3743 Greensboro DrCASH RECEIPT
CITY OF-EAGAN ?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE -7'
? t l
nEC.WEO
rnoM ? ?.4X ?'Y X
AMOUNT
& DOLLARS
iao
? CASH VCHECK
C 884, e ??,,
w*-fiw copy
Thank You .,--
ev _ ,?'t
SEV1fgR b`-WATER PERMIT
CITY OF EAGAN
3830 Pi1ot Knob Rd.
Eagan, MN 55122-1897
METER # -
CHIP # -
METER SIZE
DATF, ISSUE DATE
? ._-
USE ONLY '
PERMIT DATE 01 / l 6/9Q
PERMIT # 11 525
B.P. RECEIPT # C, 8$42
B.P. RECEIPT DATE 117I121?0
_ PRV - BOOSTER PUMP
SITEADDRESS 3743 :re_ne-tt+to Arire ?
LOT 3 BLOCK 1 SEC/SUB '%reensboro 2nd
C IIY, Sl
PHONE:
ZIP
PLUMBER:
ADDRESS:
CITY, STAI
I OWNER:
PHONE:
ZIP
PERMIT REQUESTED
; SEWER WATER - TAPS
- COMM/IND %RESIDENTIAL
? NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
_..? . ,
I A6REE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSiNG. CALL 454-5220 FOR INSPECTION5. FOR 5TORM
SEWER PERMITS, CONTACT ENGINEERING QEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ?
OFFICE USE ONLY
METER #y 3/ S 7_I7 PERMIT DATE 6' / 16 ?90
CHIP ??1-189??l 3 PERMIT # i 1525
METER SIZE c?? B.P. RECEIPT # C 8842
ISSUE DATE B.P. RECEIPT DATE 07112 /9C
_ PRV _ BOOSTER PUMP
SITEADDRESS 3743 Gzeenst4:2ro Jrive
LOT 3 BLOCK 1 SEC/SUB ?:;r e e n s b o r o 2 n d
. ?'
PERMIT REQUESTED
?.SEWER
? WATER - TAPS
? RESIDENTIAL
- COMM!IND
CITY, ST'ATE ZIP ?. NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meiers on Water Line.
ADDRESS: Crqdit WILL NOT be giaren for Deduct Meters.
CITY, STATE 01 h.?.",111ZIP
PHONE: ? 1? ' ??•CL,C . ? ? _ ? -- i ' ? . '? ?i' C _ ?
/? 4_ ?• n I A?.?aREE TO COMPLY WtTH CITY OF
OWNER: '- ? ` E/YGAN ORDINANCE
ADDRESS:
CITY, STATE w'`", ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE IILLOW TWO WORKING DAYS FOI# PttOCtSSING. CALL 454-5220 FOR INSPECTIONS. FOR STOHM
SEWER PERMITS, CONTACT ENGINEERING DEPT. . _ ,
, . MECHANICAL PERMIT For City Use Only
CITY OF EAGAN PERMIT *
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
DATE PHONE 454-8100 DATE: 7?/z -7 Z,?'?L?
; Site Address ? BLDG• 7YPF WORK DESCRIPTION
: Lot 3 Black Sec/Sub Re ' -?-- New ConstX_._
h, Add-on
Comm. Repair
Name
?
A Other
? ddress
c City Phone - FEES
RES. HVAC 0-100 M BTU - $24.00
Name ADDITIONAL 50 M BTU - 6.00
?
Address (RES. HVAC INCLUDES A/C ON NEW
CoNSTRUCTtON)
" p City Phone ' TOWNHOUSE & CONDOS - RES. RATE APPLIES
? MINIMUM RESIDENIIAL FEE - ALL ADD-ON &
? TYPE OF WORK_
: Forced Air
Boiler M BTU
= Unit Heater M BTU
Air Cond. ` M BTU
Vent CFM
Gas Piping Outlets #
` Other
: CommJlnd. Contract Price x 1%
- 12.00
COMMAND FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
MINIMUAA COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
PERMIT FEE
,., S/C:
w!
CITY OF ER
COTITRACT 3830 PILOT KNOB ROAD,
PRICE PMONE 454
Site Addrsyss -s / 7'-)
Lot -s Bbck
FEES
COMMJIND. FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLUES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $,000 OF PERMIT FEE)
CITY OF EAGAN
PERMIT # _
MN 55122 RECEIPT#
DATE: _
- aes. Al? New v ?
