3246 Rolling Hills DrPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128418
Date Issued:11/12/2014
Permit Category:ePermit
Site Address: 3246 Rolling Hills Dr
Lot:5 Block: 5 Addition: Bur Oak Hills
PID:10-15500-05-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott A Oakman
3246 Rolling Hills Dr
Eagan MN 55121
(651) 269-0300
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
INSPECTION RECORD ( Control No. 10
CITY OF EAGAN PERMIT TYPE: 11111 Lt11 NQ
3830 Pilot Knob Road Permit Number: 4*1 Nol
89/.?Ii /y?
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
3244 ROILING HILLS OR
RUR OAK NI.LLs
PERMIT PiYBTYPE:
11I Ue k. _ APPLICANT:
RCDONALU CONST INC
(611.2) 688-7091
TYPE OF WORK: NEW
INSPECTION TYPE
f °?' t 1 f?(r DDATE INSPTR. INSPECTION TYPE
f RAMIIN?i DATE INSPTR.
111 M AT IION FINAL
FIRI'PI Act"
PFRARKS: S & W CONTRACTOR
E
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING ( l /O$ Q- ?l
HVAC
?/
ELECTRIC 7
l
ELECTRIC
Inspection Deft Insp. Comments
Footings 1 b -C
*v/,
sZ
x.:1
Foundation /
i. /y?f
I
C ?
Z-
Framing
/
J
Roofing
Rough Plbg. L
Rough Htg. 1110 6IZ Z? s kl?t ? I C
Isul.
Fireplace ? p l j4e- ]Y e Z? S/ l? Z
Final Htg. ?q
L
Orsat Test
Final Plbg. Plbg. Inspector Notify Plumber
Cont. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Dlsp.
J
v rN
r . AS
A' _.r
wertificate of cccupancv
c0ty of fagax
zrartmcnt of 6Niliing 38d?atft
I/
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:
SF DWG/GAB 1503
Use Classification: Bldg. Permit No R3 M1 RI - - - n
O-upancy TI pe Zoning District ConsL
MC DONALD EONS? &? 1212 BLUE ILL BAY RD., BURNSVILLE !
Owner of Building 3246 ROLLING HILLS D L5, B5, BUR UAK HILS
Building Ad Locality
J DECEMBER 28, 1992
Date:
Building icial
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
SITE ADDRESS: APPLICANT:
I I lhl?, 11lJ I f,l , . I`'I I,I< . 114,
li i li I I I 4q;I 1
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Of MA10'-; `; F.PAF1ATF PkVNI IN Akf WI-QUIRI 0 I-ON ANY V1IIMI1 fNC- Ilk f I r-C IRII'Al t-IIIhM
F
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC 1 Q /I JL
- f
?
00
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg. _ O g
l
Rough Htg.
Isul. ?G
7 f1
,v
Fireplace
Final Htg. C.c?s
Orsat Test
Final Plbg. 7L cY
?rJ Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final g -
Deck Fig.
Deck Final
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: I 1 I:1 k,I APPLICANT:
,. 1;x,1 I ?IJiHll.(.:. LJk t I1'1; ?r1[ilJR IiAk (I1 1 i. ( r. 2 1' b13b-1?'1 t
PERMIT SUBTYPE:
TYPE OF WORK:
L
lift IttiINr1
0.-i5,'03
of./10144
7
Permit No. Permit Holder Date Telephone •
5/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements RemodetlReoair Requirements `4 '? ?_ej /
1
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) • 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
1 set of Energy Calculations • Indicate if home served by septic system for additions
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE O /
JOB SITE ADDR
CELL PHONE #
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ALI /?f, XI?
TYPE OF WORK /?hrG?G ?er?a/ /IOvSC• ;a.,,a y? FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT 1111S*r 'fOtq.ST' PHONE#_Z?59? S3?
ADDRESS 'I/O 73?'?/>ti/C A/O' &()()IC"41 n f gL ZIP CODE
PAGER #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone #
f r -Fee--7 $70 00
-a?li' pal
Phone #
IIiJ
1
All above information must be submitted pnor to processing m appgcauvn. r, -
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 Applican
Certificates of Survey Received _ Tree Preservation Plan Receiv Not Required _ updated 1101
Water Softener
Water Heater _
No. of Baths
VALUATION. ?G
_ Phone
Lawn Sprinkler
No. of R.I. Baths
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 EM. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or- N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 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
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. -Air Test -Final
Insulation
_ Other
Pool _ Ftgs _ Air/Gas Tests - Final
Siding _ Stucco - Stone
Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Final/C.O.
_ Final/No C.O.
Plumbing
HVAC
Building Inspector
Address: 3246 ROLLING HILLS at 5 Blk 5 Sac/Sub BUR OAK HILLS
These items were/were not complete at the time of the final inspection.
Date: 12/28/92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass y
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. (a
,7&
a
White - City copy Yellow - Resident copy Pink.- Contractor copy
REQUEST FOR ELECTRICAL INSPECTION a^ EB-00001-0e
00. See insimclions for completing this form on back of yellow copy. ?`?` ??
"X" Below Work Covered by This Request
0 061 690
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
?iC?l 2? LD ?? L?Y?
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs Inspector's Use Only: \ i T C
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MA E ORDER. 91SCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT
I, the Electrical Inspector, hereby RoughIn , Data
?/
certify that the above inspection has
been made. Final Date
_g
OFFICE USE ONLY
This request void 18 months from
690 4 Oak X 00
Request Data Fire No, ough-In ,
a ction Required Inspection Other Than Rough In
w
e
^'
3 "
(You mi.{4. cainspector when ready)
- ? Ready Now A Will Notify Inspector
(
J ? No
Yes Date Peady
I licensed contractor ?owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route N City
3 l?
Section No Township Name or No. Range No, County
Occupa PRINT)
L/.2/ Phone No.
Power Suppliur TT
L Address -
Electrical rador tCOmpany Name) Cont
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ac
tor
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ense No.
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Mailing Address (C tractor or owner Making Installation)
i
Authorized SI ' (Contrac[or/Owner Making Instal etlon) Phone Number
h' D -6310
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL
B82gUn vers University Ave,, St. Pau, MIN 55104 III rylp IIII VIII Illk III I? VII III II''I UNLESS PROPER NSPECTIONFEE RIUS
Phone (612) 602-0800 `{!1 I 119 N „'ulryl ilt' I V Iflul, ENCLOSED.
K5 0931,1?/93 e??a?iors?a3
I , 9? 5 a?c ?5p9
Request to
I Fire No. Roughn Mspemion
Rgq ?
ea ? No
? Ready Now ill Nmiry Inrogg
W n R y?
I ' licgnsed contractor ? owner hereby request inspection of above ctrical work
Job re Q t, or R No.) Ciry ,
Section No. Township Name or No. anga No. Conn
Occupant PM1 e
Power Sup ie Atldress
EI n al Conlraztor (Company me) Co amor Li N
Mai ing th s I j y o ner Making Install io )
Aut W' e (Con ra oV0 er along Instdii I PM1Oo
MINNE OT STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grlgg&:6Wway BIEg. - Room S-173 U BE ACCEPTED BY THE STATE BOARD
1621 University Ave.. SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Pion (612) 642-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION BTMq Epao t-oe
No See instructions for completing this form on back of yellow copy. } /?rD
9093
• "X" Below Work Covered by This Request
sw •_dd pep. Type of Building Appliances Wired Equip
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Pryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
other (specityl Contractors Remarks
L- C
Compute Inspection Fee Below: l & -" hK, ??'I IV 0
k Other Fee is Service Entrance Size Fee 8 Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps - 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspectors Use Only'. T TAL
Irrigation Booms ?1V p7 J-O pJ-rJJ
Special Inspection '-
A arm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED W IN 18 H$.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final Date
Date //.2
OFFICE USE ONLY
This request void 18 months from
JUN. 6..00' 3:22PM SHAW LUMBER i ' 23781484 N0, 261 P. 2
N{JF.THWEST DIVISION
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BEAM DAMAGE REPORT
DATE: 2
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-I ROJECTINFORMATION: 00141/ FIELD INFORMATION'PROVIDEDBY:
DE. sIAIjIE:-Q&kMAMW NAME: GRANT JONES
AD' RE::; OL Hl! 11 COMPANYA.DC.: SHAW STEWART LUMBER
CPi Y, : TA'IE: EA ?HONE: (¢`12) 238-4204
! Ek.I TYPE MICROLLAAALVL
F ILY WOI H & )EFTH:14/4" x 14' APPLICKIVN: FLOOR & ROOF LNE LOAD (PSF? 332 F i 13
N CI , PUSS: 3 _ TI U 3tJTAFTf WITH DEAD LOAD (P5F)- 50
EXIS''ING CONDITION
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PI: F ere:,teci with pdfFactory trial versio w%Tu j)dffti ) .cnm
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL PLUMBING
-----------------
ForCMiceU_ssee ''/
Permit #: b ??,?,
Permit Fee: ?? v
Date Received:
j Staff:
APPLICATION
Date: 5-a$ -o'8 Site Address: U Y)L A Deli o-e-
Tenant: SLO-yt- D C%- K 11 oup, Suite
RESIDENT / OWNER Phone: 6 57 366- r r 33
Name: Sr- cf ? 00, r\ Vki C? v>
/ f / ?1
Address / City / Zip:
CONTRACTOR Name: WO TER tat 4 nrrr INN License#: O } ? 35>p
201 4TH AVE SW, SUITE 3
Address: NEW PR
I re MN 56071
.-
City: State: Zip:
Phone: f52 7:5 -5?A Contact Person: S?rNe yet; ?4-
TYPE OF WORK -New -Replacement _Repair -Rebuild _XModify Space work in R..O.W.
/I
n
Descrl ion of work: e1, o S
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PV8) (X-Main _ Lower Level)
_ Septic System Water Tumaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 tart without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv of la
xeQh
Applicant's Primed Name Ap?llcafitS SI na re.
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test ,Final
AOL-
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
----------------i
I Fnr?Offce..lJse
Permit #: q0
Permit Fee: /?? 1 :J p
Date Received: t1/ ?
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
126 u,, yvs 4cr(-LS'
RESIDENT/OWNER Phone: //--V ?/43
Name: SCOT- 4YIX' 4N1 0 M
/
Address / City / Zip:
Applicant is: - Owner
)(Contractor
TYPE OF WORK /
Description of work: U%jc ( T ik)ri I QrJCt K L G12h1 Ite M,
Construction Cost: ?o(r 1 o0 Multi-Family Building: (Yes
_! No-K)
/
? Wa?
CD
111
2o
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A
J
bk
CONTRACTOR 1
License #: C
o
0
Name:
ui
2l.
t
e
k
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Address
: ?o K ?rJ ZJ?
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City: U -e of u State: Zi S?J TT
q? - ?`Z
Phone: l Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • 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?
_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 non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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 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 approVa-rgf ns.
X x
Applicants Printed Name Applica Ys Signature
Suite #:
4
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
r
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt - Multi
? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebolpergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Bu ilding ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
Demolition (entire building) - give PCA handout to applicant
DESCRIPTION: n
Valuation I J.t% cJ ? Occupancyy MCES System
Plan Review Code Edition 1] n Q SAC Units
(25%_ 100% Zoning City Water
Census Code
4? 4 Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. I/ Width
1
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: -Ice & Water -Final
Framing
Fireplace: _R.I. _AirTest -Final
K Insulation
Sheetrock
Final/C.O.
Final/No C.O.
HVAC
_r Other:
Pool: -Footings -Air/Gas Tests -Final
Siding: -Stucco Lath -Stone Lath -Brick
_ Windows
Retaining Wall
Reviewed By:?J Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
?l ?'V?1 Old l v2
q-s X )91?e 7r5i7 1/0
rj ? C7O
17,?T91i?
Page 2 of 3
Permit #
Permit Date
REScheck Software Version 3.7.3
Compliance Certificate
Project Title: KITCHEN ADDITION
Report Date: 03126/08
Data filename: Untitled.rck
Energy Code:
Location:
Construction Type:
Glazing Area Percentage:
Construction Site:
3246 Rolling Hills Rd
Eagan, MN 55121
2000 Minnesota Energy Code
Dakota County, Minnesota
Single Family
28%
Owner/Agent:
Scott & Anita Oakman
3246 Rolling Hills Rd
Eagan, MN 55121
651-365-1183
--?. Designer/Contractor:
Bart Ikens
David Schweich Construction Inc
21716 Kendck Ave
Lakeville, MN 55044
(952) 469-3222
Compliance: Passes Maximum UA. 35 Your Home JA '. 34 --> 2.9% Better Than Code (UA)
Calling 1: Raised or Energy Truss: 100 44.0 0.0 2
Wall 1: Wood Frame, 16' o.c.: 248 19.0 0.0 11
Window 1: Above-Gmde:Vinyl Frame:Double Pane with Low-E: 29 0.280 8
Door 1: Glass: 40 0.280 11
Floor 1: All-Wood JoisUrmss:Over Outside Air: 100 30.0 10.0 2
Furnace 1: Forced Hot Air: 82 AFUE
Air Conditioner 1: Electric Central Air: 13 SEER
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy
Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection
Checidist.
erg ?vvr 1 S!)7luftCk CoviSjrG[Tuvt Z1 V. 3-,-;26 -cw
BuildedDesigner Company Name Date
KITCHEN ADDITION Page 1 of 3
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2422 Enterprise Drive
Mendota "eights, MN 55120
(812) 881.1914
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Certificate of Survey for: MCDOWD COPISTIZI]ICCION
House Address: f otllny Hills orwt / Ea9a?.JMleyt
Model Name:. --- - -
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Qf -
Z
J
o Ji
???/
?F I
f ..
0 a-:
Z ?
I ,
to
lit
f ?
30
4
c
t
5 ar 4bt 1q"E
?,,?"?ti t 41.96
?S q1 ??1.3
, 2c.e -
kss
ti t
ot
I '1
1
107
Z6z'e
4
Coe
WIT
Ia
z 14d /
fjl?
-- a11t
144. 89
S 11 °48' 14pE
I
ji
1
Ito
1 In
s?
O'"
8;
Z
r
f
,
N
!'1 4
• 100.0 Denotes Existing Elevation PROPOSED 'HOUSE ELEVATION
•? Denotes Proposed Elevation Lowest Floor Elevation: 65 t
- - - Denotes Drainage do Utility Easement To of Block Elevation 849,;
Denotes Drainage Flow Direction p
-o-- Denotes Monument Garage Slab Elevation: 8163
-a - Denotes Offset Hub Bearings shown are assumed
LOT 5 , BLOCK 5 1 5VK. OAK HILL 5P
DAKOTA COUNTY. MINNESOTA
1 hereby eertify that thh newer, plan or sport va?n?j ad by or nder direct tuperrhlan end that 1 tan duly Ileyetered Lend lume f
to We the Isom of the state of MlnnMuL voted thh-3L`i dry of ?!ZYA,D. it 9L
Rev. 9-15-9r Add Ex4 61W.
Scale: 1h;;h-3o'ft W;4zU4000A00
ROBERT a L.S. RED. NO. 14891
2004 RESIDENTIAL BiJ-MDTNG PERMIT APPLICATION
New ConstrudionRequirement,
3 registered site surveys showing sq. It 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.
I set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
RemodeUReoairRenuimmenfs
2 copies of plan ?.
I set of Energy Calculations for heated additions
1 site survey for additions & decks
Adddion - indicate Non-site septic system
Date I / 1 / O\-
Site Address U C ? 1 Construction Cost :T1
2
Unit/Ste #
Description of Work
Multi-Family Bldg Y N
- Fireplace(s) _ g 1
Property Owner 0?j
Telephone # ((0C0O _ap _ ($
Renewal By Andersen
Contractor - 1920 County Rd. "C" West
Address _ Roseville, MN 55113
State 651-264-4777 City
License # 20130983 Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Mnmes°ta Rules 7670 Cate o 1 _ Minnesota Rules 7672
(4 submission type) Residential Ventilation Category I Worksheet
Submitted New Energy Code Worksheet
"Al
• Energy Envelope Calculations Submitted Submitted
Have you previously constructed a building in Eagan with a similar plant
.
fee applies - Y _ N If so, 25% plan review
Licensed Plumber
Mechanical Contractor
I Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
Is u l!1 Is
1 g 2004 !I
_FY
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 ' the case of work which requires a review and
approval of plans.
Applicants Printed Name Applicant's Signature
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
- - -Telephone #.651-675-5675----FAX # 651-675-5694_____._
PERMIT Control No. 1105
CITY OF EAGAN ,._
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 001503
(612) 681-4675 Date Issued: 09/25/92
SITE ADDRESS:
3246 ROLLING HILLS DR
LOT: 5 BLOCK: 5
BUR OAK HILLS
DESCRIPTION:
Build'i'ng Permit Type SF DWG
f Building Work Type NEW
UBC Occupancy R-3 M-1
Construction T,Xpe V--N
oning' R-1
Building Length` 70
Building Width 26
t
ry
r
?•CL f CI t i t?l
REMARKS: e C pa Lo3D-
S & W CONTRACTOR - FIVE STAR PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC
SAC Units
Subtotal
VALUATION
$741.00
$481.65
$64.50
$700.00
100
1
$1,987.15
$129,000
MISCELLANEOUS $1x610.50
Total Fee $3,597.65
CONTRACTOR: - Applicant - ST. LI
MCDONALD CONST INC 16887061 000237
1212 BLUEBILL BAY RD
BURNSVILLE MN 55337
(612) 688-7061
OWNER:
MCDONALD CONST INC
1212 BLUEBILL BAY RD
BURNSVILLE MN 55337
(612)688-7061
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 Mn.
Statutes and City of Eagan Ordinances.
L_
APPLIC T/PERMITEE SIGNATURE ISSUED BY. SIGNATURE
PERMIT #
REACTIVATE
15 ?3
CITY OF EAGAN $3,55 I5
1992 BUILDING PERMIT APPLICATION
681-4675 1!4_rYW 4-10
,$EP 2 2 REE'
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, I copy of energy talcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re guest is made or lot change is re guested once permit is issued.
Date 9 / a'z / 9A Valuation of work P ZS& (&jCCab1A1 1-07'
Site Address: 2yL 1l0,U11V r fi IaS Z).,<. , ?4WAA), M S.S/a / `/ f,C7i44s)
STREET SUITE M
Tenant Name: (commercial only)
LOT S BLOCK S SUBD.
l3u?e o1-x #/ins P.I.D. k
Description of work: 51106 ¢,q 11
The applicant is: 0 Owner Contractor O Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE A
City State. Zip .
Company I 719/000 CDAISr C77QA1, Z;AIC• Phone (GW)G) x-7061
Contractor Address /2/g 134uLdl4e 15A.y 126. License #402396 Exp.
City uK n1SL1144E, State MAl Zip 51 337
37--
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber FIVE 57-1+1e, P4 a SIA) ? 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: ,i
L_ 61 r
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
WORK TYPE
? 11 Apt./Lodging 0 1VTAtement Finish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
pi 31 New ? 33 Alterations ?-35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) V-N
-
- Basement sq. ft. MWCC System YES
(Allowable) q.
t4 1st F1. sq. ft. City Water
UBC Occupancy Rktm -? 2nd Fl. sq. ft. PRY Required
Zoning 1 Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkl er
Length On-site well Census Code
Depth On-site sewage SAC Code ?f
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final- _ ? Draintile ? 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 % /00
SAC Units --F
velustim: s 129 000-
+
GARA6?E1 30 X 22= 660
a x ii_ i;zz
13stK1-; .3y K2? s 638 ?X l6 = /D Zog
ss-i
.45 )e
IsrFwors /CO4 X /S= 15060
----' iSsraT m l OoN ?
!'fzr7= ??
ry 10 1!; X 53 = 33rmY
?tNO FCJO12._'?
3YX?j1%2s 93s X53 = tl'IS'SV
lz8, 6/?
Y ?? t Ism#
? * , . - .. 2422 ERtlflMlae of I"
* PION Mendota Heights; MN 88120
t.AND S U"MYORa -CIVIL [NGIM21M
* eng neer ng•• `AN PLANHEte"AMDMMIEAN TXUtf (612) 891-1914
Certificate of Survey for: t4t? DOWV COKSTKUC"0fA CO.
House Address: trogin? H;lls .??we? Ea9ae.,M?RN
Model Name:
G,.
30
aA ,?y;V ° 5 83° 4461 14"
(b d. qt %e ?A1yti 141.96
w ?5 y,y
>
? ! 9rt8.9 r- iMlt.t? .__ ?? ? 91a?rS
_ e ??? eat ?. I o
?..? ; o
z I g go
::.
01 00
10 46 QI
?'tY g :..... .._.._
8 1.x•.:_
?? . -'6YAL
144.
$? 0;
' 583°48'14"? ??P? ?r ??'f \,• lL:?_.`?
BY _ t fAG IN ENGINEERING
• 000.0 Denotes Existing Elevation PROPOSED 'HOUSE ELEVAYION
Denotes Proposed Elevation Lowest Floor Elevation: 891•t
Denotes Drainage de Utility Easement Top of Block Elevation: 619.5
notes Drainage Flow Direction Geroge Slab Elevation: 090,5
notes Offset Hub Bearings shown are assumed
LLI.dll notes Monument
5 , BLOCK. 5 5.09%. OAK HILLS
VAKOTA COUNTY. MINNESOTA
Uly OW this survey, plan or r"Wt vm pree"red by m4 or ndar 1ny dirm wparvitian and that I am duty RpNtaM Lwad Sun+Yor
of the State of Mlnnuots. Dated this }.?,1. day of `7e t1! rp.D. t9?.
iZev. 9-\S-9t? Add Ex?s? Eleui.
• Iingh-3O'fao' ROBERT9 L.S. NEG. NO. 14891
01 e-ItOSt.21
flI11l1ESDTA BTATB?(F,lt??b1,?!lI,LTI4l15
BASED Oil CIIAPTER 5 OF TUE
FIQIlEL_EIlEIi4Y.?.4RF?1291_.EIlITI4t! ' ?
Adoption Effective
e Dat
Contractor
Building Classifications Type Al (Single Family i Duplex)
Type A2 (Resldentlal1 3 stories or less) (Over 3 stories) (Other)
IIOTEt COIp!?lgte hegeB ] and 4 flret?
lIEILEHAI?IHF4I3llaTI411 ?j'?? r? y
1. Building Perimeter [t f
2. Wall hel ht I? •
9 (ground to save)
/aft.
3- 1. X 2. (above) gross wall area -syq,ft.
4. Building dimensions (L) - X (W)^ °L ( gq,ft.roof i floor area
5. Sq. foot area of rim joint - F ooor joist size 2 X (b
?_ X j` - (Perimeter) eq.ft.
6. Doors - Area 11
ThlckneseqA(o
In U. factor
Type of Construction Perimeter
laanufaoturer
7.. Total door's perimeter ft-.?-? }-?
a. Wlndowst }Ianuf)trer?? . ?S(Ll 1/ 1 V' State approved -
TYPE factor _ L?
TYPE SIZE _ AREA (Sq.Ft. ) IR111BER OF TOTAL
EACH UIII'fs SQ FEET
9. Total sq.ft. Glass 'L.(O
10. Fireplace areas Width X Haight - x A sq.ft.
It. Exposed foundations Haight X ,PerlMeterX
r ,eq-ft.
COHPLETIOII OF THIS FORH IS REQUIRED FOR ALL HEW t2011STRUCTI011, HA.IOR
REIIODELI110 AHD BUILDIHOS BEIIIO HOVED WHERE EIIEROYj OTHER THAII THE HI11111AL
CODE ALLOHMICEt IS USED.
L.
Site Address_ I-10TSJ &OGK5, Rle(a 1r)Alt 1- I
1], Groan wall area 1 <0 •4
0g1fk1 •
Ulndaw area j% U Windows
UxA ..
Illm iolsk area A li(1 eq. fk, U rim jolak. ,
UxA ••
Door area A aq.fk. , U door arati- ,14
U
A . _
-7
.
x
okller doors area A q. [E. U okller •doorn- 1
s u
A
x =
Exposed [udil A t aq,[k. U foulldaklon.
.14! ' Uxh ,
4
Framing area A- L_sq.Ik, Il framing area 1045
U
A
x
Ilek wall area A ? > sq.fk. U wall- 11A '. I
UMA ..
(1311) TOTAL • • • • . 1 1 ., L
1. Oroea wolf area x. 0.11 (A-1 oil
(13. above) gill family R duplex) allo I
lia UxA a
x 0.73 A-3 okller realdellklal)
X -23 Other buildinga)
x .26 over 3 a'koorr(l a))
boUll musk
bo for
A-u
kh
•
got
U Code an or soma
ae 13.11 above
9: calllllg [taming area (All equals lot of 0611111Y Mran
5A. Orono oalling area .. (1.) x 11 ID(
?
50. .foist area (Al) 101 oeillllg area a Il/V? / ?
$C..Ilek oe111ng area (he) (10A - lbb .. l)
U oalllllg x Aa . lzzzLx 27 .f .
U'lraming x Af .. (D(D.. '# x .d
50. TOTAL U x A .............
•....••••••..•.
6. calling nrea (18A) x 0,036 (A-1 0111916family i duplex)
allowable UxA/codo
x 0.033 (A-A other resldenklal)
X 0.0e okller)
' bTUll musk l
'l
A 1
5A
( ) x U code.. ie
nrgor
oF
i khn11 or Name
, as la
r abo ve
•oTEI Use U and A values obtallled from pages 11 3 and 1.
.EB'C1CIM1Q111 I hereby oerklfy that I Have oalotllakad kha Ilull Enakors and
1111 values I?erelll and k lak Lira buildin
h
o d
g
er
eaarlbe,l lneeka o
Itate of II1111teeoka Energy Coneervakloll Auk. r exaeedo Life
late
• b gna ure
- - - -- -----
P,a-na tZ = 40 - 7
_Z3
7,6.
'WALL
'
SECTION
STUD
SECTION
.q5
R¦ 4's78 (y t50(Framing) U - I
2.0(0
.`°-7 . X95
2ND WALL
SECTION.
BIN
JOIST
H VALUt U VALUE
Inside air film ;68
Interior wall ({.all) U - R a
insulation (9,0
Sheathing
647J
Siding Lot
Outside air (Lim .17
R TOTAL 23.03
Inside.alr film 68
Interior wall
4yp stud
Sheathing
Siding
Outside air film
R TOTAL
Inside air film R= -.68
Interior well
Insulation
Sheathing
Exterior will covering
Exterior air film' R -.17
'R TOTAL
(Wall ) U . .
7
Interior air film R- .68
Insulation (q.0 1
1% inch soft wood R-1.88 (RIM 8 . ¦
JOIST)
Sheathing 2.0(0 o 4l
Exterior wa?l covering .(07
Exterior air film Ry .1 7,
R TOTAL 2-4, 4 to
Interior air [Lim R' .68
Lnsulatloot)FiaER("s 11.00
Exterior alr film R' .17 q
R TOTAL ZI • 1
'Exposed Block
\.?\Grade
3.
(Fdn.) U ¦ ¦
. c>4C
7
?EI1,Il1U WI7'II "11'1' 1 ATTIC 1-FIVACH AHOY
R VALUE It VALUE
rRAl1I110 CEILIIIo
c.ee Airrilm ,,(( 0.61
3 ?O.O Insulation `15' O
i
I 4.39 doiet .......
0.56 calling_ 0.56
0.61 Airrilm 0.61
Tota1R X40.78
? DZ3 U - I/R . O z_
Window Infiltration o.5 cfm/11116111 foot of crack
Residential door inflltratlon 0.5 afm/square foot or door and minim
requirement um code
Ilon-residential door 111filtratlo11 11.0 afm/lineal foot of crack
Ub 12" concrete block no insulation 4 .47 R 2.1
Ub 1211 concrete block Insulated cores a .26 It 3.9
Ub 12 llgbtwelght block - .32 R 3.1
Ub 12'? lightweight block insulated cores .. .12 R 0.3
U 81"918 91088 .. 1.131 with storm window .54
U double glass a .55
U.triple glass A .41
All-exterter walls slid .opilingqa must leave a vapor barrier (o.lo perm max.).
Vopon barrier must be on.the lnalde (heated aide) of wall.
Vapor barriers of the polyethelene thin film leave no ft value.
10
>C r CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-15500-050-05
PERMIT
3246 ROLLING
LOT: 5 BLOCK:
BUR OAK HILLS
PERMIT TYPE:
Permit Number:
Date Issued:
HILLS OR
5
Ll
BUILDING
024957
12/27/94
DESCRIPTION:
Bullding?_Permit Type
Building Work Type
/
BASEMENT FINISH
ALTERATION
i /
REMARKS
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY'
Base Fee
Surcharge
Total Fee
$35.00
$35.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
TIMBERWORKS BLDRS INC 16860911 0006352 BUSCH PAUL
829 TROTTERS RIDGE RD 3246 ROLLING HILLS OR
EAGAN MN 55123 EAGAN MN 55123
(612) 686-0911 (612)452-6359
S hereby acknowledge that I have read 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.
L
AP T/PERMITEE S NATURE Z ATURE
J
a?9.39
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION' -??
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy o energy
calcs. DEC 0 9 1994
COMMERCIAL 2 sets of architectural & Structural:, lartis,-l-set..Pf
specifications, 1 copy of energy ca cs.
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. / 6 / 9? Valuation of work 16, o?
Site Address: 32- 41(6 J2oc?t.A_t? /74u,s e. 2?6A.V
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK x SUBD. P.I.D. #
Description of work: 0 A/91L G64fiF?L oC7 MS
The applicant is: ? Owner 5?- ontractor ? Other (Describe)
Name 13 v S ?N /?Au? + 6.4 is Phone VS2-- 6 33-9
Property LAST FIRST
Owner
Address S.9ni?
STREET STE #
City State /0/,J. Zip 5S12-3
Company Tirric?F??a S /.?Z-OW5 S,ce, Phone 686 -091
Contractor Address 132`7 To77-7,.EDGE 4PO License # 0C76352 Exp. 3- .S^
City E4&AJ State ?,?/ln/• Zip 5'S/2-3
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once a ea 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: f'G-?-?? - C-e~~/? / v 7/ss,^•?'Eiru/o?11?4 ,?'ozSC
OFFICE USE ONLY
BUILDING PERMIT TYPE .
.
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging R(16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Acces sory ? 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 I 33 Alterations ? 35 Tenant Finis h ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft . MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
0 of Stories Footprint Sq. ft. Fire Sprinkl er
Length On-site well Census Code 3 y
Depth On-site sewage SAC Code es I
Census Bldg L
APPROVALS Census Unit _
U
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Fo oting ? Framing cE1,Insulation
? Wallboard c$I Fi nal ? Draintile ? Fireplace
Permit Fee velmdon: S /35-M7
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Bed.
Trails Ded.
Copies
Other
Total:
SAC
SAC Units
CITY-OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
c ft 11IN
?II hlg4
BUILDING
023553
05/10/94
SITE ADDRESS:
P.I.N.: 10-15500-050-05
3246 ROLLING HILLS OR
LOT: 5 BLOCK: 5
BUR OAK HILLS
DESCRIPTION:
Building'P_ermit Type DECK`
Building Wprk Type NEW
i
i i
J
are __
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$30.00
$30.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
TIMBERWORKS BLORS INC 16860911 0006352 BUSH GAIL
829 TROTTERS RIDGE RO 3246 ROLLING HILLS OR
EAGAN MN 55123 EAGAN MN 55123
(612) 686-0911
L
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 Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/P RMITEE SIGO ATU
ISSN DBn R,911 U I III
J
. . CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
ENED
'EC
MAY 0 2 1994
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: 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 f K Valuation of work
Site Address: 3Z?fl? ?occr,?b /746tS ?2 • FigG??? 1W SS/L3
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD.20 r Qok /7
5
??/
I P.I.D. #
?
"
'
/Ae4•-C of 171vM£
Description of work: EGf?
The applicant is: ? Owner 19w<&ntractor ? Other (Describe)
Name 1305;# G+ic. Phone
Property LAST FIRST
Owner Address 32'16 4"y4-c4 A?6 14M E
STREET STE #
City !E- & x'V, State ? p- Zip /Z3
Company i/^.?13E/L• ?o s 19alzaAzx Phone 666 -O'N
Contractor Address 62A 'jam 77xzs ?PX14E /?20 License # 006 2 Exp. 3 9S
City State /?i? Zip 6-5-12_3
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:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
® 15 Deck
r-3 1'6"Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
P 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable)
UBC Occupancy 1st F1. sq. ft.
2nd F1. sq. ft. City Water -
PRV Required
Zoning
# of Stories Sq. Ft. total
Footprint Sq. ft. Booster Pump
Fire Sprinkler
Length
Depth On-site well Census Code L/ 3
On-site sewage SAC Code of
APPROVALS Census Bldg
Census Unit ?
Planning Building Assessments
Engineering Variance
REQUIRED INS PECTIONS
? Site J} Footing ? Framing ? Insulation
? Wallboard 13 Final ? Draintile ? Fireplace
Permit Fee Vatuatia,; $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
n?o
eiiii
O tp 02 4.r loot
C, C) Cn
g 2422 Enterprip pftre
m'ta o° LAND 1ILFIRVET0010
= nJ ng•• aurertortnttao•1•aooe+et[+aw«Tan
?eer (812)881.191,
Certificate of Survey for: MC-V0WV C0851MCBM_ CO.
House Address: Foginy N?1k .0?wet Ea9da..tM1era
Model Name:. -_.-
4
`t
30
W a l d, ?'?tlelt? ?A1?ti 141.96
.ew
DI to r.•.:? ``'--• S
411
lie
R ito
.
at
C' to
_ 8.0
-Z lit
J w 9 r1
f 1r - z
101
.t L6'p .. ` 811.E to
s a?°4a' l4"t°
r .. ...?_--..
73
• •d Denotes Existing Elevation PROPOSED }LOUSE ELEVA119M
-Q Denotes Proposed Elevation Lowest Floor Elevation: 89 I.L
Denotes Drainage & Utility Easement Top of Block Elevation: 619.3
Denotes Drainage Flow Direction
-o- Denotes Monument Garage Slab Elevation: 089,3
---e- Denote9 Offset Hub Bearings shown are assumed
LOT 5 , BLOCK. 5 , f5VK. OAK HILLS
DAKOTA COUNTY. MINNESOTA
1 hereby eortNr I1w this lurver, Pion Or ripen "Iel po"m .d by or der 'IV, direct "er""Ion uM that 1 orn duty Poo t1mod load $wvftw
under .M 11.02 of tM 111618 of Mirmemtl. Voted tha3M My of " • to IL
emu- 9-IS-9z Add E7(-'S4 Elevf.
Scale: 1b-d-1-30' 10"?
aoecaT s C.S. ac°. r.o. 14991
T
HOUSE ..,HEATING TEST RECORD
r
ADDRESS Aft T.-FLOOR CITY SUBURB
OCCUPANT r r.! i OWNER / 1 '•.? I ' •,l...
)
HEAT LOSS DATE HTG. INST. '
r t
SOLD BY INSTALLED BY
/; -
Electrical Work By _ - - t i - -- -Gas Line By <? ,
TYPE OF HEAT GA FA HW -STEAM SPACE HTR.._.UNIT HTR -OTHER
II GAS DESIGN CONVERSION
MAKE r? MAKE OF BURNER
Mudd ; j Model _
Ssrial '- - - Max. BTU Rating .??
INPUT r-"- ' r - MAKE OF FURNACE
' Modal _
CONTROLS '
THERMOSTAT' Hwt Plug ?'
Naha r
Limit r '
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off r
Pressure" Percent CO7
Input CFH <i Par-ant 07
Stock Temp. Percent CO ' -
Form 235
Vent Silo - i
KIND OF LINER
Draft Hood Regulater
r-
Filter+ Slte Y?-
Chimney Location Inside •'x --Outside
Chimney Construction L
lr -Kill/
Smoke Bomb Wiring
Draft •. •
Test To r
Dow Pressure LI htin Inst. (
d
Date Teste
Company Testing
Name of Tester
CITY OF EAGAN
L S B MECHANICAL PERMIT RECEIPT # /4 5'j 2
SaD. 77c ?- 01\? \a 1\ s (612) 681.4675 DATE -
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNff.
OWNER `?a ?? _ ?q ?, \ ffm . ADD-ON A/C ADD-ON FURNACE ?
SITE ADDRESS:
3'D( \- ADD ONA"ODEL (EXISTING
CONSTRUCTION ONLY) $ 15.00
INSTALLER: } C 11 HVAC: 0.100 M BTU 24.00
PHONE #: (? (p(} ADDITIONAL 50 M BTU 6.00
ADDRESS: GAS OUTLETS - MINIMUM 1 Q $3 EA.D (?-(-)6
CITY: - ZIP ?C SURCHARGE: $ 50
SIGNA J - TOTAL: $
FOR
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNff.
WORK DESCRIPTION:
OWNER:
SITE ADDRESS:
TENANT:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
PROCESSED PIPING - $25.00 Fs
MINIMUM FEE - $25.00 TOTAL: $
CITY SIGNATURE:
CONTRACT PRICE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
ZIP:
1994 PLUMBING PERMIT '(COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55,112
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAIANDUSTRIAL BUILDINGS. ALSO-FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REOUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT'PRICE:
FEE: loo OF CONTRACT FEE.
STATE SURCHARGE- 00 FOR EACH $1,000 OF _ FEE..
MINIMUM FEE: $ 25;00
CONTRACT PRICE X:1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE.,-#
OWNER NAME:
INSTALLER:
ADDRESS:
CITY.
PRONE #:
STATES ZIP' CODE: _
FOR:
CITY `OF E°AGAN APPLICANT
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN-55122
(6112) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO; FOR TOWiNHOMES AND
CONDOS WHEN -PERMITS ARE-REQUIRED FOR EACH UNIT.
NO. FIXTURES
SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum - I
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • nakcty: rc
U.G. SPRINKLER • home under cont.
ALTERATIONS • to qusting
WATER TURN AROUND
EACH 'TOTAL
STATE SURCHARGE-
TOTAL: 3 a Ll
SITE
.50
OWNER NAME T< w Qw,. a k lLaA s
INSTALLER:_ -- I Icv 4?! 6 z l;, 1
.ADDRESS
CITY: Uf. i STATE: ZIP CODEc 5`5'3 V y
PHONE #: (
C - C't-
SIGNATURE°OFPERM T T E
L Z BL CITY USE ONLY
11 QQ//JJSUBD.
RECEIPT#: /d Q
RECEIPT DATE'
/?? ?v
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
-----------------------------------------------------------
FIXTURES ----------------
EACH --------------------------
#
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener * for dwellings under construction 5.00 x =
Water Softener * for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling under cont. 3.00 =
U.G. Sprinkler * for existing dwelling 20.00 =
Alterations * to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System * MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE
TOTAL
TOTAL
.50
a. sv
I -------------- acknowl e--dge reisppli c--- t--h-at - I ----- have -----ad-th----a------at-ion, ----s----tate -------------------is- c--o--rre-c--t--and---ag- re---e-to--c--ompty ----- wdh-----all-a-p--plic-----able--City----of--Eaga--n-----or--di--nanncc-es--.-
hereby that the information
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 permitAhin City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: TELEPHONE #: ?J? 3???
STREET ADDRESS:., 194V-5r 111'6k-ea
CITY: (?c&f v STATE: ^k- ZIP: Ssa i?
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
SIGNATURE
E i6--eW-)1'/?/ D
?Alpp ? ?rV iJo
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. ff. of lot, sq. it. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.l
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot plaited after 711193
• Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE b AUO •02t
SITE ADDRESS
TYPE OF WORK
APPLICANT
STREET ADDRESS
TELEPHONE #? kipAA]%CELL W
MULTI-FAMILY BLDG _Y ?q N
FIREPLACE(S) _ 0 _ 1 _ 2
Renewal By Andersen, Inc.
1920 County Road "C" West
Roseville, NIN 55113
iTATE ZIP
I
I
PROPERTYOWNERRR 4ko? Gc??\ 1SCSn TELEPHONE#(c6PASa•7o3S9
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ -MINNESOTA RULES 7672
(q 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
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: 570.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the??'nformation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan /dinances.
y w
Signature of Applic !/
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Remodel/Repair Requirements
2 copies of plan
• 1 set of Energy Calculations for heated additions
1 site survey for wenor additions & decks
fndmte if home served by septic system for additions
VALUATION (C7C0 /
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 1102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ?
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4 sea.) ?
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ?
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
;i
? 06 04-plex ? 12 12-plex Ptbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) li ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ?. 45
? 33 Alteration d 37 Demolish (Bldg)' ? 43 Reroof ? 46
? 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 II
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
I
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi
Siding
Fire Repair
W indows/Doors
REQUIRED INSPECTIONS..
Footings (new bldg) _ FinaVC.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 Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
v. v , ..," '", ". au cn l ac a 11 4460 KYd bT1r'L H L6K,DW
re al
avnrtosasarr
June 7, =I
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
To Whom It May Concern;
Elder Jones is authorized to pull building permits for Renewal by Andersen. Please Pillow
Elder Jones to provide this service for us in Eagan. 'This authorization is valid for any
date beyond 616101; until a renewal by Andersen manager expressly revokes it in writing
to the city-
request this authorization be accepted expeditiously, as to not delay in the processing of
our building permits any further. Plcasc call me If thctc we any questions. I caul be
contacted at 763-502-4706.
Your itnmgdiate attention to this m uer is appreciated,
Sincerely,
Ymond P Rau
ustallauon Manager
Renewal, by Andersen Corporation
On Karn_Fider Jone_a
CHAD
WUUZ/UU2
Received Time Jun. 7. 1:07PM
40, City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL PLUMBING PERMIT
Date: Site Address: 4r-?) L{{ ? vo? ? 1 (1?.
Tenant:
---------------
For office Use j
I Permit fl: I
17! g '
I
I Permit Fee: __?(r? n I
I Dale neceived: .Il
IT T
Staff._ Ir I D
Suite #:
RESIDENT /OWNER Name: Phone )
Address /City / Zip: -
CONTRACTOR
Address: L?
L --- \ - -?
Ci
ty:
V1
State: 1-_ Zip
Phone: ??:-?nQQt(D Contact Person
:\
TYPE OF WORK -New __?Aeplacemenl Repair Rebuild Modify Space _ Work in R.O.W.
Description of work: -- - -
PERMIT TYPE RESIDENTIAL
Water Healer
,,.. Wales Softener. .-
:: ..
" Lawnlr?iga ion -- - -Add Plumbing Fixtures
- (_ RPZ PVO) ---(--.-..Main _ Lower Level)
_ Septic System Water Turnaround
-
_ New
--
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'
Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 Slate Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 Stale Surcharge)
TOTAL FEES`
)no(
I hereby acknowledge Ihal Ihis inlormalibn is cdmplele and acmirale; that the work will be in content ance with the ordinanres and codes of the City of
Eagan; that I understand this. is not a permit, but only nn application for a pennit; and work is not to start without a permil; Thal the work will be in
acc rdance with the a proved plan in fhe case of work which requires a review and approval o a s.
k1???Q x
App lcanl's Printed Name - Appiro s S1gg?Ufe
FOR OFFICE USE
Reviewed By:
Date:
Required Inspections: -Under Ground -Rough-In __Air Test -Gas Test --Final
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3246 Rolling Hills Dr
Lot: 5 Block: 5 Addition: Bur Oak Hills
PID:10- 15500- 050 -05
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:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
Construction Type:
Occupancy:
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Scott A Oakman
3246 Rolling Hills Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
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
EA090231
07/16/2009
ePermit
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City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
0 637
c9gc/-79
Date Received:
Staff:
AUG2 2 2012
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
, I., Itel
Date: CA 2- Site Address: - 2/ IN, Otlt e_ Unit #:
Cffica6241
Name: Phone:
.1 i ,
RESIDENT!
OWNER I Address / City / Zip: 5a,,,,,,4z,„ a4_
1
.!. Applicant is: Owner _ _ Contractor
D.,eic
Description of work:-- , K
TYPE OF WORK
0
Construction Cost: 00
5 7 (4). Multi -Family Building: (Yes / No 2(_)
,
' Company: 0 litk, K. f 1,Ver lk.,0 4,1^-9, Contact:
CONTRACTOR 44°( 1616it‘l_t_51,;-4e--- toou City:
P c
Address:
t to 1,1 .„......r_ ..„ •
State: LT 1.__IN1 Zip:,.„1,. olltq.... Phone: (.0 ( )„ - 3S'.', 74f qii
License #: Ca0 S 9 Lead Certificate #: (1)141- - t -
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
tzt„1 1+ r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
__Yes __No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
NOTE: 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 reasons that wouldpermit the City to
conclude that they 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. w;.yw,,p,7 phorstateonecall.oic
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 understand this is not a permit, but only an application for a permit, and work ;s not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
A S
Applicant's Printed Name
etCppli
ant's Si nature
Page 1 of 3
•
oh -
(it6 1:2)C,
DO NOT WRITE BELOW THIS LINE
/%6:'7
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
\(' Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%___ 100`)/04)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
y_ Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
y Footings (Deck)
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Addition)
Foundation
Drain Tile
Roof: ___Ice & Water _Final
Framing
Fireplace: ___Rough In ___Air Test ___Final
Insulation
Sheathing
Sheetrock
Reviewed By:
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
frov3t)(1)
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final C.O. Required
y Final / No C.O. Required
HVAC ___ Gas Service Test __ Gas Line Air Test
Other:
Pool: ___Footings ___Air/Gas Tests __Final
Siding: ___Stucco Lath ___Stone Lath __Brick
Windows
Retaining Wall: Footings _ Backfill ___ Final
Radon Control
Erosion Control
_,
Budding Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
OW('
3Q) )([
K c -
I I co
Page 2 of 3
* PIO
* eng *
I
a
tANO *URvteem s • court
t lest
eer r LAND 1►t ANNtft! • LANObcAte AtMt lel'
---3D17(c,Rolii/cj
Certificate of Survey for: MCVAALD COK TKOCION`
f (J D(€ -
/o6 7
Enta►prls9 Olive
stir
14910a, MN SSI 20
(812) 881 1914
w
el
House Address: !Coll Ong H els °ewe ea+e�ekvjivt+i'to
Model Name:
4
J
J�
0
O
• 900.0 Denotes Existing Elevation
• ooh Denotes Proposed Elevation
— _ Denotes Drainage & Utility Easement
Denotes Drainage Flow Direction
—o— Denotes Monument
—�-- Denotes Offset Hub
Bearings shown
LOT 5_, BLOCK ' P . OAK
PROPOSED 'HOUSE ELEVATION
Lowest noon Elevation: 8
Top of Block Etevotion: ' 9
Garage Slab Elev:Mom &JC,'
are assumed
PAK0TA COUNTY. MINNESOTA
1 hereby certify that this survey, pian or region was hectored by tnjor nder(�'�y direct supervision and that 1 ern dolt Rhtr*d Land *wveyor
under the lows of the Stats of Minnesota. Dated this 9 day of t�1114 4. 19-31e.
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA116727
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 3246 Rolling Hills Dr
Lot:5 Block: 5 Addition: Bur Oak Hills
PID:10-15500-05-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Scott A Oakman
3246 Rolling Hills Dr
Eagan MN 55121
(651) 269-0300
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164114
Date Issued:09/18/2020
Permit Category:ePermit
Site Address: 3246 Rolling Hills Dr
Lot:5 Block: 5 Addition: Bur Oak Hills
PID:10-15500-05-050
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 -
Scott A Oakman
3246 Rolling Hills Dr
Eagan MN 55121
(651) 269-0300
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166238
Date Issued:12/22/2020
Permit Category:ePermit
Site Address: 3246 Rolling Hills Dr
Lot:5 Block: 5 Addition: Bur Oak Hills
PID:10-15500-05-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Scott Alan Oakman
3246 Rolling Hills Dr
Eagan MN 55121--230
(651) 269-0600
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature