3659 Greensboro DrCITY OF EAGAN
3830 Pilot Kno6 Raad, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
Ou111-uiNta rtKnnI i
To be used for
Site Address
Ox
Lot ' Block b
Parcel No
-'3•?oo Date
Est. Value ?"i
Sec/Sub. L`r`f:'-:iV$BVRQ 2Nfl
Q Name JJSEPH MILI.I?R CONST
3 Addre, 11133 CEDA?. :?Vi:
a City ?Phone
C Name_
°o
.
z?-
?a Address
? City _
r?
?W
W
W
Name
'
r
'x g Address
VZ
Q W
City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to compfy with all applicable State of
Minnesota Statutes and City of Eagan Ordinanct-s_
` t
Signature of Permittee _
A 8uilding Permit is issued to: ??E ?• • f?•1.I., '_,J!+?'!
on the express condition that all work shal I be done in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Receipt
?4 %111; 46 4
,19 :7
OGTU3SER 1 t
OFFICE USE ONLY
On Site Sewage Occupancy k3
MWCC System l? Zoning ? Z
On Site Well (Actual) Const ?' 12
City Water =(Allowable) un
PRV Required # of Stories
Booster Pump Length 45
Depth 45
S.F. Total
Footprint S.F.
APPROVAL5 FEES
Engr./pssess. Permit Y .j 71* • 00
Planner Surcharge 31.50
Council PlanReview 167•00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC 525•00
WaterGonn. 525.00
Water Meter 0•00
Road Unit AS.UO
Treatment P1 i j • 00
Parks
TOTAL
? ?? 4
BL.DG.
PERMIT N0. .. . ... % J.. s-
`:; :'r •:"- .',;` y? .
?`''???
,
?
01-3210 Bldg. Permit "
01-3422 Plan Check
0I-3445 Surch./Adm.
01-3446 SAC/Adm. .-'
01-2155 Surcharge ` ,
17-3860 Road Unit
' 20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter 7
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
' CONTRACT PRICE,
Site Address
Lot 5'? Block ?
'
a
a Name ?t-
?
?o
X?Z
Address
c City Phone ? ` r
(/(/ ?
? Name
3 s U
Addr?s
,
o Phone :?
_2(?-
?
FEES
COMM/IND FEE - 19b OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8? CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADQ $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?- f` L7 ? - -
;
? Res. v New 4?
SIGNATURE OF PERMITTEE
CITY OF EAGAN
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT f?
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: ?//S /F 7
P NE:454-8100
BLDG. TYPEJ ?- WORK DESCgIPTION
SeciSub
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES
Water Closet - $3.00 TOTA -:
Bath Tubs - $3.00
00
$3
t
3 ?
ory -
.
,Lava
Shower - $3.00 .?
Ki?chen Sink - $3
00
.
UrinallBidet - $3.00
?Laundry Tray - $3.00 ?
Floor Drains - $1.50
- 7 -
7Water Heater - $1.50 l
Whirlpool - $3.00 •?
?Gas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMIT) ?
Sohener - $5.00
Well - $10.00 ?
Private Disp. - $10.00 -,
Rough Openings - $1.50
FEE: ?/' <'t)
STATE S/C: ISv
GRAND TOTAL: ??
Site Address 1 'Lot Block Sec/Sub.
Parcel No.
a Name
z Address
° City Phone
°C Name
.o
? i Address
Iff City Phone
i hereby acknowledge that I have read this application and state that the
information is corcect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee _
A 8uilding Permit is issued to: 'on the express condition that all workshall be done in accordance with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Bu ;;%?ny OFtiCial
.
;.' • ? ?
CITY OF EAGAN
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
O FFICE USE ONLY
On 51te Sewage Occupancy
MWCC System Zoning
On Sfte Well (Actual) Const
Ciry Water (AllowaWe)
PRV Required ? of Stories
Booster Pump Length ?
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES ,
Engr./Assess. Permit j ? ? • ?`??'
Planner Surcharge ; ? • ''-
Council Plan Review
Bidg. Off. SAG City
Variance SAC, MWCC
Water Conn. i
Water Meter ' ? • ? j
Road Unit
Treatment P1 = • ? ' ?r ' i
i
Parks
? ` ?
TOTAL
. Permit No. Permit Holder Dats Telsphone ?F
Plumbing
H:v.ac.
Electric
Softener
Inspection oate Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. ?;/-• , ? .l
Rough Htg. 1 141j-?)
Isul.
Fireplace
Final Htg. ??35
Ffnai Plbg. ?
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
wen
Pr. Dlsp.
CONTRACT PRICE
Site Address
Lot Block
?
m Name
? Address '
c City
? Name
3 Address ,
O CitY
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
PF40NE: 454-8100
,
BLDG
TYPE
WORK DESCRIPTION
eclSutr .
Res. ?-? New
Mult Add-on
• . Comm. Repair
ne` Other
I? FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
Phone RES. HVAC INCLUDES A/C ON NEW
? ? A\?TS1/+TA\\
I TYC Vt WUHK
Forced Air M BTU
Boiler M BTU $_
Unit Heater M BTU $_
Air Cond. M BTU $?
Vent CFM $_T
Gas Piping Outlets # $ ?
Other
.
%
FEE ?-
-•-S/C
.
.
TATAI
- $24.00
- 6.00
vvrvIrvii nvv f CC - 170 Vr vviv i nnv I rF_c
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
?
SIGNATURE OF PERMITTEE ;
_ CITY OF EAGAN Permit No:_ I n 3= - -. - _ - < ;
3830 Pilot K ob Road ? Date:
A B/P Na Date: '
P.O. Box 21199 1
Eagan, *NA5121 !
Owner. Joe i•iiller C<:,?; ? ? ,
Site Addraca• CIemahnrn ' . - .
MWCC: 5Z.5. C'3p.:
ZoNng• -
City Chg:
No. of Units: ?
Acct Dep:
Permit Fee; 10 . QOnd I agrse to comply wlth the Cffy of Eegan
Surcharge: • 11)-:c' O?dinances.
SEWER SERVICE PERMIT
' OF EAGAN Permit No: 9
i Pllot Kneb Road Meter No: _
Box 21199 Reader No: _
in, IN5^121
Size:
Date:
27
Chg:
Fee:
Meter.
Zoning: Rl
No. of U n its: I
I agree to comply with the City of Eagan
Ordinances.
WATER SERViCE PERMIT
CITY OF EAGAN Permit Na 1'-` 3' -`' Dat? ?-2 %-S i
3830 Pilot Kryob Road B/P No: -7?15? 1)-.?Q-?'
P.O. Box 21109 Date:
; y
Eagan, Ir `N a55121
Site Address:
MWCC: pZ• AKHI'
ciry cng: a`k'' in call oca
Acct Dep: - - - LECTR,C •
Permit Fee: ?+
Surcharge:
Ztl
ply wllh the Gty p} Eagan
PERMIT
CITY OF EAGAN Permlt No: " 3830 Pilof Knc?b Road IVleter No: 3 3/
P.O. , ,,.„;ss
Eagan, MN 55121 R?der No: d ?
Owner. .Joe Mil,ler Const.
Site Address:__ 3659 Gr?PnBboro ive I' ?
Plumber. °lvmnirth ni...,.?j..? __ _ _ z` ?lsboro TI
Conn. Chg: ?25.
Fee:
?
0
-,? 7
Date: ?
5ize:
Date: I x - 144 7
R1
?t ? I?.? ?9V0 t??(with the Ctty of Eagan
r
d nances.
., B 17--?., _
r
WATER SERVICE PERMIT
CITY OF EAGAN N°_ 14 314
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?J p??o
BUILDING PERMIT ' PHONE:454-8100 AeceiPt # / 0
To be used for SF DWG/GAR Est. Value $63,000 Date OCTOBER 16 19 87
Site Address
Lot 4 E
Parcel No
3659 GREENSBORO DR
6
Sec/Sub. GREENSBORO 2ND
w Name .IOSEPH MILLER CONST
; Address 18133 CEDAR AVE SO
0 City FARMINGTON phone 431-2001
o Nan
,
0 a Add
? City
Fw Nan
x ? Add
aw City
I hereby acknowledge Ihat 1 have read [his application and state that the
information is correct and agree to comply with II applicable State of
Minnesota StaWtes and of Eagan Ordi s. ?
Signature of Permittee
A Building Permit is issuetl to: Q5. MILLER C(LNST
ontheexpressconditionthatall orkshallbedoneinaccordancewithall
applicable State of Minnespt.a Statutes and City Eagan Ordinances.
Building OHicial??? ?. ?
OFFICE USE ONLY
On 31te Sewage _ Occupancy R3
MWCC System X Zoning Rl
OnSiteWell _ (ActuapConst Vn
Clry Water X (Allowable) Vn
PRV Required _ # of Stories
BoosterPump _ Length 45
Depth 46
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 374.00
Planner Surcharge 31.50
Council Plan Review 187.00
Bldg.Off. SAC,City 100.00
Variance SAC. MWCC 525.00
Water Conn. 525.00
Water Mater 67._00
Road Unit _-3-0.,.00
Treatment P1 180.00
Parks
$Z Z?i?. SO
TOTAL
This reQuest voitl ? /7?
18 nwnths lrom ?° ?
D 12655).,/f,?i
/ //7'.' C..•.; /1 /!Y.'?li : .?7
6133
.or
R
es uaT$
-?- re No. RouGh.in InsVer,tion ,?/
??
?
/ Re ?e tl?
'
l Reatly N. wy7,Wil1 NolitY In
E]
sper
?
? v
,,, ?ryo or When Read
Y
Licensetl Electrical ConVacmr I hereby request insDaction ot above
r
Owner elecpical work installed at
SVeei AtlAress, Box or Routa No. City
>? 7
?
ecLOn o. Township Name o? No. flange No. County
>.?
Occuunm IPRIMI Phone Nn.
Puwer Supplier Address
?- ?
l _ B-G.v .GC.4Le-e d o?
Elecvical C n[ractor omDany mel mhartor's
License No.
/
Mai ing qdJress (COntractor or Owner MakinB Installation)
CO o 3
C Si Bnamre IConVactor/Owner r Makine ???st atinni
Itt Pho e Numoei
e q
A?YQNESOTAOpTE BOAflD OF ELECTflICITY TNIS INSPECTION pEQUEST WILL NOT
?'?+?Bes-Mitlway Bidg. - Hoom N-191 BE ACCEPTED BV THE STqTE BOAFD
1821 Universitv Ave.. St. Pwut, MN 55104 UNLESS PROGER INSPECTION FEE IS
Phone (612) 662-0600 ENCLOSED.
1//i.3IF°'f REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-o?s/
?/ ? See instructions for completing Ihis form on beck ol vellow coOV. ?CJ?j'SQ
01 1 2 6 5 5 X'' Below Wark Covered by 7his Request
Atltl Rea. Typa ot BuilAinO AGOaroncea WireA EQUipment WireA
Home Rafige Temporary Service
Duple,x Water Heater Li?htiny Fixtu?es
Apt. Buildin9 Dryer Electric He2Un
Commercial Bldy. Fumar,e Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk Tank
Farm otnnr aeci v Iner ISner.livl
tha? SUCCify Other 01h.,
Compute Inspection Fee Below
N Fea Service Entrance5ize d Fae Fexdors/5u1iteadels # Fe.e Circuits
l AO 0 to 200 Am s 0 to 30 Am s 6 O,O 0 to 30 An V
Above 200 q,np„ 31 to 100 AmPs Oo 31 to 100 Am s
Swinvning Pool Above 100__.Amps Above 700_Am{?
Tran5lormers Irrigation Booms 5-0 Pdrtialb(her e
$igns Special Inspection ?
r
TOTA FE
Remarks ?
) ??
?
?
flough-in / D ne I. the - al
inscecmr, nmeey
erlity thaf the above
Final L inspaction has bean
made.
Thin repuasf vold 18 monlhs Irom
401? City of Ea??n
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675•5694
------------------
? For°Omce:U.se ?
? t
j Permit #:
? .
? Permil Fee: 6 &1D ;
? Date Received: -2 o•-??' ?
I ?
I c ?
I Staft:
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
?
Date: oC "02 5_0? Site Address: 3?v 5 9 Tenant: SeR'-?r-?t Suite #:
-?
RESIDENTlOWNER Name: S?cY?N Phone:
nn N 'i S i ZL
Address / City / Zip: ;(o?`? 5?
r
Applicant is: _ Owner x Contractor
TYPE OF WORK Description of work:
Construction Cosk 4S?? ? Multi-Family Building: (Ves _ I No
CONTRACTOR Name: License#: ?00 ,20.2?1 _
Address: N` ?7`I ?17yi? 5?
City: State: \N i Zip:
Phone: (r70-'rZ`10-U-719 ContaciPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Venlilation Category 1 Worksheel • New Energy Code Worksheet
Category Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitled
In the last 12 months, has the City of Eagan issued a permit tor 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 consldered !o be public information: Portlons of,
the fnformation may be classlfled asfion-public i/ you proylde §pecific reasons Ihat would permif the City !o :
; conclude that the are trade secrets: '
I hereby acknowledqe that ihis information is complete and accurete; ihal the work will be in conformance wilh the ordinances and codes of the City of
Eagan; ihat I understand this is not a permit, bul only an application 1or a-permil, and work is not to slart without a permiF, ihat the work will be in
accordance with the approved plan in the case ot work which requires a review and approval ol plans.
x f\'?Rr-? ??uSo.? - x
ApplicanYs PrinTed Name Applic 's 'gi ur Page 1 of 3
?5/a7s RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conekuctbn Reculrements
. 3 regislered site surveys showmg sq. tt. of bL sq. M. of house; and ?II roofed areas
(209e ma5mum bt coverage albwea)
. 2 copies ot plen showing beam & window saes; poured found dasign, etc.)
• t set of Energy Calculatbns
• 3 copies ot Tree Preservfltbn Plan fl bt pletted aNer 1/1l93
. Rim J0151 D01810ptions SBIBG1bn sheet (DIdg6 wiU13 or Ie3S uni15)
DATE G- 5?-oZ
la g a?-
pemotleUNecair Reautrementa
. 2 copies of plan
• lsetofEnergyCalculatbnsforheatedaddRlons
. 1 site survey for ezterbr adtlitions & tlecks
• Indicate il home served by septic system for a0d'Abns
VALUATION S, VyS
SITE ADDRESS d?S q G"?'?h S?o ?'- MULTI-FAMILY BLDG _ Y
NPE OF WORK % -n• Rcw-? FIREPLACE(S) _ 0_ 1
APPLICANT
GJeS'ft.i'n
vN
_ 2
STREET ADDRESS '1700 13'Ae A/' dTY Or-71y,j.cuI STAiE zlgZZIP 5599l
TELEPHONE # CELL PHONE #?? a-aBa ?N?s3 ? FAX #
PROPERTYOWNER l?ckn?f??'7i%?S TELEPHONE# 651-686-S10
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 aubmission typa) • Residential Vendlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope CalculaNons 5ubmitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor: _
Mechanical system includes:
Sewer/Water Conhactor:
------------------°-------------°---------------°°---------------------
I hereby acknowledge That I have read this application, state that the
wlth all applicable State of Minnesota Statutes and City of Eagan Ord
Signalure of Applicant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone tY
Fee: $90.00
Fee: $70.00
------------------
agree to comply
2002
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
- CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICAT6S OF SDRVEY, 1 SET OF ENERGY CALCQLATIOHS
;.
.;
NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGAATS WHICH ADDRESS
ZS DFSIRED. NO CH9NGfiS WILL BS 9LLOWED ONCfi BIIILDING PERMIT IS ISSOfiD.
MOLTIPLE DWE[.LINGS - RBSIDENTIAL RENT9L DAITS FOR SALE IIHZTS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECK flITH BLDG. DEPT.,
1 SET OF 'ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF Y
ENERGY CALCULATIONS, ,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: qEo
Site Address 3W59 GfJ.Qfn,Sb6rDiLl, OFFI,
63, o00 ? -
Lot A- Block de- ? On Site Sewage`
MWCC System r/
Parcel/Sub On Site Well
City Water ?/
Owner
Address
City/Zip Code
Phone
Contractor( }1
Address M
City/Zip Code
Phone 41?1 " ct0(A --./
Areh. /F,ngr .
Address
City/Zip Code
Phone ll
9PPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off io/i5
APC
Variance
afC'D OCT ta?y
Date: 10 J - 0
Occupancy Zoning +Type of Const ?.: : `•?, . ,
(Aetual) V-N
(Allowable)
Ik of Stories
Length
Depth
S.F. Total
Footprint S.F.
FE'ES
Permit 394•00
Sureharge ,50
Plan Review . DO
SAC, City ?pQ.vO
SAC, MWCC S.Do
Water Conn 5Z5'00
Water Meter 6r).00
Road Unit " o5,00
Treatment Pl I S ?- 00
Parks
Copies
TOT9L ?
` 5()
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAO
EAGAN, MINNESOTA 55122
0
1149
LEGAL DESCR I PT ION: LOT -4-, BLOCK -6-, rRFFNSRORn ?nd Mn,
SCALE? I??=?JO? ? ACCORDING TO THE RECORDED PLAT
THEREOF nAKnTO COUNTY,MINNESOTA
Porthern States
ower Co.
Easement-,
3
CU O
NQ
o?
Z
?
36
L_0 i J
LEGEND
o DFNOTES IRON MQNUMEN?
o DENOTES WOOD HUB SET
OENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 hareby certity that this survey,plan or
report was preparsd by me or under my
diract suparvision and that I am a duly
Reqistered Land Surveyor under the
Laws of the Stote of Minnesota.
Bradley 4/ SNenson, Mn. Rey.No.15235
Date ' !Oht/pl
10
L_lJ i 3
N 89°33'49"E
141.20
i
o-c 7i
O U' ?
r ? o
i5
29
SITE PLAN FOR:
JOE MILLER CONST.
12.51
50'
s?
- - ?5
?
4 II -?:
i?
-,
?. ?
4? C7
? ?5.
?..__...,.. Z
s
5, - 1i- -
6?2} ? N 89141.20
033'49"E
IO(D
?o
IN
z
i 50'
12.5?
i
?
I
INVERT ELEVATION AT SERVICE EXTENSION=
PRnoOcFn ?ARAr.c Gi 44!? E! EV^,TtOk ? y?
PROPOSED FIkST FLOOR ELEVATION = .'i'?'?1Fs
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
One or Tva
All Other
GITY OF BUILUIN(3 DEPARTt•IENT
EiCTF:RIOR ENVMOPE AVf:F2AGE "Ult CAI4PUTATION
. (Tb be submitted wlth building.permit apPlicatiott)
Family Dwelling Owner
LoY Ll R LK? (:?p aN'R+`,er?7NLt, A??Site Addresa
Contractor :Sv??p{1 A-LEA-- OWSl- Date Phone
4 Ss-loo
LINEAI, r EET OF / ?I
EYLPOSED WALL lEE ??p,PK lj??T? ft. above grade = Z;OSg,00 u
TOTAL 'r:XP05ED SdALL AR'r.'A SQ. FT.
',7i,LL CJ,;SPkU;'PIJI,: "0'? Value x Area
- 'rRAM1E •O4 3 x SQ
Getail .
rr:;erence CcwC• ^U"_ .O7(o x SQ,
from glin "U" , d4-o x SQ.
attacaed "U'f x S2.
sheets "U'l x 5^,,.
nUn x S Q.
'!lII;DO',75: "Ull Value x Area
FT. 1(o52.Z0. 7/.04 (U)(A)
FT. 9(0-48= 7•33 .( U) (A)
FT. ! •SL= 4•7f3 (U) (A)
FT. - (U)(Q)
FT. - (U) (A)
FT. - (U) (A)
?ia:e & TyPe J!ISVL 1!S-117'T nUu . 4U x Sg. FT. ?•OO _?f3•?$ (U)(p)
n u npu x Sg,. FT. - (U)(A)
njjn x 5@. FT. - (U)(A)
liplt x SQ. FT. - (U)(A)
DJORS: "Ull Value x area
:i"ce & TYpe ?T?• tlL. npn .14 X SQ.
P4T, o uUu
• 47 x S2.
n n uU u x SQ.
n u _ njju x SQ.
TOTALS ZoSg.oo Sq.
AVERAC3E "UP'
TOTAL (v)(a) vr,i,uES 153.43, _
.07
DIVIDI,•D BY TOTAL l'!AI,L ARb:k zDBS,oa
AVLkAC3E "Ut? ,115 r less for 1&2 Yamily dwellinga
ROOF/CEILIN(3 :
TOTAL AREA: IOOZ *4-3
FT. 47,00 = (v.8fo (0)(A)
FT. Z•oo =?(I7)(A)
FT. - (U) (A)
FT. - (U) (A)
rT. /5-343, (U)(A)
Detail reference flUfi •dZ/ x SQ. FT, 14dZ = Zf•0+ (II)(A)
from IOU## x SQ. FT. _ (U)(A)
attached sheeta. IOUit x 3Q.
FT, _ (U){A)
Describe onenings ifUlt x .
SQt FT. ` - (U)(A)
in roof. flQn x SQ. FT. (11)(A)
TOTAL M(A) VALUES DIVIDED BY
zl•og-
' rT?L?j"1?oZ. . 21•
'?eff??U??
To,rs xooF/cE?lc A1;,A lpOz.ov .oZ?
AVERAGE "U ,025 for ventilF,ted roofa.
--otit.L bt,l:'1'lUB--
Determining-"Ull balues at Roof, Wallp Rim, and Conc, Hlock
ROOF/CEILIN4
i.) Interior f,ir r'ilm
2.) 5/8 1, ayP. aa.
3.) Inaulation
4.1
5.) Exterior Air Film
(STILL)
R VALUE
0.61
.56
44.o0
.61
uUn = 1/R= iOTAL (R)= 4S74q
'NALL
6.) Interior Air Film
7.) }" cyl). sa.
8.) 'I?n/sulation
9.) "73Z" $Vj(,T- RiTE
10.) Idasonite Siding
11.) Exterior kir Film
(R) Vf,LUE
0.68
.45
19•00
Z•O4
.17
liUll _ 1/R= TOTAL (R)=23.01
?
RIM
12.) Interior Air P'ilm
130 Insulation
14.) 211 Fir Rim Joist
15.) ZS/3?'+ FiV1LT-?ITE
16.) Masonite Siding
17.) Exterior Air Film
(R) VALUE
0.68
!9• o0
1.88
z. 04
.67
.17
npn = 1/R= ,p4rj TOTAL (R)=Z¢¢¢
FOUi7DATI0N
18.) Interior Air Film
19.)
20. ) K-11 5'f?IPPEA .
21.) 12" Concrete Block
22.)
23.) Exterior Air Film
(R) VALUE
0.68
J/. o0
1.28
.17
nljtt a 1?= •677& TOTAI. ?R)= J3.?.3
:
n w
opK
14. So x ( 39; +38 + 34+34) -
sW6Er ,,
Z, OSS, av -?
Co?1e .
.(o7K C38*3gt34t34) = 9(a.?8 -?C-
Prr» TbrsT
-. SS x ( 38+-38+34*31-) ? I1q•SZ ?
1t(rrl D ow 5
/bx 3& = 4-o x 4 = !?. ?
zb X 3l0 = 5, v (o = 3 0, o0
Z4x 3(, _ /o•o x 4= Z¢.oo
ZoX?-a' '" ?'T x 42 z?•go
z4x48= S•o X 4= 3L.oo
1 Z8• SO *
No P-S
3° s-Tr_. w/5c.
Zg STC. Se.2
(o° PAT/o
= ZS. o0
= Zl. o0
- 4Z•oo
VeT EA?? wM-e- E4 vAu.s
6p6ws w?. z,os8 00
GESS co?I? . q?. gs
n ,Piir! • Irq. sz
i, wDw'S lzg.go -435, $O
?? Dc?o2?s `i!•oo -
I? (vSZ. Zo .?-
Z'ix X 3 S= 9?L
? X ID = 9D
CITY OF EAGAN
APPLICATION FOR PERMIT
, SEWER AND/OR WATER CONNECTION
DTCY.['S': PAYMEM OF FEE AT TIME OF
APPISCATION DOFS NDT CQNS1T=
APPROVAL OF PEP14IT.
. _ n?n.::,??r:xa?r?ear?rran.?rxxirarr:?nnne?r?e:yryrtrt?
P ease Print
PROPERTY ADDRESS: 3!?Zo (?-FCtwEn o I?h .•
LEGAL , DESCRIPTION: _ y (P ?-
_(Lot7B ock Subdivision or Tax Parce ID T
IF E7ffSTING STRC+CMME, DATE OF ORIGINAL BL'ILpING PERMIT ISSOANCE: -
PRESENf 7ANING/PROPOSID L'SE: Mon ear
Q C=4ERCIAI./T2ErAIL/OFFICE O?R-1 SINGLE FAMILY . '
rl INX'STRIAL 0 R-2 DDPLEX (2t,?o Units)
f-1 2NSTITU?ONAL??VERNMw [f R-3 40WMOIISE (Three + Units) ( Dnits)
? R-4 APARTMEN'i'/COPIDOMINILTI ( Units )
2, ?
' NAn'E: Jm C /yl? I ?Lh L.DNS -7L-
ADDRESS:
CITY. STATE, ZIP:
PHONE: q31- ;Loe/
3) ' c ?+•
NAMEt_ -Pl.r ?sro4 4-[, P!q
, ADDRESS: 7 y3a 8 ?32D r?v? d
. CITY, SyAy?, ZIP: Y'Y
PHONE: 5S - 3b7? MASTEEt LICENISE#
Plimibers License:
ActiVe
Exp1red
NOt T2COrd2d
St Iru t1a1
4) •• • i?•
NAMEe_ SG9 c .45 C2? • ,
_ ADDRESS: .
CITY. STATE, ZIP:
PfiONE:
'S) " a' '?• :a • s -
LDNNE(,fiION 1CJ CITY SEWEE2 [Z[-CONNEL^TION TO CITY WATER
6) ?? • • i M-Ipt•FncF HOLD APPROVED PERMCT FYR PICK-UP BY ONE OF ABDVE
[] PLF1{SE MAIL APPROVID PERMIT ZO 1, 2, 3, 4, AHOVE .
7> •
(Circle one)
?srr-- 7
nvsPncizON oF sEVM r,rD/CR MOa
nNSrar.ramrONS jqILL Np%r BE SCHED-
[II.ED UDTPII, PFRMII'P FInS BM
APPROVID.
1:3 o75ma?
FOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ f0 S-Z-) SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ S SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ U v ACCODNT DEPOSIT - WATER
$ ? z $ WAC
$ ? Z 7C) $ SAC
$ $ TRU[VK WATER ASSESSMENT
$ $ TRUNR SEWER ASSESSMENT
$ $ LATERA L BENEFIT/TRONK SEWER
$ $ LATERA L BE[VEFIT/TRLNK WATER
$ LO G'?Z? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
U-0 $ TOTAL
RECEIPT RECEIPT •
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
? ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ?ti c--?cKi ?:?_•?t?
TITLE:
DATE:
t3�s��L��+�r BLAC�Ir�tc
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acct3rd�nCB ir�h�apptave�d���irt�e�e r�f'�trlC Y�tiE;Bt C�i�t�Ce�t�w alc�`apimrV�!pf ptans.
�terior wc�►�C a�rth��d by�t i�u�#d�r�g p�mrit 'i€t� nce�#�Mi�s�+�ota SLa�e�crii�e��Grt�must b+��I �wi#hi�t;1�t1
days c�petsrti��ua�ce.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164336
Date Issued:09/25/2020
Permit Category:ePermit
Site Address: 3659 Greensboro Dr
Lot:4 Block: 6 Addition: Greensboro 2nd
PID:10-30901-06-040
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 -
Brian & Maisha Living Trust Frederickson
3659 Greensboro Dr
Eagan MN 55123
Archer Exteriors
324 Concord Exchange South
South St. Paul MN 55075
(651) 775-7017
Applicant/Permitee: Signature Issued By: Signature