Muk. Add-on
Comm. Repair
Other ?
RE3. PLBG. ONLY - CAMPLETE 7HE FOLLOWING: ?
NO FIXTURES
Water Closet - $3.00 $ Tot ?
?
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00 - ?
Kitchen Sink - $3.00 ?
UrinaUBidet - $3_00
Laundry Tray - $3.00
-?-
Floor Drains - $1.50 70 ?
Water Heater - $1.50 1 jl?u s
Whiripod - $3.00 ?
= Gas Piping Outlets - $1.50 ?
(MINIMUM • 1 PER PERMM
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50 ?
? ,
U. G. Sprinkler System - $12.00
PERMIT FEE: GT)
a
STATES S/C:
GRAND TOTAL:
s:.
? r. .{... a.?i'
.
_ . ,. . . , , ... . , ?.a,ryr . . . , . • • . . .?
CITY OF EAGAN 18138
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ? •- ?/ . 4:
BUILDING PERMIT
T- -- . --, •-- SF Diii6/CJ1R
Receipt # =116 ,000 pate JULY 11 ., t s90
Site Adiress - W?
Lot Block SeciSub.
Parcel No.
W Name
; Address
o - PARMiLlform
012001
City Phone
Phone
Name
Address
City Phone
?OFFICE USE ONLY
I hereby acknowlege ihat I have read this application and state that the
iniormation is correct and agree lo y with all applicable State of
Minnesota Statutes and City ag an .
Signature of Permitee
JOE NILI.61t ilOM68
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
R-3 M--1 FEES
Occupancy
Zoning _v?
Bld P mit
jActuaq Const
(Alb
able) -v_-* W. ???
w - SurCharge
M ol5tories
? /?s2.QQ
Length an Review
P
1???
Depth - SAC, City
S.F. Total - 600.00
SAC, MCWCC
S.F.FootpriMS - 625•00
On Site Sewage _ Water Conn
???
On Site Well -?- Water Meter
MwCC System
?- 30. QQ
Acct. Deposit
Ciry Water - 30.00
PRV Required _ S/W Permit 50
Booster Pump - grW Surcharge .
252.00
Treatment PI er
APPROVALS
Planner -
Council
BIdg.Of1. _
Variance -
Road Unit
Park Ded.
COpies
..50
TOTAL
Partnit No. Permk Hotder Date 7elephone N
WATEPA I??p?T% 46?-W?_ ZL4?
SEWEFf
PLUMBING (? cJ 941150
H.VAC. a360 %,3 o
ELECTRIC ? .S S'Q ?1701?1
kupectlon Date Insp. CommMts
F00&W I
Foundation •
Framing
aooring
Ro.gh Plbs. ..S ?d
FI°u9h Htg.
f •
917 )W N 9,0 19
Isul. /,(,)
fireplace
Final Htg. Q / . d •
Fnal Pibg. 1 /0 AZOV
Const. Meter Plbg. Inspector - Notity Plumber
ErgrJPlan
Bk)g. Final
Deck Ftg.
Dedc:Final
Well
Pr. Oisp.
L?
r
r?
?, ? ??.?,.._? ,._._......_ ..? ..? ?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: a 11 1
3830 Pilot Knob Road Permit Number. "Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: ? ? i : + + : : APPLICANT•
. ,i i r N'ISUF.t) I+I, ,i; ::.: 1 t nt11?1
1.ftl i IV'.I
1 ;.' 1 d'•
PERMIT SUBTYPE: TYPE OF WORK:
rW;l.
1-
F INAI
L -
PermR No. Permk Holder Date Tslephone 1
S/VN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapactlon Date Insp. Commer?ts
Footings I
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Freplaoe
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Rnat
Deck Ftg. 5
Deck Final
weii
Pr. Disp.
.? ._ ?. d
DATE:
JULY 16, 1990
RE- 3743 GRE6NSBORO DR (JOE MILLER HOMES)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Worics Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
_ CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPNONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 3743 G?2ENS]SEpRp DRIVE Lot 3 Blk I Sec/SubGREENSBOP
,p 2ND
Thesa items were/were not complete at the time of the final inspection.
naTR: O::MBER 17, 1990 Yes No INSPECTOR: ?
Final grade (6" from siding) r ?
Q;nGe-,
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch f
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and tha shut-off o£ water supply to the outside lawn faucet be£ore
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
915190 v$&'5(0
a 6 5 743 .44?
fleQuest Oate Frte No Rough-in Inspeceon
/ / R netl,
$ 3 09 0 G Reatly Now Will NoUTy Inspeclor
hen Reatly?
es ? No
licensed contractor ? owner hereby request inspection of above electncal work at.
Job AOGress (Street, 9ax or Route No.) Qty
3743 Greensboro Drive Ea an
Seaion No Tawnship Name or No qange No Counry
Dakota
Occupanl(PRINT) Phone No
Joe Miller Homes 431-2001
PowerSuppher Adtlress Farmington, MN 55024
Dakota Electric
Elecincal Gonnector (Gompany Name) Gomractor5 Lioense No
Midland Electric Inc. 041610
Mailing Atltlress (CONractor or Owner Making Installatron)
14055 Grand Ave So, Suite E, Burnsville, MN 55337
Adtn • (ConhactoVOwner Makrng InstalleLOn) Phone Number
892-6688
MINNESOTA STpTE 60ARD OF ELECTHIGITY THIS INSPECTION PEOUEST WILL NOT
Grlqga-MlEway BICg. - Boom S173 BE HCCEPTED BV THE STATE BOAFD
1821 Univarsfly Ave., 51. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
g?//? REOUEST FOR ELECTRICAL INSPECTION eaoo i-m
[?O ? See insWCM1Ons for completing this lorm on back oi yellow vropy ? ?f
C?y7 65743 - "X" Be/ow Work Covered by This Request
ew Add Rep. ?' TypeofBUilding ApplianceSWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electnc Heahng
Apt. Budding Dryer Other (Specify)
CommJlndustrial Fumace
Farm Air Conditioner
Omer (specdy) Contracror's Remarks
Compute lnspecbon Fee Befow:
# Other Fee # ServiceEntranceSize Pee # GircunslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps bo?y00 Amps
SignS lrs0ector's Use Ony TOTAL
Irrigation Booms ? T S
Special Inspection
AlarmlCommumcation THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electncal Inspector, hereby RO09n,m
certify ihat the above in5pechon has
been made. F,nai oa?e _ ci
? G
OFFICE USE ONLY
This request witl 18 manlhs Imm
CITY OF EAGAN ND ? 8 ? 3$
3830,Pylot Knob Road, P.O. 8ox 2 1-199, Eagan, MN 55121
' PHONE:454-8100 /'
b ? •?
BUILDING PERMIT Receipt # Y GX
Tobeusedtor SF DWG/GAR EstValue $116,000 Date JULY 11 , 7990
Site Address 3743 GREENSBORO DR
OFFICE
uSE ONIv
3 1 GREENSBORO 2ND
Lot Block Sec/Sub.
Parcel No Occupanty R-3 M-1 FEES
.
Z
R_1
5 Name ?10E MILI,ER HOMES oning
(ActuapConst V-N 81dg.Permit 696.00
I
3 Address 18133 CEDAR AVE S (Allowable)
Surcharge 58.00
° FARMINGTON 431-2001
City Ph0110 x of Stories
452
00
h 5(1 Plan Review .
Lan9I
o Name SAME oeutn 36 ? snc, City 100.00
,
?a Address S.F. Tolat - MCWCC
SAC 600.00
m
-
City
Y
S.F Footprints
O
S
S
- ,
Water Conn
69 5_(lp
na
ewage
n _
ww Name On Site Well - Water Meter 90.00
w
z
ddress
MWCC S sfem
y
0
00
?z X Aat Deposit .
aw City Phone cnywater
00
30
PRV R
d S/W Permit .
equue -
I hereby acknowleqe that I have read ihis applicahon and stata that ihe Booster Pump - ShV Surcharge .50
intormation is correct and agree to cgmgly wrth all applicable State ol
252
00
Mmnesota Statules and City Eaga r nancey 7realmenl PI .
Signature of Permitee, APPpOVALS Road Unit 355.00
A Building Permit is issued to: JOE MILLER HOMES Pianner - park Ded.
on the express condition Mal all work shall be done in accortlance wrth all Councii --
Copies
applica6le Stale of Mmnesota SlaWtas and City of Eagan Ortlinances. Bldg Oft _
.0 ?
0
?
? f rn Variance - TOTAL 3,288. ?0
1
1?
1(
. -
Bmltling Official
?,?J MECIIANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please completc for. Singlc Family Dwellings
Townhomes and Condos when pemtits aze required fot each vnit
D
xte
Site Address Unit #
Yroperty Owner Y,y1 \? Telephone # ?i?u -t)7 ON
7
??
Contractor Tj
Street Address I Ci[y
State fy11v Zip Telephone #
The Applicant is _ Owner D< Conhactor _ Other
Add-on, modifcation or alteration to existing dwelling unit $ 30.00
? furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
Total r
, 3U.no
AUG 0 8 nn3
l!? ,
L"1
'u
I hereby apply for a Residential Mechanical Permit and acknowledge that the in rmation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with tW-Mechanical-Gedes;lhati understand this is not a
permit, but only an application for a permit, and work is not to start without a pemut; that the wo- rk wil?be in accordance with the
app oved plan in the case of work which requires a review and approval of pla
\f ? ?4 f2u & . - - Jm&-, "
ApplicanY .Printed Name ApplicanYs ' ature
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ?
New ConsW etlon Reauirements RemodeVReoair Raquirements
• 3 registered site surveys showirg sq. ft. of lot, sq. ft of house; and all roofed areas • 2 copies of plan
(20% meximum lot coverege allowed) . 7 set of Energy Calculatlons tor heated additions
• 2 copies of plan showing beam & window s¢es; poured faund design, atc.) . 1 she survey tor exteiior additions & decks ,
• 1 set of Energy Calalatlons • Inditate H home served by sepfic system for add@ions
• 3 apies ot Tree Preservation Plan If lot platted after 7/1193
• Rim Joist Datail Oplions selection sleet (bldgs with 3 or less units)
DATE VALUATION 5 G C9 C9 _ C70
SITEADDRESS 7?n 1A ?MULTI-FAMILYBLDG _Y -YN
TYPE OF WORK O?` FIREPLACE(S) _ 0-k 1 _ 2
APPLICANT 1?
STREET ADDRESS V?k3 w (?A? \?c-a ? CITY STATEM"`?JZIPS'19-6
TELEPHONE # IOSI-?1'3a-iS CELL PHONE # ?ata- -`???b?s3 FAX # ????{?'??
PROPERTYOWNER TELEPHONE# SCCO?
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'PA RUL.ES 7670 CATEGORY 1 MINNESOTA RULLS 7672
(4 submisslon type) • Residential Ventila6on Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Gonfractor: ____
Plum6ing sysbem uicludes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor;
_ Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $70.00
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 dinances.
Signature of Applicant `
OFFICE U5E ONLY
Tee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: BuiLorNG
Permit Number: 0 2 3 2 3 0
Date Issued: 0 4/ 0 6/ 9 4
SITEADDRESS: Lor: s BLOCK:
3743 GREENSBORO DR
GREEN580R0 2ND
PEMV SUBTYPE:
1 APPLICANT:
EMBRETSON LEANNE
(612) 452-6965
TYPE OF WORK: NEw
INSPECTIONTYPE D. . .•
FOOTIN6S FINAL
i 7
L J
? CITY OFSAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
P.I.N.: 10-38901-030-01
3743 GREEIVSBORO pR
LQT: 3 BLOCK: 1
GREENSBORO 2Np
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
?
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t??'?: c: C?I :?Jt?ii?-'
rf??
auYLOZG"s /??
023230
04/06J94
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
MBRETSON LEANNE
743 GREENSBORO DR
AGAN MN 55123
612)462-6965
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State o'f Mn.
Statutes and City of Eagan Ordinances.
L
'J4?;Lj? A, mrly
`-' APPLICANT/PERMITEE SIGNATURE ISSU D `. SI 'NATU
I
CITY OF EAGAN
M2301994 BUILDING PERMIT APPLICATI4N ?
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy ?
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 3a oo a0a
Site Address: 6YCG?Ib6!?J kle-•
STREET SU3TE iJ
Tenant Name: (commercial only)
LOT 3 BLOCK ? SUBD./) (9Y"Lls-)2&rD 2roe?f P.I.D. #
?
Descrl tion of work:
The applicant is: Owner ? Contractor ? Other (Describe)
!'?°ifS? L-2f'.Ln.tie,_ a'd Phone ?- ?
Name flEh
Property _
LA57 FIRST
Owner 371/3 6?
A
'
O
pddress
i
ih6Yb
r•
&?4
STREET STE 1!
City ??/.Lr1 State 02N Zip ?
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applica le State af Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant.
Slitting - Leveling - Blanking - Shearing - Edge Rolling
iMaTERIaLS 612/623-8060 FAX 612/623-9070
WATS 1-800/682-3942
inc.
3225 Como Avenue, S.E., Minneapolis, MN 55414
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TO:
FROM:
SUBJECT:
DATE:
•
0
;
COLD ROLLED: CQ, DQ, DQAK, TEMPERED 6t STAMPER GAUGES; HOT ROLLED P6t0;
GALVANIZED: HOT DIPPED, ELECTRO AND PAINTABLE; STAINLESS AND ALUMINUM
SINGLE FAMILY DWELLINGS
itisi _
1990 BUILDING PERMIT APPLICATZON
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 CALCULATZONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING DF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Se Used For: Valuation
Site Address ?
Lot y? Block ? '"
Parcel/Sub??,.l?VJ'I?jU{,?
Owner
Address
City/Zip Code
Phone
Contracto
Address I ()1
City/Zip Code 1 l:Ul /l ? ?f
Phone q3 I
Arch./Engr.
Address
City/Zip Code
? Date: / -lY ? qC 1
OFFICE USE ONLY
000-
Occupancy R 3 M-?
Zoning ?_
Actual Const N
Allowable V-
# of stories
Length ?
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water !!
PRV _
Booster Pump _
AYPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit b ItOY0L)
Surcharge ' S8•?
Plan Review 452100
SAC, City JDD?OD
SAC, MWCC . O ,O
Water Conn
D
62510
Water Meter 90,?
Acct. Deposi t O,fJO
S/W Permit 30.0
S/W Surcharge
Treatment P1 . 2 Da
Road Unit ':g9s'Ot?
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
,
v
Phone #
.. ..,
A43Z -383 -90
CERT/F/CATE OF S~r
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<
/ `cjo'l:i??- ? t7100
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• N $9'31'56 "E
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,•.8cale: 1" = 30'
EAGAN E1VGIN
DESCRIPTION
I HfR£BY CFAT/FY THAf TH/S 8U4YEY, PLdW wr REAiwi'
Wi7S PR£PARfO BY ME O/7 UNUfR MY O/RECT S/A9ERV/S/OYY
ANO rNAr 1 AM A DULY Rf6/ST£RED LAND StIRYEYqR
UNO£li TH£ LAWS AF TNE STATE QF M/NNE507A. .
oarE 'Z6 f- e l49'> ? No. 8140
Lot 3, Block 1,
GRFENSBORO SECOND ADDITION
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
?xistine Propose
brondt anginaaring a rurvaying
2705 uroodom trail
burntvilla, minnaioto $5337
(bIR) 435-1466
/(4 3Z -3133-90
vaLi, -- o
; ,. ,?
, ?? ai ? , ' . .
GRr?A?? •, _.> ? , .
Z2 x2- 2_ `-F8y x ?5= ?260
SS MT' ?' l tw3-
?yxz?= 2_?0
X r75 G
Ib3? ?'?'S= ?'73?0
GuD FLocra,
z'?s kZq =--7
? x
?
S?3 X??= `?0553
Ilsss3
a1V11
, t'Ib bu subini,tted with building permit appllcatiou)
oiio or 1'wo Family Uwv.111ug _4L
n11 otlier
Z M7:> ??' r.J , -
LIVEAL Coi?tractor ?loS?,? ???L?2 caNST
FEET OF
EXl'USEUYlA1,L S5rz
oPAqUG 1YALL CoIIS'1'ItUC'PJ.UII t "U" Valuo x Area
O vrne r
sfte naaraea
Uate Pltoue
above grado = 2-4 7? . Z.
TOTAL E1CI'OSEb IYALL A11Ell 8Q, FT.
I)BtAll IIU11 ? 674-7.7 X J(2•
i•ctoraiico "?" O x
[ram °U'?
: ? P O
x
SQ.
nttacliod U'I
I * x SR,
cliaoto
? "U't X sq.
. iluti x sq.
Y1111I701VS1 . IlUii
Flulco & Typo
11
n
It „
uoot1s i
FT. D`?,7S(u)(n)
LO (u) (n)
F?. Z? =?S°)t?>
- (U)(4)
F'T. _ (U) (A).
FT. _ (U) (A)
Value X Aro«
iluto i-4-Ca x
li sq. F'T. F?3,7 = ??SZ(u)tn?
ull x
? 8R• FT. -
llul
x SQ. e?r. - (u)(n)
?????
X sa. F'r. = (u)(n)
".Uit Vuluo x Aron
II;xIco & 1'ype itUll 4-
11 177EFT 7x sR.
a.
upt,
x sq.
npn
- X sa.
roriu,s _? L??z?sR.
z'o?rAu, u)(n AVEIIAUE ??
( ) vni,ues ? 7Zgr?j? n
UiViDGU CIY ToTAL_}7AI,L AIiEA ?'. ?j?9r Z
l
-
AVEItAOli "Ul1 f5_.az? leoe fot 1&2 fatn
nga
ltooe/c ! •
FT. 41,o ---(P ,,-0?0-?? (U)(A)
FT. ?o (U)(A)
FT. (U) (A)
_ (U)(A)
f-x._ 2 ZL 31 (u) (n)
0
F.ILINU ?
'1'OTAL AIiEAI 0? '
lloEail roforenco liUll 8 F'P.= Z
Trom fiu ii R' (u)(A)
nttuched sheeto. liu? X SQ. FT. < (p)(A)
UeecrlUo openiuGa ?p?? A 9f?.' FT. - (U)(A)
lu roof. ? n x 8Q. FT. _ (p)(A)
pn x Sq. 11T. - (U)(A)
'1'o'PAL (U)(A) VALUE9 UIVIllLU BY
. "1'0'1'AL 1100F/CgILII1O Af1$p
AVEIiAUC 'IU(," 02`$ foc ventllttted roots.
rj
...--.?'r
, ?? ` I i •? 1.?-.?-`?
??I ?tZGC ?
-
e,86 X C z??'+Zo +30+-2,0 / oZ4,z8 - -
111 4-
,?-????
1zz, ?
v-? -?
w,
2V11? ZZi?7X 4-=
?I zf x'?g = 1?17i"rJ/?I - II17
7r
I Yw",I I 7?X 2'??O = ? X ? _ ?? O
?nJ ?L ZaX (? = 3?. X I=?a ? o
I w
wL = z8,o
lDl ~ ?JVID?? ^ ?Z?O
91:?
I ?
?---
.,. ? i
?
L?S
?l
?.
,
EX? r:v? L, s
w,4,u- 242j-o,z
?vivc., ?J9,Ito
Gv
IZZ?B¢
wPws, jgb,?
0 ^ Lo•75
? ? 193q,9s
. .,?-. ....?,.?...:
. Ve'termining uU" vaJ.uee at Rooit Wallj' Rimg and Coua. Block
AOOF/CEILINQ ,. (R) VALU$
1.) Interior Air e'ilm o.61
2.) 5/811_ayp. sa. .56
3.) Ineulation 44,00
4.1
5.) Exterior Air Film .61
(&TILL)
nUn = 1/R= ibTAL (R)= K-7S
?
WALL (R) VALUE
6.) Interior Air Film o,68
7.J }" aYp. Ed. .45
8.) Insulation , J9.op
9.) buiur-P-lrE Z•o4
10.) Masonite Siding .67
11.) Exterior Air Film .17
"plf > >/n' . 043 zoTn.t. (R)= 23.0f
_-
RIM A VALUE
12.) Interior Air Film 0.68
13•) Inaulation 19•00
14.) 211 Fir Aim Joiet 1.88
15.) gvi?r-?'rT? 2,o4
16.) Maeonite siding .67
17*.) Exterior Air Film .17
nUn e 1/R, O4D TOTAL (R)= Z7•gT
? .
FOUtIDATION R VALU
18.J Interior Air Film 0.68
19.)
zo: ) -
P-4 yTXlPrr-D Il.?ro
21 12" Concrete Block 1.28
22.)
23.) Exterior Air Film .17
IIV11 TO`rAL
?
O ?-
? O
Z
?
i
A432 --3$3-90
/ . CERT/F/CATE or suvvEr
.?
i ? •
?
N 8? ??? „ ?',ar
156 59? ? ?ral
3'`------ oN Hz/
J ,s.a, a
?^ / 01` jE1.911.9 N :
-;
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150,0 0
N $903 1 1 S6??E
I,0
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' OM
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a V1 ??
O o Q? I
m
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ia
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w
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vScale: 1" = 30' 1
?? ?••?
1?.
? .4
kAGAIN ENGIN IERING
DESCRIPTION
. ..?..?.... ,.?....?.. ` _ _..... ........... _ ... .. _ _....-
_
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwcllings & townhomes/condos when permits are reqwred for each unit
* ---LS3 ?c
Date / v G
Lt??
'v I'a L? unit n
>
sice naare5s
?y1 '
t
O
P
Telephone t! bst Cf ??[ b
wner
roper
y
Contractor STANDARDHEATING&NRCONDITIONING
4
Strcet Address MINNEAPOLIS, MN 55408
612 824 2656 City
State Zip Telcphone N ( )
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace Additional _Replacement _ New
air exchanger .
? air conditioner
heat pump
other
' $ .50
State Surcharge
$ ? 6b
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wil(
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanica • at I understand this is not a
permi but onty an application for a permit, and work is not to start withou it that t e wo wil e in accordance with the
appr d plan in the case of hich requires a review and approval of ans.
Applicant's Printed Name Applicant's ' e
Use BLUE or BLACK Ink
r For Office Use --"‘CC
Permit#1*6 City �� ����� Permit Fee: / 0 -'4--5-
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
/ 2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ,/—< j ''l/ ' Site Address: Unit#:
! Mae S'/41/7F4
Phone: (J -57-- ,r' 0 8r=
Resident! i "-z/3 01-eDO r(, 11>tr (,'-e.
Owner Address/City/Zip:
1 Applicant is: Owner )(Contractor
T e of Work Description of work: �. (�+L/-' c� 4 p h -sA r/tcc(es
YP �- �.1
Construction Cost: .J!o dam' C5 Multi-Family Building: (Yes /No k./7)7 -.)
Company: l ° .A CO/ ,„c 17 olA Contact:/'%-ZlK70
Contractor Address: 665/6 _ OS>1L11'i'Ic Atv City: l
State:OZip: 3-5-/-/3?/ Phone:61 ,? 7-?G,077 Email:41.1."610(10,1°i ,/(e5 o? ct c )0/1,,/1'
i
> License#: 6"77aly Lead Certificate#:
. . ___
If the project is exempt from lead certification, please explain why:
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
I 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.gopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be corn.leted within 180
days of permit issuance. r/
x x
oaf G-er , ,-
Applicant's Printed Name App icant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
::::e �
�1tY Ol E���� :
/0
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL�/ BUILDING PERMIT/ APPLICATION
Date: 3U ( 7 Site Address: 3 -k-/3 G r'eensBo 10 U fl Unit#:
Name./Mike .Sl�I!`�-"� Phone�.K(o�/+3�"T'-��� ..,
Resident/
Owner Address/City/Zip: 3741:3 (G 1 -e,e16b (b D -0--e
Applicant is: Owner KContractor
Description of work: /6 C Q /0 W 1\Ad S e .L Palib 5-('d,n o Oor
E Type of Work
Construction Cost: Multi-Family Building: (Yes /No )
: Company:• A e /V g- -Gt( 17ty)
Contact:
.m.. ,.a. . ... .�,. t
Address: ac(ta JOSch,.1�' City: 7,U�
Contractor
State 74" Zip:5:§2/17 Phone:62/07-3027 7' 2 Email:,41Ay4 PeGI Y.Of'iStatc-4V?dgeT"
License#: (07 Lead Certificate#:
i If the project is exempt from lead certification, please explain why:
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-public if you provide specific reasons that would permit the City to
conclude that theyare 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.qopherstateonecall.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.
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. p
xgltit (7`Q�l x
Applicant's Printed Name Applicant's Signature
Page 1 of 3