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3202 Rolling Hills Dr INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: I „ I III 1.1 I 1•.,,I I INis III i 1 , Of. HOP OAh It I I I +R13 PERMIT SUBTYPE: ;,11.' APPLICANT: TYPE OF WORK: 141 11 IIUI I I?I NI, 0,141-1 014 /.' i 144 INSPECTION DATE INSPTR. • TYPE DATE INSPTR. kA 14 1 Nlf ,f l I Il,r 1 N Alf A I I flyd I Ir. I nI t111It,!! I hl ! ? I:f, ,t1I•,}1 I if 1I I f, i 111,'11 !'I f:i i I llrll k1 MAR!('_, : K W 1'I "k OW .111 1: mf:7 F I Permit No. Permit Holder Date Telephone A S/W PLUMBING HVAC • 0 fi j p ELECTR 3 5'? , 47 9D ELECTRIC Date Inspection Insp. Comments Footings I ?y 7 aO // Foundation &Jo Framing O Roofing Rough Plbg. G Rough Htg. C l .? [Sul. Fireplace ' Final Htg. ?? V Orsat Test ?(a q q Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final V w Deck Fig. Deck Final Well Pr. Disp. v v Wertificate of cccupanc? Wit4 of Wagan Towrtmut of le xititi* at#0ection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use C1assifcatioa: S DWi• BYdg. Permit No. 24541 O-pancy Type 1*41, ? Zoning Distria R I Type Coost. _ VH Owner of Building Ctj Q Add- (6 20 ? _ . x ??/?T r LW? ? Building Address32W r?a +t a?a 1 C i ii YG LocaliIy B 8 M9 imi r M L2 Date: , Bolding OlficnV ' POST IN A CONSPICUOUS PLACE Address 3202 R0 1,12C MIS DEM Zip 5512] LOt 2 Blk 1 Sub BUR OAK HMM 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6 from siding) Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish e? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy . Pink - Contractor Copy n REQUEST FOR ELECTRICAL INSPECTION ° / ?}, EB-00001-0e Cj /Q Op See instructions for completing this form on back of yellow copy. t et A $I *, -7 / 4 -- Below Work Covered by This Request ?a®s ew Atld Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specily) Contractor's Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee fe Circuits/Feeders Fee Swimming Pool 0 to 200 Amps bb 0 to 700 Amps Transformers Above 200 Amps Above 100 _ Amps Signs . Inspectors use Only ) TOTAL Irrigation Booms ?y ?/? -cc' 9O, J Special Inspection Alarm/Communication ISCONNECTED IF NOT THIS INSTALLATION MAY BE OR D Other Fee I COMPLETED WITHIN 1 NT I, the Electrical Inspector, hereby certify that the above inspection has been made. Roaeh-in Final Date! OFFICE USE ONLY This request voitl 18 months from ? ? 0 w?- 6 7 9 1 ,2 . 41 ?JCrXO ?' Rebuest Date r ) y9/ p Fire No. Rough-In Inppecton Pe0uirad (You moat call inspector wh¢n ready) Inspection Other Than Rough-In ? Ready Now Ill Notify Inspector / / Yes ? No Date Read I,?Ilcensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No., 1 v lls )1 1)i 32 2 k City 'l y 1 0 - -? Section No. Township Name or No. Range No. Count 14160 Occupant(PRINTI o ?7??h soh f?-s Phone No. 5/r6- 6 z3 Power Supplier_ , ??(;// Address xt /LEJG t? Eleclricpl Contractor (Company Name, 0 2C 2 J -ilf, f!`? co Contraclor4 License No. G4 0 l . Mailing®Fp AtlCre? Contract{o?r or Owner ?Making Installation) '4uC Zc?G?Q Iss'.41 jz4D gY O L- Authorized Si na ure IComractorrOwner Making tall ON 45? Phone Number 32Z- MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.113 BE ACCEPTED BY THE STATE BOARD 1831 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0(100 ENCLOSED. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 J lJ Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Reoair Requirements 3 registered site surveys showing sq. ft of lot sq. fL of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate Non-site septic system 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units QJY V O a usa Ced of S1nve,,Recd' Y ,N Trea Pies Recd ?Y Ti `Pt (( 'V `y s ti7_ fMsde_ _iJ?? ;g'Y N Date / l /-7 Site Address 72,0 "Z / UY Potuuc- ??c Construction Cost s 10Q _ Unit/Ste # Description of Work ?EOK Multi-Family Bldg _ Y Lc N Fireplace(s) x 0 - 1 _ 2 Property Owner L, r a /ZEBEcc? SCar« Ft--2 Telephone # (6'91 975'-i'-J60 CNo s) 61 -6N I- 59 k L 6"091 LE Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informa is complete and acct rate; that the work will be in conformance with the ordinances and codes of the City o an t e 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. Ku2'r :Su-lz,?rz5z Applicant's Printed Name Applicant's ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex x 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 31 New 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code ;T SAC Units # of Units # of Bldgs Type of Const Ilk) _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. -Air Test -Final Insulation Width REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone _ Brick Windows Retaining Wall Approved By: 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 ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered 2? v vv %'94 16:22 TO 4560051 FROM PROBE ENGINEERING T-479 P.02 Q2-(9o ??'. DONALD c/ayNSOn/ 0I$? CONSULTING 4"GIN6ERS P p PLANNERS and LAND fURV6YORS ICINGeRING L, W<.9/8 FL9. 68 COMPANM1 INC. ...? 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 5533T PH 432-3000 CERTIFICATE OF SURVEY //a/1ES Legal (Description; L07" !11 u i ,e ADD17-1.0 , SCALE : V - 40' Q---) DENOTES EXISTING ELEVATION (68-7,57) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 587' 8i = FINISHED GARAGE FLOOR ELEVATION 071,/k = BASEMENT FLOOR ELEVATION 888, 16 = TOP OF FOUNDATION ELEVATION 'YS W. CJd MARK : 7N;4 AT /^. SW'LV LoT Z' 3) ?4Z, 3 cwv. = 895. Z9 ?_.? ,? s , i 1 , r AvDRE90,: 3202 IZOLLI0E1 D 4ILLS DRIVE EAGAN l A(.700 , N ` REVIEWED ? 35,0 1014/ e ? g67? 1 , ^?, op I SATE ! y ?IJO DRA/NA6E AND UTILITY EAS m6A S, 4'7 EAGAN GINEERIN EPT \ ?} ADJACENT -WfT FQOrvr l HOUSE SEfiBAG'K G /A/E z? DETAIL NO SCALE G• bM a?. NN YT j KowN6 NIUS zp0 DEN & 0 111 a I9? 609) E y T hereby certify that this is land as shown and described ?? gE76 B 1 L( 4 A ID g I -1,5)\ I$?iua_ 0e7 q X9¢'4 e a",? %it (844, prepared representation this o!2 'a trda true hereon. an As correct Minn. Reg. NO. 16,98: RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements Office Use Only 3 registered site surveys showing sq. it. of lot. sq. R of house; and all roofed areas 2 copies of plan Cart of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Read _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd _Y _N 1 set of Energy Calculations Addition - indicate ifonsde septic system On-site Septic System _ Y _N 3 copies of Tree Preservation Plan if lot platted after 111/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date/ 36 / 03 Construction Cost ff svao. Go 4,o,. Site Address 3 262- !fie U NL U s br:wt Unit/Ste # a a i+t N ,s s! Z/ Description o: Work ((++ ?`rer+ ?r 4..1-41; r$?.Sew.e.1T T140e4 dee(..d. ?3+.mr....? ? 46....¢. ie.•'+•c...?lei w1- /S•.-ra Multi-Family Bldg - Y X N Fireplace(s) K 0 _ 1 - 2 Property Owner A /er yfw A1P9 y / A-j Telephone # (6/Z) Q 1V 5 -- 00 / . f Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation 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 i?isp U M D N if so, 25% pion review fee applies. AUG 0 6 2003 Licensed Plumber elephone ( J 8y Mechanical Contractor __ a ep one ( ) Sewer/Water Contractor 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. -? ?y(?_? UV?a ,Q -&C VfAl NNv/Iti /? ? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwel ling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex 19 Lower L vel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ?/ 32 Addition L ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 r4 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 ? 34 Replacement PCA handout to applicant "Demolition (Entire Bldg)) - Giivve Valuation `/) b 0 , Occupancy MC/ES System Census Code L4 2j 7 Zoning _ L City Water SAC Units l Stories Booster Pump Nbr. of Units 0 Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered Type of Const - Width _ - Footings (new bldg) - Footings (deck) - Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test _ Final T Insulation ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 MultiMisc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing 7 HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By S P 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 33s? J RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements . 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and ell roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 set of Energy Calculations . 3 copies of Tree Preservation Plan if lot platted after MM . Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE -?-- (9 ` O Z SITE ADDRESS S 20 Zo???v_ L TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2 SELA ROOFING & REMODELING. It'!; APPLICANT 411fln F)(r:Fi SIOR RI VD ST. LOUIS PARK, MN 55416 STREET ADDRESS ...,.....,-..-,. CITY STATE ZIP TELEPHONE #lalZ-$?3'?o`ffo CELL PHONE # FAX # PROPERTYOWNER Q JL'V) mcyJc 67 TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MI'ca TA RULES 7672 (J submission type) . Residential ventilation Category 1 Worksheet O ny{ e? a ry pq rgy Code Worksheet Submitted . Energy Envelope Calculations Submitted II?S u LS I II JUL 19 2002 Plumbing Contractor: --- Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # o: of R.I. Fee: $90.00 Phone # Phone # Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OrddilC_es. Signature of Applicant ?X/( ?"/? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener Water Heater No. of Baths /.S 7 do-- RemodelfRegair Requirements 2 copies of plan . 1 set of Energy Calculations far heated additions . 1 site survey for exterior additions & decks . Indicate I home served by septic system for additions a° ? (0 ® , VALUATION ` o MULTI-FAMILY BLDG _Y _N OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex D 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation 14VAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone - Fireplace - R.I. -Air Test - Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 024591 Eagan, Minnesota 55123 Date Issued: 09/23/94 (612) 681-4675 SITE ADDRESS: LOT: 2 BLOCK: 1 APPLICANT: 3202 ROLLING HILLS DR JOHNSON HOMES INC, DONALD BUR OAK HILLS 3RD (612) 456-0034 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION FOOTINGS DATE INSPTR. INSPECTION FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S & W PLBR - DRESHER L ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-15502-020-01 PERMIT 3202 ROLLING LOT: 2 BLOCK: BUR OAK HILLS 3RD PERMIT TYPE: Permit Number: Date Issued: HILLS DR 1 UI DING 024591 09/23/94 DESCRIPTION: B lding'-Permit Type SF DWG / Building Wo,r_k Type NEW f"UBC Occupancy, R-3 M-1 Construction Typ-e V-N Zoning R-1 l Building Length 27 Building Width 28 Building stories J` 2 t7 ,-, G2? L? REMARKS S & W PLBR - DRESHER FEE SUMMARY, VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $776.00 $504.40 $69.50 $800.00 100 $2,149.90 $139,000 MISCELLANEOUS $1,828.50 Total Fee $3,978.40 CONTRACTOR: - Applicant - ST. LIC. OWNER: JOHNSON HOMES INC, DONALD 14560034 0001603 DONALD L JOHNSON HOMES INC 4639 PARK RIDGE DR 4639 PARK RIDGE OR EAGAN MN 55123 EAGAN MN 55123 (612) 456-0034 (612)456-0034 L_ 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 Mn. Statutes and City of Eagan Ordinances. API"LICANT/PERMITEE SIGNATURE URE I SUED BV?IGN RDj J 1??41 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 QAi/( /-1 , SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s 9r4M FCQy of energy talcs. S E r 1 3 1994 COMMERCIAL 2 sets of architectural & strut ural plans, 1 set of specifications, 1 copy of energ calcs---------- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date - Valuation of work /10 Site Address: %AIPOo? aK tX.r+r? kViLulf? STREET SUITE # Tenant Name: (commercial only) LOT _'P_ BLOCK SUBD. n P.I.D. # Description of work: The applicant is: ? Owner C ntractor ? Other (Describe) Name Phone 4'?t -__-q70 Property LAS FIRST Owner Address STREET STE # City State Zip Company Phone lee-3 Contractor Address JIAAA A44 / r) License # /I13 Exp. :5 S City State 11 Zip ffv73 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber AAe ? - Processing time for sewer & water permits is two days onc e area has been approved. I hereby acknowledge that I have read this application and state that the information is 11 correct and agree to c p with applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: V L/ ?? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging I[ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck WORK TYPE rf 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) 0-N Basement sq. ft. MWCC System ?C (Allowable) 1st F1. sq. ft. City Water UBC Occupancy R 3 ,rri 2nd F1. sq. ft. PRV Required Zoning (L' L Sq. Ft. total Booster Pump # of Stories - Footprint Sq. ft. Fire Sprinkler Length 77, On-site well Census Code Depth 2.0 On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? .Site ? Wallboard 0 Footing ®- Final & Framing ? Draintile ,ELInsulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units valuation: $ /39 QUO / Sy zo it y3 S/oo.eo ZX 2-z,a9 X06 b3X SY< S7, 6Sz- z Zs.s >< 36 9i8 y xi3 sz cj 70 ?. S5' , s 2.380 - yy 66 66 79J- 3 Z )e I3 5 M T zmn y1 ??°° y X 3m = wY n SEP 12 194 16:22 TO 4560051 FROM PROBE ENGINEERING T-479 P.02 Q2-dO `n?aNAGD rlOf(t/SOA/ COHSVUTINO lHOIH!!flS !X as and U IND fURYlYEIas „ , 06S?Y: NOIN6EItING aK. _/8 COMPANY, INC. P?. es ?.? 1000 EAST 146th STREET, BURNSVILLE. MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY HOmEs Legal Description: LoT v i ,e 4DDIT/4,v ?833? /8?•4: JT Q$?o) DENOTES EXISTING ELEVATION ( 887.5) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 0.8-7,83 = FINISHED GARAGE FLOOR ELEVATION A7 ./6 = BASEMENT FLOOR ELEVATION l6 = TOP OF FOUNDATION ELEVATION I \ ti X0,38 `.. I;' r`•v SCALE : V m 40' IO ?? \ .?? SO v \ .: ) fejCA A4ARk : -NA A7 sw'Ly (.OT Q Omz' 3) ra?v. = 895.29 I '- ;_.? ,•'? 1 ACVP_I;G0,: 32a2 ROLLWA NiLS DRIVE r. VVVV ? ?WFl• FRONT SE7BAG'K G M14F EAGAN REVIEWED s0 3,3;03 EPT. ` I ® i ? 3r .o ms ?vi? dlj 0000 /_T 0 6 h ?Ir R LLime NIUS DR,IV? ?, o R I hereby certify that this is land as shown and described JcEPTEd'1BE? ? ?y .e Qtr Io a6 9 s PWINA6F .9VP UT/L I TY EA$6M6,A1 _) w ADJACENT HOUSE DETAIL ao Q NO SCALE (844. _V ' SI' 48" E I Al 890" a true and correct represent hereon. As prepared by me tion Of,a tract this I2"' day Minn. Reg. No. 6033 w v M CL LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DOCUMENT STANDARDS p? ? ? Registered Land Surveyor signature and company fil/ ? ? Building Permit Applicant ? 9y D 0 Legal description p? 0 ? Address (Y ? D North arrow and ba-r scale D/0 O House type (rambler, walkout; split w/o, split lookout, etc.) D---b 0 Directional drainage arrows with slope/gradient %. 0 r 0 Proposed/existing sewer and water services a ? Street name 6]?0 0 Driveway ELEVATIONS Existing [?0 ? Sewer service VO 0 Lot corners 5}1 0 Top of curb at the driveway fY 0 0 0 Elevations of any existing adjacent homes Proposed - / W ? / 0 Garage floor 0 0 0 First floor V0 0 Lowest exposed elevation (walkout/window) [dam ' 0 Property corners tio f d th [? ? ? e oun a n Front and rear of home at PONDING AREAS (if applicable) D [3/ 0 Easement line 0 LY 0 / NWL ? Q 0 - HWL El [9 Pond # designation ? L4 ? Emergency Overflow Elevation ?o o ?0 0 rya ? D o/? entry, Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and setback of adjacent existing homes Ret Reviewed; October 1992 Date of Survey: UTILITY WN5TiU ACE STREET AND C.&G. TO ) INAL CONI)i 110N. I ? 6X5 E / / 1 RE 885.02 N.5 I 1I I I I ? I I II IIII IIJ???. Sg I( I III I I I I I ', y I ?w ti ?I 71644911,SEICEI ( I IIIQ ?/j I I R? ' \\ IC.$.=i?@?3.p? I? I I j I i IIII D 1_ I II I III IIII I( 11 I I I ?. I I?I?11I111 illilllll?\? 11. II ((I?IL!III? I I R IIIIIIIIIII \ 6d2.8'2 I - - M EI >?2.8 EXISTING --ROLLING EX S?T. C_ONC. C.BG. EXIST. , 8° P.V.C. AN. R. ANUUf DESIGN D EXIST. 6" D.I.P. ?A _EX HILLS DRIVE -------- r RE VE EXISTIN xG 6 6 TIDE W4PLU13 AN REP ACE WITH 1-6"900BEND_ NC. _ ? THR Sy BJ=OCKGNG,.'': r / --.{ ; ' I, Fir T KE ClTY I. I _ j ?4 F.P] DOEC'.0'f GiJA?AW TIZE I--? l r THS AC'.:JI,?.\rY OF UTILITY LOC?ATIOL$$xis HOUSE I ,d D - r'? (.°,T IONS. TMS DATA 91S . FOR 19 EIFOFsi.::,U^i PURPC???S OFJL`' AND PERS01:_ Jjl'lI ?O IT SHOULD VEF'JrY THIE - - - ibi!FC•R±:?:': i ,JOJ?! THS SITE. j -G-EN. L ----- _ llr 8 -Mr--San i-tary Sewerl shall -beSDR.-35 I I ;311 Dwl { ?-1 1 f 1 l (? Jill I t 11 1 11?M ?I I ?? l I (J It? I 6TEi? 1 / / I III, INSULF )P0`L',F.. St \-4' DEPt S= "'to S r \ INV.= 8747,SERVIC,)=(\-(,? L0% W? C.S.= 883.15 i. rx \ \ \ r 2. S nitary Sewer services shall be 4 inch PVC SDR 26rand extend in.o ibts 15 feet. r °. r; 3. Sanitary Sewer services are stationed from downstrgam manholes. 4. water services shall be 1 inch copper type k and shall extend 15 feet into lot and placed upstream of sanitary sewer service. A NI Donald L. Johnson Homes, Inc. Energy Code Worksheet Name: Navin, Kevin Address - 3202 Rolling Hills Drive, Eagan Contractor - Donald L. Johnson Homes, Inc. Lic #1603 4639 Park Ridge Drive Eagan, Minnesota 55123, Phone 456-0034 Building Classification: Type A (Single Family & Duplex) General Information: 1. Building Perimeter - See Worksheet 2. Wall Height - See Worksheet 3. Gross Wall Area 2423.21 4. Square Foot Roof Area 1100.00 5. Square Foot of Rim Joist 124.00 6. Doors - Area 68.40 U Factor 14 &.47 7. Total Door's Perimeter 8. Windows - See Worksheet Crestline Insulated Casements 9. Total Square Foot Glass 195.24 10. Fireplace Area -0- Clearance 11. Exposed Foundation .67* 161 83.08 12. Framing Area = 10% Of Gross Wall Area U Factor 13. Gross Wall Area 2423.21 Window Area 195.24 0.36 70.29 Rim Joist Area 124.00 0.04 5.08 Door Area 34.20 0.14 4.79 Other Door Area 34.20 0.47 16.07 Exposed Foundation 83.08 0.14 11.63 Framing Area 242.32 0.10 23.02 Net Wall Area 1710.17 0.04 73.54 4 2W6 204.42 14. Gross Wall Area 2423.21 0.11 ?266:5V 15. Gross Ceiling Area 1100.00 Joist Area 110.00 Net Ceiling Area 990.00 L U Ceiling 990.00 0.02 23.76 0 U Framing 110.00 0.02 --- 2.53 OtVA4 26.29 16. Ceiling Area 1100.00 0.03 0 Z 6.b 12-Sep-94 Page 1 Donald L.*Johnson Homes, Inc. ?Ehergy Code Worksheet Name: Navin, Kevin Address - 3202 Rolling Hills Drive, Eagan Contractor - Donald L. Johnson Homes, Inc. Lic #1603 4639 Park Ridge Drive Eagan, Minnesota 55123, Phone 456-0034 Worksheet 28+43*8.33 591.43 716 28+43+20+43*13.67 1831.78 1,859 2423.21 Roof 1100.00 Windows 2636 5*5.01 25.05 5 2040 0*2.18 0.00 2640 8*8.36 80.00 8 3040 0*11.65 0.00 2050 5*3.37 16.85 5 1636 0*1.83 0.00 2036 3*2.18 6.54 3 2650 8*8.35 66.80 8 ---------- 195.24 ------ 29.00 Doors atrium 34.20 1 6'0 Patio 34.20 1 68.40 I hereby certify that I have completed the above information and th t' with the Minnesota State Ene/r y Code. Je M. nson Date 12-Sep-94 Page 1 tR r €s 1?Is ? c i s$a r ? r fir y?' ?' z r.3afzhz a a `s? ?'?.9?' 3m?????i3 `° a ?, E 3'?S `'? s i ?s *#??... 333"?(y?vv,}yfq s<L°S? S i ¢ 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE !J? `I FEES HVAC: 0-100 M BTU $ 24.00 ? ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 3, 0 O ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL ?,,- 3S^O SITE ADDRESS:?)ZoZ Rouj rG t? ( OWNER NAME:'IJUI I U -k INSTALLERbt Vl " CTTYLW_02?90 STATE: hir-1 ZIP CODE: TELEPHONE #: M-6- (ot SIGNATURE OF PERMTI I EE PLEASE COMPLETE FOR ALL COMMERCIALiWDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: 1% OF 99N ACT FEE PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL SITE ADDRESS: FEES $25.00 $25.00 CONTRACT PRICE: $.50 FOR EACH $1,000 OF AM FEE. OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMIT FEE CITY INSPECTOR 1993 MECHANICAL PERMIT (COMMERCW.) CITY OF EAGAN 3830 P"T KNOB RD EAGAN MN 55122 (612) 681-4675 ?.... i....b..,...,. 1994 PLUMBING PER CITY OF 3830 MOT EAGAN N (612) 68 NO. FIXTURES SHOWER 7 WATER CLOSET BATH TUB _ LAVATORY _ KITCHEN SINK LAUNDRY TRAY - HOT TUB/SPA ? WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • ?;mnm - i 3 ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • nat.ay. ue. U.G. SPRINKLER • home under mesL ALTERATIONS • to esiaHng WATER TURNAROUND STATE SURCHARGE SITE OWNER TOTAL: 3a C) ?-3 O k n CITY: .-,k- STATE: ZIjm?OD] PHONE #: (?lZ) LI J Z- 2_?l2_ ..., Y •' AMON, i T 1994 PLUMBING PERMIT (COMMERCIAL) Cl`I'Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681=4675 PLEASE COMPLETE FOR ALL FAMILY BUILDINGS WHEN DWELLING UNIT: - NEW CONSTRUCTION ADD ON t REPAIR , WORK DESCRIPTION: CONTRACT PRICE; $ y FEE: 1% OF CONTRACT' FEE. i STATE SURCHARGE- $.50 FOR EACH $1,000 OF W FEE. NENEgUM FEEd $ 25.00' CONTRACT PRICE' X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: ' TENANT NAME: STE 01i'NER NANM: INSTALLER ADDRESS: CITY: STATE: ZIP' EODE PHONE #: FOR: CITY OF EAGAN APPLICANT 000 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 450-SD Date/e/-QLf t I'I ? 1 I r) Unit # Site Address 3 ?-o 2o L I I -vla p Property Owner k Q U (?/] I 1(a y o Telephone # ((4 Contractor -D Z(VI?.( VI?__Y?UWt?o(V ---------- --- yy'I Address / ?I`t 7 -ra i I C t City b A ' 1 1 State ?,t 1 , IV Zip ?DCa 12- Telephone # ( ) 7 J J (,52,,b The Applicant is - Owner contractor Other Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levelsnr room additions, excluding water softener and water heater - Abandonment of septic system - Water turnaround (+ 5/8" meter if needed - $121.00) Other: L G?i IW _ . f tn? lJ II ` I II - RPZ _ new installation _ repair - rebuild ' U $ 30.00 AUG " S 2003 0 _ Lawn irrigation system Water softener Water heater By"---?' - - $ 15.00 - replacement _ additional $ .50 State Surcharge Go w Total S , I hereby apply for a Residential Plumbing 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 Plumbing Codes; that 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. 'DAN Pf ?A-o A-6L- A-N1?i ""V ? 1 b2?- K P/t Applicant's Printed Name Applicant's Signature 7??9? 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date S 1 D r7 I 12 Site Street Address o`Z? a?D/ ?yG ELLS g?2 Unit # Property Owner 4,0- a Telephone # Contractor/JJC ,OVl .g5? Telephone#(?_Sjf Address l== /?Lu (?,"rfiy _d` iOQAX< lLf? State i1J Zi The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive plumbing repairs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to _ main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment _WaterTurnaround (add $136.00 if a 5/8" meter is required) Other: _ Water Softener A Water Heater $ 15.00 new replacement _ Lawn Irrigation _RPZ _PVB new -repair rebuild $ 30.00 State Surcharge MAY 0 D $ .50 Total $ i nereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applidant's Printed Name' (/ AppTicark's Signature 2007 RESIDENTIAL BUILDING PERmyr APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodelRteoair Requirements 3 registered site surveys showing sq. ft. of lot, sq, ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 1 Soils Report ff proposed building is to be placed on disturbed soil 1 site survey for additions & decks 2 copies of plan showing beam 6 window sizes; poured found design, etc. n - indicate if onsite septic system 1 set of Energy Calculations 7/1193 3 copes of Tree Preservation Plan lot platted after Rim Joist Detail options selection sheet (buildings with ith 3 3 or less units) Minnegasoo mechanical ventilation form 4136_ Office Use only Cert of Survey Reod - _Y _N Soils Report _Y _N Tree Pres Plan Rood- _ Y _ N. Tree Pies Required - _Y _N On-site Septic Systems-. _Y _N 13i ? rnneidnre'1 nrrhlir infnrmnfinn rrnla¢c vnii state they are trade secret and the reason. Date ?- / S2 7 Site Address ) U 2 R-61 (, L, Construction Cost ? y I (1 UU ? ( S -hr l Ve, Unit/Ste # L,' "` Description of Work ' T t V\t S Multi-Family Bldg - Y X N Fireplace(s) - 0 ?C 1 - 2 Property Owner K V V -i f 1 e h S ?t 1 V? E V- Telephone # ((a F60 Contractor Address 3 6 g- 3 I?0D? (w ( ( State V, V,- Zip S S t Z 3 City F-a- -ct^ Telephone # (691?) &'7S- 39 7 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catesorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted 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? - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( . I hereby apply for a Residential Building Permit and acknowledge that the information is complete and e; that the work will be in conformance with the ordinances and codes of the City of tagan and the State or iviN 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 a an in the e of work which requires a review and approval of plans. `I?ov l 0"A ,J&ke (v- Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 1 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ; ,0 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair `* 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Descriotion: Water Damage _ Yes A .0 , Valuation L Occupancy MCES System Plan Review 100%or-25% Code Edition r Census Code _ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC i Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final y Framing _ Siding _ Stucco Lath _ Stone Lath -Brick ?C Fireplace R.I. Air Test Final i _ Windows Insulation Retaining Wall Approved By: 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 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3202 Rolling Hills Dr Lot: 2 Block: 1 Addition: Bur Oak Hills 3rd PID:10- 15502- 020 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745 -1400 PERMIT City of Eaan Construction Type: Occupancy: 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 by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: Kurt J Schluter 3202 Rolling Hills Dr Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA090210 07/15/2009 ePermit City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r L For Office Use `1 Permit#: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: L` L ' W/3 Site Address:t-) kVA- L6 Tenant: Resident/Owner Contractor Type of Work Permit Type Name: C° t� Address / City / Zip: 3 -t) e Suite #: Phone: 05 C41 i' -floc } Name 1 ATh ; \ 0Q. -F- Lic e nse #:\1\k i Lt Address: q � t i Q City:`tCLLC � State: '10 1 Zip: �"01 Lo Phone Tt a LC) C�rm �\ Email: Contact...��, New replacement _ Repair Rebuild — Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / — PVB) Septic System New ;\.ter Softene Add Plumbing Fixtures ( Main /_ Lower Level) Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) � 1)bTOTAL FEES $ / CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. gopherstateonecall.oru 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 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. 1.,�- Applicant's Printed Name x Applic fit's Signature FOR OFFICE USE Required Inspections: Under Ground Reviewed By: Rough -In Air Test Date: Gas Test Final t � Use BLUE or BLACK tnk �----------------- � For Office Use � �. � Permit#: �I ���� 1 ��� �� L���� �,���� � PermitFee: ag � 3830 Pilot Knob Road �'� ,. Eagan MN 58122 � � '� ����� j Date Received: '�7�� I Phone:(651)675-5675 ��` 1 �` i Fax:(651)675-5694 I staff: 1 I I I �----------- — --' 2014 RESIDENTIAL BUILDING PERMIT APPUCATION �• ����- Date: � Site Address: `� �'� `�:� �L.L��� '��Unit#: Name: ��tZ.�' '�" �� �-���„T��-- Phone(�j��°.G�,7� .1�'��'}� ` �t���#� �l�.l ��� Address/City 1 Zip:�i���'" LsS�, � ��-� /�� � � Applicant is: Owner Contractor .�. ��,� Description of work: ��i'}�'�� �"1'� `�*�'�� �r��� �� ��3 Q��' Canstruction Cost: ,� Multi-Family Building: (Yes /No^) Companv: ,� ��'A.���t''�� ��,,(.�- Cantact: iS,�/'��°'.a'���' :�:t��t�t��" Address:�''�'� ���`���' Ciiy:--(t t���T« s; = State:�i�Zip:�� ' Phon :-�'' ° `Email: ��s"1a`�►' �,',�-t�C.;�+•+r^��"�� RL�' , � - � License#: � �� �� Lead Certificate#: � � �� � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 8�Water Contractor: Phone: ����� ������������`���� ������ ���� ; �a��������������������������������� $ � � ���� ��� . ,� � , ��� �. y CALL BEFORE YOU DIG. Catl Gopher State One Call at(651)454-0002 for protection against undergrourid utility damage. Ca1148 hours before you intend to dig to receive{ocates of underground ufilities. www.aopherstateonecal(.ora t hereby acknoHRedge that this information is complete and accurate;that the work will be in confcxmance with the ordinaru�s and codes 4f the City of Eagan; that 1 understand this is not a permit, but oMy an application for a permit, and woric is not to star[without a pertnit; diat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minn Statie Buil g Code must be completed withi�180 days of permit ance. X x Applicar�Ys PriM�d Name plican s Signature Page 1 of 3 .�o� �//��� �-h�l�' ,��� , } DO NOT WRITE BELOW THIS LINE ���J�� SUB TYPES . _ Foundation _ Fireplace _ Porch(3-Seasonj _ ExteriorAlteration(Singie Family) _ Single Family i Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Levei � Pool _ Accessory Building WORK TYPES New _Jnterior Improvement Siding Demolish Building* }(� Addition _ Move Building _ Reroof _ Demolish Interior a�� _ Alteration Fire Repair _ Windows Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall �Demolition ot entire building—give PCA handout to applicant DESCRIPTiON Valuation � , �(��� Occupancy « (,�-/� MCES System Plan Review Code Edition �-��.. SAC Units ���-,��-�� (25%_100%� 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) Meter Size: Footings(Deck) Final l C.O. Required Footings(Additian) Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final � Pool:�Footings �,Air/Gas Tests �Final Framing Drain Tile Fireplace:_Rough In �Air Test Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wa1L•_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By; , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review /('� �� MCES SAC �•� City SAC Utility Connection Charge � (� �� S�W Permit 8�Surcharge � V Treatment Plant Copies TOTAL Page 2 of 3 = s ���715� POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: ��� 1��al�i Ya� � ;� 5 - � Applicant Name: K%c�''-�'� � ���'�C'��- �-�1i,��� � � � � GENERAL INFORMATION ac ¢ b o z a ,� ❑ ❑ Applicant name and contact information � ❑ ❑ Property owner name �3` ❑ ❑ Address of property ,,0' ❑ ❑ North arrow, scale (1" = 30' or 40') � ❑ ❑ Site Plan, drawn to scale showing location of house,pool, and other existing or proposed structures, including retaining walls and fences. �' ❑ ❑ Location and name of all streets adjacent to property � ❑ ❑ Directional drainage arrows (existing and proposed) 0 fd ❑ Lot Square Footage ❑ fa' ❑ Lot Coverage ELEVATIONS Existinq ,J� ❑ ❑ House corners ,a ❑ ❑ Property corners ,ef ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed � ❑ ❑ Finished pool deck corners �) ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation(if it changes) �" ❑ ❑ Pool bottom(or max. depth� DIMENSIONS Existin � ❑ ❑ All property/lot lines � ❑ ❑ All Easements on the property Proposed Jd° ❑ ❑ Pool � ❑ ❑ Pool plus integrated deck/patio � ❑ ❑ Shortest distance from outside edge of pool to lot lines and house Reviewed: � ���i� Nam Date G:FORMS/Pool Permit Checklist/11-20-12 • �Ei� 22 ''94 16:c 2 [lJ 4�bktt��1 r r«n�� rc«,� s..�,�:.,.,•,.•-,,,•,,.� . ..- - - - � � ��—�� . . ' s . :: _ .. �`€�RtAGI7 at,+J��tI.�+OJtf 1�t�l�l�.S' �: �t��,� �a�a�i�as �a��."����#u��r��ro�s �65'.�'�¢:�'� ����t'���I���t� , . a�. ��� `; �,. bs ����►���, ��c� �.,,�.�.r.r.+��. 1�flt3 f+�S't 146th STFtEFT. 8UliNSV11.1�, Mli�l#iESOT1t �lS�37 PN: �4'��"3tlt?i� . , ��� # ���W��i�,. �� 'V����.5� ��w[��� ���7L�i R i���. s^+'i�P � � ����! /r�� i� � �.��'�,c�� i�Ei�tCtTE� E�4iSTtht� El.E1/A"1'tCil'� � 88�, � } DENt�TES ��iQ►P1�S��J► El.�YAT�t7t►1 ���� ..,,,.,,.....—�-- • lNC�tCATE� DIR��"�i�t� t�� �Ui��A�E i�RA:INAG� , 3 � FlNtSNE�3 �AR,�tGE �Lt)C�R E�.EitA7t{�i+i- �. �'��� m�_. � ..���--- .� _� _ _ _ _ � �� �� ;�/�►- --�, �A.'�i�l��-F�.f3�--�������� ,._ . _.� -" ��$,.� = TC?P Q� �t}1.l1'�fl�ATIQtk1 E[.�11J�'#'tCltti# /j/ �,.�e!�3" � r�'��►� � ��y ���,r a ;� S+CAi.�s i'+�+�4` �� `��"``..�.��"�„` �'�'?��'�d tY/' "�•��:� s��, � "�i�! �� � �.f'�- . � �'--•,,���,�` �.. ��_ � ��# 1t�fA4�'�.. . "tf+1F� �t� � 1�k �. 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St.��i /I,j ����;�+ �, �89�}-.�? � h�reby �er�ify th�t thi� �� �a �rue �nc� ca�rec� xepxeaentat�.�n o� ,a tr�c� land as showz� and de�erik►ed herean. Aa preg���d by ma �'a.i� J�� ���t _ . ,�'�,�T���.�..., � �.9 • , � �.,., . , �� Mir�n, �t�ag. �T�a. ��S,S ,Ai eizo .. I- For Office Use I 9 mØPermit Fee: /,3 I e Date Received: I / --..D- 3830 � 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIV►I '' i124 I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:(a. n ec--- buildinginspectionscitvofeagan.com ze" 5rr+ l . 2020 RESIDENTIAL BUIL t2 , — - : i4 ` APPLICATION Date: Site Address: Unit#: f�/4v7 '� Name: Phone: owner - ; Address/City/Zip: 0"- /-2,-.6,M.,, //, �./ /9,--. � ,, Applicant is: Owner (Contractor • I , 1 ( 37/ Typo of Work y�, Description of work: /' .fah e•-4//".)-7 r%'� �C.e yr./ ,/1 e v ami o /it 41,11,--:/, rn`✓✓)/ /✓'-C-i ... " fi.✓cr .. / e � C�o✓Y., 0- .----.4, [7' 43✓i.i/t,I,- f`c-• L Construction Cost: ,37 fa' 7,- c 4,,f Multi-Family Building: (Yes /Nov ) i,..71- a ,��_, Company: ,./tern p,,- nc.--" .-. /�//./y , Contact: ‘,..fm�/ .r)7 /'c ,-.. Address:„/". ...z_.,, ,Y" -/i .1"/ LA #/v., City: .C'/,/,/c. L.t,-/ -,4.i /en./ rrotltr8Gttor _ State:�4- Zip: /JZ9y Phone: �fj 1/-.../ 7` mail: � /'-r ev.7:60/3. , i Z. License#: �C ��1�z3 Lead Certificate#: 4/4 x /i�yU "` If the project is exempt from lead certification, please explain why: 4.---,'//1 //c7y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: wi y w��� .L�lt to 4� Phone: s�., �P 'ments t y u submit co . be Public�auWl. �onsd the ,, ;' 't { P d-y fAM `£ nonotnObilt ifNYoulevtelde specific' that d permit the coy to conclude dud they are a - sic ,:,Ali{ 51sT You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 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. X ,.... .10.01-- ./721-1---<./7 — x ✓ ` ----- Applicant's Printed Name Applicant's Signature 1 DO NOT WRITE BELOW THIS LINE 3,0 /O111 / ;1 j.. IDA - /'(p/o`/ SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) . Single Family _ Garage — _ Porch(4-Season) Exterior Alteration(Multi) _ Multi — Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* 1-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 /0 pad Occupancy J# &—/ MCES System -- Plan Review Code Edition A,0 Aj SAC Units (25%_ 100% A Zoning R''/ City Water — Census Code '/3'i Stories J Booster Pump — #of Units / Square Feet 3 9 PRV #of Buildings / Length 514 Fire Suppression Required Type of Construction „itb Width 7 REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Are' Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test *Hood Roof:_Ice Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /A _ , Building Inspector RESIDENTIAL FEES 4$404 r4a 0 7C em ` 7GXi4i Base Fee /q/ � / Surcharge 3X0 flile# i(,o ;%04/ ��ff''I G fpfllt Plan Review / ,f ii 6_1 MCES SAC City SAC 9(e Q 4v— Utility v Utility Connection Charge " l S&W Permit&Surcharge Treatment Plant Radio Meter Read y Copies $� 4 alt fU TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161118 Date Issued:05/06/2020 Permit Category:ePermit Site Address: 3202 Rolling Hills Dr Lot:2 Block: 1 Addition: Bur Oak Hills 3rd PID:10-15502-01-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Kurt J Schluter 3202 Rolling Hills Dr Eagan MN 55121 Diversified Plumbing & Heating Inc 125 E Railroad St Norwood Young Americ MN 55368 (952) 583-9646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161119 Date Issued:05/06/2020 Permit Category:ePermit Site Address: 3202 Rolling Hills Dr Lot:2 Block: 1 Addition: Bur Oak Hills 3rd PID:10-15502-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Kurt J Schluter 3202 Rolling Hills Dr Eagan MN 55121 Diversified Plumbing & Heating Inc 125 E Railroad St Norwood Young Americ MN 55368 (952) 583-9646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162407 Date Issued:07/14/2020 Permit Category:ePermit Site Address: 3202 Rolling Hills Dr Lot:2 Block: 1 Addition: Bur Oak Hills 3rd PID:10-15502-01-020 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 - Kurt J Schluter 3202 Rolling Hills Dr Eagan MN 55121 Diversified Plumbing & Heating Inc 125 E Railroad St Norwood Young Americ MN 55368 (952) 583-9646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164102 Date Issued:09/18/2020 Permit Category:ePermit Site Address: 3202 Rolling Hills Dr Lot:2 Block: 1 Addition: Bur Oak Hills 3rd PID:10-15502-01-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Kurt J Schluter 3202 Rolling Hills Dr Eagan MN 55121 (651) 497-1858 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature