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3747 Greensboro Dr? BLDG. PERMIT NQ. 01-3210 .?Bl?g; Permi ? 01-3422 Plan Check 01-3445 ? Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 2Q-2275 SAC 20-3865 Water Conn. 20-3868 tJater Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi { 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL •. CASH RECEIPT ? ? ? CITY OF EAGAN • 19 RHCEIVEO , FROM AMOU I 3830 PILOT KNOB ROAD EA6AN, MINNESOTA 55122 DATE NT ? a ? CASH DCHECK DOLl.ARS . POR ' ? •- i_ ' , r BY White-Payers Copy Yellow-Posting Copy Pink-Fil6 Copy Thank You ',, CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS - Correction Notice Located at -3 I When corrections have been made, please call 454-8100 for inspection. ' -Date Inspector Ciry of Eagan i " DO NOT REMOVE THIS TAG l I have this day inspected fhis structure and these premises iand have found the following violations of city codes governing same: PLUMBING PERMIT CITY OF EAGAN D PILOT KNOB ROAD, EAGAN, MN 55122 PERMIT # CS 9 C' 7 RECEIPT # 7 1}" 73 DATE: J ls - 0 y Name ?v Addre c City ? Name Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPUES MINIMUM - RESlDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 j STATE SURCHARGE PER PERMIT - .50 j(ADO $.50 S/C IF PERMiT PRICE GOES OF EAGAN BLDG. TYPE WORK OESCAIPTION Res. v New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOT. -3 Water Closet - $3.00 TBath Tubs - $3.00 Ititchen avatory - $3.00 _ hower - ?3.00 Sink - $3.00 ,Urinil/Bidel - $3.00 Laundry Tray - $3.00 Floor Drains -$1.50 i S U Water Heater - $1.50 Whirlpool - $3.00 -_TGas Piping Outtets - $1.50 ? .? (MINIMUM - 1 PER PERMIT) Softener - $5.00 well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 ? FEE: Y. c.-L; STATE S/C: GRAND TOTAL• PERMIT # MECHANICAL PERMIT RECEIPT # ' GTY OF EAGAN 5830 PILOT KNOB ROAO, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block ?r Sec/Sub ? Res. New ' m Name t . ? . MuR Add-on AddrQSS Comm. Repair y c Cit?r _ N. Phone ' - Other 3 Add p City Phone TYPE OF WORK ? , Forced Air M BTU ? Boiler M BTU $.- Unit Heater M BTU $? Air Cnnd. M BTU $? Vent - CFM $_ Ges Piping OuUet,a # Other ? FEE S/C: TOTAL• .,'•,; (? FEES - RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 AODITIONAL 6 M BTU - 6.00_- GAS OUTLETS f 1.50 EA. COMM/tND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE StlRCHARGE PER PERMIT - b0 (ADCf $.%[S/C IF PERMIT PRICE (3OES - BEYON041,000,00) SIGNATURE OF PERMITTEE FOR: GTY OF EAGAN . ._ , . ?. . .. , . . . . . ( • ` , ' CITY OF EAGAN ?+ ? 3830 PRot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? y? i3 2? 9 PHONE: 454-8100 ; BUILDING PERMIT ReceiPt # To be used for SY nWVOAr? Est Value $1051000 Date rE?-?RU?RY 17 ,1987 Site Address 3747 GRF;i:NSBORO i]R Erect n Occupancy Lot ? Block 1 Sec/Sub. GuEEN$BORO IST Remodei 0 Zoning- Parcel No. Repair ? Type of Const t? Addition ? No. Stories a Name ?30SEPH i•1iL,LElZ CU?IST Move O Length d = Demolish ? Depth 28 ; Address 18133 CL•'Dt1R AVf; SO int Impr. ? Sq. Ft ° City e"Ai2F;IPdGAQ4 892-1010 Instau ? o Name SAME Approvals Feei = ? ? Address Assessment Permit ? Ciiy Phone Water & Sew. Surcharge _ Police Plan Review F = Name Fire SAC Z Address Eng. Water Conn. ¢ < W City Phone Planner Water Meter ; Council Road Unit 305.00 I hereby acknowledge that I have read this application and state that the gldg. Off. Tr. PI. 180.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies . 2 ? Signature of Permittee Total A Building Permit is issued ta `?U,-JZrn I•i1.t,i,c,tt t,VNS r on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official PsrmN No. PermH HoIdK Dafe TN"hoM M PWmWng ??? ?.J--J-clc?. - `? ??/?• " H.V.A.C. IY3 ? 6,47 ei.ca+c r 1 r.r? ., .3-?? 31 `0,3",g . C?, Sorienar InspecUon Date Insp. Commenb Footlnqsl FooN?qsll K Fou?tbn C???'?r /PII nofi ?enlcr;,.l o? ?c, 3-/i-S'% Fnminp Roofinq Rou9h Plb Q. . 5 ? -,'•i , ? tJ Rouyh Hty. ? InsuL Fireplece Final H19• P, =i1-X. t .!p• FInalPlbq. ow ) .KJ 81dy. FInN S • 1 t-Y e. ?. c.n. occ. l ij Doek Ftq. Deck Frmp. WNI Pr. Diap. ? CITY OF EAGAN . SEWER SERVICE PERMIT 3830 Pllol Knob-Road ,+ ?; ? P.O. BQ k.199 . PERMIT NO.: 7 2 4 Ea9an; MN 55121 ` DATE: ? Zoning: F'1 No. of Units: 7 T?p Mi17 pr CnnAr O - wner. Address: 3747 Creensboro -urive T..9 F1 (,reensboro . SiteAddress: ?Iiltner ves ??in Plumber. 100.00pc' 1 agroe to comply with the \quudnr owinancss. gefio?e ?? j?t?e?O? REp ?`? gy U?Qv? Misc Date of Insp.: Total Insp.: Date le; 52 5. 0 C'_ 15.00A(' . _? _ . -??,F.:••.?.__ ?..,.?.r-x-?=: ? CITY OF EAGAN Permlt No: 3 5g8 pate; l Size: 3830 PNot Knob Road Meter No: .O. BoX :"1199 ' Reader No: Date: g*p,-MN 55121 _ joc i•'illtr corist. VWfICI. Site Address: 3747 { Plumber T ' ' r ??? • ?`1 Conn, Chg: 525 0O2d Acct Dep: 15. OO r,d ??P, _ ---q 6g{p Permit Fee: 10,00p( Surcharge: 2)aQ,??agree t c? the City of Ea4an Tr. Plant 210 ? ?i? ? Meter. A-7 f' Misc.: BY WATER SERVICE PERMIT '?'?'?'? , • . . • CITY OF EAGAN 3830 Piloi Knob Road P.O. Box' 21199 ' Eagan, MN 55121 Permit No: ' ? n; Meter No: _ Reader No: Joa 1'iller Conat. Site Conn. Chg: Acct Dep: 525.00pc' 15 • orlip' Permit Fee: Surcharge: Tr. Plant ln, ??Dd . 50pe 1? 0• QOpd Meter. Date: Size: Date: Zoning: No. of Units: ?- I agree to comply with the Clty? ot Eagan Ordinances. WATER SERVICE PERMIT ?J - -- - - --•-- -?----------- - - -- - - _ _ - ---?+ k--'Xwqr cinr oF eACarr SEWER SERVICE PERMIT 3830 Pllot Knob Road 9749 P.O. Box,41199 PERMIT NO.: Eagan, MN 55121 DATE: 4-'-` : Zoning: r1 No. ot Units: 1 Owr Add Site Plun...,... . . .- r 70193 . I sgroe to compy with the Gty of Eagan Connection Charge: 5? 5. OOpd Ordinanaes. Account Deposit: 15. 00n`; - Permlt Fee: ? 0• otlF(i Surcharge: - ?0pd By Misc. Charges: Date of Insp.: Totel: This request void 18 months tram ?/,?J/F7 C 8 Q 8 7 4,L 9.kl/ HeQUeSt Cate Fire No. Roueh-m InspecLOn H ?red? J ONeady Now M Wi11 NoUfy Insuec- .? ?? Yes ? No TIor Wh¢n fleady Llcensed Electrical ConVector I hereby request ins0action of abova Owner electriul work inatelled at: Str¢et AOdress, Box or Houte No. Ci1v 374 r bor r? E a ecuon o. Townshi0 Name or No. Nange o. County vQ?of OccupanllPPINTI Phone No. 1/er Power Supplier & Atltlress A Ao4a, ? C) O? Electncal Contrector lCOmpany Nemel Lnniractor's License No. Mld raHa 6-iee-4Y, e., Madinp Address ICOntractor or Owner Mabng Instailatfonl ?SOO ln/ ?''r?/ ?a Burns vi lle Authoraed ' nature (Comiractor Ow r Making Installauon? Phone Number o - 9'?! MINNE$pTA STATE 90APD OF ELECTflICITY THIS INSPECTION HEQUEST WILL NOT GriB9e•MiAVay Bldg. - Noom N-797 BE ACCEVTED BY THE STATE BOpqU UNLESS PPOPEN INSPECTION FEE IS 1821 Universitv Ave.. St. Vaul, MN 55104 , nn- 1a191 f.G9.MOn ENClOSED. REQUEST FOR ELECTRICAL INSPECTION e!ye/-ooooi-os , See inslme4ons lor completirq th-s form on beck of yellow copy. C, `8 :J n "x" Below Work Covered by lhes Request ?iw7+ HAd peD. Tvoe ol Bmltlmu Aoolences riireE EquiVment Wiretl ex al Mi nn p Fee ServicaEntrenceSiza N Fee feeders/Subfeedars h Fee Circurts U to 200 Am s 0 to 30 qm s (o.40 0 to 30 Ani s A6ove 200 31 to 100 Amps / , pp 31 to 100 A S Swimmmg Pool A6ove 100_Am s Above 100-P.m s Transtormers rrigation Hoorris Partial-"Otner Fee Signs iSVecial Inspectfon ?5 Pem3rks ? , ? . 1 5O TOTAL F Z I, the Elechical Inspacloq hereby certify tlrel the above inspeclion hes bean .ee repuesl CITY OF EAGAN A' Q 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55721 f v- 13229 BUlLDING'PERMIT PHONE: 454-8100 Receipt# 7?i 3 Tobeusedlor SF DWG/GA.R Est.Value $105,000 Date rEBRUARY 17 1g87 sitenddress 3747 GREENSBORO DR Lot 9 Block 1 Sec/sub. GREENSBORO 1ST Parcel No. W Name JOSEPH hIILLER CONST 3 Address 18133 CEDAR AVE SO ° city FARMINGgQ4 $92-1010 i o Name SAME ? i Address a " City Phone rQ F W Name ? ? Address a w Ciry 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 iry of Eagan r' anft-^ Si9nature ot Permittee A Building Permit is issued to: all work shall be done in accc Building Oflicial H MILLER CONST Erect M Occupancy R3 Remodel ? Zoning 8.,1 Repair ? Type of Const. y Addition ? No. Stories Move ? 5 Length Oemolish 0 Depih 2g Int Impr. ? Sq. Ft Install ? Approvals iees Assessment _ Water 8 Sew. Police - Fire Eng. Planner Council Bldg. Off. APC Var. Date with all applicable State Permit $ 518.50 Surcharge 52.50 Plan Review 259.25 SAC 625.00 Water Conn. 525.00 WaterMeter 67.00 Road Unit 305.00 I Tr. PI. 180, 00 Parks j Copies rotal $2,532.25 - on the express condition that of Eagan Ordinances. CQQp ?? RESIDENTIAL BULLDING Permit Application City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4? o?/s,ZS? New Canswction Reouirements RemodeVReoair Reauiremenls Offxe Use Oniv 3 registered site surveys shaxing sq, ft. of lot, sq. R of house; and all mofed areas 2 mpies of plan CeA of Survey Recd _ Y_ N (20% maximum lot coverege allowed) 1 setof Energy Calalations for heate0 adAi6ons Tree Pres Plan Recd _Y _ N 2 copies of plan showing beam & windovr sizes; poured found desgn, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd _ V_ N isetofEnergyCalcuW6ons Add'rtion-indicafei/on-sdesepticsystem On-siteSepticSysiem _Y _N 3 copies of Tree Preservation Plan d lot platted aher 711193 Rim Joist Detad Options selection sheet (bldgs wifh 3 or less units Date U /,9 Site Address / 03 ConstructionCost oeo G-L? n > boc o 7?? ?.-?-- UniUSte # Descripdan of Work Z? 51ckx? Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ?aha S?o \Z:? ch Telephone#(b12 ) yq?' mt5, Contractor V) c 2C?'- litNi 5 C R-a Address S$S$ 3Lw ?5e.;t, State +?rv p„i,{1. Zip 5S0-7 (o City S. 6. ?{ • Telephone # (651 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules'7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Confractor -??..?A ?i AU6 i 1. 2003 ? #( 1 Telephone # ( review 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 permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i case of work which requires a review and approval o s. ApplicanPs Printed Name ApplicanYs Signature - l3?Z1' : 1987 BDILDING PERMIT 9PPLICATION - CITY OF SAGAN SINGLE FAMILY DWELLINGS INC[.IIDE 2 SSTS OF PL9NS, 3 OF SOEVEY, 1 SST OF ENERGY CALCOLATIONS HOTE: ADDRESSES FOE COENSR LOTS - C0N'fRACTOR/HOMBOiiNEE MQST DESIGHAYE iiHICH ADDRBSS I3 DfiSIRED. NO CHANGES LiILL BE ALLOWED ONCE BQILDING PBRMIT IS ISSIIED. MOLTIPLE DiiELLINGS - RFSIDENYI6L RENTAL QAITS FOR S9LE OHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQHVEY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMRERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND (OSICOO To Be Used For: -kUt/ tl4T? Valuation:Date: Site Address 3747A DOM,CUi?`Yl o ALt. OFFICE DSE ONLY ? Lot ? Block _L On Site Sewag q,?,/? ????"?? MWCC System Parcel/Sub.Xy(,Qp//tU,V?.o On Site Well City Water Owner Address City/Zip Code Phone Contractor? `? .?{1L,?.,QAJL L.t?rwX. Address IQ,133 CQ t_?? eLa?-Q. •?c City/Zip Code Phone 39 a- 10 i O Mch./Engr. Address City/Zip Code Phone # APPROVALS e_ Occupancy 2 • 3 ? Zoning (Z•? Type of Const ? (Actual) ? (Allowable) SL # of Stories Length SB Depth 28 S.F. Total Footprint S.F. FE ES Assessments Permit Water/Sewer Sureharge 52.50 Police Plan Review Z ,7-5 Fire SAC, City [CO. Engr SAC, MWCC SZS Planner Water Conn S 2 S• Couneil Water Meter (ol' - Bldg Off Road Unit OS• APC Treatment P1 IaD. Varianee Parks Copies TOTAL '? S 30 1, a S Z8 x 34 5Z x 58> = ss d ? , 24 x: c4* - 57(o x 12 Zs x 34- -9J2 x 4-4- `?(8rDb IC-A of (? i , One or Tivo Family Al1 Other ? . - UUl1j1)l1il1 U6YIIlf179Pi??'1EXTERIOR ENVELOPE AVERAGE l'U" COIIPUTATIOIi (To be su6mitted with building permit application) Dwe121ng Owner &tte Addrese Contractor Date Phone LIIIEAL FECT OF , IV ? EXPOSED V7ALL ?? N?C_LY?J . ?I;."? t f t. above grade = v z ,I- 2z:> YJ TOTAL EXPOSED WALL AREA SQ. FT. OPA2UE IVALL Ue tail- reference Irom attached s}iects C01?STRUCTI017: "U" Value x Aroa ltut' D 3 x ITUIV ,L>.72_X npn X iIUii x WIIJDOtiVS: "U" Value x Area AIaL•e & TyPe 6"Lni4tfUl, n u npii n n nU ri I I n S2. FT. ,3 D'2, - 7?•540 (U)(A) S2. FT. ?33,oj3- l0•3 (U)(A) SQ. FT. ? ; - fi.7- 3(U) (A) Sa. FT. - M(A) Sq. FT. - (U)(A) Sq. FT. - (U)(A) • x SQ. FT. 602,'0= 7?-?-7 (U) (A) x SQ. FT. - M(A) x SQ. FT. - M(A) x SQ. FT. - (U)(A) DOORS: "U" Value x Area I•lul:e & Tyne ?AJS.uG??p: I .?? x SQ. FA-"7?0 r??n .=f7 x SQ. „Ull X s2. n n _ npu x SQ. ToznLs zL ?9•z,o sa. AVERAGE "Ull TUTAL (U)(A) VpLUES , 08S DIVIDED BY TOTAL NALL AREA ZZ loQ. ZD AVERAGE t'llIP ,115 or less for 1&2 family dwellinge R00 F/CEILINC} : TOTAL AREA: ?I.SZ FT. 4Z,00 = S.S (U) (A) FT. 2ib0 = ?. c (p)(A) FT, - (U) (A) FT. - (U)(A) t'T. 191. Z/ (U)(A) Detail reference ?lUll x S@. FT. SZ. = 19"Q? (U)(A) from ?fUll x Sq. FT. _ (U)(A) nttached sheeta. "Ull x SQ. FT. - (U)(A) Describe oneninga "U,, x 50,, FT. - (U)(A) in roof. rIUII x SQ. F.T. - (U)(A) TOTAI, M(A) VALUES DIVIDED BY 9q = rT?LeJ 9SZ Sq.fr ?Q,9Q Cura? TOTAL ROOF/CGII,I17(3 pEtEA %SZ '?ZI AVERAGE "Ull ,02$ for ventilnted roofe. # ?,AE7 '! 6kass FyepsFn w?c..?. 183?X (34+34+zS+zS? = zZ?9.zo? eorv i: , .[v7x C.?4t34-hz8-?z?? = g?.og ? ?nh :7 .83 x( &8+?8t51?r51?.1 = ZoS-?--_' W ll J?p U-?j ?X l4 = Z. ? x 3= 7• 80 l?x? = 4-o X 9- = l69,oo ZoXCoo = S,4 X tv = 5o--?O Z4x48 = S.o k )I = SS.oo tez:1x.s s-rc., MAT-, Z ?- 5rz-- ?Z. la? Pa+??o = zJ.oo = Zl.oo ?lT C-? w?.. C,!;?..wd-s 6790ss r,Jwx.-c.. 4ess WDe?'S 83.og 005,04 /OZ.Zo 8`r.oo zz&?.zo ?----r zBx?= 9s.vp, vik --WAI,L sECTt -- ?• Determd.ning "Qs' valuea at Roof, Walls Rim, and Conc. Hlock ROOF/CEILIN4 1.) Iaterior Air r'i1m 2.) 5/81# ayP. aa. 3.) Insulation 4.1 5.) Exterior Air Film (STILL) (R) YALUE 0.61 ?.J56 TT•DO .61 nUn o 1/R= .OTAL (R)= 4_?.7,'? __--- WALL 6.) Interior Air Film 7.1 }s' aYp• sa. 8.) Insulation 9.3 10.) Musonite Siding 11.) Exterior Air Film R VALUE 0.68 .45 19,a0 z:ob? .17 upu , 1/R= TOTAL (R)= Z3.0! ? RIM 12.) Interior Air Film 13. ) Insula0lon 14.) 211 Fir Rim Joiat 160 Maeonite Siding 170 Exterior Air Film R VALUE 0.6H 19,Oo 1.88 z:64 .17 tIpu = 1/Ra TOTAL (R)= Z¢? ?- FOUNDATION 18.) Interior Air Film 19.) Zo. ) K-lI 40XlPpE-Z? 21.) 12" Conorete Block 22.) 23-) Exterior Air Film IIV11 a l/Ra ?u ? (R) YALUE 0.68 1oa 1.28 .17 TOTAL (R)=?3,?3 g 7 -ss TRI'LAND CO. SITE PLAN FOR SURVEYING SERVICES JOSEPH MILLER CONST. 4655 NICOI.S ROAD EAGAN, MINNESOTA 55122 (q 4i1 0 1 \ n(PI L_?? I 8 W` ? to o ' O o LO ?- z q , , „ N 085 00 04 W q?U p r5 I I I?1 ? ?i xv. IU e I? 14 __ _- - - 7 9 ? ? 00 - I ? I? N ? -- ? 85.00 \ o0 2s' 04" w GREENSBORO 5 ?1oo1A w c0 8? to? -? OD Z J ?aoa DR. PROPERTY DESCRIPTION SN??Rr - 898 ? LOT_, BLOCK -L-, ? GREENSBORO Ist ?Z-3n!!!!? aeor(Inp to tha recorded plat tMreof DAKOTA c,unry,M;nne,a,o SCALE: I"= 30' LEGEND o DENOTES IRON MONUNENT o DENOTES WOOD HUB SET CSPENOTES I E EX IAT N?T V IO EL qp6,y DENOTES ?O? T O ?T I N A ? DENOTES DRAINAGE DIRECTION I Mnby certify ihaf ihis arvey, plan or npo?t wos preparsd by ms or unMr mr direct supervision and ihat I am a duly Raqistered Land Survtyor under tM Laws ot the Stote ot Minnesota PROPOSED GARAGE F100R ELEVATION ? 9/0 PROPOSED FIRST FLOOR ELEVATION _ ??vL•? PROPOSED BASEMENT FLOOR ELEVATION NOTE ' VERIFY ALL FLOOR HEIGHTS WiTH FINAL HOUSE PLANS Bradley J. r$,0fnsa?, Mn. Rep. No. IS23S Date: L /' ? 1R(7 r CITY OF EAGAN A PPUCATION FOR PERMIT SEWER AND/OR WATER CONNECTION . IF31 P ease Print 1) PROPERTY ADDRESS: ? 1-7-7 •- LEGAL DESCRIPTION: ,? Lot? Block Su ivision or Tax Parcel ID ) IF EXI&TING STRCCiLiRE, DATE OF ORIGINAL BL?ILDING PERMiT ISSL'ANCE: ' ? (Nbn Year) . . PRESEDft 7ANING/PROPOSID LSE: Q CCa"R9FZtCIAL/RfiTAIL/OFFICE r7 IMC'STRIAL n INSTI2L'TIONAL/GOVERIZg,'NT 2) NI1P'JE: 1-4 ADDRESS: CITY, STATE, 2IP: Q? PHONE: . 3) u i; ?• NAME: *ADDRESS: ? CZTY, STATE. 2IP: PHONE: 41 q) ••« • ? w-7NAME: CI77, STATE, 2ZP• PHONE: . _ ? ,. :*ATr': PAYMPTP' OF FEE AT TIME OF :APPLICATION mES NCYr CONsTnum : aPrxovAr, oF PEEOux. : nvsrncriota oF sEWM Arro/ox MUnt ; INSTAr.ramlpNS WILS. NCYf BE SQIF9- : UI,ID UNPII. PIItI•ffT HAS BEF.N : APPROVID. R-1 SINGLE FAMILY R-2 DTIPLEX (Ttvo Units) ? R-3 10WNHOOSE (Three + Units) ( Units) ? R-4 APARTM=/CODIDOMINICTI [7nits ) LICEN5E# Acti.ve ECpired Not recorded S?tial ? •5) ? w.N w At i ai• • ?• : n - o• - a. -- [^?] CON[gX.TION 'lO CITY SEWEE2 C,? CONNE(.Z'ION ZU CZTY WATER ? OUM ' . r6) '? ?• `??` ? PLEASE HOLD APPROVID PERMIT FC)R PICK-C?P BY ONE OF P,BOVE PLEASE MAIL APPROVID P T'IO 1. 2, 3. 4, ABOVE -T 0,?^ (Circle one) f / 7) r n u.. ., ni _,-. / PERMIT # ISSL'ED sJ- ;?F ? Pd w/Bldg. Permit S $ $ ? 7?OZ7 $ $ $ $ $ a-7) $ $ S $ $ FOR CITY USE ONLY FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE ) $ WATER METER/COPPERHORN/OCTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCODNT DEPOSIT - SEWER $ _ 0 j? ACCOUNT DEPOSIT - WATER S wAc $ SAC $ TRUNK WATER ASSESSMENT $ TRDNK SEWER ASSESSMENT $ LATERAL BE[VEFIT/TRLNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ /V Q" ?? $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ? 3 $ TOTAL 26 r?? RE EIPT RECEIPT #- DOES OTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MOST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWIIVG CONDITIONS: APPROVED BY: TITLE: DATE : ? E2- =t r Use BLUE or BLACK Ink I-----------------m i For Office Use 1 My Permit of Ealan 1 1 I Permit Fee: 1 3830 Pilot Knob Road 1 /04, /z Eagan ANN 55122 1 Date Received: Phone: (851) 575-5675 i I i staff 1 Fax: (651) 575-5594 1.. & INFILTRATION PERMIT APPLICATION Plumbing ! Sewer & Water Date: Z site Address: 1 7 Cca T' 'L Oro V t V-Q- Tenant: suite P Name: 13to b b-Im Phone: L Y -U I S 7 RESIDENT/ OWNER ; -ter-S~o BERG r P Address/ City/ Zip: 3717 6V ce ms loo v ? vZa 14 E ~M 4 t Name: lA e.S S 1 e n f t^" Ibih4 derv 3. e-s TIn4~- License* PC- c i 3 S g Address: P, U Q a7 1 City: ~Z ~t CONTRACTOR r State: V Zip: S S i a Phone: t s S i- (o l S a s contact: 01,` 1e- c t-+ 1 1+ Z Email: Ko.. 0 h c4 s WY\ t w. b i a c. v a PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) 1 TYPE OF WORK Sump Pump Repair Repair Other: Other l DESCRIPTION 'Description of work: ~ T4 t- e . ,ti,,rs j2 4S f, 4-f M i FEES 5e p~ AA c,}, e c $60.001 Each (includes $5.00 State Surcharge) , v TOTAL FEE $ (0 0 f CJ "Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.comlinfiow. or City Hall at 3830 Pilot Knob Rd. CALL BEFQRE U 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 oonherstateonecall.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. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed Hy: Date: Required Inspections: Under Ground Rough-In _Final PERMIT City of Eagan Permit Type:Building Permit Number:EA108198 Date Issued:11/26/2012 Permit Category:ePermit Site Address: 3747 Greensboro Dr Lot:9 Block: 1 Addition: Greensboro 1st PID:10-30900-01-090 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - John Sjoberg 3747 Greensboro Dr Eagan MN 55123 Apex Energy Solutions 1509 Southcross Drive West Burnsville MN 55306 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA108199 Date Issued:11/26/2012 Permit Category:ePermit Site Address: 3747 Greensboro Dr Lot:9 Block: 1 Addition: Greensboro 1st PID:10-30900-01-090 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Curt Collar 709 Stonewood Road Eagan, MN 55123 651-688-2739 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John Sjoberg 3747 Greensboro Dr Eagan MN 55123 Apex Energy Solutions 1509 Southcross Drive West Burnsville MN 55306 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature From: Sandra ,^.eryt Fax: (888) 445-5945 City .of1:aau 3830.Pilot :Knob Road Eagan PAN 55122 Phone:.465.1).675.5875 Fax: (651) 675-5894 /6 2 RESIDENTIAI To: RECEIVED FEB 19 2016 Address: Fax: +1 (651) 675-5694 Page 2 of 9 02/19/2016 12:12 PM 'Use ,;8.i t1.E or BLACK int!: t • Far:OMce::Ut .• ° Pernmt#:3S1 Wt i ° -� 1 Peinet:ipee:.. T .1 . Date: Received:. l i 1 BUILDING:PERM T:APPLICATION . - Grit, NA ikant Is: — Owner `::Contractor 17 ,7"-rWitiVIWIPagir07001 • n.of'work* ':. / rte1 .. LK . / struction:Cost. . .. 1 I 01 Company: ".47....S 2. -Address:. t •"4asxt 'Phone: 34TH 14;44; y?4i/ *e &l2 - 331-44o If the project is exempt from lead certification,.please.exnlain.whv:..(see;Pace. 3:for:. additional. informationl. COMgPLETE:THIS .AREA O$LY:iF'. CONSTRUCTING A NEW BttLD 4 In the at 12 months, heaths City of Eagan issued: a':pennit.. or a:.*MOW .plan:dssed.on 0.:Mesterp100 Yes No It yes, date and address of master plan: Licensed. Plumber: Pompe;. Mechanical Contreotar: titer • CA LAFFOREYOUDIG. .Dall dopheriedeOns:D.04.4.(151)......4-00...2for.protection..:agei►stutiaeigr unci 4W10�dai e..:s > :9aurs• . b01orB ytxs i(1%attd tt+dlg ta!irrue lttsOturlQargrortnd utditles, sywtv,actatiesstateor�cali.©rg I hereby acennyleifge that this information is eornpttete endsccurate1.that.thn.WWW111hein confonr. r er . ith. the: ordI ces':and .Godes a .:the:.ity of. Eagan; thet..l.:underetand. this :is not .per nit . twt' nl . an:' ... al?Ptiratlon for.:.a hero*, and. ea*is.:rr�ltta #.WftfrouC:a:perilo%tliiat.ltfd4r:nelC:aifi11., tie. i..ri:. acoordance.wlttt the approved l#an:in the case ofeark wheh.recoireeele w:end'eppro.;ral atiplans, Exterior work atsetorized by .a buildsaccordance** if : �rrithtn .8Q rag pertasit Issued is 1fre:sYgnrree.Bulidir:C r .+odamust ba::.. . days of permltlsaus. Applicant`s PrintedName ASO eattne Page':1.of 3 From.' Sandia $eryt Fax: (888) 445-5945 SUBTYPES Foundation. Single. FamRy multi 01 of Pion WORK.TYPES Now Addition Aitpration Replace Retaining Wali DDS$RIPTION Valuation Pian .Review (25% 100% Census Code # of..Units To: Fax: +1 (651) 675-5694 3711 DON r ,ITE.S..ELOW S L.NE _ Fireplace Garage tower Level T . Interior:improvnt. Move Building _ Fire. Repair Repair. # of Buildings Type of Construction 2,6 Porch (eason). Pcrch:(4-8eason). !wrwi. Mordommaratassenekkedfiaftwaiiet Pool Page 3 of 9 02119/2016 12:12 PM Exterior ...ter ttion.:(Singie> srn(ly). _ r:Alter ilian (Mu ii AcryBullding . skiing izero :Demoitsh ulterior • Windot ...:Dern niiah.Fa . .detion A r... s: _. Water.Dainage: . •media tpnefestine:bull+fierie,-. ►a..t A:t..........:to ltcent Occupancy. ..132& .!..1 Code: Edition .Yip Zoning P0 Stories Square .:Feet Length Width. REQUIRED INSPECTIONS Footings (New [Wilding) Footings(Deck) Footings (Addition) Foundation Roof: _ice & Water _Final. ,t Framing. Fireplace:.._ Rough In __Air Test Final insulation Sheathing Sheetrock Fire Walls Braced .: Wails Reviewed Sy::, RESIDENTIAL. FEES Base: Fee Surcharge. Plan Review MCES SAC City SAC Utility. Connection Charge. S&W Permit .& Surcharge. Treatment Plant Copies • MCES System • .. :$AC .units. City: Weter Booster;F!ump • :PRY i.rinklers. Meter -Size: Final ./.C.O.Required i� Field ./No ext Required HVAC:.,„ Gas -Service Test Gas Line -Air Test Pools . . _Footings �. Air/Gas: Tests ;;Final. Grain:'Tile Siding; ..,_,Atuoper Lath . Stoner Lath .:.._.,_Brick Win4ic►ars: Retaining .Wail:. Radon.Csncroi. Erosion .:.ordrel Other: uiiding Inspector Footings Backfill. Final 73 75 - .7th 00044jr4-i 4✓i4tarn 1R.t 510 TOTAL r For Office Use Pemnit#: E AGA N Permit Fee: RD?"69 Cv EC E I V E0 Date Received: -4/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-56751 TDD:(651)454-85351 FAX:(651)675-569 J U L 1 1 2019 Staff: 111).4 buildinainsoectionsCaacitvofeagan.com 2019 RESIDENTIAL BUINSUPERIVITT APPLICATION Date: 07/09/2019 Site Address: 3747 Greensboro Drive Unit#: Name: John C. Sjoberg Phone: 612-490-0157 Resident/ 3747 Greensboro Drive Owner Address/City/Zip: Applicant is: ✓ Owner Contractor f7L cc`Sbo1w Type of Work Description of work: Replace stairs&stair handrail to deck; Replace guardrail around deck. Construction Cost: $4,600 Multi-Family Building: (Yes /No ✓ ) Company: Contact: Contractor Address: City: State: Zip' Phone: Email: License#: 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 the information maybe classified as no .ubiic if 'u . Wde s ecifii'c reasons that would .: it the Cl 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.cttvofeaoan.corn/subscrit}e. 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.000herstateonecall.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•ans. x John C. Sjoberg x Applicant's Printed Name Api/ant's Signatu, fiv,e /1 5 374-0 pi2j),_51,bro t '7( dist, 73)- - 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/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding T Demolish Building* T.:4 Addition _ Move Building _, Reroof _ Demolish Interior 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 24j2a2 OccupancyP...aMCES System Plan Review Code Edition ,, tl A _ f(SAC Units (25%_100% ) Zoning 0 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) 4 Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 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: 1--#2 , Building Inspector RESIDENTIAL FEES Base Fee owe"'"-0' f ;Ott Surcharge0 ft/ Plan Review 1/17fCr-.t7iri;ti MCES SAC City SAC 11 Utility Connection Charge S&W Permit&Surcharge ��RadTreatment Plant 1/0/4 io Meter Read t� ('Copies f t! TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164932 Date Issued:10/12/2020 Permit Category:ePermit Site Address: 3747 Greensboro Dr Lot:9 Block: 1 Addition: Greensboro 1st PID:10-30900-01-090 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 - John & Maria Luisa Sjoberg 3747 Greensboro Dr Saint Paul MN 55123--224 (612) 490-0157 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature