3218 Rolling Hills DrDate:
Tenant:
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: _
Permit Fee:
Date Rece
Staff:
2011 MECHANICAL PERMIT
ERM T APPLIICATIO
N
ry'«r ptf Address: J Ea Kol tohl$ txtve
4olo l €10
-l/
Suite #:
RESIDENT / OWNER(-5
Name:(-( 4 : iv ma fJ ) l' � 0 Phone: 231 4 W .J�J
Address / City / Zip: 521 !� ( ti /�'/ 1 5 r Fn� (Zl
gm
CONTRACTOR
Name: Rons Mechanical Inc License#:
Address: 12010 Old Brick yard Road City: Shakopee
State: MN Zip: 55379 Phone:952-445-8585
Contact: Linda ::
Email
TYPE OF WORK
/
New Replacement Additional Alteration Demolition
Description of work:
ro
ei.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
_ New Construction Interior Improvement
/ Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / _ Remove)
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ 55.00 TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
_ $ TOTAL FEE
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.aoaherstateonecall.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 rpt to start without - 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.
L t rdG. 3e Y nande r
Applicant's Printed Name
x
Applicant's Signature
INSPECTION RECORD cor,cr°'" 1, 1 1 ??
. U, 3 14 • CITY OF EAGAN PERMIT TYPE:
3830 Pllot Knob Road Permit Number: 800399
Eagan, Minnesota 55123 Date Issued: 04 / : 9 / 9 2
(612) 681-4675
SITE ADDRESS: LOT: 4 8 L OC k ; y APPLICANT:
3;118 HOll [N8 HILLS OR NCDONALO CONST INC
OUR 0AA HI t I.'i 2NO (617) 688-7061
PE iMIT?PUBTYPE:
TYPE OF WORK:
M
11' e
It RAN ING
JP IHAt
Nt NARIk `+ l RECE'IpT •
k00TIHG
INSULATION
EIRFPI.ACt
S&N PI-OR. . STAR PLUNBIHO
Psrm@ NO. Permit Holcssr Dale Telephone #
S/W
PLUMBING ?, ; ;??°
HVAC
ELECTR
ELECTRIC
Inspection
ON" Insp. Comments
` U
17=4.tio. S ` /?-?9? ?S a r
Framing
Roofing
Rough Plbg.
RouO g /7l -?1-7? ?w
law.
'PIP 4/1x/93 - ?a
??,rlzv-hv
Rreplaoe
Final Mtg.
Orsst Test
Final Plbg.
v Plbg. Inspector- Notify Plumber
Cont. Meter
EngrJPlan
Bldg. Final
Dock Ftg.
Deck Final
Well
Pr. Disp.
S'
r.
T.er#ifirate of (Orruvaury
Ctp of eagan
7>yis Cenifuaate issued pursuant to the requirements of Section 306 of the uniform Building
Code certifying that at the time of issuance this structure mu in compliance WA the Various
orduuvwes of the City regulating building cons&uctdon or use. For thejbflo**r.
Uae auoara- SF DWG/GAR S k Famit No. 390
RI _ VN
Oww 0(swun MMMD 00%7 o? Addm 1212 M MRI j c BAY R-D, B"VII,IE 32113 FZLLUC BWVM AmRS H= HRM L-114 L4, Bq, BUR OAK H= 2ND
uuc 7/2/92
Bm1 ft Ofidd
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:
1••I a Isl.+?r?.
1:. i Ir1 I I N 6 N11 11) k
HUR 41M, 111 1 1 ', 'NO
PERMIT SUBTYPE:
I I N IVIIw.III AI 111N
If 114AI
Rf MARKS: A
L
i VARA l[ 1'I RM 1 1 I
fill 11111Nh
08 /30 19EO
APPLICANT:
; : ; •,; s ,'; pill I NI
> / ! t - uki; N
TYPE OF WORK:
Ill •! I. I f I I dlt-#
FOAM I Nl
I tlci PI At I
REoUIIti o Fk1k ANY E 1 FC flit! C.AI 0144
J
Permit No. Permit Holder Date Telephone i
ELECTRIC ff f
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS 91."Af
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
`
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address: 3218 ?tOLI,ING HILLS DRIVE Lot q Blk 9 Sec/Sub BLIR QAK BILLS 2ND
Th6se items were/were not complete at the time of the final inspection.
Date; 7/2/92 Yes No
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
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.
wca?o ruin
White - City copy Yellow - Resident copy Pink.- Contractor copy
- € ?js/9? /e s ss?
J 9_ ?'
45366,c?r
Request Date /?
t r /
L Fire No. Rough-in Inspection
fleglYes
I?Ves ? N
? Ready Now ill Nobly a t?Ctor
e early?
/CC
I lcensed contractor ? owner hereby request inspection of above a rical wor at:? QJ
Job Address (Street, Box or ute Nc. City
Sedion No. Township Name or No. Range No. Cou D id
Occui Phone
Power Supplier N i Atltlress
Ele Iri al Contracto (Company Namel .? Cgryrac is - e
Ma ling Atltlress IGuntrad r ner Making Installs on(
nr)Yp
Add fixed Signalulre Komi IOwne Making Installation) r J Pho tb _
MINNES TA TATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GH995-Mitlway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
li? See instructions for completing this form on back of yellow copy
J45366 X" Below Work Covered by This Request
ssa X30., Ee-00001-08
??? Ib(o Z7,1??
Ne4 Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building
1 ryer Other (Specify)
Comm./Industrial 7 Furnace
Farm Air Conditioner
Other (Speafy) ContragIry Re?marft
Compute Inspection Fee Below:
•
# Other Fee # Service Fl trance Size e # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ?0 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs Inspectors Use Only: TOTA n
Irrigation Booms IUJ,J-tl s GJ
T
CEO 5 vAJ
Special Inspection To
L
?'' y0„ p;3
Alarm/Communication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 2MNTW If
I, the Electrical Inspector, hereby
if
h Rough-in Date
cert
y t
at the above inspection has
been made. Final Data ?aq
OFFICE USE ONLY
This request void 18 months from
0 ,? REQUEST FOR ELECTRICAL INSPECTION
es-oonooi-o
?
??
O u See instructions for completing this form on Wck of yellow copy.
11i
"
"
X
Below Work Covered by This Request s
New Add Rep. Type of Building Appliances-Weed Equipment Wired
Home Range - Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Ocher fsilecify) r, rks
?? ?k -Wiring of Three SEason Porch
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200-Amps Aba 0 -Amps
Signs inspector's use Only: TOTAL
Irrigation Booms `YQ 40.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE R IS -F re TED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby
f
h Rough-in out
certi
y t
at the above inspection has
been made. Final ..
Oa e
OFFICE USE ONLY
This request void 18 months from
_ a 79
?W 1 1 5a" R9, III a? '? 'c,l °.?
Request Date Fire N oughin Inspection Requiretl Inspection Other Than Rough-In
8
24-95 (You all inspector when ready) Ready Now [2 Will Notify Inspector
- Yes ? No Dete Read
I Kl licensed contractor ?owner hereby request inspection oll above electrical work at:
Job Address (Street, Box or Route No.) City
3218 Rolling Hills Dr EAAan
Section No. Township Name or No. Range No.
j County
Dakota
Dominant (PRIW) Phone No.
459-6116
Poway Supplier Address
Electrical Contractor (Company Name) nnectors License No.
Co
City View Electric CA00384
Mailing Address (Contractor or Owner Making Installation)
1145 Snel in Ave No St Paul Mn 55108
Authorized Signature ontrectar/O no Making Installation) Phone Number
659-9496
MINNESOTA STATE OARD OF T ICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Midvrey Bldg. - Room 5-12 I II II I I I I I I I I II BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(6121662-0800 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Now Construction Reouirements
• 3 registered ads surveys showing sq. N. of lot, sq. ft. of house; and all 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 1/1/93
• Rim Joist Detail Options selection sheet (blogs with 3 or less units)
DATE (,,:;,-(?_p 2
SITE ADDRESS
TYPE OF
MULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
SELA ROOFING & REMODELING
APPLICANT 4100 EXCELSIOR BLVD 6*. 6196118 PARK, MN 8544
STREET ADDRESS ID #0001050 CITY STATE _ LP
TELEPHONE #61.2 -497; $0 N?. CELL PHONE # FAX #
PROPERTYOWNER ? LC y ? TELEPHONE# L(S`Z- COC??
COMPLETE THIS SECTION FOR °NEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(4 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:
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
of ?
Sewer/Water Contractor: Phone # II JUN 1 1 2002
I hereby acknowledge that I have read this applicatlon, state that the information is adrrect,, an&agree-to=tnply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Phone #
Water Softener
Water Heater
No. of Baths
.I
Remodel/Reoalt Reaukements
• 2 copies of plan
1 am of Energy Calculations for heated additions
1 site survey for exterior additions & decks
• Indicate r home served by septic system for additions
VALUATION
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
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 Mufti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbgyour_ 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 _ HVAC
Drain Tile Other
Roof _ Ice & Water _ 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 , 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
PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Control No. 0340
BUILDING
000390
04/29/92
SITE ADDRESS:
DESCRIPTION:
3218 ROLLING HILLS DR
LOT: 4 BLOCK: 9
BUR OAK HILLS 2ND
Building, Permit Type SF DWG
,Building Work Type NEW
UBC Occupancyt R-3 M-1
' Construction Type VN
Zoning R-1
Building Length 66
Building Width 52
f %` l
;? { r T'.?T'1 1?,? r F77, SFin(( ?._.•?
` i \_v So 1( j 1 t s
REMARKS:
RECEIPT N
SSW PLBR. = STAR PLUMBING
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$828.50
$538.53
$77.00
$700.00
10@
$2,144.03
$154,000
MISC FEES $1.610.50
Total Fee $3,754.53
CONTRACTOR: - Applicant - ST. LIC. OWNER:
MCDONALD CONST INC 16887061 0002376 MCDONALD CONST INC
1212 BLUEBILL BAY RD 1212 BLUEBILL BAY RD
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 688-7061 (612)688-7061
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
c
APPLIC NT/PERMITEE SIG AT R
application and state that the
with all applicable State of Mn.
ISSU Y: SIGNATURE
?ITb
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
7Sy 53
APR 2 S RECD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot change is re guested once ermit is issued.
Date 4-29-9Z_ / / Valuation of work
Site Location: X710 eowit 4;llc'Dr
STREET STE #
Tenant Name:
LOT L_ BLOCK SUBD. P.I.D. #
r
Description of work: l i
L
z
?
The applicant is: ? Owner )SrContractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip
Company "fLoi..4lrl QbAx?A? b'-' Phone 6AS-701c
Contractor Address 1212?1??? 11 7$4(.. PA License # co020jk
City R.rn,SViIState __±:$j Zip 63
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber S }T AA 6; 0-10 Processing time for
sewer & water permits is two days once area has a pproved.
I hereby acknowledge that I have read this applic on and state that the information is
correct and agree to comply with a cabl ate of Minne Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
,? 02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Parch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem
? 15 Public Fac.
I
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
® 90 New ? 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish
? 92 Alterations ? 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy ?.3 t?,/ Basement sq. ft. MWCC System .1'
Zoning 1st F1. sq. ft. City Water _
Const. (Actual) 2nd F1. sq. ft. PRV Required
(Allowable) Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code i, /
Depth 52, On-site sewage SAC Code
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
L7 Site
Wallboard
Permit Fee
Surcharge
Plan Review
License
® Footing
® Final
Valuati m:
02P,50
3?', 53
MWCC SAC - p90
City SAC /pO
Water Conn.
Water Meter 9S
Road Unit 38Q
Treatment Pl. 300
R@ad-NnTt-f;eC`F. ?? 30
Park Bed pet4? 30
Copies
Other
Total
J 25Y 'S
b Framing
? Draintile
$ S 000
?28
33
/y3xz = Z&,6
2
r
SAC % 3orzG ?8v
SAC Units /y.63fi y 59, 3i
835, 3zxS3=
Assessments
,Insulation
? Fireplace
Z?.3t 3z. ?yg6
2 d / Z `/0
/? 3 ,L
MINNESOTA STATE ENERGY CODE CALCULATIONS 1F n
BASED ON CHAPTER 5 OF THE ? G
MODEL ENERGY CODE - 1983 EDITION ???? (ll VVV'???
Adoption Effective
Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other)
NOTE: Complete pages 3 and 4 first.
GENERAL INFORMATION
1. Building Perimeter\ Vj
2. Wall height (ground to eave) (1 ft.
3. 1. X 2. (above) gross wall are Z sq.ft.
4. Building dimensions (L) -1 X (W) A9?2-0-sq.ft.roof & floor area
5. Sq. foot area of rim joist F (29r j st ize (2 00
??ff X(Perimeter) _ ??q.ft.
l? 12
6. Doors - Area 9 I
Thickness in U. factor
?1 ?•??
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter pp/? ? fit.
8. Windows: M$ u acturert"ex .? . cf-eA- l l ( State approved
U factor 1
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
X 11 \/ r?? ?V\ EACH UNITS SQ FEET
9. Total sq.ft. Glass 7 1 &#
10. Fireplace area: Width X Height = X ??^^= sq.ft.
11. Exposed foundation: Height X Perimeter,69-7X?
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL
CODE ALLOWANCE, IS USED.
-1-
Building Classification: Type Al (Single Family & Duplex) ?
12. Framing area = 108 of gKoss wall Brea.
13.1 Gross wall area
/
?
-
41Y k lil -fi sq.ft
.
,?
,,
//??
i
6
I(95 //
W
ndow area A
sq.ft. U windows - f W UxA =
Rim joist area
A
Osq.ft.
A ?, U rim joist= UxA =
/
,
?
y
Door area A
% \ lL sq.ft. U door area= 1 UxA =
Other doors area A .ft. U other doors= UxA
Exposed fndn .ft. U foundation=1 UxA
Framing area .ft. U framing area= 'q? UxA
Net wall area Aft"i .ft. U wall= to UxA
(13B) TOTAL . . . . . . . . . UxA
14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
X .23 (other buildings)
x .28 (Over 3 stories)
i7 BTUH must.be larger than or same
A U Code 1 OF. as 13B above
15. Ceiling framing area (Af) equals 108 of ceiling area ??
15A. Gross ceiling area = (L) -- x (W) _ ?? ??????,,,, sq.ft.
15B. Joist area (A f) = 108 ceiling area = k(00 sq.ft. t
15C. Net ceiling area (Ac) (15A - 15B)_ 1? ??• r?sq.ft.
U ceiling x AC = ??9yY x I ?Jl? V1 = 1?/?J
U framing x A f = _xt o= ?-1 2.
15D. TOTAL U x A .............................
16. Ceiling area (15A) x 0.026 (A-1 single family & duplex)
= allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 (other)
??/?, /?'?,,? BTUH must be 'larger than or same
A(15A)N6*Qx U Code Io2-0 = 1 oF. as 15D above
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.
Date
Signature
-2-
?q
4-
l
-?ul =- 4 ox
C?toa x 1 ?-
l
a
cp,24?
1 Coco Oil I
tOl 10Cv
,
4.0
4-
WALL
SECTION
STUD
SECTION
U VALUE CALCULATIONS "N" is total R
R VALUE U VALUE
Inside air film .68
Interior wall .46 (Wall) U 1
R
Insulation
Sheathing 1910
2, 0(a
Siding .(07
Outside air film .17
R TOTAL 2.3.03
Sheathing .I-.0(O OGiS
,
Siding .(011
Outside air film .17
Inside. air film .68
Interior wall '45
4" stud R= At" (0.5 (Framing) U . k
ra 3
R TOTAL 10.
2ND WALL
SECTION.
RIM
JOIST
R- .68
:101.0
R=1.88
(Wall ? U . R .
1
(Rim U = A =
Joist)
:athing Z.O(p
terior wall covering ,(v7
tertor air film R= .17
R TOTAL 7-+,4 [o
tertor air film R= .68
sulatlon ()•0
undation ZB
terior air film R= .17
R TOTAL I 3 - ) ?
posed Block
?1??---.(gade
Inside air film R= .68
Interior wall
Insulation
Sheathing
Exterior wall covering
Exterior air film R ..17
R TOTAL
Interior air film
Insulation
inch soft wood
3.
,q41
l
1
(Fdn.) U = A =
07(0
CEILING WITH VENTED ATTIC SPACE ABOVE
R VALUE
FRAMING
R VALUE
CEILING
0.61 AirFilm 0.61
3 ?O,o Insulation 45.0
0.56 Ceiling 0.56
/0.61 AirFilm 0..61
47-•l(0 Tota1R 4(o.70
DZ7j U=1/R .OZ?
Window infiltration 0.5 cfm/lineal
Residential door infiltration 0.5
requirement
Non-residential door infiltration
foot of crack
cfm/square foot or door and minimum code
11.0 cfm/lineal foot of crack
Ub 12" concrete block no insulation = .47 R 2.1
Ub 12" concrete block insulated cores = .26 R 3.8
Ub 12" lightweight block = .32 R 3.1
Ub 12" lightweight block insulated cores = .12 R 8.3
U single glass = 1.13; with storm window .54
U double glass = .55
U. 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.
Vapor barriers of the polyethelene thin film have no R value.
* * " ' -? APR 2 2 174 2422 Enterprise Drive
Mendota Heights, MN 55120
* PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914•FOx 681-9488
engineering LAND PLANNERS • LANDSCAPE ARCHITECTS
625 Highway 10 Northeast
* Blaine, MN 55434
* * ?. (612) 783-1880•Fax 783-1883
Certificate of Survey for: McDonald Construction, Inc.
House Address: 3218 Rolling Hills Drive, Eagan, MN
Model Name: 90-379A
G 01
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9y 9 95.00
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REVIEWED
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DATE gg5•°
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---------------
15
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of 6.00 --- 40
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DEPT
. 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
• 00.0 Denotes Proposed Elevation Lowest Floor Elevation: 878.9
Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction Top of Block Elevation: g67,o
-o- Denotes Monument Garage Slab Elevation: 0Sb.o
- a Denotes Offset Hub Bearings shown are assumed
LOT 4 , BLOCK 9 Bl
DAKOTA COUNTY. MINNESOTA L
I hereby certify that this survey, plan or report was p(rre"pared by me or
under the laws of the State of Minnesota. Dated this_}. day of -4
Rev, y/ze/ qt: ILdd fr 5'
Scale: 11nch=30'essOAK
sder my direct supervislon and that I em duly Registered Land Surveyor
I A.D. 19?.
Elavt.
FOB
ROBERT 5 H L.S. REG. NO. 14691
®3 91113.19
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
3218 ROLLING
LOT: 4 BLOCK:
BUR OAK HILLS 2ND
P.I.N.: 10-15501-040-09
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
HILLS DR
9
(3 SEASON PORCH)
BGilding Permit Type SF ADDITION
Building W6.rk Type NEW
.j
e"?4(0 //
BUILDING
026291
08/30/95
a.
,I.1 i l1 it ( ? ?
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$174.75
$61.16
$5.50
$241.41
$11,000
CONTRACTOR: - Applicant - ST. LIC. OWNER:
PANELCRAFT OF MN INC 17216628 0002179 MARMOLEJO STACEY
3118 SNELLING AVE S 3218 ROLLING HILLS DR
MINNEAPOLIS MN 55406 EAGAN MN 55121
(612) 721-6628 (612)452-6136
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
APPLICANT PERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
ISSUED BY: SI A7URE
I
L
CITY OF EAGAN
3830 PILOT KNOB B RD
RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681.4675
New Construction Reauirements Remode /Repair Reauirements
? 3 registered site surveys ?' 2 copies of plan
? 2 copies of plans (Odude beam S window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 oopies of tree preservation plan if lot platted after 7/1/93
required: _Yes _ No
DATE: CONSTRUCTION COST: Z41
DESCRIPTION OF WORK: Z5?L2 V-dsoAJ iR=A d r*, in A?
STREET ADDRESS:
LOT BLOCK 3Zkss 1?ti? ?r?i9 t7
Q- SUBD./P.I.D. #: - 1 a v?1 ?I '1
l r, Zl
PROPERTY Name: nm®,Ijvdo 37-,k--lis?7Y Phone 3(?
OWNER WT F.5,
Street Address ?zl? iF V t42!? 4kLl--? 12 u?
City:
TiZ r
State: zip:
CONTRACTOR Company: ?L1nF/r Phone #:
Street Address: /h? License #•
city:.h?LS State: -flLl zip. :i;?
ARCHITECTI Company: Phone #
ENGINEER
Name: Registration #
Street Address*
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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.
Signature of Applicant:
OFFICE USE ONLY r4U GC ?C?OQI/ El
Certificates of Survey Received Yes No G 2 2 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool
,Er- 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 - plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code of
Census Bldg
Census Unit
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee Valuation: $ ?l )00 ?.
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
462d/t
Z`/, 13, = lY 5 x S?,, = lo, Zoo
% SAC
SAC Units
Ab?
W
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7
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CONTRUCTED 57 FANELCRAF T Or MINNESOTA, INC.
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STACEY MARMOLEJO
3210 ROLLING HILLS DRIVE
EAG"AN, MN 55121
A52-&I3&
N/A
449-4212
14' X 14' 3'% SEASON PORCH
DAN <INNING
RON ANDERSON
TIM WERTISH
AUGUST 9, 1995
N
W ° E
s
JOB NUMBER
CUSTOMER NAME
STREET
CITY
14OME PHONE
WORK PHONE (HIS)
WOR< PHONE (HERS)
CONSTRUCTION TYPE
SALESMAN
FROJECTMANAGER
DESIGNED BY
DATE /
TMUJ
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
mm"wom
FOR CITY USE ONLY
PERMIT #
RECEIPT # 0
DATE: 9
RRSY3i9TA PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS S
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME: M(l [IM ki O M4
SITE Al
LOT: h
UBD.
INSTALLER: qyYtlr r)(-22Q
ADDRESS : ql 7c/ CppW)b Sf, ? 7??C'' 11
CITY:A?I//'Cf ?7/? ZIP: 5q3)1
PHONE #: - ! 7?„8LJ - /7 J` /!.Q
SUBTOTAL
ST. SURCHARGE
TOTAL
TOTAL
$ Z, bb
RJ 50
$ ?.?_lb
GOMMERCIALJ IDT7gTRTAIA 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 _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
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)
COMPLETE THE FOLLOWING:
NO. FIXTURES EA.
ADD-ON MINIMUM 15.00
_ SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
1 LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER _
_ WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE. (612) 454-8100 RECEIPT # O
C1ANCA7>.'RM DATE: /S
R£SATISAZ.. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
...:.........
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST
ADD ON _
REPAIR
OWNER NAME: ??j??C^s\CV. ?G? SCE
SITE ADDRESScs-vCVl'(1ca
LOT: BLOCK SUBD.`` l? C C ?ta? ?? ??S
INSTALLER: Oaf' ? cA1F= CS.
ADDRESS: Rio . A
CITY: Vu. c/ CCSS\ ZIP:
PHONE #: (o o-( n C-,) a
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM,
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
$15.00
24.00
6.00
x.3.00
50
TOTAL: $ 30- b
SPNATURE OF PERMITTEE
DOMMERCIAL/INDUSTR?AS:; 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.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
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 18
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
FOR:
CITY OF EAGAN
Use BLUE or BLACK Ink
For Office Use
Cit of Eapll A * �r) Permit#: / I��y 1
3830 Pilot Knob Road MAR U 2 2011 Permit Fee: [e(7
Eagan MN 55122
Phone:(651)675-5675 Date Received: 3-.2--/7
Fax:(651)675-5694
Staff:
J
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: / /21/ i ! Site Address: 21 0 g0ihn5
WI S Dove .. f a90... �i MN SS-12.I
Tenant: Suite#:
Resident/Owner :
Name: SA-611.9til�f�' - L-C10 Phone: 105t 452.— U 13to
Address/City/Zip: O�1 I 1' f) .0 / Cin V GS IV
Name: Metro Heating & Cooling License#: 20090002249
I
i ` Address: 255 Roselawn Avenue East#41 city: Maplewood
i Contractor f
q State: MN Zip: 55117 Phone: 651-294-7798
I i Micah micah@metroheating.com
Contact: Email: ih th
@ gcom
New Re• .cement Additional Alteration Demolition
Type of Work i Description of work: , (lLAP_ Fll IYt a.-CC
I NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
, I Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
I /( Furnace _
i New Construction _Interior Improvement
Permit Type Air Conditionerxcan
er Install Piping _Processed
Air Eh
9 Gas Exterior HVAC Unit
Heat Pump _Under/Above ground Tank ( Install/_Remove)
Other i
t.
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge �//
$100.00 Residential New, includes State Surcharge =$ / � v�
� ' TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
i $60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
i
Y
=$ Surcharge
I Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ 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 thUc1 se of work which requires a review and approval of plans. j
x ( C 4 x
Applicant's Printed Name App icant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164905
Date Issued:10/12/2020
Permit Category:ePermit
Site Address: 3218 Rolling Hills Dr
Lot:4 Block: 9 Addition: Bur Oak Hills 2nd
PID:10-15501-09-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
Stacey E Marmolejo
3218 Rolling Hills Dr
Saint Paul MN 55121--234
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169846
Date Issued:06/11/2021
Permit Category:ePermit
Site Address: 3218 Rolling Hills Dr
Lot:4 Block: 9 Addition: Bur Oak Hills 2nd
PID:10-15501-09-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Stacey E Marmolejo
3218 Rolling Hills Dr
Saint Paul MN 55121--234
(651) 492-1053
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175540
Date Issued:04/07/2022
Permit Category:ePermit
Site Address: 3218 Rolling Hills Dr
Lot:4 Block: 9 Addition: Bur Oak Hills 2nd
PID:10-15501-09-040
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Stacey E Marmolejo
3218 Rolling Hills Dr
Saint Paul MN 55121--234
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature