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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