3765 Greensboro Dr
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA090283
Eagan, MN 55122 . Date Issued: 07/21/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3765 Greensboro Dr
Lot: 6 Block: 1 Addition: Greensboro 1st
PID 10-30900-060-01
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Permit expired without required inspections. 1-7-10 CE
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Valuation: 50.00 Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Wend Services % Wells Fargo Bank Wells Fargo Bank NA
8148 Pillsbury Ave S 3476 Stateview Blvd
Bloomington MN 55420 Fort Mill SC 29715
(952) 830-1029
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.
Applicant/Permitee: Signature Issued By: Signature
BLDG. PERMIT N0.
. ;
--
??c
01-3210 Bldg. Permit
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 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL I ' `
?--? .? l5/ 3Cp
V-1M
m Name
i-a Address
c City
Name
c Address
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
?. .. -
#
MECHANICAL PERMIT RECEIPT #
CITY OF EACaAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ?
PHONE 454-8100 For Office Use Only:
BLDG. TYPE WORK DESCRIPTION
pc%Sub Res. New
,a
Mult Add-on
Comm. Repair
Other
Phone
FEES
RES. HVAC 0-100 M-BTU - $24.40
ADDITIONAL 50 M BTU - 6.00
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL AOD-ON &
M BTU REMODELS - 12_00
M BTU MINIMUM COMMERCtAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
SIGN F MI EE
S/C: '
TOTAL: FOR: ITY OF EAGAN
I -
CITY OF EAGAN ?
3830 Pilot Knob Road P O Box 21-198 Ea P? ? 12699
MN 55121 i?
„ , . . , g
n,
? PHONE: 454-8100
BUILDING PERMIT Receipt Ji
7o be used tor SF L)WG/GAR Est. value $10 5,0 0 0 Date 5EP'Y'EMBE}Z 29 ? 9$ 6
Site Address 3765 GREENSBO RO DR Erect 91 Occupancy R3
Lot6L- Block 1 Secisub GREENSB ORO IST Remodel ? Zoning g 1
.
Parcel No. Repair ? Type of Const y
Addition ? No. Stories
a
= Name •70SEPH MILLE R CONST Move ? Length 58
h
3 18133 CEDAR
Address AVE SO
Ft
?t mpr
? 5qP
° C;ti FARMINC4g4 892-1010 I
?
a
nstau
F Mame SAME
=
o
¢ Address
~ City Phone
F W Name
o Address
u
< W City Phone
Water 8
Police _
Fire _
Surcharge :)z • :)V
Plan Review 222 .75 SAC 5i5.00 ?
Water Conn. 500.00
`
Water Meter 63.50
Road Unit 294 • 00 ?
Tr. PI. 156.00
Parks ?
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all appiicable State of
Minnesota 5tatutes and Cjty of Eagan Ordirrapegs.
Signature of Permittee ??^-----
Planner
Council
BIdg.Off. 9 29/86
APC
Var. Date
JbSEPH MILLEZ CONST ?wA Building Permit is issued to: I on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordlnances.
Building Official
MrmN Mo. Pamk Holder Date TNephone N
Plumbini. / o u,,,, i i C `? I / I }C,,
H.V.A.C. ? l?lJ7' ? C.lLC. ?` ( I gp?
El.ctric C,
sott.,,..
Inspoctlon Date Inep. Commanh
Footlnqsl
Footinys II
FoundNion
Framiny i
???? '
W .
Roofin9
Rouyh Plbq.
Rouph Hty.
lesul.
Flroplace
Final Mt¢
Final Plbp.
Bldy. FInN
CoA. Occ. d?If, ?
Deck Ftp.
Dock Frmy.
Well
Pr. Disp.
PERMIT #
PLUMBINO PERMIT RECEIPT #
? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
RACT PRICE PHONE: 454-8100
Site Address - -
Lot Block
m Name
? Addre
c Clty _
? Name
; Addr@
O CitY -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMMlIND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
BLDG. TYPE WORK DESCRIPTtON
Res. New L'
Mult Add-on _
Comm. Repair _
Other
? FIXTURES TO AL
Water Closet - $3.00
Bath Tubs - $3.00 '
?-Lavatory - $3.00
-rShower - $3.00
=Kitchen Sink - $3.00
Urinal/Bidet - $3.00
=Laundry Tray - $3.00
? Floor Drains - $1.50
=Water Heater - $1.50 Whiripool - $3.00
-?Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
-Private Disp. - $10.00
-s Rough Openings - $1.50
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
FEE S STATE S/C:
GRAND TOTAL: ? ?
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, INN 55721
Site Address
Lot Block
m rvan
? Add
c Ciiy
? Name
c Address
p City Phone
TYPE OF WORK
Forced Air M BTU
$? ?
Boiler M BTU $--
Unit Heater M BTU $--
Air Cond. M BTU $_
Vent CFM $-
Gas Piping Outlets # $-
Other $
FEE
S/C:
TOTAL•
PERMIT # _
RECEIPT # _
DATE: ?
BLDG. TYPE WORK DESCRIPTION
Res. New '
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-700 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 - 196 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
BEYOND $1,000.00)
_ ---? I
SIGNATURE OF PERMiTTEE
FOR: CITY OF EAGAN
qTY OF.ERGAN WATER SERYICE PERMIT
3636 Pilot Knob RodH
P.O. Box 21199 PERMIT NO.:
EByan, MN 55121 DATE
Zaning: r 1 No. oi Units:
Owner. •Trr` "i21er Const.
Address:
siteAddess: 37E+5 f'r
Plumber. `liltner
Meter No.: 9,63
R68def NO.: ,9.JO b7d / 7 WCv" ;aW'Me:tA
'
W
1 agree to compty wtth the City d Eagan Surcharge:
I 5F? •'?0pd
T'P
es.
Ordlna Misa Charges:
,l, 50r(I
mete
r
. Total:
?
gy Date Paid: i
Date ot Insp.: InsP•:
CITY OF EAGAN WATER
E VI
PERM T
3830 Pllot Knob Ri,ad S I
R
CE
P.O. Box 21199 PERMIT NO:
Eagan, MN 55121 DATE:
Zoning: ?} No. of Units: - ;
Owner. Jno Mi1 l c?r ('nnat _
Address:
SiteAddess: 1765 C:rP-rtchnro ^ ive LC. r5 C;reensboTO lst
Plumber: u{lt-ner °iti,nbt r
Meter No.: Connection Charge: 5130-0012!d
Size: Account Deposit: Z 5- 009:?
Reader No.: Permit Fee: 1o. DOnd
1 agree to camply w8h the City of Eagan Surcharge: . 5 u?
Ordinancea. Misa Charges: 1 S6.00nd TP
Total: ?atteL
BY
oace
?
CITY OF EAGAN s?U SUVICE PERM
3830 Pilot Knob Road
P. O. Box 21199 PERAAIT NO.:
Esgan, MN 55121 p,,TE: ?. i-?;-
zoring: No. of Units: '
OwrNr:
Addross:
Site Address: -
Plumber: t. -
1sliw fo eoes* wNr tir C117 ef hN,
OaiN?.
By
Dote of Ir?sp.:
Canrnefbn Choegs: W '
Acommt Depowt:
Permk Fee:
Sunfiorpr _
Mix. Chorom
Total:
Dofr Pald:
11013?/$6
c;-. ..X.
aaa
Below Wak Covered by 7his Request
fleD. TyDe of BuilEing Applinncea Wirad Epuiumenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
C.p?-vm'?Idmg Dryer ElectncHeatin
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Condrtioner 8ulk Milk Tenk
Farm ther pe" y thqr (5penfy)
t er uer.?ry n er Oih.r
omoute lnspection Fee Below
M Foe $ervlceEntrence5ae h` Fee Fexders/5ubfeaders N Fee Cvcmte
0 to 200 Am s ? 0 to 30 Am s 33.06 0 tn 30 Am s
Above 200 qmps 31 ta 700 Amps 31 to 100 Am s
Swinttning Pool A6ove 700_Amps AAove 700_Am s
Transformers Irri ation Booms -5 Part?al.'Other Fee
Signs iSpecial Inspecuon TOTAL FEE
°°?•-•'• ?/?? `U 7/ 1 the Elechro6r
P?(/Ll.f.ll ? S specloq heraby
TJ I f?" -arlity that Ihe abova
Find? ? O?e nspeetion hes been
i
mede.
IiEQUEST FOR ELECTRICAL INSPECTION EB-0000I-06
Ill, See inatruetions far comoleting this torm on back o1 yellow copy. 6 7 Qf-?
/
f01e rBpueel volE 18 monlM1e lrom
7his request void
18 months /mm
C 64812
Request Date
/
1 Fre No.
1 RouBh"vi Insuect"nn
He mred?
0fleady Now?W.ll Notify InsPec-
?^ a7 ??l?
Yes ? No
lor Wh¢n Feadv
Licensed ElecVical Contractor I hereby request insoection of above
OwnBr electrical work inatallod at:
Sveet AdCress, Boz or Bo.te No. .
37/ (areens boro l????e- Cnv
6a- ,t k'
eclmn o. Township Neme or No. Fange o. Count
aL'D'f'GL
Occupp nt (PflINT)
JOG ?<<<GY Phone No.
$ ? - JO10
Power Supplier
bako ?f?c- ?Ie G Addre s ?
3 00 P?o
Ele cal ConVactor lCompa v Namel
?idland E7u
?v Contrac.mr's License No.
,:
i e,
Maihng AdJress (Comracmr or Owner Makme Inslailauon)
?soo Bu-ki 5'v1
Au?natur¢ (Co ractodOwner Mflking InsWllaLOn)
? Phone Number
890- 96ir
MINNESOTA STATE AR ?D OF ELECTNICITY THIS INSPECTION NEQUEST WILL NOT
Griqga-MiEway Bldg. - Room N•797 BE ACCEPTED BY THE STATE 90AND
1821 Univeraitv Ave.. St. Yaul, MN 65104 UNLESS PPOPEN INSPECTION FEE IS
Phone(612)642-0600 ENCLOSED.
e,151 ff ? REDUEST FOR EIECTRICAL INSPECTION
? See in9truchons for complebng Nis form on back M yellow copy.
P 1513 6- - X" Below Work Caverea' by This Request
f' EB-00001-07
U 9as-, &.-
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Spec"rfy)
Comm./Industrial Furnace
Farm Air Conditioner
OMer (specdy) Mr or5 Remarks
Compute Inspection Fee Below:
# Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspemork Uee Only: ' TOTAL
Irrigation Booms
Speciallnspection
Alarm/Communication
++iry
Q??
aner Fee
I, the Eledrical Inspector, hereby Rough-in '
? Date
certify that the above ins ection has
P
been made. .
Final
02?
?e
OFFICE USE ONLY
This request witl 18 monihs imm
lP/5/S 9 c ?-
? 15136
flrale ? '^
y
V Firt No Rough-in Inspeclron
Peqmred>
? Ves ? No
? Reatly Now ? Wdl Nottly Inspector
When ReaCy?
Insed contractor ? owner hereby request inspection ot above elecirical work at:
Job Adtlress (SVee4 Box or Ro o) Ciry
l_J
Seclwn No. Township Na e or No Range No Counry
Occu PRIIJT)
0 ??-q s D6 PMm Np.
- D
Power Suppller Atldress
Electncal Contrector (COmpe y Nama) Contractor5 4cense No
OQ?
ai ing Address ( nrcfw or nei a ing ns on)
14540 PENNOCK LANE
AN z aL2e ik?^?cyR,7ak?,L517 l] A4'Y
L i t J PFwne Number
MINNESOTp SfATE BOAHU OF ELEC(AICIiV THIS INSPECTION REOUEST WILL NOT
GdggsMitlway Bltlg. - Noom S473 BE ACCEPTED BY THE STATE BOARD
1821 Ilnlverslty AvB., St Paul, MN 65f04 UNLESS PROPER INSPECTION FEE IS
Pho. (612) 8480800 ENCLOSEO
o
I CITY OF EAGAN p 12699
3830 Pilot Knob Road P.O. Box 21-199 Eagan MN 55121 N- PHONE: 454-8100 /
BUILDING PERMIT Aeceiptn (47""0,
7obeusedfor SF DWG/GAR Estvawe $105,000 oate SEPTEMBER 29 1986
SiteAddress 3765 GREENSBORO DR
Lot6 elock 1 Sec/Sub. GREENSBORO 1ST
Parcel No.
a Name JOSEPH MILLER CONST
o nddress 18133 CEDAR AVE SO
ciry I'ARMINGWP; 892-1010
o Name SAME
a
? Address
a
?
City Phone
a
w W
? Name
? Address
u
a W Ciry Phone
I hereby acknowledge that I have read this application and state thatthe
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and giy of Eagan Ordirtwes. i
Signature of
A Building Permit is issued to:
all work shall be done in accc
Building
with all
MILLER CONST
Erect ;E] Occupancy R3
Remodel ? Zoning Rl
Repair ? Type of Const. y
Addition ? No. Stories
Move ? Length S?
Demolish ? Depth
IM. Impc ? Sq. FL
Install ?
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. On. 9/29/86
APC
Var. Date
s
Permit $ 445.50
Surcharge 52.50
PlanReview 222-75
SAC 575.00
Water Conn.500.0
Water Meter63,50
Foad Unit 290. 00
7r.Pl. 156_00
Parks
Copies
Total $2,305.25
on the express condition that
Ciry of Eagan Ordinances.
1? q2?y-q
J??-?l ?-0
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reouiremenls
• 3 registered site surveys showing sq. ft. of lot, sq. N. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showirg beam & window sizes; poured fuund design, etc.)
. 1 set of Enerqy CalcWations
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail Opuons selec6on sheet (bldgs wdh 3 or less units)
DATE ?I?Y>"CTL
SITE ADDRES
TYPE OF WO
APPLICANT C L' •
STREET ADDRESSL?1 n
TELEPHONE
CELL PHONE #
FIREPLACE(5) _ 0 _ 1 _ 2
LSI??L2-STATE W ZIP
FAX #QSZ'?A? ?
?
PROPERTYOWNER QX9L-t+ '?QT"IP" TELEPHONE406I'4S2'2k
------------------------------------------------------ -........................................
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINN1:SOTA RULCS 7670 CATEGORY 1 MIVNE501'A RUI.ES 7672
(J submission type) • Residen[ial VentilaNon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mccho-mical system includes:
Sewer/Water Conhactor:
Air Conclitionnn;
Heat Rccovery Sys[em
Phone #
Fee: $90.00
???u d
Phone ? IUI 0 8 20
-----------°°-°--------------------------------------------°----------°------------ - - - - - - - - - - - - - - - - - - - - - - - - - I I hereby acknowledge that I have read this application,
state ihat the information & , aRa-egFee-teeompIY
with all applicable State of Minnesota Statutes and City of Eagan Ordinancesr \?, II
Signature of Applicard DWlYti
OFFICE USE ONLY
_ Water Softener _
_ Water Heater
_ No. of Baths
ULTI-FAMILY BLDG _Y et2N
RemodeVReoair ReauiremeMs
. 2 copies of plan
• 1 set of Energy Calculations for heated additlons
• 1 site survey for extenor addilions 8 decks
. Indicate if home served by septic system for additions
Iy Vv
VALUATION ? `1 i I?1?,Sr? I . ?
_ Phone #
Lawn Sprinkler
No. oF R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4l02
?
- 1986 BOILDING PEEtiiIT APPLICATIOli - CITY
NOTB: ALL CONTRAC?ORS MOS'f BB LICFNSSD iiITH THE CITY OF EAG9A
SffiGLS FAIIILY DiIELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiELLINGS - HfiSIDENTIAL BENTAL OKTS FOR SALS DNITS
INCLUDE 2 SETS OF PLANSp CERTIFICATE OF SOR9SY - CHEC[ i1ITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
COMAfERC79t.
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
& STRUCTURAL PLANS,
SET OF
105, oo0
To Be Used For: /(.?C() AIJW Valuation: Date: 7'0?el- 6P6
Site Address 37?PsAzmAw
Lot /17 Block ?
Parcel/Sub /t V/}7??.Jj'J
Owner
Address
City/Zip Code
Phone
Contraetor AI2• l/j,(M/t)(JJT?
Address IF/3-2 0
City/Zip Code 1YU/r ?,55GPZ
Phone 0?j
Arch./Engr.
Address
City/Zip Code
Phone 4
Erect ? Oceupaney Iz 3
Remodel Zoning fZ l
Repair Type of Const SC
Addition lf of Stories
Move Length SS
Demolish Depth 28
Int.Impr. Sq Ft
Install
APPAOVAIS FEES
Assessments Permit ?S J
Water/Sewer Surcharge 5?2 -°
Police Plan Review 2zZ -15
Fire SAC Sl S.
Engr Water Conn 60.
Planner Water Meter tp3.'
Council Road Unit Zq O.
Bldg Off Treatment Pl 15(0.
APC Parks
Variance Copies
TOTAL 7_'i0 5.z5
NOTE: ADDRESSES FOR CORNER LOTS - CON?A6CTOR/HOMEOiiNER MIIST DESIGN6RB WHICH ADDRESS
IS DESIRED. NO CHANGFS WILL BB ALLOfiED ONCE BIIILDING PEBNIIT IS ISSDED.
4 ?
ZQ- K 24- " 57(,o l? l Z `. ?R IZ. ;..,
6'Q--
?04 016
One or Two F`amily
All Otfter
UUlLUll1U UC;Y1lH1'1'llili'1'
EXTk;RIOR ENVII.OPE pVERAQE "Ull C014PUTATION
(To be submitted with huilding permit application)
Dwelling ? Owner
Contractor ?4 (2n?c7
/'yf N r.
53te Addreas
Date
Pho ne
LIIIEAL EEET OF
EXf'OSEU 17ALL f t, nbove grade
TOTAL EXPOSED 1YALL AREA Sq. FT.
OPAQUE CJALL CO[?STRUCTZ017: "U" Vfalue x Araa
lletail "p" O 3 x S2.
reference ?'"?r•' IFUIT- -.n x Sl7,.
from npn x SQ.
attached ?full X Sq.
431ieets "u° x Sq.
npn x Sq.
FT. 7?•L?O (U) (A)
FT. 1v,3 (U)(A)
FT. 3 PS =7- -??,(U)(A)
FT.
FT. _ (U) (A)
FT. - (U)(A)
4fINW1VS: "U" Value x Area
Plalce & TYPe ?NSI?/_, L?siY???upn • µ ? x SQ. FT. ?Z':D= ?'?• (0)(p)
? u nUn x SQ. FT. _ (u)(A)
n n nUn x SQ. FT. - M(A)
n u upu x SQ. FT. - (U)(A)
DOURS: "U" Value x Area
41a':e & Tyoe Gi7r. , /A?ivC.r ' nUn ./ x SQ.
n n ?A-710 npn .47 x SQ.
nUn X Sq.
n rr _ nUn x Sq.
ToTnt.s 2Z ?C9.z.0 sq.
AVERpaE 'IU'l
TUTAI, (U) (A) VALUES fC?cf Z I _
. 08S
DIVIDED BY TOTAL C1ALL AREA ZZ 609. Za f
AVliRAaI IfUll ,115 or less for 1&2 family dwellinga
ROOF/CEILIN(3:
TOT1lL AREA: 9.SZ ?
FT. 42,00 = S•S (U)(A)
FT. 2100 = . ? (U) (A)
FT. - (U) (A)
FT. - (U)(p)
k'T._I ?4-. ZI (U)(A)
Detail reference IIUII x Sq. FT. SZ. = 19-Q9 (U)(A)
from
attctched sheete. IIUII x
"U" x Sq. FT.
SQ. FT. . (U) (A)
- (U)(p)
Describe onenings "Ull
x
S9. FT.
- (U)(p)
in roof. I'UII x SQ. FT, - (U)(A)
TOTAI, (U)(A) VALUES DIVIDED BY 8. 9? Tr4lb 9SZ 5q.? i9-9q /UY??
TOTAL ROOF/CGILII7(3 pREA 957
Z.
'DZf
AVERAQE "Ull ,025 for ventilnted roofe.
' Worex- ?AET /l
67Aoss ?cpvs? wn?
IS-3'?X (3?+-34+Z8+28? _- Z?(v`?•Zo?
CowC,
.(o7x (34t3?-?zgfzg? = 83.0? ?
?•n? ??_7
. 83 x ? (08 -t-?8-l- 5l? r5loJ = ZoS. ?{- ?' -
'7X14 = Z. ? x 3= 7. 80
l?x? = 4.o
zoxtoo = 8,f X (v = so• 40
24x48 = g.o k 11 = BB.oo
?
_-
1(oZ.zo?
,?S
Z? 5TL- ??.
!v= P?4Tio
= zl.oo
- zl,oo
= 4z, o0
T EF? cv,? F?z•.wc_S
Uoeb wxL-J?
GesS- Co?c,
u,?s
Dc+?,?.'y
83.0$
105.84
l?oz,zo
89',00
az0.zo
-535, ? z
?---
1,7z-ff.-og ?
?oo?
zBX? -
9s? cv*-
--WALL sscTt --
Determdning "Qll valuee at Rooft 1Pa11f Rimt and Conc. Block
ROOF/CEILIN4
1.) Interior Air e'ilm
2.) 5/81, ayp, sa.
3.) Ineulstion
4.J
5.) Exterior Air Film
( STII,L )
R V il
o.6t
.56
4?00
.61
liUll = I/R= iOTAL (R)=4S.7,J
WAI,L
6.) Tnterior Air Film
7.1 }ii (3YP. Bd.
8.) Insulstion
9.) 10.) Mnsonite Siding
11.) Exterior Air Film
R VALUE
0.68
.45
19.C>0
2:06?
.17
'lUn = 1/R= TOTAL (R)= 473,p'
1
RIM
12.) Interior Air Film
13.) Inaulation
14.) 211 Fir Rim Joiat
15.) Fvx?r-?) 7;?7
160 Masonite Siding
170 Exterior Air Film
(R) VALUE
0.68
l4,va
1.88
z16?
.17
upn = 1/ga 4 O!? TOTAL (R)a Z¢?
_?-
1
FOUNDATION
180 Interior Air Film
19.)
zo.) K-11 ?JXIPl?FA
21,) 12" Conarete Hlock
22.)
23.) Exterior Air Film
R VALU
0.68
/oa
1.28
.17
i?U?? a 1/R= .07?0 TOTAI, (R)
??
fiRl-LAND C0. SITE PLAN FOR:
SURVEYI NG
SER1/ICES JOSEPH MII.LER
4655 NICOLS ROAD CO'vS••
EAGAN, MINNESOTA 55122
t
N89°31' 56"E
-- 150.00 ? Iv I
DBAIA'd6€-j--KTl6iiL Z9fELEEIZ-'k- N \ 90
1 '
c;
ir, ? LOT
p?, 0
Lij No 6 ON
cY
? bCD ?O 0I
;
C? Z : cr
Z m
z (n
Z
?-- t ''i WI
f 7
W
z 150.00
; N89°3MWE
_.,
,
::JT .:?
PROPERTY OESCRIPTION
LOTo , BLOCK! ,
CzREENSBORO
xeorcgnq to the rscadad plat tMraof
DAKOTA cauny, Mienewta
S Ci1LE• '° 3U
LEGEND
a DENBTES IRON AAONUMEPIT
* DENOTES WOOD HtB SET
DENOTES EXISTING SPOT
0.EVATION
DENOTES PROPOSEO SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
PROPOSED GARAGE fL00R ELEVATION • 9/0x0
PROPOSED FIRST FLOOR ELEVATION ¦ VorA
PROPOSED BASEMENT FlOOR
ELEVATION
NOTE - VERIFY ALL FLOOR HEI6HTS WITH
FINAL HOUSE PLANS
eradley Forenson, Mn" Req. No.15235
Dote - Af 9??
l lanby e?rtify tlat tNs survsy,plan or
repwt rns prepar?d Dy ms or under my
dinM supervision and ihat I am a duly
Repistered Land Surveyor under the
Laws of tAe Stats ot Mtnnesota.
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*R7PF: PAYMF:M OF FF.E AT TIIM OF
aPrisrxMoN noFS Nar oONMTM
APrxovra, oF pERMIT.
INSPDLTION OF SEtiM ADID/OI2 M'a32
7nSmnrTamrONS WII3, NOT BE SCHED--
ULID ONFII. PERMIT HAS BEFSI
APPROVID.
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STFtCGMRE, DATE OF ORIGINAL BLTILDING PERMIT ISSCANCE: .
? (Nbn Year
, PRFSENf ZONING/PROPOSID L'SE:
[l COP'MERCIAL/REfAII,/OFFICE ? R-1 SINGLE FAMILY .
f-7 IND'STRIAL Q R-2 DL'PLEX (St.o Onits)
? INSTITL'TIONAL/GOVIItNMENr ? R-3 1UWNiOC?SE (Three + Units) ( Units)
R-4 APARTMh3aP/COPIDOMINIUM ( Units)
2)
' NAME: 111L.1'A.I £/L
46.
• ADDRESS: ?U/o? ?7 fLJ4 ?.U -
CITY. STATE, ZIP: CC/?f.cJ ?.?/pue
• 3) • u ?: a• For City Use .
- NA"E=__5-4M e- a S zt/ ? Plumbers License:
ADDRESS: ? Elve
red
CITY, STATE, ZIP: recorded
PHONE: MASTER LICENSE# Sta?tial
4)
??i?u•:,-]??7?,,,[ ,'?;m ?y /?
NAME'_? n F_ ///1 C..lJ?T '
ADDRESS: '
CITY. STATE, ZIP:
PHONE:
.5) n v I a• •?• : a • a? - s?
Cg CONNEC.TZON 1oCITY SEATEEt CONNIIXTION ToCITY WATFR c2 OTfm_-
6) ?? • • r
? PI.FI;SE IiOLD APPROVID PERMIT FOR PICK-L?P BY 0NE OF ABqVE
? PLF'.PSE MAIL APPROVID PERMIT 70 1, 2. 3, 4, ABOVE
,?/ ) (Circle one) / /
FOR CITY USE ONLY PERMIT # ISSUED
.?13
Pd w/Bldg. Permit FEES:
$ $ 1D•50 SEWER PERMIT (INCLUDE SORCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE) .
$- $ WATER METER/COPPERHORN/OIITSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ ? SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ ACCOC'NT DEPOSIT - WATER
$_ wAc
,
$_ 575?J"? S sAc
$ S TRDNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$- $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$_ TOTAL
RE •IPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MUST BE ISSL?ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE :
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
• arr oF EAcani
3830 PILOT KNOB RD - 55122
l.-i "a'?]C? 651-881•4875 p , I
New C?+n+1RC8on Reaulremenh - modi?i/R?e?oair itea?uiram ? ? x= ? rl"
? 3 reylafered flfe wrveya showing sq. ft o/ bf, sq. B. of houte
and QQ rooled areos (20'6 rtwxlmum bt coveraae albwe?
? 2 coplea of plans (ahow beam d wlntJOw flzes; poured Intl. dealyn; efcJ
> 1 set of enerpy calculallona
> 3 coples of tree Proservatton Ptan Hbf PlcMed aHer 7/1/93
DATE: e28- 16 -00
2 coples W plan
1 set of energy cdcutallons fa heated additlons
t sife wrvey for e)tedor additlau & decks
CONSTRUCTION COST: o?`? ??
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ? BLOCK: ? SUBD./P.I.D. EI:
?i9G ?-'
Aj ? ?'/ f.I • S J /Z °d
#
Pr
Ncme: ,ona
:
PROPERTY wst Flrst
OWNER ,47?
S sl3zK-a
p
Sireet Address:
State: ?71aJ Zip: ??; /Z3
CitY
. Company. Phon
re(ci code)
CONTRACTOR
Sheet Address:
license ExP•
CNy State: Zi
ARCHITECT/
ENGINEER
Telephone #: ( )
Name:
Streef Address: 7t@plshatlon !1:
Clry
Sewedwater licensed plumber
1 herebY acknowledpe ttwl I have read Mis appflcalbn, sfate that ihe
of Minnesofa Stafutea and CNy of Eagan Ordlnances.
. Zip:
bn is corteef. agre/tIo-cl p6wilh A aPPOcable StatE
State:
Signature of ApplicanY.
OFFICE USE ONLY
AUG 16 2000
CeRiflcates of Survey Received _ Yes _ No
Tree Preservatlon Plan Received _ Yes _ No _ Not
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex O 13 16-plex 0 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.)
? 03 01 of _ piex ? 05 07-pzx W t8 Deck ? 23 ?oroh (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N O 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
0 31 New ? 36 Move Bldg. 0 43 Reroof
? 32 Addition O 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) O 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ? # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) .5 =A/ Basement sq. ft. Census Code
(Allowable) ? Main level sq. ft. 171 MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Ston e
APPROVALS
?
V
i
Planning B uilding Engineering ar
ance
? 31 Ext Alt - Mutti
? 33 Ext. Aft - SF
? 36 , MuRf
Permit Fee Valuation: $
Surcharge S_U
Plan Review I "? [> _ 9 /0 171 x,5-`
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: . (.0
SAC Units
% SAC
DIJ? i_?yc
- l-LAND C0. SITE PLAN FOR=
, SURVEYING
SER1/ICES JOSE PH MILLER
4655 NICOLS ROAD CONST.
EAGAN, MINNESOTA 55122
?
?
c.
?
O
o
<s °
? O
, co
?
z
( N89°31' 515'E
?,- 150.00
N _ ?gyye6E t uT?urY ?ffl?rs
LOT
6
s? e
l7 t? 5
?
x
u? (
N 89°15G' E
: Or ti
PROPERTY DESCRIPTION
LOTo , BLOCK! ,
GREENSBORO
xeordinq to the ncoMed plat tMreof
OAKOTA cauity.Minnesota
LEGEND
c DENOTES iRON MONUMENT
o pENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE OIRECTION
1 Innby eortify ihat thfs survey, plan or
reDaf was prspar?d by ms or under my
dirsct supwision and that I om a duiy
Repistered Land Surveyor under ihe
Lqws of the Sfate of Minnasota
?r
°` ? 30
I 3
1• ? ?r
? 0
,
?o
• z
r ? 4,/ 3p
SCNLGA'a3U
I
0
PROPOSED G{lRAGE FLOOR EI.EVATION ¦ 4lpro
PROPOSED FIR3T FLOOR'ELEVATION • qrneb
PROPOSED BASEMIENT FLOOR '. '
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
BroEley 01°?r?nson, Mn:' Rep. No.16235
/
Date - A?>9ac
Rug 18 2009 3:13PM HP LASERJET FAX P.1
.f' f 1
bill of EWR I
1 Permit Fees: LS~T'+~7-/ C~ i • 8S
3830 Pilot Knob Road
Eagan MN 55122 ~ bale Received: ,
Phone: (651) 6754678 i staff Q 1
Fax: (651) 67541694 1 1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Deft: sits Address: _3 7415. s~ole.o
Tenant: Q -1 ~'/1r s} K 1 "41 Z 4f~ O Suite Iii:
RESIDENT 1 OWNER Name: A< 14-1-rA + X 1 t`t 61 214 A 0 Phone: (,ga/17- • age ~ • 8S`18
Address/ City l Zip: '57(005- 66OF-0 a
Applicant is: Owner Contnl+ctor
TYPE OF WORK Description of work: S PIK> 1 to ic 'XD
Construction cost 5 93-7 2. t Multi-Family Building: (Yes ! No No
CONTRACTOR Name: -rV P' F S f f-ex1 License tl: 2-Off 5C (0 M
Address: tfv 8'? I-~w t.t 101
City: SA%ePw&% B. State: M N zip: -fts 9 8
Phone: qsZ • Z17--;Z402- Contact Person: V I CAC-1 -1'e,19.CoQP-0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A N_EE BUILDING
Minnesota Rules 7670 Cateyorv 1 Minnesota Rules 7672
Energy Code a Peslde lial ventilation Category 1 Wofttieet . New Eruryy Cade worksheet
Category Submbed submitted
(4subn*wlon typo) a Energy Emeiope CaimAitions Submi#ed
In the but 12 months, has the City of Eagan issued a permit for a similar plan based on a nsaider plan?
Yes ,'Z__No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer i Water Contractor. Phone:
NCiTE: l' s ond's documents athat
fl'ppor4tng you swbnelt see consltfiigQf to fret ptibtlc itnformatioef. P eff
Ow Jrefgrmaitfon ttlaybe chmAdf di f as non-public If you prlbvktie spwMv reasons OW wogdd p~ the City to
conchfde Unt they are trade secrets.
I hereby admatedge that this irdbrmabon is cormpleie and aorurals; th l the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand No is not a pannit. but only an application for a permit, and worts is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work whk:h requires a review and approval of plans.
A y t uLc T6e-(' t x 1V ~G~f C.e~✓d
Applicant's Printed Name App icanfs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace - Porch (3-Season) Storm Damage
- Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family)
- Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ~cae Occupancy MCES System
Plan Review T Code Edition SAC Units
25% 100% *0107-7
( _ 4 Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction _ f Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final/ C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings _Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
T Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES ff6-7
> 5/~ A',r4 ~wD ED TO 12.X Z
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC r
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
i
Aug 18 2009 3:13PM HP LASERJET FAX P-2
;-d LAND C 0. SITE PL AN FOR:
SURVEYING SERVICES JOSEPH MILLER
4655 NICOLS ROAD CONST.
EAGAN, MINNESOTA 55122
1 t
N89*:M 54W"E
150.00
D RA/NACe t ull &j rt IMAE 5 i L io 1O
Si ~ 1 1
M
tl-i a LOT
i C> 0 6 N
b oo
s~ d1 G~~ to
c r! ~ 5 ` 10 I W1
150.00 3 W
N 89° 31' S -i'' E
.J
L_C#T ;w5
PROPERTY DESCRIPTION
L OT_. 9LOCK
GREENSBORO
according to the recorded plat thereof SCAL-e 1'=301
DAKOTA Cawty, Minnesota
LEGENO~
o DENOTES IRON-MGNUMENT PROPOSED SW E LOO at-CV4TI
o DENOTES MfOOD HUB SET PROPOSED F'11t:xT OD 19LEWITIMK;
DENOTES EXIST ~N,1# SPOT PRAP`Q~Q ~S'aENT R~,dQR
QEVA TION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION NOTE VERIFY ALL FLOOR 14E{GHTS WITH
DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS
1 hereby certify that this survey, Plan or
report was prepared by am or under my
direct supervision and that I am a duly Bradley *soon, Mn_ Rey. Na. mass
Reptstsrsd Land Surveyor under the
Laws of the State of Minnesota. Date
~L
r`.1 For office Use
A~ ,
City of Evidin I Permit#:
I Permit Fee:
3830 Pilot Knob Road I -f
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION e d
3 6
(U~Ui >lL7 `~YU 12I H° 3 ~2
Date: Site Address:
Tenant: Suite
4 1V
RESIDENT / OWNER Name: Phone:
Address / City / Zip-
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 44
Construction Cost: /r9 f1F1/~ Ems- Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code , Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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 understa is is not a permit, but only an application for a permit, and work is not to start wAaput a permit; that the work will be in
accordance with the pprov d plan in the case of work which requires a review and approval of plans.
X_ j x
Applic nt' Pri m Appli~~ sl ~i
10 Page 1 of 3
2009
JUN 3 0
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
~C Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% j Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction r' Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) - Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
a
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3