3242 Rolling Hills DrCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
??! ! iNt! t11R!
PERMIT SUBTYPE:
4 I, t !, APPLICANT:
pp
TYPE OF WORK:
11 1 tJ r?
iA t '1 f? 1 +) t
HI tj
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
i? ! I f 5 ! 1 1 i L: i'? i
t
IYEMARKS: S & W PI.N17
F
L
Permit No. Permit Holder Data Telephone N
S/W
PLUMBING 9?
-
64
HVAC
ELECTRI
ELECTR
Inspection Date Insp. Comments
Footings 1 3111,
K
Foundation _? f73
Framing V-71
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
63
Orsat Test A rr
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final 3 ?.Ll
?U
Deck Ftg.
Deck Final
Well
Pc Disp.
T Y?? 9311iV 0 r n
K
Z 1 ? ?
Wcrtificate of Cccupanc?
(AM Of 49""
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 classification: SF DWIG Bag. Permit No. 20344
Occupancy T* R3/M I Toning miftia R I Type Court. VN
Owns of Building BARRINGTON HMM INC AdthesaPO HIM 25464 a WOOD&)RY
Addmw 3242 _ >G Bo k[M MM L..hr L4, B5, BUR OAK MUI,S IST
05/IQ/Q3
j Door.
BuiMmg Offidal
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 ?-rl LL w o2.ki
SITE ADDRESS: I ,? I { Ist lal APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
F
L
III , I
tsll?4 UINr,
u . ?I a xl ..
Noy I ; i ?.I
I
Permit No. Permit Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. /,?
Deck Final ?y
Well ZD d !?'
Pr. Disp.
REQUEST FOR ELECTRICAL INSPECTION
0, see Instructions tot oompleting this loin on back at yellow co,,,
15 A 0- ,X„ Below Work Covered by This Request
•rk?. EB-00001-08
" °7
ew Add Rep. Type of Building Appliances Wired EqulpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other -{Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Othet(specify) Contractors Remarks:
Compute Inspection Fee Below.:
A Other Fee # Service Entrance Size Fee is Circuits/Feedem Fee
Swimming Pool 0 to 200 Amps .Oa 0 to 100 Amps , 6e
Transformers Above 200 Amps A va 100 -Amps
Signs Inspectors Use Only . TOTAL
Irrigation Booms 7 `? G .SCI
Special Inspection
Alarm/Communication THIS INSTALLATION MAYBE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
F;na1 oats
DatesS
T'JCS?
OFFICE USE ONLY
This request void 18 months from
/ 8/o
Requesl Date Fire No.
0 Rough-in Inspection
Required?
? Ready Now ID?ylll Notify Inspector
n R
'mil .Wh
d
?
_ ea r=: No e
ea
y
I Alicensed contractor ? owner hereby request inspection of above electrical work at:
Job Morass sheet. Box or Route No.)
11,1_11r City
I'V*
Section No. Township Name or No. Range No. County
Occupant(PRINTI
,8R 22,._
e-,, Phone No.
7 / - Z 76
Power Supplier P Atltlress ??
Elecincal Contractor (Company Na-me)L
A4- R o dcaf Contractor's License No.
o o
Mailing Atltlre ICon:rador or Owner Making Inslallationl
.41
v2Y Z
' 4Sesxa<n ??6
Authonze0 Signature ICpntraclou ner Making I allation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul. MN 55164 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0666 ENCLOSED.
Address
3242 ROLLING HILLS DRIVE
Zip 5512
Lot 4 Blk 5 Sub wR oAK mus Isf
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) -Jq-
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 shutoff 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 0
-
i... Lj5C' f `0a.l- 14(((S 1ST "+f,3?3
HEATING TEST RECORD
HOU E
^? ?J. /?
?(
_ dL
Jd -
I'-- -INrLI
.
L
ADDRESS
APT. -FLO
OR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY \1067 (-
Electrical Work B Gas Line By 10-t -
y
TYPE OF HEAT GA _ FA HW -STEAM -SPACE HTR. - UNIT HTR. -OTHER
GAS DDES N
k CONVERSION
p
MAKE K''L MAKE OF BURNER -
Modal Model
Serial Max. BTU Rating
INPUT 1 j6^^ '6 l?_ MAKE OF FURNACE
Model
CONTROLS fI
THERMOSTAT 1 He lug Vent Size
Valve ?f7 KIND OF LINE SIZE
0?}E
Limit r,TR
Draft Hood . ` t
L4
Regulator U,(
Limit Setting Fillers Size u be
Fan Setting Chimney Location Inside
Outsi
pe k(
Pilot T Chimney Construction ?u
h?+
y
Pilot Make
/
?
Pilot Model Smoke Bomb Wiring
•
_
Pilot Timing 2 A F_ Draft Test Tap
L.W. Cut Off Door Pressure L, hhting Inst. L?
P
V s P
C
7f 3 D
T
d
ercent
ressure
O
2 este
ate
Input CFH Percent 0 Company Testing d
2
Stack Tsmp. Per can. CO 0(0 Nome of Tester _771 j
Form 235
c
• :337
EATING TEST RECORD
HOUSJE
H
``
rr
(,,? p (/(( /
?Qlll?C i4ttCJ ?N r?'1T
ADDRESS APT.-FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY U!Q
Electrical Work By Gas Line By
TYPE OF HEAT GA - FA -HW -STEAM -SPACE HTR. -UNIT HTR. OTHE R
SI CONVERSION
G
SD
MAKE AnO
t
i
MAKE OF BURNER -
Modal ? Model
Serial Max. BTU Rating
INPUT MAKE OF FURNACE
Model
CONTROLS ((
THERMOSTAT He t Plug Vent Size
Valve 0v KIND OF LINE SIZE NON
Limit I-L40 ?N Draft Hood Regulator Ll
Limit Setting Filters Size Number
Fan Setting I^1 Chimney Location Inside
Outsid
Pilot Type „
XO coV I Chimney Construction `yn e
I
Pilot Make
l
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft r Test Tap
L.W. Cut Off Door Pressure ight
Inst.
i
ng
ti
?
Q
?f
_
Pressure ` l
Percent COT Date Tested
Input CFH Percent 02 r/ ( 1 Company Testing
Stack Temp. Percent CO 010 Name of Tester '76 aj
Form 235
RESIDENTIAL
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 stowing beam & window sizes; poured found design, etc.)
• l set of Energy calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 4Z/'7 Lo Z
SITE ADD
TYPE OF
FIREPLACE(S) _ 0 _ 1 _ 2
-A gym, 75
APPLICANT i s G..YIS __ //
STREET ADDRESS gv GkYk CITY CLwrtLtursCn STATE M/?ZIP X5317
CELL PHONE # 612- 490- q909 FAX #r1 S'2- 4 70-2001
PROPERTYOWNER 0bCYf ReV1- TELEPHONE# l55-21 401-6-00 9 2
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Hcat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
Phone #
---------------------------------------------------------------------------------------------------------------------------
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
Water Softener
Water Heater
No. of Baths
RemodellReoair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• l site survey for exterior additions & decks
• Indicate 9 home served by septic system for additions
Phone #
Lawn Sprinkler
No. of R.I. Baths
ULTI-FAMILY BLDG Y ?N
VALUATION j 40; 4 315 I
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4102
OFFICE USE ONLY G
? 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)* 11 43 Reroof f ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appli cant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTIONS
MC/ES System
City Water
Booster Pump
PRVI'
Fire Sorinklerec
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 ----- - ----- - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC i
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: L. APPLICANT:
0`1 : 4 C3LOCIGa APPLICANT:
3242 ROLLING HILLS DR BARRINGTON 1.10P4ES
P,IJR OAK HILLS 151" (612) 731-7766
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
BUILDING
0'207 i1n
&72!1() /9.3
INSPECT)ON TYPE
FOOTING .DATE INSPTR. INSPECTION
FRAMIN0 DATE INSPTR.
INSULATION FINAL
F7:RE.i'L.ACE
REf'IARI,S, S iu W >I_L3R -
CITY OFtAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
CA,
i y3
BUi:LDiNG
02037.4
02/10/93
SITE ADDRESS:
f.T:N .: :1.0-..5500--040-05
32142 POL.L.ING HIIAS DR
LOT: 4 8LOCK: 5
BUR 0 A K HILLS 1..^T
DESCRIPTION:
8uild'414 Permit. Typs SF DWG
BuiIdin9' Work I y p e NEW
Use Occupan cy I'2-3 M-1
?1: 9ne tPLtC tiara.. ?"ypE; \l.-jai
Zen1rig R-1
Building Length 80
Building Width 60
c },
r
2./ L , 7 -ice L? ?1 ?i
REMARKS:
S & W P L B R --
FEE SUMMARY:
VALt.IATT011
Baba Fee
ratan ReV1 C,4
SA
SAU,
SAC Units
Subtotai
1659,00
s.
$750,00
1,00
$2,250.50
/.L.-)
J?X' 1?
$3,935.50
CONTRACTOR: - Applicant - S T. L
i3ARRTNGTON HO11FS 17317765 00045
P 0 BOX ?5464
WOODBURY MiV 55125
(61.') 731-7766
WNER:
BAR.RINGTON HOMES INC
P O BOX 25464
WOODBURY ML! 55125
(612)7:31--7766
I hereby acknowledge that I have react this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
AP LICANT/ MITES SIGN URE
$153,000
M1SGE LLAMEOUS
COPY
Total. Fec.
ISSU D BY. 9 TURE '
REACTIVATE
PERMIT #
3
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
$3,G9.?•5p
FE61 WCU
u Ad 9
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
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 Z Valuation of work fZ?M f?
&'e C?rc?h Lot (j G fli/!S /
Site Address: 1A N IL
STR SUITE #
Tenant Name: (commercial only)
LOT BLOCK,5?_ SUBD. 'SW I' l`J /Z?_t P. I . D . #
Description of work:
The applicant is: ? Owner 0"Contractor ? Other (Describe)
NameWWW ri Y, LLMez ac. Phone 7 ( 7 ?
Property LAST FIRST
Owner Address Td x ? P?'7
STREET STE #
City State AAA Zip??Zs
Company eri Phone 7.3/-7Z6,/::;,
Contractor Address 'Po & 2SY6y License # SYG Exp. ?,?_
City (?boV Stateti Zip'Svas
Company 6edae F •? 'fAgsac Phone ('Vc' .SZ(A
Architect/
Engineer
Registration #
14uMC1
Name AeAcf7le
1
n
Address t'VlarAUt )
City ?f .?dul 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 apppplication and state that the information is
correct and agree to comply with al appli ble 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
E 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc,
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Acces
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
t'31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Valuation:
Const. (Actual) y- N Basement sq. ft. MWCC System
(Allowable) v - N 1st F1. sq. ft. City Water
UBC Occupancy R_3 M-I 2nd F1. sq. ft. PRV Required
Zoning R-1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length s0' On-site well Census Code
Depth o On-site sewage SAC Code
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
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 % loo
SAC Units
Building
Variance
? Footing
? Final
.Fn
GARAGE
(3SMT
? Framing
? Draintile
El 20 Public Flity
[1 37 Demolish
Bagelt Finish
l
? 17 Swim Poo
d.
? 18 Comm./In
? 19 Comm./Ind. Misc.
aci
? 21 Miscellaneous
ssments
'YE S
YES
bf
? Insulation
? Fireplace
s 143, Ooa
42 x32= 1344
6 X 14-: 84)
Z X 1l3- 36
122y X/6=
52 k 32 = 1 io6y
2'-f X32. c 76a
r9 seu
? 69,`53
ILI I,$1r1
Q L7) .11 )
L %/o - 2a
9;3s=1e= C13?_.
?`'1`6)X1?- Z
1Sf ?ioort
aswi-T = 1y??
I 'F l s l
14°)4x53= "19104
I62 Ss?
i
304
4r V
?( *
* PIONEER
LAND SURVEYORS • CIVIL ENGINEERS 2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914•Fox 681-9486
y
T
25 Highway 10 Northeast
engineeil LAND PLANNERS • LANDSCAPE ARp9TECi5
*
*
* * *
MN 55434
[B1laine.
2) 783-1880•Fax 783-1883
Certificate of Survey for: Barrington Homes Incorporated
House Address: Rolling Hills Drive Eagan. MN
I
30 I
I I
30 110
I
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/
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S 83'48'14' E 3
4)
i 9gl.`lb 1, 69
ga4.9o 139.02
_ 29.99
6D.00
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X95,3 997.41 -
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S 83.48'14_' , ((( 1
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ERGAN ENGINEERING DEPT
. 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
. 900.0 Denotes Proposed Elevation Lowest Floor Elevation: 888.66
-- Denotes Drainage & Utility Easement Top of Block Elevation: 896.66
1? Denotes
-o- Denotes Drainage Flow Direction
Monument - Garage Slab Elevation: 896.33
- 9 Denotes Offset Hub Bearings shown are assumed
LOT 4 BLOCK 5 BUR OAK HILLS 1ST ADD.
DAKOTA COUNTY, MINNESOTA
rvlsion and that I am duly Registered Land Surveyor
hereby certify that this survey, plan or report was prepared by me or under my direct su
!
under the laws of the State of Minnesota. Dated this 24) TA day of 6 tJ A,D, 19.1.rZ.
:c 1 , d
Scale. I Inch-30teet ROBERT B. ISA LS R€ .N .14691
® 93015.00
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY
••GALi ???? ,.,. (?
Date of Surveys //2 9 / 2 3
T??
DOCD%ENT 2AND M
0-10 0
E' 0 0 - Registered Land Surveyor signature and company
E? 0 0 Building Permit Applicant
L
n E?0
• egal description
Address
0' 0 0 - North arrow and bar scale
0?0 0 - House type (rambler, walkout, split w/o, split entry,
E-10 0 lookout, etc.)
0' V 0 Directional drainage arrows with slope/gradient t.
Proposed/existing sewer and water services
• street name
0 0 Driveway
ELEVATIONS
Existinv
0 E?? - sewer service
C- D 0
Er D 0 Lot corners
I?' 0 0
- Top of curb at the driveway
Elevations of any existing adjacent homes
Proposed
t?J'0 0 - Garage floor
Cr D 0 First floor
Er 0 ?
' Lowest exposed elevation (walkout/window)
D
0 0 - Property corners
VD 0 • Front and rear of home at the foundation
PONDING AREAS (if apnlie ble)
0 E,D - Easement line
n rTD
D ? -
L
- HHW
0
n V Pond N designation
. Emergency Overflow Elevation
I D D DIMENSIONS
Lot lines
E- 0 0
Er 0 D Right-of-way and street width (to back of curb)
- Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
J structures requiring permanent footings)
ID D ? show all easements of record and any City utilities within
PK D 0 those easements
- Setbacks of proposed structure and setback of adjacent
existing homes
D 0% Retaining w ire nts, if any
Reviewed:
Name /
to
October 1992
;r_111r=SOT. S7A7Z. -'--?? CC!= CALCULATIONS
'!Out .Pic3_7 - 1=ZJ e.3=TION
chop-IOL jjre 1.+f di
G mer 5o6 RiENZ Re'';1DtrVC,?
t
Phone r..-,IZ-1 1-9
Sit=- Address Li, rF L-c>s ca R A4 nAr- PI LLS
Cog"--actor 804=10(o A3 H004t Phone -131-1 Uo{o
Saildiaa ClassiTic__4cn: Type Al (Single Family ; pleY} __ _g _Type A2 (Residential)
(3 stories or e ss)
(Other) (Over 3 series)
GEIE.=L INFOkMR71O i
1. "cuildina Ferimet r tt's, 3?t ft.
2. Lai i height (a^_u: d to e=-ve) JPMJE51i,
T_ 1. x 2. (a:ove) cress wall are=_, 'j0,? f
°niidina dirtensi^ns (L) YA21tso x CIi V?3TLIr>S, = IISCO,3 ft.2 roof & rigor area
Scuare foot area of rim joist -boor jai<_t size (2 x10 7
`
1. ? x Per:----
_ ?__ = Mr, = f t
,oist area a
12
E- Doors - Area Z ou ZJ -? .- -
1
il
Thic'.<^«_ I in. U ra__;r ,07 _d
Type of .crs?r?e?ignne ctacL wsJ ?_
l?
Periwe>=r :_. ZCam.
f_suracclrer Ca H? •at?. ^_.ir in- ' tration Rates-Res. Doors:o,5
2F:!Jsc.
'
' -.. or door area/Table Na. 5-1"
:
s =er=-ear
i. Tptai door
8. .,..pNS: iianufa__urer 1C-T77&-T?-
.1
State approve} YL-?
U ,"actor It, "sir Infiltration Rate: •03
_F41 ;t. c- onesble SaSS crack /Table No. 5-3"
--{c_ `;?°Et OF TOTr'.L F?= -
(Match U Value) UNi T
FCAZ- z&4o 5-0 Y. 4-o 20,00 q 180,00
F-CA 3 - 205'0 &-0 xg-o 30.00 1 30,00
v -12-28(0(0 &-a X (O'gi t}0.00 Z 80,00
Fcil?z- 2(a 50 5-0 XS-O 7S-,00 Z - 50,00
FGA-L-2040 1-0XA-0 110,00 ( I(0,00
r-CA 1 -1 le 1-4 ),A•0 6•ab 1 x•00
_
Q>F l-1TO?' 1-z- (o-$ <,7? ( 2,,75
y
u? or xa;'[ area.
l2. =f=Tr.C area = 110"
S :ss wail area 3 3'70,.'1
Ni. acv area 3/o°I 8 -- Z
oist area A 71 ,its
7
C=r area
FI.replace area A
?.:rg5e'{ foundation A n4 r%t 2
F-__,- na area A 33-1, 0-7
,let wail are=- A 'Z_ -7 $'
u s:r s 3ef U x A= lltk,(o
0'1 !1 x A = . 2t$7
u°:rlan = U x A =JJ?
U .saticn = .c? U x A = )2'1`0
U are. _ . 09 U x A = 30.3`
ri U x
r U ..A = 2 ,-r
.......... )
i
1
(T?) to
14. Gres wall area x 0.11 (A-l single family a allowable U x A/Code
(T3. ahave) .
x 0.2f (A-2 other resieert:a';
x .23 (Other buildings) 7
x .2q (Over 3 <-tcries)
ndH Must be larger t.an
A 3370, 7 x U Code C.11 = 310.78 -E. 13_ abgve 25'3,75
T_. CZJ l lac 7-zminc area (Af) equals lca a: c= ";'!z- ar=m
I (L) 41kIPl?S x ':' UR12aa? = I'S «o 3 rt.a
1=;. Gr:ss c= inc are---
o3 Jcist arsE (Ar) = 1,0! tailing area IS D, &o % ".2
2
Tc NE_ cai;irc are_ (Ac) (T°-.4 - I`o)
tail inc x A c= o. °ZZ x 135 S, (a'7 = ?I SZ
U r-_micc x A 'o Otto x. 150,!03 39Z
Tc7. U I ..............•----.................._. :33,y
Ic. r=p.; _.=a ( Cn) x O.^_25 (A-} s'.ncle GC°_ ai Iowa" e x n
X (•l.vu (gthe?) .
C p, G2!v -. - NUS.`. ?E ia"_E?' _..:^ icL /?_C•.rE '
3"1 l to 7 75. 14
WALL
SECT,-ON
Sal M
SECTION
2Yn WALL
SZCT'_CN
R rV
jois-
"R" is tot=1 R
CILCULA770PIS
R VALUE U 9rLU-
i` wall 145 (Wall) u
II'_? r '??_'cn iq DID
Z.otc
!pl'- C ai= film .17
?J a TOTAL v z 11
fiia 62
jail H S
li=''?8 C=:wing,
cl?f
1 TOTAL 8
?SiC_ c - F: 1m Y= AS
`- -all
_=-- jail caves::
_r f
-1 .17
R TOTAL.
(Wall) U
1 i
:cL: wocd [- .QtCS
-' •a-= caves: ,
=sczr___ a _fi1W t .17
a TOT .L 7 zj
i
(Rim U ='R
= n?
Jois:)
07
C-- - f UT 74 ATTIC S.qC'c .SC'1
r - ';L1 R VALUE
r7-z-?!NG CEILING
i
3z-36'
y "? I
Air Film 0.51
Insulation 0440O
•1cis_t
5f. Ceiling
.5L
G.6.. Air Film 0.61
38.(01 Total R A 57,-7
r?. GZ(o J = Z b,07,2
FLAT RCOF OR CATHEDRAL CEILING
Ia ue R VALJE
F-11,,INC CEILING
0..,
Inside air film 0.51
Cailin?
Joist (stud
Insulation
Air space \
Roof dEOSS
Insulation
suiit-up roof
outside air film 0.1'7
Total R
=J
R _
Ufndcw infiltration, cfm/'lineal fact of crack
--ion 0.5 c.:+,+,/separ=_ -,ca_ nr .:car and minimums code r=_^' itersw
. _._a_n- _.::] aeon irf; - - _. -
On-residential dear infiltration 11.0 cOll ine_: WaL of crack
12° G ncrate black no insulation = 3 R 2.1
r -" concrete black iT<_uiat d caress = .25 .-
j On , icat:veig black insuia _ad cores = .12 R 8,,-
u single glass = ]. with star .anccty .?'
_ do fie class = .__
- _.-e glass -X
__
c . ir:__ mu_- have s v _?. ._. -e5'7 ..._.. .
' e-.senior l]? .- .._
.a__. __. 'ors , ._- .- r _ . _-_Mane
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
024400
08/17/94
SITE ADDRESS:
3242 ROLLING HILLS DR
LOT: 4 BLOCK: 5
BUR OAK HILLS
P.I.N.: 10-15500-040-05
DESCRIPTION:
Building--Permit Type
Building 46r.k Type
r.,
t
L,f
$30.50
REMARKS:
FEE SUMMARY-
Base Fee
Surcharge
Total Fee
$30.00
CONTRACTOR:
L
I hereby acknowledge that I
information is correct and
Statutes and City of Eagan
DECK
NEW
OWNER: - Applicant -
RENZ ROBERT
3242 ROLLING HILLS OR
EAGAN MN 55121
(612)778-6366
have read' this application and state that the
agree to comply with all applicable State of Mn.
Ordinances.
I
CITY OF EAGAN
114400 1994 BUILDING PERMIT APPLICATION
681-4675
P.(P ?VPJ.I, ?-??
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
REWED
?
COMMERCIAL 2 sets of architectural & structural plan!, I sse
o
specifications, 1 copy of energy calcs. AUG 1 5 1984
Penalty applies: 1) when permit is typed, but not picked up by last "" "" """' h
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work Z57rn
Site Address: 3??Z 1?c4LI16,- P/LGS
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK S_
SUBD.BukP -ftk{144[ ,
P.I.D. #/0 /SSPfJ 410-r>'5-
Description of work: e5zwV5% u4 % ?v? of QvSE
The applicant is: Owner ? Contractor ? Other (Describe)
Name 11?6wz tq0'e6:)Q7- Phone w-778-6366
Property LAST FIRST H yurlP-av?/2
Owner Address 32- Yz Ro4elN6- i- W_5 Mi v,6?
STREET STE #
City ? t&AA/ State --NI V Zip vr5'/2/
Company /u/?- Phone
Contractor Address License # Exp.
City State Zip
Company NR 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 have read this application and state that the information is
sota Statutes and City of
correct and agree to compl ith all applicable
Eagan Ordinances.
Ae
?_?
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Acces
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
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
ONer
Total:
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
vstwtim:
? Framing
? Draintile
S '
C
F
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
;C System
:y Water
I Required
)ster Pump
•e Sprinkler
isus Code
Code
isus Bldg
isus Unit
? Insulation
? Fireplace
SAC q
SAC Units
* PIONEER LAND SURVEYORS a CIML E
* engineering LAND PLANNERS'- LANDSCAPE
I
I I"
I o
Certificate of Survey for: Barrington Homes,' Incorporated
House Address: Rolling Hills Drive. Eagan, MN
4A{.
Jo I
I 30
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692
zg.ag
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ig
895.3 •
REV111V,"
S 83'48'14" E 3
139.02 I
-- ,v
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sx ?
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-?
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eck
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_808,0 I 10
99(,,&
3
d- ?
?o
o ;)
O p
141.96 889 ??
S 83'48'14" E 66ZZ
..
.h.
NaI '?---
a 900.0 Denotes Existing Elevation NE "
•® Denotes Proposed Elevation PROPOSED HOUSE E ELLn V8886 7'
Lowest Floor Elevation: 888.66
---
en_4 ess Drainge Fl Utility Easement Top. of Block- Elevation: 896.66
` Denotes Drainage Flow Direction
-o- Denotes Monument Garage Slab Elevation: 896.33
- a - Denotes Offset Hub Bearings shown are assumed
LOT A BLOCK 5 BUR OAK HILLS 1ST ADD.
DAKOTA COUNTY, MINNESOTA
I hereby certify that this survey, plan or report was prepared by me\or.under my direct su?rv„lsian and that I am duly Registered Lend Surveyor
under the Ism of the State of Minnesota. Dated this Z?I TN day of ?p ^3 A.D. tg?l J ,
X"
Scale: 1 kwh-30•fma
2422 Enterprise Drive
Mendota Heights, MN 55120
612) 681-1914•Fox 681-9488
T Highway 10 Northeast
ne, MN 55434
) 783-1880•Fox 783-1883
F
I
I 874- 0
j II 8ys-L7 10.J3
I I 2.3:
L`? {o ---82v¢
Jaffa----- -
997.42
ffE 93015.00
1
L_.?/ B
SUBD. lX ,/?1 /1&.,,
PLEASE COMPLETE UPPER PORTION
TOWNHOMES/CONDOS WHEN SEPARATE
CITY OF EAGAN
MECHANICAL PERMIT RECEIPT # ?? D
(612) 681-4675 DATE - - 3
RESIDENTIAL
ONLY FOR SINGLE FAMILY DWELLINGS. AISO, COMPLETE FOR
PERMITS ARE REQUIRED FOR EACH DWELLING UNrr.
OWNER: l F EES
SITE ADDRESS:
a ? ?) a N ADD ON/REMODEL (EXISTING
CONSTRUCTION ONLY) $ 15.00
INSTALLER: GI, HERO AAMcnamom , HVAC: 0.100 M BTU 24.00
PHONE #:
$f.lAU1SPARK.MN 5428
ADDITIONAL SO M BTU
6.00 .
ADDRESS: GAS OUTLETS - MINIMUM 1 @ $3 EA. q o b
CITY. ZIP: SURCHARGE: $ .50
SIGNATURE: ? -z-4 TOTAL: $ 3 3. 5a
1-?? Hsu Ua?to??l -ion, I- Hs5;k ,1-N?e? NP??
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALIINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT. ? 3 ? j?
WORK DESCRIPTION:
:11110 D1 :F
SITE ADDRESS:
TENANT:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
CONTRACT PRICE- I FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00 1
MINIMUM FEE - $25.00
TOTAL:
CITY SIGNATURE:
ZIP:
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
SHOWER 3.00
;?_ WATER CLOSET 3.00
7- BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
l WATER HEATER 3.00
P FLOOR DRAIN 3.00 51
GAS PIPING OUTLET • minimum - 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dakcty.lic. 15.00
U.G. SPRINKLER • home under cont. 3.00
ALTERATIONS • to existing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
TOTAL:
.50
'gJ.ls1?
SITE ADDRESS: 3 Z--/ Z A I I p tA y i a c,
OWNER NAME: fbaz91 y'j >l I?O h+r/r_'S
INSTALLER: Pe 4V-lfsa+?) p I
ADDRESS: 1()X0 ?v{y+ ^` ?l *i
CITY: _5r4- O.4 - L STATEN ZIP CODE:
PHONE #: (G/Z) 6'f'6-IV9c
)e 5 z ? 4, fn
SIG URE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 P"T KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL4NDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UN-7.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: 5.50 FOR EACH $1,000 OF VERA31( FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE #:
FOR:
CITY OF EAGAN APPLICANT
LOT BLOCK sl SUBD. Avy C4r?C
RECEIPT # 5& LP DATE 5I/3N9p
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date:
Commercial GPM
Residential (boulevards) GPM
Existing residential
Area/address to be irrigated:
Installer: i k111 Z- Owner Plumber ?
Street address: J2 yZ kl?o al)m6- Yia3 QQI (2
City, state & zip code: 2 / Phone #: y?? -CEO y?
Owner Name- id,
Street address: ?3z y2 AVLe-'1A1L1- l?(GLS
City, state & zip code: <!. Phone #:
Irrigation contractor, if different than installer: 5A'14 (_-
Telephone #:
I hereby acknowledge that I have read this application, state that the.information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Applicant's signature
Approved by:
PRV ? Yes ? No New service
Meter Size & Cost
P?we",P/y D-"V1-VS P
Title
Date:
? Yes ? No
6-
?"?)
Fees due: ?C/ Calculated b
1-i1-2G ???k? s 720-e9
PROCEDURE FOR IRRIGATION SYSTEMS -
An irrigation permit ii required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 per connection - WAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation 16f backflow preventer - (not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by" the
designer of the system.
------ ___--_
No meter will be sold before all sewer and water inspections are complete on anew service. If new
service lines are not required, one check may be written for meter and permit ;costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspectioi
backflow preventer. The Public Works Department may be reached at 681-
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday
A.M. inspections should be made on the preceding work day. Requests for P
until 12:00 noon.
of the inside water line and
300 for water turn-on and set
hrough Friday. Requests for
1 inspections will be accepted
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110668
Date Issued:05/21/2013
Permit Category:ePermit
Site Address: 3242 Rolling Hills Dr
Lot:4 Block: 5 Addition: Bur Oak Hills
PID:10-15500-05-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 L Renz Ii
3242 Rolling Hills Dr
Eagan MN 55121
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
.r� . - . �S�g�,UE ar BLACK Ink
__-_�-____------4
► For C�fice Use �
� Ia��� �
� Permit#: �
• �� �. R�CEIVED , ,�� � 1 `, �
1,�` �F � � Permit Fee: 1
U d� u.t JUL 11 9�114 ' '
3g30 Pilo�Kctah Rdad � t�ate Received:� � � 4
Eagan
MN 55122 i i �
Phone:(654}675-5675 � Staff. t
Pax:(651j 675-5634 � ------- —'--'_----'
2014 RESIDENTIAL BUIC.D1('r1G PERMIT APPLICATtQN ,���,
� I�� �� �J�/,5 c tl�- unit#:
' ,�� $ite Addr�ss: � `°°"'�°
, ,�.j" m,,�. .�.�,�,.,.��..�..�.
Date. -�^�`._.,����.�.��.-.�.. � ����
�., �,r�.���,.�
�.�-��..,�, � e�tl Cl�,�1 � Phone:�r"' ��l`J° �
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� a Name: � �/ .
� 12eSlt�Btlti s �,,!` �' ��� ,�" f� ,� —
' Address J Cit /Zip: � �
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' " '}�� Contrador ��
a I ��
� � ' �OWf19C '�'""�"""�-
� � /��Q{1C8CIt iS: __... ,„�,�_�,,,.�,,,-�. x� �
� a.._�,�.,, .,�w. ,�-��".�
' � Description of wo�lc:� '' '�"�
' �YR� o#W�rk � � �� "�7"�`� "J�
� Mu{ti-�amity Build'sng;(`fes !!Vo��,�?__�-,rt�,� �
� � C�nstaac�ion Cos� �
��.,�...,�,�,�-,Y,�,,.-..h�-�� �
k..,.�,n,� ---�.- - _._ c.�G�.� �
Y ....,.,..w.y-..,,.. ....,w,. /p/� /+ ��jP�.��7
k i"� ��w� a � li0nt`c{�.�— �� x
, Company_ ( j >
� � ��� `'� � e��4�`� ��?Q ���Y: �
� � Addr�ss: ,
� Contra�tor � �( ; �; �'�� �t� �j�f �:
� � State: �N Zip: ��- Phone:.� -`^�- 4
R
� � ��.��I$- / �/ C�
� ; Lead Cert�cate#: �
� �..,�� Licer�se#: .� �-��-�-�- _
�. .��o�.� �.�� ,�
k lf the project"ss exempt from lead certi�ication,p[ease expiain why:(see Pa9e 3 fiar additional ir�fo►maGon,
���3 �� � �
� ��► J� �-��r�- .i`7 2--�__.____ _ ---- .
= COMPLETE THiS ARF�►.ONLY iF CONSTRUCTING A NEW E3UiLD1NG x
�
� ln#he last'!2 monttrs,ha�tE►e City of Eagan issued a permit for a similar pian based an�a rr�aster ptac�Z �
� �.
? ____Yes ____Na if yes,da#e and address of master plan: k
Phone• �
� �icensed Piurnber.
1
� � � Phone:
� Mechanicat Contractar: � � ��
x
Fhone:
� Sewer&Water Contractor: � � � � ��
� NOTE:P/ans and supporting dvcurnents that you submit are cans+dered ta be pubtic information. Portlons af
' the informafion may be classit�ed as nan pu6/ic if you provide spe�'i�c t'easo�ts thaf would permit the City#o �
� canclude#haf they are trade secre#s. �---.��--
�CALL BEFt3R�YOU DfG. cafl Gopher state one cat�at(ss�s)�002 for P�fltect"on agairast underground utEtity damage. Cai)48 houi8
before you intend to dig to reeeive lacates of underground utili6es. +r,ww aopherstateoneca3l.�r�
f hereby acknowtedge that this ir�formation is compEete and accurate:that the wark wili be in cor�formance wiih the ordinances and cades of the City of
Eagan;that t understand this+s nuot a parmit. but oniy an app{ication for a permit, and work is not to sta�t witfiout a pennit;that the warlc wiit be in
aceprdance with fhe approved pian in the case of work which requires a rev`tew and approvaf ofi plans.
ExEeriorwork author�zsd by a building permit issaed in accardance with the Minnesata 5tate B�u'stding Code r[tust be compteted within 180
days af permit issuance.
� �,,,1(.�,,Y1 �-'�1 � I n�[ �
appticant's Printe N p C8�1�'s ' naEure
Page 1 of 3
R� � ��►��. �1 I i r� � �l� I�r. � ���!,�
DO NDT WRITE BELOW THlS L.tNE
SUB TYPES
Faundation Firep[acs Parctr(3-Season) _ Exterior Alteration(Singte Family)
Sing[e Family � Garage � Parch(4Season) � Ex#erior Alteration(Muitl}
_ Muiti }�s Deck � Porch(Screen/GazebalPergo(a} , Misceltaneous
01 of Pfex �� Lawer Level Poof AGCessory Building
WORK TYPES
New _ interior improvemen# � Siding ` Demat�sh Buitding"
Y Additian � Move Building u Reroof � Demalish lnterior
�
�^ Aite�ation _ Fire Repair , Windows i Demolish Faundation
� Reptace � Repair _ Egress Window _ Water Damaye
R8t8111ing Wat1 "I?ematition af er�tire bulidEng-give PCA handout to appiicant
��scR�p�rron�
Va[uation � Occupancy MCES System
Plan Review Code Edition SAC U�its
(25%__140°/a__._} Zoning City Water
Gensus Code Staries Booster Pump
#of Units Square Feet PRV
#of Buiidings Leng#h Fire Sprinkters
Type of Gonstruction _F� Width
REQUIREO INSPECTIONS
�=ootings (New Building) MeterSaze;
� Footings{Deck} Final i C.O.Required
Fad#ngs(Additian) � Finai!No C.U. Required
Foundatian HVAC_Gas Service Test Gas Line Air Test
Raof:�Ice&Water �Final PoaG•�Faotings Y_AirlGas Tests �Final
Framing Drain Tite
Fireplace:_„Rough ln �Air Test _Final Sidinq:�Stucco Lath ___.Stone Lath _Brick
Insutation Windows
Sheathi�ng Retaining Wall:�Footings_ Backfill.� Final
Sheetrock Radon Contro{
Fire Walts Erosion Contrai
Braced Wafts � Other:
Reviewed By: � , Buiiding tnspector
RESIDENTIAI.FEES
Base Fee F� (
Surcharge �( J ��4�
� Pfan Review � �
MCES SAC ���
�
City SAC �
Utitity Connection Charge
S8�W Permit 8�Surcharge
Treatment Piant � �
Copies � � � �
TQTAL � � �
Rage 2 of 3
� � � ,
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.;t* * Mendoto Heiqhts, N{N 55120
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x, @�� *��r �� . ''"� BIc►ne, MN 55434
* * � (812) 783-1880•Fax 783-1883
Certificate of Survey for: Barrin�ton HQmest'� fncorporated
House Address: Roilir�g Hil{s Qrive Eoqan MN
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= snc•o Denofes €xisttng Elevation • PROPDSED HOUSE E��V�1T1�-I'7' �
■CC�.�Denotes groposed Elav�tion � Lowest �l.00r Elevation:888.65
-_--..r_DetL2�.e��)ra,�nage bt ZJkilitY Eo9Am8n� �`--�.np. �f g�ock-Ele�atlan:896_S6 ..__ __
- Denotes Drainage Flow Directlon • • �Y'�'"�
--o- Denotes Monument Garage S1ab Efe�ation:896.33
.-ta--Denotes Offset Hub 8earings sh�wn ore assumed
�a7 4 , B�.acK 5 BUR oAK HILLS 1 ST A�D.
DAKaTA COUNTY. MtNNESOTA
1 Mrehy eertlW�hat thfi�urwy,pian or ropwt wss pnpsred hY rtw or anrler my dl�ael rvl�len and tlut 1 am dulY Re0l�tnred Land 5urv+eYOr
under iM tsvw o11M Sutr ol Minn�wp.DstW thi��.�dey of ���__A.4.1�.
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ECEIVE
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MAY 2
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 0 2020 Staff:
buildinoinsoectionsc cityofeagan.com L
BY: )('
2020 RESIDENTIAL BUILDING P O
`APPLICATI N CA I
Date: Site Address: Unit#: 10(-,
Name: IVC&4-k A t M Q 115 5 Q. Ql.�S Phone: l to.?-22q-q742-
Resident,
22"1-'1 16G-
�t !!//��__� I n �-- L /�
de Address/City/Zip:33'12 leo I I Y»i{ 1 !�f i V i i'~Lc Gl I / ii) 6572.1
Applicant is: Owner t/ Contractor A ( &tit_ CA P
T Description of work: L a Zv e f— !Vic' l /e'en.i k(
Construction Cost 575'4C;� " Multi-Family Building: (Yes /No V )
Company: 3 0 k I Z OW /3/VD .a/9le Vogl G1� C�'a
ConAddress: 1(0 1 0 0 v e r J O O 1. ►i I/Y i City: c7`'/t < W R T'' f"
State:/VW Zip: Phone: 7 t 77 Email: req/d J c'CL)ei,h j/et-O 4-1-k
License#:13 C 3(AAP/ Lead Certificate#:
If the project is exempt from lead certification, please explain why:
/4/47, e 4? /1/4- i.1 /993
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a pemilt 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:
Fire Suppression Contractor. Phone:
NOTE:f sand supporting decianents that you submit are considered to be public ration. Portions of the Information may be
classified as no pull ifyou Prowitioarrectlie reasons that would vomit the City*conclude that they.*trade secret&
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.citvofeaaan.comisubscribe.
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.
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.aooherstateonecall.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, . d 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 a4t14:1 of plans.
x Ca/-ec -'c//`/t Z t7c x
Applicants Ph6ted Name Applicants S i,nature
DO NOT WRITE BELOW THIS LINE --S-V a" vI 11%1 HMS(S pr Uj I 1
5
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
_ 01 of_Plex sy Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
-- Alteration Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION /
Valuation iv evG Occupancy VG^I MCES System
Plan Review / Code Edition p20Ad SAC Units
(25%_100% t/) Zoning R.- / City Water —Census Code H 3y Stories — Booster Pump ^
#of Units i Square Feet PRV —
#of Buildings Length — Fire Suppression Required
Type of Construction Width
REQUIRED INSPNCTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) Final/No C.O.Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof:_Ice§,Water _Final Pool:_Footings Air/Gas Tests _Final
) e- Framing r/30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: FootingsBackfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion IL'' Shower PanOther:
Reviewed By: , Building Inspector
RESIDENTIAL FEES `3- --
- 7h7h04 pi,,,-47 j f Al 8-.09 'Base Fee ate✓ '7"+ /
Surcharge
Plan Review /7 a.
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165658
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 3242 Rolling Hills Dr
Lot:4 Block: 5 Addition: Bur Oak Hills
PID:10-15500-05-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert L Ii & Carla Renz
3242 Rolling Hills Dr
Saint Paul MN 55121--230
Gold Star Contracting
3025 4th Ave E
Shakopee MN 55379
(612) 221-4553
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167260
Date Issued:03/04/2021
Permit Category:ePermit
Site Address: 3342 Rolling Hills Dr
Lot:29 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-290
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Nathan P Hansen
3342 Rolling Hills Dr
Eagan MN 55121
Applicant/Permitee: Signature Issued By: Signature