3771 Greensboro DrPERMIT#
MFCHANICAL P.ERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
A[_T PRICF• • %? DNAIdF• A5A.A1f1/1
m Name
m Addre
c City =
Name
?
c Addres5
p City ? Phone -
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unft Heatar M BTU
_ ,.
Air Cond. ? M BTU
Vent CFM
Gas Piping Outlets #
var ?vi
FEE:
S/C:
TOTAL:
BLDG. TYPE WORK DESCRtPTION I
.
Res. New
Mulk Add-on
Comm. Repair I
Other
FEES
FiES. HVAC 0-100 M BTU
-$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION
)
GAS OUTLETS (MINIMUM - 1 PER PEfiMIT)
- 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLtES ?
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & I
REMODELS - 12•00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF
BEYOND $1,000)
/?,
.?. ? -....
E Site
? Name _
m Address
c City _
? ? Name _
; Address
? O CitY -
Boiler
' Unit Heater
Air Cond.
Outlets #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
c/Sub BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult Add-on
Comm. Repair
e = Other
FEES ?
RES
HVAC 0
100 M BTU
$
4
0
'. ?.. '' .
-
-
2
.
0
ADDITIdNAL 50 M BTU - 6.00 .
e ?
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
PER P
R
?
.?,., (
- 1
E
MIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
_ ..._.....?.. ,.....-• -•-- ---..__
-?_ TOWNHOUSE 8 CONDOS - RES. RATE APPUES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADO-ON S
M BTU REMODELS - 12.00
M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM
\
(ADD $.50 S!C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE
?----?--?..
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
PERMIT # n -;l 22 -7
• PLUMBING PERMIT RECEIPT t? ?)lt?D 5
CITY OF EAGAN
3830 PILOT KNOB ROAQ, EAGAN, MN 55122 DATE:
SlteAddress BLDG. TYPE WORK DESCRIPTION
Lot ?. Biock Sec/Sub - Res. New
Mult. ? Add-on
? Name ^ z ' ? - Comm. Repair
? Address Other
c City ?,f, ?• ??- - U•_/ Phone RES. PLBG. ONLY - COMPIETE THE FOLLOWING:
NO FIXTURES TOTAL
Name Water Closet - $3.00 $ ;. ,
? Address ?L1 Bath -Tubs - $3.00
3 Lavatory
$3.00
p City Phone34:?,12 -/ I/U Shower - $3.00
i.Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE LLaundry Tray -$3.00 ?
APT. BLDGS -.COMM RATE APPLIES _/Floor Drains -$1.50 /. 5 u
TOWNHOUSE & CONDO - RES. RATE APPLIES % Water Heater -$1.50 f K0
MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE -$20.00 =Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.40
::z:Rough Openings - $1.50 1?' -S v
SIGNATURE OF PERMITTEE FEE.
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: _??
• CITY OF EAGAN
t ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 119
Site Address
"•~ ???'?? ??
5it
S OFFlCE USE ONLY
3 ?
O
Lot Block Sec/Sub. On
e
ewage
ccupancy
?-
MWCC System Zaning
Parcel No. On Site well Type of Const l'
CityWater (Actual)
.f
_
?
a NamB (Allowable)
i
W
o ,,
Address '
: 31) * D} StOfIBS
Length
.
City " Phone
^s V,"I ` ";
Depth
T
F
S
t
l
Q Name .
.
o
a
Footprint S.F. I
? a Address APPROVALS FEE8 I
'
? City Phone Assessments _ Permit
tc Water/Sewer _ Surcharge
W Name Police _ Plan Review
*
=
_ -
address Fire SAC, City
-
v=
m
CitY Phone Engr. _ S,NC, MWCC
W Planner _ Water Conn.
I here6y acknowledge that I have read this application and state Council
Bldg. Off. _ Water Meter
_ Road Unit
thattheinformationiscorrect8ndagreetocomplywithail plicable APC _ TreatmentPt
State of Minnesota Statutes atYd ?'slty
p/? Eagen QTdih?(t? :.•..._. Voriance _ Parks
.
SignatUfe Of PermittBe Copies
TOTAL
A Building Permit is issued to: on the express condition that I
all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinances
Buiiding Official
Permft No. Permit Holder Date Telsphone *
Plumbing ?, ?,?;' -? ,%•,, ,' "
H.V.AC. _?. (' '_.,:, ?v,..f.i-?: •?..,'.c:? 'c
r `'`,?/ 7
Electric
Softener
Inspection Dats Insp. Commenta
Footings I Kr 1Y 4,)
Footings II
Foundation
Framing ?
Roofing
Rough Plbg. qq.p
I
Rough Htg. y? gl
IsuL '
? R
Fireplace
Final Htg. ?
Final Plbg.
Bidg. Final
Cert.Occ. ?
Temp. LP
Deck Ftg.
Deck Frmg.
Weli
Pr. Oisp.
. ,
BLDG. PERMiT NO.
? f-
_
: t
? 01-3210 ld'g. Permi_
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge ^
17-3860 Road Unit
ZO-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.
S
- ICJI,
/t? -:-, I n
TOTAL -' ?' ?
? CASH RECEIPT ?
'CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATFi
REC EI V ED
FROM
AMOUNT . ? `.,
r , ? f
?
' & DOLLARS
+oo
? CASH ? CHECK
•/, ' ?
BY
-7
White-Payers CoPY
Yellow-Postinp Copy
Pink-File Copy
Thank You ,
CITY OF EAGAN Permit Na """
3830 Pllot Knob Rosd . Meter No;
P.O. Box 21199 ? Reader No:
Eagan, MN 55121
3oE! ;;i11er Const.
Owner.
Site Address: 1771 f`re[+nalvnrn
Conn. Chg: 525.00pd- Zoning:
Acct No. oi Units: I
Permit Fee: 10• 070pd
Surcharge: • 50pa I agrsa to comply wilh the Ciiy of Eagan
Tr. Plant 1 So• ??f-?P`j Ordlnances.
Meter. f?,7 QJRd
? WATER SERVIGE PERMIT ?
? __ - -
?-- - - -- ---- -- -------------
,
I ;
{ CI'LY OF ei1GAN SEWER SERVICE PERMIT ?
i 3830 PHot Knob Road P.O. Box 21199 ? ? PERMIT NO.: ..? . ,. -.
Eagan, MN 55121 DATE:
1
? Zoning: T' No. oi Units:
? Owner. Joe Mil ler Const.
Address:
! SiteAddress: 3771 rre8nsboro frive L L Greens1bor,-,
"iltnez essian P umbinh
to compy with tbe City of Esgan
Insp.:
Size:
Date:
.., ,...
Connection Charge: ' 25 • (
Account Deposit: 1' • ?
Permit Fee: 1 C? . (
Surcharge: ?
Misc. Charges:
Total:
Qafe Paid:-
CITY OF EAt3AN Permit Na Dafa i? 7
. 3'st-r 70 5- 7/ Slze:
3830 PII.ntXnob Road MQter Na
P.O. Bqat21199 Reader No: Q.. ?-F Date:
Eagi4n, MN 55121
'ozs t
Owner.
SiteAddress: 1771 ('rpPnchnrn T S P1 r'.-nanqhnrn
Conn. Chg: 525. 0 0 nd
Acct Dep:
Permit Fee: ?-?? •'?'" ?,?? V?
Surcharge: •??I??e 0 comply wfth the Cih? of Eagan
Tr. Plant Ordinanaes.
Meter. r,7 r,rn? e_- ?, ?? '%
Misa: BY
WATER SERVICE PERMIT ?
C" OF EAflAN
3830 P**)Cnob Road ,, ., 7,,
P.O. 80?'21199 ` ' ' -" PERMIT NO.: ' ? ? = '
rien, MN 55121 `DATE: ' 14 - ' - ?
Zonin9: pl No. of Units: 1
Joe `•tiller Const.
Owner.
Address:
SiteAddress: 2771 Creensboro Prive L5 Bl Greensboro
Plumber ''.ilr.rer 7es n 1 bi o
J C? >
1f) .€7 71'U7'.: 100.00d
1 agree to comply wMh tf?e Gty of ? t n?r y C S n o e: ??i?- :
Ordinances. Before iggllg C???B??
TEtEPi?iO??,E - EL?6? ?
By R E Q UI R E a S?? . , -
Date of Inap : Totel:
Insp.: Date Paid:
SEWER SERVICE PERMIT
/?l?t.,/REQUEST FOR ELECTRICAL INSPECTION kift ea-?joooo?i-
0 See inst?ucl?ans lar compleli'q this torm un back oi Yellow copv.
*8 "X" Below Work Covered by This Request
Adtl Rep. Tyve ot Bwltling Appliancee Wved Eqmumem Wired
-21 Home Ranpe Temporarv Service
Bulk Mi
p Fee Ser?,uca EnVanceSize p Fee Feaders/5ubleetlers N Fee Circuits
U ro 200 Am s 0 to 30 Am s l 33- o io 30 An.
Above 200 qmpy 31 to 100 Amps ?. d? 31 to 100 q y
Swimmin Pool Above 100_Am s Above 100_Am :
Transiortners Irrigation Booms Partial."Other 'Ee ?
L ? I Signs ? ?ISpecial InspecLOn 'S
Nemarks 5D , TOTAL F 4?q ? 1
? ? ? ? ??? ?
??? 1, the Elactncel
Insoector, hereby
cerbty thet the nbovo
'Q"i?/dy ?nsveotion nas eaeo
This request void 1,L/C4/g- 7
18 months from
C_ 80896,C,?
??G•GC•
PeQUest ?ate ' Fve No. HouBP-?? InsuecUOn Pe u'red? ?lieatly Now ?Will Nolify
Inspec-
"a7 - g' ?Yes ?NO _
lor When Ready
Licensed Electriwl ConVactoe I heroby requesf inspection ot above
Owner electrical work mstallad et
Street Address, Box or Nou[e No.
1 greevi6bov?o Drive CnY
?a ?.vl
ection o. Townsh,p Name or No. Rang¢ o. Counly /
C,,,L,[/\QTa?
Occupant(PqlNT)
Joe M r Iler Phone No.
Povuer. Supplier
ktrfk. ?ItfG Address
?3co 'AaG'ith
Elect?n/y? al C1onvactorJIComp?any- Name)/??
'
°
l Contractor's Lmense No.
1&10`'
/r1 Q!/lQ (?j
?G
eL?-Ti'1(.
i )--
MaihnB Address (Contractor or Owner Making Instailation)
'2500 W d;i 'ecI 4d t3?cr$4 sVrf?e
Authoriz94 Signamre (Convacto Own¢r Makmp InstallaLOnl Phone Number
9?
&
r /
?e - g
MINNESOTA STATE BOARD OF ELEC7AICITY 7NI5 INSPECTION pEQUEST WILL NOT
Grigpe-MidwaV Bltlq. - Room N•791 BE ACCEPTEU BY THE STATE BOARD
1821 Universiey Ave.. St. Peul. MN 56704 UNLE55 PPOPEP INSPECTION FEE IS
Phone 16121 642-U800 ENCLOSED.
1
? 7454
Reque4 Date `
u
o Fire No. Rough-in Inspeclbn
R mretl?
? Ready Now ? WAI Noiily Inepac[or
YJhen Ready?
0 Vas No
I licensed contractor ? owner hereby request inspeclion of above electrical work at:
Job AOdress (Street eox or Route No )
3 7 7/
5
FQS
- I?
J Qty
!
?-
9-?
?'
<
w 5 o ,.
_ a ?
.
•
Secnon No Townehip Name or No.
I
flange No
Counry
,o41ez rR-
Occupent (PRINT)
8 1
01
V
lr Phone N0.
- 1)4- u
1
"
O e
PowerSUppLer Address
Electncal Con[rector (COmpeny Name) ? CoMraciwk ? ?
c? H G 5/ ?
Mailing AGdrass (COmractor or Owner Meking Instelletbn)
fz s.sL aA C-r ?ra
Ie (??-//g
Au1Mr' ignature(COMr nerMa in9lnstallaoon) P??NUmber?_ -7?
O?
O
MINNESOTA SgM eOARD OF ELEC7i11CrtY 7HIS INSPECTION REQUEST WILL NOT
GAggsMkhvay Bltlg. - Hoom 3-113 BE ACCEPTED BYiHE STATE eOARD
1821 Univenlty Ave., St Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(812) 642-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION AV% ee-ooom o7
? See msimchone for wmpleting this tortn on back M yellow copy G?O r/ j-r`j
0 oa
M 7 7 4 5 4 X" Below Work Covered by This Request
e Add Rep. TypeolBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Andustrial Furnace
Farm iic Conditioner
Otlier (speciry) Mreclor5 Remarks.
Compute lnspection Fee 8elow:
# Other Fee # ServiceEntrance Size Fee # Crtcuils/Feeders Fee
Swimminq Pool 0 to 200 Amps o to toa Amps
Transfortners A6ove 200 _ Amps A6ove 700 _ Amps
SignS lnspeclor§ Use Only TOTAL
Irti9ation Booms ?
16.?
?
Special Inspection
Aiarm/COmmunication
b
Other Fee
I, the Electrical Inspedor, hereby Rough-in
? oare
certity that the above inspec[ion has
been made. F,,,ai oaw 1
( ? 7'Y
OFFlCE USE ONLV
Thie request voi0 18 manths fium
CITY OF EAGAN Na 13 3 2 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE: 454-8100
BUILDIN G PERMIT ' Peceipt# / lSl
Tobeusedfor SF DWG/GAR Est.Value $$6,000 Date MARCH 10 19 87
Site Address 3771 GREENSBORO DR OFFICE USE ONLY
Lot 5 elock 1 Sec/Sub. GREENSBORO 1ST OnSlteSewege Occupancy
X R3
MWCCSystem Zoning Rl.
Pafc@I N0. On Site Well Type of Const
City Water ? (Actuaq
a Name JOSEPH MILLER CONST (Allowable)
w
=
Address 18133 CEDAR AVE SO # of 5[ories
Length
62
° City FARMINGTON phone 892-1010 Depth 4?1
S.F. Total
a
o
Name SAME
Footvrint SP.
,
o`
Address
APPROVALS
FEE5
? City Phone Assessmenta _ Permit ?@ -4-54.
-.50
r
r `+?
00
Water/Sewer Surcharge •
yVj W Name Police _ Plan Review 227 - 25
? W Fire SAC, City 100. 00
_? Address 525
00
u Engr. SAC,MWCC
- .
aw City PhOne Plannar _ WaterGonn. 579 .fl0
Council _ WaterMater 67 np
I hereby acknowledge that I have read this application and state Bld& Off. - F7oed Unit 305 0
thattheinformationiscortectandagreetocomplywithallaDP?icable APC _ TreatmentPl _I,gqt?p
State of Minnesota Statute d City,of Eeganld ifTBnqes. Vaiiance - CParks
op es
Signature oi Permittee ? ??'?'??"-"-- TOTAI R7 _ 67fi _ 7$
A Building Permit is issued to: 10 APH MILLER CONST on the express condition that
all work shall be done in accordan with all appqlicable State of mnesota Statutes and City of Eagen Ordinancea
Building Official ?'
P
763 398 0313
Mar 20 OS 08:00a N,orthern Exposure Ext 763-398-0313 P.J.
??3 7/
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
RemodellReoairReouiremenLs OfFice Vw
NewCastnwtionReouirpneMS isls CeRMSuneyReal _Y _N
3 registered sile surveys shnvnng sq. R of lot, sq. ft. of lause; arM ??I ioo[ed a2as 2 ropies oi danshovwg In$tinys, ? ?h?[e?ansadditions . Solls Repa? -Y - N
(Zi1%maximum bt wvera5e ?u+?) 7 set of Enei9Y ? Tree Pres Plan Rxd _Y -N.
1 Sotls RePort rf propased buOQig is W 6e placed on disturbed mil t srte survey for additiore 8 decks Tree Pres Re7uiretl _Y -N
uredtounddesign,etc. Addifian-'rrMicatei(on-sifesepOCSystem ??Sept?syslem Y _N
p cppips pf pian showin9 heam & window sizes; po -
t setof Ene+gY Cakulalore
3 copies of Tree Preservatlun Plan H bt Watted efter 711193
Rvn Jolst Delail Optrons sNedlon ahee[ (buidings with 3 or less units)
Minnegasco medharorai venblation torm
Pia:es asPe consamereei pbfi, ?raforex+afiacce ueoeess ou state the are trade sec,eL ard dhe reason.
Date Constraction Cost ? ? ?? O C.• U . 6 o
Site Address -7 /- ? n `? Unit/Ste tl
S?c' v`> > h r ?' r?
1 v
Description aT Work c - ? ? n n c4 f`
1
- -
Multi-Family Bldg _ YIZ'N Ftireplace(s) 0 2
property Owner i_? 1 ' -{ M n <J?-r-?_- Telephone # ((p 5 '7 y
`,-
"Contractor VlI n
?. ?•'c City ?'?r n
Address O ' a ?
State (y1 ti+ Zip ? .? Telephoce # (??3)
COMPLETE THIS AREA ONLY IF CONSTRliC7lNG A NEYY BUILDING
Minnesota Rules 7672
- Minnesota Rules 7670 Cateeorv I - , Ne,,v Energy Code worksneet
Energy Code Category . R?iderrtial Ventifation Category 1 Woficsheet Submilled
(-l submission type) $ubmitted
• Energy Envelope Calwlations Submitted
En the lasi 12 months, has the City of Eagan issued a permii for a similar plan based on a master plon?
y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanicai Contractor
Sewer/Water Coniractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ?\? ../?
l_ o r? vt 1 c- .1 )c. v , C!
ApplicanYs Printed Name Applicant's Signature
2004 RESIDENTIAL BUILDING PERMiT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?A.rjb,UU
,..u.
New ConsWdion Reouirements RemodeVFteoair Reauirements ice 47$e On„
3 regisiered s'Re surveys showing sq. ft of lot sq. (t of house; and all rooted areas 2 copies of plan GeA of SuiJe?ftecE. -_ 3,?:_YaS; '?
(200h meximum lot coverage ellowed) 1 sat of Energy Calculaflons for heated addiUons Liee;R?plsq?'.,"t;gy'.,u,N,
2 oDpies of plan showing beam & window s'u.es; poured found design, etc. 1 site survey for addNOns 8 decks Tree'PiesReqUired =s .=Y°=,_ N
1 set of Enargy Calculations AdtlRion - rridkate ilon-sRe septic sysfem N
3 copies of Tree Preservalion Plan if lot platted afler 711193
Rim Joist Detaa Options seledion shcet (bldgs w0h 3 or less unils
nate /O Construction Cost `t 99-5
Site Address .?7 2? C!c's?,c /70l0 ??r UnitlSte #
Description of Work T2cr1 0
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner )3 N O'/C v U/" Telephone #( )
Contractor
Address
State 4100 EXCELSIOR BLVD.
T. LOUIS PARK, MN 5 416
,n u9004ncn ?p City
Telephone #(4?rj ) Z 9 ?• 7 7 7?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry , Residen6al Venhlation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted '
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclmowledge that the informatio g? lete_and_acc te;
that the work will be in conformance with the ordinances and codes of theCity 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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
? 2 /`'A -
Applicant's Printed Na e ApplicanYs Sign re
?
. ^ _, .
1987 BQILDING PERMCT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLIIDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SORVEY, 1 SST OF ENERGY C9LCOL9YIDHS
HOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOHNER MDST DESIGHAiS iiHICH ADDHESS
IS DFSIRED. NO CHANGBS BILL BS AI.LOWSD ONCB BDILDING PSRMIT IS ISSiIED.
MOLTIPLE DSiEL,LINGS - RSSIDENTIAL RENTAL DPITS FOR SALE IIHITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQ@9EY - CHSCB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPIl+bRCIAL
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To He Used For: -jI,Q,W VjApyy?-L Valuation: Y? Date: L4 -??
Site Address -nrl I .6\Abryyq)0",p d11 ,
Lot 5 Block ?
Parcel/Sub 4A.9?6'\.O 14>-r
Owner
Address
City/Zip Code
Phone
Contractor(?MQ
Address 18533 Q.e.cta.rt, Q.u2 • ?--.
?-
City/Zip Code4O.'t)Wo.rW?q?t7(?
Phone '6q a. - 10 t C.
Arch./Engr.
Address
City/Zip Code
Phone ik
On Site Sewage_
MWCC System ?
On Site Well
City Water V,
APPROV6LS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
Occupancy R•3
Zoning 12•I
Type of Const
(Actual) ?
(Allowable)
# of Stories
Length Co?
Depth 41
S.F. Total
Footprint S.F.
FEB.S
Permit
Surcharge 43•
Plan Review ZZ7. zs
SAC, City
SAC, MWCC 525.
Water Conn 5Z5.
Water Meter +o?.
Road Unit 31)5. ,
Treatment P1 1a0, '
Parks i
Copies
TOTAL ?
-7s
. /
UJ ?
'2-C? ?W t
? 4 -
20 x22" 44o x IZ _?2an
O.S3 20
1
TRI-LAND C0.
SURVEYING
SERVICES
B?IF
3
v
00
N In
b °°
z
(O1q
9o/.4/
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR :
JOE MILLER CONST.
I
10) I U ?..? I J
4 ? I
h O
?L I
"9i'l.?l J
N 89°31'56?'E
150.00
? ?-n
Or.;.,w - - - 22' 9o9K
S ye anAVf;hty6ate++ent 8
I ?'p GP?G? o I
ag'vE µ/A?
?o ? - - - ? 1?' 3a
I LOT 5 _
31
WI??KWt t*?
Hv?SG1,? I
I 9os. 32" 908,0 ,o
E.semtnt-1 J
150.00
N 89°31'56" E
1 _'0 j 4
PROPERTY DESCRIPTION
LOT--?-., BLOCK I ,
GREENSBORO IST ADD.
oceordinq to the recaded plat thersof
DAKOTA ca„My, Minrresma
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
899x9 DENOTES EXISTING SPOT
ELEVATION
(986"q) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
l hereby csrtify that this survey,plan or
report ras prepared by me or under my
dlracT supervision and thaf I am a duly
Repistered Land Surveror under the
Laws of the Stote of Minnesota
N
SCALE ? I" = 30'
7, 6
7'eI
3:
00
O ap
?a
0
Z
0
m
1N?U'f 91 .S?f??CC 89G?L
PROPOSED GARAGE FLOOR ELEVATION = 210n0-
PROPOSED FIRST FLOOR ELEVATION _ Q'ln?y
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE ? VERIFY ALL FLOOR HEfGHTS WITH
FINAL HOUSE PLANS
Bradley/fSwenson, Mn. Req. No. 13236
oate
...?•,•,?•. ••?•• ??ru•rnrlun
(To be eubmitted ?v tvitlt building permit eppllentio,n)
orl3 br 'Two Family Dwelling
IIll otl?er Owner WI-A)
_ BfEe Addreee
contraoEor o .• ?11- 1 t=P C,, v?-f- .
, Date Pttone
LIIIEU, FVET OF
EXPOSED YIALL ywp(L? ite nbove grade
?
• RbTAL EXPOSED {YALL AAEA 8g,. FT.
OPAQUE WALL COtIS'PRUCTIUtI! "U" Vslue x Ares •
oataii --??E flu?? .043 x sQ. Fr. 17 2-1 3 _ l144 ??)cu)(??n)
reference °??? SR, FT.- )
Irom _ie1W1n ? ?
x 3Q. E'T????)
attaclied ? ?i ?u x 6Q. FT.
slieoEs I'Ufl - ??)?R)
. upu X 8Q. FT. ? (U)(A?
x 8q. FT. _ (U)(A)
V7INDOWBt ??U?? Value X Araa ' .
Nalce !k Type ?tdSVLU4?-,u? nUn "
?? &z 8 FT. ZI?I?J ? DO M(A)
n it Un x SQ. FT. Un npu () (A)
n IIuu x Sq. FT. = (U)(A)
x sq. FT. a (?)(A)
D0o128t itUll Value x Area .
Ilulce & Type ?bo?5 n?u o t?
FT. G?- --(A)
n ?? .?7"?I UWl upn o x 8?• FT. i 10
npn ?' (tf) (A)
n npil x SR. FT. - (U)(A)
- x 8q. FT. ? M(A)
zomni.a Z31_?,sQ. f•x._?- I g,?Z cul cn)
TOTAL ( U) ( A) y/?,UEg AYEIiAc?E ??U ??
1a ?,2Z a
DIVIDEll 8Y TOTN. CIAI,L Al2Ell Z':,jl I,
AVEIiADis 11U.11-;10 0I. ?,eae tor 1&Z tumily dtiiellinge
RoOF/CEILINai?" •
TOTAL Ai2EAi ( 2j?t5 ?
Detail reierence npn ' Z ? (37zS
from - -- ? ^ _.X 8Q. FT. '
nttaclied stkeeEs. n?II x SR• Fm. -
x (U) (A)
lleocribe opeuingo nUII S@. FT. = (p)(p)
in roof. X $R• FT. Sq. 7'oTAL (U)(A) VALUES DIVIllED BY x 7o7"l?I.?j z.oS54?f (U'VA)
''1'0'1'AL I200F/CEI1,IIIU N1EA ? 15 '7z?C
AVEI?Aan iiUso r ve»Eilnted roofe. ??,Z+-
.025
. v . , r+
' • 'll
?D??
??
lis+;?? C4?4z ?z,?-z) = lc?zl,g
?-
(o; x 170
83,c12a - I?-I ? I ?
W i ,?
,?--
1(
I 1 i? ??X (?a = 13 ? 7s? l=, l3 ??s
I I ??- 4-5 =2z15X2- 445lo
?I ?-Z4X tac, =4??z?-,c2=8z1s
27,OXI = z110
', ?-X 3(o Z(o, 2?X ?_ (o 11915
-?
PR 7- 1, o
;
,
?
?,I
14
?4z,O ?
I ;;T7 z67?
?
?R0440??
fdg? 5wft?=>
wk"
tivi?u S
tA
?
?T?II
zi9,5'
?i z3
. • Determining "U" velaee aL Roof$ Wallf' Rims and Conc. Block
ROOF/OEILINa
1.) Interior Air !•iln
2.) 5/810 (lyp. sd.
3.) Itteulation
4.1
50 Exterior Air Film
t eTII.t, )
.. R Y ll
? 0.61
.56
4'Q'.Gt7
.61
ulJn Q 1/R= •02.1 iOTAL (R)'
=._
. ?.
WIlLL
6.) Interior Air Film
70 1" aYP. Hd.
80 Inaulstion
9.) burcr-P-aTE
10.) Masonite Siding
110 Exterior Air Film
R VALU
0.68
.45
?9•00
Z.0 9-
.17
uUu a 1/R= TOTAL (B)= 23.ol
RIM
129) Interior Air Film
130 Insulation
140 211 Fir Rim Joiat
15•) gVILT-'?!TC
16.) Maeonite Siding
17.) Exterior A3r Film
R VALUP
0.68
19•oO
1.88
2,0¢
.67
.17
opn v 1/Rn ,04p TOTAL (R)a Z7.g¢
FOUNDATION
18.) Interior Air Film
19.) .
20.)
?-+1 y rxrP?a
21.) 12" Oonarete Block
22.)
23.) Exterior Air Film
R YALU
0.68
ll.cio
1.28
.17
tlpu e 1/Ru .070 TOTAL (R)= )3.Iz;,,
?
?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTiON
.*lOTS: PAYMh?TS OF M AT TIME OF
APPLICAzoN noFS Nvr wrsTriM
aPrPxova,L oF PE1;!MIT.
INSPECTION OF SEVM APID/OR F7ATIIt
II T7ATTOIIS WIIaL AXYP HE SCHED-
UI,ID UNiZL PFI2MIT HAS BFM
ArPxcrvm.
... ,.,.,.?x_,.,.,.,......._____________________
P ease Printl
"1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING. SZRC'C.`1URE. DATE OF ORIGINAL B[,IILDING PERMIT ISSC'ANCE: • ? (MOn Year)
PRFSENP 7ANING/pROPOSID L'SE:
0 COI17ERCIAL/REPAIL/OFFICE
Q IAIDL'STRIAL
n INSTIZi'TIONAL/GOVERDA','NT
2)
NAME:_N /_
S ADDRES$:?
CITY, STATE, ZIP:
PHONE: ?-
3) u ?:?• For City Use .
- NAME= ` f Plisnbers License: 192 0 ADDRFSS: 1 a EkpiACtiVe
red
i CITY, STATE, ZIP: Not recoTded
PHONE: ?-g? LICIIVSE#
Starf?Initial
4) o• • i?. i
NAME:
_ ADDRFSS:
CITY, STATE, ZIP: ? ? ? ?Jr
PHONE: !/n a ?
•5) u ?• ? a: •?• : o a• • ?? _
? CONNECfiON 1O CITY SEWIIt 7- \,CONNFxTION 1t7 CITY WATER ? OTfER ' •
6) rl PLEASE HOLD APPROVID PFTiF1IT FY)R PICK-UP BY ONE OF AHJVE
?j P MAIL APPROVE PERMIT TO 1,2 3, 4, ABOVE
??'cle one)
7) r. r• ? T ^?? ,/??? ?
E+? /a n -- W-Q. - / // /?
,E"-1 SINGLE FAMILY
Q R-2 DL'PLEX (Two Units)
? R-3 70WNiOUSE (Three + Units) ( Lnits)
? R-4 APARTT7ENP/CObIDOMINIUM ( Units)
FOR CITY USE ONLY PERMIT # ISSUED
r c3 c-7 /
Pd w/Bldg. Permit FEES:
$ $ /O- S--Zl SEWER PERMIT (INCLIIDE SURCHARGE)
$ $ /O - S-2) WATER PERMIT (INCLODE SIIRCHARGE)
? / ? 02 $
$ WATER METER/CO
R
'
- PPE
HORN/OC
TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /,?7 • ll e) ACCOUNT DEPOSIT - SEWER
$ $ ACCO
'
D
L
NT
EPOSIT - WATER
$ $ WAC
$ W Z S~ • G? $
SAC
$ $ TRDNK WATER ASSESSMENT -
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
`" $ J d' O• U $ WATER TREATMEN
P
A
T
L
NT SURCHARGE
$ $ OTHER:
$ $
TOTAL
7? 3?7 - 7z
RECEIPT # RE
CEIPT
DOES UTILITY CONNEC TION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK LVITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION ISSUED BY THE ENGINEERING
. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126326
Date Issued:08/21/2014
Permit Category:ePermit
Site Address: 3771 Greensboro Dr
Lot:5 Block: 1 Addition: Greensboro 1st
PID:10-30900-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Brian Orourke
3771 Greensboro Dr
Eagan MN 55123
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153533
Date Issued:12/27/2018
Permit Category:ePermit
Site Address: 3771 Greensboro Dr
Lot:5 Block: 1 Addition: Greensboro 1st
PID:10-30900-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Dale D Rathke
3771 Greensboro Dr
Eagan MN 55123
(651) 583-4439
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165460
Date Issued:11/02/2020
Permit Category:ePermit
Site Address: 3771 Greensboro Dr
Lot:5 Block: 1 Addition: Greensboro 1st
PID:10-30900-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dale D Rathke
3771 Greensboro Dr
Eagan MN 55123
(651) 583-4439
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature