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