1006 Greensboro LaneCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1 t ?'J .l;i<1± ?•. 1
;MIT SUBTYPE:
ON RECORD - ?
PERMIT TYPE:
Permit Number. Date Issued: APPLICANT:
frl
r+, t 5" 1 / AN --:i
TYPE OF WORK:
f?I4 URAT'CnN
ii1 i 7. f 1' ??•?II ? FIe1 t3E(.)it() pMS)
INSPECTION iA • DA
? i rl ? I
?
iv.
? ;? 4r?i?J 11?,pJ ?
?,
?.. y
Partnit No. Permk Holdsr Date Teiephone 11
ELECTRIC /lf Oq ff&
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING A43
ROOFING
ROUGH
PLUMBING
?7-
PLBG
AIR TEST
.
ROUGH
HEATING
GAS SVC
TEST
INSUL 3 G? v? •tO+?v? ? w ?? V? ?
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL 7 H4;9 )5/O $ X2 S p i
DECK FfG
DECK F1NAL
?
?
t.e-?
Lt??4
v/,?.
? CASH RECEIPT •
- CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
• D A 7E 4X
RECEIVBD . .
FROM
AMOUNT $ I
?
DOLLARS
too
? CASH ? Cf-IECK
' `ye
rort
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY
--.'-- % ?
BLDG. PERMIT NO. / u
/??'c: t? • % r . r , i _ ., . ??%? . 01-3210 B149'. Petmit ?
01-3422 Plan Check
01-3445 Surch./Adm:
,
01-3446 SAC/Adm.
01-2155 Surcharge j
I
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, i
1
I
T-
I
?
TOTAL
CITY OF EAGAN N2
-'' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor `?r'+G/GAR Est. value $119,000 pgte FEBRUARY 26
Site Address 1006 GRET;NSBORO L:V
Lot ' elock Z Sec/Sub. GREENSSORO 1ST
ParCel No.
?
W
3:
0
IIUILDERS
a Name SA;4
0 i Rddress
~ City Phone
C
F W Name
? a Address
z
? W City Phone
1 hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Erect U` Occupancy
s32ss
J
-87
Remodel ? Zoning R1
Repair ? Type of Consk y
Addition ? No. Stories
Move ? Length 50
Demolish ? Depth 3B
Int Impr. ? Sq. Fr
Install ?
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off.
APC
Var. Date
Permit S 560.50
Surcharge 59.50
Plan Review 280.25
SAC 625.00
Water Conn. 52 J• ? Q
Water Meter 67.00
Road Unit 305. 00
Tr. PI. 130.00
Parks
Copies 5
Ti.4nl , •
A Building Permit is issued to: r"t:A'1'UlZLI t3U iLUY'i:5 on the express condition that
all work shall be done in accordance with all applicabie State ot Minnesota Statutes and City of Eagan Ordinances.
Ak' Parmit No. PomiH Mo1dN Dde Tibphone N
PlUmbiny
H.V.A.C. ?`tY Co /`' >'Le.• ? '4%????
Ebctric -16L ?'G '?? S '? • ?'C
SoltenK
InspMedon DaN Insp. Commenb
Footfnpa I
FootMys 11
Foundatlon
F?amirW
RooNny
Rouyh Plby. L
Rouph Hty.
Insul.
Flnplsee y? f• x 7 e. Q
Final Hty.
Final Plby.
Bidp. Finsl ?-
can. occ. s' 87 ? !1
o.ok Fty.
Dsek Frmp.
WeII
Pr. Dbp.
? CONTRACT PRICE:
Site Address
Lot °.? Block _ SeciSub
? Name
? Address
c City Phone -
Name '
3 Address
p Ciry - Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/INO FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
PERMIT # 157-2z >
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAI
Water Closet - $3.00 $
.-
Bath Tubs - $3.00
Lavatory - $3.00
' 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
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
well - $10A0
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
? FOR: CITY OF EAGAN GRAND TOTAL•
I
F .
PERMIT # E7'??f4
, MECHANI CAL PERMIT
RECEIPT #
CITY OF EACAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE yZ/ /87
CONTRACT PRICE: PHONE: 454-8100
Site Address a 6 7 it FFNSB u 6,11 64 gLpG. npE WORK DESCRIPTION
Lot
Block., •? Se?/Su b
? Res ? NeW
/'ZONE "
?
s E Mult Add-on
?
-' Name
Address 90 i
.
C?PF.STupOI T?t
?t t Comm. Repair
? City EDEN I?R ?ARiE Phone 3 +1 - a gS9 ?ef
Name J 'wN SN 1 ^ CONS . FEES
RES. HVAC 0-100 M BTU -$24.00
3 Address ADDITIONAL 50 M BTU - 6.00
? p City zi-2-a /C ? AUEV phone , 31'aa oa INCLUDES A/C ON NEW
CONSTAUC ON)
GAS OUTLETS
MINIMUM
1 PER PERMIT
j (
-
) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BIDGS. - COMM. RATE APPLIES
B
r
il TOWNHOUSE & CONDOS - RES. RATE APPLIES
o
e M 8TU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent
CFM STATE SURCHARGE PER PERMIT - .50
. (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # BEYOND $1,000)
Other $
FEE aS. fl"*
S/C: ' ? ? SIGNATURE OF PERMITTEE
TOTAL• IW6 - QO
FOR: CITY OF EAGAN
CITY OF EAGAN j
454-8100 DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at i-)° 6 G r C G1114oro ,c '7.
When corrections have been made, please
call 454-8100 for inspection.
Date ,.-
Inspector City of Eagan
DO NOT REMOVE THIS TAG
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
? ,? C? ,A r c?
v
m Name
? Address
c City
? Name
c Address '
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
- , Y
PERMIT #
MECHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN DATE
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PFIONE: 454-8100 For Office Use Only:
PE
DG
ORK D
SCRIPTION
BL
. TY
W
E
Sec/Sub Res. New
Mult Add-on
Comm. Repair
Phone Qther
FEES
HVAC 0-100 M BTU - $24
00
RES
. .
ADDITIONAL 50 M BTU - 6.00
Phone (RES. HVAC INCLUOES A/C ON NEW
- CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn -
1
50 EA
COMM/IND FEE - 196 OF CONTRACT FEE . .
M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RE5. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADQ-ON 8
M BTU REMODELS - 12.00
M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM (ADD $.50 S/C IF PERMIT PRICE GOES
9EYONa $1,000)
FEE
SIG U P RM? E 3- ?
s/c: ? y
TOTAL• FOA: CITY OF EAGAN ?
CITY OF EAGAN
3830 Ptlot Knob Road
P.O. Box 21199
Easan, MN 5512f
Zoning: l3
Owner. Fentu
Address:
SiteAddress:
Plun
SEWER SENVICE PERMIT
PERMIT NO.: 9583
DATE: 3-I0_P7
No. of Unifs: x
1 aqrse to comply with dn CHy a Eftan
Ordlnances.
By
Date ollnsp.:
insp.:
3830 Pllol Kneb Road Meter No:.
P.O. Box 21189 _ Reader No
Eagan, MN 55121
=:t .rv Tt1A..?.
+vv . vvFu
Connection Charge: - S? S (tOpd
Account Deposit: -? 5 oopd
Permit Fee: - 3 n n0pa
Surcharge:
Misc. Charges: Total:
Dete Paid
Size:
Date:
Conn. Chg: 52'3• dot' I Zoning:
Acct Dep: I5• C0Dd No. of Units: ?
Permit Fee: 10• davci
Surcharge: • 5? I ayree to comply with the Cily of Esgan
Tr. Plant_ ' nd Ordinances.
Meter.
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: - 1- Deft 3 - 10- 37
3830 Pllot Knob Road Meter No: -3? 3 9 7 S;Ze: :9/!"
F0. Box 2115? Reader No:03? 914 Oat? gan, 11l?H'S5121
C-at-?,:t 111Qr-s.
SiteAddress: ''`' <<rcensUoro Lan,- L4 B?
nn. Chg:
cct Dep: 525.00nd
15.00c: - 111
..c„go "?lP?y&a
, Permit Fee: i1.00 ?(
Surcharge: r 4 `" ew?o? ??Rh the City of Eagan
Tr. Plant d nanc .
Meter.
Misc.: By
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4675
NewConsWCtion Reauirements
• 3 registered sile suneys showirg sq. ft o1 bt, sq. R of hause; and all rocfzd areas
(20% maximum bt coverage allowed)
. 2 copies of pWn shaving baam 8 window sizes; poured faund design, etc.)
• 7 set ol Eneigy Calc,.lauons
• 3 copies of Tree Preservatlon Plan if bt pWtted after 711193
• Rim Joist DetaB Oplions seiechon sheet (Wdgs with 3 or less unis)
DATE /U % U ?
jJB SITE
RemodeVReoalrReauirements - ? U
. 2 coqes ol plan
. t set o1 Energy Calalatioris la heated additions
. i site survey for exterior additions 8 decks
VALUATION (EXCLUDING LAND) ?$'S(0zo' ?
IF MULTI-FAMILY BUILDING, HOW MA`NrY UNITS?
PROPERTY OWNER c_m?./ Van L.
TYPE OF WORK ? ? /ZQ (? {26?J5? + FIREPLACE(S) _0 _1 _2 _3
APPLICANT SELA ROOFING 8 REMODELING, c PHONE # Cnl2-SZ 3- 53'6 A0
ADDRESS ST. LOUIS PARK, MN 55416 ZIPCODE
PAGER #
#
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbino Sys[em Includes:
Mechanical Contractor: _
blechanical System Includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditionino
Heat Recovery System
All above information must be submitted prior to processing of application.
Phone #
I hereby acknowledge that I have read this application, state that the information is
all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Sfgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan
Phone #:
I.arvn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
Fee: $70.00
_---
,
--
°ct, and agre?e4l` ply with
T'r
Not R quired _
Updated 1/D7
II IIIIIIIIIIIII?IIIIIIIIIII?IIIIIIIIIIIII?N?Y? ???
* 0 41 0 9 8 6 4* ? pLEASE PRINT OR TYPE
Req
rsf Dale Rough in inzpeclion required? Yes ? N. InspecM1On Olher Tlwn RwgMn? Revdy Now ? W II Cdl
-
?
I
(You must call ?he tnspector w m rcady?
DWa Revdy
I, ? licensed <onhactor ? owner hereby request inspeclion oF the above elechical work aY.
Jab Addnss (Sireet, Bon, or Rouk No Ciy Zip Code
d0 ?
r
Secfion Nn Townahip Nama or N. Range N. Fire No Cauny
Occupanl Phure o.
ri sO
PP1i Address
E ical Conhvcror (Canpony NameI Connvador Lrenw No Moskr tic No. (%am EI«i. Only)
Mailiig Address JConho or Owner Perbrmi? Insmllaiion, ?
A ,g afure onh t Ownx Perhrm? slallonon? ??ro
EBZIQW A-1 1 8/96 STGTC IiM1SYII COP`'CFF INATRIIf:TANS ON BOCK OF VELLOW COPY
CITY OF EAGAN
_ 13269
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np
PHONE: 454-8100 2/
BUILDING PERMIT Receipt x 0
Tobeusedlor SF DWG/GAR Est.value $119,000 Date FEBRUARY 26 19 87
SiteAddress 1006 GREENSBORO LN Ered IC] Occupancy
Lot 4 elock 2 Sec/Sub. GREENSBORO 1ST Remodel ? Zoning R7
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
W Name FEATURE BUILDERS Move ? Length 50
z
3
Atldress 15513 LOGARTO LN Demolish
I
t
I ?
? Depth
Ff
S ?R
° Ciry B' VILLAone 435-8443 n
.
mpr.
I
t
ll ? q.
ns
a
me SAME
%0-Address
ry Phone
F W Name
? ? Address
a W Ciry Phone
I hereby acknowledge that I have read this application and state that the
information is correct a ree fo comply with all applicable State of
Minnesota StaWtes a City f Eagan Ortlma?,;?s. n
Signature of
Assessment
Water 8 Sew.
Police
Fire
Planner
Councii
Bldg. Off.
APC
Var. Date
Permit a JO V. 7 V
Surcharge 59.50
Plan Review 280.25
SAC 625.00
Water Conn. 525.00
WaterMeter 67.00
RoadUnit 305.00
Tr.PI. 180_00
Parks
Copie
r,,,aj 2, 602.25
A Building Permit is issued to: r'EA'1'Ul(Y: liU 1LUtdiiS on the express condition that
all work shall be done in accordance wi[h all applicab of Minnesota Statu s and Ciry of Eagan Ordinances.
Builtling Official ?J ? ?
flEUUEST FOH ELECTRICAL INSPECTION .eyen-oooo?ij-os
See insRectwna lor complepnp thia (orm on beck OI Yellow coOY.
X"I 800W Work Covered by Thrs Request
PYevAAddi fleo.1?TVOe ot 8w"in Aoeliances W,ud Eauiomenl WireA 1
F
I I. I I Indusirial BIAo. 1 I Air Conditioner 1 I Bulk Milk Tank 1
k Fae SarvieeEntreneeSize p Fee Feetlers/Subleedars k Fea C,rcurts
0 to200qms 0to30Ams 0 to30Ams
Above 200 qmpy 37 to 100 qinps 31 to 100 q S
Swimmin Pool Above 100-Am s Above 100_/>m '
Transformers __ _. _ Irngation Booms Partial- Other Fee
5
m
Insoactor,hereGy
certtlv 1hat the above
p J?^1e???'7 inaoeetion nes bean
n? b mmae.
mie repueal vole
This ruquest voitl
e -m9h2f 213
Neque'st/ Da?a?
('
?
-
-
?-7 1 Pire No.
1 peqphe?7
?r ns0eclion ?Reatly Nuw? WiII Noufy Inspec-
lor Wh
F
/
/
l yes EINo en
eedy
g Licensetl Electncal Con[ractor ' I hereby re
quest insoeetion of abova
Owner electrical work installed at
Sveei
Add
ress. Bax or R/qu ta No. Crty
/
?
.lJ LJ rel°?Al S C
ecUOn o. Township Nama or No. Hange o. County
OccuDantIPRINTI Phone No.
Power Supplier Address
ElecVical Conhactor ICOmpany Namel Contrecmr's License No.
?
Mailmg Ad ress (Cractor or Owner MakinB Insmilat on)
S
S .? c(u ss3 7
-
Authon Sie^awre Cont[actor Owner akme lnstellaLON J F?icne Number
3J6,L S--?'io-63(?' I(
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOi
Gtippe-Midway BIdB• - Moom N•191 BE ACCEPTED BY TNE STqTE BOAHD
7821 Universitv Ave.. Sf. Veul, MN 65104 UNlE53 PROPEX INSPECTION FEE IS
Phenw f6141 662-OROO ENCLOSED.
?S/f7 REQUEST FOR ELECTRICAL INSPECTlON EB-00001-06
? See instructiens for completiiq this iwm on baek of Yallow cooY.
7 7_qq7 "X" eelow Work Covered by 7his Request
AAtl Rep. TvPe of Buildine ApDliencea Wirod Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electnc HeaLn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other oec? y ther ISner.ityl
t,r Succi?y Ot er Olher
ompu[e lnspection fee 8elow
p Fee Se,viceEntrenceSixe p Fe Feeders/SUbteeders N Fee CLrcwts
0 to 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 200 qm,s 31 to 100 Amps 31 to 700 Amps
Swinvning Pool ] Above 100_Am s Above 100_Am
TransformerS Irrigation Boort?s Partial.'Other Fee
Signs Inspection
Special
TOTA
emarks _? EE J ?
%
HouBh-in Date '
the Et
al
na
ee
Inspeetor, rv
cerb(y thet The nbovB
Fmel D'nle ins0ection hea bean
TOh repuast vob 18 montM from ( j'
Th,s repuest void 71Cj?7
18 mpnths from
C 7 7 5 9 7 z?. cRedast Date fire No. Rouph-in Inspection
3
I _34.7 fle9urtad? ?Readv NowJW W. Iotfy1rspec-
-
Ia, Wh
n R
O
es Na e
eaay
LicWnsed Electncal ConVactor 1 hereby reaues[ inspecbon of above
? Owner elechical work iris<allad ar
Sveet Address. 8ox or No
o
, citvf-l
/
J
eciron o. owns?iD Nama or No. a?ee No. CounW .
Occu nt (PRINT) Phone?
_
8
.
5
upplier Address -
A4 0 4
Elec cal Contract
or \()Compan e) ?
? ?
on acto s e4 e No.
C??j
'
e/l.l ve /
M iling A
J
ress (Contrector o Owner Makine InStailetion)
-
-y
/ ? / ?3 vJ? /
Autho/r??1 Signa[ur onhact w er Maktng Installal?oN n u ber
I ? /
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT
Grigps-Midway eldg. - Room N-181 BE ACCEPTED 8Y THE STATE BOARO
1821 Univernitv Ave.. St. Peul, MN 66104 UNLESS PPOiER INSPECTION FEE IS
Phnna16121842-06D0 ENCLOSED.
4/S/?7
410-986
REQUEST FOR ELECTRICAL INSPECTION /D
14" Minnesota State Board of ElecGicity
1821 University Ave., Rm. S-728, St. Paul, MN 55104
Phone 612) 642-0800
Duplex Apf.8ldg. Ofher New Addn
r
I
P Indushial Farm it4j Remod Re ir
N C.n
d
A-r Hlg. Equip. Woler Htr. Load Mmt plher.
Ran e Elec. Heat Tem . Service
"X" above the work mvered by this request. Enter remarks in ihis space and on fhe back of fhe while copy only.
Colculale Inspeclion Fee - This Inspection Requesf will nof be accepted wdhout the correcf lee:
Olher Fee # Service Entrance Size Fee # Circuits/feeders Fee
Mo6ile Home Park Stall 200 Amps 00 Amps
Sheel Lfg./TmHic Sig. e 200-Am Above 700_Amps
Ttansformer/Genemtor INSPECTO
'3 USE O TOTAL
Sign/Oudine Llg. Xfmr. ?
Alarm/Remate Control L
Swimming Pool
kwl I ms e mcal t
he d s1a
Irrigation Boom
Speciallnspecfion
Inveshgafive Fee
THIS INSTALLATION MAY BE OR D DI CO ECT PLETED WITHI..
S M NTHS.
PERMIT #:
CITY USE ONLY
RECEIPT DATE:
2002 RF.SIIDE1V'4'AAb 141ECHANICAL P'EftMIT APf'LICA'I'ION
crrY oF EAsAx
S$SO PILOT KNOB {iD
$AcfiAN Mfl 55122
651-681-4675
Please complete for: ? single family dwellings,
townhomes and condos when permits are required for each unit
Date: / ?- 0? 0/?
SITE ADDRESS:
OW NER NAME:
INSTALLER NAME:
STREET ADDRESS:
I/C?bo JTE1La:
CITY: STATE: rA&_ ZIP: Is-??/?
Place a check mark next to the permk work type
]? Add-on, modifcation or alteration to existina dwelling unit $ 30.00
t? • furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: z1&,
T ? 0 2CG?
?
State Surohar e •50
Total
?
SIGNATURE OF PERMITTEE
TELEPHONE #: / ,/
1102
, CITY OF EAGAN
i 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: .
Permit Number:
Date Issued
BUTLDIN6
029478
02/11J97
I ' SITE ADDRESS:
1006 GREENSBORO LANE
LQT: 4 BLOCKa 2
GREENSBORO 15T
P.I.N.: 10-30900-040-02
DESCRIPTION:
(NO BEpR00MS)
rmit Type BASEMENT FINISH
t?k<? 7ype ALTERA7ION
434 ALT. RESSDENTIAL
r
s(a x ?
?9I
-
?
Ho
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $^50
Total Fee $50.50
CONTRACTOR: _ ppplicant - 5T. LIC OWNER:
MYRPNY BR05 17893262 0003416 VANCIOMELEN GERRY
2579 EA57MAN OR 1006 GREENSBORO LN
NEW BRIGHTQN MN 55112 EAGAN MN 55123
(612) 780-8262
h
e r e by a ckft srwxeV',?? s??i??os??.?iry Gk+a?ethe ;'- i.nformatsn". ?s 0 a"?c?fand agr;?? tn ??tnp??? w-5?l'r a?? af Mtt.°,
i ' a
_5?a?u?es aKhd_ C?.ty
? .. g . _ _ _.. . _ . _ M. . ? a. -
, .._ , , . .,. :... _ ? ..?,.?_ ... _..e..? . __ ?
AN14 APPLICANT/PER {JTEE R' l?(+ RE ISSUED BYJSIGNATURE `
19?41&97 BUILDING PERMIT APPLICATION (RESIDENTIAL) -?..?0,?D
CITY OF EAGAN
8830 PILOT KNOB RD - 65122
681-4675
? 3 registered ske surveys ? 2 copias W plen
• 2 copies of plens (indude beam & window slzes; poured fid. design; etc) ? 2 si[e aurveys (exterior etlditiona 8 dedcs)
? 1 energy caiculations ? 1 energy calculatfons Tor heated edditians
? 3 eopiea of tree preservffilon plan it lot plapeC efter 711193 ,
required: _ Yes _ No
DATE: ? ? ? ' ?F/ CONSTRUCTION COST:
DESCRIPTION OF WORK: ??s -F- ?/ /z/ r s 'i -
STREET ADDRESS: 1U4 6 (5-i-f ?-:?x- ? a Ir e?, G 'v,
LOT -L- BLOCK SUBD.lP.I.D.#: 220n11wfY I,IA,
E /
PROPERTY Name: ?U 'y 1?/v Y? .?4" 1/ Phone #:
OWNER
Street Address:,/t')O
City: state: "1iv, 2ip:
coN7w?c7oR Company: //U 4pf I/ P oJ'as. Phone #:
Street Address: 2 S= License #:
City: ???I/ ?l /??? State: Zip: ?SII,z
ARCHRECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change are requested once permit is issued.
PenaKy applies when address change
I hereby acknowledge that I have read this appliqtion and state that the infortnation is correct and agree to compiy with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
EIVED
Gertificates of Survey Received _ Yes _ No
FEB a 6 1997
Tree Preservation Plan Received - Yes _ No _ Not Required BY: A40
1987 BQILDING PEAMII'P 6PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IRCLUDE 2 SEfS OF PLANS, 3
OF SORVEY, 1 SST OF ENERGY C9LCOLATI08S
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MDST DESIGHATE WHICH ADDEESS
IS DESIRED. NO CHANGES WILL BE ALLOiiED ONCE BIIILDING PBRMIT IS ISSDED.
MOLTIPLE DWELLINGS - RSSIDENTI9L RENTAL OAITS FOR SALE ONI4S
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK HITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCI6L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUHAL PLANS,
1 SET OF SPECIFICATIOHS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
I i1, Wb
To Be Used For: jnxW- r)4o-mq ?Valuation: ?4tD--0th7--?
Site Address 1006
OFFILot ? Block ?
Parcel/Sub
Owner
Address
City/Zip Code SS3-s-7
?
ehone ?3 S= S'?y3
Contractor
Address 1 S,y /
?
City/Zip Code dA,,?e. 25337
Phone Y- 3 5= gLt 6P3
Arch./Engr.
Address
City/Zip Code
Date : 23
On Site Sewage`
MWCC System ?
On Site Well
City Water ?
APPROYAI.S
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Oceupancy R•3
Zoning R?
Type of Const
(Aetual)
(Allowable) 7FT
Il of Stories
Length 50
Depth 3b
S.F. Total
Footprint S.F.
FSFS
Permit
Surcharge 51
Plan Review 280. 16-9
SAC, City {(X}
SAC, MWCC 5ZS
Water Conn 525'
Water Meter ?
Road Unit 30S,
Treatment P1 IE5p•
Parks I
Copies
TOTAL (a,
C'? ,S
Phone Ik
14 x1??" ??? x sg = 9-14 4
,
2g?'?o ~ ??? K 58 ` 4g7zo
?4 - riZ x s? = & 4-'? &
48 4 x ?'z- = 580 ?
22 ? ZZ `
1(? x l4- = 22¢ ? 44 ? 18??
?
?.
? j(5(,5,40
TRI-LAND C0.
SURVEYING SERVICES.
4655 NICOLS' ROAD
EAGAN, MUNNESOTA 55122
}{,
.;;
?.,
$:
?,
. `?i
.
;..
'
;
SITE PLAN FOR:
FEATURE B1JILOER
EtNS80R ?,25„
e,.lt% . _0,40O ?d
?s L'JT 5
M, yS? W- 1 2
LO? 3
I ?N
. ?ol
LOT. 4...
I Cl100
'J'b??/
I Q'I pe`. / x
?A 9.??^,(
i' 4d? 00`a?
??
5 ??
PROP Y o s ?PT,?,?
LOT . BLOCK 0
GREE_ OR? FIRST ADD.
aaordno to tIM w?Y? W? iMnot
D9K4B
SCALE I" • 40'
LEGENQ
o DENOTES ION OqUMEMT PROPOSED GARAGE FLOOR ELEVATION¦ 0 c8
• pEpOTE8 w000 1#UB SET PROPOSED FIRST FLOOR ELEYATIGN ¦
89T'3 DENOTES 6xISTINB SPOT PRDPOSED 9A8EMENT FLOOR
ELEVATiOM ELEVAT) ON
(g"W DENOTES PROPOSEO SPOT ELEVATION NOTE"' VER{FY ALL FLOOR HEIGHTS MIITH
? DENOTES OtiAIIMiQE WR?TION ?s FINAL HOUSE PLAMS
1 pww wltify thof Mrs wwyWan or
t•Port ras V?ePamd Cr IM or unOK uq?
dkuy wpmMian md " 1 am o duly
Rpistqod Lai/ Srrwya uuft fM
Lop of *A Smft of Yleeaofs
BradNr snson. Ma. Re4 Na 16236
Oate= 2 ?_._ a??AZ
? - • '?
., ,
:.?
--
? ?F'ILLiPS PLAN SEi+V14 e 030W. 145lh $YW
PHILLIpS PLAN SERVICE
DPbY.:lby,MN 63124 EX7ERIOR ENVELOPE kYERAGE "U" CUMPUTATION `
OWNER 2-1087L
SITE ADDRESS / 0 o
tON7RACTOR FFATU 2E 501LDE T2 S DATE a 8 PHONE (r3 S 8 N y3 _
Determine working square footage of each.
1. Total exposed wall area ..... Z537.qio sq. ft. x .1 l- Z'? 1Z
2. Tota1 roof/ceiling area .... 13 5 3 sq, ft. x .p?Ln E715??#F)
Total exposed wall area above fToor = Z.IIn
?a. Total wall window erea ...........................
b. Total doar area .................................
c. Total sliding glass door area ....................
d. Total fireplace wa]] area ........................
e. Total wall framing area (average 10%)...:........
f. Total net wall area above floor ..............:..
g. Total rim joist area ............................
Total exposed foundation area = I OZ.q la
h. Total faundation window area .................... g.`1 5.
1. Taa1 net foundatian area abpve grade ............ 141
Oetermine "U" value of eacfi wa11 segment.
a. Zz9,l.o xIsu" . 5 = ily, 8
b. 3 8 xliuli 13 = 5.28
c. 44 x "u" .5 = 2z
d. y8 x "u,, .3u ° 17.28
e. I a0. yq X"U" ,091e = I'1•3Z
f. Ilriz3ylc X °uil .043 = 10?1.83
g. Z'1b.5 X"u" fbql = I O
n. ? q.y5 x°u° I5S = 5, Iq
i. 93.5? xliu^ . o Z = ?tolo
3. ?.`? . .Tota?
.....................
V
If item 13 is the same as, ar less than item #1, you have met the intent
of SBC 6006(c)2.
? .<
- 9 ., _ _.. .. . . . . . ' .
`
`.?, . .
• Total exposed roof/cei 1 ing area = I 3 S 3
_ Total gross roof/ceilinq area = ! 3 5 3 .
?. Tota1 skylight area ........................ -?
k. Total roof/ceiling framing area ............ 1' cz,3
1. Total net insulated roof/ceiling area....... I Z1"? . 7
Determine "U" value
j. ? x
k 135.'3 X
?. iZ i7? 1 X
4 .............................
for each roof/ceiling segment.
'lull ^-
nu„
nU° • OZZ. a Z??.7
.,,..Total = ,O Z
If totai of #4 is the same as, or less than #2, you have met the intent of
S8C G006(c)j. .
To utilized the total envelope system method, the values established 6y the
sum of items $3 and #4 shall not be greater than the sum of itens 91 and 02.
+ 2.
3. + 4.
14ATEEIALS
Exteriar AiT
Siding }[aterial
Sheathing
Insulatioa
Sheetrock
Interior Air
Studs
Aim
Conc. Blks.
Mer:n. Hesistance "ft"
,17
,45
1,3Z
?y5
? ?0 8
1•,59
jAl"
/.
z
I
?
W!
CtTY OF EXGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIOfV
?
*DIWIe pAYMR?Nr oF ? ?iVIM oF ?
anrLIcATzoN DOEs Mm CUCraUM ;
rPrxoviw OF rERMIT. *
xrSPncrxorr oF sEWM Arro/10R VRTER
asrAra.ATTOrs wILr. NoT Ee saHED-
UIkD UNTII. PFStMIT AAS HFEN
APPROVED.
? ---------------- - -- -- - __--
P ease Print
1) PROPERTY ADDRESS: ippti C4,-PPncboro Lane
LEGAL DESCRIPTION: Lot 4 Block 2 Greensboro lst Addition
Lot Block Subdivision or Tax Parce ID
IF E7QSTSNG SPROCiL.?RE, DATE OF ORIGINAL BL?ILDING PERMIT ISSCANCE:
PRESEP7P ZQNING/PROPOSID CSE: (Nbnth/Year)
Q CQ'+YMERCIAL/REPAII,/OFFICE ? R-1 SINGLE FAMILY
0 INM'STRIAL ? R-2 DL?PLEX (1t,o C?nits)
f-I INSTI7[.'TIONAL/GOVII2NTNT ? R-3 'lOWNII-IOL?SE (Three + Units) ( Lhiits)
? R-4 APARTMENT/CONDOMINZT_,M ( Units)
2) NNE: Northrup Mechanical Inc.
ADDRESS: 7C40 146th R}raa} '
CITY, STA2E, ZIP: Apple Valley, MN 55124
PHONE: 432-0175
3) ' ' cs• _ -
NAME' Nnr+hrnn Mar anic 1 TnC
AMRES5= 7640 146th Street
4)
CITY, STATE, ZIP: Apple Va11ev, MN 55124 PHONE: 432-0175 MASTER LIC,;TSg# 2443M
Plumbars License:
Active
Fxpired
Not Tecorded
St?a f??'tial
NAM= Feature Builders
AODRE59: 15513 Logarto Lane '
CZTY, STATE, 2IP: Burnsville, MN 55337
PFR}NE: 435-8443 •
•5) d• -aa• : a • ae ?? _.
[]x coNrmcrioN To crrY sEWM ? QoiuvScriaN rno cixY waTER p amm ,
6) ? •' s r ? PI.EASE HOLD APPROVID PERMIT FCHt PICK-C?P SY ONE OF AHCNE --- ---- -
P?EASE f7AIL APPROVID PERMLT TQ 1.2 3. 4. ABC7VE
(Circle one)
7) r?s` u• - ,U i Stan Northrup ? 3/9/87
• r ?n- Kr ? ? - ? r ?? • a,- a rn? i. ?. . q. . ?. • . • o• • e ?
o r. •? • IS. ? a:l•.tlJl 1/ 1 D1' • •• 01• • ? •?. L
?_ .,? • ? s - ,...-- .. .. ,
?..., y.
FOR -CITY USE ONLY
Y
PERMIT # ISSLED
i?
5 3'
Pd w/Bldg. Permit FEES:
$ $ ?C 5 J SEWER PERMZT (INCLLDE SORCHARGE)
$ S WATER PERMIT (INCLUDE SC'RCHARGE) .
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ $ /•S ?f G? ACCOUNT DEPOSIT - WATER
$ 5 Z Sc? o $ wAC "
$ 0-0 $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUIVK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ S TOTAL
6 3 -?'
?.?•?
-71
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLZRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PEitMIT FOR WORK WITHIN PUBLSC .
ROADWAY" MUST BE ISSUED BY THE ENGIIdEERING
Q
NO DIVISION. LIST AS A CONDITIOtJ.
SUSJECT TO THE FOLLOWING CONDITIONS: -
APPROVED BY: zaruy-?
TITLE:
DA'1'E :
k s Q?. - c
_r/
CITY USE ONLY
L ? BL .21
SUBD. /oJJ'(PD.un1'?6?t0 /?P4
RECEIPT#: zDl.?/
RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CtTY OF EAGAN •
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for. P single tamily dwellings
. townhomes and condos when permits are required for each unit
• backflow preventer for underground sprinkler system
FIXTURES EACH NQ TOTAL
Shower 3.00 x 7 _
Water Cioset 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x I _
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet • minimum - 1 • 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construdion 5.00 x =
Water Softener ' tor existing dweliing 20.00 x =
U.G. Sprinkler ' tor dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling
Altet2tions ' t
ti
i
id 20.00
20
00 = ?_
= ?i3
ng res
o ex
s
ence . .
Water Tum Around 20.Ob =
Private Disposal System ' Dak Cty lie. 75.00 =
(new and refurbished systems)
Private Disposal Systems' nbandonment 20.00 =
STATE SURCHARGE .5A
?
TOTAL
I hereby adcnowledge thffi I have reed this application, ateM that the iMormation is correG, and agree to comply with all appliwbie City
of Eagan ordinances. It is the applicenPs responsaility to notiry the property owner thet the City oi Eagan assumea no liability for eny
damagea caused by the City during Rs rrormal operedonal end maintenance activltiea to the fadlities constructed under this permk within
Ciy praperty/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME:
/, P- 0 li - ": ? 'G'"?
INSTALLER NAME: Rtd s?r,e?/•e ?•%+9 TELEPHONE#: G/1 -78'b ??C7
STREET ADDRESS: S? - ° /?"j'
CITY: lP/ ? rS STATE: l1/7?1 ZIP:
SIGNATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118300
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 1006 Greensboro Lane
Lot:4 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Kelly Meyer
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gerald W Vandomelen
1006 Greensboro Ln
Eagan MN 55123
Hause Construction, Jg
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163684
Date Issued:09/10/2020
Permit Category:ePermit
Site Address: 1006 Greensboro Lane
Lot:4 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-040
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 -
Gerald W Vandomelen
1006 Greensboro Ln
Eagan MN 55123
(763) 286-5191
Great River Remodeling
15703 - 93rd Circle NE
Elk River MN 55330
(763) 241-9596
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165801
Date Issued:11/20/2020
Permit Category:ePermit
Site Address: 1006 Greensboro Lane
Lot:4 Block: 2 Addition: Greensboro 1st
PID:10-30900-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gerald W & Nancy E Vandomelen
1006 Greensboro Ln
Eagan MN 55123
Great River Remodeling
15703 - 93rd Circle NE
Elk River MN 55330
(763) 241-9596
Applicant/Permitee: Signature Issued By: Signature