3758 Greensboro DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3758 Greensboro Dr
Lot: 3 Block: 3 Addition: Greensboro 1st
PID:10- 30900 - 030 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
e - Water Heater
New
Water Heater
Meter Size Meter Type
Cherie Pung
1424 3rd St N
Minneapolis, MN 55411
Contractor:
McGuire & Sons Plumbing & Heating
1424 N 3rd St.
Minneapolis MN 55411
(612) 604 -4285 X61
Total:
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Diane B Lage
3758 Greensboro Dr
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA090430
07/31/2009
ePermit
Line Size
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3758 Greensboro Dr
Lot: 3 Block: 3 Addition: Greensboro 1st
PID:10- 30900 - 030 -03
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:
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935 -9669
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Diane B Lage
3758 Greensboro Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA090604
08/11/2009
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3758 Greensboro Dr
Lot: 3 Block: 3 Addition: Greensboro 1st
PID:10- 30900 - 030 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Quesetions regarding elec
952- 445 -2840
Cherie Pung
1424 3rd St N
Contractor:
McGuire & Sons Plumbing & Heating
1424 N 3rd St.
Minneapolis MN 55411
(612) 604 -4285 X61
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Diane B Lage
3758 Greensboro Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA091121
09/14/2009
ePermit
cal Inspector,
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
BLDG. PERMI'T N(}. ?l?
01-3210 Bldg. Permit
01-3422 Plan Check •
01-3445 Surch./Adm.
01-3446 SAC/Adm, i,
01-2155 Surcharge ,.
17-3860 Road Unit
20-2275 SAC .
20-3865 Water Conn. '
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. 11-3855 Park Ded.
TOTAL ?
0 CASH RECEIPT ?
CITY OF EAGAN?" 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
D A T E' 19
RiC61VED
FROM
AMOUN7 $ I
` & DOLLARS
?oo
? CASH [] CHECK
, • ?" ?
FOR
BY
white-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
CITY OF EAGAN P12
3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 M6-}
1
P41AMF• dr%d_A1M
BUILDING PEFiMIT
!lILLER CONST
To be used ta SF Di1G/GAR Est value $74,000 Date FEBRGAkY 4 19 $7
SiteAddress 375$ GREENSBORQ DR Erect C? Occupancy K3
Lot ? Block 3 SeciSub. GREENSBO RU 15T Remodel ? Zoning 81
Parcel No Repair ? Type of Const V
. Addition ? No. Stories
IOSFPH lIiLLER CONST Move ? Length 56
W Name
18133 CEDAR AVE SO Demolish ? Depth ?
o Add?e
City ss
FARMING"tL1N t?92-1010
R1tfie Int Impr.
Install ?
? Sq. F?
a r??yy? Approvala
= o Name
o? Address Assessment
~ City Phone Water & Sew.
Police
Name Fire
Eng.
Planner
Council
I hereby acknowledge that I have read this application and state thatthe Bld9. Off.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC
Signature
A Building Permit is issued to: -11"
all work shall be done in accordance with ail
Receipt #
Var,
of Minnesota
Surcharge 37.00
Pfan Review 206.15
Water Conn. "' • ?"
Water Meter 67.00
Road Unit 3U5.U0
Tr. PL i80•00
Copie Total 42,357.75
on the express condition that
ot Eagan Ordinances.
Building
?
?
_ Pamlt No. Ps?mit Holda Dde Tslkphone M
Plumbinq d149
H.V.A.C. S,:2V 7
Elsctrie c- f ,
sonen..
Irupsetlon Date Insp. Commenb
Foodnya I
Foodn9s II
FoundsHon
Framinq
RooNny
Rou9h Plbp. ?-? L ? 2 ?o - ? • .-? ' ;j
Rouyh Hty. 7
Iruul. ?S F7
Flroplaee
Final Hty.
Finsl Plbp.
Bldy. FMaI
CM. Oca
Dsek FtQ.
Deck Frmy.
WNI
Pr. Disp.
- .- _ i .-_
. . ' _. _ . •?. • _1= . i?
, R 1.....?t? .'Ur .. . ??k.e ._
... - ? A , .
, .
PERMIT #
MECHANICAL PERMIT
REGEIPT #
CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE !
CONTRACT PRICE PHONE: 454-8100 • a'%
Site Address BLDG
TYPE WORK DESCRIPTION
Lot Block Sec/Sub .
R
N
,
es.
ew
Z Name M
lt Add
F)
Address , u
-on
i
C
R
1
c
City Phone omm.
r
epa
pther
Name FEES
L
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone '---- °-' ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK
T GAS OUTLETS - 1.50 EA.
Forced Air M B
U COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE -
SI(iNATURE OF PERMITTEE
S/C.
TOTAL•
? ?' ' ' FOR: CITY OF EAGAN
Site
lot.
? Name _
? Address
c City ?
Name
Phone
FEES
I COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
' TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
; MINIMUM - COMM/IND FEE - $2U.00
' STATE SURCHARGE PER PERMIT - .50
(ADD $.50 SJC IF PERMIT PRICE GOES
BEYOND $1.000.00)
OF PERMITTEE
FOR: CITY OF EAGAN
' PERMIT #
PLUMBING PERMIti' RECEIPT q
CITY OF EAGAN
3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE: ?//
? s 7
ICE PHONE: 454-8100
' ,.. ° r• ' ? BLDG. TYPE . WORK DESCRIPTION
Block ] Sec/Sub - Res. New
Mult. Add-on
Comm. Repair i
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. - FIXTURES
t
Cl
$3 00
W TOTA4
oset -
a
er
_LBath Tubs - $3.00 1
Lavatory - $3.00 j-,
Shower - $3.00
?I(i?chen Sink - $3.00
-,Urinal/Bidet - S3A0
? Laundry Tray - 53.00
-1
? Fioor Drains - $1.50
_LWater Heater - $1.50 ? •? ?
Whirlpool - $3.00
_ZGas Piping Outlets - $1.50
(MINIMUM - t PER PERMIn :
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
'
__
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL• ? ?
?
?
? CITY OF EAGAN , WATER SERVICE PERMIT
3830 Pllot Knob Roatl
j P.O. Box 21189 PERMIT NO.:
? Eagan, MN 55a21 • DATE: 2/6/87
Zoning: 1?-1 No. of Units: 1
Owner. T?e Miller Const
Address:
SiteAddess: 375E Greensboro Br L3 B3 Creensboro 1 ,
Plumber. Tortt } I c S' a
Meter No.: s °Z on Charge: ?25. 00
size: SB? Ra??r l? . nn
ReaderNo.: d d ???????• 10.00
So-
? 1 ayres to comply wilh the e d?- E?rtrChar e:
Ordi . I c ?°t ??r . 1 8Q-QQ
i'
? . ?QU?R ,.
? Date Paid:
? Date of Insp.: Insp.:
? c,3- z 7
cirr oF E?AAW- -'-
3830 Pllot Knob Road SEWER SERVICE PERMIT
P.O. Box 21199 `•? , ?? ?
PERMIT NO.:
EaQan, MN 55121' ' f? 7' ,
DATE:
2oning: F;1 No. o} Units: 1
Owner. •Toe ?tiller Corist
Address:
Site Address: 3758 Greensboro 1'r L; '' Creensborn 1.
Plumber: Tom tles sian
100.00
I agne to comply.wttti theB*rdi iiwg ?a lo?a{ ut'tli?itS $e: S25 _ 0o
oroi"a"C°s. TELEPHOi?E - ELEt? 2?_ nn
REQUIREDP?F ? yY_ ,t?_?,n
Surchar
e: Sfl
BY . g
Misc. Charges:
?
Date of Insp,: Total:
Inap.: Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 OATE: '{.i, f R7
Zoning: i'; No. ot Units: ?
Owner. T- •'i 11e?Corst
Address:
SiteAddess: r?
Plumber. _Tq=,.?
Meter No.: Connection Charge:
Size: Account De
osit:
p
Reader No.: Pormit Fee: i'D}
:
I agree !o comply with Ihe City of Eagan Surcharge: _5
Ordinances. Misc. Charges:
Total:
BY Date Paid:
Date of Insp.:
- -• -. ??.":?
,
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pibt Knob Road
p O. Box 21199 PERMIT NO.: ,, .
E, 1•, ,
Eagan, MN 55121 DATE: ;
Zo?ing: No. of Units:
Owner.
?Toc "i ? 1 cr t'cr st Address: ? q Z rrenr. stiorci 1
SlteAddress:
'= r `• `? n
Plumber.
, -• 1 /t .. y? t?.
I agree to comply wlth the Cfhr af Eaqan
Ordinances.
Connection Charge:
Account Deposit: j=' • "`'
Zn.r;Q
Permit Fee:
Surcharge:
BY
Date of Insp.:
Insp.:
Misc. Charges:
Total:
Date Paid:
?/??? ? REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
°'> 1 Sea mstrue[ions for compleLnp thie torm on beck oi yellow eopy.
yrJ ,) 4 X" Below Work Covered by Ihis Request -?
INegAAAd BeD• Tyoe 0l8w01ma Anolinncea Wired Equiumenl Wirea ?
p Fee ServiceEnVanceSize H Fee FendereBubteeders N Fae Gircurte
0 to 200 qm s 0 to 30 Am s 0 In 30 Am
Above 200 qm is 31 to 100 Amps 1 00 131 to 100 A
Swimmin Pool Above 100_Am s Above 100_Am '
Transformer5 Irngation Booms ParLal."Other Fee
? I I Signs ISpecial Inspection iS?Q?ITOTALF
Pemarks O
r
floueh-in Date C.
, p I. the EI
e? Inapeetor, hereby
' eerUty thet I he abova
Final ?^lej ???iAypeetion hes bean
d'
thlartpuestvolElBmonthnirom LW
This request vmd ??
?/0 7
18rtpnthsfrom ??
C..80$54 1-3.9j.
! //!": <'/YL: JAIG'TLCI / ?
?1 ? ?? S'
-x ,.,?o. cc)
Request te
? ^
Lr?J Fire No. Houp'-in Inspection
Req iretl>
Ves ?No
?Headv Nuw? Wi II NotMy Inspec-
lor When NeaAy
M Licensed ElecVical Contractor 1 hereby reques< insoachon of ebove
? Owner electrical work irwtallad at
Sveei Atldress. Boz or Route No.
158 S're ens bvrz)
.d r ve? Gty
Ca
ectron o. Township Name or No. Range o. Counryi ? / •
Occupant (PFINT)
.10e. Md (er Phone No.
Po er Supplier
?CL?FU'fLL- ???G Adtlress
.3ao
?d "?'?
Electr' al Convacwr (COmpany Name)
Contractor's licanse No.
MadinB A.ddress IContractor or Ownar Makine Installa?i nl
o?Soo W Co ?d ?
BKrnSv????
AuMonzed ie?ature (COntracior Owner Makmg InstallaLOnl Phone Number ?
MINNESOTA STATE BOARD OP EI.ECTRICITV TMIS INSPECTION flEQUEST WILL NOT
Grigpe-MiAway Bitlp. - floom N-191 BE ACCEPTED BY THE STpTE BOARD
1621 Univara{ty Ave.. St. Veul, MN 66104 UNLESS PNOVEN INSPECTION FEE IS
Phone/612)644-0800 ENCLOSED.
54"
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 13167
' PHONE:454-8100
BUILDING PERMIT Receipt p
Tobeusedtor SF DWG/GAR Est.value $74,000 Date FEBRL?' Y 4 19 87
SteAddress 3758 GREENSBORO DR Erect ?l Occupancy R3
Lot 3 Block 3 Sec/Sub. GREENSBORO 15T Remodel ? Zoning R1
Parcel No. Repav ? Type of Const. V-
Addition ? No. Stories
a Name JOSEPH MILLER CONST Move ? Length 66
; Address 18133 CEDAR AVE SO Demolish ? Depth 2fi
° IFARMINGT 892-1010 Int. Impr. ? Sq. Ft.
City ?ne Install ?
io Name-
0
u ¢ Address
r rin,
Phone
a
m W Name
Address
i w City Phone
I hereby acknowledge that I have read th is application and state that the
mformation is wrrect and agree to comply with all applicable State of
Mmnesota Statutes an+C?ry of E?gan OrdinanFes.
S9nahre of
A Building Permit is issued to:
all work shall be done in accordance with all
Building
MILLER CONST
Feea
Assessment Permit $ 412.50
Water & Sew. Surcharge 37 . 00
Police Plan Review 206.25
Fire SAC 625.00
Eng. Water Conn. 525.00
Planner Water Meter 67.00
Council Road Unit 305.00
BIdg.ON. Tr Pi. 180.00
APC Parks
Var. Date I Copie Z ,357.75
Total
of Minnesota
?
- on the ezpress condition that
of Eagan Ordinances.
. ? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
New Conetructlon Reauirememe
• 3 registered sNe surveys showing sq. N. of bt, sq. R ot house; and ?II rooted areas
(20%ma)dmum bt coverage albwetl)
. 2 copies ot plan showing beam & window sizes; poured faund design, etc.)
• 1 set ol Energy Celculatbns
• 3 copies of Tree Preservation Plen A bt platted atter 711493
• Rim ,biS Detail Opfans seleclion sheBt (bklgs wBh 3 or less unfts)
flemotleUHeoaU Heauirements
. 2 coPies of plan
• 1 set of Energy CalCUletions ior heated add'Abns
• 15ilesurvaytorexlerloraddttions&tlecks
• 6Wlcale II hane sened by septic system for addttbns
VALUATION", t i / 3 -3.3 3
7ULTI-FAMILY BLDCy_Y X N
FIREPIACE(S) ?? 0 _ 1 _ 2
APPLICANT A. ??fU (," 5w L() i I0 4 U N6t A. c,bd ?
STREET ADDRESS I a1,0P'k fJ ICD II ?T CkAu i0. CITY- 6TSTATEAMt-ZIP SS 3
TELEPHONE #`jSZ -?6'?- - CELL PHONE # FAX #
(OTSI
PROPERTY
TELEPHONE #41?/ - LES C -76 3-0
----------------------- ----- -------------------------- -------- ---° °----------°-------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJLES 7670 CA'I'EGORY 1 MINNFSOTA RULFS 7672
(J submission type) • Residential Ventilation Cetegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mittad
Plumbing Coniracfor: __
Plumbing system includes:
Mechanical Conhacfor:
Mechanical system includes:
SewedWafer Conhactor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
SEP 12, 2002 ?1
Fee: $70.00;,
--'
I hereby acknowledge that I have read this application, state that th form ' n Is c rre , gree to comply
wiTh all applicable State of MinnesoTa Statutes and City of Eagan O i nc s.
Signature of Applicant ?-
-------.......-----------------_..............._----°°-----°-?--?-°---°..r------'----°---'-'
OFFICE USE ONLY
_ Phone #
I.awn Sprutkler
No. of R.I. Batt
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
DATE (09 LO / 2,08 Z
1986 BUILDING PBF?II? APPLICATIOH - CITY OF EAG9N ?
HOTS: Aid. CONTBAClORS HOSY BS LICENSSD llITH TBS CITY OF EAGAN
3IAGLE FAlQLY DWELLIAGS
ZNCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
HOLTIPLE DSiSLLIBGS - R&SIDfiNTZAL
INCLQDE 2 SETS OF PLANS, CEB
1 SET OF BNERGY CALCULATIONS
COP4lERCIAI:
RE[Tf9L UBITS FOR S6L& DNITS
OF SORYSY - CHECB i+TITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
74?, OC7
4?? ? Date:
To Be Osed For: -rtpAU )6le77LIA?b Valuation: `
Site Address 31,52 -19jmahh1 j?nh ( OFFICE IISE ONLY
Lot ?J Block 3 Erect ?
Remodel _
Pareel/Sub Repair _
Addition _
Owner Move _
Demolish _
Address Int.Impr. _
Install
City/Zip Code
Phone
Address
City/Zip Code 4CilLY1?..VY
Phone 8? a-- to I n
Arch./Engr.
Address
City/Zip Code
Phone #
i- aa - 17
Oecupaney 12•3
Zoning (Z•I
Type of Const y
4F of Stories
Length cn (o
Depth 2(0
Sq Ft
APPR09ALS FEES
Assessments Permit
Water/Sewer Surcharge 37,
Police Plan Review 20(,.25
Fire SAC lo2S •
Engr Water Conn ?7-75
Planner Water Meter 1'-7,
Couneil Road Unit -220S.
Bldg Off Treatment P1 18D
APC Parks
Variance Copies
TOT9L
MOTE: ADDBESSBS FOR CORNER LOTS - CONTRACTOR/HOHEOfiNER MOST DESIGNAYfi WHICH ADDRSSS
IS DESIRED. NO CHANGFS {iILL HE ALLOiiSD ONCE BDILDING PERMIT IS ISSDED.
2Gx
2x ? S "
l t 44- K?? Cp ? 3E `Z.
30 n 4 q- =
22y- 22 = Q64 K-- (2 = Soo&
3Z0
7 3 48o
' ` . v?a v? .i uu1V ?LK'IUIl'W\i
ZXTERIOR E[iYELOPE AVERAUE "U COt4piJTATION
' . (i+o be sabmitted xith.buildiaB PermiL eppiioation)
io
one or Tsa Family DMelling Otmer
All Other Site Addreee
ConCrector Date ? Phoae
? •
LINEAL FEET OF
EXI'OSED YU1LL / ?#T'? f t. .ebove grade as7
°•° •° TOTAL EXPOSED WALL ARK SQ. FT,
OPAQUE WALL CONSTRIJCTIONs flUit Veltte x Area De ta12• -?T??r?«??"p n O x SQ. FT. Z . , ( D)( A)
? reference f? IlUl? x SQ. FT.-?a 4 ( n) (w) loaf) trom IIptI x SQ. FT. = U) (A)
attached I?n x SQ. FT. = U)(R)
sheets "u" x SQ. FT. _ (U)(A)
a0a x SQ. FT. _ (Q)(A)
YIINDOWS: fllTff Value x /lrea
Maka ? TyPa fN5(/L/SJL'r °pill x SQ. FT. ZO /00.3Z(U)(A)
to " "U" x SQ. FT.= (U)(A)
u n ??
. froirr--Sg: F'T. ? M(A)
n. --- -t+ Irylu x SQ. FT. _ (U)(A)
DOORS: "0" Value X Area
Flaca & TYPe l. J SUL InlM?x SQ. FT. (tl)(A)
_
u u _
..
t .. „ X $Q. '?.Za?a 0)w(A).,
?.
t
!'U"- x SQ. F`f. ••-` a (1J) (A)
n .... : fl. .. -.??nn ; SQ. FT. a M(A)
ToTwS ??t.?42 SQ. r?x. ?aS4 / Z (u) (A)
"Utt
TUTAL M(A) YALUES 7?C?.IZ . l .
DIVIDED BY TOTAL 1IALL AREA 'lQ4?, I?
AVERA4E "u" .115 or leea for 1&2 family dwellinge `
ROOF/CEILINfis
TOTAL AREAs
Detail roferonce „II„ x SQ. FT. Z t(U)(A)
from itpto x SQ. FT. . (0)(A)
attached eheete. l'U„ x SQ. FT. o M(A)
Deecribe openin6e „Op x SQ. FT. ¦ (U)(A)
io root. "(tM X SQ. PT. a (U)(A)
TOTAL M(A) VALOES DIVIDED BZ TOrALtJ
T
OTN. ROOF/CEILIt;fi AREA ?5g a? OZI
?
AVERAaE "Ulf .025 for veatllated rootft.
i
. • - Q? 1? ???__ - -
Detormi,ning @#Uit ve,luea at Roof. Wallgiy
, . , end Coac, Block
I ROOF/CEILIN(j
, 1.) Interior Air !'ilm
2.) 51801 ayp. ed.
3.) Ineulation
4
5..
1 Exterior Air Film
. (sTU.I.)
R V1lLUE
0.61
.56
'4, 00
.6t
uUn . 1/A? I OZ? 'POTAL (R)e 41.5' 7p
'IJ
.?--
WALL
6.) Interior Air Film
7.) }u 4YP. Bd.
8.) Iaeulation ,
s. ? f1Wr-P-4 TE
10.) Mesonite Slding
11.) ExteMor Air Film
R YALU
0.68
-45
19,00
210
.
?
.17
AqU't a 1/Ro. ?,C;j 1bTAL (R) ?
- -°
RIH
12. ) Ittterior Air !'ilm
13.) Ineulatioa
14.) 2" Fir Rim Joist
-15:) .P6167*- ,E!TE'J 16.) Haeonite Siding
17.) Exterior Alr Film
R VALUE
0.6$
tqio0
Z61
.17
wull TOTAL (R)s
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FOUpDATION
18.) Intarior Air F11m
19.]
20.) 21.) 12" ConcreEe Block
M. )
',3. ) Exterior Air !'l,lm
R VALU
0.68
/400
1.28
.17
rpn 0 1/Ra #O,(o TOTAL (R) , 13 Is
TRI-LAND C0.
SURVEYBNG
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
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GREENSBORO
PROPERTY DESCRIPTION
LOT3, BLOCK? ,
GREENSBORO FiRST ADD.
occordinp to the reewded plat thereot
DAKOTA caunry, Minneswo
LEGENQ
o DENOTES IRON MONUI+ENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION
t hmreby cortify that thla s?uvey,plon or
report waa preparsd by me or under my
direct supervision and ihat I am a duly
Reqistered Land Surve7lor under ihe
Laws o} the Stote of Minnesofc.
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SCALE: I" = 30'
,Vo1e: Inrctf 1?/e?afion g?O 0y pP(
Cons{ru"?,on P/aAs.
PROPOSED GARAGE FLOOR ELEYATION -
PROPOSED FIRST FLOOR EIEVATION = o
PROPOSED BASEMENT FLOOR
ELEVATIOW
NOTE VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
Bradley J. ,1*enson, Mn. Req. No. 15235
Date -
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*RYPV3: PA`dNR?TC OF kEE AT TIME OF
AppUc-tMON DOES NOr CONSTITUm
r,erxovar, oF rERMIT.
nvsrEMota oF sEMM Arm/oR MM
j[$'LATiATTaN$ WUL Ix7P $E $(HEE>--
UI,ID UN[ZL PIItMIT AAS BM
APPROVID.
P ease Print)
1) PROPERTY ADDRESS: •-
LEGAL DESCRIPTION: rj? S r/ "'
Lot B k Subdivision or Tax Parcel ID )
IF EXISTING STRCCiS,'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANC:E:
? (Nbn Year
PRFSENr 7ANING/PROPOSID CSE:
Q MNVERCIAL/RE,TAIL/OFFICE
Q IDff7L'STRIAL
0 INSTI'IL'TIONAL/GO?T
2) Q' IVAME. _ ^ -
-? u
ADDRFSS: {
CITY, STATE, ZIP: " 1,?p
PHONE: P?1G1 - '
-1 SINGLE FAMILY
0 R-2 DL'PLEX (Tt.o Units)
? R-3 'Il7WNiOL?SE (Three + Units ) ( Lfiits )
Q R-4 APARTMENf/COAIDOMINIUM ( Units)
3)
i
u ?: ?• ?
- NAM: a1?J
ADDRESS:
CITY. STATE. ZIP _?- t8,L
PHONE: ZF ? ? _,!_ ?
4)
LICENSE#
Expired
Not recorded
St?itial
NAN1E: I "1!
V
ADDRESS:
CITY. STATE, ZIP: ?
PHONE:
•5) ? v .? a: • ?• : ? • o? - ??
CONNECTION 11? CITY SEWII2 AII?1CfI0N 70 CITY WATII2 (7Pf?'R ' .
6) '? •' ??' PLEASE flOLD APPROVID PERAIIT FOR PICK-C?P BY ONE OF ABOVE ----` ---
PLEASE MAIL APPRC7VID P T TD 1, 2, 3, 4, AHOVE
? v \ (Circle one)
7) r n in - . »-- 0 /,VO _i1 (T - - n 'im m 9 :: a
. FOR CITY USE ONLY ?
PERMIT # ISSUED
' C / ?y
Pd w/Bldg. Permit FEES:
$
$ ?u
/G
SEWER PERMIT (INCLLDE SURCHARGE)
$ $ /C- WATER PERMIT (INCLUDE S[JRCHARGE)
$- l 7?C $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLPDE CORPORATION STOP)
$ $ SEWER TAP
$ $ / S'Cr' ACCOONT DEPOSIT - SEWER
$ $ I•?, t-I U ACCOONT DEPOSIT - WATER
$ $
wAc
$_ U?5, G v $ sAc
$ $ TRONK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BEN°FIT/TRCNK WATER
$_ /?CJ. D U $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 1?97 or, S ??. OD TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE: -}'-/ -q')
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123636
Date Issued:06/12/2014
Permit Category:ePermit
Site Address: 3758 Greensboro Dr
Lot:3 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 or installing Bay or Bow
windows, 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 -
Deniz Ozcan
3758 Greensboro Dr
Eagan MN 55123
(612) 636-6743
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138011
Date Issued:08/03/2016
Permit Category:ePermit
Site Address: 3758 Greensboro Dr
Lot:3 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Deniz Ozcan
3758 Greensboro Dr
Eagan MN 55123
(612) 990-9186
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:EA150826
Date Issued:07/25/2018
Permit Category:ePermit
Site Address: 3758 Greensboro Dr
Lot:3 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-030
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Deniz Ozcan
3758 Greensboro Dr
Eagan MN 55123
(612) 636-6743
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature
37S ' &ceQi10 C.
Derek Qualle
From: Heather Keating <heather.k@customremodelersinc.com>
Sent: Friday, May 17, 2019 1:13 PM
To: Derek Qualle
Subject: Permit number EA150826
Good afternoon and happy Friday,
The door on the permit listed above has been cancelled and no longer is going to be installed.So if we could cancel that
permit of the permit I would appreciate it.
Thank you so much and have an amazing day,
'e4;�tem R'eat 9
Tod iectioal PeAuarit eooadatate n
d jj e (651) 784-2646
7az (651) 783-9050
www.customremodelersinc.com
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163743
Date Issued:09/10/2020
Permit Category:ePermit
Site Address: 3758 Greensboro Dr
Lot:3 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-030
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 -
Deniz Ozcan
3758 Greensboro Dr
Eagan MN 55123
(952) 210-4988
Ralow's Roofing & Remodeling Inc
8609 Lyndale Ave S
Bloomington MN 55420
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature