3237 Rolling Hills DrINSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: f a t
3?7 ?. I I I! ?I I I I{ (R ?
•I I 1 1 1.,
PERMIT SUBTYPE:
I ! .
PERMIT TYPE: '
Permit Number:
Date Issued:
t I
J TYPE OF WORK:
IS u I APPLICANT:
DR ,
INSPECTION • TYPE DATE INSPTR.
I I'?iPi 1 NI+ e++ff 1 IJI,
1 hl'•II I /: 1 1 IfIJ l i f I' I t,1 f
I iillill i Id (' I f•?? t+•il+,fi I i? +; I +?
I I I?,ii 1'I 1?+• f 4 ?knl
P 'l MARY S : `.&W IAJN I kAC ! of,
I- I P+1 ` ff I , ,} I
I
Permit No. Permit Holder Dete Telephone Al
S/W
PLUMBING
HVAC 3 7
ELECTRIC 0
ELECTRIC
Inspection Date Insp. Comments
Footings 1 Z- Qs
? ., SeoQ ? l0 Ao le?
l( 93
Foundation
bl
Framing ,
Roofing
Rough Pibg. 117-J " r3
Rough Htg. AV- b0h w $.,r S.>7 f *#5Td
]Sul.
Fireplace .3
Final Hig.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final 1
/ ?G? ` 0 2C? J
Deck Ftg. C. GdGI? E'
ty?? •?r o/'=
Deck Final
Well
Pr. Disp.
4/ ? 3 rj .G err
D
O*..-N
a.4a
4..Y .
Werti f icate of Cccnpanc?
Wit4 of Wagan
rtmeat of 18Mitbing 3"#ection
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. Classif;camoo: SF DWG Bldg. Permit No. 22368
o y,ype R3/ M1 zooiogmsuia RI Type Const. VN
OweerotBwiding KEY LAND HOMES Ad6,. 14450 BY PKWY 55306
B,m,g Add,m 3237 ,ROL NG HILLS Mtw alityL15, /, B4, Bur Oak Hills
nave
wilding Official
POST IN A CONSPICUOUS PLACE - -`?
Address 3237 ROLLING HILLS DRIVE
Lot 15 Blk
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: / Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) o ?RGF x n,-/Z,
Permanent steps (main entry) ?AGr Aalc- ?
Permanent driveway
Permanent gas j/
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.
Zip 5512)
Sub BUR OAK HILLS
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
/8 8 O1 ?°/.s $? p ??
Request Date Fire No. Rough-in Inspection
Required?
-LPf6s C No NOTICE: You Must Call Electrical Inspector
8 A Rough-In Inspection
Is Required.
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.
3 City
Section No. Township None, ar No. Range No. Cou
Occupant PRI ) Phone No.
Powe Supplier Address '
Electrical C ntractor (Company Name Contractor's Lice No. y0 /-)151
Mailing Atltlress (Co radar or Owner Making Installation)
Au horized S-gnature (Contractor Owner Making Installation)
'04 ? Phone Number
3&
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlgge-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
9 7 ?? REQUEST FOR ELECTRICAL INSPECTION
7 ? $ee instructions fo[competing this form on back DI yellow copy.
4 8 810 X" Below Work Covered by This Request
EB-00?W11-08
(Q) /?/d/
ew. 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 (speedy) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/FeedeM Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspectors Use Only: TO
TAL
v
Irrigation Booms ?
)
/ C
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M A
I, the Electrical Inspector, hereby Rough-in DZ
certify that the above inspection has
been made. Finat r Date
_
OFFICE USE ONLY
This request void 18 months from
20061ZESIDENTIALBUILDINGPERmiTAPPLICATION 4120.50
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 , fO I
Telephone # 651-675-5675 FAX # 651-675-5694 o-t l S'6
New Construction Requirements
3 registered site surveys showing sq. R of lot, sq. R of house; and all roofed areas
(20%mavmum lot coverage allowed)
2 copies of plan shoring bream & window sizes; poured found design, etc
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted alter 711193
Rim Joist Detail Options soled fon sheet (buildings with 3 or less units)
Miwegasco mechanical ventilation form
Remodel/Repair Requirements Office Use Only
2 copies of plan showing footings, beams, joists Carl of Survey Recd _ Y _ N
1 set of Energy calculations for heated additions Tree Pres Plan Recd _Y _ N.
1 site survey for additions & decks Tree Prey Required _ Y _ N
Addf6on - indicate d on-site septic system On-site Septic System _ Y _ N
Date /0 DN !
00
\
Construction Cost
Site Address 3 nlt(Ste # ss z .
) AAdQUIS 1;-2/t
0 0 r
Description of Work 1
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ? 6" lad Telephone # (Wj
Contractor U vzvw
Address SrJJr
-AAA a-, City
State Zip 65 3 Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 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-pion: -
F r (( ???'1 ID)
Licensed Plumber Telephone #( J _
OCT 1 1 2007 Telephone #
Mechanical Contractor ( )-
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. ja?.
I a- Vo rs I Q?
Applican's Printed. Name Applicant's Si ature
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Sods Report 9 proposed building is to be placed on disturbed soil
2 copies of plan shoeing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1t93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Nnnegasco mechanical venfilabon form
RemodeVReoatr Reguiremems
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for healed additions
1 she survey for additions & decks
Addition -indicate f(un-site septic system
Telephone # (
Dl=ne nra enncidprad narhlie- infni matinn unless you state thev are trade secret and the reason.
Date I I
Site Address Construction Cost
Unit/Ste #
Description of Work
Multi-Family Bldg _ Y _ N - Fireplace(s) 0 - 1 - 2
Property Owner Telephone # ( )
Contractor
Address
State City
Zip Telephone # ( )
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
Mechanical Contractor
Sewer/Water Contractor
T herehv anniv
Buildintr- Permit
Telephone # (
Telephone #(
Office Use Only
Cart of Survey Red _Y _ N
Soils Report - -Y. _N
Tree Pres Plan Recd _Y _'N.
Tree Pies Required _ Y _ N
On-site Septic System _Y _N
that the information is complete and accural
e;
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.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 1S Deck 0 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage`Yes
Valuation !/ 8E1D -
Plan Review 100% or 25%
Census Code y 3 S'
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy ? P-c I MCES System
Zoning - { City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
Footings (new bldg)
- Footings (deck)
- Footings (addition)
_ Foundation -
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
_ Fireplace _ R.I. - Air Test - Final
X Insulation
REQUIRED INSPECTIONS
Sheetrock
_ Final/C.O.
?p Final/No C.O.
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests -Final
Siding _ Stucco Lath _ Stone Lath -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
RESIDENTIAL
0 (c)d BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq, 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 Slot platted after 711193
Rim Joist Detail Options selection sheet(bldgs with 3 or less units)
Water Softener
Water Heater
No. of Baths
DATE ?/- 7 -6z' VALUATION !
SITE ADDRESS 3 2- 3 7 MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK IfEoftd f 6U1171 76-4e dAF FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS
Remodel/Repair Reauirements
• 2 copies of plan
1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
Indicate if home served by septic system for additions
Al;r&W STATE Q) ZIP S4413/
TELEPHONE # ZI$ jfl7. 3375 CELL PHONE # L/2 ?j0 L _M)0 FAX #
PROPERTY OWNER TELEPHONE# GSI " 3654 -7Y72
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin Iccee .
Signature of Applicant
--°°---------------------------------------------- -------------------------------------------°^--^
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
dAyk
10.7-5
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 0 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
Ftgs
Air/Gas Tests Final
Framing _ _
_
Siding
Stucco
Stone _
- Fireplace - R.I. -Air Test - Final - _
_
Windows (new/replacement)
- Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
S
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 0 2 2 3 6 8
Date Issued: 10/28/93
SITE ADDRESS:
P.I.N.: 10-15500-150-04
3237 ROLLING
LOT: 15 BLOCK:
BUR OAK HILLS
HILLS DR
4
/D 1') ? 3
DESCRIPTION:
B,u ldirT7, Permit Type
Building'WInrk Type
%U BC Occupany
`Construction T
Zoning
Building Length l
Building Width
SF DWG
NEW
R-3 M-1
VN
R-1
58
42
cRV ?? a e3 gam
REMARKS:
S&W CONTRACTOR - ? C MECHANICAL
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
CONTRACTOR: - APPilcant - ST. LIU- OWNER:
KEY LAND HOMES 18942636 0001553 KEY LAND HOMES
14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY
BURNSVILLE MN 55337 BURNSVILLE MN 55306
(612) 894-2636 (612)894-2636
I hereby acknowledge that 'I have read this applicatlgrx and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L_ J
APPLICANT/PERMITEE SIGNATURE I D BN SIGNATURE
VALUATION
$779.50
$506.68
$70.00
$750.00
100
$2,106.18
$140,000
MISC FEES $1.744.50
Total Fee $3,850.68
REACTIVATE . L__ , CITY OF EAGAN
"PERMIT #ED71993 BUILDING PERMIT APPLICATION
Q?T 2 2 1993 681-4675 /?
----- -- (on, ?3s5 O. zJ
SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 215.?? -
Site Address: 3237 SoLi-i ?i LLs PZLVe..
STREET SUITE #
Tenant Name: (commercial only)
LOT 15 BLACK A- I SUBD. 5U7- QA4 4ILLS P.I.D. #
Description of work: I1Z st LE FA riIL PEiT E> 4d>M _.
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE #
State Zip
City
?/
Company AF_' LAt`Lo mtrS Phone 594-ZCp3Lo
Contractor Address \145D 5'J7_i4SV1L.LE >TVW1 • License # X553 Exp. ?i 31-93
City &izt4SVIILr= State mkt L zip 15S-2'0('
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber j?C . T?IFs1?A?1LL a L 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
correct and agree to comply with all ap icable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
Wr 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-flex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V. N Basement sq. ft. MWCC System Y6S
(Allowable) y. N 1st F1. sq. ft. City Water
UBC Occupancy jt-3 M-1 2nd F1. sq. ft. PRV Required
Zoning R-1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code re/
Depth y y On-site sewage SAC Code 61
1
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? 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 Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
721R
2'10
4,3
10 G1 V Is f S?jtS
3 SIT: 1 oe, )
t?
107 X
ll?gZy
Zn.p rLUOYL?
/ST e.a?K a. )&Y77
-:53'7?`f
X139. 691
valuetioe:. .S I?IO+JO? .
G,aRa4e; ?aY- Z
2. X !0 Zoe
G iyiz = t's I)
?SmT
Z ?k Zb?
13%x 2®
1ST FL900.i
I m 02 1 93 04:46PM ICY-LAt P H0t1E5 P.3
3 N y 5668-A
91#RVfYQR'8 GERTIFICATI KEYLAND HOMES
Ft LLIN_ G HILLS ` DRI 'E
i
airs
886.91 /' ICI.$S AmOV 07' 53° RaN02M., .
6SA7
I-ALOAL
w
i (692.3 ? AR.
1 i
? Bse,a
BxIB{
87. 4 - HOUSE
(89?' 5
for.
. I ~? lgq'?'/ 1 59.9
I
I 24"OAK
ofte 895.4: I 897.6
LOT 15 F-
GWL1 Ty
7 MAT
I Azr5
0?9
z.. o
a 10
PROPOSED 6RAOE3?gSAHgpgW?N pWq?RE n? I -1
' -
A4i 9 iR091ON CQNrRDLaPLaN' C` LOT
a ow "It-L9 UsT DATED NOW! 6U a DIM9101 S 6 M6
?R ??-
?-- DENOTES PROPOSED SURFACE DRAINAQE t, nu" RR BUILUM M 5 v FOUNPAY11
O DENOTES IRON MONUMENT SET ' SCALE: I INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED OARA®E FLOOR _ 110- (A PEST
X000.0 DENOTES FASTING ELEVATION PROPOSED LOWEST FLOOR = gie4- 9 . FW
(000.0) DENOTES P140POSED ELEVATION PROPOSED TOP OF BLOCK - Q 93 0 FEET
WE HERESY CERTIFY TO KEYLANO HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
j Lot 19 elecKd 9UR OAK HILLS, 6000101114 10 The rWded plot thereof,
` OHlroto county,-minnomom.
IT 60135 NOT PURPORT TO SHOW IMPROVOMENfS OR ENCROACHMENTS. EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 12 TH DAY OF OCT. ,1995.
NOTE, NO 9PIMM 80" INV96TdKf1ON
NI19. on" 66MWp? 6N THIS
LOT SY TN9 SUttt/@TOR. "
Is V OF S mi 70P rv
THE
T YSNIL
THE SUMP".
INC.
JOHN C. LARSON. LAND SURVI
MINNESOTA LICENSE NUMBER
? jame' sR.Hill,Jc.
a %g' -1 PIANNER$/'ENQINEERS I SURUMRS
o 2600 W. CTK RD. 416 BURNSVILLE, MN. 58337 0 612490 5044
R=98% 1
612 894 68.23 11-03-93 03:48AM P003 #39
0
W
m
LOT SURVEY CHECKLIST FOR RESIDENTIAL
PROPERTY LEG
0'0 ? Registered Land Surveyor signature and company
0'0 0 Building Permit Applicant
D ? Legal description
0 Address
H? ? North arrow and bar scale
H' ? ? House type (rambler, walkout, split w/o, split
lookout, etc.)
p-?? ? Directional drainage arrows with slope/gradient %.
? D? ? - Proposed/existing sewer and water services
? Street name
D/0 ? - Driveway
ELEVATIONS
Existina
0 7-10 Sewer service
Gr ? 0 Lot corners
F 0 Top of curb at the driveway
p' ? ? - Elevations of any existing adjacent homes
Proposed
?? ? Garage floor
F ? First floor
00 Lowest exposed elevation (walkout/window)
B: ? ? Property corners
l? ? 0 Front and rear of home at the foundation
PONDING AREAS (if applicable)
D 0`?? Easement line
D 0' ? NWL
D ? HWL
0 0 Pond # designation
D V ? Emergency Overflow Elevation
entry,
Er'? ? Lot lines
0? 0 0 Right-of-way and street width (to back of curb)
TY 0 0 Proposed home dimensions including any proposed decks,
0- ?
? overhangs greater than 21, porches,
structures requiring permanent footings)
Show all easements of record and any City etc. (i.e. all
utilities within
those easements
Q/D ? ty ucture and setback of adjacent
Setbacks of proposed
? 0/? ;
existing homes,---?
Retaininit ents, if any
Reviewed:
October 1992
Date of Survey:
OIJNER: --- ----- nnl'f : SITE ADDRESS I-of '? (Jt-o?E t1 ??irZ QAk Hj,?J_C-YONE:
CONTRACTOR: Y? ?Ia??'7 x`70?> PLAN # # JIOCPZ
Determine working square footage of each
1. Total exposed wall area..... T 76? S sq. ft. x 11 = ?o?- /?
2. Total roof/ceiling area..... /774p sq. ft. x .026 = 3 ?.Z
Total exposed wall area above,floor=
......................
e
'
a. a .....................
window ar
Total wall
.....................
'' 3
b. rea .............................
Total door a O
c. Total sliding glass door area ....................................
..................
d. Total fireplace wall area ......................
....................
e 10F)
e. ........
Total wall framing area (averag
.. ............ q
f. Total rim joist area ..........................
.....................
. lq 7la
9-
.
net wall area above floor ..............
....................
h. wall area above floor .................
....................
'
i. ..
wall area afiove floor ...............
...................
i
J.
on ................
frame wall area at tou-ndat
Total exposed foundation area= 7G?
k.
1. Total foundation window area .......................
Total net:foundation area above grade .............. lel"
Determine "u" value of each wall segment
(e.g. window, door, each separate wail section)
3. S
a. X -U-
X „U
. b
o X „U„
d X ,.u.1
e. ?7v X u11 07 = 7
X „0
h. - X Hull _
i
X "u"
X u" _
k. ;r X ,u o =
_
1. X u W
3 . ......... .......................Total
If item 43 is t":
as, or less thar.
F1, you have me_
intent of SBC 6C
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed ?=^r G1' ??F C `'?
roof/ceiling area........ Q?10 O sq ft
j) Total skylight area....... sq ft x "U" °
Q Total roof/ceiling framing J
area (Average 1Dry)...... z sq ft x "U" 0M CAI?= ?,
1) Total net insulated ' J
roof/ceiling area....... IV sq ft x "U" 4)Z6
L TOTAL j) thru 1) / ?i
If total of °iE is the same as, or less than P2, you have met the intent o?
2 MC. R 1.16008 _4 and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sun
of items =3 and 4 shall not be greater than the sum of items Nl and .92.
1 . ?v? • I? + 2. 31,E _ 3
frar:?e c4?rruCc
W lL
e`=G.
pFSAieE HALL
TG.
5\LL TLC-4LE9\
Trv-1CV hI'-:?
WALL
1 ? f 1
y
Q
1
/i
1. INTERIOR AIR FILM 0.68
2. 2 GYPBD .45
3. 5 1/2" SOFT WOOD 6.87_
4• ?4 ?,C lp tsk{Efifrl,NC ? Wsw1 S q
5. SIDING 6
6. IOR AIR FILM 0.1
T _AL R= 14.19
U= o-7
NET
1. INTERIOR AIR FILM 0.68
2, l2 GYPBD .45
3. 6" INSUL. 19.00
5. SIDING 62
6. R A R LM
.
-
INTERIOR AIR 1 0T.kT'
IB
01?. 3«
U
.o
0.68
2. 6 INSUL. 19.00
3. X10 klifq JO _ 1.89
5. IDING 62
6. EXI'ERIUK AIR FILM -?
BLOCK U= c4
1.
2.
3.
4.
5.
6.
INTERIOR AIR FIT2d 0-68
1.28
STYRO 0
PROTECTIVE BARRIER
t A F '
TOT1?L R= 7.13
U= 14
SLAB ON GRADE c * •1
Fem. RA Ll1__ S ° ?r I
y
NOTE: INDICATE TYPE, R" VATLi. I7=:i ?10
. PLACEMjWr OF INSULE?'ION.
4
VLNI'FJT ` = NJ AT FLOW
L I I } UP
u
FIG. #S
FIG. €6
?,o r k-iT 01 1 ' R-VALUE
1. ?? 21vrC ?iZ '??H , cr I
2.
3. lJT nl ??. roc
U
1. jlrr?ruc _i?1
2. asp s8
3. Zs rr
4. F? tTF rL ^ r 'i?j?t 01
3?t•1
U ° zPt
1.
2.
3.
4.
6.
1.
2.
3.
4.
5.
TOTP?_
U =
_ U?
1.
3 4 2.
t? r1 4.
A .,
5. TO'fPS,
t
1 L
NON-VENTED NOTE: USE PDDITIONP.L SHEFIS IF 29)RE SPA IS
NEEDED FOR DETAILS PIED C-AI ULATTONS.
FTP.T FLAW
UP
FIG. r7
' I IMAT FLAW UP Vxs1=
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
_ ADD-ON A/C
ADD-ON FURNACE
DATE /401.,2s193
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 C 53.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
FEES
$ 24.00
6.00
00
$ 15.00
.50
'Y 3,3-5o
SITE
OWNER
TELEPHONE #: yj:z d ? ?6
INSTALLER:
CITY: l h STATE: 77-•- . ZIP CODE: S53 ? 2'
TELEPHONE #: ?2 - if/a.!
SIG ATURE OF P RMI E
1993 MECHANICAL PERMIT (COMMERCIAL)
CTIT OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL 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:
FEES
1% OF CONTRACT FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$25.00
$25.00
CONTRACT PRICE: $
$.50 FOR EACH $1,000 OF PERMIT FEE.
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INST
ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. FIXTURES
? SHOWER
T WATER CLOSET
i BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
_ HOT TUB/SPA
I WATER HEATER
FLOOR DRAIN
I GAS PIPING OUTLET • minimum -
3 ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • DaI.Cty. he.
U.G. SPRINKLER • home under eons.
ALTERATIONS -to witting
WATER TURN AROUND
STATE SURCHARGE
T(_)TAi
SITE
OWI;
INST
CITY: /JGt
PHONE #: (gyp I J j
EACH TOTAL
3.00 3, cO
3.00 (? . ()p
3.00 331 02
3.00
3.00
3.00
3.00
3.00
3.00
3.00 -
1.50
5.00
15.00
3.00
15.00
15.00
_ZL
STATE: M.4) ZIP CODE: 3 7
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.oT KNOB RD
EAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR ALL COM MRCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING U:T.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF PER1FfTf FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
CITY OF EAGAN APPLICANT
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681-467S
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3237 Rolling Hills Dr
Lot: 15 Block: 4 Addition: Bur Oak Hills
PID:10- 15500- 150 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935 -9669
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Karl W Stadstad
3237 Rolling Hills Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
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.
$88.50 0801.4085
$1.50 9001.2195
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
Building
EA085913
09/09/2008
ePermit
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140252
Date Issued:12/06/2016
Permit Category:ePermit
Site Address: 3237 Rolling Hills Dr
Lot:15 Block: 4 Addition: Bur Oak Hills
PID:10-15500-04-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Scott D Prihoda
3237 Rolling Hills Dr
Eagan MN 55121
(651) 329-1637
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
e r EAGAN For Office Use
Permit#: t J ( 1
RECEIVE
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AUG 0 8 2018
(651)675-5685 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
planninq(c�cityofeagan.com
2018 ZONING PERMIT APPLICATION
o Please identify improvements on a scaled site plan drawing that shows lot lines, structures and
existing conditions.
Property ... Site Address: 313--i 1 its ��;vr
1n€ rn a on
Owner Name: (251,‘ Si.S+eT'{N114,,‘
Name: J 0SL\ (Si-erwt40, Phone: i -4-12_4)--7175-3
Address: 323-1 2011;w) /-41.1i5 Dr., City/State/Zip: Eaycr,/Vet j/cS t E f
Cootact,, /
Applicant Signature: Date: le/{ t
Email address: 3c,'s}Q--r,,.� mak;s ,(dows
El Retaining Wall <4 feet j Driveway 0 Other:
0 Patio 0 Sport Court
Type of Work ❑ Sidewalk 0 Fence
Description of work: i�z iwy t1�r�nfi 4,5 eke.ft W i" . i^e-w c=cels., Jr
Planning Setbacks,hard surface coverage„shoreland zoning, bluff zone/setbacks;etc
ppy"11{'l?" Staff: ✓s� t-16.it/
eVeYtt4.,-{ y 1.4/ /4440c idA-Uvli., s•'-‘11g 441"-4,-k 6(14 4-fvore,-ty
Zroved'# enied Date: �
/mac . n /
t�Z,1 t#tt£CY S /S i ice �'�.jo �ct��tY:.� � �lD�c " f
Revised Plans
Approved: Yes/No Date: Staff:
Engineering Grading,drainage=;utility easements,wetlands, erosion control, improvements,in t eRight-of Way.etc.
Approved / Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes/No Date: Staff:
Coma nts
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
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
tSiI '91
G Az A-6E
P
i
ys5"
1
t
i
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166037
Date Issued:12/08/2020
Permit Category:ePermit
Site Address: 3237 Rolling Hills Dr
Lot:15 Block: 4 Addition: Bur Oak Hills
PID:10-15500-04-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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 -
Joshua A & Stephanie A Sisterman
3237 Rolling Hills Dr
Eagan MN 55121
(651) 428-7953
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature