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3254 Rolling Hills DrINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: I „ I . gel a 114•.. 11? 1 i i,. ia?11 ?+At .14 J I.1 PERMIT SUBTYPE: It1.1i 1 t? i pl.r, HQ JH 1. /c? APPLICANT: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. I r?',111 :? I 11111 ? 11.1r'1r 1;t M A k K tit S Ff. W 1'1 HN 1; I t 1111 1'1 H14 Permit No. Permit Holder Date Telephone E S/W PLUMBING ?'l?? /?Sf?-vSD(o HVAC (? 9. ? ,Y y0 G ELECTRIC ELECTRIC Inspection Date Insp. Com ments Footings l Y f 9? Foundation Framing r!? vv Roofing Rough Plbg. ?o Rough Htg. y / 4' 47 Isul. 3 - S3 bS , % 3f' F"eplam Final Hg. great Test Final Plbg. 3 ? ?PJ?g Inpector - NoW P l er Cont. Meter EngrJPlan Bldg. Final f7 Z?r Q ?J n A,? !v? ? OC i rL w ?X L'! f Dear Fig. - ire lac 7.2? 3 Dear Final Well Pr. Disp. -?59 Wcrflfcate of Cccupanc? ?l of ?S? 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 of use. For the following: Use Classification: SF D, Bldg. Permit No. 20581 Occupancy Type Zoning District Type Cone OwnerofBuilding Bl&%W Q OURST PC Addnm 'IUD WAY, IQi Bui Address Dane: Building Official POST IN A CONSPICUOUS PLACE Address 3254 ROLL HnM DRIVE Zip 5512 1 Lot ' 7 Blk 5 Sub BUR oiAK mus THESE A EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Da e: 290 4 /9 Yes No Inspector: Final rade ' from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: f' I I I Ni+ 3830 Pilot Knob Road Permit Number: ?? . 10/0 Eagan, Minnesota 55122-1897 Date Issued: 4+.° / t d (612) 681-4675 SITE ADDRESS: t . N. 10 t `' `' ae 0/0 APPLICANT: tut: 7 I`loct '?t Rntt 1N?? N]i 1 .ti t2R + 1 s? yREF???R>< Ititk F)At 14.11 I'. (E+L2? t, t)1 831H PERMIT SUBTYPE: I:W-f Mf HI 13Nt FI TYPE OF WORK: I 1 RA I I ifN INSPECTION • M I la • TYPE f I1 . I f: DATE INSPTR. f l l ? ? l , t i I N ! I H I I N R I RVKAkK$: A SEPARAtE HERMIT IS RF OUIRl:D FOR ANY Pt(1140l016 OR fAUCTRIt At Wi1Rt . h a Permit No. Permit Holder Date Telephone >t ELECTRIC Q /lr QD PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING QG ROOFING ROUGH PLUMBING Z gho PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL y-; ?- - DECK FTG - DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Not Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: `' • r N .. ?r - 161'.0 S -0 70-f 101 ; ! BLOCM _k01_L 1NO H71 1.'S 11R Hill? IlaL 1111.1-5 PERMIT SUBTYPE: t I F L APPLICANT: (h1J? t: Etfi-y<??.! TYPE OF WORK: Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG - '171?,7 DECK FINAL , /?/?J ' C o _010 REQUEST FOR ELECTRICAL INSPECTION ?,."' Ajtj C EB-00001-0e O 111. See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request New 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: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee It 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: TOTf1L Irrigation Booms CV O O Special Inspection Q Alarm/Communication THIS INSTALLAT AY BE ORI NECTED IF NOT Other Fee COMPLETE THIN MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. gnat Date OFFICE USE ONLY (? I ///ppp This request veid 18 months from I'?rv ?(ytOn} ..J-gin j/J? L)3 17 9x/7 /9 65 r 3 s? 5 Ra uesi D e ??A44 ?? - Fire No. Rough-In Inspection Repujred7 G s No ? Ready Now - -V 'q VVIII Notily Inspecwr?. When I y' icensed contractor ? owner hereby request inspection of above electrical l ork °U Jod tlr s I et ox or R e No.?'; ` 1l ?? l City i SBCIi00 NO. Township Name or NO. Rang a No. Coun Oc p t( RINT) n Pho e 50- D Power Supplier r•+ Address Electric oniracior (Company Narme) Co act Lice se o. Mailing tl r s IC nlr ct r Ow akmg Installation) Auth real Sigma ure ICO act (Owner Making Installation) Pho e um r O MINNE TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (612) 697-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instruclions for completing this form on tack of yellow copy. d 33317- "X; Below Work Covered by This Request ti. 16a to 3 en da.. Pap. Type of Building Appliances Wired Equipment red Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial urnace Farm Air Conditioner Other (spemry) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuhslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above100Amps Signs Inspectors Use Orly, TOT L Irrigation Booms ?.,?1 4 -`6 e% '1 r Special Inspection yr -f " AlarmlCOmmunication THIS INSTALLATION MAY BE ORDERED DISCONNE - Other Fee COMPLETED WITHIN 18 MONTHS. "0 I, the Electrical Inspector, hereby Rough.in / Date I? 7 certify that the above inspection has been made. Fidel De+q^ ?3.?? (P OFFICE USE ONLY This request mid to months from 0- 9 ;0 01 01 Request Oble " ,?c Fire ough-In lnspedion Required (You st cell inspector when ready) Inspection Other The Rough-In ? Ready Now Wili Notify Inspector / p, Yes ? No Date Reatl TTT I ? licensed contractor owner hereby request inspection of above electrical work at, Job Address (Street, BoK or[5Jp?te .) ^/ ?/ On LC City c ? h JOI /1 !/' L f i Sedfon,NO. Township Name or No. Range No. 4 co; OccupantIF RI ' Phone No w ?e w 1. ia Power Supplier Address EleMral Conirador (Company Name) Contractors License No. Mailing Address (COnlprador r Owner Myaking Installation) 22r'l 4•r/? 'a I.e Authorized Signature (Canbador/Owner Making Installation) !/COL Phone N bar CO O ? O ? 70 MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Mldway Bldg. - Rao. 5-126 II II I I I I I I I I II I I I II TRIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 Phone (6121602-0800 UNLESS PROPER INSPECTION FEE IS ENCLOSED. ?,p Sb : CITY USE ONLY L 7 BL y5 SUED. Am- NU 1-h l k RECEIPT* RECEIPT DATE: 10-13- 00 PERMIT # Y'3?) 9 Yl 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, HN 55122 651-681-4675 Please complete for: > single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newirefurbished ' requires MPC Iic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installationirepaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ 30 DD Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 -> --> -> $ .50 Total -> Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. I --- he---by ---- I -----ave -----ad- --- --n, --state t faij -that ---th--e in-------formati-on --Ls- a---nd-a-----gree -to-co --mpwi-ty- -th --- al-l -ap-Ii ---plicable--C-ft-y- --of-Eagan---••- o- -rdin---ances-- .- re acknowledge that h re this appliptio comeC, 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 propenylright-of-wayieasement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: /t' Le-. ?otm TELEPHONE #: S? ? k:91-8.375 (AREA CODE) TELEPHONE #: 7h3 - S?/-l am (AREA CODE) STREET ADDRESS: ';)9fiU n4m1 C?2 xPIT-; ?lD CITY: ?r i/YLO tcrh STAT ?n U fl SIGNATURE OF PERMITTEE BY: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L r r. 1,1 D c „ , S APPLICANT: 3760 RDLL1.iCG H1.LLS OR 131.1=F?HA H CDiJSI LVC l'it UA1C HS11H (6'2; GG3-l3) PERMIT SUBTYPE: >aF DWI; TYPE OF WORK: M1i_v 69 "! r!? ?. /'3 t INSPECTION TYPE ?Dn rl>,1; DATE INSPTR. INSPECTION rrt ;tar!r, DATE INSPTR. 3r'.SUt1-1fSnN FINAL a. RI If.AR1::;? & t" PL6it R_C1111 PLGC PERMIT y f? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: I_ o t' :• Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: SITE ADDRESS: LOT: ? 01,OCIC: 5 6UR fi P. if H1Ll' DESCRIPTION: Bi j tits F) - rrli.i 7?p2 5( U'.J(; - Ll d'r1r Wc,'rk Iyp? NFW IJBC 0 cUpa ft C.' , R -3 iii- 1 000lC:I g lrr.y?1l Sy Rud rltl ij dclHi b3 i REMARKS: I- 1? L! P':'R - R,!cFi1'_ PiF3C FEE SUMMARY: VALIIAIION PI???. RE?viow Sul`r.hal-c!r 5;11; S ltc :. (. UII' C6 sub L. tat .', 7 1 ° .. to P. a.?63-4F 19 c1) I $t '1,9610 IM15C'.CLI_f4 bl L""011'; Iot?t1 ,-?: CONTRACTOR: OWNER: RIFiI rl, PI r1 C0NI I N C 1. 6/131313 0"'1c 119 HLr,KM AP!N COI'15T LNC ^6'' t r7 •','t. .2f lrl!J lti,7Y 846"' COPPt RF1.l I fl td11Y 'NVER GROVE HTS 11N 55916 INVFR GROVE HI I: r! 560iti hc?rehy acb.0uw:.udc;: 'Lh.:i. I h. r2oa L'rtr, . ri`o rvzt t. t or i -, ..,or r-•.:r:t -?n+f wqr- Lo c+>mply opp:;c.a o: APPLICANT/PERMITEE SIGNATURE ISSUED SIGNATURE J .PERMJ,T 0 REACT-IVW 20591 CITY OF EAGAN $3,731,5 ,U9"UILDING PERMIT APPLICATION MAR 2 6 RECD 681-4675 WJ X1 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I 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 d ay of month in which request is made or lot Chan a is re uested once permit is issued. Date / 7 / 9?3 Valuation of work Imo', Site Address: 305y y?o//•• /? ? STREET `? ITE A Tenant Name: (commercial only) LOT _ BLOCK SUBD. S(4,c ?/Ax yy??IS P.I.D. M Description of work: The applicant is: ? Owner Ib Contractor ? Other (Describe) _ Property Name Phone LAST FIRST Owner Address STREET STE N City State Zip 3C-Iqq- Company WA1 s-14 v /Jot/ dA Phone 6,e13- /-3/3 Contractor Address,5/4o0 ? ?;,/? (,rJd4y License #o6ossW? Exp.3-31-9s- City Vi e/ y?r?t 6'edvP State r?fitl Zip ?So Company ;. Phone to $?- /0/5/ Architect/ re N '4 S Engineer , ame AC Registration M Address YZZ , re_ . City !' ? ?? h`e,el 1-4s State 1??.c/ Zip .S5-12v Sewer & water licensed plumber ,° Processing time for sewer & water permits is two days once area has been ap ved. 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 x'02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 131 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l ? 33 Alterations ? 34 Repair + . ? 11 Apt./Lodging ?°'ff?asement 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 ? 35 Tenant Finish ? 36 Move ? 37 Demolish GENERAL INFORMATION Const. (Actual) V- M (Allowable) UBG Occupancy Zoning f of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard 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 MWCC System %/z's City Water yz PRV Required Booster Pump Fire Sprinkler Census Code '? SAC Coda a;,?Sr? V vc Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % ( 0? SAC Units valuation: 8 12 1. OD, GARAG(; ? Z2XZrj ' y?l? r? 12 t?Zt = tSZ ZoiD FL6, Yt. t?smr; 36 46 = I IP17 ? x36= X Z0 ?Go,c ?S=l+?yob k,T \x67,1 ca sx 2 4 ,??oKS?r ??o K S`l= ?1/a?ty 10201134 ?;'z9 7a * PIONEER LAND SURVEYORS * engineer ng LAND PLANNERS • LAN * * * y14 }Ff 9nLE S 83'48'14" E 6 / I C?E iris n 93.23 Certificate of Survey for: Biermann Construction Co. House Address: 3254 Rollina Hill Drive Eagan, MN I w I I I > 0 J _ N O to I ON I (-D I p 4 tr Z i _ J J I ° f g9o.`l I ? g?8•`1 ?90g.x11 I \ 1 2422 Enterprise Drive Mendota Heights, MN 55120 ,612) 681-1914•Fax 681-9488 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fox 783-1883 8gi.z 8 1 q _ , 010.1:5 8691 T 88g' $ z12e , l 1 32.00 117 1 opROPOSED HWs ` s- "1 g t2 COURSE 00(P BASEMENT rn M I g9q,D 8 1 °o to N, 1 ?w 0 5.25 0 1 9?q 115. -130.00 '' 0 12.00 g9 f.1 GARAGE o 7.87 I 12.33 1 ? ? x ? I 2o.ei }- -I 3334 Y V 8 . i pftIVEwAY 30.00 - - _ lam/ SER?I?E - 126.97 gq.x .Ii /1?1 E 9 P ?-i'fy 891.611 ss-34 n -' , i 0 10-2430 w`\ R = 6913 ' 77TH STRE D? 1 - - _ _ _ u+ ART®%11f ERING DEPT NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION . 9oo.0 Denotes Proposed Elevation Lowest Floor Elevation: 8,92.55 Denotes Drainage & Utility Easement Top of Block Elevation:890.106 Denotes Drainage Flow Direction --o- Denotes Monument Garage Slab Elevation; Sg0.33 -8 Denotes Offset Hub Bearings shown are assumed LOT 7 BLOCK 5 BUR OAK HILLS DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report was prepl1g9{red by me or under my direct supervision and that I am duly Registered Land Surveyor under the Taws of the State of Minnesota. Dated this-3-0 y 'aay of Nth RCN A.D. 19 7 m3_ _ x grrnla3• 1 inch= -1n feet ROBERT R. SIKIC I.S. R EQ. NO. 14891 M 93063.00 LOT SORvEY CE nuST FOR BSSIDENTLAL DVXZDING nRXXTAAPPLICATION lROPLR'?'Y LeALt ?] Date of Survey: 1 4 7 D? D Registered Land Surveyor signature and Company @? 0 0 Building Permit Applicant D 0 Legal description 8'0 0 /Address 8l) D North arrow and bar scale D D House type (rambler, walkout, split w/o, split entry, lookout, etc.) 8-1 D Directional drainage arrows with slope/gradient =. _ D Proposed/existing sewer and water services D Street name 0 D Driveway ELEVATIONS Existipv D 0"'0 sewer service .!? D 0 Lot corners ?IiD 0 Top of curb at the driveway D D D Elevations of any existing adjacent homes Proposed DAD D Garage floor D 0 First floor p' 0 0 Lowest exposed elevation (walkout/window) V 0 0 Property corners DAD D Front and rear of home at the foundation MMING AREAS (if noplieil*1 D M /D - Easement line NWL 0 0' D HWL D D Pond f designation D VD Emergency Overflow Elevation DIllENB IONS ' 0?D D lot lines D D Right-of-way and street width (to back of curb) D 0 Proposed home dimensions including any proposed decks, f overhangs greater than 21, porches, etc. (i.e. all D D D structures requiring permanent footings) Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and setback of adjacent existing homes D Q D Retaining w e rements, if any • Reviewed: ,? Nam / Date . , ?, EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET To Determine Compliance with the Minnesota Energy Code (Section 502 of the State Amended 1983 Model Energy Code) Oroject Title ;ite EXPOSED WALL CALCULATIONS A Opaque Wall 1. Masonry/Concrete x = x = B. C. D. ID. C. 2. Foundation W/all (Above Grade) a. i " [ "C- gL-V- b. 3. Wood Frame Wall a. Insulated Area b. Framing Area (Ave. 158 at 16" oc) c. Framing Area (Ave. 108 at 24 oc) 4. Peripheral Floor Edge/Rim Joist a. ?yID . b. Glazing 1. Windows a ._a? ?mEL0 b. 2. DOOrs aY FmGLn Doors 1. Wood a. Solid b. With storm door 2. Metal 3. Overhead 4. Other AREA "U" VALUE AREA x "U" x = 95.2-0 x ,bio = 51?1 x = 1 g aa.8s x . o ,46, _ X3.85 321. ?7 x 1 o7 = 3x.41 x (?4. 22 x x = 213.0 x ??? = 51'7.34 x = X ,4(, 18.63 x = x = d s?.? 1 x . 1 3 = G• b7 x = x = TOTAL WALL AREA, sq. ft ..................... Z(,:51) t TOTAL of AREA x "U.................................................... 2-1 2?v ROOF/CEILING CALCULATIONS A. Roof/Oiling Insulated Area O 4- x o-)., = ;Z.O.9,V' B. Roof/treiling Framing (Ave. 158 at 16" oc) x - C. Roof/Ceiling Framing (Ave. 108 at 24" oc) 1)(0e x b y = D. Skylight x = E. TOTAL POOF/tMILING AREA sq. ft .............. .. 1) c? D F. TOM CF AREA x "U " .................................................. 23.2 . I (1 , W. BUILDING ENVELOPE REQUIREMENTS TOTAL AREA REQUIRED "U" ALLOWABLE (Fran I.D & II.E) (From V.) (Area x "U") A. Exposed wau: 2 11' _ x • I I = 290. 2-9 B. Roof/Ceiling: 1k r x -o2Jo = -30. IG C. TOTAL ALLOWABLE BUILDING ENVELOPE (Total of A & B above)... 32-d•4?5 IV. ACTUAL BUILDING ENVELOPE ACTUAL (Area x "U") A. Exposed Wall (From I.E) 2-Z 1. 2/0 B. Roof/'Ceiling (From II.F) 2.3 •Z C. TOTAL ACTUAL BUILDIN; ENVELOPE (Total of A & B) ............ 244 *(Meets code requirements if less than III.C) V. REQUIRED "U" VALUES WALLS ROOF/CEILING Detached one and two family dwellings .11 .026 * Multi-Family Residential Buildings .238 .033 (3 stories or less in height) * All Other Oz)nstruction Types (3 stories or less) .238 .06 * All Other Construction Types (More than 3 stories) .28 .06 * Based on 8007 heating degree days (lipis/st. Paul) Adjust 'U' values accordingly for other locations CERTIFICATION I hereby certify that I have carpleted the above information and that it conplies with the Minnesota State Energy Code. Date -3 ^oZzo - ? 3 BrM .3-89 l1U/SAI/6574 CITY OF EAGAN CASHIER: S TERMINAL NO: 64 DATE: 05/07/97 TIME: 14:51:45 ID: NAME: TIMBER14ORKS RLDRS INC 3210 9001 3254 RLLNG HLS 50.00 2155 9001 3254 RLL.NG HLS 0.50 Total Receipt Amount,: 50.50 CRO73315 USER ID: NANCY PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B U I L D I N G Permit Number: 0 2 9 8 3 5 Date Issued: 05/07/97 SITE ADDRESS: 3254 ROLLING HILLS OR LOT: 7 BLOCK: 5 BUR OAK HILLS P.I.N.: 10--15500-070-05 DESCRIPTION: ¢uildri,Permit Type ,'Building'iJprk Type ?' Census Code / 1?v r =-` rte""" st DECK NEW 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY- Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CTRACTOR: - Applicant - BERWORKS BLDRS INC 16860911 L TROTTERS RIDGE RD EAGAN MN 55123 (612) 686-0911 ST. LIC.OWNER: 0006352 CROW GREG 3254 ROLLING HILLS DR EAGAN MN (612)681-8378 I I hereby acknowledge that I have read 'this information is correct and agree to comply Statutes and City of Eagan ordinances.. APPLICANT/PERMITEE SIGNATUR application-and state that the with all applicable State of Mn. SS y: GNAT f, 5 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) `? Sri s C::/ CITY OF EAGAN ???, ? 3630 PILOT KNOB RD - 55122 0 S /7I r` 681-4676 New Construction Reouirements Remodel/Reoair Reouirements ? 3 registered site surveys • 2 copies of plan ? 2 copies of plans (include beam 8 window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes No DATE: 20 CONSTRUCTION COST: 9 DESCRIPTION OF WORK: STREET ADDRESS: yR, X64-1 lVeJ' Z3 LOT BLOCK ar SUBD./P.I.D. #:? - PROPERTY Name: Cea ?,j Phone* zromil- OWNER ? ?u s 3 ? ?? Street Address: ? • - / : 5-3 2? State: Zi 2?G Cit p , y: CONTRACTOR Company: /?.?r3 ?up/?CS A02S Phone#: 64f6 Street Address: B 29 "? o r7?6? S License #: D463Sz City: State: Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information-is correct and agree to comply with all a plicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY D Certificates of Survey Received _ Yes _ No 4 1997 : 91 Tree Preservation Plan Received Yes No Not Required ?- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ,e'?31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length l Depth APPROVALS ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building n43 Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? X15 Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. y 3 y SAC Code o i Census Bldg i Census Unit o Engineering Variance Valuation: $ % SAC SAC Units .I I I w i I I ? o I I _1. 'v M in - O N II CD ( II ' a fY z I J J I I I I TiMe?.QU1o?.s ,6c,?,cs K 3 ZS`f ?OLt-I.c.G h?iLLS LYG I •f ?yG J1? S 83'48'14" E 6 IF441"" y 93.23 n P II r8`IDr.-? $?1.2 I ? saal?? 7 \ I ?J Dg\ E---? ? \ ,S r o a?l Is I ?" geg.o g1, ,Q' AROp J?0 Y 8 23.90 Q?S 6gsffN a/y?. fig, 8 n? ,..N ?w N. y . 04 h0, i+ GARAGE S \ 898. I N 20..33 r? o o I \ 890. JJ JgJ ?20g 1 ? I DRIVEWAY \ N .Bel i.l ae?T? 0 L --- --- r 889.2 (o J 91p. 5 126.97 88` -SI 86 . h 10.24! 30" f I n R = 698.95 77TH STREET WEST NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS X 900.0 Denotes Existing Elevation I/ 3B PROPOSED HOUSE ELEVATION . 900.0 Denotes Proposed Elevation Lowest Floor Elevation- 802.55 Denotes Drainage & Utility Easement Top of Block Elevation: 890.6(o Denotes Drainage Flow Direction Garage Slab Elevation: Sg0.33 ---o-- Denotes Monument --e Denotes Offset Hub Bearings shown ore assumed LOT 7 BLOCK 5 BUR OAK HILLS DAKOTA COUNTY. MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws or the State of Minnesota. Dated this day of M P"017,14 A,D. 19_i 5F')IS'n-1 3 130"7 "-'P L"t.-,?.) ell A,1i.•-.//// INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1 897 Date Issued: (612) 681-4675 SITE ADDRESS: P.I.N •: 10-15500-070-05 APPLICANT: LOT: 7 BLOCK: 5 3254 ROLLI NG HILLS DR CROW BUR OAK HILLS (612) 681-8378 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH BUILDING 027070 02/16/95 GREGORY ALTERATION INSPECTION TYPE FRAMING .DATE INSPTR. INSPECTION INSULATION DATE INSPTR. ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK J CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: C' 6-3O7?1 BUILDING 027070 02/16/ SITE ADDRESS: 3254 ROLLING HILLS DR LOT: 7 BLOCK: 5 BUR OAK HILLS P.I.N.: 10-15500-070-05 DESCRIPTION: Bu ld mq,Permit Type BASEMENT FINISH f: Building sd,},,rk Type ALTERATION - Census Code', 434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - CROW GREGORY 3254 ROLLING HILLS DR EAGAN MN 55121 (612)681-8378 I 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 O'rdinances. APPLICANT/PERMITEE SIGNATURE ISSUED BY: IG TURE I - CITY OF EAGAN 3830 PILOT KNOB RD - 55122 110q01996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 IReoair Reouiremen ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for healed additions ? 3 copies of tree preservation plan 9 lot platted after 7/1/93 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: some' l f ?,I STREET ADDRESS: 3 C r' y eCA', LOT BLOCK t SUBD./P.I.D. #: A 11I j 0a PROPERTY Name: C_ .re ?re9 drf Phone #: 1/.ST i RET OWNER Street Address 3-25/ 61L? ?L-e City: '7" s°^ State: fV7ti? Zip: ?'>2 CONTRACTOR Company: 5c A Phone Street Address: License City: // State: Zip: ARCHITECT/ Company: -re Phone #: ENGINEER Name: Registration #: Street Address, City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that 1 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. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: Yes No Yes No IE ?VE© FEB 2 tg96 BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New --tr-33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION OFFICE USE ONLY i .. ? 11 Apt./Lodging -E7L 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13' Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCM/S SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Dad. Trails Dad. Other Copies Total: ,/3 ? all, _6 % SAC SAC Units o?"?" L ' BL CITY USE ONLY RECEIPT#: &? [sew SUBD. ;C.lU+r. tVOI di& DATE: IA 9 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NQ. TOTAL 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 5.00 x = Private Disposal ` Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations ' to existing 20.00 = a0. DO Water Turn Around 20.00 STATE SURCHARGE .60 TOTAL SITE ADDRESS: 3254 Rolling Hills Drive OWNER NAME: BiermannHomes2 INSTALLER NAME: Matthew Daniels, Inc. STREET ADDRESS: 15230 Carousel Way CITY: Rosemount STATE: MN Zip: 55068 PHONE #: ( 612) ih8 423-3730 OFFICE USE ONLY L BL SUBD. RECEIPT #: DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: , all commercial/industrial buildings. multi-family buildings when separate permits are aW required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR i DESCRIPTION OF WORK: IS WATER METER REQUIRED? - YES - NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED?, YES - NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgLmAi fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: - ADDRESS: _ CITY: PHONE #: SIGNATURE: OFFICE USE ONLY METER SIZE: DATE: STATE: ZIP: APPLICANT INSPECTOR: City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3254 Rolling Hills Dr Lot: 7 Block: 5 Addition: Bur Oak Hills PID:10- 15500- 070 -05 Use: Description: Sub Type: Work Type: Description: Comments: Fee Summary: Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365 -1340 e - Water Softener New Water Softener Meter Size Meter Type Manufacturer Kris Oien 3670 Dodd Rd Eagan, mn 55123 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: John Williams 3254 Rolling Hills Dr Eagan MN 55121 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA092161 11/25/2009 ePermit Line Size 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA130064 Date Issued:04/01/2015 Permit Category:ePermit Site Address: 3254 Rolling Hills Dr Lot:7 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-070 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 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 - John Williams 3254 Rolling Hills Dr Eagan MN 55121 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (763) 370-0074 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165548 Date Issued:11/05/2020 Permit Category:ePermit Site Address: 3254 Rolling Hills Dr Lot:7 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-070 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 - John & Lori Williams 3254 Rolling Hills Dr Eagan MN 55121--230 (651) 456-0902 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165772 Date Issued:11/19/2020 Permit Category:ePermit Site Address: 3254 Rolling Hills Dr Lot:7 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - John & Lori Williams 3254 Rolling Hills Dr Eagan MN 55121--230 (651) 456-0902 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165979 Date Issued:12/03/2020 Permit Category:ePermit Site Address: 3254 Rolling Hills Dr Lot:7 Block: 5 Addition: Bur Oak Hills PID:10-15500-05-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John & Lori Williams 3254 Rolling Hills Dr Eagan MN 55121--230 (651) 456-0902 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature