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3777 Greensboro DrBLDG. PE,RMIT NOr ? 01-3210 gldg. Permj 01-3422 . plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 24-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? CASH RECEIPT • . CITY OF EAGAN 3830 PILOT KN08 ROAD iEAGAN, MINNESOTA 55122 DATE 19 REC EI V 6O FROM AMOUNT a DOLLARf 1ao E] CASH Q CHECK ` FOR ?- ? . . . . --e " BY j .. ' r . . Vlfhite-PeYers CCPY Yellow-Posting Copy Pink-File Copy Thank You CITY OF EAGAN ' 3830 Pilot Kn'ob Rosd, P.O. Box 21-199, PH ON E: 454-8100 BUILDING PERMIT To be used for Est. Value Site Address ' • ' Lot Block SeclSub. Parcet No. oc N8fi1@ - .,, . •,?+?? a W p A-4 l" = Address o r. ia, o?,...,. 892-101 Name Address Ciry Address City Phone 1 have read Minnesota Statutes and Eagan, MN 1 ;Ju. 59 Receipt # Date ` j' " ,19 ` OFFICE USE ONLY On Site Sewage _ Occupancy ' .? MWCC System _ 2oning On Site Well Type of Const v City Water _ (qctuan (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Assessments _ Permit ? Water/Sewer _ SurCharQe i Police _ Plan Review ? Fire _ SAC, City Engr. _ SAC, MWCC Planner _ Water Conn. Council _ Water Meter Bldg. Off. _ Road Unit ' APC _ Treatment P1 Yariance _ Parks • Copies Signature of Permittee TOTA4 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Notder Date TeIephons * Paumbing ?7 H.V.AC. CU139 °7 Ltu ? Electric q , cw 1LIzw&?te5e ? 5???7 " ?SVI.?r ? Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. ? ^11144fid' Isul. Fireplace Final Htg. ?Q FinalPlbg. r, Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CO! Site lot. ? m ? N c : PERMIT # ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ACT PRICE: PHONE: 454-8100 ddress ? . BLDG. TYPE? WORK DESLCRIPIJUN t?4- Block Sec/Sub Res. New ? Mult. Add-on Name Comm. Repair Address ^? Other C1ty Name COMM/IND FEE - 1oi6 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES 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 PRICE GOES OF FOR: CITY OF EAGAN • . . :.;r: RES. PLBG. ONLY - COMPLETE TNE FOLLOWING: ater Closet - $3.00 ? - NOIKit FIXTURES TOT th Tubs - $3.00 vatory - $3.00 ? ower - $3.00 - chen nSink - $3.00 - ,,,U,inal/Bidet - 53.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1 50 ....',?..,, .?..,..,.. Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =lRough Openings - $1.50 ? FEE: STATE S/C: GRAND TOTAL• ' ? -s ? CONTRACT PRICE Site Address '?;? Lot L I Block m Name ? Addre; c Ciry _ Name .-.* c Address ` O CitY 'I Boiler ? Unit Heater ? Air Cond. Vent. Gas Piping Outlets # , Other MECHANICAL PERMIT CITY OF EAGAN RECEIPT # ,?- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: >-? ?PHONE: 454-8100 Sec/Sub BLDG. TYPE WORK DESCRIPTION pes. ? New - Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn COMM/IND FEE - 1°r6 OF CONTRACT FEE _ APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS MINIMUM COMMERCIAL FEE - STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) $24.00 6.00 1.50 EA. ? ? M BTU M BTU M BTU CFM - 12.00 - 20.00 - .50 FEE: ? __- S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN - __ --? -«--•--,. . ...- .,r?r:?--_., --.•+-.- _, -,....+.??•? CITY OF EAGAN Permit No: 9705 Date: 5_6._87 1 3830 Pilot ltnob Road Meter Np: SiZe. P.O. Box 21199 Reader No: Date: Eagan, MN 55121 ? Miller Coaat. Site Conn. Chg: Oojx: Zoning: Acct. De ; ' `p p ? No. of Units: Permit Fee: Surcharge: . 5Ond 1 agree to comply wlth the City of Eagan Tr. Plant 0• Qna'i pbjnances. Meter r, 7 - . .?_ WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Plbt Knob Road ' - P.Oi ox 211849 PERMIT NO.: Eagan, M1+155121 DATE: y Zoning: FS No. of Units: .Iosi Z=ilIer Const . Owner . Address: ` SiteAddress: 3777 ('xeenshozo ?)rive 1,4 BI Greei•!sbcro _st o?.........._ Plvmnnth Plumbi n2 J I syree to comply wkh the City of Eagan Ordlnances. BY Date of Insp.: .?.,.,... _r_ , Connection Charge: 525. OOT)d Account Deposit: lg• oor''' Permit Fee: I0• 001)d Surcharge: , 501,c'. Misc. Charges: Total: CITM oF EAaAN r- SEIyEa,SERVICE PERMIT 3830 pp?ob Roed pERMIT NO.: P.O. Bo el? pATE'. 1 Eag&fi; MN 55121 No. of Units: Zoning: 1(), ??i11er ronst • Owner. /dVresp. 3 ? 7 7 Gr ee Site Address: ?outh _ "1 * PlUrr?ber. ?i .11+{3??fC ?1 ?? C Charge: ?? . t0 C0IYIPIY w N ?? K ,n????? , t ? i h('A 1 ayree cC&A fi*Psit: °`d`'onc°s. , REQU I RE D B? ? %W. isc. (?qar9ew- M BY Total: pate of Insp.: ` Insp.: pate paid: CITY OF EAGAN 3630 Pllot Knob Road P.O. Boz 91 r99 Eagaet, iAN 55121 oe Owne?-- 7 ? Site Address: - Permit Na 7 1 _> Meter No: Reader No: iiller Const. ,25 Date: Size: o ?< Date: - ? " ? Ct Conn. Chg: Acct. Dep: Permit Fee: ayree t ply with the City ol Eaya^ Surcharg? d?? Tr. Plant - ? Meter. ' BY Misc.: WATER SERVICE PERMIT 7 REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-oe Ii, See inetructions tor completiny Uis farm on baek of Yellow copy. (r , q7P9Q "X" Below Work Covered by This Request , AAtl Reo. Tyoe of ewltling Apoliaoms fYirod Eqmoment Wired Home Range Temporary Service Duplex Water Healer Lightiny Fixtures Apt. Bwlding Dryer EI¢ctnc Heatin Commercial Bldg. Furnace Silo Unloader Intlustnal Hldg. Air Conditioner Bulk Milk Tenk Farm the.r Deci V iher ISpenfyl t- Vecrty t er Oth.r ompute Jnspection Fee Below p Fea ServiceEnhaneaSixa II Fee FeeCers/Subfeeders u Fee Circurts /. 6D 0 to 200 Am s 0 to 30 qm s 0 tn 30 An! A6ove 200 qm s 31 to 100 Ainps 31 to 100 A s Swimmin Pool Above 100_Am s Above 100_Am s TransformerS Irrigation Boort?s D Pertial-"Other Fee Signs Specia nspecLOn 5 ?? TOTA , I Remsrks / L EE .• ?! ?? flough-in D,' 1e I, tha Elec ncal Inspeetor, hereby' certity thel the above Final nnsection hea been epe tMe repuest vo1018 monihs Irom This request voltl 18 mpnths }mm ?// d fteques2 D te° fire No. Reqarc O?lnspection R Oqeatly Now ?W.II Nmrty.nsoeo- l ? ?j0-? 8 Yes ?No I. r When ReaCy R 4eens¢d ElecVical Contractor I hereby reduest inspec[ion ot ebove Owner eleciricel work inslalled et: Svaet Address, Box ute No. 37? ? or oreehshora AriVf, Crty ?a an ecfion o. TownsMV Name or No. HanBe o. Counly L L,aM1&-fQ Occupant (PflINT) Joe Mi/ler Phone No. Po SuOVlier dak - ?a lee, Address Z1300 ao 41 Elec r cal onhactor (COmpany N me) l?ic?land E?ecfvr? ConVactor's License No. ilI6/a-a MaihnO Address (Contractor or Owner Makine Instai W L' ? lauon) /l 6 0o d c? uY d nSVi e-, Authori S. nawre (COntractZwner Making Installavon) .?..r-? Phone Number ?6 -9b ?l MINNESOTA STATE BOARD OF ELECTRICITV TMIS INSPECTION PEQUEST WILI NOT Gr.yge-Midwey Blde• - poom N•787 BE qCCEPTEO 9Y TME STqTE BOAPD 1821 Universitv Ave.. St Peul, MN 55704 UNLE55 PqOPEX INSPECTION FEE IS Phone (612) 642-OBOO ENCLOSED. , . CITY OF EAGAN N? 13 459 ?-3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PH O N E: 454•8100 BUILDING P ERMIT fteceipt# To be used for SF DWG/GAR Est Value $112,000 Date APRIL 13 19 87 SiteAddress 3777 GREENSBORO DR OFFICE USE ONLY 4 1 GREENSBORO IST Lot 81ock Sec/Sub. onSiteSewage Occupancy ? R3 MWCCSystem Zoning R 7 ParoBl No. On Site Well Type of Const ?- ?- City Water (ACtual) a Name JOSEPH MILLER CONST (Allowable) If ' w Z 1 CEDAR AVE AddreSS et of stories Length 56 o City FARMINGTON phone $92-1010 Depth 36 S.F. Total , p NBme S?E Fooiprint S.F. ?Q Address APPROVALS FEES H City Phone qssessmenta Permit ? 530 o Water/SeWef Surcharge w W Name Poiice _ Plan Review 969 - 7 5 t i i- p? Address Fire Engr. _ SAC, City _ SAC,MWCC 1fl(1 _ l1f1 595-00 <w City Phone planner _ WeterConn 52$.00 Council _ water Meter 67.00 I hereby acknowledge that I have read this application and state Bltlg. OH. _ Road Unit 30 5_ 00 thattheintormationiscoRectandagreetocom lywithallapplicable APC - TreatmentPl iR(1_[1(1 State of Minnesota St9tu and Qity of lt Or inancea W Variance _ Parks 2 t Signature of Permittee /-Al Copies TOTAL ?2 567 ?5 A Building Permit is issued to: OSEPH MILLER CONST on the express condition that all work shall be done in accordsnce with all applicable State of Mf'? nesota_Statutes and City of Eagan Ordinances Building Otticial ?C.?-c.?.c i ? "7 -7 q3 ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Reamrements 3 re9istered site surveys showmg sq. ft. of lot sq. R of hase; and ail roofed areas (20%maximum lol coverage allowed) 1 Sotls Repotl d pmpwed building is to be placed on dismrbed soil 2 copies of plan showing beam & window sizes, poured found design, etc. i set of Energy Caiculafions 3 copies of Tree Preservatron Plan d lot platted after 7l1193 Wm Joist DeWil Options selection sheei (buildings with 3 or less umts) Minnegasco mechanical venlilation fortn Telephone #( RemotleVReoair Reouiremenls 2 mpies of plan shovring footings, beams, jas1s 1 set of Energy Calculatlons for heated additions 1 sAe survey for addi6ons 8 decks Adddion -mtlicafe d oo-sfe sepLC sysiem Plans are considered ublic information unless ou state the are trade secret and the r ason. Date Cr-7 Construction Cost Site Address Z 7 77 ?? re r' ?IS laid? o ? U nitlSte Sf / a Description of Work v..?l-eX f Multi-FamilyBldg _ Y ?N Fireplace(s) _ 0 7K 1 _ 2 r !2? Property Owner •? ?.(?-P 1.. ? -S V?SCw? ?, . 4,0?k4elephone # ( K_) / Contractor Address / City State Zip Telephone # ( ) I ? i l W COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Kules 7670 Cate¢orv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submittetl Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, has ihe City of Eagan issued a permit for o similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Piumber Mechanical Contractor bPR 1 F ?f1?7 Sewer/Water Contractor herebv aoolv for a Telephone #( Telephone #( Office Use OnN Cert of Survey Recd _Y _ N Soils Repod _ Y _ N Tree Pres Plan Recd _ Y _ N, Tree Pres Required _ Y _ N On-siteSepticSyslem _Y _N Permit and acknowledge that the information is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the Jtate oI 1vtN 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 pl in the case ofwork which requires a review and approval of plans. ? Applicant's Pr' ted Name Applicant' '9nat ire / 2007 RESIDENTIAL BUILDING PERMIT APPLICATION DO NOT WRITE BELOW THIS LINE Sub Tvaes ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of_ plex ? 09 07-plex ? 04 02-plex ? 10 OB-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Tvpes ? 31 New ? 35 ?. 32 Addition ? 36 ? 33. Alteration", ? 37 ;i ? 34 Replacement '?.'. D85CIipil6fl: Water Damage _ Yes Valuation ?ColU 0 •i.. r . '?`•PlanReview ?100%or_25% Census Code ? SAC Units # of Units # of Bldgs Type of Const 1L8 ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 16 Fireplace ? 21 Poroh (3-sea ) ? 31 Eut. Alt - Multi ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF X 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 19 Lower Level ? 24 Slortn Damage ? 25 Miscellaneous Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fi2 Repair Demolish Buildin9* ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Gi ve PCA handout to applicant Occupancy '. MCES System Zoning City Water Stories Booster Pump Sq, Ft PRV Length Fire Sprinklered Width Footings (new bldg) X Footinas (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUII2ED INSPECTIONS _ Sheetrock Final/C.O. Final/No C.O. HVAC O[her _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ S[one Lath _Brick _ Windows _ Retaining Wall Approved By: .1 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total -1- " TRI-LAND C0. SURVEYING" SERVICES ? SiTE PLAN FfJR: OSEPH MILLE R CONST. I` 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 GREENSBORO DRIVE N 00 28, 04, W ?a 85_00 y a ? ? --? --- ---? I m ??v? ? ?s PRofoS?D i . z OD 'm ? ?0')sc r,a/tp?l.96f? _ W pCTO ' '?QSxI 1?'?i? r'- ? c , I ?01 l 'y rn ? ? - ?va,r? ?/kr i3ANK `?T ; I 5 ?- -?''•.' I i .nt,vua?.F J 1 1 ,r' o I 85.00 N 0° 2Y 04' W . PROPERTY DESCRIPTION LOT4 , BLOCK I , C:RF'FNCRCIRCI IST accordinq to the rscorded plat tMreof DAKOTA CaudY, Minnesma LEGEND o DENOTES o DENOTES (904,)DENOTES IRON MONUMENT WOOD HUB SET EELEVIATION?T 8+9.$OENOTES PE?VAET.'O?pOT ?- DENOTES DRAINAGE DIRECTION I hsreby certify that tfiis survay,plan or rcport was prepored by ms or under my direct supervisian and ihat 1 am a duly Re9istered Land Surveyor under ihe Laws of the State ot Mimiesota ? I k*"'i"'5 I qD?? z OD O b??' o t; rnl m ? , qo,.s t9pb„'?) ' ;? 1 ??? I ro? v oe5 i --ffiii;zjk z -? SCALE ? i'= PROPOSED GARAGE FLOOR ELEVATION • `_q0? PROPOSED FIRST FLOOR ELEVATION = ?9xY2 PROPOSED BASEMENT FLOOR ° 341x ELEVATION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS Daft • Mn. Rep. No.15235 / `,: _. • ? r . ? 13 1987 HOILDING PERMIT 9PPLICATIOH - CITY OF EAG9N SINGLE FAMILY DWELLINGS IPCLDDE 2 SETS OF PLANS, 3 CSRTIFICArBS OF SORVEY, 1 SST OF ENERGY C9LCQI.ATIOAS HOTE: 6DDRESSES FOB COHNEE LOTS - CONTR9CTOR/HOHEOWNEE MDST DESIGHATS WHICH 9DDRfiSS IS DFSIRED. NO C9ANGES AILL BE ALLOWED ONCB BOILDING PERMIT IS ISSQED. M[)I.TIPLE DTaELLINGS - RFSIDENTIAL Rfi9YAI. OPITS FOA S9LE QHIYS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIBVEY - CHECK AITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 112000 To Be Used For: It " `1?Cl'/YU7 . Valuation: 1 U? Date: ?i' ? D ? ZS ( Site Address ?--)-11 ?(aOM.knb 31x • OFFICE DSS ONLY I Lot 4 Block ? On Site;Sewage_ - ?-Q ` MWCC System ? Parcel/Sub ?C1?1_p?1Y\?1i1??.Q1 On Site Well City Water ? Owner Address City/Zip Code Phone Contraeto? Address 1= City/Zip Code Phone (5G ?? - ? ? I () Arch./Engr. Address City/Zip Code 6PPROVALS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Occupancy F- 3 Zoning K•? Type of Const (Actual) (Allowable) IF of Stories Length SCo Depth 3fo S.F. Total Footprint S.F. FSFS Permit Surcharge Plan Review Z6 .?S SAC, City 00 SAC, MWCC 525 - Water Conn `-?ZS Water Meter _(gZ Road Unit OS Treatment P1 ? p. Parks Copies ;7?6 7, TOTAL S- Phone U I?Zx S-8 = -s?azt? - , (GXIC? - (f-??Sa° 20 2_ Z x 22 - ?8 4? ( Z - ?8?8 I11,o32 TRSURVEYICtv. SITE PLAN FO?': SERVICES JOSEPH MILLER C0NST. " 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 GREENSBORO DRIVE /-yl N 0° 28' 04" W 4 ? ? YdZ,?,q 85.00 s r -? ? 1 qu"2T-1 ' IZ GO (o (n (A o ? ? ? 0) .. = rn ??? i s ? ----? - ----- 9U???f-?-S-f- • ,?. .. 11 1 'Y I pRoPoSED I .? Nu?S? 1 NllBu?^l°?r?i?lr96r? . itl , r- 4 .: ?aa.?) DIRT ?3ANK I I ? L -? --waiiiiiic- z -? SCALE ? I"= 3U , PROPERTY DESCRIPTION L0T4 , BLOCK 1, C;RFFNSRnRn IST xeorEinp to the rseorded plaf flereof DAKOTA Caary, Minnesota / LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HlB SET (904,OENOTES EXISTING SPOT ELEVATION 8+7,$DENOTES ?OPVA ?SPOT ? DENOTES ORAINAGE DIRECTION 1 hareby cerfify that this survsy.plan or report wos proparsd by me or undor my direct supervislon and Mat 1 om a duly Reqisfered Land Surveyor undw fM Lowa of the State of Minnesota i ? ? I IE?'l? J ? I a?s4 I q0?'? z CD (n(Q 0 o? o?. m ? 85.00 N O° 28' 04' W PROPOSED GARAGE FLOOR ELEVATION= PROPOSED FIRST FLOOR ELEVATION = PROPOSED BASENENT FLOOR ° ELEVATIOM NOTE * VERIFY ALL FLOOR HEIpiTS WITH FINAL HOUSE PLANS Mn. Roq. Na 13236 Date -- k:x'1'EH10R EllVF;LOPB AVERAOE IIUII C014PUTATION (To be eubmitted rrith building permit appllcation) One or Two Family Dwelling All O ttier Coutractor 0 wner 8ite Addreee Date Phone LINEftL FECT OF ?i ,{?", p EXPOSED YlALL fte sbove grade 2T:5I /Z . TOTAL EXPOSED WIILL AREA SQ, FT. oPAQUE WAI.L COtiS'PRUC'rIUN i "U" Value x Area Detail liult 1 C?,43 X SQ. reLerenco Irom x S q. attncilaa "u" x s a, sii oota "ull x s Q. x sQ. VlIND01YSt "U" Value x Aroa FT. Ig?I??I?' S??-'??(U)(A) FT. (UA) FT. _ ?J-?U)(R) ex. _ (U)(e? Fx. = (v)(n) Plnlce & Type jJ7???)L C-6?-b11"r loUtt AlD ? x SQ. FT. (U)(A) i,ull „ x sq. ex. - (U)(n) ttull n n R e@. FT. = (U)(A) npu x 3Q. FT. _ (U) (A) DOORSt "'U" Value x Area 4lnlce & TYPe ?i - 1 a,?? ??)??) It n S ::uUu ' 14- x SQ. FT. L tLu' n n ? -47 x Sq. FT.? .?`?(U)(A) x 32. FT. - (U) (A) x 8Q. FT. _ (U)(A) TOTALB 2 o`Ji S@. F'T._ Z??IICO M(A) AYERA(lE "Ulf TOTAL (U)(A) VALl1E8 -- Z 5,? ILO n DIVIDEU BY TOTAL {rALL AREA24C?j,-?Z r O g • AVE1tAaL "Uly;; j; 5r leae tor 1&2 family dwellinge TOTALCAREAt?_I ZCI? ' be tail rererence flUff "Ia Z I x sQ. FT. ? ? Z(o ? ?(U) (A) irom tt l flpll x SQ. FT. , . (p) ??) n nc ied slieete. lipll D i x 8Q. FT. (p)(A) eocr be openinge iiUiv 1 f x $Q. FT. (U)(A) ^ n roo . ?i??? - x 8q. Pn. (U)(A) TOTAL (U)(A) VALUE9 DIVIllED BY Z? lO?? ?r1"1?L?7-u._" 5q.fr2,3?l?ur?? ''f0'1'AL ROOF/CEILI114 Atigq j p ? y ? ?(p 1t ? AVE:ltAOE IW? 5 r ventilc?Eed roofe. ????? ar.vaava-- Determining "0" valuee at Roof, Wall#* Rimp and Conc. $lock ROOF/CEILIN4 1.) Ittterior Air r'i1m z.) 5/81, ayP. sa. 3.) Insulation 4.1 5.) Exterior Air Film (STILL) R VALUE o.6t .56 44.ao .61 l'U" e 1/Re , pZr iOTAL (R)= 45?'.7g s_--- WAI.L 6.) Interior Air Film 7.i }" aYp. Bd. S.) Insulation 9.) &UrLr-?-rrE 10.) Masonite Siding 11.) Exterior Air Film R VALU 0,68 .45 19• o0 Z•67 .17 npu a 1/R= • O`?'3 TOTAL (R)= 23.0l RIM 12.) Interior Air Film 130 Insulation 14.) 211 Fir Rim Joiat 15.) &vtL7- RiTc-= 16.) Maeonite Siding 170 Exterior Air Film R VALUE 0.68 19.00 1.88 2,0 .17 itpis a 1/Ra •01-0 TOTAL (R)a ?.¢•gT E?E5 18.) Iaterior Air Film 19.) 20.) s rxrPA:-I> 21.) 12" Ooncrete Block 22.) 23.) Exberior Air Film R VALU 0.68 ll.c? ,.2s .17 11utl e I/na i07b TOTAL (R)= 1>.r7 ?? • ? c? `? -7 07 3 ?- 20 04 RESTDENT`lAL B17I1 TIING PERiVII'' APPLICA,7TON ?'7 0?U City Of Eagau 3830 PiIot Kuob Road, Eagan MN 55122 -.--- --- - -- - . -- ---- -- -=- =_"- -=Telep$orie#.65? 675=5675---?'AX {=651 675 5694---= --- NeivConsGuchonReouire??? -- 3 regrs fered sife surveys sfiowiqqsq. ft of fof, sq_ f? of house; R??eUReoalr Reouiremenis (20k?maximumbf?verageapaye? ?dallroofedareas 2copiesofpfan 2copies.ofpMan'showin9 '6eam&w1ndows 1setofEnergyCafcuiationsfurh?tedadd`uons! t sef of En izes; po[ued found des?qn, et¢ . eigy Cafculations 't site surrey foP additions & decka 3 c°P?s°fTreeFleservafion P(an'rflotplaffedafter7/1/93 Add'tion_-indicateifonsrfesepficsysfem RfmJo[stDetailOp6onssetectionsheet (bldgswifh3orlessunits ' bafeJ! I M .- 3-?.? conskMctian cost StifeAddress k-p UnibSfe # Des?rigtion of Work Mulii-FamityBldg _ y - FirepIace (s) - U - 1 - 2 -?Y? 1 ? ProPerty pwner ? U Tetephone Contractor ?'n'1?- i. -- Address ' (? SfaCe - Ci Z?P ?_ Teiephone # M'-'??^ A -? COMPLETE THIS AREA ONl1rIF.CONSTRUC7`NG I A NEW BUIl:DING Enekry Code Cafegory M??O? Rnles 7b70 Cafe' 1 Mmuesoh Rules.7672 (dsubmission type) .'Resldential Ventilatton Category. l Woricsfieet SubinlNed . New Etjergy Code Worksheet , t,? . • Energy Envelope Cafcujatlons Submitfed Sub?niifed Have you previously consfrucfed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee appfies. icensed Plumber Telephone #( ) Aechanical Confirpctor Telephone #( ? ?? ?' °wer/Wafer Contracfor Telephone #( )- ? NOV 1? 2004 j hereby apply, for a Residenfial Building permit ang acknowledge that the infoanation iS co Sete=ati -aee?rx e; at the work will be in confoAmance wifli the ordinances and codes of filie City of Eagan and the State of MN atutes; I undersfand tlus is not a permit, but onjy an app7ication far a permit, and work' is not fo start wifi]iout a rtnit; f.hat the work wiIl be in accordance with the approved plan un tlie case of work wluch requires a revzew and proval fplans. pphcants Pnnted Name App canYs Signature Installed Siding and Windows LIMITED POWER OF ATTORNEY c;uUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of R1vLA Home Serviccs, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Aventie North, Gotden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Buiiding Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowiedge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "YVork"). The powers conveyed to the Agent by this Limited Power of Attemey aze limited solely to the express powers delineated herein and apply solely to the Work. This Limi±ed Power of Attoiney shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at airy time by express revocation and shall also be revoked by the PrincipaPs death, disability, incapacity or incompetence. IN WITNE35 WHEREOF this Limited Po«?er of Artorney is e1ecuted this 21 st day of May, 2003 David N. Katz 5 WORN TO AND SUBSCRIBED BEFORE ME by llavid N. Katz on this 21 st day of May, 2003. Notary Pih?lic in for the State o eorgia bZy Commission Expires: January 21, 2006 396816.v3 Proudty sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT 57'130- MECHANICAL (RESIDENTIAL) Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellmgs Townhomes and Condos when permits are rcquired for each unit ST) DateQ? Site Address 3 ! P7 ?7 Unit # Property Owner IGd) Q /Yl e DA,6 px? U Telephone # Contractor °?- Street Address CitY State fn? Zip ?J oa y Telephone # fp? J) T6e Applicant is _ Owner ? Contractor _ Other Add-on, modification or alteration to eaisting dwelling unit $ 30.00 furnace replacement air exchanger ? air conditioner- 9_?_f other ????•?r,? ?? ? ?ni I'? $ .50 State Surcharge ? ` $ 3? Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand tlils is not a pernut, but only an application for a pemut, and work is not to start without a permit; that the w rk will be in accordance with the approved plan in the ca? of work which requires a review and approval of pla . G ? ApplicanYs Pri ed Name plicanY 'gnature CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *iOT6: PAYMFmr OF FM AT TIIM pg APPr.icAMoN noEs Nom CDNMMM APPROVAL OF PERNIIT. iNsPncriort oF sEWEP ANro/OR WX= nSrALIATroNS wILL Mr sE scEgn- ULFD UNPIL PEE2MIT AAS BFE1 APPROVID. ... P ease Print 1) PROPERTY ADDRESS: 377'/ ??ac u5,?c•-p `?/, '- LEGAL DESCRIPTION: ? / . " (Lot/Slock Subdivision or Tax Parcel ID ) IE E7QSTING ST72C'CILTRE, DATE OF ORIGINAL BUILDING PEF2MIT ISSL`ANCE: ". ' Year) PRFSEBTP ZANING/pROPOSID C?SE: (Nbn - [) Cmw7ERCIAL/RE,TAII,/OFFICE (R-R-1 SINGLE FAMILY Fl INDL'STRIAL 0 R-2 DCPLEX (7tao Onits) r7 INSTI7T'TIONAL/GONTRNNEVr f7 R-3 ZUUWNHOUSE (Three + Units ) ( Units ) ? R-4 APARTMENT/CONIDOMINIL'M ( Units ) 2) ? .p NF1ME: Joc /YJi???{- Loo,vS? .1wnREss:_1R133 L°e,D.a? - CITY. STATE. ZIP: `- PxorE: )Cnrm: ? c _}? 9a - J01 D 3) ?,: ?,• 1 For City Use . - NA`E: _ P -i kto.y. 17 1r lr' Pltmibers License: `" ADDRFSS: _ /Y:.P ?329 19u? OJ Pcti Ve Expi red CITY. STATE, 2IP: _Pl..? Not xecorded PHONE: 559- 3?'?? MASTER LICENSE# ??m G J Staff Initial 4) ?• • i?• NAME: _ t'k (.2) ; . P,DDRESS: ` CITY. STATE, ZIP• PAONE: • •5) n v ? ? a• ?• 42HU • a? - ?? B-ICONNSLTION 1U CITY SEWER Er-66NNE(,`riON TU CITY WATII2 0 0'I'IIER 6) ?? QLFASE HOLD APPROVED PERMIT FOR PIQC-C'P BY ONE OF 1,BC77VE C3 PLFA,SE MAIL APPROVID PERMIT Z+D 1, 2, 3, 4, ABOVE • (Circle one) 7) r. r. .. I,L4?*.t?.G?? ? J FOR CITY USE ONLY PERMIT # ISSC'ED i , J/" 7 G S-' -? Pd w/Bldg. Permit FEES: $ $ /G ' Sv SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE ) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ?S. D-o ACCOUNT DEPOSIT - SEWER $ ACCOC'NT DEPOSIT - WATER $ t Z Sl !J--D $ WAC $ ?ZS"•u ? S sAc $ $ TRUNK WATER ASSESSMENT $ $ TRCNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ Zil'D'UD $ WATER TREATMENT PLAIVT SURCHARGE $ $ OTHER: $- Z3' / 7` " $ O a TOTAL RE EIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE E[VGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING Cb[VDITIONS: APPROVED BY: TITLE: DATE : " /F 7 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121993 Date Issued:04/21/2014 Permit Category:ePermit Site Address: 3777 Greensboro Dr Lot:4 Block: 1 Addition: Greensboro 1st PID:10-30900-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Jeffrey C Anderson 3777 Greensboro Dr Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146189 Date Issued:10/12/2017 Permit Category:ePermit Site Address: 3777 Greensboro Dr Lot:4 Block: 1 Addition: Greensboro 1st PID:10-30900-01-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Andrew J Klees 3777 Greensboro Dr Eagan MN 55123 (612) 501-3478 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147074 Date Issued:12/07/2017 Permit Category:ePermit Site Address: 3777 Greensboro Dr Lot:4 Block: 1 Addition: Greensboro 1st PID:10-30900-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Andrew J Klees 3777 Greensboro Dr Eagan MN 55123 (612) 501-3478 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167355 Date Issued:03/10/2021 Permit Category:ePermit Site Address: 3777 Greensboro Dr Lot:4 Block: 1 Addition: Greensboro 1st PID:10-30900-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 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 - Andrew J & Anne N Klees 3777 Greensboro Dr Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature