1005 Greensboro Lane-._.__.. -_,.?..
BLDG. .. , _?_....?....?.,,.-.. . .
PERMIT N0.
> > J?J
/?-?-
` ?
? l
01-32L0 Permit
Bldg.
01-3422 Plan Check
.
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit ca C..)
20-2275 SAC
' 20-3865 Water Conn.
20-3868 Water Trmt. X
20-3716 Water Meter ? 7 I
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL I?? <?-)
CASH RECEIPT
• ? ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DpTE 19
RECEIVED FROM
? I
AMOUNT $
Bc DOLLAR6
+oo
E)CASH Q CHECK
ROR
r
BY
` Whita-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
MECHANICAL PERMIT RECEIPT # R C;"
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
fRACT PRICE: PHONE: 454-8100
-Y
kddre?s zj ? 7j' W, -, " 7, . " • BLDG. TYPE WORK DESCRIPTION
Block, .S 1Sub Res. ? New
?
Mult Add-on
Name Comm. Repair
Address
- -- if? _ , Z .-, _ . ,-. ,= Other
FEES
Name RES. HVAC 0-100 M BTU - $24.00
c Address ! pbf 6.' -????lcn:? ,l,,,? ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
? GAS OUTLETS (MINIMUM - 1 PER PERnllln - 1.50 EA.
TYPE OF WORK COMMIIND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU FiEMODELS - 12.00
Air Cond. M BTU / Z•?u MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S1C IF PERMIT PRICE GOES
Gas Piping Oudets # BEYOND $1,000)
Other
FEE: /?-?u ?1 1!J,,.. / •
S/C: SI TURE P
TOTAL• "` J '
FOR: CITY OF EAGAN
PERMIT #
• PLUMBINC PERMIT " ?y
. CITY OF EAGAN RECEIPT # / ?'?? ?
+ 3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE
Site Address/J_LL_'?
Lot _yLe,)_ Block
? Name
o Address ?.
c Ciry %
? Name
3 Addres7s?
I O CitY ?6e.?y.
_ Sec/Sub
BLDG. TYPE WORK DES RIP ON
Res. ? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTUR ES T0?AL
_72Water Closet - $3.00 ? ?.
18ath Tubs - $3.00
Lavatory - S3.00
Shower - $3.00 `•
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
=Laundry Tray - $3.00
? Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
_Z Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLOGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPUES
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
FEE: V
STATE S/C: ' -5 o
GRAND TOTAL• j ? . SC.J
. . ? , ..
CITY OF EAGAN • _ ' 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt #
; To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
' • `5W
Lot BIOCk S9C/Sub. Ril I On Site Sewage T Occupancy ,
?
MWCC System _ Zoning
PafC@I No. On Site Well ? Type of Cor?st
City Water = (Actual)
¢ Name ` (Allowabie)
W * of Stories
.,z? Address Lenpth
? City Phone Depth
S.F. Total
. o
z Name FootpriM S.F.
ou Address APPROVALS FEES
¢
?
City PhOn2
Assessments
Permit
? a Water/Sewer _ 5urcharge
? W Name Police _ Plan Review
z
_ -
Address Fire _ SAC, City
u Z Engr. _ SAC, MWCC
? W City Phone Planner Water Conn.
_
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
that the information is coneCtand agree to complywith all applicable APC _ Treatment P7
State of Minnesota Statutes and City of Eagan Ordinancea variance _ Parks
Signature of Pernlittee Coplea
TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all appliceble State of Minnesota Statutes and Clty of Eagan Ordinancea
Building Official
Permit No. Permit Holdsr Date TeIephone, ?f
P?umbing
H.V.AC.
Electric
Softener
Inapection Date Insp. Commenb
Footings I
Footings II
Foundation
Framing
Roofing
Rcugh Plbg ' /,g_
Rough Htg. 4 1 p0
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
MECHANICAL PERMIT { RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
Site
Lot .
Name
City
Name =
? Address _
o Citv -?-?
TYPE OF WORK
Forced Air
Boiler
Sec/Sub
' jI ,? . r iA ?
RA oTi i
Air Cond. M BTU $_
Vent. CFM $_
Gas Piping Outlets #
Other ?
FEE:
S/C:
TOTAL•
Res. 4„ ?
Mult
Comm.
Other
WORK DESCAIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPL.IES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
$1,000)
- $24.00
- 6.00
'1
- 1.50 EA.
- 12.00
- 20.00
- .50 ?
CITY OF EAGAN
CITY OF ElKGAM
3830 PIIo! Knob Road
SEWER SERVI
P
O
i
211 CE PERMIT
.
.
x
W
Eagan, MN 55121 99 I 5
PERMIT NO.:
Zoning: P1 DATE: - 9-
Owner. Joe :, Ltller Const ,N0' of Units: 1
Address;
Site Address: 1005 Green - -' R3 Greensboro
Piumber. Plymouth P
i aqroe to compIy wfth
Ordlnancss,
BY -
Date of Insp.:
Insp.:
??E??atLttL?cuOe?ptlr?'Ctf?rge: 59 S nn..a
REQUIR'ED=AFj?NW 1 S (]nn?
i(1 nn a
Surcharge:
Mlsc, Charges:
-- TotaL•
- ?_._ .. . .
•-- .?;.,._?
CITY OF f-IGAN Permit No: 0
3830 ,Plbt Krroo Road Meter No: 7
P.O. Bdx 21199
fleader No; p
Eagan, MN 55121
Ji Owner._
ite Addre;
lumber._
onn. Chg:
cct Dep:_
ermit Fee:
urcharge:
. Plant_
eter. _
sc.:
Joe Piiller Const.
525
Date;
Size: 8 "
Date:
Pli
?°a? za comply wlth the City o} Eagan
Ordlnances.
Br
WATER SERVICE PERMIT
CITY OF EAGAN
3830 PJlot Knob Road
P.O. Box 211l9''
Fa6an, MN 55121
Zoning: PL"
Owner.
Addf883:
Site Addr
Plumber.
•. . , -
SEWER SERVICE PERMIT
PERMIT NO.: 9915
DATE: `
Lller CpnBt, No. of Units:
i ayree to c ampfy wilh ths qry ot Eupan
Ordlnances.
BY
? Date of Insp.:
I Insp.:
F ._ ..
Connectlon Charge: _ 52 S. 40nd
Account Deposit: 15. OOpd
Permit Fee: 14 rtn-ct
Surcharge: 54n2
Misc. Charges:
Total:
Date Paid
OF EAGAN Permit Na 8 7 60
Pgo1 Knob Road Meter No:
Box 21194 Reader No:
n, MN $5121
_ . :..-..-- - --- ° - - -
?- . .
• p&W 5-19-87
Size:
Date:
nn. Chg: 525.00 d Zoning:
ct Dep: 5•()O'Pd No. of Units:
rmit Fee: 1.0. OOpd
rcharge: • S0Pd 1 agres to compiy with ihe Clty of
Plant 1 ° 0. 00pd Ordlnances.
?ter. f, 7 ,sln?
By
WATER SERVICE PERMIT
4,1111g'7 REQUEST FOR ELECTNICAL INSPECTION ea-ooooi-os
/ Sae instructions for comDletinp this form on Eeck ol yellow coov.
D't 7 8?? ""%" " Below Work Covered by This Request
I FAd HeO. Tyoe ot BwlCong Applinntea Wired Eqmpmenl Wrted I
Water Heater
Apt owiomg Urye, Elec[nc Heatin
Commercial BIAy. FumaceSilo Unloader
InAustrial 81da. Air Conditioner Bulk Milk T:,nl<
N Fee SarviceEnbenceSize M1 Fee Feptlers/5ubtaxders b Fne Grcurts
, OD U to 200 qm s 0 to 30 qmps 10 0 tn 30 Am
Above 200 q?npy 37 to 100 Ainps 31 to 100 Am s
Swinvning Pool Above 100_Amps Above 700_Am 5
7ransiortners Irngation Booms Partial- Other Fep-
I Signs Speaal Inspection g?$0 TOTAL F?g??
flertNrks /
^ _ . ( n'
nouen-in V? ry
- I, Ihe EbctrTgf
?'lJ Insnecmr, ne,eev
certJy the? the aDOVe
Fina? ins0eevon hes been
maaa.
This requesl void ?/?1 /? 7
D??,h7?8_51 I-/D 63
,?'y„? ?
Fenuesr Date Fve No. FlouPh-in Insoer,t?on
Re iretl? DROatly Nuw Will Nu1rty Inspe?:
6
? 4$, YOS ?NO tnr When Reatlv
Locensed Electncal Conbactor I hereby request inspechon ot abova
? Owner alectncql work mstelled at
Sheet Address, Box Noute Nu.
loo,S ree sboro Lane CitV
?aewn
e"ion o. Townshup Name or No. RanBe No. Count
a
OccupnntlPplNT)
Joe MiIler Phone No.
Pow SupDlier
L?ako4a. Add ess
Elect i al Conttactor IComDany Na el Comractor's License No,
i,dra?d ETe?/6/b -A
Madinp AAdress (COntracmr or Owner Makinp Inslallauonl
a,soo W C'o 74di" //gR 8urn.5vr
Authon Signawr (Conlrac[or wnor Makmy Installation) Phone Number
?9b - q6?/
MINNESOTA STATE BOAXD OF ELECTflICITV TMIS INSPECTION FEQUE57 WILL NOT
Grig9s•Midwav Bltlg. - Noam N-191 BE ACCEPTED BY THE STATE 80AND
1821 Univarsitv Ava.. St. Paul, MN 65104 UNLESS PHOPER INSPECTION FEE IS
Phonel6t21642-0800 ENCLOSEO.
9//?/•??" REQUEST FOH ELECTRICAL INSPECTION ee-ooooi-os
?j n I See inslruct,ons lor completin9 ?h,s tw,?n on back f37'?5/
o1 Vallow copy. 0 `? J 1 Ll 07 "R" Below Work Covered by 7his Request
Nmq Addi Rep. Type oi Butlding Appliances Wired Equipmen[ Wrted
Home Range Temporery Service
Duplex Water Heater Liyhhny Fixtures
Api Bwldmg Dryer Electnc Neaun
Commercial Bldy. Fumace Silo Unloader
Industnal Bldg. Air Condnioner Bulk Milk Tank
Farm otnw ue,ilv Other ISpeufvl
t er Suecrty Other Otben
Comuute lnspecUon Fee Below
# Fee ServiceEntreneeSize B Pea Fenders/Subfeeders b ie¢ Circuits
U to 200 qm s 0 to 30 Am s 0 tn 30 Am s
Above 200 qmpa 37 to 100 Amps 31 to 100 A s
Swimming Pool Above 700_Am s Above 700_Amps
Transiormers IrrigaLOn Booms .50 PartialOther Fee
Signs Special Inspection
$
r ?.
TOTAI EE
Nem3rks I qa'Aa ]_p.
j0 ., /
w
Hough-in ??1e I, the Elec
Ispector, hereby
rLty lha[ the above
Final ? tv?oez soeti on has been
tle.
m
i`
This reduest wi0 51/? /,j/Sa'
18 ?.pnths (rom
[E 31807f
F7 5/5/
/n 0-0
Fe9~??ed> ?????, •, , ReaAV Now [] Wiil NoufY Insuer
9?]_,rj?88 ?Yes ?No br When RenAV
? Licensed Eleclncal Contrac[or i hereby raqaest inspection uf ebove
? Owner electncal work iretalled at
Sveet AdOress, BoK or Roure Nn. C rtv
ecuon o. Townshio Name or No. Range Nn. County
Occuuant (PflINT) Phone Nn.
Neil Erick o
Power SupUlier Address
Dakota Farininatqn
Electncal Convacmr (Company Name) Conhector's Lirense No.
Hil_ite E7_ectric. Tnc_
Matlme AdJress IContractor or Owner Makmg Instailatmnl
1953 Shawnee Road Ea an
Au)ItDkae`S.An ( traclodOwner Making InstallaLOnl Phone Number
V?
Tim Phi ligs 4 2-
MINNESOTA STATE BOAND OF ELECJAICITV THIS INSPECTION HEGUEST WILL NOT
GrigBs-Midway Bldg. - Hoom N•191 BE ACCEPTEO 9V THE STATE 00AND
UNLESS PflOPEfl INSPECTION FEE IS
1821 Universitv Ave.. SL Paul. MN 56106
vhnoala121fiaaotioo ENCLOSEO.
CITY OF EAGAN N° 13 5 8 0
,3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt #7 ,3.sa7
To be used for SF DWG/GAR Est. Value $73,000 Date MAY 12 ,19 $7
Site Address 1005 GREENSBORO LN
Lot 10 Block 3 Sec/Sub. GREENSBORO 1ST
Parcel No.
a Name JOSEPH MILLER CONST
z Address 18133 CEDAR AVE SO
° City FARMINGTON phone $92-1010
,o Name SAME
? Q Address
? City Phone
f¢
wW w
Name
iz. Address
a W City Phone
I hereby acknowledge that I have read this application antl state
that the informetion is correct and agree to comply with all applicable
State of Minnesota Statutp.q endCity of?F§gan 0t8inances.
OFFICE USE ONLY
On Site Sewage Occupancy
_-
MWCCSystem ? Zoning
OnSiteWell _ TypeafConst
City Water X (ACtual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Councd
Bldg Off.
APC
Variance
Signature of PermitteeL'l?i
A Building Permit is issued to= JOSEPH MILLER CONST
all work shall be done in accordance with all applicab State of Mir
Building Official ?
FEES
_ Permit
_ Surcharge
_ Plen Revlew
_ SAC,City
_ SAC, MWCC
_ WaterCOnn.
_ WaterMeter
_ Road Unit
_ Treatment P1
_ Parks
Copies
TOTAL
R3
R1
V
v'
$ 409.00
36.50
204.5p
ino.no
525.00
525.00
67_on
1(15 _ (1(1
180.0
0
$Z,352:OD
_ on the express condition that
and Ciry of Eagan Ordinances.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?- ?•S
? I? 3 l 3830 PILOT KNOB RD, EAGAN MN 55722 ?14
? 651-681-4675
New Canetructbn Heaulremente RemodeUReoelr Beauiremenfs
• 3 regisleretl sile surveys showing sq. n. of bt, sq. ft. of house; antl II roofed areas • 2 coples of plan
(201% mazYnumblcoveregealbwed) • 7setofEnergyCatulatbnsforheatedaCAObns
• 2 copies ot plan sMwing 6eam & wintlow sizes; poured found design, etc.) • 1 site survey tor exlerior atltlHions & decks
• 1 set ol Energy Calculetbns • Intlicate n home served by septic system for addAbns
• 3 capias af Tree Preserva8on Plan 8 bt pletted atter 711/93
• Rlm Jolsl Detail Optlons seleclian sheet (bltlgs wflh 3 or less unfts)
DATE 41-3 /O „L ( ?1'S?AI,UATION
?.?
SITE ADDRESS %OU S ?{??t? ? G.. MULTI-FAMILY BLDG _ Y ),?N
TYPE OF WORK Ii - 9P FIREPLACE(S) 0 0 _ 1_ 2
APPUCANTCLs._/n'-.?.?
STREET ADDRESS "la W3"/ CIN STATE/nr ZIP-?XIY3
TELEPHONE# 764Ld CELLPHONE#C? )-eSY) FAX#1??4 SGo - Z?'df ?
PROPERN OWNER /t J_, - I f,,.6 /i ? TELEPHONE ?si ?Gc?- ?Il
------------------------------------------------- -------------------°-------------------------
COMPLETE THIS SECTION FOR -NEW11 RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(4 submission type) • Residenlial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submltted
Plumbing Conhactor:
Pluxnbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Confractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
or? ? T
JUN O 12002
I hereby acknowledge that I have read this application, staTe that ihe informatiort'ts"crorr9cr,-Urtavgnee"ro°compiy
wiTh all appilcable State of Minnesota Statutes and Ciiy of Eagan r es.
Signalure of Applicant
._...-°------°---°-°•'-------°-°°-°-----._......-----.r..._...
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updeted 4102
' ? •
1987 BIIILDING PERMIY APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3
HOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOGNER MIIST DESIGAATE AHICH ADDRESS
IS DESZRED. NO CH9NGES WILL BE 9LLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MULTIPLE DWSLLINGS - RFSZDENTIAL RENTAL OHITS FOR SALE ONI2S
INCLUDE 2 SETS OF PLANS, CEB
1 SET OF ENERGY CALCULATIONS
COMMRCIAL
INCLUDE 2 SETS OF ARCAITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For
Site Address
OF SORVEYt 1 SET OF ENERGY C9LCOLATIOHS
OF Si1RVEY - CHECB WITH BLDG. DEPT.,
& STRUCTURAL PLANS,
SET OF
-7 3,IXoo
: 7(.?w y,cp//u Valuation: Date: 5-6 -? /
? ,(y((II1/J'Jrf,l1?']?lC3jn0 OFFICE 6SE ONLY i
Lot ? Block 13
Parcel/Sub _,AQVrz'tow / °?'t
Owner
Address
City/Zip Code
Phone
Contractor?}f7'?.?{?'? . I'/(.L6/j,(,p7'/,(/,r
Address f? 133 &40A t.CiJ c -'4! O•
City/Zip Code(k?/((Z]?n
Phone 290) -ioiv
Arch./Engr.
Address
City/2ip Code
Phone #
On Site Sewage_
MWCC System ?
On Site Well
City Water ?
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Oecupancy P, 3
Zoning ?4 • I
Type of Const ?
(Actual)
(Allowable) nz-__
1k of Stories
Length (?!o
Depth 2-S
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge 3(?
Plan Review 204 =
SAC, City 106
SAC, MWCC SZS.
Water Conn 52-5
Water Meter l07.
Road Unit 2v5,
Treatment P1 IBo,
Parks
Copies
TOT6L
U?1
?
22x 22 ?
ll¢?y- s? lo 3Sz?
x S ooa
"721 & o
87- 1i3
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
3
o.
LEGAL DESCRIPTION: LOT 10 ,BLOCK 3, GREENSBORO FlRST ADD•
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
9o S. 4
L-QI i
COco
N P
e
O
Z
N89°31'56"E
T Z-
:54-38 vS^3
m ? \
N ?
n / \
LOT 10
\ ?
?I
?
£
?
?
J
c g, qo3"k ?'? - ?
c ?
SITE PLAN FOR:
JOSEPH MILLER CONST.
?
?
I C' T 9
p6 ?
,
? s
?IU? 5 ? N ',-?'
y3' ,\ ?90(YY />
--? / .
/
?
I ,?n
? ?dm . yo, xy ?
V
io L ??-
L , ° Iqp.BZ
x
'89B ?
N
=B%
GRE
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
9?"o OENOTES EXISTIMG SPOT
ELEVATION
(9aol DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
i hersby certify tAat this twvey,plan or
report was prepored by me or under my
direct supervision ond that I om a duly
Reqisterad Land Surveyor under ihe
Laws of the Stote of Minnesota.
Bradley J,?" nson, Mn. Req. No. IS235
oare
N
$cale : I"=30'
?ess 4 7
`895v5,)
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION-AChos
PROPOSED FIRST FLOOR ELEVATION = 0
PROPOSED BASEMENT FLOOR = gmroS
ELEVATION •
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
One or Two Family
All Other
F:XTERIOR EtiyFyOpE AVERp4E 14U II COIiPUTATION
(1b be ettbmitted dth bulldidg permlt applicatioa) JO5
?v
Dwelliag ?x_ Owaer
Contractor
Site Addreee
Date ?-? Phone
LINEAL FM EX!'0 EDYI.LOF ?/ 0,gff= ?j'VT-' ft. .above grsde =
- TOTAL EXPOSED WALL AR SQ. FT.
OPAQUE, WALL CONSTRUCTIONs II0'I Valus x Area
Deta12• --!2r?? nL??f?aUn x SQ,
reference nt NU„ z SQ.
finm - ?n/z? upu u SQ.
ettached BQ•
sheeta un z SQ.
WIItDOWS: "U" Yalue x Area
FT. Z . , (U)(A)
`
FT (II)(A)
. a SU)(p)
r-r. - ( U) I
FT. ? (U)(A)
FT. _ (0)(A)
Diake & Type f/VS(/G/S ? „l1ot .9a x SQ. FT. ZO ?.3L(U)(A)
f1 n eQu x SQ. FT.a (U)(A)
n
-X-SQ: FT. _ (U)(A)
SQ. FT. - (U)(A)
DOORS: "0" Velue x Area
Mace & TyPe (. ? SUL Mf„ . x SQ.
n.. .. u upn X SQ.
" " x sq.
X SQ•
TOTALS LOQZ SQ,
aVERAaE ''Ut'
TOTAL (U) (A) VALUES ,0„r,?.12 ?
'Qb
DIVIDED BY TOTAL WALL ARFrI r
?Qt}Z ??
AVERAU ' u e
'I'T• (0) (R)
Fr.?: (o)(A)..
(u)(n)
FT. _ (O) (A)
b'T. 7?S41-(U) (A)
u U.115 or leas tor 1&2 famlly dwellinge
ROOF/CEILINas
TOTAL AREAs
Detail rofereace "U„ •- ,O? x SQ. FT.- ??s Z Z
from "Uu x SQ. FT. .
sttnched sheete. ?_hpn X gQ* pT, a
Descrlbe openinge „O„ x SQ. FT. e
in roof. "Un Q
TOTAL (V)(A) VALUES DIVIDED BY ? X??45?.'?.?(,?i •Z:
1`OTAL ROOF/CEILIt1a AREA ?e •`
U) (A)
U) (A)
U) (A)
O)(A)
n)?A?
AYERAOE "Ull .025 for vetttilated roofa.
. , _ ; 1; ?
: 0?-1? ?a???-
e Q . _ ?? _ ?
z.? 5/8" ayp. ea.
3.) Inaulatiaa
4
5. .1 Exterior Air Film
. ( aTIL[, )
R VALUE
0.61
•56
¢'Q'.00
.61
uUlt a I/Fi, I OZ? 7bTAL (R)= 7J 7
. g
WALL
6.) Interlor Alr Film
?.) }a QYP. Bd,
8.) Ineulatioa ,
9. ) .f ?XurP-4 rc
10,) Maeonite Siding
11.) Exterior Air Film
R VALUE
0.68
•45
?? O
.6?
.1?
.npn a IIR-. TOTAL (R)=??-0I
RIM
12.) Interior Air Film
13.) Ineuletion
14.) 2" Flr Rim Joiat
-150 .&vkj?- 16.) Haeonite Siding
17.) Exterior Air, Fil,m
R VALUE
0.6$
1 qro0
z?
.
.1?
npn e 1/Ra TOTAL (R)w
_.1_ .
FOUpDATION
18. ) Interior Air Fi,lm
19.)
zo. ) ?-/1 ST1e/?P?D
21.) 12" Coaorete Blook
22.)
23.) Exterior Air Film
R VALU
0.68
fk00
1.28
.17
fua a 1/9e a, Q,(o TOTAL (R) a/3 IS
Detormining ?tUii yel4ee et Roofg Iqall, Rlm, and Conc, Hlock
.I
ROOF/CEILIN(i
, I.) Interior Air !'i1m
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER ANDlOR WATER CONNECTION
*R7PF': PAYMF'W OF FEE AT 1IM OF
APPLICATION DOFS NOR' ODISTI4VIE
APPRC3VAL OF PERMLT.
iNSrEcriota oF M-ER arID/at t+mr=
TNS+rATSATTONS WIId. PXYP BE SCEIED-
UIED UNTII. PERMIT AAS BEEN
APPRlJVID.
? P ease Pr1nt)
1) PROPERTY ADDRESS:
i LEGAL DESCRIPTION:
Lot Block Sub ivision or Tax Parcel ID )
IF EXISTING STRCCIS7RE. DATE OF ORIGINAL Bt)ILDING PERMiT ISS[.'ANCE: '
Mon Year}
PRFSE[JP 7ANING/PROPOSID LSE: -
Q COMMERCIAL/RE,TAiI,/OFFICE
rl IDIDC'S'TRIAL
n INSTIIS3TIONAL/GOVIItNDg,NT
R-1 SINGLE FAMILY
? R-2 DL'PLEX (7wo Units)
? R-3 70WPIIIOUSE (Three + Units)
Q R-4 APARMAENT/COAIDOMINILfi1
[)nits )
( Units)
2) ?
NAP7E: '?o c. /s1,• ?/C I. (°ouS }-
ADDRESS: -
CITY. STATE, ZIP:_ N1L)
". PHoNE: R9?-toto
3) For City Use .
NAIC: AW Plumbers License:
ADDxFSS: ?-2-8' ?3 T2A 4u? ?, Active
EScpired
CITY. STATE, ZIP: Y ige?..!-l? ?1eJ ? Not recorded
PHONE: j S?/? 3Cs 7S MASTER LICENSE#
- Sta f-Initial
4) •• • i?• .
rArE:_ ' /* C? ? 1
ADDRESS:
CITY, STATE, ZIP:
PHONE: •
-5) ? ?• ? a• •?• : a • o? - a?
Q---CONNECfION 1C) CITY SEWER Ej--QO ]NH]CpION TO CITY WATER OTfER
6) '? '?• .??• [?PIEASE HOI,D APPROVID pERMIT F'OR PZQC-UP BY ONE OF ABOVE
[l PI.EASE MAIL APPROVID PEE2MIT TO 1, 2, 3, 4, AB(7VE
(Circle one)
7) C?? u•` a 9 c.,_.Q.?. ?pLeQ? ?'?" 1
rs? - ?'??? 7
FOR CITY USE ONLY
f
PERMIT # ISSCED
7 6?, n-? ,
Pd w/Bldg. Permit FEES:
$ $ ?G-S'D SEWER PERMIT (INCLUDE SURCHARGE)
$ S Ad WATER PERMIT (INCLUDE SLRCHARGE) .
$ ? 7 $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ J S'G ?i ACCOUNT DEPOSIT - SEWER
$ $ /S 'v G ACCOUNT DEPOSIT - WATER
$ ?'J Z S ` 0-D $ WAC
$ ?GZS $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNR SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ ,-52• Cl' Z7 TOTAL
_ 73.5"2 7 7-3 ?- _3Lc)
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISIO
N. LIST AS A COIVDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
CJ
-LtiL
TITLE:
DATE :
Use BLUE or BLACK Ink
I
( For Office Use
Permit
City of Ea
I Permit Fee: I
3830 Pilot Knob Road j
Eagan MN 55122 I Date Received: ~o~ ' I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 L Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
e Z) A)
Date: " Site Address:. (fA;S •
Tenant: / Suite
RESIDENT / OWNER Name: -S one:
Address/ City/ Zip:
CONTRACTOR Name: lt~ License
Address: Ae! a c-;n (O
City: State: Lip: t`> '-s C3
Phone: 4t- Zk=362 tact Person: -L)A=ao
TYPE OF WORK _ New _ Replacement _ Repair Rebuild Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
L- RPZ PVB) Main ower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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.goi)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I rstand 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
accordan with t approved pl case of work which requires a review and approval of plans.
x S oL~ x j
Ap mtedName Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
r
For . I Office Use
. = I I
fill
City of Ea ~!1 j Permit
I vV
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t~ 5 -/,v~ Site Address:
Tenant: Suite
RESIDENT/OWNER Name: AJF-! 1- ,U2 C K 62 -,j Phone: Ln5 ° m` <99 3 S
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: F6~i , p~F, L-
Construction Cost: Multi-Family Building: (Yes / No ~1 )
CONTRACTOR Name: 4 C f- 0y I tr 2S License 45
Address: (83 (0 o;-'i (e,.,
City: rr - c G,"j t State: /qAj Zip; 55( 2 3
Phone: 6S I 35 3-16-t)t' Contact Person: r6'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.goi)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval
x )5,s 0 0 ~ % F F-- X
Applicants Printed Name Applicant's
Page 1 of 3
N O V 2 5 2009
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi ec-k _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ ition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows Demolish Foundation
_ Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 3 pall 1W Occupancy ERG- J- MCES System
Plan Review y_ Code Edition ot X? SAC Units
(25%_ 100%_) Zoning Po City Water
Census Code 413y Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction k/ h Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FE S
Base Fee 3D
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA097216
Date Issued: 11/30/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1005 Greensboro Lane
Lot: 10 Block: 3 Addition: Greensboro 1st
PID: 10-30900-100-03
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Neil A Erickson
1920 County Road C West 1005 Greensboro Lurie
Rosevillel\1N 55113 Eaganl\1N 55123
(61)264-4777
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114160
Date Issued:09/11/2013
Permit Category:ePermit
Site Address: 1005 Greensboro Lane
Lot:10 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jason Michels
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 -
Neil A Erickson
1005 Greensboro Lane
Eagan MN 55123
(651) 688-8935
Gene's Of Apple Valley Inc
17660 Kettering Tr
Lakeville MN 55044
(952) 892-0060
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139171
Date Issued:10/12/2016
Permit Category:ePermit
Site Address: 1005 Greensboro Lane
Lot:10 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-100
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.
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 -
Neil A Erickson
1005 Greensboro Lane
Eagan MN 55123
(651) 688-8935
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163548
Date Issued:09/03/2020
Permit Category:ePermit
Site Address: 1005 Greensboro Lane
Lot:10 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-100
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 -
Neil A Erickson
1005 Greensboro Lane
Eagan MN 55123
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature