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3241 Rolling Hills DrCity of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION ' ECEIVED OCT 202010. Use BLUE cr BLACK Ink FeiDffide Use Permit #: Permit Fee: 9G‘6( 90 OD Date Received: Date: [© -/1-140 Site Address: 3070 Aumli Tenant: Suite #: RESIDENT / OWNER Name: 4NDy ke2C1.1.0e Address / City / Zip: 3o7lif /6/4:7/70f De L �` ./ iY/c�/ Applicant is: Owner X Contractor/ Phone: TYPE OF WORK Description of work: /%/!/l2/00t) Construction Cost % &VC, ' /) 7stf1 y 94615/--7, Multi -Family Building: (Yes / No ) CONTRACTOR Name: (it/ Llil/Yegreif% £}t NDOed License #: Address:393T /E2)� ?,P City: G aU',��,t�c S State: /1 Zip: 5.5106 Phone: (fz) 933 "6 Soh Contact /C�r �O 5)Eit% Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information; Portions of the information may be classified as nonpublic if you provide specific reasons that would permit the Ctly;to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali 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 1 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 pennit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordan wit .[ii approved plan in the case of work which requires a review and approval of plans. x E;; plica . is Printed Name x Applicar s Signature Page 1 of 2 SUB TYPES Foundation Fireplace Garage Deck Lower Level Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code #of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Porch (3 -Season) — Porch (4 -Season) Porch (ScreentGazebo/Pergola) Pool Interior Improvement _ Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water __Final Pool: Footings Air/Gas Tests _Fina! Framing Siding: _Stucco Lath ___Stone Lath _Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: _Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 PYA,,,`im =YjR . =--? RED ENM 6/5 S ^aATM LANDSr-e NCf521-6769 CITY OF EAGAN w c? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # for Est. Value Site Address 3241 IROLLIX HI1.L.S pa Lot 14 Block 4 Sec/Sub. MM 0" HILU Parcel No. W Name Addre Name SAME I I-- 00i Address City Phone Name _ Address city that I have read this application and state that the and agree to comply with all applicable State of OFFICE USE ONLY Occupancy I111.-3 -Se-1 Zoning -1111-1 (Actual) Const Y X Bldg. Permit (Allowable) -Y=y Surcharge # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump Signature of Permitee ~• ?t APPROVALS A Building Permit is issued to: WDOMLD C''ONSTR rTION T Planner on the express condition that all work shall be done in accordance with all Council applicable State of Minn eso?a Statutes and City of Eagan Ordinances. Bldg. Olf. Building Official ` -? 4.2--4 ..1 • Variance 521 rSl! X X Plan Review FEES A 73 *10C 63.5( ----W7.0( 10090( SAC, City SAC, MCWCC 630•« 660.00 Water Conn 93.OC Water Meter Acct. Deposit 30•OC 30.OC S/W Permit • S/W Surcharge ? ?? • Treatment Pf 370.00 Road Unit Park Ded. Copies TOTAL i,' Permit No. Permit Holder Date Telephone # WATER rJ SEWtR PLUMBING p r H.V.A.C. 07 / I 'C/r/? ELECTRIC 1 T g Inspection Date In . Comments Footings I !! Foundation Framing ,2 / [? p /?! Q( ?p u•e? Rooting Rough Plbg. Rough Htg. Isul. S` 9 Fireplace ?a Final Htg. rp Orstat Test - Final Plbg. ,, - Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final p,?Q Deck Ftg. L S y Z Deck Final Well Pr. Disp. /'? WACMM FOR MX-R W WVMM 6/5/02 S VE 11?D6cMM-52"764 (try#ifiro#e of (O rrupanq Citp of (Eagan Erpo tmd of walbi" juspTdilm This Cady aate i?suad pumant to the reguirementsof Secdon 306ofthe Uniform Bta76g Code aerdfying dot at the time of issucaae this slruceir+e mu in aomprmnw xdth the inrious o?dinanaes of the C Yly regulatutg bolding aonsaualon of am For the follow& uwt6afio km SF nWr jQAR ftk? P, - NiL 1 QILQ2 R-3 !4-i y Dbuic 8-1 ?r?Cma V-N owm ofomw;ls MCDONALD CONST Ad&= 1_212 f$L.LIERTL.i. BAY ti SEPTEMBER 30. 199 POST M A OOMSMIJOUS PLACE T SEWER & WATER PERMIT CITY OF EAGAN _ 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE j u l 3' 22, l k? Q 1 OFFICE USE ONLY METER # 45(y y6 7 T D PERMIT DATE C,7/31/91 CRP # O/ SD 5 7s `/ PERMIT # 12187 METER SIZE B.P. RECEIPT # C 14693 ISSUE DATE ?? - Z 3 `9f B.P. RECEIPT DATE 07126191 _ PRV _ BOOSTER PUMP SITEADDRESS 3241 R0111n;; Hills Dr. LOT BLOCK SEC/SUB Biir Oak Hills-, APPLICANT: LcL. i ,l J C, -,v? L,f { ,b T'.)c ADDRESS: r 2 17 C I -?r L1 I I R-s, i?' d CITY, STATE Ru, n c ? O C / 11 ZIP 'r PHONE: 2E?Va? 23S?',--DU^ I PLUMBER: ADDRESS: I r^ F? tL t n _ _ ??, . , r AtE p CITY, STATE 1?-]"- ZIP :-5'y 2n PHONE: cilRq_ X11 ?? r+Y OWNER: - ADDRESS:_ CITY, STATE ZIP PERMIT REQUESTED X SEWER X WATER _ TAPS - COMM/IND Y RESIDENTIAL X NEW Lawn Sprinkler Ahead of Dome Credit WILL NO' EXISTING .are to be Installed ters on Water Line. fi for Deduct Meters. f. _:r VITH CIT PHONE: SIGNATURE W6WN METER ISSUED PLEASE= ALLOW TWO WORKING DAYS FOR PROCESSING:. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 1 SEWER $ W40TlR PERMIT CITY b t EAAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 'u1V 22, 1391 METER # CHIP # OFFICE USE ONLY METER SIZE ISSUE DATE PERMITDATE (7/31%91 PERMIT # 12187 B.P. RECEIPT # 14E.?? 5 B.P. RECEIPT DATE 7/ t Z _ PRV - BOOSTER PUMP SITEADDRESS -241 ",cJi. -ie, Hills Dr. LOT !L-BLOCK 'I SEC/SUB Dur Oak Hill APPLICANT: 14 L , i L :: 1 ?JC ADDRESS: 12 1? L i •No Li i t h_fY, ; ri CITY,STATE f ?. 4' Ilr P- 111' ZIP PHONE: '??cV -.4I K R2 `r '41 PLUMBER: ADDRESS: CITY, STATE -ti, ; ZIP i PHONE: I +? OWNER: ADDRESS:- CITY, STATE PHONE: - ZIP PERMIT REQUESTED X SEWER R WATER TAPS COMM/IND X RESIDENTIAL Z NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. CITY OF SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE I ?? 19 nECerv¢o --- AMOUNT S & DOLLARS ?m O CASH CHECK J „v ron C 14693 Whde-Payers goy Yelbw--Paatlng Cagy Pink-File Copy Ar 1% w Thank You BY RE: 3241 ROLLING HILLS DR DATE: JUL 31, 1991 (MCDONALD CONSTRUCTION INC) % Your Sewer,&Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Ad.4ns or Dirk House (Plumbing Inspectors -454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LO?AL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 9 oa?'°?' i 44806 p ? ? 5 'IRequest Fire Np. / i Roughin Inspection Pequ ? ? Ready Now II Notify tnspecttor V ' / Yes ? No When Reatly? I lensed contractor D owner hereby request inspection of above electrical work at : JcMIStr at Box Joule No.) City Section No. Township Name or No. Range No. County T Occupant fP /'00 - Phone - 1 ` DL Ai 41,f) In C- ? S 7 3 5 6 7 - Poway Supplier ^ /? Y) /( Address Electrical C t ctor 1 omparr N ame) a Contractor's License No. Mewing A tlr s (Contra t r r Owne Making Inslallalionl Ault Signature IConirecto er Making Instailalionl Ph ne Numb MINNESOIU,¢TkTE BOARG OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 V BE ACCEPTED BY THE STATE BOARD IB21 University Ave., 51. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 641 - ENCLOSED. ???//?/ REQUEST FOR ELECTRICAL INSPECTION ^v ? See instructions for completing this form on back of yellow copy. 4 4 8 n n "X" Below Work Covered by This Request s s, '?? E6-ooaot-oe ?.? / o??•SL? ew Add Rep. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial mace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 _ Amps A Amps Signs Inspector's Use Only: TOT L _ Sa Irrigation Booms L ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON+".- - I, the Electrical Inspector, hereby Bough-in Date ii, certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from CITY OF EAGAN N2 19492 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt p C'./ To be used for SF DWG/GAR Est Value $127,000 Date TtR. 2F , 1941_ Site Address 3241 ROLLING HILLS DR 14 4 BUR OAK HILLS OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy R-3 M_7 FEES I., 0 IName CityressBURNSVILLEEEOPhone Y 68817061 Name Address City - Name Address city _ I hereby acknowl information is co r Minnesota Statute Signature of Permit A Building Permit is on the express corn applicable State of I Building Official Phone Phone that I have read this application and state that the and agree to comply with all applicable State of City of Eaggn Ordiraqces, to: hall be done in accordance with all and 613 of J=aggn Ordinances. Zoning R_1 (Actual) Const -Y--N Bldg. Permit $ 734. OC (Allowable) -V--N Surcharge 63.50 # of Stories 477.OC Length 521 Plan Review Depth 91 ' SAC, city 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints - 660 00 On Site Sewage Water Conn . On Site Well Water Meter 95.00 MWCC System X 30 00 City Water X Acct. Deposit . 30.00 PRV Required S/W Permit Booster Pump - S/W Surcharge • 50 276.00 Treatment PI APPROVALS Road Unit 370.00 Planner Park Dad. Council Bldg. Off Copies y3, 486.^n Variance TOTAL Address: 3241 ROILING HILLS DR Lot 14 Blk 4 Sec/Sub BUR OAR BILIS These items were/were not complete at the time of the final inspection. Yes No _ Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Qa ?e?mFO..xn White - City copy Yellow - Resident copy Pink.- Contractor copy RESIDENTIAL S?? J BUILDING PERMIT APPLICATION f S 7 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellRepair Requirements . 3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . I set of Energy Calculations for heated additions . 2 copies of plan showing beam & window saes; poured found design, etc.) . I site survey for exterior additions & decks . t set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tres ftservation Plan it lot platted after 711193 . Rim Joist Detail options selection sheet (bidgs with 3 or less units) DATE cl - Z-7, 0Z VALUATION ?C -1 ?> L( © r U SITE ADDRESS 32 I Ra&Inc, ll?s MULTI-FAMILY BLDG _Y _N TYPE OF FIREPLACE(S) _ 0 _ 1 _ 2 SELA ROOFING & 4E n . APPLICANT e1nn F)Cr.Fl ST. LOUIS PART. o STREET ADDRESS CITY STATE ZIP TELEPHONE #612-`6_275-KeVj(, CELL PHONE # FAX # PROPERTYOWNER AjdA EOeyr TELEPHONE# YS_ZrO ? j 4 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) Plumbing Contractor: _ Plumbing system includes: . Energy Envelope Calculations Submitted Residential Ventilation Category 1 Worksheet Submitted New Energy Curie WdFita eet Submitted Water Softener Water Heater No. of Baths ?SCP 2 ZCJZ i;J Phone ;# Lji Lawn Sprinkler Fee: 90.00 No. of R.I. Baths - -- Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Heat Recovery System Sewer/Water Contractor: 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 Ordinances. Signature of Applicant ,41,?, 6-1, OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)" ? 31 Ext. Alt- Multi ? 03 01 of , plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 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) II ? 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 I 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 _ Air/Gas Tests - Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)! - Insulation - Retaining Wall Approved By i Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1991 BUILDING PERMIT.APPLICATION CITY OF KAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Date: ?- 22-9I Fy., Valuation:-1 SLgle Site Address ??.4_??ILNg ;lls ?- Lot -a Block Parcel/Sub R.rnaY' Owner Address City/Zip Code Phone Contractor Lk--O . A ('wtiin 6, Address f 2L ZI4l? ??a [? Ba. K4 City/Zip Code BidMjSui(lc., 5533 Phone (c 82-70 L, I Arch./Engr. Address /L7ooo' _ --' Occupancy R-3 M -I Zoning R-1 Actual Const \I-t4 Allowable V-N # of stories Length S? Depth S f S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System City water PRV Booster Pump ONLY FEES Bldg. Permit 73y.0a Surcharge 6315-4) Plan Review ? 7. Do SAC, City 1Da,410 SAC, MWCC 5'-100 Water Conn. t#66100 Water Meter 9Si0il Acct. Deposit 30,OD S/w Permit 30)OJ S/W Surcharge ,S° Treatment Pl. 2x16,00 Road Unit 37a,CO Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL!-,s. )7 APPROVALS Planner Council Bldg. Off. Variance agrees that all work shall be done in accordance with applicable State of Minnesota Statutes and City of Eagan Ordinances. City/Zip Code VALUATION GttiruA GCS ? Z X'L'? s L(K 4 I ?`? Cam) y?g xis- r1,17a 2 k Z4 c 6'Z4 )4- S']3G 1 ST FC poq? ------ .? 4x esq. GCS I x t 2. 1-z Zy X 2? . 6 ZY IXs3 '2 J s3 1358 n5'3? 7t ?I-7y 2 N n F?„O,.`. Z v u 3.? r7 2a I fit (i "73i x?3 = 3x 7y3 1261 613 on 121, a» Pioneer Eneineerins E,?? ?r ngg *, * * aF N 4 ` I N CIVIL tHGIHEERA 6819488 P.02 2422 Enlerprise Drive Metaiota I lcighn, MN 55120 16121 681 1914 LA14D•LAnrvt AJ• LAr•r A/t ARCHITECTX Certificate of Survey for:._M(f !'.'-_M ` /_ D N M G4NST. ''''•• NQ?n1 16741,, b'1p g91.Kf 5/, 5l 0`?` 3o.ta be $0`1'0 69 Ilr ??? I ?Pth1 /? 1 !C/•3y ^I v v f y C` 'J c N y? d ? s b *\ U $ 4.0 I `t q f ?? V Pr.A g? 0 Xa.6? ie ? r"f DYi S l? I ? ? - ? P 32.67 m ? v CA IN 0 O. r 3 150-4w r ;1 EAGAN ENGINEERING M gglr !l t? 1 •900.0 Denoles erisliq flevalion r sao.o Denoles propiV d Elevation ------ Denoles raffiAe t uldil Easemenl . Denoles Olraina e Flow A17-OWS 0 Duloles monument Becrrinjs shown are assumed LOT /4 , BLOCk 4 D41KOr COUJVTrj MlNNrfOTA r glopoSEO UCLC4. E[Et/R ONS Lowest Floor Vevaliop e • 39l• /G Top or Block ElevatOn e _ s 1A ib Garofe, Slab Elevaton =_ 0x•33 BOR OAk A41,U 67 S(1B7EGl To EF1fEMENT5 I hereby ccrtlty that this survey, plan or report ??s pare./ by me or under my direal supe,visiou and that 1 am duty Registered t_arW Surveyor under the laws of the 51ale pi Minnesota, Dated thli.,day of •-) `j k4 A.D. 19 9l 'Cale : 1' c - A40 f eet `ll4glr t7? R08ERT B. SIKICI4 L•5_ PEG. NO, 14005 MINNE&A STATE ENERGY CODE CALCATIONS BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION Adoption Effective rn)a'\apG..? -1?U Phone #q I -- 35?a Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE: Complete pages 3 and 4 first. GENERAL INFORMATION N I H 1. Building Perimeter e Wy 6e t. ti 2. Wall height (ground to eave) ft. 3. 1. X 2. (above) gross wall area rI LU ? (4- sq.ft. 4. Building dimensions (L) - X (W) - =1??sq.ft.roof & floor area 5. Sq. foot area of rim joist - F1 or jo's size (2 X d X (Perimeter) = sq 12 6. Doors - Area Thickness in U. factor' Type of Construction Perimeter Manufacturer .ft. 7. Total door's perimeter ft. i 8. Windows: Manufacturer ?f?1Sl?( C.?•?JFY1°C6' State approved U factor TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL / w 1 f1, I N EACH UNITS SQ FEET 9. Total sq.ft. Glass V040 10. Fireplace area: Width X Height = X = sq.ft. 11. Exposed foundation: Height X Perimeter' (01 X 15,7=105.5'os q.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- Building Classification: Type Al (Single Family & Duplex) i 12. Framing area = 10$ tZI(VIOZ ross wall area. 13. Gross wall area- sq.ft. Window area A Z 10,0 sq.ft. U windows = , 30 UxA = r7,5tta Rim joist area A +sq.ft. U rim joist= '041 UxA = ?? ??? Door area A All sq.ft. U door area= 1 1UxA = ?di 970 Other doors area A4 sq.ft. U other doors= • L 1 UxA = Iq , , Exposed fndn A A40 sq.ft. U foundation=i 97 J UxA = 79'05' Framing area Azo3 sq.ft. U framing area=2. S UxA = C. it Net wall area A I ZJ7 (04q. ft. U wall= UxA = ?f (13B) TOTAL . . . . . . . . . UxA = 21 , I Z- 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable x /Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 stories) Q? BTUH must be larger than or same AZ 14P?Z(Px U Code - OF. as 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area /fit 15A. Gross ceiling area = (L) X (W) ^Q?? = I ?e 1 sq.ft. 158. Joist area (Af) = 10$ ceiling area = I2 ''? 2,> sq.ft. 15C. Net ceiling area (Ac) (15A - 15B) _II sq.ft. U ceiling x A c = / O!r x Z? 3 = Zcn U framing x A f = dZ x? ?J=r 15D. TOTAL U x A .......................... ` Z I 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) 12? ?, BTUH must be larger than or same A(15A) ?yl x U Code (02-0 = 357,% OF. as 15D above NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date Signature -2- • h \?OP4??TA Wes. S?XC?? 15;12 1. ?z z?2?c?z IUI? 2?x?a X'20 = lil 7,oX?8 II Zo X 3z Ii,zs x?= loi,z5 z7,o e 75n 1= b,75 Zld.p s art. , , = Zl,o AZ,0 91,0 WALL ' S ECt loll X110106 air tllm ;68 lntetlor welt lnsulatlon Sheathing L.o(O Slding Outside alt film f1 (Wall) U - a . 04 tJ R TOTAL Z3 , O 7j STUD SECtloll SECTION. Rill JOISr Inslde.att film ( ,68 Interior wall •45 41, stud R° .R.})R (p, j (ftaming) U - I Sheatl'ling Z{.O(o Slding i"1"5 Outelde.air IIIm ,l1 R TOtAL_ I p , rj 7j ?_ etlor vei l ?. ulatlon allU : P -? terlor wall covet 2 n tetlot elr, film' pr- R ..,I1 R TOTAL • n Interior ¦Ir film Re .68 I Insulation 00 Inch so( tt'..wood 11=1.88 (Rim p , Joist) ' Sheathing Z.btO b? l Extet lot welt cove ting .(D I ?- Extetlot air Illm R. ,)] R TOTAL 2?', ?(p _ lntetlor alt film Re .68 lnsulatlon ?- roundatlon Ll5 (fdn.) U Extetlot alt film (. , 07(0 R TOTAL - `Exposed Block \.?` '?\?rade "EILING WITH VERTED ATTIC SPACE ABOVE R VALUE R VALUE FRAMING CEILING AirFilm '140,E Insulation 45.0 4.38 Joist 0.56 Ceiling 0.56 0.61 AirFilm 0.61 42.1ty Tota1R 4(D.70 U=1/R , OZ? Window infiltration 0.5 cfm/lineal Residential door infiltration 0.5 requirement Non-residential door infiltration foot of crack cfm/square foot or door and minimum code 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated cores = .26 R 3.8 Ub 12" lightweight block = .32 R 3.1 Ub 12" lightweight block insulated cores = .12 R 8.3 . U single glass = 1.13; with storm window .54 U double glass = .55 U triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. fj '+PERMrT # REACTIVATE'.x 1949X L? CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot change is re guested once permit is issued. Date 6n j 7 Va u at o o rk ?3?l?f?so ! Site Address: 3,:;' STREET SUITE M Tenant Name: (commercial only) LOT BLACK SUED. ?i,_"Q? /UTi?a P.I.D. # Description of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name a Phone yJr? -0/7-3 Property LAST F,Rs Owner Address STREET STE N City State Zip Compan Phone Sal -(?74 7 Contractor Addrest-S?I!Z2 ' /A icense # Exp. City State Zip T'ei yl/a Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: e?l OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwg. ? 07 4-Plex ? 03 SF Addition ? 08 8-Plex ? 04 SF Porch ? 09 12-Plex ? 05 SF Misc. ? 10 Multi. Add'l. WORK TYPE P-31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth i./, APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 15 Deck ? 35 Tenant Finish ? 36 Move n ? 15 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Basement sq. ft. Ist F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ® Footing Q Final MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units vat mtim: **p1?N Origin m N r N ti r> 0 CwNO aull V E VOR11r CI VIL URKNCERS LANE ??wNNCrra • I-AMsMCAPE ARCM TECr! Certificate of Survey }or:! 6 '= MA /- D ICLV 2422 Enterprise Drive McWfUld 110iyfus, MW 55120 1612) set 1914 -- Gone"57: ',Noan1 /67.4{6 5 813 ? 3¢'¢.z -C off' °9>e I w \V b1b.? ?9t•,At S1.Sr V ?COA.O .] ?- `?- - - tT---- - k I - is I ? I sr ?3 L ^? ? I a N ?I W \ 4.0 It Z , u 8 r0,? id Za.6? 10 ? 's DOi ---0 b o o zz.b7 n N Q 893.E -4 ~ M lur ... \ V q?? 89 /5473 S83 ¢Q ??„? s 3o.OD 02 ? 900.0 Denotes eristin Elevation 900.0 Clenoles ropoOd flevalion - penoles - Oralrfgse uliil Easement Denotes Orairm e now Arrows o Oenoles monameni 8egrrrl3's shownar•e assumed LOT 14 , BLOCK 4 , Dr4KOTA COVNTr, M1NNrsoTA PRoPOSEO 1lDUS£ ftfVRj ONS lowest Floor Eievalron a 891. /(Z' Top or Block flevalion 7 - 8 9Sr ib garol2 slab Gevolian -- 914.33 130)q OAK 141446"" s!/ai6cr TO ERfFMENTs I lmraby certity Ibm this s... Bey, plan or report was pared by me or11uudar my direct supervision and dNt I am duly RaClstered t_ar+.s Surveyor colder the laws of she State of Mh... esme. Vated 11.11day of J isN A,o, 19.91 5c ale : l i c e 40 i eet i - '71091.o6- ROBERT B. 31KICIi 1.5. PEG. NO. 10041 I CITY OF EAGAN 3830 PILOT KNOB ROAD KAGAN, MN 55122 PHONE: (612) 454-8100 : Wa FOR CITY USE ONLY PERMIT # RECEIPT # 9/_ DATE: RT Ati PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION 7 COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST a ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 700 REPAIR WATER CLOSET 3.00 _k E OWNER NAME: SITE ADDRESS: LOT: ////// BI INSTALLER: ADDRESS 0 ? SUBD. f d e o r% ZIP: ?VI x ? ?weo BATH TUB 3.00 3,O LAVATORY 3.00 'tkOO KITCHEN SINK 3.00 3.00 LAUNDRY TRAY 3.00 Oh HOT TUB/SPA 3.00 Z WATER HEATER 3.00 x,00 FLOOR DRAIN 3.00 -_.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ?(Sd _ ROUGH OPENINGS 1.50 _ OTHER _ _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL O, o 0 ST. SURCHARGE .50 TOTAL: ` / `x S ' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: _ SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN 18 OF CONTRACT FEE. STATE SURCHARGE a $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) SIGNATURE OF PERMITTEE CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT RE p-goTIAL< PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -------------------- ------------------------------' WORK DESCRIPTION ? FEES NEW CONST ADD ON REPAIR _ OWNER NAME:??\L\ p D 1C Y \C???Ct\, ?4M 1 SITE A``D,,D??RESS:< 1, LOT: BLOCK -_? SUBD. INSTALLER ADDRESS: 1 V\ h- l ? ) LJ l cvN?u CITY: - C ZIP: PHONE #: ICJG SUBTOTAL: STATE SURCHARGE: TOTAL: OF PERMITTEE FOR CITY USE ONLY PERMIT # RECEIPT # DATE: DWELLINGS & $15.00 24.00 6.00 3.00 $"z CCU 50 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3241 Rolling Hills Dr Lot: 14 Block: 4 Addition: Bur Oak Hills PID:10- 15500- 140 -04 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Andrew Kocur 3241 Rolling Hills Dr Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA089569 06/08/2009 ePermit PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109481 Date Issued:03/13/2013 Permit Category:ePermit Site Address: 3241 Rolling Hills Dr Lot:14 Block: 4 Addition: Bur Oak Hills PID:10-15500-04-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Andrew Kocur 3241 Rolling Hills Dr Eagan MN 55121 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Cit? of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 2 5 /nu Use BLUE or BLAC:: Ink For Office Use Permit #: Permit Fee: 165 a5 Date Received: 40-W/ Staff: 19/S7 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 1 Date: Site Address: Unit #: Name: 17/I/o (/ Phon(6 Wt./SOT-6/7j Address / City / Zip: 3 I £/i l7e- /5 Dt arb.2/7 /il 53-7,P2 Applicant is: Owner n Contractor / Description of work: !n/t n/Qd1-) �L'Et�/ C3�lir//171S�j lEiv`S Construction Cost: 3 .7 5 7 Multi -Family Building: (Yes / No ) Company: tJ C.lsti?/Zl/J/icy t../. sgtee Contact: / 7 Address:._? !3/ CCP 'E ED City: 571-; GCx✓ � State:II/ Zip: 53-VaZ6 Phone: &Y3YZ7 License #: CRG W71/4/9 Lead Certificate #: / /345t1---- /QS' 775 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information.,, Portions of the information may be classified,as non-public if you provide specific,i„reasons that would permit the City to conclude,; that the are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 Buildi o' e must be completed within 180 days of permit issuance. xkee6-7% Applica is Printed Name x Applicaptis'Signature Pu.:: of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA130451 Date Issued:04/24/2015 Permit Category:ePermit Site Address: 3241 Rolling Hills Dr Lot:14 Block: 4 Addition: Bur Oak Hills PID:10-15500-04-140 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 - Andrew Kocur 3241 Rolling Hills Dr Eagan MN 55121 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163345 Date Issued:08/27/2020 Permit Category:ePermit Site Address: 3241 Rolling Hills Dr Lot:14 Block: 4 Addition: Bur Oak Hills PID:10-15500-04-140 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew Kocur 3241 Rolling Hills Dr Eagan MN 55121 (651) 452-0173 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature