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3663 Greensboro Dr ~0 i " Use BLUE or BLACK Ink ~ - - - - - - - - - - - - - - - - - E _ ~ . se q City Of Eajan oumt s ~ I Permit ~ /n~~ I Permit Fee: 7 O, dC I 3830 Pilot Knob Road I I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: /Yl L 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT /OWNER Namu r` '~%-\N e°,T Phone: ("0.S-[ ~-4s14 Address / City / Zip: Applicant is: Owner ontractor TYPE OF WORK Description of work: Construction Cost:ulti-Family Building: (Yes / No CONTRACTOR Name: c~ -'License#: g~ /6p~~~ Address: City: State: Phone: i Contact: Email: 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: jnformA#ion. Portton$ of NOTE: Plans and supporting documen 4hat you submit are considered to -4 public. the information may be classified as non-public if you provide specific reasons ttmt 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.aopherstateonecall.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 thew will be i accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's ranted Name icant's Signature Page 1 of 2 I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8 100 BUILDING PERMIT Receipt# Tobeusedfor 5F s'Wt'AAR Est.Value $7`'oo``c date DECE` W"I? 26. ,1g67 Site Address 3663 GREFNSHORO :ir: OFFICE USE ONLY 1:1dF.?: '?i?UFi? ?:=U Lot ? BloCk 6 Sec/Sub On ske Sewage Occupancy ?' j . MWCG System x 2oning k Z Parcel No. On Site Well (Actual) Const Vn JOE MILLER CONST City Water x (Allowable) Vn ¢ Name = Address 1813 CEUR1i AVE SQ PRV Required # of Stories ? City ??' '^'?' 1I?GTUf? phone " t?(' i Booster Pump Length ?? 7 • Depth 2 , p Na?he SA!'1E S.F.Total z r- a AddrQss Footprint S.F. v ? City Phone APPROVALS FEES yVj W Name Engr./Assess. Permit g 4v5• 50 ? z Add Planner Surcharge 36.00 _? resS Q W City PhOne Council Plan Review ::OZ. 75 , Bldg. QN. SAC City I X)z00 , I hereby acknowledge that I have read this application and state that the Variance SAC, M WCG 52 S. UQ ' information is correct and agree to compiy with all applicable State of WaterConn. S?S.OI1 ' Miruesota Statutes and City of Eagan Ordinances. Water Meter 67 . DO Signature of Permittee Road Unit ?QS.UO ABuilding'Permitisissuedta__ TreatmentPl 180•00 on the express condition that al I work shal I be done in accordance with al I applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official _ TOTAI ;1,346.25 BLDG. PERMIT NO.. - ,. 01-3210 Bldg. Permi 01-3422 Plan Check . 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 tiater Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL T ?.? o ro,;? ?, , PERMIT k PLUMBING PERMIT RECEIPT # CiTY OF EAGAN 3830 PIIOT KN08 ROAD, EAGAN, MN 55122 DATE: I Lot _5 Block Sec/Sub BLDG. TYPE WORK DESCRIPTION Aes. ? New ?-? Mult. Add-on Comm. Repair ? Name ? Addre c City '::? ? Name 3 Addre p Ciry 1 Phone FEES ' 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) SIGNATURE OF FOR: CITY OF EAGAN Other RES. PLBG. ONLY - COMPLETE TNE FOLLOWING: NO. FIXTURES TOTA Water Closet - $3 00 Bath Tubs - $3.00 Lavatory - $3.00 Shnwer - $3.00 - : _ - Kitchen Sink - $3.00 - 13.00 ,Urinil/Bide, Laundry Tray - $100 Floor Drains - $1.50 ? S J Water Heater - $1.50 /-S v Whirlpool - $3.00 ZGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE: STATE S/C: ?v GRAND TOTAL: 2 ?-'Sb PERMIT # ?• . • MECHANICAL PERMIT RECEIPT # ?' ???? ? CITY OF EAGAN 3830 PILO T KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE PHONE: 454-8100 Site Address -i, Lot Block - Sec/Sub BLDG. TYPE WORK DESCRIPTION ` ti Res. New ,L ... N Mult Add-on -°' ame Address ` - Comm. Repair c City ; Phone aher FEES ? Name Ad RES. HVAC 0-100 M BTU -$24.00 dress ADDITIONAL 50 M BTU - 6.00 ; O CitY i"" ? Phone UDES A/C ON NEW , CaNSTRUC ON A T E INI M TS (M G S OU L MU - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU ' APT BLDGS. - COMiv1: fiATE APPUES il r B TOWNHOUSE & CONDOS - fiES. RATE APPLIES o e M BTU 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 Outlets # BEYOND $1,000) Other $ FEE: S/C: SIGNATURE OF PERMITTEE ? TOTAL• FOR: CiTY OF EAGAN 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 ,19 Site Address OFFICE USE ONLY i On Sfte Sewaee Oocupancy Lat Block Sec/Sub. MWCC Syatem Zoning Parcel No. On Site Well (ActuaqConst ' City Water (Allowable) a Name W 3 ' •. K:. Address PRV Required ? of Storfes Booster Pump Length ? City PhOne Depth ' , a Name S.F. Total ? ? Address Footprint S.F. ? City Phone pPPROVALS FEES ?- x y? W Name Engr./Assess. Permit ? _ z. AddrBSs Planner Surcharge Council Plan Review `W City PhOne Bidg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is Correct and agree to comply with all applicable State of WaterConn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit ? I A Building Permit is issued to: _ Treatment P1 L on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building OfficiaL _ TOTAL " ' . Permit No. Permit Holdor Dete Telephons ?t Plumbing ( H.V.AC. 9//?I Electric 5 f Softener Inspaction Dote Insp. Commsnt8 Footings I Footings II Foundation Framing eiL Roofing Rough Plbg. A - Rough Ht9• 2-?' Isul. sy EX Fireplace _:-?,., ?, Ja '? ,`.` . no f' c o•.- ? fc ?- s`- F!' c FinalHtg. 1099 o K a-9'-FX E? Final Plbg. y_ Bidg. Final Cert.Occ. ' Temp. LP Deck Fig. Deck Final Well Pr. Disp. ,0 P7311y J(,T,rf - ??? ?,?,??rt?es ?OF?.OU ? _ _. _ ,w?..,,,,.nao.,caw with the City of Eagan c,32i1 Dat? 1--; _ CITY OF EAGAN Permit No: ! 11 a 3830 PilrA Knob Road Meter No: Size: P.O. Box 21199 Reader No: 4 Date: Esgan, MN 55121 Owner. Joe '-,'i11er Const. Site Address: 3663 nreensboro nxive I3 i6 Cre_ensUaro 'll .. r, ,?e_..¦¦w _ '?V D'%&%0va..- Conn. Chg: .;5.Q0 d r t! Acct. Dep: Permit Fee: Surcharge: with the City ot Esgan Tr. Plant Ordinan . Meter. . Misc.: BY WATER SERVICE PERMIT SEWER SERVICE PERMIT `s. IF` ?; . CITY OF EAGAN Permit No: Date: =-?-?' ? 3830 pitot Knob Road B/ p No: P.O. Box 2?149 Date: 41 rC II CC: 525.0':?vr Zoning• - Chg: =Cf(). 100 T, No. of Units: : Dep: is. J1':,.,, iit Fee: '- ??;; : I agree to comply with the City oi • , Ordinances. harge: ay SEWER SERVICE PERMIT CITY OF EAGAN Permit No: 3830 Pilo! Knnb Road Date: P.O.. Box 21199 Meter No: SiZe? Eagan, IHN 5512j Reader No: ? Date: BY WATER SERVICE PERMIT ?°--- _ - ----------- • G' Acct Dep: 15, f!Ond Zoning: ?T Permit Fee: No, of Units: 7 Surcharge: • SODd Tr. Plant p(?d 1 agree to comply with tbe City of Eagan Metec t , Ordinances. kAi?.,. 1126 REQUEST FOR ELECTRICAL INSPECTION ? ea-oopooi-os. r 0 See instruclions lar comoletinp this lorm on back of vallow capv. c.-S?,G J? y VMF ? ,$ 0. 'Cj 6 5 ""X" Be/ow Work Covered by 7his Request Add ReD. Tvpe oi euiltling ApOlum.ea Wired Equipment Wired Home Range Temporary Service Duple.x ? Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric Heabn Commercial Bldy. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bidk Milk Tank Farm Diner peary iner ISnedfyl ? P? UCCI V IhCf nthl:! omDute Insaectian fee Belaw N Fee ServiceEnlrance5iia H Fea Faxders/Subiexders N Fee Circuits 0 to 200 A 0 to 30 Am s O 3 0 0 0 to 30 Am Ahove 200 Amps 31 ta 100 Amps 31 to lOD A H P inming 1 Above 100 Above 100Amps nsiorme g Irrigation Booms Pdrtial.'Other Fee Signs Speciai Inspection 5 TOTAL F Nertnrks ? flwgh-in , Dntx , the EI vicxl rlily that tha above Final D?, .? insOection hes been _ .mae. (Ma repuest valG 18 monihs imm ihis request void ?/ ?/s? 18 months fwm ?/? D 806,65k3, Reque 1 Uale ?• , ? ? icensetl Electrical Contractor ] Owner itrea[ Address, Box or Route No. >ecbon o. Township Name or Occuuant re tion Heady ?ogjf/ 7 Will Noti?y Inspec- ?tor When Ready I heraby request inspection ol ebove electrical work installed eL ?„Y ?gc No. Coun Phone No. t.v 31- Iress Llcc"se `? NNESOTA 7p7E 90ARD OF ELECTqICITV TMIS INSPECTION qEQUEST WILL NOT rigge-Midwey Bldg. - qoom N-19 1 827 1 BE ACCEPTED BY THE STqTE BOAFD University pye., St. Peul, MN 56100 Phone UNLE55 PNOPEB INSPECTIpN FEE IS [672? 642-0800 ENCLOSED. ,,, 71518':3' t 2 n 2 9F/ .z jl ? p? ReQU"iretlt ?? .??. i6dv ReadY Now ? Will Notity Inspec- ? 7. p p ` ??es ,?a cnr When fleatly Licensed ElecVical Conlractor I hereby mquast inspaction of abova ?Oh'^er electrical work installed at: Streec Address. Bom or Route No. City 3(063 Cdf-8eaC- E- ecbon o. TownsM1ip Nama or No. NanBe No. , County Occunxnt (PRINT) Phone No. o ^A\Vr- a y3/-aoo/ Power SuoPlier Atltlress w Bectrical Co vactor 1 mpanV Name) ' ? ? Connnr,tor's License No. / G . tc Id Mailing AdJ,ess IContractor or Owner MakinB Instatlationl ?JQo C ?5337 L{? i? 1L o ou11 , u)-nsocVP ?n4 Authorize ture ICO r? er Making Inslallation) Phone Nmnber 90-46// MINNESOTA STATE BOA RICITY THIS INSPECTION PEQUEST WILL NOT Grig9s-Midwey Bldg. .791 BE ACCEPTEO BY THE STATE 60AND Iffi7 Universitv Av .. 5. Paul. MN 56100 UNLESS PHOPEF INSPECTIpN FEE IS Phone(612) fi42-O800 ENCLOSED. E20296 REQUEST FOR ELECTRICAL INSPECTION , See inatructians lor comDleting this torm on bock ot vellow copy. "1(" Be/ow Work Covered by Ihis Request . E8-OODO -O6 „ g9s HAA HeD. ',? of euiltlin0 Aaph..caa WireC Equipment Wired Home Range Tem{wrary Service Duplex Water Heater LiGhtin,y Fixtures Apt. Buildinq Dryer Electric Heahn Commercial Bldg. Furnace Silo Unbader InAustrial BIAg. Air ConAitioner Bulk Milk Tank Farm rn, aeci v Diher Isnr.r,itvl 1 .r u,:,ifY ihar Othcr omUUte lnspection Fee Below p Fee ServiceEnhance5iie fs iee Fexders/Subtenders # Fee Circwts 0 to 200 Am ?s 0 to 30 qm s 0 in 30 Am as Above 200 qmps 37 to 100 Amps p 31 to 100 Am s Swinxning Pool Above 100_Amps AAove 100_Am s Transformers Irrigation E3ooms Partial-'Other fee Signs Speciallnspection Flem3rks `'?Q,?(] TOT FEE ?the Elect hric al I O ~? ?OSpBCIq B?Oby rtity Max the above Fnal 1e s0ection has been .. . ??3? ?,ae. This repuest voltl CITY OF EAGAN N_ 14 5 2 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDINGPERMIT' PHONE: 454-8100 Receipt# Tobeusedior SF DWG/GAR Est.Value $72,000 Date DECEMBER 28 1987 Site Address 3663 GREENSBORO DR Lot 3 Block 6 Sec/Sub. GREENSB01O 2ND Parcel No m Name JOE MILLER CONST w z Address 18133 CEDAR AVE SO o CityFARMINGTON phone 1- 00 ¢ .o Name_ ? a Addres5 ? City_ U? Ww Name_ ? iza Address U a W CItY_ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci?t J, of Eaga?n Ojr yp? ??an/c7es.Signa[ure of Permittee d'?LI?a_L?L--? A Builtling Permit is issued to:_JQF- tIILLE$_C;.ONST on the express condi[ion ihat all work shal I be tlone in accordance with all applicable State of Minnesot atut? d Ci[y Eagan Ordinances. r n BuildingOfficial_ ? OFFICE USE ONLY On Site Sewage Occupancy MWCCSyatem X Zoning Qn Site Well (ACtuaq Const Ciry Water X (Allowa6le) PRV Required _ # of Stories Booster Pump - Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. _ Planner _ Council _ Btdg.OfL _ Variance _ FEES Permit Surcharge Plan Review SAC,City SAC, M WCC Water Conn. Water Meter Road Unit ireatment Pl Parks TOTAL R3 R1 Vn Vn 66 27 405.50 36.00 202.75 100.00 525.00 53-5-.-00 -fi7-00 _-A0 $ . 00 180.00 *2,346.25 ? 7987 BDILDING PERMI? APPLICAiION - CZTY OF EAGAN SINGLE FAMILY DWELLINGS INCLDDE 2 SETS OF PLANS, 3 CERTIFZCAY&S OF SQ&VSY, 1 SBT OF ENERGY CALCQLATIOHS NOTE: ADDRESSES FOS C08NER LOTS - CONTRACTOR/HOMEOiiNEE HOST DESIGSATE AHICH ADDRESS IS DESIRfiD. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSIIED. MOLTIPLE DNELLINGS - RFSIDENTIAL RFNTAL UAITS FOR SALE DNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRYEY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhhR7ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuatio n::? Date: 16Z `I . , n_ n Site Address c Lot 3 Block ? Parcel/Sub ?ODM ° 1! Owner Address City/Zip Code Phone r Contractor J Address 1 . City/2ip Code;- "?Ly Phone V_) / - Arch./Engr. Address City/Zip Code Phone # sf"1 - urri On Site Sewage_ ?MWCC System ` On Site Well ?City Water ? 9PPROVALS Oceupancy :R-3 Zoning ? - 1 Type of Const (Aetual) \/-N (Allowable) V-N tl of Stories Length Depth S.F. Total Footprint S.F. FfiBS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Of?2¢ APC Varianee Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAI. yo5, Sa 52 S, 00 /w.OD 87 - 270 t-TRI-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: MILLER LEGAL DESCRIPTION; LOT-3-,BLOCK6, GREENSBORO 2nd ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA LOsT 2 (3 m ? H8 U N89°33'49"E m B8.9'?3 7'?890`30 141.20 914?? ap O Ln 30.,\, -10 31, zz'a" -15 I - 893 9 v I ? DRIVEWAY ? GRG. -? ?A N ' N I 22'41? 4?6?? I 3 2' ? 91'3 998"4 PROPOSED Q - > WV. I i HWSE LOT 3 ? °c° ?" ;? m a ?P a o ? ? N r i \ Z r m o ? 2a'io" ? ? 30 ? O 10 ?aes`s ese'b 5 n m Z t ---;----------? n ? ? e? 4 si' iz' a 141.20 912W2 ? r- N89°33'49"E ? I Exis rnvc ? i 890"3 E FLOGP .7 Lll T L} SCALE = I " = 30' LEGEND o DENOTES IRON MONUMENT a DENOTE$ WGOD H'ti6 SE i eae'e DENOTES EXISTING SPOT ELE VATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hereby cenify That this :urvey,plan or report was prapared by me or under my direct supervision and that I om a duly Repisterad Land Surveyor under ihe Laws of iha State of Minnesota. INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION = 892,.6 PkGPOSEG Fi?Sf Fi..^v^vFl cLcVi?TI^vN = P°=x^ PROPOSED BASEMEN7 FLOOR = E LE VA T I ON ' NOTE'. VERIFY ALL FLOOR HEIGH7S WITH FINAL HOUSE PI.ANS Bradley J.4Gr)oson, Mn. Req. No. 15235 Date - r:XTt:RIOR EIiYELOPE AYERq(]E "U" C014pUTATION . , . . (1b be su6mltted with bulldlttg perffit applicatiott) One or Twn Famil; Dwelliag Owaer All Other Contrector Site AdCreae LU7 t-?d2t?NS?P?.o zND Date Phone ?T ---?-_ LZNEAL FEET OF I E7CPOSED YWLL t t. .above arade e TOTAL EJCPOSED WALL AR SQ, FT. OPAQUF, W/i[,y CpHSTRUCTION s „U44 Oelae x Aree Deta12• ?w aa?u___flpn Q X SQ. FT. (U) (A) - refarance rani ~UM x SQ. FT-U)(A) from - (n/L- aQ#I x SQ. FT. a U)(A) attachad "u" x BQ, F`T, _ ?u)(R) sheets "V" x SQ. FT. < (U)(p) npn z SQ. FT. _ (U)(d) WI1rDOwS: tf1J4t yalue x /lrea Hake k TYPa fNSriL/S?it T"04I_ •4e x SQ. FT. ZO = ?.?iL(U) (A) itQll x SQ. FT. (ll)(A) ??- -• ??? „p" - x-yQ: FT. _ (U)(A) "?u x SQ. F`f. _ (U)(A) DOORS: "Q'@ Value x Aree btake & Type (? ? SUL ICQ„?z SQ, a ??'. .. 1t apa Z SQ. "°"-----X $4. -- . ... _ _ . ._ .. . , y?n Y SQ. TOrws T.9a z FT. _L (Q)(A) Fr.?. (u)(A).. FT....-_ (U)(A) FT. _ (0)(A) n-_ 7a? 1 Z (u) (n) 1bTAL (U)(A) VALUES Zo5. Iz - f_ o DIYIDED BY TOTqL ppLL AREA %0¢2 -f AyERAGE "U" •115 or leaa for 1&2 lasily dwelliage ROOF/CEILIHat TOTAL AREAs Detail roference n q' from ,Q`7 x BQ. P`f. attnched eheete. M?« x 3Q. FT. Descrl6e openia6e hp« X sQ' ?' in roof. x SQ. FT., 1AT. TOTU' (p)(A) VALOES DZVIDED B7 z4.j?s TOTw ROOF/CEILITi(I AREA ?• 'f! AVERApE etUoi O • ZS for veatllateQ roofa Nff (A) (A) ... _ . T-\e??:i?.?• ... _ . . 'o c i 7 1 1 1 ) 1 1 II 4 i5 II ? I< 1) ? _7l1y,?Q _rycu?L. I? ¢ Zo If 71 17 21 14 IS fi 11 11 71 I7 1/ I 7! 34 !] 1? 11 49 ? m cI 1 1 ll`'CO1??f16 "U" Values at Hoof, Wal1, Rlm, Qnd Conc. Block I ROOF/CXILINQ , 1.) Interlor Air t'Slm 2.) 5/8-, (;yp. Ba. 3.) Ineulatlon 4 . 1 5• Exterlor Air Fllm ( 3TII.L ) R V1lLUi 0.61 •56 '`01 00 .61 efUll e 1/I? iOZ/ 1OTAL (R). . ? 7S7 WALL 6.) Interlor Alr Film 7•) }" 4YP. Bd. 8.) Iaeulation , 9.) F--ntr-9rrE 10.) Haeonlte Slding 1I.) Exterior A1r Fllc R VALl1E 0.68 .45 I9,ao l. 61 .17 "U1/ a 1IRo. TOTAL - 1 ? RIH 12.) Interior Air Film 13.) IneulsCioa 14•) z" Fir Rim Joiet 16.) Haaonite Slding 17.) Exterlor Ait^ Film R VALUE 0.68 I q,oo Z ?`} .6i .17 ?p" a 1lRa TOTAL (R). _.L_ . ? DUnDATIOH 3.) Iaterlor Air Film 9.) ?• ) K-ll ST1zIpPaD ?•) 12" Conerste Hlock :.) ?. ) Exterior Air Film R VALU 0.68 //ao 1.28 .17 14 .J/ua ? 07(b zuru, ce) - ?,3 I? APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIQN , ? PX7iPE: PA7QME N f OF FEE AT TIME OF ? / ?? .m? t APPLI..YlON COFS N'7. C CYRI- Y ,*y 9fI7(l1E APPR64Pd. O£ PEFMLT. w*. ? IIISFFZTION OF SE41ER A!ID/OR WATER i. ; xKSrnr.urxaus war. rur sE scmuim : ? ITTPIL PIItFIIT HAS E4EQ] APPROVID. ? citV f?lefleRetffsfftS?weeeRtfrat?#lfi?fittlr/ OF eC1gan (PLEASE PRINT i) rxoPSaTir AMxFSS: 34 63 cHctiws 6dl") T•FY:AT, DFSCItIPTION: . . . . . . 3 . . . 6 . . . . . . . . . . . . . . . . . . . . . . _ ?Lot B ock 5 vision or Tax Parcel ID #) , IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PIItMIT ISSUANCE: Nbnt Year PRESENT, ZONiNG/PROPOSID USE: Q,CO",lERCIAL/kETAIL/OFFICE Q INDCSTRIAL Q INSTIT[TPIONAL/GOVEEtNMENT 1-?'R-1 SINGLE FAMILY ? R-2 DUPLEX ('iWO Onits) ? R-3 TOWNHOOSE (Three + Dr)its} Q R-4 APARTMENT/CODIDOMINIUM Units} ( . Lnits) 2) NAME: ca, /Wi L lc.h &,.e.s''- . ADDxEss: /V33 enA++- 4...- CITY. STATE, ZIP: /=?.?...?,-'5 {.?r.? . . PHONE: q31- ZZ / Ebr City Lse 31 NAME: Wu6uoa44 /'?/ 2'ic Plumber- s-License: Active ADDRESS: 9.3q0 Z?li.an? G? .r Expired CITY, STATE, ZIP: o??c C?rlrrvG: Not recorded PH0NE: ?-/93-3ti'75? MASTEE2 LICENSE St Ia nitiaj- 4 ) NP,ME: Sig?,xc_ /,?r Q2) ADDRESS: CITY, STATE, ZIP: PHONE: 5) ?M' a ?• ? • ?? ??e CONNECTION TO CITY SEWF.R ?NNECTION TO CITY WATEF2 Q OTHER 6) ***,t,t?*?*?**?***,t+****r.**??*?t***,t+t*,t?**??**,t,t*:t**xt*,t*:t??*t??r****t+,r**,t********+*,t*ie*?t********x** THE GOLD COPY OF 1HE PERNIIT WILL BE SE[JC DIRFX.TLY TO PIIBI,IC WJRKS TO FACILITATE bMII2 PICK-UP. * PLEASE ALLOW'7FA WORKING DAYS E'OR PROCFSSING. SOMEONE EROM TFE CITY WILL CONPACT YOU IF TFERE : * ARE ANY PROBI,ENLS. ? ?****,?****,?*W*******?****?+?***?***+?+?**??*?*?****x*?***+*#*******??*?******+****+,??*?r,r****#**,r***t FOR CITY USE ONLY PERMIT # TSSDED ? ?3Z" I Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SORCHARGE) $ $ le)- 5 -2-) WATER PERMIT (INCLUDE SDRCHARGE) $_ G?•LZ) $ WATER METER/COPPERHORN{OLTSIDE READER $ $ WA.TER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRDNK WATE32 $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S I 3? -2, D U TOTAL . g? 2 z 3 RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : 4 ? RESIDENTIAL BUILDiNG PERMiT APPtICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 -7 ?- 651-681-4675 NewConstruction ?Reauirament RemodellReoairReuuirements • 7 registerea site surveys showinq sq. k. of lol, sq. ft. of house; and all roofed areas • 2 copies of plan (ZO%maximum 1ot coverage alfowed) . t set of Energy Cakulations tor heated additions • 2 copies of plan showing pearn g wintlow sizest poured fouod desgn, etc.) . 1 sile survey (or extenor addi(ons & tlecks • 1 set uf Eneryy Calalations • Intlicate if home served by septic syslem for additions • 3 copies of Tree Preservatbn Pian it lof platted afler 711193 • Rim Jois[ Detail Op[ions selec6on sheet (61d9s vnth 3 or less units) ? DATE v 2-- VALUATION ?0 Z) ? SITE ADDRESS 7?663 MULTI-FAMIIY BLDG _Y _ N TYPE OF WORK_ r? ?G'UdC PIREPLACE(S) _ 0_ 1_ 2 I APPLtCANT ? J '2fYG? ? lAe STREET ADDRE55 ?S` S-P lCG '1 (37?1 CITY A/?1 STATE ZIP TELEPHONE # 4?1_2.= I6 -v?CELL PHONE # FAX # PROPERTYOWNER _/'f-ll?L-? TELEPHONE# COMPLETE THIS SECTION POR "NEW^ RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI\tiESOTAl2iJLE57670C.\"CEGORYI MIV\ESO'f:\L2["LLS7672 (v submissioq type) . Residential Ventilation Ca}egory 7 Worksheet Submitted • New Energy Code Workshee[ Submitted • Energy Emelope Calculations Submitted Plumbing Contractor: PlumUing system includes: Mechanical Confractor: X[cch.uriical,systcm includcs Sewer/Wafer Controctor: _ Water Softener _ Water Hcater No. oF Baths :\ir CondiUOning E-Ieat Rccovcny Systcm Phone F : --------------'---------------------------•----------------------------------------°---- . L.---------- I hereby ackn;owledge that I have read this application, state that the information i c rre n with all applicable State of Minnesota Statvtes and City of Eagan Ord nc . ..`r .. Slgnature of ApplicanT . ____.._------- ------------------------- --°___---".-_----------- _.- __---'-------- ------°------------' I OFFICE USE ONLY Certificates of $urvey Received _ Tree Preservation Plan Received _ Not Required _ Phone # Larvn Spnnkler No. oF R.I. Baths Phone # Fee: $90.00 r«: Updated 4102 ? iaoa RESIDENTIAL BUILDING Permit Application City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 <y )b ,60 New ConsWCtion Reauirements RemodellReoair Reouirements Offce Use OnN 3 registered site surveys shaxing sq. R of lot, sq. k. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20°k maximum lot coverage allowed) 1 set oF Energy Calculations tor heated additions Tree Pres Plan Recd _Y _ N 2 copies of plan stwwing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N 1 sel of Energy Calculations Addifron - indicate ifonsite sepNc sysfem On-site Seplic System _ Y_ N 3 copies ot Tree Preservatlon Plan if lot pla@ed after 717193 Rim Joist Detail Options selection sheet (bldgs wiN 3 or less unils Date ? ! ? /el ? Construction Cost O?LLi? Site Address =1&23 ( 7/"PaJ, S r U,[ Unit/Ste # Descriptton of Work /'/CQ4& (1 e ?'J, ?Z L Multi-Family Bldg _ Y-L/rV Fi replace(s) _ 0 ?_ 2 Property Owner b`U¢N Kl ? & /J Y v \ t1 ( 2'L Telephane # voS! ) ?/SY-??J Contractor C(}gJ{m( (od. ACyL Address `1oZ,l0 FIQ-?D N Ac)e City ?4f?tnrn7S?'O?> State Md4((je50{X Zip _ OZ ?( Telephone # 6S( ) ??oD-(o 02Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Piumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes, I understand this is not a permit, but only an application for a permit, and work is not to start without a perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name v + 411 t's Signahxre PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA103794 Date Issued: 04/16/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3663 Greensboro Dr Lot: 3 Block: 6 Addition: Greensboro 2nd PID: 10-30901-06-030 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 S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Renewal Andersen Ronald W Nlillett 1920 County Road C West 3663 Greensboro Dr Roseville NIN 55113 Eagan NIN 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:EA165350 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 3663 Greensboro Dr Lot:3 Block: 6 Addition: Greensboro 2nd PID:10-30901-06-030 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 - Ronald W & Diana Millett 3663 Greenboro Dr Saint Paul MN 55123--226 Archer Exteriors 324 Concord Exchange South South St. Paul MN 55075 (651) 775-7017 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176656 Date Issued:05/25/2022 Permit Category:ePermit Site Address: 3663 Greensboro Dr Lot:3 Block: 6 Addition: Greensboro 2nd PID:10-30901-06-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ronald W & Diana Millett 3663 Greenboro Dr Saint Paul MN 55123--226 (651) 454-5887 Twin Cities Siding Professionals 664 Transfer Road St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature