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3753 Greensboro DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3753 Greensboro Dr Lot: 8 Block: 1 Addition: Greensboro 1st PID:10- 30900 - 080 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 4/30/08 Notification letter sent regarding expired perm BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: pf Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered required in all sleeping rooms prior to final Owner: Robert C Clark 3753 Greensboro Dr Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA080275 10/05/2007 ePermit Smoke detectors are I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ' I I?' 3830 Pilot Knob Road Permit Number: !:• t? 4 Eagan, Minnesota 55122-1897 Date Issued: 0 4 /0 <' /14 ti ' (612) 681-4675 I SITE ADDRESS: S,IrE FM1-1BnRt) DR ?,? 1 f N'.t:?14t0 131 IF I ? ? APPLICANT: i>>> „-? I ;i i?i, f.1 16 h 42Ki-29bC! 7 V ? ? PERMIT SUBTYPE: TYPE OF WORK: I iT A rk Ilt. il.:lF'i iiIlv {:?iI, IMCii Permit No. Permit Holder Date Telephone A ELECTRIC PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FiREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL __ __ _????NSPECTIOIV-RECDRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: i:11 , r+ 141 1'(; i APPLICANT: i : , ti i +1 f;fl () l? " .. . ? ? '.titll N'•I ti ? ' P 1 Ii'?:i(IF•i7 ( :? ? ? ?? ? .' 1 ?'43.- ?I : ! f - PERMIT SUBTYPE: TYPE OF WORK: ,,'PAIR I PI Af:F blINUUWS INSPECTION D. . .. ? 7 I Permit Holder Dete Telephone # PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FlREPLACE AIF TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT To be used for 'tiREiN1.:D POM R2Celpt # -' r? r 1 lr_ Date ApD 7n . 19 ?9 Site Address UA Lot 6 Block I Sec'Sub. GREVNS?i;?' 1ST OFFICEUSEONLY P2fC@I NO. Occupancy - FEES Zoning - W Name ST?$ N?? (Actual) Const - Bldg. Permit FS4. Uu Address 375? idEEt;`G??,a D& IabwatNel - . a S h ?'+? o City PhOne 6$8-6 4 5 # ot Stories urc arge • - Plan Review Length _ o Name MuFT1i WGvD CL='.i>T8UCT1QPi Depth sAC City , , ?4 Address 12145 vEi:YGt? ??T S.F. Total - SAC, MCWCC ? City aLAItrC Phone 755-Gil80 S.F.Footprints - Water Conn On Site Sewage ? W W Name On Site Well - Water Meter ~= Add?ess MWCC S stem y - ?a a W City Phone City Water Acct. Deposit - NV Permit S PRV Raquired , _ I herehy acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Booster Pump - SNV Surcharge Minnesota Statutes and City of Eagan Ordinances. Treatment Pi Signature of Permitee APPROVALS Raad Unit A Building Permit is issued to: ''bRTlt 'uFDOD G???15TR11C i:?3N 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 ??ner Cou^cl Bldg. Off. Variance - Park Ded. - 1.? j _ Copies TOTAL 5/ .170 Permit Mo. Permit Holder Dats TeNphone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inapection Date Insp. Comments Footings 1 Foundadon Framing ? ;2 -?? Roofing Rough Pibg. Rough Htg. Isul. FreplBCe Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. beck Final A O•?.Gl" - G well Pr. Oisp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?? -- 1323U PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for S'c UKG/GAR Est. value $116,000 Date FEBRUAt2Y 17 19 87 SiteAddress 3753 GREEivS2jOi70 DR Erect ft Occupancy R3 Lot-?3 Block _1 Sec/Sub. GRLF.L,iS$Ot{O 15`r Remodel ? Zoning Rl Parcel No. Repair ? Type ot Const y Addition ? No. Stories W Name JOS?:PF?: i?IILLEit CONST Move ? Length ? Z 18133 CFDAF: r'?VS SO Demolish ? Depth o Address ? Int. Impr. ? Sq. Ft Ciry Ft?4ZNC'p??1 :392-1010 Install ? Z F Name 0Q Address Address Assessment Water & Sew. Police Fire Eng. Planner Council Bidg. Off. Var. Date MILLER CONST all work Building State and City of Eagan Ordinances. condition that Permit 9 ='J1 . -V v i Surcharge 58.00 ? Pian Review 275.75 sAC 625.00 Water Conn. 5 2$. 0 0 water Meter 67.00 Road Unit 305 . 00 Tr. PI. 180. GO Parks Copies -r.,1.i .52,587.25 Psrmit No. PermH Molda Date Telephone M Plumbing }S •a{ . (f. (! ,?; ' '?? H.V.A.C. Electrlc Softona Irrepectlon Dab Insp. Comments FooNngs I Foolings 11 Foundation Framinq E/741 (_6°Q ?)oG+r,?,?7 t lD? 4•s?i Roofiny Rough Plby. Rough Hty. Insul. .1 ? . ?f. Fireplace Final Hty. Ffeal Pibp• Bldy. Ffnal c.rt. oee. ? ?CapiG GwG ? ?T S' s - s.. Degk Ftg. 6' G ?AM ? Deck Frm9. Well Pr. Dbp. RTY OF EAGAN Permh No: no 3830 Pllot Knob Road D?' 4 ~- Meter No: -39.70 7S? Sfze: P.O. Box 211 i'a " Reader No: ?- 9.? So? S Dat? Z Eagan, M.,; 55121 Owner. .'n,' ;ilir,r Const. S11e AdfJl'PCC' `tr. umbe I ??.nn. Chg: _??ia?ing call loLitilitieS ct Dep: l?rL f?F - ECTRf?': rmit Fee: ? ? A `,?, rcharge: ?'? ?r ? agrse to compiy with the Clty of Eagan Plant Ordl Meter. - -, . ? Misc.: " Br WATER SERVICE PERMIT _ CITY OF EAGAN SEWER SERVICE PERMIT 3830 PNd K ob Road P.O. Box 21Illy - - ° PERMIT NO.: 97 -5 1 Eagen, MN'SY21 ' DATE: 4-2-8 7 Zoning'.6 - = 1 No. oi Units: 1 Address: ^ l;: bggtng C811 luLai u.....? 100.00pC1 to comply wRh ft of Insp.: Date CITY OF EAGAN 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N-° 13230 BUILDING PEHMIT PHONE: 454-8100 Receipt q 6 7obeusetlfor SF DWG/GAR Est.value $116,000 pate FEBRUARY 17 19 87 SiteAddress 3753 GREENSBORO DR Erect occupancy R3 Lot 8 Bloc k 1 Sec/Sub. GREENSBORO 1ST Remodel ? Zoning Rl Parcel No Repair ? Type of Const. V . Addition ? No. S[orie5 Name JOSEPH MILLER CONST Move ? Length 52 i ; Addiess Demolish ? 18133 CEDAR AVE SO I I ? Depth 14 S F nt mPr FARMIN('p&PJ4 892-1010 i ° Cit O t Q y nsrall o Name SAME Approvals Faes ?¢ Address ASSeSSItlBnt Pefmit +S 551.50 ` Ciry phone Water & Sew. Surcharge 58 . 00 a _ W Name x Z5 Address a W Ciry Phone Police Fire - Planner Council Iherebyacknowledgethatlhavereatlthisapplicationandstatethatthe gldg.Off. information is correct and agree to comply v?th all applicable State of Minnesota Statutes andRjry of Eagan Olpnancesn J APC Signature of A 8uilding Permit is issued to: all work shall be done in accc Building Official SEPH MILLER CONST with all applicapTp Slate of Var. PlanReview 2/5.75 SAC 625.00 Water Conn. 525 . 00 Water Meter -6 7 - 0 0 Road Unit 305, 00 Tr.PI. 180_00 Parks Copies Total $2,587.25 on the ezpress condition that and City of Eagan Ordinances. CITY OF EAGAN N9 16330 3830 Pilot Knoh Road, P.O. 8ox 27-199, Eagan, MN 55121 ` PHONE:454-8100 ? ? BUILDING PERMIT Receipt # - To be used for SCREENED PORCH Est. Value 4 000 Date , 19 Site Address 3753 GREENSBORO DR Lot 8 Block 1 Sec/Sub. GREENSBORO 15T OFFICE USE ONLY P8fC8l r10. Occupancy - FEES Zonmg - w Name -?EVE NELSON (Attual) Const - Bldg. Permd 64_ nn o Address 3753 GREENSBORO DR (Allowable) - 9 f1(1 h S - urc arge City EAGAN Phone 688-6305 # of Stones - Plan Review length _ o Name NORTH WOOD CONSTR ICT70N Depm - SAG Crty , z¢ Address- 12145 KENYON CT SF.TOtal - SAC,MCWCC ? City Ri.ATNF. Ph0118 755-0689 S.F.Faolprints - Waler Conn On Site Sewage _ ? w W Name On Sne Well - Water Meter ?? AddfBSS MWCCSystem - qccl.Deposrt aw City Phone cirywater - SIW Permit PPV Reqmred _ I hereby acknowlege that I have read Ihis applicallon and state that the Booster Pump - SMI Surcharge mtormation is correct and agree ro compry wdh all applicable State ot Mmnesota StaNtes and Ci of Eagan Ordmances Treatment PI ?I ? Signature of Permitee I/`? APPROVALS Road Umt A 8wlding Permit is issued to: NORTH WOOD CONSTRIICTTnN Planner - park Oad. on the express condition that all work shall be tlone m accordance with all Counal -- 1 00 applicable State of Mmnesota Statutes and Cdy of Eagan Ordmances. Bldg. oif _ . Copies Building Official ? q ?'r?i?? i '??,? ? ?_ Vanance - TO7AL 67.00 ? K2923 ?f?oo3 Requesl0ate ? Fire No ? ^?-, ? Fough-?n InspecM1On Repwred? Reatly Now ? W ill NoLty Inspecmr R d 7 Wh •? ? Yes No en ea y I licensed contractor ? owner hereby request inspection of above electncal work at: Jo0 AOtlress (Sireet. Box or Houte No ) Pry E 3 r evisboro 1? 3-75 a? , Sedion No Township Name or No Range No. t?^ Occupant(PRINT) ,21Son Piwne No. fo 0 9 -63U? Power SuODlier s -4 ?l V" PAtlress ?soay ric ec ?& K tk ¢ U.1 y i Eieclnwl Coniractor (Company Name) t CoMredaSl¢ense No lLl• Df h.r Mailing Atltlress ICOMr tor or er M eking Instally \ ? ? Authonrzetl er Makinq Inslallauani Phona Number ?-3 Q MINNESOTA STATE BOIIRU OF EIEGTqICITY THIS INSPECTION REOUEST WILL NO 9Y Grigge-Mitlway Bltlg. - Poom S173 BE ACCEPTED BY TME STATE 00ARD 1821 UnneraHy Rve., SI. Paul. MN %1M UNLE55 PROPEF INSPECTION PEE IS Phone(61Y)6C2-0600 ENCLOSEO /?//5/REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os O?^y C^?? See instmctions lor compleeng ihis lorm on Oack ol yelbw copy ?? ?- •?+,t- dU "X" Be/ow Work Cousred by This Aequest •;:• ew Md Rep. TypeofBwlding AppliancesWVed EqmpmentWired Home Range Temporery Service Duplex Water Heater Electnc Healing Apt. Building Dryer Other (Speaty) Commllndustnal Fumace Farm Air Conditioner aher (speaty) Coniracior's Remarkr RPPai? .SCrvrtP P cltbles, Compute Inspeclion Fee Below: S169 fk Other Fee # ServiceEnlranceSrze Fee fi Circuns/Feeders Fee Swimmmq Pool / 0 to 200 Amps (,pQ 0 to 100 Amps Transformers Above 200 _ Amps Abova 100 _ Amps Signs Inweaor's Use oniy , 7pTAL Irngaeon eooms 2/? /S?•J d Speciallnspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-in Date cerUfy that the above inspection has been made. F,,,ai , p OFFICE ilSE'JNLV This repoest voM 18 months Irom (,G3 G o 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 4? 30 S o Date ? I ?( I D 5 Site Street Address '-S"15? r?rce??thaV? ?Y' Unit# PropertyOwner ?'1(}R?c+,?1? C',Irrv?C Telephone# ((s,5O.L15'1- O-? `l cf Contrector Telephone # (?63 493 y Address 1?161(kn aa(?"}c? N" City t?k'? Lw1Ce StateM'N Zip 5's::?6`Z The Applicant is: _ Owner X Contractor _Other Alterations to existing dweiling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener andlor water _ heater at the same time. !f you are instailina oniv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment i _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement 7CLawn Irrigation _RPZ _?__PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 0.50 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Ap icanYs Printed Name pplicanYs Signature PERMIT# t-7? I 's I RECEIPT DATE: 2002 RESIDENCIAL PLUMBIN6 PEEiMIT APPLICATION CIN oP £A6,4N 3$30 PILOT KAOB RD $AfiAN, MN 55122 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: } 7 s3 6reeh566rG l.l( • OWNER NAME: : l4`K TELEPHONE #: (AREA CODE) INSTALLER NAME: f?p/l-q ' TELEPHONE #: ??35t ?.?S- STREET ADDRESS (AREACODE) ,S-?U OC(l? LG? c? CG`'f CITY: _ I?? Ph S ?, ???( STATE: 4• ZI P: SEPTIC SYSTEM, new/refurbished (requires hvo sets of plans and MPC Iicense) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) ?d Other. /22r14e/ _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 ? -, State Surcharge ?- L, $ 50 O ulu I` j$ S-p s? Total ---- _ ?-- I hereby acknowledge that I have read this application, statethatthe information is correct, and agree to complywi[h all applicable City of Eagan ordinances. It is the applicanYs responsibiiity to notify the property owner that the CRy of Eagan assumes no liabilityfor any damages caused by the City during its normal operational and maintenance activdies to the Bcilities constructad under this permit vilhin City propertylr h4of-wsy! Se e. l SIGNATURE OF PERMITTEE 1102 RESIDENTIAL BUILDING PERMIT APPLICATION ? ?? i\ I? CITY OF EAGAN 3830 PILOT KNQB RD, EAGAN MN 55122 857-681•4675 New Conatruction Renufrementa • 3 registered sile surveys showirg sq, ft. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverege allowed) • 2 copies of plan shorrirg beam & windaw sizes; paured fouM design, etc.) • isetofEneigyCalcWations • 3 copies of Tree Preservation Plan H lot platted after 711193 • Rim Jo'st Detail Optians selection sheet (bidgs wilh 3 or less uniGs) DATE 6,Z?z° ")_ 'V?_l 0 .() O ca_A_--o RemodeVReoair RauuiremeMs !+ . 2copiesotplan • 1 set of Energy Calculaiions for healed add'Nons • t site suney tor exterior edditiom &decks . Indkate If home served 6y sepGC system for additions VALUATION -2 6z u ° - SITEADDRESS 62s3 MULTI-fAMILYBLDG _Y oLN TYPE OF WORK ..Tc,? FIREPLACE(S)?,-_-70 _ 1_ 2 APPUCANT STREET ADDRESS s% . CITY 4L?.eSTATE '"' ZIP TELEPHONE # 96?2' 998`57;F°GCELL PHONE #6-2 -c3 f1 ?- /l6 S FAX # P.s2- 8,sq - 719 9 PROPERTYOWNER °e Cl -z? TELEPHONE# LS`1- 4,299 COMPLETE FOR "°NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLJLES 7670 CATF.GORY 1 i,(d submission lype) . Residential Ventlla6on Category 1 Worksheet Submitted • fp vRnergy'Code Wdrksl . Energy Enveiope CalculaGons Submitted ? AUG 2. 2 700? Plumbing Contractor: _____________---- _ Phone # __. Plumbing system includes _ Water 5oftener _ Lawn Sprinkler y-? Water Heatcr No. of R.I. Baths No. of Baths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractoe Air Conditioning _ Hcat Recovery System 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 Ordinances. r? Signature of Applicant ? ; ??? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ?.Z7Gea?+' R.?ir?o,O?ZL ? 31 New X 35 Int Improvement ? 38 Demolish (Interior) ?, 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuatlon ? Occupancy ??-J MC/ESSystem '- Census Code Zoning ? City Water SAC Units `- Stories - Booster Pump - Nbr. of Units -? Sq. Ft. - PRV - Nbr. of Bidgs Length ?- Fire Sprinklered ' Type of Const W idth -? REQUtRED tNSPECTIQNS _ Footings (new bldg) FinallC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Au/Gas Tesu Final at Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total " 2?2 'f? ' Approved By Building Inspector CITY USE ONLY PERMIT #: RECEIPT DATE: ?c?BJL 103,71 EOOL $$SIDENT1AL MECHlE1VICiRI. PERM1T ?PPLICATIOR crrY oP EAsm ssso Paor xxos gn EAHAP MR 551 EE 651-6$1-4695 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITEADDRESS: 3753 GREkwsR oo 0A t'ACra ? SS/a OWNER NAME: ?e132Fa•r Gl,qak TELEPHONE #: 65J- -oa 98 INSTALLER NAME: Lutk z Nz MIc. TELEPHONE #: 6,5y- 89y - 9.MP STREET ADDRESS: Ni 3i OLO SjQLB-4 'rn&m, nRraZ .V/6lJLuAy 44cn .6?96a.J CITY: FA¢a?J STATE: yn'r,J ZIP: SS/2_ Place a check mark next to the permit work type Add-on, modification or ration to existinq dweiling unit $ 30.00 urnace re laceme • air exchanger FCC ?f' ? • airconditioner 1 • other ? 9 2002 Nature of work: ??,?,? . ,t7a. ? ?-?.n.ti, , B Y State Surchar e $ 50 Total $ 30 N 1L .6..I , SIGNi fLJRE OF PERMITTEE tio2 5 3 S' ,3 Z RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reouiremenb . 3 registered sile surveys showing sq. R. af lot, sq. ft. of house; and all roofed areas (20% mazimum lot coverage allowed) • 2 copres of plan showing 6eam & vrindow sizes, poared found desgn, etc.) • 1 sel of Energy CaIcWaGons • 3 cropies of Tree Preservation Plan if bt platted aRer 711193 . Rim Joist DeWa Options seleclion sheet (bldgs with 3 or less units) DATE a.- ? ti-t' .-1 2?' RemodellReoair Reauirements . 2 copies of plan • 1 set of Energy Calculations for heated additions . 1 site survey for extenor addiGOns 8 decks • Indicate if home served by septic syslem tor additions VALUATION 15.1,000 • 92 SITE ADDRESS-Srl53 MULTI-FAMILY BLDG _Y XN TYPE OF WOR C?CV?AV- QisvF V.`'s.?.O`ATc FIREPLACE(S) _ 0_ 1_ 2 APPLICANT AQZPAW STREET ADDRESSA53'9 W_1il.-GO'IV`i% M14 CITY C?Z+YSCA1.. STATEmN ZIP.55q&5 TELEPHONE OIic3 S6JA*4 CELL PHONE PROPERTYOWNER TELEPHONE#\4'5l-Z15 ----------------------------------- --------------°-----------------------'------'------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA'11?GORY 1 MINNESO'1'A RULL'S 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submiked • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor. Mcchanical system includcs: Sewer/Water Contractor: Air Conditioning _ Hcat Recovcry Systcm Phone # Phone # -----------•°-----------------°---------------------------°--------------------°-------- I hereby acknowledge that I have read this application, state that ihe information is c with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Fee: $70.00 SignafureolAppllcanf \-\1 ? OFFICE USE ONLY _ Water Sottener _ Water Heater No. of Baths _ Phone # Lawn Spnnkler No. of R.I. Badis Fee: $90.00 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updaled 4102 I : - PERMIT eR05504 1 _--I.-CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027264 (612) 681-4675 Date IEisued: 0 4/ 0 9/ 9 6 SITE ADDRESS: 3753 GREENSBQRO DR LOT: 8 BLOCK: 1 GREENSBORO 1ST P.I.N.: 10-30900-080-01 DESCRIPTION: r `--, (SIDING) puilding,,Permit Type r,Suilding Way,k Type (Census Cbde'" ? ? si }i Y +3..., ? SF (MSSC.) REPAIR 434 ALT. RE3IDENTIAL ...:.1'-d:I 4•?>;: f REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $124.75 $3.50 $126.25 $7,000 CONTRACTOR: - p,pplicant - ST. LTC.OWNER: SUN RAY BLDRS 14252950 0908986 NELSON STEVE 7540 COUNTY RtlAD F 3753 GREENSBORO DR RIVER FALLS WI 54022 EAGAN MN (715) 425-2950 , (612)688-6305 I hereby acknowiedge that I have read this appl"zcation and state that the inYormation is correc°t end`agree to comply''with a1lappS3cable State°of Mn. Statutes and.City,,of Eagan,Ordir+ances., ? ' - APPLI EE SIGNATURE IS D B: SIG TURE+ ( -- i4iL4 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 regiatered ake surveys ? 2 oopiea of plans (indude beam 8 window sizes; Doured Md. deaign; elc.) ? 1 energy calculations ? 3 copies of tree presenetion plan H tot plaped efter 7/1193 reqoired: _ Yes _ No DATE: CC DESCRIPTION OF WORK: ? 2 capies of plan ? 2 site surveys (ezlerior addRions & decks) ? 7 energy eakulations for heated additions COST: STREET ADDRESS: LOT ? BLOCK SUBD./P.I.D. #: l Phone #: PROPERTY e?! Name: / ?oPJ OwNER ' wr rmei ? Street Address City: State: Zip: Cotr'rw?C7oR Company: ? -- ? ?•?-' R, ?Ag- ,--7?-q Phone #: i 97 Street Address: 7C"?,o License #- , 749z S State: 1-1 Zi P? S2 -? e? City: i L, E? e- ARCHITECTI Company: Phone #• ENGINEER Name: Registration #: Street Address• City: State: ZiP: Sewer & water licensed plumber: Nzdr . Penalty applies when address change and lot change are requested once pertnit is issued. 1 hereby acknowledge that I have read this applicadon and state that the infortnation is correct and agree to comply with all applicable State of Minrresota Statutes and City of Eagan Or" ----- OFFICE USE ONLY Certficates of Survey Received Tree Preservatlon Plan Received Signeture of Apc _ Yes No _ Yes _ No ? - ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT PERMITTYPE: BuILpING Permit Number: 032601 Date Issued: 0 7/ 2 0/ 9 B SITE ADDRESS: P.T.N.: 10-30900-080-01 3753 GREENSBORO DR LOT: 8 BLOCK: 1 GREENSBORO 1ST DESCRIPTION: REPLACE 8•uilding Permiti Type 8uildingq4rk Type ?-'Gensus Code f? ? a. i: ? rs i ?- - , \ j (3i wzrvoows 5F (MISC.) REPAIR 434 ALT. RESIDENTIAI , =?,ar•-'yt'}?. :r"';,, , '???..?.I,`„`.?r»?ii ., _.- REMARKS: REPI.ACE 6 WINpOWS IN HOME WITH COMPLE7ES IN EXISTING QPENINGS. FEE SUMMARY: VALUATION $7,000 Base Fee $124.75 5urcharge $3.50 7ota1 Fee $128.25 CONTRACTOR: - Applir,ant - sT. I.zC QWNER: RENEWAL BY ANDERSEN 15024777 2004063 NELSON MARCIA .350 73RD AVE NE 8 3753 GREENS80R0 DR '.FRIDLEY MN 55432 EA6AN MN 55123 (612) 502-4777 (651)688-6305 I L- I hereby acknowledge that i have read this applicatian and state that the 3n'fnrmation is correat and agree to comply w3th all applicable State of Mn. Statutes and City of Eagan Qrdinances. APPLICANT/PERMITEE SIGNATURE ^-t-d ISSUED BY' MINATURE, ? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 5830 PILOT KNOB RD - 55122 681-4675 Mew Construetion Reauiremants RBmodeVReoeir Reauircments ? 3 regislered sde surveys ? 2 copies M plen ? 2 wples ot plana (Indude beam 8 wlndow sizes; poured fid. tlesign; etc.) • 2 sRe surveys (exterior additions 8 decks) ? 1 energy calculatfons • 1 energy calculations Por heatad additiona ? 9 copies M hee preservation plan M IM plaltetl after 7N/93 repuired: _Yes No DATE: CONSTRUCTION COST: •- DESCRIPTIONOFWORK: r"mn(efrs Ih .P_.rtS?7vta r9nPvi,? STREETADDRESS: ??,133 rvet'?sI7aT"D b1'71x- LOT ? BLOCK I SUBD./P.I.D. #: C0J\j-9-V\-A nz PROPERTY Name: Ne 1 sOn VYl &rC 1 ? Phone #: /o g S''OL?01?- owNeR ...?.. Street Address: 3'? 53 c reen5 ho ro D-. City: LL?L4 lSil State: M ) Zip: 5?/ a3 ^ CONTRACTOR Company: ?.hdcDOl 6sl PMc1?rr5fjn Phone#: F3--GZ`4777 StreetAddress: License#:c????L9? Z City: -f v?lilGu State: VYIKJ Zip: 56?da ARCHRECT! Company: L ? Phone ENGINEER Name: Registration #: Street Address: ? City: Sewer & water licer.sed plumber (new construction only): . Penalty applies when address change and lot change are iequested once pertnk is issued. State: Zip: I hereby acknowledge that I have read this appliqtion and state that the information is rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex 0 02 SF Dwelling o 07 4-plex ? 03 SF Addition o 08 8-plex 0 04 SF Porch ? 09 12-plex ?05 SF Misc. 0 10 -..7plex WORK TYPE 0 31 New o 33 Alterations a 32 Addition ,?4 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 0 11 Apt./Lodging o 16 Basement Finish 0 12 Multi RepaidRem. 0 17 Swim Pool 0 13 GaragelAccessory ? 20 Public Facility 0 14 Firepiace n 21 Miscelianeous 0 15 Deck 0 36 Move a 37 Demolkion Basement sq. ft. MC/WS System Main level sq. ft. Cky Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code Census Bldg Census Unit , Building Engineering Variance Permit Fee Valuation: $ -70 U 0,J C) Surcharge _ Plan Review License MCNVS SAC City SRC _ Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ti 1989 BDILDSNG PfiEIMIT 9PPLICATION - CTTY OF EAGAN SINGLE FAMILY DWELLINGS lt"f at - INCLUDE 2 SETS OF PLANS, 3 CERTZFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRFSSES FOR CDRNER LOTS - CONTR6CTOR/HOMEOWNBR MOST DFSIGNATE WIIICH ADDRESS IS DESIRED. NO CHANGES AILL BE ALLOWED ONCE BUILDING PEAMIT I3 I3SOED. M[TLTIPLE DWELLINGS SENT9L ONIT3 FOR SALfi iRQITS # OF IIHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.V 1 SET OF ENERGY CALCULATIONS CONMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Site Address 37h3 Q7 Ree,i15 V31U8tIol1: '1• On Lot 9' Block Pareel/Sub flumon c?o ? u?4 ?5? Y1 Address 37J 3 G(`E-Et15 L1'o LV City/Zip Code 55/v? 3 Phone Contraetor Itio?`t?? ?boo Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F On site sewage On site well _ MWCC System _ J? /? City water Address I?JqS ?1GYl y0 j'1 lJ y{?PRV required _ 55 Booster PumP - City/Zip Code APPROVALS Phone 7vv - ?J ?c ? ? Planner _ Arch./Engr. Address City/Zip Code Phone # Couneil Hldg. Off. Variance Date: "/ / 16/5'1 FEFS Bldg. Permit &Nea-6 Surcharge 3.00 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aect. Deposit ? S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies 1,00 TOTAL (9 -2 4-0 NOTE: Sewer & Water Permit fees and aecount deposit fees rrJ.ll be ineluded in the building permit fee. Processing time for serorer and rrater permits is two days once a licenaed plumber has applied for a permit at City Hall. -popCFP - y 12X IZ= Ivy x,%= 2?rjf-o ?--------" ? c5?0 . q Ar - --.?..?.?. T'RI-LAND C0. „ . SI?RVEYING SIYE PLAN FOR: SERVICES JOSEPW MILLER CONST 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 " 85?? 04 w LG I i ?-?L- - - - - ---? I?? ? 1 I S I?? I5 V ? 9. E--- ?o ? 8 I o I OD I 2Kl 7y ? ? S Z I Q ?t ? \ ,??y I II w+ ? 9oE.(o 85,00 ?902. >) N O° 28' 04" W GREENSBORO DR PROPERTY DESCRIPTION LOT 8 , BLOCKI , GREENSBORO IST xeordinp to the recordsd plat thereof Q4KOTA Counly, Minnsaoto LEGEN o DENOTES o DENOTES qpy Z?DENOTES IRON MONUMEMT WOOD HUB SET EXISTING SPOT C , 0.EVATION qcqDDENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION , -- SCALE: I"=30' PROP05ED GARAGE FLOOR ELEVATION = _1?S16L_ PROPOSED FIRST FLOOR ELEVAtION PROPOSED BASEMENT FLOOR -Y?•?L ELEVATION NOTE'. VERIFY ALL FLOOR NEIGHTS WI7H FINAL HOUSE PLANS I Iwnby certffy that ihis survey,plan or rsport wes preparsd py me or under my direct suparvision and thal I am a duly Brodley . wenson, Mn. Rep. No. IS235 Repittered Land Surveyor undK iM . Lows of ihe Stat• of Mfnnesota Oote • W (n ? M O 0) OD Z ?JI u -1 -6?$- V?Q j3q.3? L_ M? ??? /3Z3n 7987 BOILDING PBRMIT APPLICATION - CITY OF S6GAN SINGLE FAMILY DWELLINGS IPCLDDE 2 SETS OF PL6NSt 3 OF SORVEY, 1 SST OF ENfiRGY CALCOL9TI09S ? NO?E: 9DDRESSES FOE COENER LOTS - C08THACTOR/HOMfiOfiNEH MQST DESIGHATS WHICH ADDRESS IS DESIRED. NO CHANGfiS {iILL HE ALLOWED ONCS BOILDING PER!!IT IS ISSIISD. MOLTIPLE DWELLIAiGS - RffiIDffiTfIAL INCLUDE 2 SETS OF PLANS, CER' 1 SET OF ENERGY CALCULATIONS COPIlMERCIAL ESl1TAL OPIYS FOR SALE DAISS OF SDRVEY - CHECg WZTH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND Wo, coU To Be Used For: O/L b) ?? vrnC?• Valuation: ? Date: c'? Site Address 3?5 Lot ? Bloek ? On Site Sewage_ ??6'l.0 MWCC System ? Parcel/Sub, On Site Well City Water ? Owner Address City/Zip Code Phone Contractor?V1 ?? - -AALA Address L,sty7a;e?NQA,tQ."s_< City/Zip Code ?w'nl4mQ+" Phone Arch. /Engr. Address City/Zip Code Phone # 9PPROV9I.S Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Occupancy Zoning 2. I Type of Const (Actual) S[ - (Allowable) ? If of Stories Length S2 Depth 34 S.F. Total Footprint S.F. FSBS Permit 551• Sureharge 58• Plan Review Z? S ?S SAC, City IGb . SAC, MWCC SZS. Water Conn 5Z5, Water Meter l01' - Road Unit Treatment Pl 180• Parks Copies TOT9L --? -5 ? IT 25 x 3? ? 7? ? ? ? 4- 3.!?Oo Z24"_(4 30? I??G?- z.2 x 2z = 4?4 ? ?2 = s8o? ?X2? ^ "180 5( e? 4 - 3?3zo Z 2 x c 4- - 30B x 44-- ? f 3,S.5 2 S ,i I isb44 67- 3/ T'R6°-LAND 'CO. - SIJRVEYING SITE PLAN FoR: SERVICES JOSEPH MIL.LER CONST 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 N 00 28' 04" W p,` Q? 85.00 , I li I ? ??--- - - - - -1 ? ? . 5IV ? 5 Iti °o 1 8 M? I C . ? 5 Z I - ?Z I s I ??----- i r• ?P??y'? ?1` i ??, a . I i . ? ? i ?.. • ? p r II wr `108. ?a 85,00 ?9oZ 7) N 0° 28' 04" W 0 GREENSB R ?-Z - accorcgnp to the recorded plat thersof QAKOTA caunty, Minnasota SCALE: I" = 30' , ?- w I u io W) M 0 ? OD z MO GREENSBORO?DR? _ PROPERTY DESCRIPTION LOT_, BLOCK I , 0 0 IST LEGEN o pENOTES IRON MONUMENT o DENOTES WOOD HUB SET CqD9?ZENOTES EXISTING SPOT ELEVATION c??DDENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE OIRECTION I hereby csrtify thot this survey,plan or rsport wcs preparsd by me or under my direct supervision cnd Mal I am a duly Reqistered Land Swveror unGr tM Laws of the StMS of Minnesota &adley?d./?renson. Mn. Raq. No. 15233 Oate : V 2113* .I PROPOSVo GAr7AGE FLOOR ELEVATION= 9/Q.D PROPOSED FIRST FLOOR ELEVATION _ q/d, t PROPOSED BASEUAENT FLOOR .?Q1..?L. ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WITH FINAI. HOUSE PLANS . ; y One or Tva Family All Other CTTY OF BUILDINa DEPAR'fh1ENT EXTERIOR ENVII,OPE AVERA(iE "U" CAMPUTATION (To De submitted with building permit applica'tion) Dwelling ?K_ Owner Site Addreea Contractor ?oSEpF? ?U.ER- C:a!?sT- Date -16- Phone ?8? -113 LINBAL '.•'EET OF ?O3•48 ? ? ? E7{'i>OSED V7ALL ??oRK- ??eT ft. above grade Zq TOTAL EXPOSED WALL ARr^.N SQ. FT. o?;,qUE !'tAI.L CONSTRUCTION: "U'l Value x Area E "U ts . 043 x SQ. De tail m '?U'l • 04o x SQ. reference COtiC ' 'IU'I . 07Co x SQ. from IIUII x SQ, attached nUte x SQ. sheets - --- - npn x S@. ;7ZNDObVS: "Ull Value x Area . FT. IS •70 . 94.15 (U)(p) FT. Z58.9 = fB.35 (U) (A) FT. Zo8•S7- = S. U) (A) FT. - U)(Q) FT. - (U)(A) FT. - (U) (A) Aiake & Type INI?t_?. LyNf,T "Ull . SL x SQ. FT. VS•30 = fll•9S (U)(p) " 11 IIUII x SQ. FT. _ (U)(A) It 11 ifUlt x SQ. FT. - - - (U) (A) n u nUn x SQ. FT. " - (0)(A) DOORS: "Ull Value x Area i•Ia::e & Tyoe 67L • 1??aoL . nU,, G.14- z SQ. FT. 9 00 c L•$60 (U) (A) " " ,.f'A-Tin liUlt .47 x SQ. FT. Z.bo z; J 9,74_,(U)(A) n ti njJn x SQ. FT. _ (U)(A) it flUel x SQ. FT. _ (U) (A) TOTALS 29G3.48 Sq, rrT. Z58 •91 (U) (A) AVERA(iE "U" TUTAI. (U)(A) V/II.UES 2sg,q' DIVIDED BY TOTAL 17ALL AREA ?9?•g8 ' 087 r- AVERAGF: "U" ,115 or less for 1&2 family dwellings ROOF/CEILZNG: TOTAL AREA: O I Detail reference foUl$ •02/ x SQ. ET. /QS/ = ZZ•O](U)(A) fram $lUll x S@. FT. M (U)(A) attached sheets. 'IUII x SQ. FT. _ (U)(A) Describe onenings toUtt x SQ. FT. _ (U)(A) in roof. flUte TJTAL (U)(A) VALUES DIVIDED BY 2Z.07 _ TT?y2 1051 ZZ 07 CurC'?> 'i':?';AI, ROOF/CEILIitG :Si:A AVk;RAGE "Ull ,025 for ventilated roofe. = il (,L)oV-K. Sda---r 1, 6 E_xPosED WAu- 18•33 X ?5Z+5L+-Z?+Z?? = Z,859.q,Q I,Z•0 X 4.0 = ¢8.? 14,o x 4.0 = Sfo.oo 2,963•48 ?` •83 X??o4+1o4-?SLt5Z? = Z58.9<v ? Corl?, .(?7X??Lt5L+2r?-?, = lo¢,SL ll,bx4 = `?8•ao 14• o x 4 2a85Z ? ?r?Dows 1(ox3fo = q:o x Z = Z.oX3fo= 5.0 X4 = Zo x48 = (0•7 X 3 = Z4x48 = S•o X IZ ? zo,c&o = 8.4 x 8 = 14 x 24 = 4.0 x I >,:!°F-s z6 5?'TL• SE,evkE _ (o? PP.-no br- _ $,oo 20.00 9(a. 00 fo7• zo ¢. o0 Z/.oo ZS•oo q?.oo ?F 9/.00 -?- Z?x3o = 780 lz.33X ZZ = 271 1fl 5 I ??- i l.J4t.- EQuAZs?. Ne &?zvss wpt-,I- LESS p-IN'1 Z5$.9lp 609C, 7o8•57- ° k/DWS 2 1S.3o Doo,e.s 4/.00 Z963•48 - 773.78 Z,189-70 ? Permit# 03 Receipt Date: / o 4), l b/ CITY OF EAGAN SEWER/WATER REPAIR OR DISCONNECT PERMIT 2001 Date 101 Z v) Sewer Address/azea to be repaired .J ? J-3 Description J`f//?Zk-"( R?-Kl- Water Fee: $50.50 (- owner: ?Alxri G?C.r L Street Address: 7 Installer: Address: I Z! SI IZC)-k? Sf. S City H ?7- ? P-,cS Telephone: 6 51 - (Y Sy ` O Zip Code: Telephone: (azea code) Zip Code: S j 0T3 zx2 Si ature of ermittee ??ive.yvvt auv ti.oo 11f6 !OJ Dfl vNjBU ' 2{gmIlAL Bl° SCILlSLG7tSll' r? al ?? . . rnne2oor . ?aBom 3836 Pi;crt Saob Road Eagan. MN 55122 To Whom k May Conoern: Etder Tones is authorizEd to puii buiIding permits for Rmewai by Andarsen. plcase allow F1dcr Jones to pmvide this *'vicc for us in HaM. 'Ihia enthorizeticin is valid for any date bayond 61610I: to the City. untiI a I?'enewal by Andarsen manaper exPnsely revokes it in wilft I rcquest this antfioxization bc acccpted-expedidously, as to not detay in the grocr,ssiing of our buiiding pcxmita eny forthcr. Plcaac cail mc Sf thcic arc nny queaciona.. I can Ue contacoed at 763-502-4706. Your immqdiaGC attcntion to.ft mattcr is a"atert, a .- . Siuceiely, and R. Rau ostxtlation Managor Ranewal by Andarscn CorPorativn C'r.: Karn-F.)rle.r 7nnea .?.??..?..e? L OH D?, ?(3A?qRL "r?s'aM? ? nzam b1uu: Received Time Jun. 1. 1:p7pM 4 4b? Clty of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 i Fo%Uffc`e: V3e - - - ? Permit v ! (J j I permit Fee: ? Date Received: I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION(AW Ct f?? Date: 4O v Site Address: 3753 ?lEEt?S?orO /61???c- Tenant: leovs` c--?C 0o44 Suite RESIDENTIOWNER Name: /'?OH??&e, ^-?- A& ua''?_ Phone: Address ! City ! Zip: 37S3 ?1ee,'SZ??? Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: Construction Cost Multi-Family Building: (YesNo? CONTRACTOR Name.? License#: ?DqU/d 7 7I Address: (J ?7? ?c?LKrxl ?? ? ? ' 4.-r City: ? y..- state: ? zip: Phone, ?SContact Person- t?g• `0? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted • In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: MOTE: Plans and supporting documents that you submif are considered to be public information. Portions of the information may be classified as non-public if you pro3ide specirtc ieasons that'woufd'permif tiie City to ? conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in confonnance 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 stad 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. 1-19 , ApplicanYs Printed Name plican ' i na u SFp 1 0 2008 Pagetof3 1 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screenlgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ?p Lower Levei ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Bu ilding ? Reroof ? Demolish Interior ? Alteretion ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' DemolRion (entire building) - give PCA handout to applicant DESCRIPTION: 2 Valuation J? aaa . ? Occupancy MCES System Plan Review . Code Edition l? 21QD?'1 SAC Units (25%_ 100% ? Zoning City Water y Census Code c.f3 ' Stories Booster Pump T T # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings(deck) FinaI/C.O. Footings (addition) ? Final/No C.O. Foundation Z4 HVAC Drain Tile _ Other: Roof: Ice & Water Final Pool: _Footings _AirlGas Tests _Final ? Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows ? Insulation ReWining Wall Reviewed By: , Building Inspector ---- - ------------------------------- -- - -------- -------------- - - --------------- - --- - ---------------------- - - - --- - ---- - -- - --- - ---- - --- - - - ------ - --- RESIDENTIAL FEES: Base Fee ? 147 Fe•e_ Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant Copies Total Page 2 of 3 ?----------------- i FororrQsa ? ? Permit #. I ? Permit Fee: ? I ? ? Date Received: I I ? I ? I Staff: ? L ----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION oata: 4> -,;?9-a? Site Address: 27S_3 Gr D R 8 U<Z- EC??a h Tenant: Suite #: RESIDENTlOWNER Name: Phone: Address / City 1 Zip: CONTRACTOR Name: L,?RfG.{/ /'14//lLI?j C ' License#: Address: Z U 7 r M ? /iN /• 6?- City: 4//l d'n'UM State: /*(V. Zip: ..S'S ?G x Phone: Contact Person: 124T 7A3` Ua 2` ,?0L' TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild x Modify Space _ Work in R.O.W. Descri tion of work: PERMITTYPE RESIDENTIAL Water Heater _ Water Softener Lawn Irrigation _ Add Plumbing FiMures _ (__ RPZ / _ PVB) (_ Main XLower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround" (includes $.50 State Surcharge) 'Water Turnaround (add $147.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (inciudes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharye) ? TOTAL FEES $ ?dl _-' _ I herehy acknowledge that this information is complete antl accurate; tllat tne worK vnn oe in conrormance wim cne orume?l?s aFlu wuoz ul LJ56 ..Itx v? Eagan; that I understand this is not a permit, but only an application for a permit, and vrork is not to start without a pertnit; fhat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ? eTf 4v2/v 6?z ApplicanYs Printed Name x zd22? Applicant s S?g an ture .. -. _. : , _, ? . . ,. FOR OEFICE?USE' r. ri:..Rev?ev±ied By =7 k.- Llate ? . .. ' .' .. , 6? ? ' . . .. Repuireddnspections =UnderG,round Rough?fn.? AirTest, ? ?. ?6asVTest;,; Final ?` r Use t D.,"E or BLACK Ink 1 - For Office Use - - - - - ~ l } t o t° Permit #:Ea i Permit Fee: ~ ~3 1 3330 Pilot Knob Roar' Eagan MN 55,122 ~ Date Received: Phone: (551) 575-5575 i I Fax: (651} 675-5694 l Staff: XV C 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ~Y r~ 4~ a' l1t i ra Unit Date: - Site Address; L~ 6 Name:"'__, - - r . , Phone: Resioentl s lciL y Zip: Owner Address - - Applicant is: Owner Contractor k Description of work: ? ' ~ Type of Work Construction Coif Multi-Family Building: {Yes No } x Corn an contactI'U Address: t oi~ iaa.; City State: Zip Phon x T, 17 e: v ` License Lead Certificate 1~~ lf the project is exempt from least certification, please explain why: (see Page 3 for additional information) ~ / - - - - ~01 ~G----- 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 playa based on a master plan's i ---Yes --No If yes, date and address of master plan: Licensed Plumber: --------Phone: - - Mechanical Contractor: Phone: Sewer & Water Contractor: ~ Phone; J'VO tE }Mans grad supporting documents i:i_.Z (du 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 they are trade secrets. CALL BEFORE YOU DIG. Calf Gopher State One Call at (651) 454-0002 for protection against underground utility damage, Call 48 hours before you intend to dig io receive locales of underground unities. "a I hereby acknowledge that this information is complete and accuraithat the work A- be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appliox , for a permit, a' ' 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. X_ :11 Q_ k VA x Applicant's Printed Name licai'a. s ture Page 1 of 3 DO NOT RITE BELOW THIS LINE ~ I SUB TYPE'S Foundation Fireplace Porch (3-Season) Storm Damage Single Family Garage _ Porch (4-Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Piex _ Lower Level _ Pool Miscellaneous T Accessory Building WORK TYPES _ New Interior improvement Siding Demolish Building* Addition Move Building Reroof _ Demolish Interior Alteration T Fire Repair Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall Temolitiomof entire building - give PCA handout to applicant DESCRIPTION Valuation Q~,,~j - Occupancy MCES System Plan Review Code Edition SAC Units (25%--_ 100%_z", Zoning City Water Census Coded Stories Booster Pump # of Units j Square Feet _ PRV # of Buildings J Length ~ Fire Sprinklers Type of Construction Width /y_ REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final /-No C.O. Required - _ Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _--Ice & Water --Final Pool ---Footings --_AirlGas Tests _~Final Framing Siding: ---Stucco Lath -Stone Lath __Brick Fireplace: ---Rough In _--Air Test -Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES 70 Base Fee Q 77 Surcharge Plan Review5 "53 ? MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r 7- # LAND CO. - SITE PLAN FOR - SURVEYING SERVICES MILLER CONST 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 1 ` 37 71 /u I ✓ ~l % } ` `too to ° 3 no 1 N U i~ s OD z z EAGAN S1 11 REVIEWED BY: ;A' y GO i a wr Q 96B.b 85,00 9,°q 5) ~~O? 7} N 0° 28` 04" W ~qo GREENSBORO r~DRz__-. PROPERTY DESCRIPTION LOT_ BLOCK-I-, GREENS80R0 ! ST accordin® to the recorded plat thereof DAKOTA county, Minnesota LEGEN o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION _l1S1dL_ a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION ,O~DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELE VATI ON ELEVATION q0j-,gD£NOTES PROPOSED SPOT ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WITH DENOTES DRAINAGE DIRECTION - FINAL HOUSE PLANS I twoCy certify that this survey,ptan or _ report was prepared by me or under my it, Mn. fieo No.i'~235 direct supervision and that 1 am a duly Bradley wenso Registered Land Surveyor under the pats Laws of the State of Minnesota PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140100 Date Issued:11/23/2016 Permit Category:ePermit Site Address: 3753 Greensboro Dr Lot:8 Block: 1 Addition: Greensboro 1st PID:10-30900-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert C Clark 3753 Greensboro Dr Eagan MN 55123 (651) 245-8910 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162663 Date Issued:07/23/2020 Permit Category:ePermit Site Address: 3753 Greensboro Dr Lot:8 Block: 1 Addition: Greensboro 1st PID:10-30900-01-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Robert C Clark 3753 Greensboro Dr Eagan MN 55123 (651) 454-0298 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163918 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 3753 Greensboro Dr Lot:8 Block: 1 Addition: Greensboro 1st PID:10-30900-01-080 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 - Robert C Clark 3753 Greensboro Dr Eagan MN 55123 (651) 245-8910 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature