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3230 Rolling Hills DrCITY CAF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: „ N PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: I Is r, r. t APPLICANT: TYPE OF WORK: INSPECTION TYPE DATE INSPTR INSPECTION TYPE DATE INSPTR . . I? I rv?? V1 MIAs,K':- VI?V 41 111 fit? - NA I 1 III 1! OAN I f 1.'. V) Hs. Permit No. Permit Holder Date Telephone # S/W PLUMBING r? a3 :37. HVAC ELECTR -/ 7 ELECTRIC Inspection Date Insp. Comments Footings I 3??1 ?y f Foundation / Framing - r Q Roofing Rough Plbg. 7-22 -(9 J 7 Rough Htg. 3 ?? [Sul. 3 y Fireplace Final Htg. Orsat Test Final Plbg. / 1 `/1 vv Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final .2•l?pju !A) Deck Fig. Deck Final Well Pr. Disp. (certificate of cccnvanc? With of Wagan Tepartacut of 1suithiing 3n#reeti" 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: U. Qusification: SF DW Bldg. Pernit No. 23020 Oc-pony Type R3.611 Zoning District g( Type Const. 3M ownerofBuilding MTMSIA]MT HW COM Address 7$5 SON= 18, EMrAN Building Address R MIM Locality t.l,, R5g EM OM JT 7 C Date: Building OfTicial' A, POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ti H }; 'r Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I ['I I 111k, lilt I ICI' ill,: 111 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPSOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ZY. 75 f? DECK FINAL ? / I" f lAe WwWt 2 AMP Request Date D e Fire No. Rough-in Inspection Re aired? NOTICE: You Must Call Electrical Inspector II A Rough-In Inspection Ves ? No Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: Jab Address (Street, Box or Route / / 2 / I / COY 3 -: ,30 f Section No. Township Name or No. Range No. County Occupant (PRINT) 'KTWC_1_5T19 E'"OT Co sT Phone No. S - Power Supplier Pdtlress nn E ?o W • /1l? Electrical Contractor (Company Name) DOMractors License No. EyENsvd c c 2 c : LVC ?q Oro Mailing Address (Contractor or Owner Making Installation) /s'S .qrn oc' FP, o Q I-A 7 Authorized Signature (Contractor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlverslty Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-OBW ENCLOSED. ? i/ !` REQUEST FOR ELECTRICAL INSPECTION e? / T 7 $ee instructions for completing this form on back of yellow copy M 711-7-7 "X" Below Work Covered by This Request Ea-00001-08 d0(, cxV New Add 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 (specify) Contractors Remarks: 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 Above 1D0 -Am ps Signs Inspectors Use Only: \ ` TOT L Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT Other Fee COMPLETED WITHI 8 ON / I, the Electrical Inspector, hereby Rough-in o Date certify that the above inspection has been made. Final Oat OFFICE USE ONLY ° This request void 18 months from Address 3230 BOLLIW HTTTS DRIVE Zip 5512 i 1 Lot I Blk 5 Sub BUR max MT S THESE ITEMS WERE / WERE NOT COMPLETE AT TH IME OF THE INAL INSPECTION. Date: /I o w Yes No Inspect r: Final grade (6' from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas X 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. 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 1994 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. V NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE -3'z&/% ze HVAC: 0-100 M BTU ADDITIONAL 50 M BTU OUTLETS (MI IMUM 1 @ $3.00 EACH) DD- N/REMODELEXISTING CONSTR PION) FEES $ 24.00 6.00 $ 20.00 STATE SURCHARGE TOTAL SITE ADDRESS: as a O 1yo OWNER TELEPHONE #: INSTALLER: Burnsville Heating & A/C, Inc. 12-481 Rhode e ADDRESS:_ Savage, qqd.nnnr78 1122 CITY: STATE: ZIP CODE: TELEPHONE #: (1_'4? Lct? OF PERMITTEE SI ATU Vl? 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL 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: CONTRACT PRICE: $ FEES I %a OF PpNp NqT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PPIZ rr FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR NO. t SITE OWNER FIXTURES CLOSET IrAJ YIYINU VU I LtA - minimum-- I ROUGH OPENINGS WATER SOFTENER PRIVATE DISP;.. • Dak.Cty. lic. U.G. SPRINKLER ' home under coml. ALTERATIONS • to eiusting WATER TURN AROUND STATE SURCHARGE TOTAL: d. 11-1 - p EACH TUT - 3:00 3. Z 100 3.00 C, ?.' 3:00 1 3.00 j 3:00 a 3 `00 . 3.00 c? '100, 7 7, L50 20 00 ; . i 20.00;° J 20.00 SOS zr 1994 PLUMBING PERMIT (COMMERCIAL)-,. CITY, OF EAGAN 3836 `PILOT KNOB RD EAGAN •MN 55122 (612) 6814675 PLEASECOMPLETE FOR ALL COMMERCIAL/INDUSTRI L, BUILDINGS: ALSO FFOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REOUIRED FOR EACH DWELLING UNIT! NEW CONSTRUCTION' _ ADD' ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: t% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $I 000 OF P Rh1IT FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL $ SITE ADDRESS: TENANT NAME: STE..#' OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE #: FOR:: CITY OF EAGAN APPLICANT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 023020 02/28/94 SITE ADDRESS: P.I.N.: 10-15500-010-05 3230 ROLLING HILLS DR LOT: 1 BLOCK: 5 BUR OAK HILLS DESCRIPTION: Build'ing' permit Type building Ob,rk Type -OBC Occupancy Construction Ty'p Zoning Building Length Building Width Building stories U i sy SF DWG NEW R-3 M-1 V-N R-1 62 52 2 m??V a g REMARKS: PRV S & W PLBR - MATTHEW DANIELS PLBG FEE SUMMARY VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $681.50 $442.98 $56.00 $600.00 100 $1,980.48 $112,000 MISCELLANEOUS $1,828.50 Total Fee $3,808.98 CONTRACTOR: - Applicant - ST. LIC. OWNER: MITTELSTAEDT BROTHERS 14569125 0003443 MITTELSTAEDT BROS CONST 785 SUNSET DR 785 SUNSET OR E A G A h ? kl ?;.=MN 55123 EAGAN MN 55123 (612.) X15 -9125 (612)456-9125 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appliea•ble'State of Mn., Statutes and, City of Eagan Ordinances. L- APPLICANT/PERMITEE SIGNATURE ISSUED E(y SIGNATURE REACTIVATE _ PERMIT V 23010 CITY OF EAGAN 19WBUILDING PERMIT 10 681-4675 APPLICATION / FF •,? Z 3 1994 y SINGLE & MULTI-FAMILY ets of plans, 3 registered site surveys, I copy of energy cs. COMMERCIAL ets of architectural & structural plans, I_set of [ 2 s I copy of energy talcs. cifications, s pee 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 y / )3 /9-/ Valuation of work 139' iadel° Site Address: 3/, 6/?)L ,e STREET SUITE Tenant Name: (commercial only) LOT , I BLACK SUBD. P.I.D. # Description of work: The applicant is: ? Owner $`L Contractor ? Other (Dee ribe) Name Phone Property LAST FIRST Owner Address STREET STE / City State Zip Company iTT 5rflT ?P C?,r??t Phone Contractor Address 75 ?r Azz, C? License #3vw3 Exp.9r city State zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber a z- Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this'application and state that the information is *thllpplicable State of Minnesota Statutes and City of correct and agree to comply = Eagan Ordinances. Signature of Applicant: UFFice Use UNIT BUIL DING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging X 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. Add'l. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION e ? 16 `Basimenx Firri sh ? 17'Swim Pool,— ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) V41 Basement sq. ft. Sys MWCC System (Allowable) 1st F1. sq. ft. 777 City Water UBC Occupancy 2nd F1. sq. ft. ? V O PRV Required Zoning R-! Sq. Ft. total Booster Pump #k of Stories ?- Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth sz On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ® Footing Ja Final ? Framing ? Draintile X O/ / ,® Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units /&.F "f'', /S _ 38 y vp?p?r .?-3D.rZ?/ ?2D ?ydy SW-- (? 7--4-( 41 /D?z yo Sly (? G va;ms;m: Z ,p v. S 1 O° 13s?f 7d,?3o . 600 z k?c.: sYG.r/s _ ?/p6 ?o.r z = fo_ r bAaib 7"in /V, Z y 8d L kS?/ SURVEYOR'S CERTIFICATE `MItTELSTAEDT BROS. - /0114 30 0 EASEMENT P?-,LI I T - ER PLAT,,= LOT $ ? x aBZ a ?saq.,? ? x p? I <884 . $) ap x4.4!° ?a./._? Bd 1 zo' ? p 2io p d N I Am/ 2. I -• L_ / iz i ? I V NOTE : NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED Oil THIS LOT BY JAMES R. HILL, INC. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILIT-1' OF JAMES R. HILL, INC. • DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET e DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION NOTEI BUILDING DIMENSIONS SHOWN ARE FOR HOF12ONTAL a VERTICAL LOCATION OF STRUCTURE ONLY. SEE ? AROiITECfUAL PLANS FOR BUILDING B FOUNDATION,, DIMENSIONS. - SCALE; 1 INCH - 90. FEET PROPOSED GAHAUE FLOOR 888,3 FEET PRUPOSED LOWEST FLOOR s 991,9 FEET PROPOSED TOP OF BLOCK m 884.6 FEET WE HEREBY CERTIFY TO MITTELSTAEDT PROS. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1, Block 5, OUR OAK MILLS, according to the recorded plat thereof, Dakota County, Wnneaote. IT DOES NOT PURPORT 1'0 SHOW IMPROVEMENTS OR ENCROACjH?4ENTS. EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECI SUPERVISION THIS z./ s' DAY OF ?r6,c.n.?, 19 SEf F ,INC. PROPOSED GRADES SHOWN WERE TAKEN SIGNED: JAMES R. HIL FROM M THE GRADING PLAN FOR BUR OAK HILLS 2NO ADDITION PREPARED BY MERILA d ASSOC. AND LAST DATED BY: 2-13-92. GARY R. HARRIS, LANCSURVEYOR MINNESOTA LICENSE NUMBER 10943 W ` m p n v y 0 O V? Z > y O M N Da °i0'S7 `E . James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 a BVRNSVILLE. MN. 55337 • 812.890.8044 0 I 11 I B88.o? I 9BY75?I coo a- 0,2 059 '43"F= /9/2.89 .. Bee. / W E.AGAN RE VI EVE D -2 -7LI- DAN _ 'I N R4 0z 1EAGAN 1ZNG tJ as vnz-L. L /NC H/LL5 okplvaE' it, RIMMED z LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION W PROPERTY LEGAL: Date of survey: _T_f?/ DOCUMENT STANDARDS 0? 0 Registered Land Surveyor signature and company H' O D Building Permit Applicant 0-'D 0 Legal description 0 0- 0 - Address H1? 0 0 North arrow andrbar scale 2'"0 D House type (rambler, walkout, split w/o, split entry, lookout, etc.) 2'?b 0 Directional drainage arrows with slope/gradient t. 2`0 0 Proposed/existing sewer and water services 0?D D Street name 0 Driveway ELEVATIONS Existing E?D D Sewer service 0? D D Lot corners 0?3 ? Top of curb at the driveway 0? D 0 - Elevations of any existing adjacent homes Proposed 0?D ? Garage floor $lD D First floor e'D 0 Lowest exposed elevation (walkout/window) i8' 3 D Property corners D ? Front and rear of home at the foundation BONDING AREAS (if applicable) D 0`0 Easement line D ? D HWL HWL 0 r pond # designation D 6? D Emergency Overflow Elevation E'D 0 Lot lines 0'D 0 Right-of-way and street width (to back of curb) L?/0 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) B'D 0 Show all easements of record and any City utilities within those easements END 0 Setbacks of proposed structure and setback of adjacent 0-`0 existing homes, D Retaini?nn'g`rements, if any Reviewed: / October 1992 -TILLS BLOCK 14 E CITY OF EA.CAN DOES NOT GUARANTEET J Oc 8 j7if?,,mis AN, "CR1 50.8 48.9 E?Ey', 'i IC s_. i.?iS USI ?C IT 322-.,Mm 7+rte ; CUD VERIFY THE INFORMATION E. SEE RECORD as , ?6'all PLAN 13186 U '34.3•. 'HYD { ' KY D C13 ... . W > HYDRANT W/ N 8" x 8" ROSS 1 o W _ 6 TEE 15 w GATE VALVE ' I4 2.494.6 40.7' 883.0 i s 1+90.6 0+g¢,5 37.2 39.2 880.0 870.0 48.0--.II 53.3,- -- 5 -8" P. V.C . 1 Y = W W CL D - m H s -1 53.5 ' 47.0'-,. ,_, S00'? • ??50.0 472 %' S 2 }74.6 g 0+80.5 54.2 S 1+77.T 51.3' 882.0 52.9 ! 876.0 880.0 3 ? 2 I o I - 6". GATE VALVE 8" PLU G RI OCK 5 I _ 13 REDUCER GATE VALVE 1 -?1 8" TO 6" REDU HYDRANT W1 6"TeE, \ 6" PLUG ER .: ^ eY 14. DATE EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS CONTRACTOR_ (? rT?L tYR LC A'i I3f)Dr14 tdLS ?ca.utiT 1L'/ ADDRESS_2$$ 0.LA21L6r ?/7 ??1tiA.J PRONE _ ?15?Co R!2 $ DETERMINE WORKING SQUARE FOOTAGE OF EACH 1. Total exposed wall area ... 9_ 2 c{p sq. ft. x .11 3 3 2. Total roof/ceiling area ... 12 7 S sq. ft. x •026 ° l _.LS J Total exposed wall area above floor - J'2 0 ,7, 7S a. Total wall window area ......................... 2 13 76 b. Total door area ................................ , y A0 c. Total sliding glass door area .................. 44 0 d. Total fireplace wall area ...................... , 0 e. Total wall framing area (average 10%) .......... 2 2 e/ 0 f. Total net wall area above floor ................ , 1 5 5 3 o g. Total rim joist area ........................... . !2 S.o Total exposed foundation area - B 2. 2 5 h. Total foundation window area ................... 1t•1 5 i. Total net foundation area above grade .......... 171.0 Determine "U" value of each wall segment. a- -_I I3.7 5 X fluff _ 4 5 b. `la R I.ul• 07 2,9 C. Ny X ODD, N ° 125, 5 d. o R "U" O - O e. 22 0 X "U" 1 1 - ? S_2 f• 15S3.o X "D" o43y - 67,y g• t 2 Q X "U" DyN - 5. l? h. t 1. 3 X fluff 5.1 i. 71,o X "u" o4t2 - S. Ss 3 . ...............................Total 2 2 (0.10 If item 43 is the same as, or less than item #1, you have met the intent of SBC 6006 (c)2. -1- Page 2 of 2 Total exposed roof/ceiling area a 1117 5 J. Total skylight area ........................... O k. Total roof/ceiling framing area (average 107.).. 7 9. 7 1. Total net insulated roof/ceiling area ......... 1! 9 5,3 Determine "U" value for each roof/ceiling segment. j, 0 X fluff A a - k. 2 9. '7 X fluff , 07.5 $ 2 , f 1. W9 5.1 X "u" • 021$ ? 2 G , 1 4 ....................................... .Total If total of $4 is the same as, or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 03 and #4 shall not be greater than the sum of items O1 and 02. 1. + 2. 3. + 4. -2- PERMIT CITY OF EAGAN 3836 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 025888 06/23/95 SITE ADDRESS: 3230 ROLLING HILLS DR LOT: 1 BLOCK: 5 BUR OAK HILLS P.I.N.: 10-15500-010-05 DESCRIPTION: 3,011 its ,,,Permit Type DECK $uil,ding Wbr.k Type NEW 8 x 3I +•3 F 4 ?iL x1 'X n.i ? 119 REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - HORSAM DONNA 3230 ROLLING HILLS OR EAGAN MN (612)456-9449 ? I T hereby acknowledge that I have read this application and st4 a that the information is correct and agree to comply, with all applicable State,oT Mn.,' Statute$ and City of Eagan Ordin4ncss. 1 AP CANT/PERMITEE SIGNATURE ISSUED : S G E S-V CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING NG PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouirements Remodel/Reo81r Reouireme Z ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sass; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? t energy calculations for heated additions ? 3 copies of tree preservation plan H lot platted attar 7/1/93 required: _ Yes _ No DATE: Co' 19- ct5 CONSTRUCTION COST: DESCRIPTION OF WORK: perc STREET AD?RESS: U L-9 LOT X BLOCK ?5 SUBD./P.I.D. #: PROPERTY Name: Horse M DO r, rn a Phone #: (&11) Y56 -44?/?l OWNER „ T ^^^ Street Address- 34.4 &Of(fh0 Hf/IS Ur-- City: Sraoa t,) State: M N Zip: 5-503---l CONTRACTOR Company: 5e,(` Phone #: Street Address: License #• City: State: Zip- ARCHITECT/ Company: 5e, I F 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 1 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: /? f- oy"U_q OFFICE USE ONLY R C cC EM E Certificates of Survey Received Yes No JUN 2 Q 1995 Tree Preservation Plan Received Yes No --------------- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility o 04 SF Porch ? 09 12-plex ? Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _ -plex :: 45 Deck WORK TYPE R"?31 New , ? 33 Alterations ? 36 Move , , ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main leve l 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. y3y Depth Footprint sq. ft. SAC Code DL Census Bldg Census Unit _0 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total- % SAC SAC Units I ?• P i i? too i- i BE, s7-/1 aanae SURVE'yOR'S CERT?''F1Cl ,ly Y A 5 d s ! ? s EASEMENT PER PL4T +? _? g n k $f a S x 95, 1' F t 4 b'} t ? ? ? Y f '.:0 JOd,40ddC Jau l NO7E;t NO SPECIFIC SOILS INVESTIGATION HAS aEeN COMPL@ `6NI TMIS LOT SY JAMES R HtI,L jlNC 7119 =+ASIOT S010TO SUPPORT THE $ PECIFIC HOUSE 00006$a 'NOT THERB$PONSIBILITfOFJAMESRHILL,INC r y: DENOTES PROPbSED' SURFACE I M O , ;DENOTES IRON MONUMENT SST' 0 6EN6TE5 IRON MONUMENT FOUND X0000 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION'-;"; V4 HEAiE6Y CERTIFY TO "NIRTELSTAIIDt 8,11 REPRESENTATION OP A 13URVEY OP THE Is ''Lot II 810ok 5, 6UR OAK'HILLS, aoootdhy Dakota County, 0 meaofta IT'DOESftt PURPORT TO SHOW IMPR' 'FN SURVEYED RY ME On UNDER'MY DIREC.t Sr?pim l s ! r? /? bOFF " L ?! .. .F' s• y, ;`? F ELI y? _V ?y ? k x + 3 kf ,s I S/ V "r" . p T t ?d N t? 4 , A «?s ` t n - r S ? w x s ! *?P t /r rSr v .rt ? u ,. ; i? & c , 4 , t ?,? ? ? s s d v t .A ?z xp ???? ! ? ?E MI w P ,< NOTEI ®®UIL?p1INp OiFAETi$IONS ?SFIOWNaIil16Ip WoN(;4F?TA,? a Vg1i1Ck tsCCAT10N Of„8th TORt+ aNM '$ A 1_} ii&L' Pl atl§ COR CUiL F1U `d? ?, Er+ N$ 01M tt! ,b ? ?„'a ? R. r."rt ? `rxC/' °{(.°'?++?/a? $. wyy?i 'k °4b'?`_r IY i S O6f1v? r"°"eSC?AL? 4iry)Nta/? r' t?l' h ;PROFO$Ed aAkX?r= r?l:e??`?a» ?? "???I=` PROPUS40I WWEST PL't3f51?` p 6-rr? E ?€ r .`pRUPOSEDrTt)R=f?P R?OCIC?'B$?t.[a ?? '` THAI TF(iw IS A,TI;Ut: AND.CORRE T .y `y T ?c tow r6a tddil plot iher66t, - R ENCA , AWENTS EXIbEPT AS SHOWN-.-M, NTHrs;~,OAYOF;r??;,.,ea ?,19, a 2006 RESIDENTIAL BUILDINGPERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. R of lot, sq, ft. of house; and till roofed areas (20% maximum lot coverage allowed) 1 Soils Report K proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, arc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Mail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RamodeiReoa'u Reouiremen 2 copies of plan showing footings, beams, joists t set of Energy calculations for heated additions 1 site survey for additions & decks Addition - indicate Ron•site septic system 3l(Paa 40,E s on Sods ?BPOyR ?M?yc N TreaRVmsRe?r' -`. TTae P as`RlSlfed ` ' ,N 06site?Ep6c ystepr ., ". N Date-./ `'? / o l Construction Cost Coos 2• D Site Address oZ TOHI,nq? 41 Unit/Ste # Description of Work Teo' of -q R_? Multi-Family Bldg _ Y ,k,- N Fireplace(s) _ 0 _ 1 - 2 Property Owner N L Telephone # (,np j O 62 u 1 - c? L?D ??%di7 Contractor 1?/P lC VlwG ga 6t j-(/ 4? S h ? Address (? ?f7 // ?%Y7D/ cc/ /T • /(/ City State )1) Zip ?6-67IE2 Teiephone#067) 3?. y3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 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 Telephone #( ) Mechanical Contractor Telephone #( 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. 4i-lIQv-te, ?erma1?,?' 4eir,cep O _ Applicant's Printed Name Applicant's Signa City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3230 Rolling Hills Dr Lot: 1 Block: 5 Addition: Bur Oak Hills PID:10- 15500- 010 -05 Use: Description: Sub Type: e- Siding & Windows/Doors Work Type: Siding & Windows /doors Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Beissel Window Siding 1635 Oakdale Ave W St Paul MN 55118 (651) 451 -6835 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $6K Surcharge - Based on Valuation $6K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: Windows/Doors: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish(i.e. sheetrock) has to be removed to install a smoke detector. $132.75 $3.00 $135.75 Owner: Bryan T Lloyd 3230 Rolling Hills Dr Eagan MN 55121 0801 9001 Building EA084808 07/31/2008 ePermit 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. Issued By: Signature ð þ û þ ý ü ÿÿ þýüôüýý úþþÿÿïï ê ÿ ëúõî ô ëëë ÿ ÿø ûúùø÷ ö õúø÷ öõø÷ ö æõó æð ÷ õ÷ôú ú êíêîú÷ ø Ýý ûÜú õ é ÷õá õ Üúõ õ ù õã õý ÷ ýü õõ ý ÿ ÷ ã õ ÷ õ ã õùâ õ õ õ Üúõ ùø ý ø ã é äíïäãëãêë öú ûúõ õý Û ú äíïäãë ã ë Û ú íüã õó øòñ ÷÷ ö õø ø ìíëî á ííðýôõ öû úòóëëþ ý òóëë èìëåêëìíë õ ùø ý á õ ÷÷ õ õõ ýõ ÷ø ÷÷ ù û ò û ú øþ ý îõ ã ÷÷ æ õ ûý úõ ú øûý úõ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162204 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 3230 Rolling Hills Dr Lot:1 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Bryan T Lloyd 3230 Rolling Hills Dr Eagan MN 55121 (612) 805-9841 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162205 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 3230 Rolling Hills Dr Lot:1 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-010 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 - Bryan T Lloyd 3230 Rolling Hills Dr Eagan MN 55121 (612) 805-8941 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162204 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 3230 Rolling Hills Dr Lot:1 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Bryan T Lloyd 3230 Rolling Hills Dr Eagan MN 55121 (612) 805-9841 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162205 Date Issued:07/02/2020 Permit Category:ePermit Site Address: 3230 Rolling Hills Dr Lot:1 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-010 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 - Bryan T Lloyd 3230 Rolling Hills Dr Eagan MN 55121 (612) 805-8941 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature