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3213 Rolling Hills Dr
SEWER & WATER PERMIT CITY OF EAGAW 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 04-26-91 OFFICE USE ONLY / METER # y? 9 0 10 ' 63 PERMIT DATE 05/06/91 CHIP # 6A 3 3 Sg L ? PERMIT # 119791 METER SIZE B.P. RECEIPT # C 13270 ISSUE DATE B.P. RECEIPT DATE 05106/91 - PRV -BOOSTER PUMP SITEADDRESS 3213 Poll.infr Hills Dr. LOT?? BLOCK 10 SEC/SUB Purnalls T411_31!§ III APPLICANT: r'ti? « Car++S ?r?! C ?, o.UZL ADDRESS:-121"2 CITY, STATE V I ZIP 553 31 PHONE: & B" 7c"+0' PLUMBER: ` LA P?H' hi ?J ADDRESS: J O 18 M anNCIS '52 Ng TY ; CITY, STATE oo?,?N ^} ZIP PHONE: 8b Ll - Ll 9. OWNER: MCLX1QAkA Co,•S uc4,1.i MX PERMIT REQUESTED SEWER =WATER TAPS _?COMM/IND RESIDENTIAL .? NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WJIrLQIQT be given for Deduct Meters. TH CITY OF ADDRESS: CITY, STATE ZIP PHONE: SI NATURE E M R ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. .n SEW.EP &,MATER PERMIT CITY gFEEAd 1' 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 0$-26-9 1 OFFICE METER # CHIP # METER SIZE ISSUE DATE ?E ONLY PERMIT DATE PERMIT # 11971 (.; 1 2 % 0 B.P. RECEIPT # B.P. RECEIPT DATE PRV BOOSTER PUMP SITEADDRESS ?2J3 falling Hi11s Dr- LOT i BLOCK 1,r-SEC/SUB Rygr APPLICANT: MJC ??]a• ;? (.:. ,<J? : t?,TADDRESS: iKl •. ,?n- {? I CITY, STATE T ZIP -r` PHONE: PLUMBER: f,- r ?("P il_), . 'c, ADDRESS: ; ;`)! E, / l a,,, adS !;or. 17 r Ace CITY, STATE -en r3 , ft ?J J ZIP PHONE: ;8 9 1 LA OWNER: ADDRESS: ?s CITY, STATE PHONE: ZIP PERMIT REQUESTED ~ SEWER"GNATER -TAPS COMM/IND _tZIN-EW Lawn Sprinkler Mel Ahead of Domestic Credit WILL NOT be ,r 1--RESIDENTIAL EXISTING Installed ter Line. t Meters. CITY OF SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT L CITY OF EAGAN •? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 a[?EtiEO A FROM AMOUNT S S & DOLLARS 100 O CASH la- CHECK FUND OBJECT AMOUNT Thank You BY C 13270 Ye a WV C or Pw*--Fft Copy \.... ,..{t '77"S.', ,?,elr,y. ?,?_ .. ..., 5.-??.. - 7 -7- Kf?'a ?/ ?'fi4 P' T• R'SRt w_'.75?.ev+FV Apt?-- - - -W-. d CITY OF EAGAN 19012 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE: 454-810 0 BUILDING PERMIT Receipt # r To be used for SF DWG/GAR Est. Value $130,000 Dale-- MAY 6 19_?-L-- Site Address 3213 ROLLINC RILLS DR Lot 2 Block 10 Sec/Sub. OUR OAK HILBb - OFFICE USE ONLY Parcel No. 70 Occupancy B -3?1 FEES Zoning W Name WDDNAI n rcunt >irri N INC (Actual) Const V..ti 7as.OD Bldg. Permit O Address 1212 SLItSSILL SAY 1111 (Allowable) Y.?lt Surcharge ?S!DO CI BiI)QKSVI1 -F City Phone 6..7061 +v of Stories 9 4".00 i Pl R Length _ 70 an ev ew ;i2 Name & M Depth SAC, City 100.00 v¢ Address S.F. Total SAC, MCWCC 650.00 City Phone S.F. Footprints - On Site Sewage Water Conn 660.00 VW ? w Name On Site Well 9S. Op Water Meter ? Address MWCC System 3 W City Phone City Water 0.00 Acct. Deposit PRV Required S/W Permit !0.00 I hereby acknowlege that I have read this application and state that the f i Booster Pump S/W Surcharge • n ormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276.00 Signature of Permitee ? ._ ' APPROVALS Road Unit 11171111- A Building Permit is issued to: =0NAM r&=Tajy T1r0X Planner Park Ded. on the express condition that all work shall be done i accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 3,505.50 Permit No. Permit Holder Date Telephone # WATER SEWER . PLUMBING O ±5j-11849 ELECTRIC (? ISGV ,I ???/ Inspection Date Insp. Comments Footings I 1s1 Foundation Framing 6 Roofing Rough Plbg. ? Rough Htg. [Sul. yq/ p Fireplace Final Htg. 7 Orstat Test Final Plbg. .? Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final (P- /r Deck Ftg. Deck Final well Pr. Disp. 2 r . 4 Qktr#tfiratt of (Orrupaury Citp of Cagan Derwhand of Nwlbhtg imip"fimt ?his Ccrtifuaate issued pur=w to the regrdrrmentr of Section 306 of the uniform Building Code certifying that at the time of issuance A&srructun was in compliance with the various ordinanors of the City mTulating building mngruadion or use For the following: uK ;o, SS = Xm Mg. IM - N.. 19012 Omq*oq Tme R-q?t 1 z,dog nwwa R I 'rte C4" VN o,.= or s B fMMM n GobMMx• MN A&tm 1212 ffiIM BI L BAY M. BUFeMl IB a-um Add= 3213-RM 3. . RIOF RJR OAK UJIM 2ND 6/28/91 POST IN A CONSPICUOUS PUKE CITY OF EAGAN 19 01 2 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BU DING ER L _ Z Z ? IL P MIT Receipt # o To be used for SF DWG/GAR Est. Value $130,000 Date MAY 6 1991 Site Address 3213 ROLLING HILLS DR Lot 2 Block 10 Sec/Sub. BUR OAK HILLS OFFICE USE ONLY Parcel No. 2ND Occupancy R- 3-&- 1 FEES 1 R Zoning - w Name MCDONALD CONSTRUCTION INC (ACmal)Const V-N Bldg Permit 745.00 3 Address 1212 BLURBIL.L. BAY RD (Allowable) -V--N . 65 00 o Surcharge . City RIIRNSVTLI.E Phone 688-7061 rof Stories 70' Plan Review 484 00 Length . p Name SAME Depth 31' SAC Cit 100 00 } zi , y . Address S.F. Total - SAC, MCWCC 650.00 City Phone S.F. Footprints 660 00 On Site Sewage Water Conn . ?WW Name On Site Well 95 00 Water Meter . uz Address MWCC System X w Accl.Deposit 30.00 a City Phone City water 3 PRV Required SAW Permit 0.00 1 hereby acknowl that I have read this application and stale that the Booster Pump SAY Surcharge .5o information is co act and agree to comply with all applicable State of Minnesota Statute n City of Ea an Ordi nces. Treatment PI 276.00 Signature of Permite APPROVALS Road Unit 't7n nn A Building Permit is s d to: MC Planner Park Ded. on the express cond io that all ork shall be done it accordance with all Council applicable State of Mii esotta Statutes and City of Eagan Ordinances. Bldg. Oa. Copies ? Building Official ?`?tll__I1.,YdLd._I lll1l Variance TOTAL 3,505.50 HAY 8 1991 RE: 3713 ROLLING HILLS, DR X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. DATE. (HCDONALD (CONSTRUCTION INC) Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy-allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. .S /G/9/ -mk /o / 1;41 7 1 07340 ? '5oo Request Dale Fire No. Rough-in Inspection Regm{?tl? // ?Reatly Now ?__ ?YJIII Notify Inspector ? lpes C No When Ready? ? t t h t i f I li d b ti b l t i l k t D con rac or owner ere nspec on o cense y reques a ove e ec r ca wor : a Job tlress ISim eL Box or R I No.l 3 City Se ion Np, kinship Name o o. Ra a No. Coun Oc(PRIN? Phpn 3 Po,ver S• plier s P_ m 4-x Address Elect ontractor's License No. Matlkmg Ins?tallau?onl? Amhonlep Si eture I onuactoaner M king Installation, -- 15 5/1=2 I,/ one mher MINNESOTA STATE COARD OF ELECTRICITY 7 THIS INSPECTION REQUEST WILL NOT Griggs-Mlil Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)6A2-0600 ENCLOSED. 511601 i n7340 VEST FOR ELECTRICAL INSPECTION 9rt{phona for Completing this farm on back of yellow copy X" Below Work Covered by This Request yy0 7'?,x EB-0000011-08 ew dd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial urnace Farm Air Conditioner Other (specify) Compute Inspection Fee Below: Contractors Remarks'. # Other Fee # Service Entrance Size yfill # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only 0 L Irrigation Booms /` ; O(J 0 Special Inspection (?? Alarm/Communication THIS INSTALLATION MAY BE ORE. IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the Electrical Inspector, hereby Rough-in ate` / ?L ?/ certify that the above inspection has been made. Final - Oat 10 OFFICE USE ONLY This request vcid 18 months from ,_. Address: 3213 ROLLING HILLS DRIVE Lot 2 Blk 10 Sec/Sub BUR OAK HILLS 2ND Thes6 items were/were not complete at the time of the final inspection. Date: 6/28/91 Yes No TnqnPrtnr1 Final grade (6" from siding) ,/- Permanent steps - garage ? Permanent steps - main entry V/ Permanent driveway Permanent gas !/ Sod/seeded grass Trail/curb damage Porch Basement finish / Deck rant ak 9 dN 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. FFC?C4fDgRP White - City copy Yellow - Resident copy Pink - Contractor copy RESIDENTIAL aS 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. k. of lot, sq. ff. of house; and all mofed 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 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 10 21( 2 SITE ADDRESS TYPE OF WOR APPLICANT STREET ADDRE TELEPHONE d CELL PHONE # MULTI-FAMILY BLDG Y ?/N FIREPLACE(S) _ 0 _ 1 _ 2 FAX # ZIP '/') PROPERTY OWNER Vll TELEPHONE# I M ------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CX11GORY I _ MINNESOTA RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Fee: $90.00 'I, s I'Fc ' l15'ww i rl V' I F7 0 4 2002 Phone # ?'.-- -------------------------------------------------------------------------------°----------- =--I ----- ----------------- I hereby acknowledge that I have read this application, state th information is Corr ct. an agree to comply with all applicable State of Minnesota Statutes and City of Ea n ace, . Signature of AI . 3 t OFFICE USE ONLY Water Softener Water Heater -- No. of Baths -- Phone # fawn Sprinkler No. of R.I. Baths Phone # RewdellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 61000 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 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 (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) _ FinaVC.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding Stucco Stone Fireplace _ R.I. - Air Test - Final Windows (new/replacement) Insulation _ Retaining Wall Approved By 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 Building Inspector 14011 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. Apt? ? ?NC lot, RFCD To Be Used For: Site Address e F ( Valuation: }{4Btr" Date: 4-29-91 3213 QoWf'ar ?i illl IJv Lot P_ Block 'Q Parcel/Sub Bur D_* !4i16 = Owner McI'? WA rQA Lruc47D..j TnIL Address L2lZjNue6jjj B Qcf City/Zip Code Bnrrosu,Ile-, SS33-7 Phone (Of - 70(01 Contractor Sgr is r?s' nw. c/ Address City/Zip Phone Arch./Engr. Address City/Zip Code Phone # 1301 o00 Occupancy P1-'3 M-1 - Zoning R -1 Actual Const V-N Allowable \/- N # of stories Length Depth 3( S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System City water PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. br°/ Variance FEES Bldg. Permit gSoC Surcharge 5,00 Plan Review ,op SAC, City 100) OD SAC, MWCC (Oso'to Water Conn. Moo'go Water Meter Acct. Deposit S/w Permit 5010 ) S/W Surcharge .? Treatment Pl. ?9b_av Road Unit p O Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 1.5- u/ agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA L u '24m A GA R A 6-E P-0 X2.4 In4suo ' 2,o X IS ?f 3YVA2-? 9??,c 1Zia 1Ic6Js60 129/360 otie 13v? 0aC) ? * 4L Pioneer- Ens i neer i tiv 6819488 ** *41 * Pion egir * LAND SURVEYORS- CIVIL tl 6I NEERS l? LANO PLANNER!. LAUI8CAFE ARCHITECTS P. 02 2422 Enterprise Drive Mendota Heights, MN 56120 (612) 6811914 Certificate of Survey for: Mc,00l AL- 0 C©NeT' r6 4 Gd 21.0 In ? I ?.^ ° mar N ( o A° ?` i m Q C Orl v! -kI y v o I a ? " r.. ?, 4 q \ Q I N 4J l 9 0` Q a G0. 7 0 ? M ?fi Mal ? ? i° x lp 31.A nj o '? 3r,e 3a.e ?¢8"b ?.C%89051 ?' Qf' i JO ERGAM RING DEPT i . 900.0 Denotes existrnA? flevalion j . so0.o Denotes propoMd Elevation Denotes Oralln' a e f uNlr1 Easement - Denotes Drainap Flow Arrows o Denoles monument 6earin15; shown are assumed Nn rITN PROPOSED HOUSE EUVATION9 lowezt Floor Elevation ° 87910'. Top of Block Elevation =_ 057.33 CjaroPp slob rlevolton =_ 887.0 LOT 8LOCk L31 1c; . o v p Ar<'0 h1LL 7Np DAKOT 000V, r f MINN&ro709 , S'C/$.TECT TO sAfFM45Nrs I hereby certify that this survey, plan or report was pre ared by meej? of und<?er,??my direct aupety ton and that I am duly Registered Lancl Surveyor under the laws of the State of Minnesota. Dated thisday of I -' A.O. scale . 1-?Mb - 40 P eef ;. p r// C1 A E T . SIKI L-$ REG. NCI. 149'?l tt- MINNf-OTA STATE ENERGY CODE CALCULATJnNS luilding Classification: Type Al (Single Family G Duplex) - BASED ON CHAPTER 5 OF THE ` MODEL ENERGY CODE - 1983 EDITION Adoption Effective I/1 Jwner A ln r' 1 inn n ? Phone iite Address Lo Z L :ontractor TOTE: Complete pages 3 and 4 first. (Other) IENERAL INFORMATION Building Perimeter ..rte N f t E VJfz Wall height (ground to eave) " ft. _ 351 2 I. x 2. (above) gross wall area 2 r?jlOfC. Phone #121/4 ??-)qz Date Type A2(Residential) (3 stories or less I ' (Over 3 stories) Building dimensions (L) _ X (W) 1 ft.2 roof 6 floor area Square foot area of rim joist - Floor joist size (2 x) ?{I jQ X Perimeter Rim olst area = ©(f, ZT!ft2 12 I?r? Doors - Area q b' .62 Thickness in. U factor Type of Construction Perimeter ft. Manufacturer Total door's perimeter ft. Windows: Manufacturer NSe y,rla U factor State approved TYPE SIZE AREA (Ft.2) EACH i Total ft.2 Glass NUMBER OF TOTAL FEET 2 UNITS Fireplace area; Width X height = X = Ft.2 Exposed foundation: Height X Perimeter . (4 ? X I Zg = 7J?'? Ft.2 1PLETIO OF THIS FORM IS REQUIRED FOR ALL ET?TTCONSTRUCTION JED WHERE ENE , MAJOR REMODELING AND BUILDINGS REIN( ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. 12:. ;Framing area = 10% of gross wall area. 13. Gross wall area z? • 3(p Window area A )L43C51L5 ft.2 Rim joist area A IC(p 2 9' ft.2 Ooor area A J(D• ft. ,alp area A ft.2 Exposed foundation A ?, ? CD ft Framing area A z 555' ft Net wall area A ft 2 2 ft.2 U windows = .?;(P U x A = &(,Q' U rim joist =01 )_ U x A- 41 W U door area - 14 U x A = p, 1(I?I U X00= 4l U x A = U foundation 045 U x A = 3.8(a U framing area = ,F U x A = Z2 i3:: Uwall U xA= (Aco(o (138) TOTAL . . . . . . . . . . U x A = s 14. Gross wall area :i 0.11 (A-1 single family & duplex = allowable U x A/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 stories) ?/ - Q TUH Must be larger than A x U Code. ?y'-oF. 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area (. or t?hJe, same as) 15A. Gross ceiling area = (L) ?- x (W) = l?y ft.2 15B Joist area (Af) = 10% ceiling area = 9 ft.2 15C. Net ceiling area (Ac) (15A - 158) _Q ft.2 U ceiling x A c= ©Z xQ coq U framing x A f= C),4 ?,7 x 1 = Z Z?J 15D. TOTALA x A ...................................... 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x-0.033 (9-2 other residential) x 0.06 (other) joy 102,40 BaUH Must be larger than 15D (above) A (15A) jo y x U (code)= ZS.OA F (or the same as) NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. , to Signature 2. " \?Op ? zcp -hzcv) Iz2) IL 23s I.3? g 4(ap i '3Z 7,6 OA = J3.? X S = ?75 Il Z?X46 = II,Z? ?(z = 24,6 z0 ? = 7,oX 70 ?A ?? = x,75 X I = g,7S I Zox?a = °X1- Ito 18s,z? ?s 3= S1t ? ?, w? zSU? = 35• o 9? WALL ' SECTION R?-ALUUEE U VALUE Inside air film - :68 Interior wall •?5 (Wall) U R + Insulation Sheathing Siding Outside air film .17 R TOTAL 2 ?J .0 Instd ai fil 68 STUD SECTION 2ND WALL SECTION. RIM JOIST Inside air film R= .68 Interior wall Insulation Sheathing Exterior will covering Exterior air film R =.17 . R TOTAL (Wall) U 1 = z Interior air film R= .68 Insulation Ik inch soft wood R=1.88 (Rim Joist) Sheathing 2.0(O Exterior wall covering .(P7 Exterior air film R= .17 R. TOTAL 2-4.4(o Interior air film R= .68 •Insulation)Fjj5epaL,krjtj 19.00 t z' PI-( Z ?4 Exterior air film R= .17 q --7 1 R TOTAL z • $ I -Exposed Block e. r m Interior wall u stud Sheathing Siding Outside air film . 't7 R= 4%" (D 50(Framing) U . R. ? Z. otp • ?? p9 5 .17 ?- (0.53 R TOTAL \.??`?.Grade 3. 1 U=R= 04( 1 (Fdn.) U = R =/ . e>45 CEILING WITH VENTED-ATTIC SPACE ABOVE S R VALUE R UE FRAMING CEILING 0.61 Air Film 0.61 310.0 Insulation 45. 4. -j;,6 Joist h .5(o Ceiling .50 0.61 Air Film 0.61 47-.1(O Total R $(O .18 . p Z-7J U = If 0Z1 FLAT ROOF OR CATHEDRAL CEILING R Va ue R VALUE FRAMING CEILING 0.61 0.17 Inside air film 0.61 Ceiling Joist (stud) Insulation Air space Roof decking Insulation Built-up roof Outside air film 0.17 Total R l U R - dindow infiltration .5 cfm/lineal foot of crack residential door infiltration 0.5 cfm/square foot or door and minimum code requirement •lon-residential door infiltration 11.0 cfm/lineal foot of crack Jb 12" concrete block no insulation = .47 R 2.1 1b 12" concrete block insulated cores = .26 R 3.8 Jb 12" lightweight blocks - .32 R 3.1 Jb 12" lightweight block insulated cores - .12 R 8.3 1 single glass = 1.13; with storm window .54 J double glass = .55 1 triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). vapor barrier must be on the inside (heated side) of wall. iapor barriers of the polyethelene thin film.have no R value. 4. CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN MN 55122 PHONE: (612) 454-8100 4ECSAN FOR CITY USE ONLY PERMIT # CJ? RECEIPT # DATE: v`" 9 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------ WORK DESCRIPTION NEW CONST X ADD ON REPAIR OWNER NAME: _ c\ cC n 1 \ 1Ci? `?` 1\ 0\ ? 1. SITE ADDRESS: SQ`??' -[1iLlnC \ t 1`'S1 ?\F1V LOT: p BLOCK \I C? SUB\D-.v r` C?Ak t? ,157 INSTALLER: (??61 T C hE ?. \ ADDRESS: CITY: VIC, •a? ZIP:_ PHONE #: ( TC lG?, c?_ S GNATURE OF PERMITTEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. i ------------ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FEES DWELLINGS & ------------- ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $_-6C) STATE SURCHARGE: .50 TOTAL: FEES 18 OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD KAGAN, MN 55122 PHONE: (612) 454-8100 now,S W.PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON _ REPAIR OWNER NAME: I DoJja U?J SITE ADDRESS: 3 a 13 Y\OIII na/nI?, LOT: , BLOCK SUBD. NV 03 k L J5 INSTALLER ye 'actr /'?? f'!(dmbrha _lhC ADDRESS: gQ? `\ 6 IsVhIM0 & h v CITY:C/tlkd E? Gravy ZIP: SSO? PHONE SIGNATURE OF COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 L SHOWER 3.00 ?_no WATER CLOSET 3.00 QQ BATH TUB 3.00 -Z?. LAVATORY 3.00 KITCHEN SINK 3.00 3.On LAUNDRY TRAY 3.00 ?QQ HOT TUB/SPA 3.00 WATER HEATER 3.00 -3.00 FLOOR DRAIN 3.00 3_0D GAS PIPING OUT. (MINIMUM - 1) 3.00 300 ROUGH OPENINGS 1.50 OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL J o ST. SURCHARGE 50 TOTAL: v O COMMERCIAL TNDIISTRIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS:- LOT: BLOCK INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN SUBD ZIP: FOR CITY USE ONLY PERMIT # RECEIPT # D/3?Co DATE : ?? ?v `// FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: (SIGNATURE) City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: [J Permit Fee: Date Received: S-+/ //- Staff: 4-(-7 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Description of work: Construction Cost: Company: Address: 3 z► 3 -�v 1 1 1 >v -� Owner )& Contractor Phone: b S •�'S�' �\ R 14112. /J, -r" l gib VNa Multi -Family Building: (Yes 3b1 Cl7O /No X) (/1 Pt12 z - P " S Contact: �J - i �t't E i `' et' /9 i 0 Ci A -r- bk. i- City: A-( State: tit r Zip: 5-S 1 ZZ Phone: 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 & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.aovherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Cqde trrust be completed within 180 days of perrrjt issuance. x J Gt_Are/rUl, 6 101 Applicants Printed Name • x Applicants gnatu Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Nis Addition Alteration Replace _ Retaining Wall DESCRIPTION Valuation Plan Review /! tk� DO NOT WRITE BELOW THIS LINE _ Fireplace _ Garage Deck Lower Level Porch (3 -Season) Storm Damage Porch (4 -Season) _ Exterior Alteration (Single Family) Porch IScreen/Gazebo/Pergola) _ Exterior Alteration (Multi) 1. Pool _ Miscellaneous Interior Improvement _ Move Building _ Fire Repair Repair (25%_ 100°N ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Siding Reroof Windows _ Egress Window _ Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy Code Edition ,) Zoning Stories Square Feet Length Width Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: Footings Siding: _Stucco Windows Retaining Wall: Radon Control Erosion Control Building Inspector Air/Gas Tests y Final La Stone Lath' Brick Footings _ Backfill _ Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 2 -3 EIVED• MA 012012 ‘.3 POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: ' Ji i �0%s t••(- , Applicant Name: CCe_d (Pes V 0 Z ral .4 ❑ A92/D9& GENERAL INFORMATION ❑ Applicant name and contact information ❑ Property owner name ❑ Address of property ❑ 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) ELEVATIONS Existing )' ❑ ❑ House corners y❑ ❑ Property corners ❑ ,Pi ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ,Z1 ❑ ❑ Finished pool deck corners ❑ fd ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) ❑ ❑ Pool bottom (or max. depth) Existing ❑ ❑ All property/lot lines ❑ ❑ All Easements on the property ❑ ❑ .o ❑ ❑ ❑ ❑ DIMENSIONS Proposed Pool Pool plus integrated deck/patio Shortest distance from outside edge of pool deck to lot lines and house Reviewed: G:FORMS/Pool Permit Checklist/02-13-07 -**** • * PIONEER '*eng neering,-, *At *4( ,- St: 13 .71,41.41 /4.6$ L,ANO SURVEYORS. CIVIL ENGINEERS LAND PLANNERS • LANDSCAPE ARCHITECTS Certificate of Survey for: RECEIVED AZ/D96 MAY 01 Ji22 Enterprise Drive Mendota Heights, MN 65120 (612) 681.1914 McOof\ML coAST, N 89°5*/ fiti"E" /32.45 y f; 6'0 t 0 to et 0 41 X I vt. •—,16. 1te SG* 3r,ei /52. 4;— Isv 89°.5Viiti ,70`;* S••••••••-• EAGAN EI,TC0INES,RING DEPT Denotes essistin Elevation Denotes propthkl Elevation _verso/es Drainele f uhlity Easement Denotes Drain° e now Arrows o Petioles monument 8eartrls shown are assumed ieoLLIAI HILLS -<1~ woirrw 5 PROPOSED 1-l0uSE ELLVAITioitic Lowest Floor Elevation . 07343. Top cr Block EJevalion = 95-7.-7?3 Qaraje Slab Elevation 6i!,-7. 0 LOT 2 , BLOCk /0 I BUR? DAkozq COUIvrr A41141NtrOill $0376C7 OAK AIILLS 2ND To 44,641erirs 1 hereby certify that this survey, Wan or report voxaisopRered by me ot under my direct superAitin and thai 1 am duly Registered Land Surveyor under the tem of the State of Minnesota. Dated this day of jaft-e—N1/ A D 19 fit S Ca le trick .= 40 reef d0; hag,* • E • TM. stK L.$ RE°, tam Date: r City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: / �l Permit Fee: /7if Date Received: /n' / 712— Staff: iZStaff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION i j ite Address: 3.)-(3 J� ((t'� ( .j° II 1) t i Unit #: RESIDENT./ OWNER J _ Name: r(Z'r -(moi f GL6i�j„l// iL_ Phone: 6 `7 / ?c7- 6 9 q ),- Address / City / Zip: 3)-1 r% (((L5 1 f t i (5 tw l (/i -(2,5,,/ vi/e/ 5-70-/ / Applicant is: y Owner X Contractor TYPE OF WORK Description of work: D -e_ c.._ it_ 3,796 Construction Cost.Atiwi r' r Multi -Family Building: (Yes / NoX� ) CONTRACTOR . Company: Contact: T� Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.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. 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. Applicant's rinted Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES /Foundation +/ Single Family Multi 01 of _ Plex Accessory Building WORK TYPES ANew Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% `) Census Code #of Units # of Buildings Type of Construction Fireplace G rage ta/Deck Lower Level Interior Improvement Move Building Fire Repair Repair \ e2 REQUIRED INSPECTIONS Footings (New Building) t4Footings (Deck) Footings (Addition) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: ti Siding Reroof Windows Egress Window /:5-/ 1/ Kon,„ vidis Storm Datage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant '77 PAL- MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required ti(, Final / No C.O. Required —(%� HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL IMP a41(cei.,:m 3of'&' ,n. Desk r'r s Size/ )24 9;5)-\( 7 Page 2 of 3 * PIONEER e—Wai* eering,-. *4,j. St l3 lt041.41 /{4.4s t.ANO SURVEYORS. mutt trammel$ RECEIVED l/D� MAY 0101/422 Enterprise Drive Mendota Heights, MN 66120 LAMS PLANHERO . LANDSCAPE ARCHITECTS Certificate of Survey for: (612) 681.1914 "!cPONI'LI) COAST, /v $°5/9t8"E' 4 /3Z.(5 31.0 It t I X p 3" j 'mow �"'"'t., --- i 3,.c. ;o.a /3;:63"` X89°Sl.'¢8"';w: fir 9j EAGAN EtiTtoia.:ERING DEPT 900.0 Denotes exishn Elevation r soc o Denotes prop d Elevation denotes Dr aina e' Utili {f rammed Denotes. Drains a Flow Arrows o Denotes monument $ear(ns shown are assumed LOT 2 81.004110 /4 Q. t 4 41/4,7 6)4 Nor TN f RQPQS&r IJQU$E E&EVA? ONS toWesf Floor Elevation = 07614A Top o Block Elevation = S_-7. Orae Slob E'levo/ian _ $i37• 0 OAK PILLS 2ND DAkoTa CouNrr, MiNNtretro sv$JaCT ro &i merors 1 hereby certify Chet this survey, plan or report wax red by me tN under my direct supero tjon end that f am duly Registered lend Surveyor under the laws of the Stets of Minnesote. dated this ay of A.D. 19 r f SCa/e:1- 40(Neet 11113,0/ E' Tr? S9(I L.S REO. NO. 14391 J Larson Engineering, Inc. 3524 Lahore Road White Bear Lake. MN 55110-5126 651.481.9120 Fax: 651.481.9201 www.larsonengr.com Larson March 25, 2013 Terry 7elenka City of Fagan 3830 Pilot Knob Rd. i he Plessner Family Porch Addition 3213 Rolling Hills Drive Eagan , MN LEMIN Project No: 11130285 Tl -2r Tem - you ani bvriting tc you iri regards to the new porch addition at the above referenced location. have reviewed the structural framing of the porch and the porch framing is structurally adequ to support the gravity and horizontal loads imposed upon the structure. If you have any questions regarding this letter please call me to discuss. Sincerel_.-, Larson Engineering, Inc. Douglas ti Hughes PE Project Manager Use BLUE or BLACK Ink I For Office Use I ~ City n j~{J'a Permit#: OI ' le I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Receiv3 r'IS Phone: (651) 675-5675 1 Fax: (651) 675-5694 I Staff: I I I 12013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / r y l Site Address: ~#I r /L Oc F Unit Name: 1"4 P(>" 5S Phone: O" Resident/ 110f/s iv i4t ~ ~ Owner I Address / City I Zip: ~e~f/~, f7 i Applicant is: Owner Contractor Type of VWork . Description of work: Construction Cost: CR50, CV1 Multi-Family Building: (Yes / No Company: Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional informati ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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: NOTE: Plans and supporting documents that you submit are considered to be public informati n. Portions of the information may be classified as non-public if you provide specific' reasons that would per it the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility dams . Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances a d 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; t at 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 Minnesota State Building Code must be com leted within 180 days of permit issuance. 4- xur~Gt ~(c~tj/ilt~c/ x j Applicant's Printed Name Applicant's Signature Page 1 of 3 3a 13 ~oi I i ~ t-}-i 11 s pY'- DO NOT WRITE'-IBELOW THIS LINE 10 o SUB TYPES - Foundation _ Fireplace y 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* 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 Occupancy y:. MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning --OL, fL-- City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) ►I, Final / No C.O. Required Foundation HVAC - Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings - Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Feej Surcharge = 1) „ Plan Review MCES SAC City SAC Utility Connection Charge - S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 _1 RECEIVED q - MAY 01 V422 Entv"rPrl vrIve * R .iR %AND tU,NtVEYiMS• GVti t: MNtCCit3 Mer+doty Heigh , MM 5S1Zfl TEaTtf 13ng11 eer rog., LANG }RANNt LAIMMAM Attcra (612? 661.19 4 ft.ft t~Gertificate of 8uwey far: NoaTN N ° 5~1¢ Y 132. bS 1w ' i 3Lo t~ 3~0 uj o~ ~ ~ a N ~vrv$ NNI a ~.3fi MCI 4, 1 f o 3f, p o c~ Q 3.r.a io.a tN ~3a: 6 3 AV 89.0 sr±. r48 . ~ ca EAGAN ENT RIG DEPT a o EN IT UJ.~I Y 900.0 Denotes exigh Flevcrftan x~op '14ew$E Et A N 01 800.0 Denotes Prop el Elevation : denotes tgrurih4 a f +/UN Comment tvwavt t"loc~r Elevation Denotes* Drairm e f7pw frrows Top arflack flevah'a tt 971.63, 47exrtr a Stab Clevofio o Dtrtoles monympnt 8eam* shown are u'ssarnpd LOT--Z- SLOC`k-~O OUR! llodl~ PILLS 20 I %00r 0.4Kvrq CauNT Y, AI&Nirrorm St1419-71W ro IMAFIVOYrS 1 hereby certify that this survey, plan or report was pr red by tree a under my dirffiet supety ion and that t ertt duty Register Land Surveyor under the laws of the State of Minneaote. Dated thh... sy of e A.O. 18 . Pacb -L 40 A moor'j T . StKt Ls aeo. N~+avx PERMIT City of Eagan Permit Type:Building Permit Number:EA118919 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 3213 Rolling Hills Dr Lot:2 Block: 10 Addition: Bur Oak Hills 2nd PID:10-15501-10-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Jim Mcevoy Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Frederick V Plessner 3213 Rolling Hills Dr Eagan MN 55121 Norwest Contractors 8469 Zanzibar Ln N Maple Grove MN 55311 (612) 859-8517 Applicant/Permitee: Signature Issued By: Signature *City otEaRau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial/app licat tions. Date: C; P () Site Address: 3 / J /& f. i' C�c (t 5 ir)v Tenant: Suite #: ReSident/OWner Name: 1-7? Pte 5'S 4 C.'"---/ Phone: 6'9-7C-5 - 6g9 2-- Address / City / Zip: ( 3 720 ((r' /1 - (/5 �% Contractor Name: (.4_,,,c4._'cam License #: Address: City: State: Zip: Phone: Contact: Email: Type of Work llc\ New Replacement Additional Alteration Demolition Description of work: (&. P(0 -e9 v 1 ec- _q' NOTE: Roof mountedand ground mounted mechanical equipment is required to be screened byCity Code. Please contact the Mechanical Inspector for information on permitted screening' methods. Permit Type RESIDENTIAL Fumace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed p g Air Exchanger Gas Exterior HVAC Unit Heat Pump 11 Under/Above ground Tank ( Install / Remove) X) Other 4.I- (�' C t del `"'`ti r RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 $5.00 State Surcharge) State Surcharge)I = $ cyv TOTAL FEE $100.00 Residential New (includes COMMERCIAL FEES $55.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract ***If the project valuation is over $1 million, please call for Surcharge = $ Surcharge* Value x $0.0005 = $ TOTAL FEE 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. Applicant's Printed Name FOR OFFICE USE Required Inspections: Underground Rough In '' Air Test Reviewed, By: Gas Service Test In -floor, Heat F AC Screening