a[ure? ct /Owner Makin Installatinn) Phone Numbe / q 0 yg d-4 NNESOTA STATE BOAR ELECTflICITY iH15 INSPECTION qEQUEST WILL NOT Ti9es-Mitlwav Bldg. - Room N-191 BE ACCEPTED BY THE STpTE BOAPD 1821 Universitv Ave.. St. Peul, MN 55100 UNLESS PqOPEX INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. [N licensed Electncal Contractor 1 herebv request mspection oi abova ? Owner elechicel wnrY ine?anen e 5 jfREQUEST FOR ELECTRICAL INSPECTION _ 0 See inshuctions for complebng this fo?m on back ot Yellow cooY. ?-7 -2?? D 41919 "x* BeloW Work Cnvered by This Request J FAd ni BuJtlma? Aoobancae Wrted Enuiument Wnei' I Apt. Buildmg Dryer Electric Heatinq -FX ? Commercial Bidy, Fumace S, lo UnloaAer n-I Industrial BIAa. Au Condmaner Bidk Milk Tenk N Fee ServiceEntrBnceSize H Fea Fexders/SUbfeedere k Fee Crtcwts J 0 to 200 Am s 0 to 30 qm s i4 30 0 tn 30 Am s Above 200 Amps 31 to 100 qmps 31 to 100 Am s Swinui»ng Pool Above 100_Am s Above 100_Amps Transiormer5 ?«igation Boorr?s YC I Partial. O[her Fee signs sUeciai insUection S \ v TOTAL E?? ,p Pemorks ?,9? Moupn-in - ?e`? 1. the Elee ? -flnsoectoq nereby rl? cerlily that the above Final ??w mspectmn has bean ? ? (?•f ? mede. ? ? (10 U) O ? U G:Misc/GBOROESMT PUBLIC WORKS DEPARTMENT City of Eagan PROPOSED 10.0' DRAINAGE & UTILITY EASEMENT aa 0 20 1!%ili SCALE 1" = 20' Date 4-15-99 GREENSBORO DR. 53c:i b? RESIDENTIAL ? S BUILDING PERMIT APPLICATION 1 CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauiraments • 3 registered sde surveys showing sq, ft otl(x. sq. R. of house, and all roafeA areas (20qo mazunum tot coverage allowed) . 2 copies of plan showing beam & windaw s¢es, poured found design, etc.) • 1 set of Eneryy Calculatrons • 3 copies of Tree Preservahon Plan d lol platted after 711193 . Rim Joist DeUil Op6on5 selechon sheet (61dgs wiN 3 or less umis) DATE SITE ADDRES3 3 )yo el'- RemodaUReoair Reauirements • 2 copies of plan . t set of Energy Calculatians for heated additions . 1 site survey for eztenor adtlitions 8 decks . Indicale itAOme served by sepGc system for addtlions VALUATION ????• MULTI-FAMILYBLDG _Y ?N TYPE OF WORK /h/-oLt FIREPLACE(S) _ 0k 1_ 2 APPLICANT ?Sky/, STREET ADDRESS CITY 6"?/-C STATEA'j"-/ZIP ,S'i?_Y30, TELEPHONE # '?t-3"r2Y-l5 3 / CELL PHONE # PAX # - PROPERTYOWNER TELEPHONE# ?? y'?' ?/ ----------------------------------------^---°------------------------------------°----------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLS0T:1 RCI.ES 7670 C.VI'EGORY t MINVESOT:1 RliLt:S 7672 (4 submission type) • Resitlenlial VentllaUon Category 7 Worksheef Su6mitted • New Energy Code Worksheet Submdted • Energy Envelope Calculatlons Submitted Plumbing Coniractor: __ Plumbing sys[em includes: Mechanical Contractor. N(cct?anicaJ svstem includcs Sewer/Water Confractor: _ Water Softener _ _ Wa[er Heater _ No. of Baths Air Conditioniug Hea[ Recoven System _ Phone # laim Sprinkler No. oFR.L Baths Fee: $90.00 ?P, 1? II L"J T -----------------------------------------------------------------------------^-----------------...__..------------••----- I hereby acknowledge that I have read this application, state that the information is correct, ond agree to comply with pll applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of AppUcanf__;;?"'? ----°--.------•-'------__._....----____.____. _. - -- - ---------------- - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated SI02 SINGLE FAMILY DWELLINGS 1990 SUILDING PERMIT APPLICATION CITY OF EAGAN 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 CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING ?AY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTDR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILD7NG PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. '?!_GT 2 F k'Ee^ To Be Used For:???. Valuation: 4? Date: 1011611,70 Site Address 3'?p ?LI 15-,' OFFICE USE ONLY Lot I Block a_ Parcel/Sub ?RRAmd?K'YtlY ? A? Ownei Address ??1? ?}?yl?.r,}???? (jjy• City/Zip Code Phone 'A-`p - ?zvr9- Contractor 4?x( Address `q-5/OS _ N?•J CityJZip Code Sf?fo?r.%7 f?1i? SS Dl? Dccupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV Booster Pump _ ,( APPROVALS Phone ?/-z3 Planner Council Arch./Engr. Bldg. Off. !ko(17 Variance Address City/Zip Code FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. ?eposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 9 /.O o 07 Phone # .? . .• ' ? _ J 7987 BOILDING PERNIIT APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS IPCLDDE 2 SETS OF PI.ANS, 3 CERTIFICATES OF SURVEY, 1 SST OF ENERGY C9LCOL6TIONS NOTE: ADDRESSES FOR CORNER LOTS - COHTR9CTOR/HOME04iNEE MOST DESIGHATE WHICH ADDRESS IS DFSIRED. NO CHANGfiS WILL BE ALLOWED ONCS BIIILDING PERHIT IS ISSIIED. MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL OAITS FOR SALE'DNIiS INCLUDE 2 SETS OF PLANS, CERTIFIC9TS OF SQRVEY - CHECK iiITH BLDG. DEPT., , 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ??,?, " ,F -b 'ILtW To Be Used For: ?IyCJ/,,,?t.Cr Valuation: Date: Site Address 3740 -6?? &, Lot I Block <4_ Parcel/Sub Owner Address City/Zip Code _ Phone Contractorl4m Address 1903 City/Zip Code p Phone Z121- Arch./Engr. Address City/Zip Code Phone !f On Site Sewage Occupancy R"3 MWCC System r/ Zoning '97- On Site Well _ Type of Const City Water J? (Aetual) (Allowable) li of Stories Length SO.DD Depth 3 7 • 33 S.F. Total Footprint S.F. APPROVALS FEFS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off 7.k?- 8 1-7 APC Var iance Permit ,S03.SO Surcharge Sp,°° Plan Review 25t. 2f SAC, City /DO.°-° SAC, MWCC SZS, °= Water Conn 52 -°° Water Meter 67. °O Road Unit OS. Treatment P1 Parks Copies TOTAL a? 507. 1?5 ZZ.x22.34G1 x 12= , , • ? ??'Z X 5'? : 9oSX q u; S7gq2 5Sf!! (? 35552 99560 6 /= I J2 1°RI-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: JOE MILLER CONST. LEGAL DESCRIPTION. LOTL,BLOCK 4, GREENS$ORO FfRST ADDITION ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA i V1 I G ? z $CALE : I" i 30' N 0° 28' 04" W 86.00 5?- I LOT I I ? ?N I ° ? ?t1 I o^ ? °Q I m v? Z 4- C? N I4 i N. ? 22'y, ?n s ? I 1O ZS If ? I? ° r Z Q W W Q Q Q I?? ?l N= M ? p o o? ? I Z ? ? ? 3? co N IM M 5 Qo19.03d' o N o428 04" W Da0 -_,_ GREENSBORO LEGEND o QENOTES IRON MONUMENT a DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hereby cs rtity thof this survey,plan or rsport was praporsd by me or undsr my direct supervision and ihat I am a duly Reqistored Land Survtyor undor ihe Law: of the State of Minnesota v ! ? ? INVERT ELEVLITION AT SERVICE EXTENSION= ' PROPOSED GARAGE FLOOR ELEVATION = 9/Li5' PROPOSED FIRST FLOOR ELEVATION = / t PROP.OSEO BASEMENT FLOOR = ELEVATION NOTE ' VERIFY ALL FLOOR HEtGHTS WITH FINAL HOUSE PLANS Bradlsy J. Sw 1ro3f/Mn. Rop. No. 13235 87 Date ? ?3 l l2 1 lTo be subml,bted rvitL 6uildin g permiti applicationj Ous o'r"Ttvo lwellitig 3 ? ? o Owner All ottier G? -????h Contractor -?S?S??II.L? ?O/ll?i7" b?te Plione LINEAL F OF EXPO EUYlALL yW0 ?k fEo sbove grada ? Z ? z __ • TOTAL EXPOSED IYALL AREA 8g,. FT. OPAQUB W/u,L uaeail reLereuce trom ettaclied siiaote Y!I H DO IYS t NnIce & n n uooi1 s t CoNST[tUC'rlUli t flUit Ve7.ue x Area ?ea?w?F fluff flun ? X SQ. n U - ? o x x sR• 3Q. n u? A se. $lUll K $R• IIV11 x sg. nuu Type u n it Va1ue X Atoa L&SUL G1h?hn? np?? Ilulf?(? $Q. upu x 8Q. fluff X tj4. x sQ. uun value x nroa FT. ,z.1o4?1s(U) (,?) FT. ? Lo _?(u)(e) FT. 2? , U) (A) FT. - ?U)?R) e?. _ (?)tn? FT. ? ?U)(A) FT. 7 , ("/'frr7Z(U)(A) FT. _ (n) (v)(n) Fr. ? (u)(n) Finlce & Type v n IIUI# 4- ? n .?TID b'R npti i x Sg. FT. Io -?/?9 (Il)(A) u 11 11Un x SQ. R 3Q. FT.?__ ,(p)(A) FT - npn - x 8q. . (0)?A? FT. ^ (U)(A) TOTAL9 TM LOi7--SQ. 4 F'T.` 2ZF/?J) M(A) TOTAL (U)(A) VALUES AYEIiAtlE IlUu Zg 3 4 UIViDED BY TO TAL VrnLL nIzEn ? rZ ?"'. ?9 /? I? ? ?VEIME °Ull• _I15 ot? leoe for 1&2 tamily dwelli??gs • RoOF/CEILIIJQ t TaTAL AnEAf Q"Z?j ? • Detail reterence from "-----'- IIUII ? ?0 - x 8Q. F1'. ?. l? Z ??r7 nttnclied slleete. Ueoct'lb upn - loull x sQ. FT. _ 0)(A) < (U)(A) e oi+euiugo iu root. X X SQ. SR. FT. FT ? (U)(n) "Un X ?R• . F.T _ - (U)(A) TOTAL (U)(A) VALUE9 DIVIllliD ''fa'PAL IiOOF/CEILIiI By I e?7r , Tr . ?I.S _ (U)(n) -- 1nz,s sg.?Z I ??? 0 AIiEA AVE11AqL ??Un ,025 for yentilated roofe. ? ? ? , II • r??Al?? '??1 a 4to +??'Z8?-z8? = 14I I117, ozg,z8 ?k- ,,; c7q ? ?,.; r-iv? lzz,84? WiNt::; w? 2 VJ. X`?`8 = ZZ?'?X4-= cla I /?/{?!„'I Z?^?T? - If?ZJ/?I IlI?7 ZaXCco = 3?-xl = ?,o i !W= , v3 15? w '? ?8 X? (Z = 21 b ? wAu- L?s e-ONe-, 9qllcp leiM , IZZ,P?? '' waws, 1g??1y ,? .??? `ll,o ^ ?I?•15 , ? 1939,4,57 •. ?, 'Detero?ining ?lUll veluee at Rvofg Walll Rim, and Cona. Block ROOF/CEILINa ,. R V U 1.1 Intarior Air e'ilm o.61 2.) 5/8ll ayP. Ba. .56 3.) IneulaLion 44.ao- 4.J 5.) Exterior Air Film .61 (STILL) npn a 1IR= •02/ iOTAL (R)= ,K.7g . ,. WALL R VALU 6.) Interior Air Film o.68 7.1 }" aYp. sa. .45 8.) Inaulation 19.00? 9.) bu? i 4 10.) ding Musonite S .67 11.) Exterior Air Film .17 nl(" a 1/R= • O`?'3 TOTAL - (R)= 73.0 j RIM R YALUPs 12.) Interior Air Film 0.68 13.) Ineulation 19•00 -1 14.) 2" Fir Rim Joist 1.88 15.) P011,r-1?,Ts 2,04 16.) Meeonite Siding .67 170 Exterior Air Film 017 upn a IIRa ?O4p TOTAL (R)= ?- • r FOUNDATION R VALU 189) Interior Air Film 0.68 19.) zo. ) P-+l 97,?IPr?? l1.?? 21.) 12" aanorete Bloak . 1.28 .. 22.) 23.) Exterior Air Film i? npn a 1/Ru •071b TOTAL (R)= )3.1z7 t? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *TOTE: PAYMENT OF FEE AT TIM OF APPr.zcAazCN ooES Nom oONsriTM APPROVAL OF PERNIL'P. INSPDCIZON OF SESd?Et ADID/CI2 FiATgt INSTArTATrpNS WUL NOT BE SCFIDD- UI.ID UDTPIL PII2MIT AAS BE@7 APPRdNFD. - -- -- - P ease Print 1) PROPERTY ADliRESS: LEGAL DESGRIPTION: IF EXQSTING STRCCiL?RE, DATE OF ORIGINAL BL?ILDING PERMTT ISS(.'ANCE: ' hbn ear PRESENP ZONING/PROPOSID USE: 0 COAP'Z2CIAL/1ETAIL/OFFICE 0 INIDCSTRIAL n INSTZ2UTIONAL/GAVIIW4ENT B-?R-1 SINGLE FAMILY r-I R-2 DLPLEX (Tao Onits) ? R-3 'IOWNHOUSE (Three + Units) ( Onits) q x-a aPAxTrErrr/mrmorurrruM c vnits) z) NAME: 7? . ADDxF'ss: /8/33 C.4PNw ??? CITY, STATE, ZIP: ..5¢,t.J . , PHONE: ¢?a-?asI 3) ' i=34' NAbIE: ADDRFSS: CITY, STATE, ZIP: PHONE: ActiVe Ecpired Not recorded MASTER LICENSE# ,{7?7(AS li Staff ??al 4) •• • i?• NAME: S.0M ? As C.2 _ ADDRFSS: ' CITY, STATE, ZIP: PHONE: • ? 5) ?? ?• •?• :o ? a? , B?CONNECrION 1l7 CITY SEWIIt M--6NPIIX,TION TO CITY WATER Q OTFIER ' 6) '? • ??• Q PLEASE HOLD APPROVFD PERMIT E'OR PICK-L?P BY ONE OF ABOVE PLEASE MAIL ApPROVID PII2MIT TO 1. 2. 3. 4, AHC7VE • (Circle one) 7) r ?• ' W-s.-?.11?Q ?vu2? ? 9-!/-f?'7 r.:, __ FOR :CITY USE ONLY PERMIT # ISSOED <. Pd w/Bldg. Permit FEES: $ $ ICfS?' SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?C'• S v WATER PERMIT (INCLODE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ? J Lr77 ACCOUNT DEPOSIT - SEWER $ $ ?,s^,?rz) ACCOC'NT DEPOSIT - WATER $ _ i5- 2 .> C--Z? $ WAC $ ?- 2 5crC? S sAc $ $ TRUNK WATER ASSESSMELVT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ I •3 ? / ? $ ? /U-? TOTAL . ??-L/ 7773.3 RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? r--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC ! ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CO[VDITIONS: APPROVED BY: dolc? TITLE: DATE : 9 // Lf 7Z f 7 - TEMPORARY CONSTRUCTION EASEMENT IN CONNECTION WTTH EAGAN CITY PROJECT NO. 726 This easement, made this? day of TJ I q ,1999, between JOSEPH J. ECKSTEIN and MARY B. ECKSTEIN, husbanfl and wife, (hereinafter refened to as "Landowners") and THE CITY OF EAGAN, a Minnesota municipal corporation, (hereinafter referred to as the "CITY"). WITNESSETH: That the Landowners, in consideration of the sum of One Dollaz ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, do hereby grant and convey unto the City, its successors and assigns, a temporary construction easement for storm sewer purposes over, under and across the following described premises, situated within Dakota County, Minnesota, to-wit: The Easterly 15.00 feet of Lot 1, Block 4, Greensboro First Addition, according to the recorded plat thereof, Dakota County, Minnesota. Said temporary construction easement to expire on September 1, 2000. The grant of the foregoing temporary construction easement for storm sewer purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct and inspect a storm sewer system. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it Se und prior to the commencement of such actions, subject onl,ya. o perrn asement alterations. All damage to existing urigation system and sy stem from the construction of said improvements shall be repaired at the sole cost of the City. The landowners, their heirs and assigns, do covenant with the City, its successors and assigns, that they are the owners of the premises aforesaid and have good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowners have caused this easement to be executed as of the day and yeaz first above written. ;?-j /l? A A ? osep J. kstein STATE OF MINNESOTA) ) ss. COUNTY OF DAKOTA ) '? ? ?o.?? • l`c.JV1.d??? Mary B. Ec stein The foregoing instrument was acknowledged before me this ? day of 1999, by JOSEPH J. ECKSTEIN and MARY B. ECKSTEIN, husband and fe. e rro ru c APPROVED A3 TO CONTENT: ? az Public Works Department Dated: f1-30 - 9`j r< JUDYA.SHOWALTER e•?. NOTARY PUBLIC-MINNESOiA ,,, ?.o MyCammisslonEzpi2sJan.31,2005 . G AuWMnr/Cnmubwo RoJ 726 Ed? 2004 RESIDENTTAL BUILDING PERMIT APPLICATION 4-1 brx? ? l0 5 1 y y City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionReauiremenis RemodeVT2eoairReauirements Otie Pse 0? 3 registe2d site surveys showing sq. R of bt, sq. R of house; and all roofed areas 2 copies of plan CeFkuf SBNey Recd (20°k maximum lot cove2ge allaxed) 1 setof Energy Calculations for heated addiGons Trw-pre4Rlap ? =W,.. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns & dedcs Rrw,'resequi " 7 set of Energy Calculatbns Atldifion - indicate if arsfte sepfic system 0n- sRe Seppc Sypteln------ _Y„_. N 3 copies of Tree Preservation Plan if lot platled after 717193 Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units ^-/ z'u(JU'{/YYl,1.t' 1 1 V Date 9, I I, I0!f Construction Cost 111600,00 ? Site Address AO?In I ?p. N?`w dJk, UniUSte # Description of Work ? 11J1 W? ?`^' ? Multi-Family Bldg _ Y_ ? Fireplace(s) _ 0 ? _ 1 _ 2 P t O Telephone#(?h'?? wner roper y ? Contractor 6 ( p? DkA ML' , , Address CitY State Zip Cj ?? 0 I `'E Telephone # (fD 5j) ?? ? -slb tt(o COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (+l?submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( ) rt ?0 I hereby apply for a Residential Building Permit and acknowledge that the information is complete _and accurate; tha± the worlc wil: be in confoi:nauce with the ordinanees 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 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. J ay T-C, IA Ws e h! Applicant's P inted Name ? ApplicanY i ature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155636 Date Issued:05/28/2019 Permit Category:ePermit Site Address: 3740 Greensboro Dr Lot:1 Block: 4 Addition: Greensboro 1st PID:10-30900-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Joanna Nowak Mccoy 3740 Greensboro Dr Eagan MN 55123 (651) 295-0283 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature 01 For Office Use/�j I 00 " rw - Permit#: (lO U �� G Permit Fee: / 417 5,3 ""-°1""" .,. Date Received- `- () 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ...a: :.,,, ': • (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 MA r Staff: Pi) 4 buildinginspectionsru�cityofeagan.com 0 2 2020 2020 RESIDENTIAL BU 1 ' m. ' ' iii APPLICATION Date: 03/02/2020 Site Address: 3740 Greensboro Dr unit#: Name: Terry Poe Phone: 952-228-9203 Resident/ 3740 Greensboro Dr, Eagan 55123 Owner Address/City/zip: Applicant is: Owner 1 Contractor ' l^ 1 -<t Description of work: Bath Remodel �� e�S,�a/ Type of Work U/ Construction Cost: 20000 Multi-Family Building: (Yes /No / ) Company: Fast Home Pros, LLC contact: Tucker Hoaglund Contractor Address: 12585 Rhode Island Ave City: Savage State: MN Zip: 55378 Phone: 6122587543 Email: tucker@fasthomepros.com LiBC750506cense#: Lead Certificate#: If the project is exempt from lead certification, please explain why: Year built 1987 I I 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: Fire Suppression 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-•ublic if ou •rovide s•'cific reasons that would•ermit the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00pherstateonecall.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. xTucker Hoaglund xTucker Hoaglund Date:Digitaliy2020.0os2red302by090723TuckerHoa06'0glund0' Applicant's Printed Name Applicant's Signature DQ i40 WRITE BELOW THIS LINE ` o 6p -rj S) 2o De. /‘o307 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) Ingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) f'Multi Deck Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building I WORK TYPES New Interior Improvement Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior NA 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 ) OD Occupancy 7` MCES System Plan ReviewT Code Edition 2,12 5 SAC Units (25%_ 100%v ) Zoning City Water Census Code �` Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ([0) Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) _ Final/ No C.O. Required Foundation Foundation Before Backfill -.i HVAC_Service Test Gas Line Air Test_ Hood Roof:_Ice &Water _Final / Pool:_Footings _Air/Gas Tests _Final Y Framing 4 30 Minutes 1 Hour Drain Tile �` Fireplace:_Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee t Surcharge (1yrif Plan Review ,(,, MCES SAC V City SAC `; . Utility Connection Charge S&W Permit& Surcharge 0 xi D ---,,, ,2 Treatment Plant I 3 i 0I) Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160439 Date Issued:03/10/2020 Permit Category:ePermit Site Address: 3740 Greensboro Dr Lot:1 Block: 4 Addition: Greensboro 1st PID:10-30900-04-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Joanna Nowak Mccoy 3740 Greensboro Dr Eagan MN 55123 Gbg Mechanical Llg 1565 Mill Pond Ct Chaska MN 55318 (612) 743-3116 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167046 Date Issued:02/19/2021 Permit Category:ePermit Site Address: 3740 Greensboro Dr Lot:1 Block: 4 Addition: Greensboro 1st PID:10-30900-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Joanna Nowak Mccoy 3740 Greensboro Dr Eagan MN 55123 (651) 295-0283 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature