3764 Greensboro Dr• CASH RECEIPT •
• -CITY OF EAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
eeceiveo '
FROM '
AMOUNT
& DOLLARi
+oo
? CASH ? CHECK
F O R ' r I ? , • 'J•.
PUND GOOE AMOUNT
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ThankYou
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
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CONTRACT PRICE:
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Site Address F S p
Lot ?_ Bloc? ? SeciSub
??
? Name IZAX-Z?z e
?o Address Zcz&
T E ?F .
c City ? • 42L ; Phone
?
Name AJ'S 6 J
c Address ?'Z'y 46t
O City ?? 4,A) Phone
FEES
COMM/IND FEE - 1ai6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINiMUM - RESIDENTIAL FEE - $12.00
MINIMIlM - COMM/IND FEE - $20.00
STATE $URCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONjZ) $1,000.00)
?1,G
SIGNATURE OF PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaliBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50 ?
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI7)
J?Softener - $5.00
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
FOR: CITY OF EAGAN ``s? GHAND TOTAL:
CITY OF EAGAN 1?' p c
ti•?.'- s 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v ???`? ?v
PHONE: 454-8100
BUILDING PERMIT Receipt#
Ta be used ior S'?' i] LJG/GAR Est value $11 '1. , 0 0 0 Date OCTOBI:R 31 , ig6FZ
Site Address 3764 GRSENSHORn llR Erect EK Occupancy R?3
Lot 1 Block 3 Sec/Sub. GREr'.NSf30RU 1ST Remodel ? 2oning R?
Parcel No. Repair ? Type of Const 11
Addition ? No. Stories 515
¢ Name ??SEF'H MILLER CU3VST Move O Length
W 18133 CEDA.R AVE 30 Demolish ? Depth ?
3 Address Int Impr. ? Sq. Ft
° Ci?, '?????f 92-1010 Install ?
a
Ov
U-9
?
?
-
W W
? W
na
cz
cW
Name SAMF,
City Phone
Name
Address
Assessment _
Water 8 Sew.
Police
Fire
Planner
Permit Y 'a y J . ""
Surcharge 56.00
Plan Review 231.50
sAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290 .00
Tr. PI. 156.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B?d9
in(ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.• APC.
Signature of P
A Building Permit is issued to:
all work shall be done in acco
Var. Date Copies I
Total • .00
on the express condition that
of Eagan Ordinances.
-- PermN No. PsrmN HoWe? Date Tdphono M
Plumbiny -•? ?V ? ,r,., f.?:ur:?-2.
Electnc i? ?' c/)',?• F: . ?.' c?. ?`. i?? j- /? `? ' ?
Soltena
InspetUon Dots Imp. Commenb
Footlngs I /
/?ZIII ./ ;
G!J
FooNn9sl1
Foundadon
Framing ?
Rodlny
Rouyh Plbp.
Rouph Htp.
Insul. ij
Fireplace
Flnal Hly. ?
Final Plby. ,Z'8'
Bldy. Flnal
Cart. Oec.
Doek Ftp.
Dock Frmp.
Well
Pr. Disp.
S i - . . . , . . '_ ' . . . - - .- ..
?, . .
, PERMIT # MECHANICAL PERMIT RECEIPT # ?D?v? S D
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ?CONTRACT PRICE:
Site Address Lot Block
BLDG. TYPE
Res.
m Name ? Mult
.g Address Comm.
c City Phone pmer
? Name
c Addre
p CitY -
TYPE OF WORK
Forced Air M BTU
' Boiler M BTU
Unit Heater M BTU
I
Air Cond. ? M BTU
Vent . ?_ CFM
I Gas Piping Outlets #
Other
FEE
S/C:
TOTAL•
WORK DESCRIPTION
New
Add-on _
Repair -
FEES
RES. HVAC 0-100 M BTU
-$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 145 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BE1fON0 $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address _Y A4
; Lot Block
m Name _
? Address
c City '?-4
Name _
Address
PERMIT # 72l%' L
RECEIPT #
DATE: /_T
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRIGE GOES
BEYOND $1.000.00)
OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK OESCRIPTION
Res. L? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TO L
?Vater Closet - $3 00
?Bath Tubs - $3.00
::?Lavatory - 5100 -
-J-Shower - $3.00
_-,[Ki?chen Sink - $3.00 -f
Urinal/Bidet - 53.00
__?Laundry Tray - $3.00
Floor Drains - $1.50 S
-,z Water Heater - $1.50
Whirlpool - $3.00
__?_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
__.JRough Openings - $1.50
FEE: `" . <2?
STATE S/C:
GRAND TOTAL: ? '? ? `
CITY OF EAGAN WATER SERV
C
3830 Pilot Knob Road I
E PERMIT
I
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55127 DATE: - 11-17 -F, 6
Zoning: r1 No
f U
it
?
. o
n
s:
Owner. 7nf, 'til l er (" ,a ,
Address:
Site Addess:
Plumber: -
Meter No : ?
Size: -? "
Reader No.:
?¦
[bate yree to comply wlth the C ?I c r
din ?`?R?r . 156_QO . Tp
m ? Total: rinc
. Date Paid:
of Insp.: InSp,;
CIT1r OF EAGAN
3830 PUot Knob Road
P.O. Box 21199
Eagan, MN 55'y1
Zoning:
500.0?pd
lnnhffilmw?
WATER SERVICE PERMIT I
PERMIT NO.: _ F3106
DATE:
No. of Units: 1
Owner. Joe ?+i 1 t pY ?nst _
Address;
SiteAddess:.?7h4 ('rp?n4?oro rr?re r1) n? ?r?`nsboro lst
Plumber.
Meter No.: Connection Charge:
Size: Account Deposit: _ 15 ?3?Pc'
Reader No.: Permit Fee: IO ?
1 a9fee '° comPry with ihe City of EaQan Surcharge: Sp?sd
Ordtnances. Misc. Charges: 156 Upgd TP
B Total: ?
y Date Paid:-
Date of Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21189
Eagan, MN 55121
Zonlnp;
Owr»r: _
/lddrrss:
Site /ddi
Plurnber.
- Insp.:
SErYER SERVlCE PERINR
PERMIT NO.:
DATE:
No. of Units:
? 10 ?f wINi !M CIl?r of /6?a
BY
Dote of Irop,;
Insip.:
ConrNCtion (hoMe;
Ikoount DepoNt:
------------
Portnlt Fw:
Sur+dwrpe;
Mlsc. Chorwc
Totof:
Doft Paid:
%1/5/b'4v REQUEST FOR ELECTRICAL INSPECTION EB-c0Y0001-05
. v ? 0 Sae imtruetions br completing this lorm on back o7 Yellow copy.
? 4 R?6 " X" Belaw Work Covered by 7his Request
Aad flep. - TYPa oi BuilEmg AoolianceaWirod Equipmenl Wired
ce
p Fee ServiceEnhencaSize q Fee bieeders N Fee Cvcwts
U to 200 qm s s lo. 0 tn 30 F?m
Above 200 qm?y mps
Z 31 to tOD A s
Swinvning Pool -Am s Ahove 700_Am
Transiormers T_
ooms
Partial."Other
Signs Speciallns
pection $ '
e?rks 3TOTAL F E f q(,O
?7 /
I, the ElecFcy?yA?
Inspectaq he.eby
certify that the xbov
insDection has Gean
mado.
tms reouest .oia 18
This rnauesc voitl ?,?/C?lg(y
78 mocnth/s? from ?+ /
CV 4 86l7 .? ia.3 jL?'Pi_ rr,?Lf"/t?lf0 c?
-tt:-- ?p ,?
? lr89-?`7
..5..? Oc?
Ne.quest ?ate
- Fire No. flouBh-in Insuection
Re ired?
?Raatly Nuw W,II Noufy Inspeo
3s Yes ?No 1or When Peady
LM LicensCd ElecVicdl ConVaclor I har9bV repaest ma0ection of abova
? Owner elactrical work inatalled at.
S t Atldress, Box or ute No.
- ry
Cit at'?
t ?
ectmn o. Township Nama or No. . flange o. Cow?l
Gt'kO4Q..
Occupant IPRINT)
?o ,ller Phone No.
d'fa-j 0 %0
Pow Suppher }?
V ?!lee, Atldress \
JV6 ?"??
Electncal ConVactor ?Compe'nyp nrtrel
l?rdl?,[-?rr ? Conhnctor's License No.
'/b l o- ?-
Madine AdJress IConira<tor or Owne Makine 1.srailationl
?2soo W C'o l c,la- ZyArHSdi t <<,
AuM Sienat e Convac /Owner M inB stall tionl
C?a Ph ne NumCer ?
q
? ^
THIS INSVECTION REQUEST WILL NOT
MINNESOTA STATE BOARO OFELEC ITY
Oriqpa-Midway Bldg. - Room N-191 BE ACCEPTED eY THE STATE BOARD
UNLESS PNOPER INSPECTION FEE IS
7821 Universitv Ave.. SL Vaul, MN 65704
ENCLOSED.
Phone (612) 642-0800
N2 12o3e
G
n
l
3830 Pilot Knob Ro d
P.O. Box 2
-
199, Eagan, MN 55121
PHONE:454-8700 / Ga
BUl
L?ING PERMIT ?G
Receiptp (1/0
To be usetl for SF DWG/GAR Est. Value $112 ,0 0 0 Date O TOS .R 1 1986
Sitenddress 3764 GREENSBORO DR Erect [Z Occupancy R$3
Lot 2 Block 3 Secisub. GREENSBORO 1ST Remodel ? Zoning R.1
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
? Name JOSEPH MILLE 513
R CONST Move ? Length
40
z 18133 CEDAR AVE SO Demolish ? Oepth
o Address
FARMIN('
X9P
Ci Int.lmpr ? Sq Ft
892-1010
?
p
ry Install
°C
o SAME
Name Approvals Fees
$? Address Assessment Permit $ 463.00
• ary Pnone Water & Sew. ' Surcharge 56 . 00
231
5
?a Police .
0
PlanReview
?w Name Fire SAC 575.00
nddress Eng. WaterConn. 500.00
i W Ciry Phone Planner Water Meter 63 . 50
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State o(
Minnesota Statutes and City oF E@9an Or(;P4qg'esC I
Signature of Permitte
A Building Permit is issued to: OSEPH MILLEf
all work shall be done in accordan e/w?ith a?l(?/ ppl?icable State
Building Official ? V ? ????-i
Council _
Bldg. Off.10
Var.
RoadUnit 290-04
Tr. PI. 156.00
Parks
Copies
Total $2•335.00
on the express condition that
and Ciry of Eagan Ordinances.
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
, 3830 Pilot Knob Road, Eagan Mn 55122
? ? e` Telephone # 651-675-5675 FAX # 651-675-5674
B ? a?. as
New Conshuction ReauiremenGa RemodellReoair Reauirements ONce Use ONv
3 regislered sile surveys showing sq. tL of IoL sq. ft. of house; and all roofed areas 2 copies of plan CeA oi Survey Recd
(20%maximum lot coverage allowed) 1 set of Energy Calculations for heated addilions Tree P2s Plan Recd
2 copies af plan showing beam 8 window sizes; poured found design, etc. 1 site survey (or addNOns & dedcs Tree Pres Nol Reqd
1 set of Energy Calculations Adtldion • indicate if onsite sepfic system _ Onsite Septic System
3 copies of Tree Preserva6on Plan if lot platted after 711193
Rim Joist Detail Op6ons seledion sheet (bldgs with 3 or less unifs
Date R' l Z`1
Site Address / 03
?i rL e NS I Construction Cost
b a /-o /? /" • Unit/Ste #
Description of Work TGq,/o T? let Qocr 140
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ",A ? G / ?-A Telephone # (6S1 ) 6?b'
Contractor BECA ROOFINQ & REMQp C1 tNr uIr
Address
State 4100 EXCELSIOR BLVD. City /
ID #OOOtnFn Zip Telephone #(6f2 ) V'2 3- d' O K 6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet - • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Tele
#{ (?
APR
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
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
L1`71 /uc
ApplicanYs Printed Name
:n ? `??'??
?
Applicazrt' Signature
r? 2p?C? RESIDENTIAL BUII,DING
JD J Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 9 651-675-5675 FAX # 651-675-5674
New ConsWction ReauiremenLS RemodeVReoair Reauirements Offlce Use Onlv
3 registered srte surveys shaxing sq. ft. of lot sq. tt. of house; and ?II roofed areas 2 copies of plan _ CeA of Survey Recd
(20% maximum bt coverege allowed) 1 setof Energy Calculations for heated additions _Trce Pres Plan Recd
2 mpies of plan showing beam & window sizes; pomed found design, etc. 1 site survey for addilions & decks _7ree Pres Not Reqd
1 set of Energy CalculaUOns Addition - indicate Il on-sfte septic system _ On-site Septic System
3 copies of Tree Pmservation Plan d lot plaried after 711193
Rim Jaist Dehail Oplions selection sheet (bldgs wtlh 3 or less units
Date Iq / n /
Site Address 2 7??4 3 Construction Cost
?( EC.' % S Fj Q P'p I Jd^ UniUSte #
Description of Work d C) ? -
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner yl p[n 6ql &t'4wh Telephone #((yS-))(?CC8 - ,I?T_
Contractor
Address
State iNL;
.
4100 EXCELSIOR BLVn ?ity
ST. LOUIS PARK, MN 554%P Telephone #(? I? ) CC"??-£?CS ?'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mumesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Su6mitted Submitted
• Energy Envelope Calculations Suhmitted
Licensed Plumber _ Telephone # (
11 L? i .,; i l',4 I.;
Mechanical Contractor D? _ Telephone #(
Sewer/Water Contractor 1LILI '-?i Telephone #(
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
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
S?6
t ?G- Wevs
Applicant's Printed Name
S
s Signature
Applicant'
k
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatructlon Reauirements
. 3 registered site surveys showing sq. ft. of lot, sq. fL of house; arid all roobed areas
(20% marzimum lot wve2ge allowed)
• 2 copies of plan showing beam 8 windax sizes; poured found design, etc.) ,
• 1 set of Enargy Calculatbris
• 3 copies of Tree Preservation Plan'rf lot platted after 711193
• Rim Joist Delail Options seledion sheet (61dgs wilh 3 or less units)
DATE 1"I `17JC)oIN
SITE ADDRE:
TYPE OF WC
APPLICANT
STREET ADD
CELL PHONI
'S 1'`I ( -'-? ??
C-0? L4 - t? () :?-
RemodeUReoalr Reauiraments
• 2 copies of plan
. t sel of Energy Calculalions for heated addihons
. 1 site survey for ezterior additiorks & decks
• Indicate'rf home served by seplic system for additions
VALUATION q OOC),
PROPERTYOWNER LA vc.IC 4 Rho+n?G P 2: 1? TELEPHONE# G I'6Sf2: - ?/
------°----------------------------------°-----°--------°-------°-------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS O 6 M T a M?
u D
Energy Code Category _ MINNESO'1'A RULFS 7670 CATEGORY 1 MINNESOT !YVfi?27 2002
(q submission type) • Residential Ventilation Category 1 Worksheei Submitted • New Energy e Worksheet Submiltad
• Energy Envelope Calculations Submitted „ ell
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Mcchanical systcm includes:
Sewer/Water Conhactor:
Air Conditioning
_ Hcat Recovery Systcm
Fee: $90.00
Phone #
Tee: $70.00
Phone #
----------------------------------°-----°--°°-------°--------------------•------------°-----°-----------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan OHes.
, ' Signature of Applicant ?
_ Water Softener
_ Waler Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damaga
? 06 04-plex ? 12 12-plex Plbg_Y or_ N 10 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
A 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof N 46 Windows/Doors
? 34 Replacement *Demolitian (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy 12-3 MC/ES System
Census Code ?l3?f Zoning -1 ,() City Water
SAC Units Stories - Booster Pump
Nbr. of Units ? Sq. Ft. ? PRV
Nbr. of Bldgs ? Length - Fire Sprinklered
Type of Const :7,11) W idth "
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? Final/No C.O.
_ Footings (addidon) _ plumbing
_ Foundation HVAC
Drain Tile Other
Roof -t Ice & Water ? Final Pool Ftgs Air/Gas Tests _ Final
Framing j? Siding Stucco Stone
Fireplace _ R.I. _ Au Test _ Final ? Windows (new/replacement)
? Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
f?7?rJ
Building Inspector
,
IL9 3 (q
1986 BOILDING PE1HiIT APPLICA?IOA - CITY OF EAGAN
NOYS: AI.L
SINGLS FAKELY DTiEI.LIBGS
M[TSf HB LICBNSSD fiITH THB CITY OF BAG99
INCLIIDE 2 SETS OF PLANSP 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
M[ILTIPLS DTiSLLINGS - RESIDSNTIAL RENTAI. DgITS FOF SALS QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB NITH BLDG. DEPT.9
1 SET OF BNERGY CALCQLATIONS
INCLODE 2 SETS OF ARCHITECTURAL & STRDCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2v000 LANDSCAPE HOND
To Be Used For: &,U) ? Valuation: ?
Site Address 3104 .,?rL@ompJlT(JI,(1 bll-? ,
Lot '0 Block 3
I??P?V7(/A
Parcel/Sub ..???R1r?IX7L?x3
Owner
Address
City/Zip Code
Phone
A
Contracto 6?C ?• Vkm
Address ? S •
City/Zip Code ?3?llVY1l.U
s>
Phone o q a- - I () ( ?
Areh./Engr.
Address
City/Zip Code
Phone #
Date: 10"C)q-26
OFFICE DSE ONLY
Ereet ? Oecupancy F-3
Remodel Zoning 2 I
_
Repair Type of Const ?y
Addition li of Stories
Move Length 5Co
_
Demolish Depth 4<f-?
Int.Impr. _ Sq Ft
Install _
9PPAOV9I.S FBES
Assessments Permit
Water/Sewer Surcharge 5l?,
Police Plan Review 23 I. g°
Fire SAC !?5-7 5,
Engr Water Conn 5oQ
Planner Water Meter ?
Council Road Unit Z O.
Bldg OffV19 Treatment Pl I`..;(.o.
APC Parks
Varianee Copies
?OTAL ? i ? S .
r
NOTE: ADDHESSSS FOR CORNER LOTS - CONTRACTOR/HOISEOiiNEB MQST DESIGNATE WHICH 9DDRBSS
IS DSSIRED. NO CHANGFS iiILL BE ALLOflED ONCE BQILDING PERMIi IS ISSDED.
M.
22 K 1?- =
Z??- x
S? .,, ,..
I S?IZ?. •
--
ZZxZZ? o
q-320
? 2?22 = 2Co?? 44
?
III,?7 S6
T'RI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
JOE MILLER CONST.
N
SCALE: I"= 30'
•
? 30 ?
o a?
3
C)I
m
Cf)
Z
W
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Q)
00
ap O
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0
Z
o_
Va
141.20
N 89°31'56" E
1b
o V
0 00
m N
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?
PROPERTY DESCRIPTION
LOT2?, BLOCK 3 ,
GREENSBORO ADD.
acordinq fo tht rscorded plat thsraot
QAKOTA ' County, Minnesota
LEGEND
o DENOTES IRON MONUNIENT
* DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I Mnbj ce?tify that this survey, pian or
raport wns preparsd by ms or under my
dinct supwision and that I am a duly
R'qistered Land Surveyor under ihe
Laws of the State of Mfnnesota
i T 31
N 89°31'56" E
141.20
?
?w?n.,?¢ and VF:It}y F.Asement
V T
3, i r? L
?
N
G)
Z7" 1?" ,
b ! .
PROPOSED GARAGE FLOOR ELEVATION= 2`? ?
PROPOSEO FIRST FLOOR ELEVATION = a/"
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE * VERIFY ALL FLOOR HEIGMTS WITH
FINAL HOUSE PLANS
Bradley J., fronson, Mq. Rep. Ho.15233
DatO : /fj,/' . "4/o
Ona or Tva Family
All Other
Site Addrese
Contractor SoSEpF? kie-p- C:O/ur'T. Date -l(o' Phone
?84 - I13
LINSAL .'EET OF r-
E)'i'OSED V7ALL ?-C ?oR-?- ?lf?ET ft, above grade = Z9 ( 93•48
TOTAL E)L°OSr.D WALL ARP.A SQ. FT.
0';,QUE '.'1kI.L CONSTRUCTION: "Ul' Value x Area
"U11 .043 x SQ.
Detail "U" .040 x Sq.
reference
L?o?vC, IIUII ,07Co x SQ.
from ?fU'l x SQ.
attached npn Y SQ.
sheets #fUll x SQ.
".:INDOWS: "Ulf Value x Area
FT. IS •70 . 94.15 (U) (A)
FT. Z58•9(0- 16.35 (U) (A)
FT. ZoB.SL= 1.5.94 U)(A)
FT. = U) (+6)
FT. _ (U) (A)
FT. - (U) (A)
PSa;te & Type INaIL• JebNIIT "Ulf . SL x SQ. FT. Z/S•3o = Jn•ys (U) (A)
01 11 VIURI x SQ. FT. _ (U)(A)
u n itUn x SQ. FT - (u) (A)
n rr
DOORS: "Ull Value x Area
:la:;e & Type 67L • ldAVL• "U" L . /4. x SQ.
u u PA'Tln nUn .47 x SQ.
n n npn x SQ.
n n nU° x SQ.
Toxnr.s z%3.4s s@.
nvExaaE "u"
TUTAL (U)(A) VGLUES 25g.9t
FT. 9.00 = 643l0 (u)(a)
FT. 2.00 ? /1^74 (U) (A)
FT. - (U) (A)
FT. - (U) (A)
r'T. Z58.91 (U) (A)
DIVIDED BY TOTpL SlALL AREA ZW•48 • 087
? '
AVERACiE "U" ,115 or less for 1&2 family dwellings
ROOF/CEILING:
TOTAL AREA: O I
Detail reference flUff •02 / x SQ. FT. /QS/ = 7Z•07(U)(A)
from #fUll x SQ. FT. . (U)(A)
attached sheeta. "Ult x SQ. FT. ? (U)(A)
Describe onenings IIUII x SQ. FT. _ (U)(A)
in roof. "U" x SQ. F2. _ (U)(A)
AVERAGE "Ull .02$ for ventilcted roofa. - =' CITY OF BUILDINa DEPARTMENT
TJTAL (U) (A) VALUES DIVIDED BY 2z, p'7 _ ?°Y??? ??'S? 'S?•?f 22?07 CVr?I>
C
'1'U,AI. R00F/CEI1I1:G :'4EA
EXTERIOR ENVII,OPE AVEA'A(3E °Ulf COMPUTATION
(To be submitted with building permit applica'tion)
Dwelling Owner
--wat,L sECTtox--
Determiaing "Utl valuea at Roof, Wall, Rim, and Conc. Block ?
ROOF/CEII.IN(i
1.) Interior Air r'ilm
2.) 581, ayp. Ba.
3.) Insulation
4.)
5.) Exterior Air Film
( STII.L )
R VALUE
0.61
.56
4Q:00
.6t
nUu = 1/R= OZ? '20TAL (R)=4$.78
.?-
WALL
6.) Interior Air Film
7.) }n Gyp. Bd. 8.) Insulation
9.) ?/3z $ou.T- PiTE
10.) Masonite Siding
11.) Exterior Air Film
(R) VALUE
0,6$
.45
1q.oo
Z. bI
.1?
rrUu o 1/R= .Q43 'i'OTAL (R)=Z3.01
?
RIM
12.) Interior Air Film
13.) Iasulation
14.) 211 Fir Rim Joiat
15.> Z*??' BwL-T-P-ffE
16.) Masonite Siding
170 Exterior Air Film
(R) VALUE -
0.6$
Iq . o0
1.88
z•c,4
.67
.17
npn = 1/R= .OgO
? TOTAL (R)=z¢,j?
FOUNDATION (R) VALUE
18.) Interior Air Film 0.68
19 . ) ll??Lx.ATto/j /J. c?o
20.)
21,) 12" Concrete Block 1.28
22.)
23.) Exterior Air Film .17
IIUII = 1/R= .076
TOTAL (R)= f 2i.13
/
.
&905(-, E_xL?0-56p wALL-
18.33 X (5z+57-tZ&+Z&) - Z,859.q-g
1z•0 X 4.0 = gB.co
/4,o x 4.0
2,9 ?03•48 ?'
._Tv)S
•87i X?Ip4+lo4-t5Zt5L? ?-
CoriC,
•c97 x (sL+sz+?+z?? = lo¢ SZ
lZ,d x4 = g8•ao
14.o x 4 - .S(ovo
2? s
W???vows
I(o)(3(o= 4:0 x Z = g.oo
Zo)L3lo= 5.0 X4 = 20.00
Zo x4$ = f0•7 X 3= 20.10
„
Z4x48 = 8•0 X JZ = 9(v.0 0
zo xloo = s•4 x g- Io7.Lo
Z4X24 = 4.0 x 1= 4.00
co
Zg 5?'TL• SERY/? _
34 src. w??c.. _
(oSZ PA'11o 'be. _
00OF
Z?X 30 = 780
l?.s5x zt = 271
Ifl 5 I
Zrs.?o ?--
Zl•oo
28•00
4Z.oo
9/.00 -?
?
i Id/FU., EG2uP4-S
Ne
6cR05S wl4L.4-
GEV7 R11+? l5$.91p
It 604C. Zo8•SL
WDWS 215.3o
DooR.s 4/.00
2 q 63.4 8
- 773.78
Z,J$9•70?
CITY OF EAGAfV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*TOTE: PAYMF:NT OF FEE AT TIME OF
arPr.icAMoN noEs Nar oMstzMM
r,rrROVar, oF PERruT.
x?,.xx,.x,._xx,.w,.-.......______________
P ease Print)
1) PROPERTY ADDRESS:
3) • ?: ?• ?J
- rAM:
ADDRESS:
IF EXISTING SIRL'CiURE, DATE OF ORIGZNAL Bi]ILDING PERMIT ISSL'ANCE: '
i (Mori Year)
PRESENf 7ANING/PROPOSID LSE:
2) ?,w. / --
NADE: 14 i 14e16.e eljg ,
ADDRESS: /O/ ? ?/ ?y/c?3D L.x/
CZTY, STATE. ZIP:_ - !";,?Qw ?rq ? i e IYAI,
PHorE: g? 9 -aso 6
i
LEGAL DESCRIPTION:
C] CQMPEE2CIAL/RE,TAIL/OFFICE [M R-1 SINGLE FAhIILY
? IMLSTRLM m R-2 DLPLEX (Zt„o Units)
n INSTI'IUTIONAL/GpVII2NMENT M R-3 70WNHOJSE (Three + Units) ( Units)
, F-I R-4 APARTMErIr/CONIDOMINIUM ( Units)
CITY. STATE, ZIP:
PHONE:
MASTER LICENSE#
4) •• r i?• -?
NItME: CJ(?G dle.2 CwS?
ADDRFSS: `
CITY, STATE. ZIP:_ Li4.e61'IisvSfoiv ??rJ
PHONE:
rlumoers iacense:
Active
FScpired
Not recerded
Sta Initial
5) u r ? a• •?: a o? • ??
? CONNEC'I'ION 1t7 CITY SE,WER CM CpD7D]EGTION Tq CITY WATER Q OTFER '-
6) n • • r
r n u• •
? PLF.ASE HOLD APPROVID PERMIT FY)R PICK-OP BY ONE OF ABOVE
PLFASE OVID PERMIT TO 1, 2, 3, 4, A&3VE
_ // ? (Circle one)
INSPEx.-rsota oF sEWEEt AND/ox vWnt
jp i7ATTpN$ WII.L PIOT SE S(HID-
DLID UNfIL PERMffT HAS BEEJJ
APPFtOVID.
FOR CITY USE ONLY
R
PERMIT # ISSUED
eZ_Q 6 -?
Pd w/Bldg. Permit FEES:
$ $ AD-SID SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ /119 •50 WATER PERMIT (INCLLDE SL'RCHARGE)
$ 42 ?-S D $ WATER METER/COPPERHORN/OPTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ 15. ?D ACCOC'NT DEPOSIT - WATER
$ $ WAC
$ 6 75. 00 $ sAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRDNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ /`? '?U $
WATER TREATMENT PLANT SURCHARGE
$ S OTHER:
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q
NO ROADWAY" MUST BE ISSOED BY THE ENGINEERING
DIVISION
I
. L
ST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY;
TITLE:
DATE: ?J ? ? ??
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173273
Date Issued:11/05/2021
Permit Category:ePermit
Site Address: 3764 Greensboro Dr
Lot:2 Block: 3 Addition: Greensboro 1st
PID:10-30900-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Charles R & Rhonda T Reith
3764 Greensboro Dr
Saint Paul MN 55123--224
(651) 688-0851
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature