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