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3234 Rolling Hills Dr.? INSPECTI C CITY OF EAGAN 3830 Pirot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I I I , 1 i l l ray, ?t I J r•, r?r. PERMIT SUBTYPE: ON RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: I 10" I N I TYPE OF WORK: Fl l t i ?I,,- INSPECTION TYPE DATE INSPTR. • TYPE DATE INSPTR. i IIM 1 F.{? i?ict l i•J1? ?t?c?ll I fd ! r i ?? 1:1i1!i,;l I .I I11 c: ;,? { 1 cc t 11;11 F?f MAkKS, c S FG W Pltik 11 ( mvc)l 01 FIREPLACE Permit No. Permit Holder Date Telephone # ELECTRIC 3 0? PLUMBING / // 09(, HVAC 9Cv S!J ?Io? Inspection DOW Insp. Comments FOOTINGS FOUND tL a FRAMING ROOFING ROUGH PLUMBING PLBG AIR T AIR TEST ? ROUGH HEATING 3- 6 GAS SVC TEST 1? I1 INSUL ?dd Q F? GYP BOARD FIREPLACE AIR TEST FINALPLBG FINAL HTG i ORSAT TEST BLDG FINAL ??^ S ° l y ,1??, ?? c BSMT R.I. BSMT FINAL DECK FTG DECK FINAL %tMf ica#e of cccuvauc? ??t?j o? ?agau ?c?rtarc?t e? ?rt[?i>Ng ?x,?yectiaK This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: use aatsitxrioa W TW. Bldg. Permit No. -2 Oc_P__y Type MAT I Zoning District Type const Owner of Bu91duft II M II lY H S 111Lti 1' 1 M : AG&VSS ULDL 17A, NW kW Locality*_? Ari iB1Q rtev L7TT i C Building Addi=s 3234 j•T?E 7 q rRIM ?. Dare. POST IN A CONSPICUOUS PLACE CITY OF EAGAN DEPT. OF BUILDING INSPECTIONS Correction Notice Located at 3-23 V Ro / /, "s ))/ 11 V ")r' I have this day inspected this structure and these premises and have found the following violations of city codes governing same: D, K, ?L ° 55 .S t l^s ?'PC When corrections have been made, please call 4540 for inspection. Date r ?S Inspector City of Eagan DO NOT REMOVE THIS TAG Address 323VROLLDU HILLS DRIVE Zip 5512 Lot 7 Blk s Sub ma oax HTf T s THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: r] Yes Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish 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 VIII IIII II?II REQUEST FOR ELECTRICAL INSPECTION, fj/A Minnesota State Board of Electricity / 1821 University Ave., Rm. S-1?8. St. Paul, MN 5510, rg s 0 P24 #213W7 2 1 *anarla (e112) saz-oeoo Home up ex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Wafer Htr. Load Mgmt. CMher: Dryer Range Elec. Heat Tem .Service above the wo covered by this request. Enter remarks in this space and on the back of the white copy only. Lrr?rsfi arson /// ?DG'? sz?r?%ee Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Enhance Sae Fee # Circuits/Feeders Fee Mobile Home Park Stall / 0 to 200 Amps CO Osg 100 Amps Ot? Street Ltg./Troffic Sig. Above 200_Amps 10 Amps Transformer/Generator INSPECTOR'S USE ONLY T? Sign/Outline Ltg. Xfmr. ,,.? //)/T Alarm/Remote Control ?f/ Swimming Pool f here ceni Mat ins ecmd the elecm mion d emid=an the dares armed Irrigation Boom R ghdn i Dd) 'sy Z Special Inspection ^ Investigative Fee final ! WI w I??? THIS INSTALLATION MAY BE ORDERED DISCONNECTED I NOT COMPLETED WITHIN 18 MONTHS. 242-372 M OFFlC€ USE yyyNLY This request void 18 months from validation dab printed in this b/ CFO >/ PLEASE PRINT OR TYPE Request Doh Roagh-in impenion required? Yes [] No Inspenion Other Than Rough In: ? Ready Now Will Call A -• '9/6, 1 (You must mll the impecmr w n ready) Date Ready: V I, licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address 16boat, Box or Rouh, o,) City Zip Code Section No. Town ip Name or No, Range No. Fire No. County Occ nt Phon _ Pourer Sup tier J Commnor limnse No. El antra r (Cam Na ) Master Lis. No. (PIaM Elan. Only) l eo i /li Lfzv /? ailing Address (Contracbr or n r Performing Insmllwionl Au ' ed ignature (Cant nor or Owner Pe nsgllanan) _ Phone No. ? ;_SSDD EB-00DOIXI0 6/95 v S4ATE-WARD COPY-SEE INSTRUCTIONS ON BACK OF YELLOWCOPY G RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 - tt d "l J 651-681-4675 (2 " New Construction Requirements RemodeUReoair Requirements . 31registered site surveys showing sq. R. of lol, sq. R. of house, and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions . 21copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions . 3?copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) / DATE VALUATION ?? 12?1P SITE ADDRESS ?o23t{ t1e??/t??l?s Dr.- MULTI-FAMILY BLDG _Y ?N TYPE OF WORK S-"A,'-'? FIREPLACE(S) - 0 - 1 _ 2 APPLICANT Cl U/,. STREET ADDRESS 1a9yj A1.sal/k-1L AL,-P- S, CITY Qv+'nsv:((.e STATEN&IZIPS? TELEPHONE #CR? ? '6??9 CELL PHONE # FAX #( V-1) NI'K- S$ Y,6 PROPERTY OWNER ?)Oy ie ??4ecea-- SL15MAnn TELEPHONE # (4CQ X15-6- 9!R Y3 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY i Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ -MINNESOTA ROLES 7672 (w submission type) . Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: I Water Softener Water Heater _ Phone # Lawn Sprinkler No. of R.I. Baths M cp? No. of Baths k S E P 1 C 2002 L Mechanical Contractor. Phone # XIc ch.uiical system includes: _ air Conditioning By -_ Fte?sZO-Ot Heat Recover' Systcm Sewer/Water Contractor: Phone # 11 --------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. t Signature of Applicant OFFICE USE ONLY ficates 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 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final'C.O. _ Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Figs _ AiriGas 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 PERMIT C2os?28?7 CITY OF EAGAN Yx PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027031 (612) 681-4675 Date Issued: 02 /07 X96 SITE ADDRESS: 3234 ROLLING HILLS OR LOT: 2 BLOCK: 5 BUR OAK HILLS P.I.N.: 10-15500-020-05 DESCRIPTION: p`ailding 'Permit Type SF DWG ;aBuilcling Wib,r, Type NEW C UBG-Occupancy°-, R-3 U-1 Construction T°y'jp,e V-N toping ,. R-1 Building Length 54 Bui lAi ng Width Be , - Bufrltgries 2 6, 1 S 4c! ra F6e'tE, 1,725 T Cesude° 101 1 - FAM. DETACH ?i §* e f $ r*3 r?ISl' 4 9 11 `'-SL 3 t 4 4% REMARKS: S & W PLBR - O C MECH FEE SUMMARY- VALUATION $118,000 Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal $977'.25 $488.63 $59.00 $850.00 100 1 $5.00 MISCELLANEOUS $1,923.50 Total Fee $4,303.38 $2,379.88 CONTRACTOR: - Applicant - ST. LIC OWNER: DEUTSCH CONSTRUCTION INC 17583969 0001105 DEUTSCH CONST INC P 0 BOX 127 P 0 BOX 127 NEW PRAGUE MN 56071 NEW PRAGUE MN 56071 (612) 758-3969 (612)758-3969 I here aok/ edge that. I have read this applioatlon anal stag that the n a m ion is orre t and agree to comply with all applicable State of Kn. 'T :Ste t. In C ty 'P Eagan ordinances. ISSUED ? A PL CANTlP EE SIGNATURE V: SIGNATURE CITY OF EAGAN 3 M 3830 PILOT KNOB RD - 55122 r ' 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conatrudion Requirements Remodel/Repair Reouirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation pl n If lot platted after 711193 required: _ Y a No DATE: f i w CONSTRUCTION COST: O d PsoY? DESCRIPTION OF WORK: ST lc ?s(? ?? r N 1=t-A.t S4? (a CE r-A v% 1 ? y ? O w C STREET ADDRESS: t OLC r >`+ b l?lc LS ?d LOT BLOCK SUBD./P.I.D. #: Q r 04 K R i Ao TeE?,s c h. Co ti?$ PQ=I3Cxe PROPERTY Name:S lTZMAN,,t ma to ulaO Phone 4s(,, -9o) 3 OWNER "°r Street Address, 12? ? MOP-VwAj PQNr AJO.3 City: C Ao A .4 State: MAI • Zip: 5512-3 ??uTSCtt 0CD. ,%'rKU Q-'J , ?,Phone#: 7SS 90 CONTRACTOR Company: Street Address: ?luox 12) License #: !!OS City: H C: yw?? 1" (zAI. Q, State: A? J. Zip: 9(0 o- 1 ARCHITECT! Company: ULt;T3ct} 0oSST-RUcTj o- Phone #• 75 g 3`)l05 ENGINEER ` a Name: /VIA M1" Dc t) 7-5e (+ Registration StreetAddress- w t' Arcov? State. u 2i 56a>! iz City: n 89m Sewer & water licensed plumber: uL M AA-` ? A enalty ppl s when address change and lot change',are requested once permit is issued. I hereby acknowledge that I have read this application and state that the info ion is co ct a a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY TECENE© Certificates of Survey Received Yes No JAW 1 7 1996 Tree Preservation Plan Receiveda Yes - No OFFICE USE ONLY BUILDING PERMIT TYPE f' J ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ,OB,'?-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 ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE j31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Sy° MCNVS System -:?? ? Main level sq. ft. G/?z City Water s f = y.s sq. ft. lv 98 Fire Sprinklered sq. ft. PRV z /ssmr, sq. ft. Booster Pump S5 sq. ft. Census Code. A9 So Footprint sq. ft. 4 72S SAC Code O/ Census Bldg / °3z Census Unit O yx5 _ Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SM Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ D©o Z Yx `/5i= P, -5-6 /X z z?- ? =79'?'?' N? Z 29?2- 2-za?P yBx.Zi.s '(ooZx (v (9 /Z z?X zz, s = SY? K ?s- ? /oo L? 12 •3Jx?? 3 Zz K Zy ` SZf All y9G JAN 25 '96 11:56 TO 612 681 4612 FROM PROBE ENGINEERING T-B83 P.02 i CONSU6i11d 4NO Ndon DEUT9Cf/ L$(Sr ROBE OWN N4 3 •Q LRND SURVOIIORS PROJECT No. 7"2, 0/ ENGINEERING so" 237 COMPANY, INC. PAW 1000 EAST I46Ih STREET, BURNSVILLE. MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY Legal Description: "Z-4- &0 s RU.e Aw /r/Z/!E DA, ,07W ??vrv>y .r?liuu?sdT.4 Co_O DENOTES EXISTING ELEVATION C89o.7 ) DENOTES PROPOSED ELEVATION _.-- INDICATES DIRECTION OF SURFACE DRAINAGE .00 = FINISHED GARAGE FLOOR ELEVATION 887148 = BASEMENT FLOOR ELEVATION 89h = TOP OF FOUNDATION ELEVATION 4P,0R . 3234 RotuN6 NIU$ G.QIVE SCALE : 1'= 33' gom f /J1/Iw -, -riVN AT zvr /, sw.,x .S. U 7 E EAGAN EN nSTEERING DEPT. 3oFT. FRa 5ETB4CK 30.00 /7.a 886. 1A u J, y1 to ?j 1 EAGAN REVJXVyED -IV /o 6/.EI! Be*, 95 i >r exH?4 ',? €?a jVVA 1 1 Z 1883. ?gbj 5'?+ ---W- M, igg??l z4:anon 00 q¢48- Z2.c» ISO 4 of 28.aa I Zoo Ce?? Y o 196.11 = S B4° /Z' oB °E EXisriru6 N? fd ftiovwE_SILerv- (A 1 StWi?on- fro-," /T1 I =Ill .I s\ N .? I ? Q 40 \ e I? to ;885_?I AWAWP6 vmpr' awsem Nr I hereby certify that this is a true and correcprb6e of ?a tra8y of land as shown and described hereon. As prepared Y me representation 4---- 61my-4 a , 192 • k iorv /41-1&; eAW Zof 7yAWMWm7H Minn. Reg. No. 2 bG -4a ATm [IawmW ShWtB R=95% 612 432 3723 01-25-95 11:51AM P002 #29 LOT SURVEY CHECKLIST FOR RESIDENTIAL B DING PERMIT APPLICATION PROPERTY LEGAL: DAT OF SURVEY: /? 9 L LATEST REVISION: e DOCUMENTSTANDARDS &K,D W"? ? ? • • Registered Land Surveyor signature and company Building Permit Applicant W'?'C ? • Legal description ?? ? • Address ? • North arrow and scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) V ? Directional drainage arrows with slope/gradient % P"o ? • Proposed/existing sewer and water services & Invert elevation D"? ? • Street name R?? ? • Driveway ELEVATIONS Existina ta/ ? ? Sewer service (or Proposed) P? ? • Property comers ? • Top of curb at the driveway ? ? • Elevations of any existing adjacent homes zp"? ? • Proposed Garage floor 0,1?0 ? • First floor ? • Lowest exposed elevation (walkout/window) C9 ? 0 • Property comers 47/O ? • Front and rear of home at the foundation PONDING AREA fif applicable) ? W, ? • 'Easement line ? &-'-"? • NWL ? Ig" ? • HWL ? [rte Pond # designation ? ? Emergency Overflow Elevation DIMENSIONS ?? ? • Lot lines/Beadngs & dimensions ? • Right-of-way and street width (to back of curb) ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', ? porches, etc. (.e. all structures requiring permanent footings) hi th t ? ? • n ose easemen s Show all easements of record and any City utilities wit er' ? ?? • Setbacks of proposed structure and aid rd setback of adjacent existing structures ? [? ? • Retaining wall requiremen r Reviewed: Jarxnry I M OFMINGSIDOPRWUM L .2, BL r CITY USE ONLY RECEIPT#: ?. 5ta / I !,, SUBD. ?? (Q(.4. /DATE: Lnl 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on air conditioning Add-on furnace Fireplace conversion (to existing fireplace) Date: W ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge TOTAL SITE 24.00 q 6..000 50 ?e. OWNER NAME: ?`?? S (ons-?^ PHONE #:_i5_L_ 2 INSTALLER NAME: \k"- STREET ADDRESS: \\,D ??0 \J?? ???"^4 t1J?' CITY: v ^ s ?ly? STATE: ('\N ZIP: 5?3? a PHONE #: -16 a?\ r V ?NA1\\?/?VIEA10(I1`T CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. multi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: $25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of pennft fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE M TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: _ CITY: PHONE #: STATE: ZIP:. SIGNATURE: SIGNATURE OF PERMITTEE . CITY INSPECTOR L BL S CITY USE ONLY RECEIPT #: ?? SUBD. (', ? OA /?& DATE: // Z'lo 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH M91 TOTAL Shower 3.00 x 3.6v Water Closet 3.00 x ,2 = 6,0 Bath Tub 3.00 x = 3' ov Lavatory 3.00 x = Kitchen Sink 3.00 x = 3 . oy Laundry Tray 3.00 x 3 o'v Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x / = 3. N Gas Piping Outlet * minimum -1 3.00 x = 3 N Rough Openings 1.50 x .3•0z) Water Softener 5.00 x = Private Disposal * Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE TOTAL SITE -60-1 OWNER NAME: ?4"-'?A CS-1 INSTALLER STREET CITY: STATE:_ ZIP: ?- PHONE #: N6 -W?? Z2e?&? ?IA ' 'SIG OFFICE USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for w all commercial/industrial buildings. W multi-family buildings when separate permits are ?gj required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION .? ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of Rcm2 fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: CITY: PHONE SIGNATURE: OFFICE USE ONLY METER SIZE: 11 DATE: STE. # STATE: ZIP: APPLICANT _ INSPECTOR: z -100 ? ? RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _?-3qS. q New Construction Requirements Remodel/Repair Requirements Offre'use only 3 registered site surveys showing sq. R. of lot, sq. R. of house; and all mofed areas 2 copies of plan Carl of Survey Recd -Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y _ N. 2 copies of plan slowing beam & window sizes; poured found design, eta 1 site survey for additions & decks Tm Pres Raquged Y _ N l set of Energy Calculations Addition- indicate ifons#e septic system On-site Septic System - _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date ? / 41- / ?? Construction Cost ' Site Address p /4 O? ?/?7?r- 115 ?? Unit/Ste # 3 QC/ STAN ?? Description of Work T Ic/?Z?(r/L Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 - 2 Property Owner F0F86F:J2T Telephone #V,-7) Contractor J?A/Ll r?QGt/?Ilf°2_? Address City State Zip Telephone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cater=_orv 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 Have you previously constructed a building in Eagan with a similar plant' _ Y .?N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of N4N 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. Qc8CR + J ,) ITZMAAJA) t? *O Applicant's Printed Name A licanfs Si tur OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types / & y,-6f 1./kz k, / y - C iow isloo. ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) ?C Footings (deck) Footings (addition) Foundation _ Drain Tile Roof _ lee & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy Zoning Stories Sq. Ft. Length Z 13 ' IC i Width MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Final/C.O. ?C Final/No C.O. _ Plumbing FrVAC Other Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Iti LfD l s9:. 61)L72- 1,3 L972- ebt Ti EX'T'ERIOR ENVELOPE RNF.RGY CODE COMPUTATION WORKSIIF.F.T To Determine 0a) pliarK-e with the Mi.nne-rnta DIfIrgy Code (Section 502 of the State Amended 1983 Mrx3e1 Energy Code) S IT2MAnlly / (MC r'V 1C'2aH Address Vcn« N c„ e1 1 « 1 N2 , cr EXPOSED WALL CALCULATIONS AREA "U" VALUE ARFA x "U" A. Opaque Wall 1. Masonry/Concrete a. - x -- b. -- - x -- " ---- -- - C.? 2. Foul 7XSL / -/_/ -- - /wIto _ x x _ -- - oe)26_ -- - - - V b. x = 3. Frame Wall a. Insulated Area ?W- -4?t x i OVA b. Framing Area (Ave, 158 at 16" oc) Dy,9 /j_ x C. Framing Area (Ave. 108 at 24" oc) x 4. Periphgr Floor Ec33e/Rim )Dist 'f5 c? ?y b y i -- : X - B. Glazing ------ - -- 1. Windows b. 12. Doors x x _ C. Doors 1. wow a. Solid x = . Metaiith XP oor 2 -- 3. Overhead x = 4. Other x = - D. TOTAL WAIL AREA, sq. ft ..................... E. TOTAL of AREA x "U" ......................... ............. ............ ROOF/CEILING CALCULATIONS A. Roof/Ceiling Insulated Area ? x 19VI/ B. Roof/Ceiling Framing (Ave. 158 at 16" oc) x = C. Roof/Ceiling Framing (Ave. 108 at 24" oc) _ ev x D. Skylight x = 9. TOTAL RAOF/CEILIIC AREA sq. ft .............. )5VO i TD'191L CF AREA x "U" ........................ ...................... 51, © 9 01 4L BUILDING ENVELOPE REQUIREMENTS 1C7M AREA RWIIRFD "U" ALLOWABLE (From I.D 6 II.E) (Fran V.) (Area x "U") A. Fxposed Wall: x ell B. Roof/telling- /a?29 dv x JIr 7 C J? C. TOM ALLOWABLE BUIIDING ENVELOPE (Total of A 6 B above)... V. ACTUAL BUILDING ENVELOPE ACTUAL (Area x "U") A. B. C. Exposed Wall (Fran I.E) Roof/Ceiling (Fran II.F) 7OTAL ACTUAL BUIIDIN3 ENVELOPE (Total of A 6 B) '(fleets code requirements If less than III.C) V. REQUIRED "U" VALUES Detached one and two family dwellings *.Mlilti-Family Residential Buildings (3 stories or less in height) ........... 67/t? V WALLS [' NG .ll .238 .033 • All Other Oonstruction Types (3 stories or less) .238 .06 * All Other Construction Types (More than 3 stories) .28 .06 • Based on 8007 heating degree days (rpl%/St. Paul) Adjust •11' values accordingly for other locations I hereby certify Miirvlesota State BCSD 3-89 CC/SAI/8574 CERTIFICA'11ON I have 1 Led the above information and that it ccnplies with the Code. Date Job Site Address: 3, U y "CATEGORY 1" ALTERNATE FOR City of Ea?a? ONE & TWO FAMILY DWELLINGS INSTRUCTIONS: This alternative may be used for one- and two-family dwellings built to meet the Category 1 requirements of Minnesota Rules, Chapter 7670. Complete Parts A, B, and C. Clearly mark plans with: insulation R-values; window and skylight U- values; size and type of equipment; equipment controls; and location of vapor retarder and windwash barriers. More detailed information can be found in the Minnesota Energy Code summary sheets available from the Minnesota Department of Commerce. Part A. BUILDING ENVELOPE Performance (test Der 7670.0470 fl;,LhUdk:th al ?& ? "Cookbook" (complete worksheet below) ? MnCheck method (attach report) „.'; 3 r ?' ' „ ,Pin y . ,a.? t ? Performance (attach U-value calculations) El Systems Analysis method (attach analysis) "Cookbook" Worksheet INSTRUCTIONS Step 1. Check item(s) that design meets on Minimum Requirements list to the right. Must meet all items to use "Cookbook" option. Step 2. Indicate proposed wall type on table below. Step 3. Indicate Window U-value and source. Step 4. Verify total window (including area of all foundation windows) and door area is equal or less than allowable percentage. Ceiling Insulation: Minimum R-38 with 71/2" me Minimum R-44 with low truss heel; or Minimum R-38 with R-5 sheathing when no attic. or over MINNESOTA ENERGY CODE - WHICH RULES MAY I USE ? :b 11:5b IU bld bb1 4bld rKUPI rmumm Mtl 11 mlllu 1-a r.m CONS06?INA INO)N!!AS Awd" f/ 40VS`r sE PLAN !AS and ``AND fVAVlYOAS P"cacT No. 7"2, V/ INMING sooK 257 OMPAN4, INC. PAGE 1000 EAST 1461h STREET. BURNSVILLE, MINNESOTA 5333T PIN 432-3000 CERTIFICATE OF SURVEY Legal Description: SCALE : I"- S7 (odd DENOTES EXISTING ELEVATION (890.7 ) DENOTES PROPOSED ELEVATION ... dp--- INDICATES DIRECTION OF SURFACE DRAINAGE 691,00 = FINISHED GARAGE FLOOR ELEVATION 887,98 = BASEMENT FLOOR ELEVATION 891, = TOP OF FOUNDATION ELEVATION 4PPR W: 3f34 XOCLl.46 HILLS '041ve 66A&W ^W., 7A//7'A7-107- ?, BCiL:C -T EL6v - Ba¢, 95 Ix i 3c yr PR4vT sermek L4 z v %v r- S1'? rtrl (4 faro-o ! IT-f FAGAN REVaV C R¢4lN?IoE .? tI7/u7y 6A%F*? hereby certify and that prepared pr by g Me a described hereon. an As correct land as shown this JaNU4ey v 19 g6 krvlw Amw Zsr• 7vlo fW'v Minn. Reg. Aaor .4012 4aWIIM, ShW4f6 of a tract of 4- day of No.-M`3 R-95% 612 432 3723 01-25-96 11:51AM P002 #29 City Eaall of � 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r or,t f6ce t1 Permit #: Permit Fee: 9a� go Date Received: /02 / Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / ~ � 1 Site Address: 5�3'/ I'ULL(n'L /Ft( LY 011V Tenant: Suite #: RESIDENT / OWNER Name: u C 1' Ste/ j'Z ri 61// - Phone: (/ 2 0-7 3� Address / City / Zip: 527 R 6 L Applicant is: Owner Contractor Jr(Ode TYPE OF WORK Description of work: cc Construction Cost: Multi -Family. Building: (Yes / No ) CONTRACTOR 6 f77z, a l c p/s-t, fl& 64' 7 v Y �7i 7/./ Name: License #: Address: Z 2 t f -- S�- City: C- u SC..., i Uu State: Mr✓ Zip: / 5 Phone: GTS. PI 7•- / sic 7 Contact Person: / L 1_, N O Lam► 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: NOTE; Pians and supporting documents that you submit are considered to be public information. the information may be classified as non-public if you provide specific reasonsthat would perm` conclude that they are trade secrets. ns of 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. Applicant's Printed Name x Applicant's Signature Page 1 of 3 323y Roil, Ails & s . 4.0r al- 13Ck ,S" Burr OA ks A FOUNDATION WALL MOISTURE BARRIER IS REQUIRED BETWEEN INSULATION AND FOUNDATION WALL FROM FLOOR TO GRADE. 0°5'110 6 it A VAPOR BARRIER MUS B' INSTALLED ON THE WARM SIDE OF ALL WALLS AND ATTIC CEILING. SMOKE DETECTORS N: t 'RE REQUIRED ON AU. LEVELS OF THE HOUSE 'II ALL SLEEPING ROOMS. ON LEVELS kA PAINING SLEEPING AREAS. CENTRALLY LOCATE SMOKE DETECTORS IN HALLWAYS. iz_ty2L.)1.11.010E omr 14;0 C. EX irri ti -C‘ of -x -4t FIRE STOP SOFFITS AND ALL OTHER DEAD SPACES. feikkotic Ex IV, LOMFFen..0- 44114J1 L$ Doca. rooril 1104'ri. jaeli ti/kv- get 22"X 80" A C ACCESS REQ'D. t a44 EAGAN REVIE D BY: 711 JILDING INSPEC(O/Ni C;IVI‘ION 7E. $.1 v 1,V I. 5 --4ArtgLAPP000-t- u69.1460,0 Doot. Set' arsck. SCALE' Decks to 6r Cel <41? CA ,v%)(1 o. u o �3 ?of/; gills ct .?- z Gk S' 13c,�r OAkr, 3a yeo //hq HiJIS' r—• z r 140. tiee.4t. 11krr DAkS• sIcz PERMIT City of Eagan Permit Type:Building Permit Number:EA125216 Date Issued:07/21/2014 Permit Category:ePermit Site Address: 3234 Rolling Hills Dr Lot:2 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Robert Sitzman 3234 Rolling Hills Dr Eagan MN 55121 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r________________� I For Office Use I I /� I � � Permit#: 1 �� 7 % � � Clty of ����� ; . . � f� �—� � Permit Fee. T I 3830 Pilot Knob Road i �� � i Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: �--- � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: �`�-�;�j- �t`�-^�k-„� Phone: �'�( Z - t150 ^ ?v 3� Resident/ Owner Address I City I Zip: �2 3`� ���•1y �� l�s f�^ Applicant is: Owner Contractor Type of WOr'k Descriptionofwork: ��f�-��� ��•°��� ,Y�Lr Construction Cost: � �� Multi-Family Building: (Yes /No� Company: � � Z ���'���� Contact: �6�''�► ��!'k5 —� Address: 3�(`� �`�� �"� '� �'� City: �`�j�� Contractor State:�,N Zip: ��l Z--� Phone:�.�C-"3&'��-J il�maii: °I i ���-� Lc� �co�c.���.n �G- �'T License#: �I ( Zj � Lead Certificate#: � � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) `����µ� 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: f ( Mechanical Contractor: Phone: � Sewer&Water Contractor: Phone: � NOTE;Plans and supporting documents that you submit are consideretl 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'secrefs. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x ��,� �/�,l�I� i����,-+-.�� x Applicant' Printed Name ApplicanYs Signature Page 1 of 3 < . : f Use BLUE or BLACK Ink r----------------^ . I For Office Use � I // � � � Permit#:��l�7 S � Cit of �a aIl � �,I�/� ; � � i Permit Fee: �� �"1..� 3830 Pilot Knob Road � � Eagan MN 55122 � � I Date Received: I Phone: (651) 675-5675 i i Fax: (651) 675-5694 � Staff: i I �-----------------� 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: �� �� ����e Address: ��Ci� 1� � S �� ,�� Tenant Name: ��l.lK� �i IZ,N1 Qf�s'1 ���� �u�'(Tenant is: New/ Existing) Suite#:����%(�� k���n�. Former Tenant: ��ti�� �� ' � ������ ` �~ [�,� �,,�., �, + ^ �� �� � ���� Name: ��( �� � l" 6 l C�t�,�� r ` Phone:�� �. � .�����: � P� ��� �'W��l' =' Address/City/Zip: � �► �ls �Dr� �� � ��� �D` ��������� � � � u���� ` ' ����� Applicant is: Owner Contractor , . � �: � ; � a .�erv cQS �,a�J r���� � ,^-� �������� � �` Description of work:�j ��C (f� � � � ����� , ' ' � � �� �� /'� /� ` ' _ � �� Construction Cost: L.�lS/'��f�t�G ���/Z. :� ��. � ��'�� Name: License#: �� z �c' �`��� ��"� \���� � ����� ,�� Address: City: :.����� � State: Zip: Phone: � ���� �� � ��� �� Contact: Email: ���u �� �� �`� '�"\`� ' Name: Re istration#: , ��:: 9� �� �� �� f ����� t ; ��,� \ ��������, Address: City: �F� ��\ �y�� State: Zip: Phone: ; � ��� ;,�����a, �,,', ; Contact Person: EmaiL Licensed plumber installing new sewer/water service: Phone#: �tf�T� �'far� 9. su or#��v„ �t�f'�� �',�t��t�uh��a��r���� r \tt���.�t�t������`�t�a�e�e�.�.t�� � ��" ,, ����5�1���?Y/t3r��.`l!t -. � � i�G�/�,'E'iS1� � r�'i���'���'�I�".,1�,�`��i�}��� �?�;�`���Y'ii�lE�,�f`tt7f����wl�� � \� � � � � � �, a� _ ., ��.,fi�� : � � �I'��1����'�3c�''��'hkl' r�CE3�'l��##�S#3;. .. 4 � � y��� ���� 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.org 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 w hich requires r iew and approval of plans. X ���c�t �,�-r�z...�(�-f�' L� X r��°�C1�1 � Applicant's Printed Name Applic nt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA172041 Date Issued:09/13/2021 Permit Category:ePermit Site Address: 3234 Rolling Hills Dr Lot:2 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Robert & Rebecca Sitzman 3234 Rolling Hills Dr Eagan MN 55121--230 Guardian Services Contracting 1042 20th Ave N South St Paul MN 55075 (800) 617-8450 Applicant/Permitee: Signature Issued By: Signature