3795 Greensboro Dr., ?. o. .. .--..?..--?--n.-.T r . .. . .
BLDG. PERMIT N0.
' ' '???rri-'
01-3210 Bldg. Permi
.
01-3422 • Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
4
01-2155 Surcharge
17-3860 Road U nit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 5ewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
a ? CASH RECEIPT ?
, CITY OF EAGAN
Recaiven
FROM
AMOUNT
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
$ I :
se DOLLARS
IDO
[-] CASH
0 CHECK
POR , ?
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You ;?/ .:.
INSPECTIDN RECORD
CITY OF EAGAN r if inb
PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK: ;., rpA i R
?1.11 Nnnw.1
? -
---------------
Permlt No. Partnit Holder Data Telephone 8
ELECTRIC
PLUMBING
HVAC
InapecHon Date Insp. Comments
FOOTI NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FiREPLACE
FIREPLACE
AfR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
( Lbll
y?Ltit??: ? C yp??[• `?,fc?/.? 111_ - PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MH 55122 DATE:
CONTRACT P RICE: PHONE: 454-8100 For Office Use Only:
i
Site Address
? BLDG. TYPE WORK DESCRIPTION
Lot Block
SeclSub Res New
Mult Add-on
°1
ii Name
Address Comm. Repair
Other
c City Phone
FEES
I ? Name RES. HVAC 0-100 M BTU -$24.00
i c Addres s ADDITIONAL 50 M BTU - 6.00
' p City Phone (RES. HYAC INCLUDES A/C ON NEW
? CONSTRUCTION)
50 EA
GAS OUTLETS (MINIMUM - 1 PER PERMin - 1
f .
.
I TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
E ForCed Air
' M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater
? M BTU REMODELS - 12.00
Air Cond.
( M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent
? CFM
PERMIT PRICE GOES
C
B
I
Gas Piping
Outlets # EYOND $t?O
O
p)
' Other
FEE:
SIGN
S/C:
TOTAL• FOR: CITY OF EAGAN
?/??/?? ?? _
CITY OF EAGAN
' . 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
for F OW/C.A` Est.Value 79,000
Receipt #
Date ,19 '
Site Address aFFICE USE ONLY
Lot BIoCk SeC/Sub. On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel Na On Site well _ Type of Const
City Water (Actuaq
_
c Name (Allowable)
W
;
Address * of Storfea
Length
° City Phone '• 1 Depth
F
Total
S
.
.
, p Name Footprint S.F.
? ` Address APPROVALS FEES
I- City PhOne Assessments _ Permit
Water/Sewer Surcharge
¢
. ? W Name Police _ Plan Revlew
z
_ -
Address Fire SAC, Ciry
-
on Engr. _ SAC, MWCC
?W City Pho?e Planner _ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
that the infortnation is correct and agree to comply wRh all applicable APC _ Treatment P1
State of Minnesota Statutes end Clty of Eagan Qrdinences. Variance _ Perks
i
Signature of Permittee Cop
88
TOTAL
A Building Permit Is issued to: on the express conditfon that
all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinancea
Building Official
I Permit No. Permit Holder Dats Tslephone it
Pv,umbing
?
H.V.A.G
Electric L
Softener
Inspsetion Wte Insp. Comments
Footings I
Footings tl
Foundation
Framin
9 ?
,f/«d ?Rc TdateJe?°? .? s »,<,.
Roofing
Rough Plbg.
Rough Htg
j ,
cr-7
IsuL
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ. 3 fOo
Temp. LP
Deck Ftg.
DeCk Frmg.
Well
Pr. Disp.
PERMIT # -?---
. PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Address
Lot Block
? Name _
?o Address
c Ciry .?
? Name
? Addre
O Ciry ?
BLDG. TYPE ,
Sec/Sub Res. Mult.
-Y Comm.
Other
COMM/IND FEE - 1% 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
WORK DESCRIPTION
New
Add-on
Repai r
RES. PLBG. ONLY - COMPLETE THE FOLIOWING:
NOFIXTURES TOT?1L
??h ter Closet - $3.00 Tubs - $3.00 <-LLavatory - $3.00 Shower - $3.00
__4LKitchen Sink - $3.00
-UrinaliBidet - $3.00
? Laundry Tray - $3.00
Floor Drains - $1.50
! Water Heater - S1.50 Whirlpool - $3.00
' Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMin
Softener - $5.00
Well - $10.00 ?
Private Disp. - $10.00
Rough Openings - $1.50 i
FEE
STATE S/C:
GRAND TOTAL• ? y• S? ?
MECHANICAL PERMIT RECEIPT
' • CITY OF EAGAN
3830 PIIOT KNOB RDAO, EAGAN, MN 55122 DATE: _
Site Address ' ? ? ° + ' • 4
' BLDG. TYPE WORK DESCRIPTION
LotBlock
. Sec/Subr
NF' .•; -=: `
? Res. ?-? New ?
Mult. Add-on
; m
?o
? Name -
Address Comm. Repair
' Other
? c City ?
- Phone
F
? FEES
Name
` RES. HVAC 0-100 M BTU -$24.00
3 Address c ADDITIONAL 50 M BTU - 6.00
O Ci? +, i: ' h o n e ' (RES. HVAC tNCLUDES A/C ON NEW
CONSTRUCTION)
GA5 OUTLETS
1 PER PERMI
MINIMUM
50 EA
. -
(
n - 1.
.
TYPE OF WORK COMMIIND FEE - 1% OF CONTRACT FEE
Forced Air M BTU TE
L
B
il TOWNHOUSE & CONDOS
RES
RATE q,PPLIES -?
o
er M_BTU • MlNlMUM RESiDENTIRL FEE - ALL ADD-flN &
Unii Hesier M BTU REMODELS - 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
FEE:
i
s S/C: SIGNATURE,AF PERMITTEE
'
G • TOTAL: -
FOR: CITY OF EAGAN
. ?. - - -
' 16 T! 5 4
CITY OF EA GAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for DSCK Est. Value $ k 9 W4 Date APR 24 , 19 A.2
Site Address 3795 GnzN$33iiA0 i1F.
Lot t Block 1 SeclSub. GP?=?S?RO YST
OFFICE USE ONLY
PBfCBI NO. Occupancy - FEES
Zoning
W Name ?'%I?Z+ ?g? (Actual) Const - Bldg. Permit
Addfess 3795 ("aItEEPiS$k;RO LP. (Allowable) - S
rchar
e .5C
p City F' A":i Phone 452-4412 # or stories - u
g
Plan Review
Length _
o Name Deptn - sAC
city
,
zr ,
Q
O Address S.F. Toial -
U SAC, MCWCC
? Clfi/ Phone S.F. Footprints -
i Water Conn
te Sewage
On S
?
?
Name
On Site Well -
Water Meter
W W
?9 Address MWCC System -
<W
Clty PhOtl2
Ciry Water - Acct. De it
?
S/W Permit
PRV Required _
I hereby acknowiege that I have read this application and state that the Booster Pump - SM/ Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
SignaturB Of P@rmit2e APPROVALS Road Unit
A Building Permd is issued to: Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council -
appiicable State of Minnesota Statutes and City of Eagan Ordinances. g?. pry, _ Cop?es
Z?' "??
Building Official
Variance -
TOTAL
Permit No. Permit Hotder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Mspsctia? Date Insp. Comments
FoofingS 1 ys ?
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Fnal P1bg.
CAnst. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bidg. Final
Deck Ftg.
Deck Final
wen
Pr. Disp.
SEWER SERYICE PERMIT
PERMIT NO.: 9913
DATE: 5-19-f? 7
coning: j? No. of Unlts: 1
Owner. Joe Ziiller Const.
Address:
SlteAddress: 3795 Greensboro T'rive Ll ^1 ('reensboro
Plumber. Plymout'; ?'ltjaknIildr
5-O--97 7100.00nd
1 agne to comply with the qN#MtqjjgAf{g WbkXWt61?`?c ?'rge: S25, nn C?.,.,-1o
oroinanm. TELEPHONE • EL*Wat B"-• 15. 00PLi
By . ???--?-
Misc. Charges:
Date of Inap.: Total? --
? Insp.: Date
CITY OF EAGAN Permit No: ' 758 Dete: ; n_,n, 7
3830 Pllof Knph Road Meter No: ? Size: e
P.O. Box 21: Reader No: Date: .? - 7-!'7
Esgan, SAN 5:,121
Owner. '?-'.er C;onst.
SiteAddress: Greei)shorn `,rive f;reensboro
Conn.Chg: 525.UO c:TV r••"--
f1
Acct. Dep: Z s.- j lilg c ?? S?g? i
Permit Fee: __???0 -NE EL R?`
5urcharge: •"- ? ? g?r"Wmply wlth th* CHy of Eayan
Tr. Plant__ I S 0•R, Ordlna? .
Meter.
WATER SERVICE PERMIT 1
- - -- - _ ?
CITY OF EACiAN t'ermR no:=
3830 Pilot Knab Road Meter No: -
P.O. Box 25199 Reader No: _
,
Eagan; MN 55121
.. '_ .tu.:: `till er Canst.
Site Address:
°ZYmoutli F um ing
Plumber
Ch
:
n
C 525 t?Dd
g
.
on
Acct Dep: ZS 00pd-
Permit Fee: -1'? 000
Surcharge: 50vd
Tr. Plant 130 0i0nd
Meter. 67 W d
Date:
Size:
Date:
Zvning: _
No. of Units:
I agree to comply with tha City ot Eagan
Ordinances.
By
1 SEWER SERVICE PERMI?
j CFn oF;EAGAN _
3830 ppo{4Cnob Road pERMIT NO.:
P.O. Box 2tto9 _
4 DATE:
?
Eagan, MN 55 Na o{ Units:
Zonir4r. JOe tit i 1? 11 er Conat.
Owner.
Address:
boro D
rive ? BI Greensboro
3795 (?'?I
? Site Address: pl th PZt?rih? 1o0. 0(.)Pd
' Plumber , 7 32 S5
Connection Charge:
. ??? ??p?y+wqh the Citr af Es?1an Account Deposit:
? Ordk+ences. Permit Fee: #
Surcharge:
Misc. Charges:
By Total:
pate of InsP•: Dati paid:
Insp.: _
CITY OF EAGAN N9 16354
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
? --7 • ?
BUILDING PERMIT Aeceipt # ? ? (
-
To he used for DECK Est. Value $1, 000 Date APR 24 ,1 g 89
Site Address 3795 GREENSBORO DR
Lot 1 Block 1 Sec/Sub. GREENSBORO 1ST OFFICE USE ON?v
Parcel No. ow°pa"cy - FEEs
Zonmg
26
00
s Name MTCHAF.T. MARXF.R (AquaqConst - Bldg Permn .
W
;
Addf05S 3795 GRF.F.NSRORO DR
(Allowabie) -
Surchar
e
.50
° City EACAN Phone 459-4412, #ofstones - g
Plan Feview
Length _
o Name SAME Depih - SAG City
,
?Q Address SFTOtaI - SAC
MCWCC
? City Phone s F Footprints - ,
Water Conn
On Sne Sewage _
r
S.
Name
On Ste Well -
Water Meter
ddf@SS stem
MWCC
aW = p?t Deposit
fle
C ry phO Waer
Cry
S/W Permit
PRV Reqmred _
I hereby acknowlege that I have reatl this apphcation and state that the Booster Pump - SNV Surcharga
informallon is correct and agree to compiy wilh all applicable State of
Mmnesola Statutes and City of Eag Or a es. 7reatment PI
Signature of Permrt f *-.- APPROVALS Road Unit
A Bmldmg PermR is issuetl to: A ;L ARXER Planner - park Ded
on ihe express condiUOn that all work shall be done in accordance with all Counal -- 1
00
nes
apphcable State of Min
ota
Statutes and City of Eagan Ordinances. Bldg Off _ Copies .
,
,
?
BmltlingOtficial TJJ Vanance - TOTAL 27•50
CITY OF EAGAN N° 13 5 81
, -° 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100 Receipt x ??'
BUILDING PERMIT
Tobeusedfor SF DWG/GAR EstValue $79,000 Date MAY $ ,t9 87
SiteAddress 3795 GREENSBORO DR OFFICE USE ONLY
R3
GREENSBORD 1ST
Lot 1 Block 1 Sec/Sub onSiteSewage Occupancy
-
-
-
. MWCC System ? Zoning MT
ParCel No. On Stle Well Type of Const v
CiryWater X (ACtual)
.?_
a Name JOE MILLER CONST (Allowable)
W
z
Address 18133 CEDAR AVE SO # of Stories
Langth
?+6
o
City FARMINGTON phone 892-1010 Depth 47
S
F
Total
.
.
p Name SAME FootprlntSF,
?a Address APPROVALS FEES
r City Phone Assessments Permit s 430.00
-
3
7T70
Water/Sewer Surcharge .
W w Name Police _ Plan Review 215.00
t 2
i-
Address Fire _ SAC, City 7 00. O0
525
?? Engr. _ SAC,MWCC .00
<W City PhOne Planner _ WaterConn. 575-00
67
00
Council _ WaterMeter .
I hereby acknowledge that I have read this appllcation and atate Bldg. Off. _ Roatl Unit 3115 _(10
lhattheinformationiscorcectandagreetocomplywithallapplicable APC _ TreatmentPt ion np
Stete ot Minnesota Statute nd Gity of E?g dOfdi ances. Vanance _ Parks
Copies
SignatUre Of PBfmittee TOTAL fi2,3R6_ 50
A Building Permit is issued to: J? MILLER CONST _ on the express condition that
all work shall be done in accordan with all applicable ate of M inneso Statutes and City of Eagan Ordlnancea
8uilding Official
J
G/l!/3 7 REQUEST FOR ELECTRICAL INSPECTION yee,-/oooo1-os
, Sea inatractions /or completine thia fwm on beck ot yellow eapy.
"R" Below Work Covered by Thfs Request
NewlAAdl AeD.I Tvoe of Bmltlina 1 Aooliencea Wirad 1 EquiVment Wirad I
Water
A?
M Pee Service EniranceSlza tt Fee Feeders/5ubfeeders b few Circuits
-CO 0 to 200 Am s 0 to 30 Am s .La 0 to 30 Am s
Above 200 qmps 31 to 100 Amps 37 to 100 Am
Swinxnm Pool Above 100_Amp4 Above 700_AA
,
Transiormer5 Irngation Booms Partial•
. SignS I I iSUecial Inspection
TOTAL F . M
ertwrks
Rough-in Date I,the Electrical
y Inspeclor, here6y
cerlNy thet the above
Finel D.
ginapeetion n.: e,a.
? ^mede.
Thitrepue9lvoldl8montlutrom y ?
This repuest void
monlhs from
?_ 91272// 13/
754s?6 --;s-
"Z? .s42' °?
Nequest Date Fira No. ouPh-in InsPection
rn evuiretl? ?fleady Now ?WIII Novlv Insoec-
.dJ ? ZiO ^ d 7 ?Yes nNO tor When qeady
[] Lwansed Elecvical Convnctor I haroby reqvest inaDection of above
? Owner elect.icel work instel led et:
Street Atldress, Box or Ho te No.
196- eehs boro 6ove. Ciry
6-a Q`1
ection o. Township Name or No. Ranp¢ o. Counf
l?a?'of-?
Otcupant(PPINT)
Joe M?llcr Phone No.
Pow r Suppher
?ako-Fa. ?'le.? Atldress
Z1306 ;??o ,43f
Elechwal Contrector (Company Namel
Mrdland ?lea-i?-« Cnntractor's License No.
?r?i6 -a-
MailinB Address ICOntractor or Owner Ma ng InsiailaGOnl
9500 W C'o d ?a.
AuNonz SiOnawre (COntractor Owner Making Installationj Phone Number ?
syo?-qbi
MINNESOTA STATE BOAflD OF ELECTRICITY THIS INSPECTION XEQUEST WILL NOT
Grigps-MoAway BICg. - Room N-181 BE ACCEPTED BY THE STqTE BOARD
1831 Univeraitv Ave.. S1. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTR ML INSPECTION
"i" See instrucirons tor compleling ths form on back oi yellrnv capy
N 8 5 6 6 0 -x" Below Work Covered by This Request
? --
_eaooow?
y ?/S 3
ew Adtl pep. TypeofBmlding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplez Water Heater Elechic Hea4ng
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm ' Air Conditioner
Other (specdy) CoMreIXaS flemarks:
Compufe Inspection Fee Be/ow: 6il
# Other Fee # ervice EntranceSize Fee # Circuils/Feeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps / -' - Amps
$i905 li5pectorSlJSe Only: TO
IRIJdtlOf1 BOOtfIS p?
V
Special Inspection
Alarm/Communication
Other Fee 3•
I, the Electrical Inspector, hereby
if Rough-in ? oeie
y that the above inspection has
cert
been made. F,ne? oa? - 2
/
OFFICE USE ONLY
This request void 18 month9 fiom
? 8t6 6 0 / I
Bequest Data ? Fre No Fough-ln Inspeelbn
Reqmre0'
? Reetly Naw ? Will Not?fy Inspeclor
1 ? Ves ? N. When Reetly?
I,m.licbnsed contractor ? owner hereby request inspection of above electrical work at:
Job
Atltlreas Street, 6ox or Route
17
Qly ?
SecL w ip Name or No. ge No Counry
Occup (PRINn L r
1?J Phone No
Power Supplier ? Atltlress
Electncel ConiraIXOr (Cqmpaery NBme) Ca?M1aclor5 L" nse No
XENnIRICZ
Madirg Atldral (COMracto0 PE
,TE
AuMOnz nSaLN r 1 sWlaron
"?. I 95124
PhoneNUmber
MINNESOTA STATE BOAND OF ELECiPICiTY T115 INSPECTION FEQUEST WILL NOT
GrlggaMitlway BItlB. - Aoom 3-113 BE ACCEPTED BY THE STATE BOARD
1821 UniverWly Ave., SL Paul, MN 55104 UNLESS PHOPEfl INSPECTION FEE IS
Phone (612) W Y-0B00 ENCLOSED.
RESIDENTIAL
BUfLDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MPI 55122
651-681-4675
Naw ConsW ction Reauirements RemodeUReoair Reouiraments
• 3 registered site surveys showhg sq. fl. af lot, sq. fl. of house; and all roofed areas • 2 copies of plan
(200h merimum lot caveraqe allowed) . 1 set of Energy Calculatbns for heated additions
. 2 copies of plan showing beam & window sizes; poured found design, etc.) • t sile survey for extenor addrhons & decks
• 1 set of Energy Calculations . Indicate H Mme served by seplic syslem for addilions
• 3 coples of Tree Preservation Plan it lot platted afler 7l1193
. Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
1 13--75
?-
? -Ui
?
DATE Lc_ VALUATION
SITE ADDRESS ?09(r?_) C5)('12 ?X15?'Y?4 O 1--W Il&Q MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK :T etLto JrACY.3s2 &C^CCWFlREPLACE(S) _ 0_ 1_ 2
, -- -
APPLICANT _ unhQ?? umflmg a ROM EllVt.
STREET ADDRESS 49 Soulh OWaSSO BIYU.
TELEPHONE # I Littie Canada, MN 55117
1- ((o5t q ?'4 - 1 4(o(p
CITY STATE_ZIP
FAX # &5)k LC3 A3-1
l
PROPERTY OWNER VLi.1.P? (?&A_. UP(_?? TELEPHONE#
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CAT'EGORY 1 MINNESOTA RUL,ES 7672
(4 submission type) • Residential Ventilahon Category 1 Wofksheet Su6mitted • New Energy Code Woflcsheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Contractor: _____
Plumbing system includes:
Mechanical Contractor:
Mechanicalsystem includes:
Sewer/W ater Contractor:
Air Conditiocung
Heat Recovery System
Phone #
Phone #
Fee: $70.00
----------°----°----^ ---------°----------°----------°--°---°-----°---°------------°-------------°----°--------
I hereby acknowiedge 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 EagAOr' es.
Si gnnture of ApplicanUP
OFFICE USE ONLY
Water Softener
Water HeaLer
No. of BaThs
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upd'eted 4102
PERMIT ?
ClTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: ey?r???NG
Permit Number: 0 0
Date Issued: @ 9/ 15 / 9 7
SITE ADDRESS:
3795 GREENSBORO DR
LOT: 1 BIOCK: 1
GREENSBORO DR
P.I.N.: 10-30900-010-01
DESCRIPTION:
-- (wrNOOws)
Buildiiig_.Permit Type
f8uildi'n4 'L?b,,rk Type
,°°Census Code
i, y?Y
nF
j`
`. . . ` ._.>
1 iE
l?
? ?.
SF (MISC.)
REPAIR
434 ALT. RESIDENTIFlL
1 //`$?
?
?Z3U, «.i ?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$137.25
$4.00
$141.25
$8,000
CONTRACTOR: - Applicant - ST. LIC OWNER:
FIRST CHOICE EX7ERIORS INC 15531918 0004266 MARXER MIKE
2405 ANNAPOLIS LN N 240 3795 GREENSBORO DR
PL,YMQUTH MN 55441 EAGAN MN 55123
(612) 553-1918 (612)452-4412
( ° - = ,
?`lChxr a`pplicaF?,on ?ti?`? St?tt haC
- I`•hereby'=cecknow3sdgs a'C T' tiaVo rea ?y
3nformat3on is correct and agree to comply t.-Ith alI applica61e 5Late of-"?in.
Stetutes and City of Eagan Ordinances. '
1?-
APPLICANT/PERMITEE SIGNATURE ISSUED 8 SIG ATURE
60490 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CiTY OF EAGAN
5830 PILOT KNOB RD - 55122
687 -4675
Nevr Construction ReouiremeMs
? 3 registered site aurveys ? 2 copiea W plan
• 2 mpies of plans (indude beam & window saea; poured fid. design; etc.) ? 2 ske surveys (exlerior adONons & dedcs)
? t energy calwledons • 1 energy oalculations for heated additions
? 3 copies of tree preserva6an plan if lot platted after 7I1/93
required: _Yea No '
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS: -D / 7? .%?'?-a?ovw Td"L• ?+'-' . m,?, 3.?ld-?
.1 ,
LOT BLOCK SUBD./P.I.D.#: ?I?HOp4AIL 1,11,
PROPERTY Name: ? Phone #:
OWNER
Street Address: ?d' ?
City: State: lWrJ Zip:
CONTRACTOR Company: c4r?c ,&X7e4asrP Phone#:
? a-s?o /??lo lo
Street Address: C??/AJ ,)o • License #:
City: State: h9IJ
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licer.ged plumber (new construction only): . Penalty applies when address change
and lot change arc requested once permit is issued.
I hereby acknowledge that I have read this application and state that the iMormation is correct and agree to co ply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. L?
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 40,
L .
? 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
n 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
a 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex n 14 Fireplace n 21 Miscellaneous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
n 31 New o 33 Afterations o 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee .3L 0?5 Valuation: $
Surcharge o c? _
Plan Review
License MCNVS SAC "
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: `/ / •026
% SAC
SAC Units
1987 HIIILDING PERMIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLIIDE 2 SETS OF PLANS, 3 CERTIFICAYES OF SORVEY, 1 SST OF ENERGY CALCQLATIOHS
s
NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEO'HNER MDST DESIGAA?E WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCS BIIILDING PERMIT IS ISSIIED.
MOLTIPLE DWELLINGS - RFSIDENTI9L
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COLMMRCIAL
RENTAL OAITS FOR SALE QHITS
OF SIIRVEY - CHECB WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND -79/006
To Be Used For: (,Q,(,v tKJ J Valuation: -416t?
Site Address 3N5,Qy`/)'JOFFI
Lot ? Block ? On Site Sewage_
( MWCC System ?
Pareel/Sub aJ On Site Well
City Water ?
Owner
Address
City/Zip Code
Fhone
Contraetor?l`}E.7? ?QP l fin,Qf-
Address ??J&dfa G,u-Q. a .
City/Zip Code Jaml,(-?1 i/ V? r&SQ??
Phone h(c) - ( V { v
Arch./Engr.
Address
City/Zip Code
Phone Il
APPROVAf 4
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
E1dg OFf
APC
Variance 41•87
Date: /ZcL -? 7
Occupancy ?? , 3
Zoning ?•{
Type of Const
(Actual) ?
(Allowable)
4l of Stories
Length ?
Depth 47_
S.F. Totsl
Footprint S.F.
FEES
Permit 4:?O.
Surcharge ?
Plan Review ZI S .
SAC, City 00,
SAC, MWCC 525.
Water Conn SZ5
Water Meter (?'7
Road Unit 3bS
Treatment P1 80.
Parks
Copies
TOTAL
C?
28 f G
22 - S 28
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
MARXER
1 J>
I % I m^? , I
I ?1 S ,
N 89°31'56" E
R S 150.00 ?9G!
9
? /'Dr>inage wnd V}',I;+Y Ease.ne..t
-}?c_ 12D.oo--46
5 DS?Q ? 2x? ? a j
1V?
Q?0?
't o LOT I ( No
-°M p I SCrBAGK
C\J o ?o ?
z ?/ a o z O
o? I I
? I m
5? - J ,0
z
_ w
Dra?nno?Ea.? U??I?tYEaStvnenf' ° w
150.00 $94 ; ?
E A S T
WESCOTT ROAD
PROPERTY DESCRIPTION
LOT! , BI.OCK! ,
GREENSBORO FIRST ADD.
accordinp to the recorded plaf thereoi
DAKOTA CourAy, Minnesota
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD kU6 SET
DENOTES EXISTING SPOT
ELEVATION
8P3-DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I haraby certify fhat this survey,plon or
report was prepared by me or under my
direct supervision and ihat I am a duly
Reqisfered Land Surveyor undsr ihe
Lows of the State of Minnesota.
I')• '. Ld"?lY..'r.:?'O ? 1 IF.!r ,Y??.
Bradley J.,.'S*nson, Mn. Req. No. 13238
Date' 1/22 /8)
SITE PLAN FOR:
MICHAEL a COLEEN
f/J1R1'q1k1C4r OK {'ClZ
lv-?I- 7- 3 -87
SCALE: I" = 30'
:.: : ? i r:'•:: ,?
PROPOSED GARAGE FLOOR ELEVATION= %B 7-S
PROPOSED FIRST FLOUR ELEVATION =
PROPOSED BASEMENT FLOOR "
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
CITY OF BUILDINfi DEPARTMENT
' - ,• r - ? EXTERIOR ENVII,OPE AVSRAQE IIUII C014PUTATIOH
' (To be suhmttted wiLh building permit application)
One or Two Family Dwelling Owner
All Other Sita Addrese
Contractor J&,Efz•
FrA-1gFA,r,x ?
LINEAL FEET OF ??
EXPO5ED WALL ?lGE 00,ZK ft.
Date
above grade = 2 57,(9-00 1?
TOTAL EXPOSED WALL AREA $Q. FT.
Phone
OPAQUE WALL CONSTRUCTION: °Ulf Value x Area
Detail - 'eA'h)E 'tU° .043 x SQ. FT. 1 .ZD.' 77,Lo_(u)
refereace ?([!J&F 0
°Un . 7lO
x
SQ.
FT. ,
?P2
II
=?)(A)
from •924-2 x 3Q. FT. 132. So = -T. 3 1 U) (A)
?
attached flUff x 6q. FT. = (U)(4)
sheets
nUn x SQ. FT. _ (U)(A)
WINDOWS: "Ulf Value x Area
hiake & TYPQ IAIStX., e!4*T nUn • 4'g x SQ. FT. ?.80= ?09,so (U) (A)
n n uUu
x SQ. FT. _
_ (U)(A)
n u upn x SQ. FT. _ (U)(A)
ir n npn
x SQ. FT. _ (U)(A)
DOORS: "U" Value x Area
t•fa•se & Type _?l- jL- f/fSU(. , nUn •14- g g@.
" " E65l) IIUII .47 x SQ.
n n upn
u n nUu lc 3Q.
_ x SQ.
ToznLS 23Z0•00 sQ,
AVERA(3E ItUll
ToTni, (v) (n) vru.nES 1079,0(0
DIVIDED BY TOTAL VVpLL AREA Z32lJj00 ^ ,?8 ?
AVk;RAQE "U ,115 lesa for 1&2 family dwe inga
ROOF/CEILINds
TOTAL AREA: Z(00
Detail reference liUlt 049LI x Sq. FT. 1Z1O0 = 2(Do (GtU)(A)
from 'fUll x SQ. FT, s (U) (A)
attached sheeta. @lUll x SQ. FT. _ (U)(p)
?escribe openinga t'Uii x SQ. FT. - (U)(A)
in roof. IIUII x SQ. FT. _ (U)(A)
ToTAL ( U) (A) VALUES DIVIDED BY TTbcL47 Z(Pd N,fr 2(o4(pCU tYA?
TOTAL ROOF/GEZLIN(3 AREA ?Z(p0 •dZl
AVERAQE "Ufv .025 or ventilat d f ?
FT. 9,00 = ?O?SCO (U)(A)
(U)(A)
FT. 2 - I (U)(A)
FT. - (U)(A)
F'T. ISB•S?O (U)(A)
e roo e.
??oss j!-?nR?S?D Gvqc.C.
/g• 5 X ? 34+34t 9fv?-9lv) = Z?Zo.r,o?
Cogc,
34t3¢t vt9-?o? = 107, Zo ?
f!r1
C34 f 34- t 9'!o 4-446 = 132 . go -?
l?rr1 c?wS
Ilnx?lo = 4.0
ZOX3(o = 5, o
24X3(o = (v.o
2¢X48 = g,v
Zax?B = 0-7
A??s
3° sr?•
Z?
6;° PA-rio
x 4=
X (v =
X
x 4=
Ilo. o0
3o.op
Z4, o0
98.ao
Z(p. go
14
4.So ?c
= ZS,vo
= z?,no
= 4z,oa
`II•?o ?
I??'I E?a ED ?cL ERvAtS
UJqI, (- Z3zo.oo
G?SS Co?IC , JoJ,Zo
u R?rt1
„ wAw 5 13z,8o
r44
$o -475. So
,
Dcv,e'y
91,00 ?
1844.Zo?
S-09-f
z&X 4-to = 119 lo
8 x B = 6P4
! z690.CA;?
• :Desormining "U" values at Roof, Wall, Rims and Conc. Block
ROOF/CEILINa
1.1 Interior Air P'ilm
2.) 5/811 ayp. sa.
3.) Inaulation
4.1
50 Exterior Air Film
. (BTILL)
R VALUE
0.61
.56
4-t00
.61
nVll a IIR= IOZ? 110TAL M= 1?SWg
WALL
60 Interior Air Film
7.) }" ayp. $a.
8.) Inaulstion
' S. ) .?vru =--.?rF
10.) Msaonite Siding
11.) Exterior Air Film
R VALU
o. 68
•45
r9,ao
? 61
.17
°pn = 1IR=. . p`7 Z
TOTAI, (R)= r
.?.O /
RIM
12.) Interior Air Film
13. ) Insulation
14.) 2" Fir Rim Joiat
15.) .PavK(- frTF
16.) Masonite Siding
170) Exterior Air Film
R VALUE
0.68
17,00
1.88
? 67
.17
1/R= TOTAL (R)= z4,TY
,t,l'
, L
FOUItDATION
18.) Interior Air Film
19.)
20. ) le'11 57-91PPeI?
21.) 12" Cancrete Block
22.)
23.) Exterior Air Film
B VALU
0.68
//'Op
1.28
.17
nUn = 1/R= s,07(, TOTAL (R)=/3.l?>
?
1989 HiTII.DIIiG Pfi&MIT APPLICATION - CITY OF EAGAN
I o 0
SIAGLE F9MII.Y DiIELLING3
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEYt 1 SET OF ENERGY C9LCIILATIONS
AOTEs ADDRF.SSFS FOE CORNEH LOT3 - COATHACTOR/HOMEOWASR M03T DE3IGN9TE iiHICH ADDRSSS
IS DESIRED. HO CBANGFS i1ILL BE ALLOfiSD ONCE Hi1ILDING PEHMIT L4 ISSDED.
!ltJLTIPLS DWELLINGS HENT6L DHITS FOB SALfi IIBITS # OF IIBITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 3U8YSY - CHECH WITH BLDG. DEPT.9 1 SET OF ENERGY
CALCULATIONS
COAMERCIAL
INCLQDE 2 SETS OF ARCHITECTURAL & STRDCTURAL PLANS,
1 SET OF SPECIFICATZONS AND 1 SET OF ENERGY CALCQLATIONS
To He Qsed For: /?P, k Valuation: ) DD O Date; +i - 2 44 -c6`i
site Address 3 7 9 s' ,4p.-.; c'? /Dp
Lot J_ Bloek /
Parcel/Sub 6QE?arSBon,. Fla-Sr iQaCw ,
?
Owner 42„ ? n ? I 17AA2.4
Address ? 7 yy' G,pv??/zr.on
City/Zip Code r ?r.o,.. .TS/?? 3
Phone
Contractor
Address ?
City/Zip Code ?
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
Oceupancy FS63
Zoning
Actual Const Bldg. Permit a G,a0
Allowable Sureharge .sv
0 of stories Plan Review
Length SACt City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Aeet. Deposit
On site sewage S/W Permit
On site vell S/W Sureharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV required _ Park Ded.
Booster Pump Copies ?
_ TOTAL ?sv
APPROVAI.S
Planner _
Couneil
Bldg. Off.
Variance
90TEt Sever 8 Water Permit fees and acoount deposit fees will be included in the building
permit fee. Processing time for aer?er and water permits is tvo days onoe a 11¢enaed
plumber has applied for a permib at Citq Hall.
/
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
i_(1) I %
MICHAEL & COLEEN
MARXER
° ',u
L J>
?
- r
9
3?
IT o
Op
OD o
N 0
o _
O
z
N 89°31'56" E
s 150.00
T ? ?Drwinao?C qnd V#'I+Y ?aSEMenr _r? 120.00--
za:
5 ?Dy?Q i 6?.
LOT I "
s,?TBAcx ?.,A'4?-?
5L _ _
o j-Droina(3gand
V3
1 Zt
f"
EaSemenf"
150.00
E A S T
WESCOTT
PROPERTY DESCRIPTION
LOT! , BLOCK! ,
GREENSBORO FIRST_ ADD.
occordinq to ihe recorded plai thereof
DAKOTA County, Minnesota
LEGEMD
o DENOtES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING 5P0T
ELEVATION
8931 pENOTES PROPOSED SPOT
ELEVATION
? OENOTES DRAINAGE DIRECTION
I hsrsby caHify that this survey,plon or
report vras prepared by me or under my
direct supervision nnd that I am a duly
Reqistered Land Surveyor under the
Laws of the State of Minnesota.
Bradley J.: S.W"son, Mn. Req. No. 15235
Dafe? )I ZI6)9
SITE PLAN F4R*
0
o W
I o
? I
.?
0
3:
N It
N 0
o °D
N
0
O
Z
r ;
9
?
m
w
X
CD
WRMnICE UK PC-,2
/y-U- 7- 3 -97
SCALE: I" = 30'
PROPOSED GARAGE FLOOR ELEVATION= 8%'•>
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR '
ELEVATION
NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
IL.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER ANDlOR WATER CONNECTION
]t}X'RS]['L]fRwilRww'![FifR]fl[iRil[i?w'ti;iwiRw
P ease Print
? 1) PROPERTY ADDRESS: 3'f y'S ?vrexslvro ,?h. '-
LEGAL DESCRIPTION: ••-
ocK/5ubdivision or Tax Parce
2)
AD?RESS:
NANIE: :1a c/ylr l/rV L°o "s E"
CITY, STATE, ZIP:_
? PHONE:_ScrI- 11) r p
3) u i: ?•
- NAME:
, ADDRFSS:
PHONE:_,2f2:._ ?7MASTEEi ISCENSE# //Io;s6,5-
Active
ESxpired
Dlot recorded
St? f nltial
4) ?? • ? i?•
_ ?laLt?ti - tFC
_ ADDRESS: CITY, STATE, ZIP:
PHONE: •
-S) ? v i a• ?• : ? • o? - ?.
B-COMMC,TION 10 CITY SEWEI2 [Hr-6pNNECTION TU CITSt NTATII2 Q p'i'fER '. ..
6) us"16-1 •' • i- al'PI,EASE I-IOI.D APPROVfa PERMIT FDR PICK-UP BY 0NE OF ABOVE --- .--
? PI,EASE MAIL APPROVID PERhLTT TO 1, 2, 3. 4, AHOVE
(Circle one) '
7) Eff . n, 0 ?4-0_ --
IF EXISTING STRCG'IL'RE, DATE OF ORIGINAL BL'ILpING PERMiT ISSL'ANCE:
Nbn Year}
PRESENf ZANING/pROPOSED USE: -
? Cai24ERCIAL/Rfi'I'F1IL/0FFICE SINGLE FAMILY
? IbIDL'STRIAL Q R-2 DCPLEX (7.uo Units)
? INSTIZT)TIONAL/GOVEUzgM Ej R-3 TOWNIOL?SE (Three + Units) ( Onits)
0 R-4 ApARTT?NT/CObIDOMINIOM ( Units)
CITY, STATE, 2IP:
PAYMMf' OE FkE AT TSME pF
APPLICAI'iON DOFS A]OT ODNSTI7ST1'E
APPROVAL OF PERhffT.
INSPDL'PION OF SEWS2 ADID/OR YMII2
INST11LLAZZON15 Y7II.L PAT BE SCHED--
ULED UNTII, PERNffT BAS BffiN
APPRCIVET?.
F4R CITY USE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ /16 -S? SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OIITSIDE READER
$ $ WATER TAP (INCL[!DE CORPORATION STOP)
$ $ SEWER TAP
$ $ (-D ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ $ WAC
$ $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRONR SEWER ASSESSMENT
^$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ S LATERAL BENEFIT/TRUNK WATER
'$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ ?f17? TOTAL
? s
732
2
RECEIPT RECEIPT
DOES UTILITY CONNECTIDN REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK iQITHIN POBLIC
Q
NO ROADWAY" MDST BE ISSUED BY THE ENGINEERING
DIVISIpN
LIST
.
AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ?
TITLE:
DATE:
City of kali
3830 Pilot Knob Road
Eagan MN 53122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit f: /01/3(
Permit Feet 0 L)
Dale Received: 12-'7(0•-1 Z
Staff
L.
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ) . , 3 7 1 1 5Ite Address: 15 sate -e/4-6.4-0
43u0
Tenant: 1)61A 4 S ,
RESIDENT/OWNER
CONTRACTOR
Name:
• Suite 8:
� Phone:''b — --
Address / CIty /Zip:
Nar>ie:,MILBERT COMPANY INC.dba CULLIGAN WA' v
Address: 1801 50Th ST EAST
State: • MN Zip: 5507.7.
Phone:
Contact BILL.MILBEAT j . Email:
4.37
city: . INVER GROVE 4-IGTS
•
65.1 •;:451-2241
TYPE OF WORK
•New , eplacement _ Repair _ Rebuild _ Modify Space _ Work In.R.O.W.
•
Description of or1i:,
PERMIT TYPE
RESIDENTIAL
• .Water Heater
Lawn InigatI n L RPZ IPVB)
_, Septic System •
•New •
. _Abandonment
,Water Softener
Add Plumbing Fbcturea L Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$55.00 Minimum Water Hdeter, Water Softener. or Water Heater >�i ,, Softener (includes 35.00 State Surcharge) •
$35.00 Lawn Irrigation (Inclddes 35.00 State Surcharge)
355.00 Add Plumbing Fixtures, Septic System Pbandonment, Water Turnaround* (Includes $5.00.State Surcharge)
'Water Turnaround (add 5166.00 Iia 5/8' meter is required) •
3105.00 Septic System
p yst lis* (310.00 per as built) (Includes County fee:ind 35.00 Stats Surcharge)
395.00 Fire Repair (replace bumep out appliances, ductwork, eta) (Includes 55.00 State Surcharge)
TOTAL, FEES $
CALL BEFORE YOU DI'G. Call Gopher State One Call at (051) 454-0002 for protection against underground utility damage.
Cali 48 hours before you Intend to dig to Melva Coates of underground utilities.. www.aoohersteteonecall.ora
1 hereby adcnowledge tint thle h rtna8on le complete and accurate; rut the works WI be In oonformunca Wth the ordinances and codes of the City of
Eagan; that 1 understand this Is not e permit, but only -an application fora permit. and work Is not to start without a psrmlt that the work wffl be In
accordance with the approved plan In the cm of work which requires a rerlew and a . • j „apl no..
x vi/• I )Jl40*
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147941
Date Issued:02/22/2018
Permit Category:ePermit
Site Address: 3795 Greensboro Dr
Lot:1 Block: 1 Addition: Greensboro 1st
PID:10-30900-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Stanley M Pfeifer
3795 Greensboro Dr
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160050
Date Issued:02/10/2020
Permit Category:ePermit
Site Address: 3795 Greensboro Dr
Lot:1 Block: 1 Addition: Greensboro 1st
PID:10-30900-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Stanley M Pfeifer
3795 Greensboro Dr
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature