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
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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..�,�:.,.,•,.•-,,,•,,.� . ..- - - -
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� 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
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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