3667 Greensboro Dr
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CITY OF EAGAN r -- ??
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 121
PHON E: 454-8100
BUILDING PERMIT Receipt# '
To beaised for d"??/f?p" Est. Value ' 72=U00 ' Date JU."-'- 21-) ,19 a?
Site Address 3667 GRrEte890110 DB. OFFICE USE ONLY
Lot Block Sec/Sub onsfteSewage occupancy
. MWCC System ?'? Zoning K°?
Parcel No. I
On Site weli (Actual) Const
c Name -1Li.C'.4 GpNS1'i;01-'I'1QN
City Water
(Allowable)
z Addre96 I•`? 1 3 i Ca?:.r?l: A.Vii PRV Required # of Stories
3
o
City FARMINC?'t)„ Phone 431-2001 Booster Pump Len th
A
Oepth 400
o Narfie SAr'E S.F. Total
,
? ? Address Footprint S.F.
Iff City Phone APPROVALS FEES
~ ¢
"W
Name Engr./Assess. Permit
?V
? Z
Address Planner Surcharge • ?"
231 . i" "
0 z
W City Phone Council Plan Review 1q0
Q
Bldg. Off.
SAC, City .
I hereby acknowledge that I have read this application and state that the
Variance
SAC, M WCC
S Su•"!
informatlon is correct and agree to comply with all applicable State of Water Conn. 5500
! '
Minnesota Statutes and City of Eapeti Ordinances.
'
Water Meter
67•,,
.0
/T-
?
Signature of Permittee
-_.
A Building Permit is issued to: 'jQF `' I I.L:= it CONST Road Unit
Treatment P1 325, ?-
204•',
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. :Z
0(
S2 S
Building Official
TOTAL ?
i
.
CASH RECEIPT
CITY OF EAGAN.
3830 PILOT KNt3B ROAD
EAGAN, MINNESOTA 55122
DATE
.
flECE1VED
RiOAA ? . ' / .
?
AMOUNT $
J i
I
& DOLLARS
,oo
? CASH _F,rCHECK
FOR J
BY
,. White-Payers CoPY
1,? i.! N Yelbw--Posting Copy
Pink-Fle Copy
Thank You
CONTRACT PRICE:
Site Address
Lot Block
m Name
?o Address?_j
c Ciry
?_°• Name
c Addre
p3 C'tY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
MECHANICAL PERMIT RECEIF
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
#
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
FEES -
RES
HVAC 0-160 M BTU -$24
00
. .
ADDITIQNAL 50 M BTU - 6.00
Phone ? - i (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERAAIT) 50 EA
- 1
1% OF C
NTRACT FEE
C
MM
IND FEE .
. ?
M BTU L+ /
-
O
O
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU REMODELS - 12.00
M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM $ (AOD $.50 S/C IF PERMIT PRICE GOES
- BEYOND $1,000)
FEE: ?
`
'
-
S/C: SIGNATURE OF PERMITTEE
ToTaL
FOR: CITY DF EAGAN
CONTRACT P
' Site Address _
j Lot
I
i
? Name _
Address
c City
Name _
3 Adcicess
? p City"_,
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPUES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
SIGNATURE OF
CITY OF EAGAN
PERMIT RECEIPT #
DATE: ' -
BLDG. TYPE WORK DESCRIPTION
Res. % New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO; FIXTURES TOTAE
Water Closet - $3 00 S
::ZBath Tubs - $100
?al 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
t ? 'Whirlpool - $3.00
7_Gas Piping Outlets - $1.50
S
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - 510.00
Private Disp. - $10.00
Rough Openings - $1.50 FEE: r{ rf . 5 -
STATE S/C: •S ' ?
GRAND TOTAL• '
' T CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUIiDING PERMIT Receipt #
To be used for Est. Value Date ,19
..;
Site Address Lot Block Sec/Sub.
Parcel No.
19 Name ' •
W
; Address
o l:ifv ohl,no ? .. '.
°C
o Name
.
? ? Address
P City Phone
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 City of Eagan Ordinances.
Signature of Permittee _
A Building Permit is issued to:
on t he express cond ition that all work shal I be done in accordance with all
applicable 5tate of Minnesota 5tatutes and City of Eagan Ordinances.
Building Official -
OFFIC E USE ONLY
On Site Sewage Occupency '
MWCC System Zoning
On Site Well (Actual) Const
City Water " (Allowable)
PRV Required ik of Stories
Booater Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES ?
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAG City
'
Variance SAC, MWCC .;
Water Conn.
Water Meter
Road Unit -' -
Treatment P1
Parks T
TOTAL `
'- Permit No. Permit Holder Dste Telephona i?
Plumbing f 9 FT
H.v.ac. lC?
EleCtriC 4 ` ? ? ? , , ? ?• °
Softener
Inspection Date Insp. COmments
Footings I
Footings II '
Foundation
Framing g Q
Roofing
Rough Plbg.
Rough Htg. ? . ?
Isul.
Fireplace
Final Htg.
Final Plbg. -
Bidg. Final
Ceft. OCC. 4' ! s w i6A?c
Temp. LP
DeFk Ftg.
Deck Final
Well
Pr. DisR
CITY OF EAGAN Permit No: 3741 Date:
3830 Pflot Khob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MRi 5512i '
00
Surcharge: • 5`?;
Tr. Plant ? 04. f j;?
Meter.
I agrea to comply wiih !he Ctty af
Ordinances.
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 10887 Date: 3"
3830 Pilot•Knob Road g/P No: .8 .r,2 '71 -0 Date: 6 zi fo,' P {. ,
P.O. Box 21199
,
' Eagan, MN 55121
..:cv `°tilier Const
Site Address: 1667 i i-wanchnri "7 I-7-R6llrLgbB5hL1I'^ ' T ?
Plumber. P:=uth Plb? - i
MWCC: 5?50• nU Zoning- '
City Chg: 700•??1) No. of Units: 2
• Acct Dep: ? 5. 00
,??? 1 agree to comply with Ihe City of Eagan
t Permit Fee: ' Ordinances.
? Surcharge: '
SEWER SERVICE PERMIT ;
? - _ _ . _ . .. . . . . . . . . _ . . . . _ . _ . . _ . . . 1 ? ?T ?
EAGAN
360. .,ot Knob Road Permit No: Date:
Meter No: d
P.O. Box 21199 Size:
Eagan, MN 55121 Reader No:
Date:
Owner. '?iiler CGnst
Site Address: 366' Gre:t? -, C'r
Plumber. P1 outh
Conn. Chg: 550.00
Acct Dep: 3. ?-:. ()0
Zoning:
Permit Fee: No, of Units: 1
Surcharge: .50
Tr. Plant 204. UO 1 agree to comply with the City of Eagan
Meter. 67 , !+? Ordinances.
Misc.: na
By
WATER SE RVICE PERMIT
'EAGAN PermitNo: 3??f'` 7/Sf88 ?
s- :Jqt Kngb Road g/p No. Date:
P.O. Box 27 199 , Date:
Ea9an, MN 85121-
Owner. `w -111er Const ?
Site Address:
? r?Pn?hra
Plumber: rtvmauth P1?MWCC: 550.00
City Chg: I OQ.
Acct. Dep: 1' • ?''
Permit Fee:
Surcharge:
Zoning.
No. of Units: ?
I agree to comply with the Ctty of Eagan
Ordifances. .
,
By_
?-
SEWER SERVICE PERMIT
BLDG. PERMIT NO. /5-73?-2
Fs(c7 Gr?c,tiS6c,ro ?)r L-3 84p breensb*ro a!?
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch.lAdm.
01-3446 SAC/Adm.
07-2755 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3773 Water Permit
203743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
oa
TOTAL
BUILDING PERMIT
To be used for SF DWG/GAR
Receipt #
Est. Value $72,000 Date J[INE 29 ,1988
Site Address 3667 GREENSBORO DR
Lot Z elock 6 Sec/Sub. GREENSBORO 2ND
Parcel No.
s Name JOE MILLER CONSTRUCTION
? Address 18133 CEDAR AVE
o City FARMINGTON phone 431-2001
, o Name SAME
? Q Address
m
P City Phone
ww Name
ia Address
aw City Phane
I here6y acknowledge ihal I have read this application and state that [he
information is correc[ and agree to comply with all applicable State of
Minnesota Statutes and Cit?f Ea O inan A.
SignaWre of Permittee
A Builtling Permit is issued to: JOE MILLE&_,C,QNST
on the express contlition that all work shall be done in accordance wi[h all
applicable 5[ate o{t ?M?inne?so.{t?a S•tatutes and City of Eagan Ordinances.
Building Official_JJ2S/,dLl>.,tAAA._I?(•
CITY OF EAGAN ` No 15282
3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454•8100
OFFICE USE ONLY
On Site Sewage - Occupancy R-31M-]
MWCCSyatem X Zoning R-1
On Site Well (Aauaq Const V-N
Ciry Water X (qllowable) V-N
PRV Required _ # of Stories
Booster Pump _ Length 551
oevtn 46'
S.F. Total
Footprint S.F
APPROVALS FEES
Engr./ASSess. Permit 462.00
Planner Surcharge 36. 00
Council Plan Review 231 .00
BIdg.Off. SAQCiry 100.00
Vaiiance SAC, MWCC 5$0.00
Water Conn. 550.00
Water Meter 67.00
RoadUnit 395- (10
TreatmentPt _2Q4-QO
Parks
TOTAL 2,525.00
ihis renuest voiA 2Y(p I,57
18 q,amhs fram ??
E 41281 ?a,86, p
Heques
? D e r Fire No. Rauph-in Inspeclion
7
? Req iretl? ?Reatly NuwW?ll Nolify InsPeo-
? ?oi When N
d
S
p Yes ?NO ea
y
9 Licensed Eleclrical Contractor I hereby request insoaciion ot ebova
Owner elactrical work insfalled av
Slreet Atldress, Box or Route No. CitY
3Co(o7 ?-ea rn ?r??e C--C
ection o. Townshio Name or No. flange No. - ovnty
P+J O
Occuuant IPHINTI
6fuzaz Phone No.
?{3/- noo/
Poer Svupy lia • , Address ?
4/S'N/
!
1
.
/?//
Elechical Comracmr ICompany Name)
Zsc Cnnvar.tor's License No.
y/G /o -2
Mailine AtlJress (COntraclor or Owner MakinB InstailatioN n
?1 s53""7
q2 EuMS
?? /1'1i
a?0
1?
?
Vi
0a
n
Authorized ienature ICo tr `ndOwner Making Inst:allationl Phopne Numb/e??/
MINNESOTA STA-It BOAqD OF ELECTflICITY THIS INSPECTION HEQUEST WILI NOT
Griggs-Midwey Bldg. - Roam N-797 BE ACCEPTED BY THE STqTE BOAND
1821 Univerxitv Ave.. St P.O. MN 55104 UNLESS PFOPEN INSPECTION FEE IS
Phene16121642-08O0 ENCLOSED.
,5d`AiEQUESTuFOR E LECT R?ICAL ? Ithis NSPE T o'nObeck o1 vellow copy. Ega OO?
E 41 L 8 1- - "X" Below Work Covesed by 7his Request
UO
Mev4 Addj Rep. Type ot Bullding Applianms Wired EquiVnievt '6'iied
Home Range Temporary Service
Duplex Water Heater Liyhtiiiy Fixtures
Apt. BuilAing Dryer Electrii; Heatin
CommerciAl Bldg. Fumace Silo Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tenk
Farm o?nr? oec? v -+n?, (Spr.ufyl
1 e Sneci y iher Olh.r
Comnute Insoection fee Below
p Fee ServiceEnhence5ize tl Fea Feedees/SUbfeeders 4 Fee Giecuits
0 to 200 qm s 0 to 30 qm ps /
0
tn 30 Am s
Above 200 qmpy 31 [0 7 00 Amps 3
1 to 100 Amps
Swimming Pool Above 100_Am s Above 100_Am 5
Transformer5 ?rrigation Booms Partial."Other Fee
I I I Signs ' I iSUecial Insps6W L,?t q
Nerrerk5 ' --c ?7-5v
? V
certilV that the ebove
'?al .'.- - 9^} ?? insnection has been
? ?r_ mede.
al mitl 18 monihe Irom
j..
"RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881•4675
Naw Conetructbn Beai Irei meMs
• 3 registered site surveys showing sq. X. ot bt, sq. ft of house; antl all roofetl areas
/ (20%maximumbtcoverageallowed)
• 2 copies of plen showing beam & wlndow saas; poured fountl design, etc.)
• i set ot Enargy Calculatlons
• 3 copies of Tree Preservatlan Plen A bt platted atler 7/1193
• Rim ,bisl Detail Optbns selacllon sheet (Dklga wBh 3 or less unfts)
DATE l.P I? I Ild1
SITE ADDRESS L,
TYPE OF WORK?
APPLICANT ?
STREET ADDRESS
TELEPHONE #U
PROPERTY OWNI
MULTI-FAMILY BLDG _Y
VALUATION ./LJOO
? ? ?? t-7s
VN
_ 0 _ 1 _ 2
TELEPHONE JUJ'JI"`--t""JU AOt ? ?1
------------------------------°------------°----------------°----------------------------°-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RiJLES 7670 CA1'EGORY 1 MINNFSOTA RULES 7672
'(4 submission type) . Residential VeMilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
I hereby acknowledge that I have read this applicatlon, state that the information is correct, a,agree to comply
with all applicable State of Minnesota Statutes and CiTy of Eag
Signalure of Appllca tr .
--°----'--------°-------------°---°-------°-----°--?..?_.__._....._..??
OFFICE USE ONLY
pemodaVHaua'v Heauiremenm
. 2 copies of plan
• 15etofEnergyCalculatqnsforheffiedadtlAlons
• lsitesurveyforexlerbradd'aions&decks
• IrMicate tl home servetl by septic system br additbns
_ Phone #
L.awn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
.;
:y
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: AADRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER M[JST DESIGNATE WI3ICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 1! OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS w'}AA'r wj
To Be Used For:
Valuatio?: Date:
azz
6
Site Address
Lot .? Block ?
Parcel/Sub&?o,rt6?J7p--74
Owner
Address
City/Zip Code
Phone
Contractor ?
Address /A / S -5 ( -ZALt? a-,// ,
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
'-9 2, boo`-
On site sewage_
MWCC system ?
On site well
City water ?
PRV required _
Booster Pump `
Occupancy ?-3 b1-I
Zoning 2 - I
Actual Const V-N
Allowable v- N
lk of stories
Length
Depth 116,?
S.F. Total
Footprint S.F.
APPROV9LS FEES
Engr/Assess Permit y6Z. o?
Planner Surcharge 36.00
Council Plan Review Z 3 1, o0
Bldg. Off. -ttW2.1 SAC, City 00,00
Variance SAC, MWCC 50.oa,
Water Conn 55o.o0
Water Meter pa
Road Un3t 325'00
Treatment Pl 20j, DO
Parks
Copies
TOTAL
Phone !I
. VRL?uAT 10 N . " . °
?.
,. . ?. .
32X22? 704 Xly = 4'85?
NouS?-
3e = ?1 z.
? x ro = 9v
r
! 002 x6 z: ?2I 2 LI
'llqs4
88-103
TRI-LAND C0. siTE PLAN FOR: ?
SURVEYING
SERVICES JOSEPH MILLER CONST.
1260 YANKEE DOODLE ROAO
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT? ,BLOCK 6, GREENSBORO 2ND ADD'N
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
Sccle: I"=30'
? ocisr. I
? T.8.898.491
?------!
i C.
V
?OD-ODx esize N89°33'49"E 899.19 N 1414q 909.99
(D 4 N 893.9 l 5
-T- -- -- --I
893.49K? 22----- yK
r ? I
? . DRIVEWAY M W 898.79 .
I ? 24, ~ I
z o
N I 31' . c? w O,
N 12!
? g o ? O N W 00
o,o' 5
W &= N I
? 3 I I Q a ? Z I 3
Q - I 892?91F---- 898.1
N I I N ?
p $ I i o
O z L-?---5 ?- ---? z
898.69x
? N89033'49"E ( ? 141.20'
Zl i , i
w ? Exisr. ?
ao I
U I
KU
BY ?
Date ? ?-
rAG; _? EivGINEERING DEPT.
LEGENO iNyERT ELEyAT10N AT SERVICE EXTENSIODh?
o pENOTES IRON MONUNENT PROPOSED GARAGE FLOOR ELEVATION ¦
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTINfi SPOT PROPOSEDBASEMENT FLOOR •
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
l DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR NEIGHTS WITM
FINAL HOUSE PLANS
I 1??qr cortify that this surwy, plan or
reporf aas prspared by me or under my
dirset suparvision aM that I am c duly
Reqistered Lond Surveror undw tM
Laws M the Stats oi Minnesota
Bradley J.69"nsan, Mn. Re¢No.I5235
Date : ?i?
One or Tvro Family
All Other
c111 ur' BUiLDIN(3 DEPAF2ThiENT ^
E:XPERIOR ENVFT,OPE AVERAGE "Ull C0I9PllTATION
(To be submitted with building permit,appllcaEiott) -
Dwelling Owner
Contractor ?ot?Eptt ??[_GE2 OWST
4,55 - /oo
Site Addreea ? Z MpA L
?f@13NiS?OS1D ZND i4pzN?
Date Phone
LINEAL FEET OF / ?i "?? ,.L
E)Cc'OSED 6':ALL 7EE ?o?2,t' ?7/i?E6j'1 ft, above gi'ade - Z,, OSQ,00 ?J
TOTAL F,7G°OSED ;dALL AR'r;A SQ. FT.
0?RCU:; 1,'d11L
Detail
re`.'erence
from
attacned
sheets
CJP;S'PkU';TIJt:: "U't Value x Area
__ ?RAN'lE IOult • O 3 x
Q?we• toUll . 07 x
???r? $lUll .040 x
flU,t X
i1Uii X
flUff x
7JI1;D0'115: "U" 'lalue x /trea
s2. FT. 1(052•Zo- 7/.0¢ (U) (A)
SZ. FT. cW48; 7.33 (U)(A)
SQ. FT. 119•5 Z= 4•79 (U)(A)
Sq. FT. _ (U)(4)
SQ. FT. _ (U)(A)
S q. FT. (U) (A)
iiaRe & TYPe IdSVL• CS?'VT IrUll .-Ig x SQ. FT. 1•00 o q3•?$ (U) (A)
n u npn _
x SQ. FT. (U) (A)
it itUll x SQ. FT. - (U) (A)
u u nUrr x SQ. E"1'. - (0)(A)
DJORS: "U" Va1ue x Area
:ia:ce & Ty.oe riTL • IASOL. itUll . 1¢ x SQ.
_pATi o nuu
• 47 x S?.
npn x SCZ.
n n _ nUu x SQ.
TOTALS Zvgg.oo 5q.
AVERA4E "Ull
TOTAL (U)(A) vr,i,uES , 153.f?, _
DIVID:;D BY TOTAL 1'!/,LL kREA ZOSS.po
AVk;kA(}E "IUI , 115 r less for 1&2 family dwellinga
ROO,F/CEILIN(3 :
TOTAL AREA: IOOZ rb
FT. 4 •oo , &•SCo (U)(A)
FT, Z•00 U)(A)
FT. _ (U) (A)
FT. - (U) (A)
r'T. /53.-f 3 (U)(A)
Detail reference VIUll •v2! x SQ. FT. loaZ = ZJ.oQ-. (U)(A)
from nUn x Sq. FT. . (p)(p)
attached sheets. itU° x SQ. FT. _ (U)(A)
Describe onenings ITUIT
x
SQ.
FT.'.
? (U)(A)
in roof. upu x SQ. FT. ---- ---_(U)(A)
TOTAL (U)(A) VALUES DIVIDED BY Z/,?¢ = T?FI.Gj' ZCUYA\
'POT?I. R00^/CEI IiJG A1;:;A lppz.co • 07 f
AVERpGE "U ,025 for ventils-.ted roofe. `
n voRK
14. 5o X(38 +38 + 34+34) _
5WceT "
Z, 088.00 *
Code .
.&7x C38*3g?-?4t?-) = 9(C.?8 ?-
Efm To?
. s?x (3st3s?34+3¢) = r?9.sz ?
w11rpoW S
Ibx?= 4•o x 4 = !le•cc?
Ib X 3!c = 5,0 1( (o = 3 0. o0
Z4x 3&_ (0.o x 4= Z4.c)r"
zo)c48 = (a•7 Y, 4 - z(o. 80
24x 4g = g•o X 4= 3L, o0
128. So -?
I?1?S
3° sn. w?5?
Zg STC.• SE2
(c°- P,4T/o
= ZJ, o0
- 4Z•oo
?YET ?Y? &1s,LC. Ee,z-w-S
&1e0541 wAl-L Z,o88. o0
Less ?o?lc. qe.¢8
?? ????f• ?rq.sZ
,, tvDw's tzg.go -435. $v
?? Dc?YS 91•0o J
?
-
F
247(38' =. q/L
9 x lo =. ,9a
I,aoz.oo
?-WALL StX:'1'1VN-?
? Determining,?,Ull values at Roof,.Wall, Rimo and•Conc..Hlock
ROOF/CEILIN6
1.) Interior Air r'ilm
2.) 5/8,, ayp. sa.
3.) Inaulation
4.)
5.) Exterior Air Film
(STILL)
(R) VALUE
0.61
.56
4Q'.v0
.61
upn _ 1/R= OZ f aOTAL (R)= 4S7g
WALL
6.) Interior Air Filao
7.1 }ii GYY. Bd.
8.) Insulation
9.) ?/3z" $utLT- RrTE
10.) Iiusonite Siding
11.) Exterior tiir Film
(R) Vr,L,UE
o. 68
.45
14•00
Z•?
.17
"Ulf = 1/R= , O¢3 TOTAL (R)=23,0/
RIM
12. ) Interior tiir t'ilm
13.) Insulation
14.) 210 Fir Riro Joist
15.) Zs?3t" BvItJ-,QirG
16.) Maeonite Siding
170 Exterior Air Film
(R) VALUE
0.68
!9•00
1.88
Z 67
.17
npn e 1/R= .04b TOTAL (R)-Z¢/f4,
.
18.) Interior Air Film
19.)
zo. ) K°ll ?PPE? : .
21.) .12" Concrete Block
22.)
23.) Exterior Air Film
(R) VALU$
0. 6S
1.28'
.17
"ull _ 1/R= .d7& TOTAL (R)=??./3
atP
APFLICATION 1=0R PERMIT ?o
SEWER AND/OR WATER CONNECTIQN
{ F
N7PE: PASQ4FS71 OF FEE AT TIME OF ,*,
; neeLic?ON DOES nnr coN- ;
: STI1VfE APPAGVN. OF PIItFIIT. .'R
s
; inu-erxriaa oe sEaM nrm/OR hn,TER e
; xcasrnu.a.xIaNs wua. rxir ae scmor.m ;
? lTII'IL PQ2MIT Fll5 HFa] AppRpVm. +*,
1tiR?ltff;l?l?kMW!*4tifff?fAk**llef fi#4l??if*
oF eagan
PLEA.SE PRINT
1) PROPII2TY ADDRFSS: 36(D7 . (dj?c-etg bjyc)
i.Ff:AT DESCRIPTIONS . . . ?. . .(p. . . . . . . . . . . . . . . . .
LotTBloc Subdivision or Tax Parcel ID ?
IF EXISTING STRLCTCTRE, DATE OF ORIGINAL BUILDING PERMiT ISSUANCE:
Nlont Year
PRESENT ZONING/PROPOSID LSE:
Q COPM9II2CIAL/RETAIL/OFFICE
Q INDL'STRIAL
a INSTITL'TIONAL/GOVEE2PPIENT
I -1 SINGLE FAMILY
? R-2 DLPLEX (3two T-Inits)
? R-3 TOWNHO['SE (Three + Units) { Lnits)
? R-4 APARTMENT/CObIDOMINILM ( Units)
z) ? rrAME: r1-C-1- eo,.s4-
annxESS : / $ l3 3 E'?jq-t,- Ove ,
CITY, STATE, ZIP: ?L*vM t ?C`?V ? /Yl A.)
PHONE: 1-? 3 1 - Z) 00 1
3) i:?• NAME;
ADDRESS:
CITY, STATE, ZIP:
PHONE: '3--,2 47 ? MASTER LICENSE # /n ;tO(ps
4) US ., • ?•?
NP,N]E: S 4-n.c_ el$ a'?k
ADDRESS:
CITY, STATE, ZIP:
PHONE:
ij Active
EXpired
Not recorded
St Ia?f nitiar
5)
E?J-CO[dNECTION TO CITY SEWII2 ?v 2`ONNECTION TO CITY WATEE2 F-1 QTHER
6)
****************??**********?***?**********?*****,?****?******???*?************??***?**********?*?**?
* THE GOLD COPY OF 1i]E PERNAT WIIS, BE SEPTf DII2ECTLY TO PUBi.IC WORKS SO FACILITATE METER PIQ{-OP. *
* PLEASE ALLOW 'IWO FARKING DAYS FOR PROCESSING. uONIDDNE EROM Tm CITY NIILL CONPAGT YOU IF TfIERE *
* ARE ANY PROHI.EMS.
*k
'?*a,?**??*+*?***??***??******?*****+,r**?**?*?*******+**??**???+r*******?*?**?**?+***??****+r*****?*?*?
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ //0 -5 ? SEWER PERMIT (INCLUDE SORCHARGE)
$ $ / D •?d WATER PERMIT (INCLUDE SURCHARGE)
$ ??• b v $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ? •G?_ ACCOUNT DEPOSIT - SEWER
$ ACCOONT DEPOSIT - WATER
$ 65n, o v $ WA?
$ $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRU[VK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ,267. 00 $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ? 7 ?IV L/ $ TOTAL
RECEIPT
RECEIPT # -
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PCBLIC
) ROADWAY" MLST BE ISSL?ED BY THE ENGINEERING
-?1?0 DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLL OWING CONDITIONS: I
APPROVED By;
TITLE:
DATE : ;p
?
I
x �
Name: I� (� 2 �i �` �� �.^� Phone: ._ i✓ J '_ v
- T
Resident/
Owner
Address / City / Zip: 7 ' ��5 V•'d �( _
AGAN
10 1'
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-85351 FAX: (651) 675-5694
buildinginspectionsCd_)cityofeagan.com
-----------------
For Office Use _ I
I ! �—" �S I
I
Permit #:
I �
_ I
Permit Fee: �� I
I I
I
Date Received:
I I
I Staff:
I
L-----------------
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I �heg Site Address: : ( 7 "t 5 �. , C6 �) C, Unit #:
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval
x� x
Applicant's Printed Name Applicant's Signature
Name: I� (� 2 �i �` �� �.^� Phone: ._ i✓ J '_ v
- T
Resident/
Owner
Address / City / Zip: 7 ' ��5 V•'d �( _
Applicant is: Owner , Contractor
10 1'
Type of Work
Description of work: 0,
Construction Cost: Ao c V Multi -Family Building: (Yes /No
Company: w.�� S (- o�-, 5 �y �.�`G� �.� Contact: ��✓1 ��--.-K-��
Contractor
Address: % '� 1, I tiCity:
State: M�ip: J G' Phone: 617-
License #: �L ' Lead Certificate #: A J o 71
If the project is exempt from lead certification, please explain why:
r 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?
P
Yes No If yes, date and address of master plan:
I Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
-NOTEP/ans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval
x� x
Applicant's Printed Name Applicant's Signature