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3770 Greensboro Dr,,QTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: i' I PERMIT SUBTYPE: i . PERMIT TYPE: `' I I r' I t``i :.,0. Permit Number. /98 Date Issued: APPLICANT: TYPE OF WORK: .. .( ,.L ; .,?f;; rxfPA rrr ? ?Nfi'hlt1\i?t? Permit No. PertnR Holder bate Telephone 1t ELECTRIC PLUMBING HVAC Inspectian 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 ARSAT TEST BLDG FINAL BSMT R.I. 6SMT FINAL DECK FfG DECK FINAL ? CASH RECEIPT CITY QF EAGAN 3830 PILOT KNOB ROAD EAGAN, MI.NNESOTA 55122 `,. DATE 19 REC 61 V 6D FROM AMOUNT $ I ? CASH ? CHECK FOR BY White-Payers Copy Yellow-Posting Copy Pink-Fiie Copy Thank You BLDG. PERMIT N0. 01-3210 Bldg. Permit'"/^ ? ? 01-3422 Plan Check 01-3445 Surch./Adm, 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 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 1:1) 0 CASH RECEIPT ? 0 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , DATE 19 ecccIven FROM AMOUNT $ I ? DoLLwws oo ? CASH Q CHECK FOR FUND CODQ AMOUNT I r Thank You BY White-Payers Copy Yellow-Posting Capy Pink-File Copy SPE CITY OF EAGAN 3830 Pilot Knob Road ` Eagan, Minnesota 55122-1897 (612) 6$1-4675 , . - .. , f. ? SITE ADDRESS: ON RECORD PERMIT TYPE: Permit hlumber: Date Issued: APPLICANT: I? ?L -- _._- -- -- --,-__._...__«-------------` PERMIT SUBTYPE: TYPE OF WORK: , f, A 114 Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC InapecUon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLE3G FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSM7 FINAL DECK FfG DECK FINAL 0 17-47 &-?e3 ?? I • , .. • Site , MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ 'RICE PHONE:454-8100 ? Name _ m Address - c City BLDG.TYPE C?es. v Mult Comm. Other WORK DESCRIPTION New Add-on Repair i FEES Name RES HVAC 0 100 M BTU . - -$24.00 c Addres5 ? ADDITIONAL 50 M BTU - 6.00 p City ?'r Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PEp PERMI - ( n - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU _ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU fiEMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $; , BEYOND $1,000) Other ck FEE: ; •.. ? i - - ---? S/C: SIGNATURE OF PERMITTEE , TOTAI: FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site m Name _ ? Address c city/," Name _ Address COMM/IND FEE - loib OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF FOR: CITY OF EAGAN PERMIT # RECEIPT # 7-?f6 S' OATE: ?s :7 BLDG. TYPE WORK DES IP Res. ? New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: TK FIXTURE S TOT,/CL ater Closet - $300 ath Tubs - $3.00 vatory - $3.00 ower - S3.00 tchen Sink - $3.00 ,,Urml/Biclel - 13.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 /S ??? Whirlpool - $3.00 _LGas Piping Outlets - $1.50 S J (MINIMUM - 1 PER PERMIT) Saftener - $5.00 Well - St0.00 Pnvate Disp. - $10.00 ?_Rough Openings - $1.50 ' -?`FEE -.• S, Ct? STATE S/C: GHAND TOTAL: J ' , 5 "? W0 456-0627 CITY OF EAGAN 7? 3830 Pllot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used far Est. Value jo? Site Address Lot Block SeclSub. Parcel No. IST ¢ Name 3 Address ? City Phone ? Name .o ? ? Address P City Phone City Phone Signature of Permittee Recelpt # Date ,19 OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Weli _ Type ot Const City Water _ (ActuaQ (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Asaessments _ Permit Water/Sewer _ Surcharge Police _ Plan Review Fire _ SAC, City Engc _ SAC, MWCC Planner _ Water Conn. Council _ Water Meter Bldg. Off. _ Road Unit APC _ Treatment P1 Variance _ Parks TOTAL A Building Permit is issued to: on the express conditien that all work shall be done in accordance with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holdsr Dats Tslephons ? Rfumbing i G H.V.AC. Electric Softener Inapectton Dats Insp. Comments Footings I Footings II Foundation Framing rl ? . A• ? .sn.a(tf AI?004W /fr . q Lfrtss?n Roofing /vp ??, o bQ0. ? Rough Plbg. Rough Htg. lSUl. 1 Gt?lD Firepiace Final Htg. 4 ? A. Final Plbg. Bldg. Final Cert. Occ_ Temp. LP Deck Ftg. ? d p_r' Deck Frm9• .-)X /i?4•' Vu??D ?1 a?J i r2 Welt Pr. Disp. SEWEII SE-RiIICE PERMIT MN 55121 DATE: Ne_ nf Unitn• comply wHh the City of Eayan Connectian Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: ? 1NATER SERVICE PERMIT ? Y? CITY OF EAGAN Permlt No: ?7 S Date: 5. 19-8' 3830 Pflc" iCnob Road Meter Na ? Size: P.O. Cox 21199 Reader No: (Zf:p MQ S7 Date: Esgan, MN 55121 Owner jue ld11er SiteAddress: '7%'0 ('reensf?cr._. ',ri.ve L]_ ', i G.r_?.: '. crn Plumber. 1 1'- •l-'' ", . •? Conn. Chg: 311-D. uutw Nlt?alm¦-- Acct Dep: •;Q''"' ?OCB????; 1 Permit Fe? 1 e G ? Suroharge: E ? f a?otwompty wlth the Clty of Eagan Tr. Plant 1 - ` ,Or nances. Meter. • a ?? ? Misc.: By WATER SERVICE PERMIT ? L- - ------------ - - ----- --- -- --_ --- ? CITY OF EAGAN 3830 PNaLKnob Road • o* 21199 P.O..0 Eayan, MN 55121 2oning: RI Owner. Joe Mi11er Co Address: SiteAddress: 3770 GTeensts _ . ?s of Insp.: SEINER SERVICE PERMIT PERMIT NO.: 99111 DATE: 5-19187 No. of Units: 1 ' Ch8rge: 5 ? 4 nni,? ?? REQUEST FOH ELECTRICAL INSPECTION es-ooooi-os ' / Sae inshuchons tor com0lahng this lorm on beck ol vel low copy. "X" Below Work Covered by Ihts Request II?5 2 T- ? Add Nea- TvPe ol BwlCung Aooliancea Wn.E Equ?pment Wired Home Range Temporaiy Service Duplex Water Heater Lr?hbny Fixtures Apt. Bwldin? Dryei Elec[ne HeaUn Commercial Bldy. Fumace Silo Unloader Industnal BIAg. Air Condrtioner Bulk Milk Tnnk Farm Otner oou v nJicr (SOU?i?y1 [ 9r Pcufy Other Othpr ompute Inspectron Fee Below p Fee ServiceEntrenceS¢e tt Fee Feeders/Subteaders ? Fne Cvcwts 0 to 200 qm ps 0 to 30 Am s •? 0 to 30 Am " Above 200 q??ipy, 31 to 100 qmps 31 to 100 A Swimmmg Pool Above 100_Am s Abave 100_Amps Transiormers Irrigation Boorcis PdrLaL"Other Fee Signs Special Inspectron S C„ TpT flemnrks .??+ AL F y?7 flouph-in ?' 1e ?7 I, ehe Elactneel • , i ??ll?/ Inspector, hereby certdy that tpe above Final D.I. nspection has Deen ' ;1 made. I fhia reauesl ro1E 18 montin irom Ihis rr0ues/mm l vo,tl?//?/? ? ??5? ? 18 mon ths D 17 85 2 ,Cl. /?_3 ?r??'?'w?o s{?°? Request Date Q , Fire No. Rough-m Insuer.uon Ne ned? ?Yes ? N. []ReatlV Nuw*W?ll No?dy Inspec- ?or When Peady ? Ucensed Electncal Convector I hereby request inspaction oi above Owner elecLical work mstailad aT Sireet Address, Boz or oute No. ' 770 rc /z 5 bo P^o A UYt Ve- Ciry E?t ecuon o. 7ownshio Namc or Nn. Fan9e No, Counly OccupnntlPPINTI J Mi !ler Phone No. PoerCt ?- ??2G A Addre s s s 43ao 7 Elec[r al C tractor ( ompany Na el /VIi 7ahc? El?ec-h-,i c, Conhacmr's License No. ?f?bia - a Mading AdJress IContractor oe Owner Makm Instai ?SDD j1/ Co o? laLonl ?? ? BGrr?l.5vr ? ? Aothonze ienature (COnVactor/O ne? Making InStallatmN Phone Number s 90 - 96 i? ? MINNESOTA STATE BOARD OF ELECTHICITY iH15 INSPECTION flEQUEST WILL NOT BE ACCEPTED BV THE STAiE BOAND Griggs-Midway Bidg. - floom N-191 1821 Universitv Ava.. St. Veul, MN 55104 UNLESS PPOPEP INSPECTION FEE IS Phone (612) 642-0800 ENCIOSED. CITY OF EAGAN N° 13 6 3 6 3830 Pflot Knob Road, P.O. Box 21•199, Eagan, MN 55721 ' • PHONE:454-8100 B UILDING PERMIT Receipt # Tobeusedfor SF DWG/GAR Est.Value $79,000 Date MAY 18 ,19 s? Site Address 3770 GREENSBORO DR OFFICE USE ONLY R3 Lot 1 Block 3 Sec/Sub. GREENSBORO 1ST OnSiteSewage Occupancy ? Rl MWCCSystem Zoning Parcel No. On Site well Type of Const ji? CiryWater X (ACtual) e Name JOSEPH MILLER CONST (Allowable) V w = AddresS 18133 CEDAR AVE # of Storiea Length -?- o City FARMINGTON phone $92-1010 Deptn Total S F p Name SAMF . . Foo[print S.F. , ?Q Address pPPROVpL5 FEES ? CityPhone Assessments Permit $ 430.00 ??50 Water/Sewer Surcharge Ww Name Police _ PlanReview 715_()0 _z Address Fire _ SAGCity „nn np ? Engc _ SAC.MWCC 575_(10 aw City Phone Planner _ WaterConn. 595 np Council _ WaterMeter 67 nQ I hereby acknowledge that I have read this application and state BIdg.Off. _ Road Unit ?,ns np thattheintormetioniscorrectandagreetocomplywithallapplicable APC - TreatmentPt „nn np State of Minnesota Statut nd City of E?qa TOrdinances, Variance - CParks Si nature of Permittee ?'? P g AAALI? TOTAL }2_ 3RFi. 50 A 8uilding Permit is issueA to- I SEPH MILLER CONST on the express condition that all work shell be done in accordance with all applic le State of Min sota Statutes and City of Eagan Ordinancea Building Officiai ??? ? _ RESIDENTIAL BUILDING PERMIT APPLICATION UU? 3830 PILOT KNOB RDN 55122 ' ? I 651-881-4875 n NewConstructionReauirementa RemodellReoairReauirements . 3 registered site surveys showing sq. ft. o( lot, sq. R of house; and all roofed areas • 2 coples W plan (20 % maximum lot coverage allowed) • 1 set af Energy Cakulations for heated additions 2 copies of plan showifg beam & window saes; poured found design, etc.) • 7 sile survey for ezterior additions 8 decks • 7setofEnergyCalculalions • Intlicate'rffromeservedhysepGcsystemioradditions • 3 copies of Tree Preservation Plan if lot platled after 717f93 . Rim Joist Det2il Oplions selection sheet (bldgs with 3 or less units) QJ? ? DATE VALUATION JOB SITE ADDRESS ?,?11C? CT?'?Q-Vl S VYnr 6(Dy' ` IF MULTI-FAMILY BUILDING, HOW MANY UNITS? S N PRUPERTY yfiz TYPE OF WORK Kco? V\G,i FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Kh u A',A R rln(Iv-,Or PHONE# ADDRESS a sn ZIP CODE S S`Pv?v PAGER # ? CELL PHONE # ? FAX #WZ' 7 2 2?? ? 2( NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNF.SO'PA RULFS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESO'1'A RULE5 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ PhtmUiiig Systcm Includes: Mechanical Contractor: Mcchazucsil Systcm Includes: Sewer/Water Contractor: Water Sofiener Waler Heater _ No. of 13aths Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. Phone # Phone # Tec: $90.00 I'ee: $70.00 JUN 0 3 2002 I hereby acknowledge that I have read this application, state that the information with all applicable State of Minnesota Statutes and City of Eagan Q?21j nces.. E Signature of Applicant f a4 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Phone L•iwn Sprinkler No. of R.I. Baths and agree to Updated 2002 --?,_CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: aurLorNc Permit Number: 0 3 0 6 5 6 Date Issued: @ 8/ 2 0/ 9 7 SITE ADDRESS: 3770 GREEN560R0 DR LOT: 1 BLOCK: 3 GREENSBORO 1ST P.I.N.: 10-30900-010-03 DESCRIPTION: (wzrvoows) ffuildinq?,Permit Type 8 uil'ding W'6.r._k Type ? Gensus Code`, r? ">t ?. ??• ?,? j SF (MISC.) REPAIR 434 AIT. RESIDENTIAL q?l 4e.' ??3 fi?$ ?+,s L'a: 4S REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge 7ota1 Fee $67.25 $2.00 $59.25 $4,000 CONTRACTOR: - Applicant - sT. LIC OWNER: RENEWAL BY ANDERSEN 15717816 2004063 PIAT2 BRENDfl 1r700 BUERKLE 3770 GREENSBORO DR WHITE BEAR LAKE MN 55110 EA6AN MN 55129 (612) 430-7255 (612)452-8351 IL 2 hereby acknowledge ChatE` Fra?ie' reatlthi?s ?applidatzoYi and '?sta'te tHat' t?te - information ie correct and'"agree?to'compl_y witlti"all"appiiGtbTe 57tate af`MSi: Statutes and City'oY Eagan`Ortlinanc4s. ` •` , UAPPLICANT/PERMITEE SIGNATUFE I ED B: SIL9NAT RE ? 00697 BUILDING PERMIT APPUCATION (RESIDENTIAL) $?q-Z ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 661-4675 RamodeVReoeir RecuiromeMs ? 3 registered sfte surveys ? 2 copies of plan • 2 capies of plans (inGude beam & window saes; poureE fid. design; ete.) ? 2 ske surveys (exlerior etldRiona & dedcs) ? 7 enerpy celculations ? 1 energy nlwlatlons Tor heated additions ? 3 copias of tree preservstion plan M IM platted after 7/1/93 rcquired: _ Yes _ No ` DATE: C) $ • I's - C'17 CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK SUBD.IP.I.D.#: W lfLt t•V1 f.XtS'h i',,9 d P2.V1 l "S. PROPERTY Name: 1' 1 Qt? vY-Q,Y d C- Phone #: '492•$SS-1 OWNER u.. ?* Street Address: h)m«a k Dr- City: a*-) State: ) V*) Zip: CONTRACTOR Company: ReY1Pn W !L?4 P'V\AeyS.P.vI Phone#: Street Address: 3c3p •`f?) vd PTUe.•`!-r-_ License #21203 ULG ?L City: LV1164 State: Y1'1'n _ Zip: ?-l a ArtcHITEcr/ Company: N `G. Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.ned plumber (new construction ony): and lot change arc oequested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this application and state that the iniortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eegan Orclinances. Signature of Applicant: OFFICE USE ONLY Certiflcatesaf Survey Received Tree Preservation Plan Received _ Yes _ No _ Yes _ No - Not Required OFFICE USE ONLY . BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Muiti RepaidRem. ? 17 Swim Pooi ? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 27 Miscellaneous 0 05 5F Misc. n 10 = plex o 15 Deck WORK TYPE 0 31 New a 33 Alterations o 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowabie) Main level sq. ft. UBC Occupancy gq, g. Zonin9 sq. ft. # of Stories sq. ft. Length sq.ft. Depth Footprint sq. ft. APPROVALS Planning Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Pertnit Fee Valuation: $ ?3Q o? Surcharge Plan Review License MCNVS SAC City SRC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT ' EITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILOING 091799 e4/ie/ss SITE ADDRESS: 3770 GREENS80R0 DR LOT: 1 BLOCK: 3 GREENSBORO 1ST P.I.N.: 10-30900-010-03 DESCRIPTION: ,-?? !- (WINDOWS) B`?uildiry69 Permit Type kBu3lding l49?k Type `J?Census Code a? .? i , . 5F (MISC.) REPAIR 434 i4lT_ RESIDENTIAL }.?S ? ? Ij ? L--? REMARKS: FEE SUMMARY: VALUATZON $3,000 Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: - Applicant - sT. Lzc.OWNER: RENEWAL BY ANDERSEN 15024777 20040630 PIATZ GRE6 350 73RD AVE NE 3770 GREEN580R0 DR FRIDLEY MN 55432 EAGAN MN 55123 (612) 502-4777 (612)452-8351 IL i he'reby acknowledge Chat' T?have ?readt hi?s ?i?etion? and ?tate'?th???he infarma.tion is _correct anil agree ?to '•cwnpLY wit?h &ll ? ap?p3..i:Cabls, Statg o-f-filn»_ Statutes and City of Eagan 9.rd3nano'es._ _ , e ?F . ' k_ ..tl . . . •S_ A APPLICANT/PERMITEE SIGNATURE ?ISED .S NAU?? 31199 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) ?'?4•?.J CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construdion Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies M pian ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exteriar additlons & decks) ? t energy wlculation5 ? 1 energy ealculations for heated adtlitians ? 3 copies of tree preservation plan if lot platted aRer 7I1/93 required: _ Yes No DATE: •0I' I9 CONSTRUCTIONCOST: DESCRIPTION OF WORK: STREET ADDRESS: ? LOT r BLOCK Q?'EP LR LP? 2 W ?N,nows u,11MtkT-- w\'Cti- WMn??"TES W\Tl'rIN z-n --i n ?, o..-s,.?cm..nn r-, c%D ?{.1S? 1 N6 U PEN 1 OGS . \3 SUBD./P.I.D. #: PROPERTY Name: PVN`TZ 5 Phone #: Lt-> 2' 135 I OWNER ..T ?.n StreetAddress:??1O ??-??5?? p?• City: z5Prbh-?-) State: ,1 Zip: `?S l 23 CoNrRaCTOR Company: Phone Street Address: ??Sl? ? 13? ? • ?' License #: City: Ff-\() L?? State: M.'tJ Zip:??G3Z. ARCHITECT/ Company: r-?(, Pr- Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.?ed plumber (new construction only): and lot change arc requested once permit is issued. I hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Appiicant: _ Yes _ No _ Yes _ No PenaNy applies when address change and agree to comply with all applicable - Not Required J . . 3 _1 1987 BQILDING PERMIY APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS IBCLIIDE 2 SETS OF PLANS, 3 OF Si1R0EY, 1 SET OF IIJERGY CALCOLARIOHS NOTE: ADDRESSES FOE CORNER LOTS - CONTRACTOR/HOMfiOANER HOST DESIGHATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSOTD. MULTIPLE DWELLINGS - RFSIDENTIAL REBTAL UAITS FOR SALE OHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg iiTfH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0.'hAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 7?, (9 co To Be Used For: ?nttU ?l? Valuation: -^pgr4? Site Address --Y7`70 OFFI Lot ? Block ? On Site Sewage_ ?Q??? MWCC System ? Parcel/Sub On Site Well City Water ? Owner Address City/Zip Code Phone Contractor ? ?. /' ?.C,t/ V Address L&'M L'dy d(#. City/Zip Code Phone 3 /j - /-O/Q t Arch./Engr. Address City/Zip Code Phone 8 9PPROVALS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance G Date: 5- 7- 97 Occupaney ?Z'3 Zoning f< I Type of Const (Aetual) ? (Allowable) 4! of Stories Length `?"?_ Depth 3¢ S.F. Total Footprint S.F. FEFS Permit -?a Surcharge 39.52 Plan Review Z I S. SAC, City IvO. SAC, MWCC 5 ZS Water Conn 525 Water Meter Co"]. Road Unit ??'- Treatment P1 1? Parks Copies TOTAL ? 'S S /- ? 2-4x22 (2 = G3 3 ? , ???zo 87-eoq TRI-LAND C0. SITE SURVEYING SERVICES JoE 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 PLAN FOR: MILLER I??J 1 2 N E.$4:w Nwx r* sp.u SGA : I"=30' > 0 ?? 0I Z W cr_ o 407 x9 (9o x? )3 i 3 ? D ( Y? 0 N? I $O Z I? _i yv 10 ? o W a. \ N 9,, 0s*s` o a?Op vewXs ? GREE CONSTRUCTION LOT I : ? 9°3"7 3 a' 0-O dOD ? N O Z LANE Y PROPERTY DESCRIPTION LOT! , B40CK? , GREENSBORO IST ADD. xeordinq to tM reeordsd plot tMreof GAWTA cauty, Minnssota LEGE o DENOTES IRON MONUMENT o pgWpTES WOOD HUB SET goo*o DENOTES EXELIEVIATION?T (9001a) DENOTES PROPOSED POT ELEVATION ? DENOTES DRAINAGE DIRECTION 1 henby certiiy tAat fhis survey,plao or report wos prepand by me or under my dirsM supervision and thaf I om o duly Repisterad Land Surveyw unda fM Laws of the Stafe of Mirmesota. PROPOSED GARAGE FLOOR ELEVATION ¦ -?D90 PROPOSEO FIRST FLOOR ELEVATION - ? PROPOSED 9ASEMENT FLOOR ELEVATION NOTE * VERIFY ALL FIOOR MEIGHTS WITH FINAL HOUSE PLANS Bradley Date -- Mn. Req. No. I5235 N 89° 31' S6"E 14120 Pv? sGRG ., a 103.83 ' 17.38 N89°31'S6"E N p=305Y ? -1 10 I ! ? I r "3 9°,S`5 i rOr.iw.9e w^? Ut;1?Yy Eascwc.,? o ? -• One or Two Family All Other c;iTY or suiLViNa UEPARri-iEPT EXTERIOR EIZVII,OPE AVERACiE °Ull C014PUTATION (To be suhmttted with building permit application) Dwelling Owner Contractor LINEAL FEET OF ?? EXPOSED YlALL ?iaE cooptK ft. OPAQUE WALL CONSTRUCTION: "U't Value x Area Sfte Addresa Date Phone above grade = 2 5ZO.062 1? TOTAL EXPOSED WALL AREA SQ. FT. 12/?/?5 "U" , 043 x SQ. Detail reference Dn/P_ r "U"_ .070 S SQ. from -?Z)IYI nUnI al.O X SQ attached IOUll x SQ. sheets npn x SQ. VrINDOWS: IVUll Dtake & Type n n n tt n u FT. l .LO.' 77,5,0 (U)(A) FT. ,Z = 9•19 (U) (A) FT. 13Z, 80= 5,3 1 SU) (A) FT. (U)(4) FT. - (U) (A) FT. - (U) (A) Value x Area In?SULeSt?1T "Ut, x SQ. FT. 44.00 = (09.5'0 (U) (A) °un x SQ. FT. _ (U)(A) nUu x S@. FT. _ (U) (A) nUn X SQ. FT. _ (U)(A) DOORS: "Ull Value x Area 1•ta:ce & Type ?jL. fpS6C, "Ull •14" x 5Q. " " _ oa'nn ??U?? .47 x &Q n n ' ?iUt? X gQ . n a _ npu x SQ. ToTat,s 23zo.00 sq, TOTAL AREA: Zl00 FT. 9,00 = 6O,$60 (U) (A) AYERA4E "Ult TOTAL (U)(A) VALUES ISS.StO _ DI VIDED BY TOTAL WALL AREA Z320? pQ • OS AVERAQE "U ? lesa for 1&2 familq dwe 11 inge ROOF/CEILIN(3 s FT. 2 p = lY(U)(A) FT. _ (U)(A) FT. _ (U)(ki F'T. I SS• S(C (U) (A) Detail reference .OLl x SQ. FT. 1Zlv0 = 2(0, l from ??Qa X SQ. FT. . (U)(A) attached sheets. 1IUII x SQ. FT, ? (U)(A) Describe openings x 3Q. FT. - (Q)(A) in roof. flQI? x gQ. ZT. - (U)(A) TOTAL (U) (A) VALUES: DIVIDED BY Z.(0?4CG ` ? ?iTl4L?7 Z(00 ?Q,Ff 2(p' ?UyA? t TOTAL ROOF/CEILINt3 AREA /2(p0 •?I AVERA(}E "U?? .029" or ventilated roofe. ' - ? voeK- `?Fl6?T'1 I`?•$ x( 34+34+9?v?-9?) = Z;T? oo? Co4 e., •WX ? 34 ?-3¢+ 91o r9?v, = l 07. Zo . 83 ??,34 f 3?- t 5? ?-410? = J 32 • 80 -? W111wws knx3lo = 4.o x 4 = ZOX3(o- 510 X Cv = 24x31v = lv.o X 4 = 2¢X4B = g• ° 2ox?S = ?-? x 4 = 3° src• w6.c.. _ Zf 57?- SER. = (o ° PATIO = Ilo. o0 3o_op Z4. DD 98,00 Z(n. go 14 4. 60 ?c ZS,oo 7,1,00 4z,oo , (?ORpS.?j I.vqG l. Cor1C , ,t wpw's Z,3to.oo '- ` _ 13z,so -475` ! 44, So 9l.00. ISQ+ZO ? . I "-, Determining "Ull valµes at Roof, Wallp Rimg and Conc. Block "• ? . ' i BooF/cEU,zNa 1.) Interior Air F'ilm 2.) 5/8,, ayp. Bd. 3.) Inaulation §.J 5.) Exterior Air Film . (STILL) R VALUE 0.61 .5b `I-f,o0 .61 IIUn = 1/R= I OZf '1'OTAL (R)= 1-S,7Q [i ?--- WALL 6.) Interior Air Film 7.) }" ayp. Ba. 8.) Ineulation ' 9.) v,vrL7--Pi7-6 10.) Masonite Siding 11.) Exterior Air Film R VALUE 0.68 •45 19,00 ? 67 .17 upn _ 1/R-. , pkp, TOTAL (R)=;O-(?! Rlld 12.) Interior Air Film 13.) Insulation 14•) 2" Fir Rim Joiet 15.) f-vrGT' ErTF 16.) Masonite Siding 174) Exterior Air Film R VALUE 0.68 17re0 1.88 Z 67 .17 upls = 1/R- TOTAL (R)= Z4,41 _L. ? FOUIIDATION 180 Zaterior Air Film zo.? ?-II STier??D 21.) 12" Conarete Block 22.) 23.) Exterior Air Film $ YALU 0.68 //.vo 1.28 .17 IIVII a I/n= •0/b TOTAL (A) ?/3?IJ CITY OP EAGAN APPLICATION FOR PERMiT SEWER AND/OR WATER CONNECTION *AYPS: PAYMFNr OF kM AT TIIM OF ArrtscATIoN noFS Nom oora-riTM APPROVAL OF PEI2NIIT. INSrncriorr oF sEWER aND/bR MaEa IISZ?ONS WIIS. BlOiP BE SCCHED- [A,Fn UNra. PERruT HAs sM APPROVID. , P ease Print) 1) PROPERTY ADDRESS: 377(J ??;,? ?0 Dh '" LEGAL DESCRIPTION: tLOL/nlocx/SUbaivision or Tax Parcel ID #) IF EXISTING STRCCIL'RE, DATE OF ORIGINAL BL?ILDZNG PERMIT ISSL'ISNCE: ' (Nbn Year) PRFSEI1f 7ANING/pROPOSID LSE: cl COfvEltCIAL/RE,TAZL/OFFICE Q IbIDT-ISTRIAL rl INSTI'Ii'TIONAL/GpVERNAEN'P [D-IR-1 SINGLE FAMILY ? R-2 DLPLEX (Ztao Onits) ? R-3 TDWNHOL?SE (Three + Units) ( L?nits) q R-4 APARThaPP/COAIDOMINILM ( Units) 2) ? - --- NA["E: Jec /? ??t? C o?-{ ADDRESS: . CITY. STATE. ZIP: 1-54Ym f.j r40? /N ?. ? PHONE:Pd- / 0 / 0 3) • r• 57NAME: • ADDRFSS: CITY. STATE. ZIP:_ Dj,a rno?u, /yIF1. PH0NE:_ .S.5q-367J MASTER LI(ENSE# yy7 go6S Active FScPired Not recorded St?irutial 4) •.. • i?. NAME: S?M? AsC7 ? ? ADDRFSS: CIT^1, STATE, ZIP: PHONE: - •S) ?? r ' ? ? ?• ?• : a • a? • a? B-'CONNE(,TION 10 CITY SEWIIt 0-1CONNMC.`rION TU CITY WATER Cl OnM '-- . 6) ?? ?-• r M/PLEASE HOLD APPROVED PERMIT FOF2 PICK-LtP BY ONE OF ABOVE ? PLEASE MALL APPROVID PERMIT TO lr 2. 3, 4, ABOVE : I ^ (Circle one) r 7) r ?• u" Wi..?P r - ? FOR CITY USE ONLY - PERMIT # ISSUED 7 . Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLDDE SURCHARGE) $ $ ?D'S a WATER PERMIT (INCLLDE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $_ ! S?•?? ACCOUNT DEPOSIT - SEWER $ $ (J-?) ACCOL'NT DEPOSIT - WATER $ $ WAC $ fG7i $ SAC - $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT `$ $ " LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRONK WATER lX U'? r) $ $ WATER TREATMENT P -- LANT SURCHARGE $ $ OTHER: $ TOTAL 73 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE DIVISIO ISSLED BY THE E[VGINEERING N. LZST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : Gj ?? ? ,t 7 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH 9DDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECE WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL ? ,???'•C? j ? INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET' OF ENERGY CALCULATIONS To Be Used For: Valuation: Site Address Lot / Bloek ? Pareel/Sub OWrier CfAA/, c e- ?C/U7i.. q.o Address (72 FbwJ G, C1ty/Z1p Code Phone 5?s"L - O G 3 ? Contractor s Address C1ty/Zip Code Phone Mch./Engr. _ Address City/Zip Code , ... . On site sewage MWCC system _ On site well _ City water _ PRV required _ Booster Pump _ I APPAOVALS Engr/Assess Planner Couneil Bldg. Of'f. Variance Date: ?a! Occupancy Zoning Actual Const Allowable U of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL e, . . Phone !i City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 A`JG s 11 7.012 r Use BLUE or BLACK Ink For Office Use ��}} Permit #: i/ 7573 Permit Fee: Date Received: t" 1 ( Staff: r%) 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4:061 / Site Address: / 77c7 6treciA 2 ov.Q i 5 (r) 3 Unit #: Name: Address / City / Zip: -5-270 14 r13‘)1'7 -) Applicant is: Description of work: Construction Co Owner Contractor Phone: "27 / v ' 1-1/ Multi -Family Building: (Yes / Nog ) Company: ilii CdtA 6( (11-'1? j'k Contact: `[ 6 Address: ,-5—)21 f City: I 1/1 ar Feld State: MA/ Zip: �% ( 7 Phone: -(0c)—t(S-"% License #: t c-(14-” I Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 11 8-7 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: NOTE: Plansand supporting documents that you submit are considered' to bepublic information :Portions o1 the information may be classified as non-public if you provide specific.reasons thaf would permit he City to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. oIJ'1 Applicadt's Printed Name Applicant's Signature Page 1of3 DO NOT WRITE BELOW THIS LINE � /--/ 513 '377L �l�PhS UTO Dr - SUB TYPES Foundation Fireplace A Single Family Garage Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Sigo 54, REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Framing Fireplace: Rough In _ Insulation Sheathing Sheetrock Reviewed By: Final Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required A. Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath Stone Lath Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final 73 �1 Page 2 of 3 02/14/2008 06:49 9529222434 4 left` City Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SAYLER HVAC PAGE 01/01 Use BLUE or BLACK Ink Penult #: Permit Fee: Date Received: Staff; 2011 MECHANICAL PERMIT APPLICATION Site Address: 1770 Cr ee^ 5 b0 to Tenant: Suite #: n J RESIDENT / OWNER Name: /14. L. -e C /kJ Phone: Address / City / Zip: CONTRACTOR I Name: 0. ('(' G License #: Oi4 � Address: C Q "v 14.). • L. rC it( City: ?' State: [ t Zip: ^ 7 0", C Phone: L 7d - it '2 ,tom j)1 Contact: ��'L 4 €. Email: ShAA e S.y/e' LI` V4/ c . G,m TYPE OF WORK New Additional Alteration Demolition _ _.&rieplacement Description of work: RC plate_ RAM OAC ►L 4— 04-.0 .NOTE:;Rodf; ttiounte,dfand:groutld nnouhted tnechenkal :ecjulpmant.ls requlred.t ;be ecreendd:iSy.e (%/ . G,gde Please con tactthe Mochanlcal. Inspector:efor•Information on pemxtted screening mkltIIOdg ,1,;; PERMIT TYPE RESIDENTIAL Furnace ?Air Conditioner COMMERCIAL New Construction Interior Improvement _ _ Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Meat Pump Under / Above ground Tank (,,,-„ Install /_ Remove) Other _ "When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc,) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (Includes installationlremoval OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is lass than Fee = $ Surcharge - If the Permit Fee is > 110,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection agalnat underground utility damage- Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoabergtatoonecall.org I hereby acknowledge that this information is complete and accurate: that the work will De 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 wit tb t a permit; that the work will be In accordance with thep(oved plan in se of wprk which requires a review and approval of plans. AA Applicant's Printed Name rhe/` x Applicant's ;°FOR OFFICE USE Reviewed r ,pate ;Required.lnspuctione! , '_Under Ground _ Rough In: Air Test ,Gl ,Se,vice?est _.__,,,Inrflopr Heat. !•Ftnaf '`• Exterior HVAC Screening Inspection City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA131797 Date Issued: 07/08/2015 Permit Category: ePermit Site Address: 3770 Greensboro Dr Lot: 1 Block: 3 Addition: Greensboro 1st PID: 10-30900-03-010 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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 Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 - Applicant - Owner: Matthew V Lilleboe 3770 Greensboro Dr Eagan MN 55123 (701) 866-3059 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. Applicant/Permitee: Signature Issued By: Signature ir Cit of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 APR 2 5 2016 Use BLUE or BLACK Ink I For Office Use errn 1 1 Permit Fee: Date Received: I Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Type of Work Contractor Name: OA" 4 Address / City / Zip: 3710 Cpcsozik boa) dr:412.0/60eskys 56423 Applicant is: Owner Phone: Contractor Description of work: 1:224-k /(f0C3C) Construction Cost: Multi -Family Building: (Yes /No ) Company: keutW° eovt.S.11-0(1116/t- Address: gi y/4„7Ce Contact 641` City: trXbek/<: 14:gt- State: 1440 Zip: 5SVW Phone:4.51-3/54/1/Ernail: vieb.reseiock License #: arr0340 33a Lead Certificate #: F,0 2.s.594 7 If the project is exempt from lead certification, please explain why: /311114- /gg 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 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: Pians and suPP°11J-7ng7 documents that you submit ro a!'oilarevidcepreasons ena' SiCleredC tob:ublic . f°unnation id,. 11174)Ections of. the la formation may be classified as non -Pb y City to Ot)ncitidethat the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 464-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateorKtcall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authodzed by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x tArt. s etyt Applicant's Printed Name Applicant's Signature Page 1 of 3 t /!r l/1��?cJcs pg ,DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair (25%_ 100% X) Census Code # of Units # of Buildings Type of Construction Vr REQUIRED INSPECTIONS Footings (New Building) �G Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Porch (3 -Season) Porch (4 -Season). Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows /36 7 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Fire Suppression: Rough In !Final Erosion Control Other: Reviewed By: L' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 10 6/IL 1-0 / 3.0— ____ 27� Page 2 of 3 TRI -LAND CO. SITE PLAN FOR: SURVEYING SERVICES JOE MILLER CONSTRUCTION 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 PropoSemd 194.4-K I(oxa`1 3'c,: x idtP1 Sfot;r5 Ere it] N SCA F.4:31:45 Howse 81.1,C-1104.6 1,1=301 xq 19°3."7)3/ qrif 0 0z N89°31'56 E 14120 f, • go8kq IGka ; 907'3 :1 194. 44�Q300 949x5 0 s: Malt + Lit Li 1160 3790 &rtisLoro fir:vrt, OT I Orlokinive.Aedut;, y Dov 9 I03,83�� N 89°3156 E oo- i 1 J' 81 179c D=3°591221 GREENSBORO LANE �..- PROPERTY DESCRIPTION LOT., B4OCK ., GREENSBORO- IST ADD. according to the recorded plat thereof IMAM County, Minnesota LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET foo*o DENOTES EXISTING SPOT ELEVATION 000 0) DENOTES PR�VSEDI�SPOT se-- DENOTES DRAINAGE DIRECTION PROPOSED GARAGE FLOOR ELEVATION ■ PROPOSED FIRST FLOOR ELEVATION PROPOSED BASEMENT FLOOR ELEVATION NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify that this stray plan or report was prepared by ane or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota Bradley ensen, Mn. •Red. No. 15235 Doti: �tli9f e� PERMIT City of Eagan Permit Type:Building Permit Number:EA164339 Date Issued:09/25/2020 Permit Category:ePermit Site Address: 3770 Greensboro Dr Lot:1 Block: 3 Addition: Greensboro 1st PID:10-30900-03-010 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 - Matthew V Lilleboe 3770 Greensboro Dr Eagan MN 55123 Mcgrath Exteriors Inc 19454 Bauer Circle Hastings MN 55033 (651) 283-7917 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164734 Date Issued:10/07/2020 Permit Category:ePermit Site Address: 3770 Greensboro Dr Lot:1 Block: 3 Addition: Greensboro 1st PID:10-30900-03-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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. When a weather barrier is installed or 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 - Matthew V & Elizabeth H Lilleboe 3770 Greensboro Dr Eagan MN 55123 Mcgrath Exteriors Inc 19454 Bauer Circle Hastings MN 55033 (651) 283-7917 Applicant/Permitee: Signature Issued By: Signature