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3277 Rolling Hills DrCity of EaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ECE VE1) JUL 2 8 2011 Use BLUE or BLACK Ink 1 For Office Use Permit#: /00 ee- Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Date: 7 " % ^ if Site Address: 3 7� ,t? ` l-�, Jfi 0 f - Tenant: Suite #: Name:,Pir4vCn Phone: Address / City / Zip:15rf.41,/, 37-y Name:AZ Z d/l ) .s � j, t);:), .0-144301..:;:7License #: ' ---/C 2'`17 Address: j/Z Z=72We:.. 5.X1 4". t 3 City: .'r 'y. g 41 221 State: s Zip: c..." 75 Phone: 1.5/ •..53:43-.7X Contact: 1 ', ze t Email: New )S Replacement Additional Alteration Demolition Description of work:-I7v.�>'r¢, -,4... RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction _ Interior Improvement Install Piping _ Processed Gas _ Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ 5 OP TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% _ $ Permit Fee = $ Surcharge =$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.booherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Printed Name P Applica signature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 1q SITE ADDRESS: APPLICANT: 1~ta1 1 1 Nf: It I I t •, oil PERMIT SUBTYPE: TR INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSP . !,(Mi?fiK:"i: S bJ LI1IL II"V!: MtjItI( I"1It4i Permit No. Permit Holder Date Telephone N S/W PLUMBING HVAC S a? 93 ?gl' urn ELECTRIC ?70 b'?Q ELECTRIC Inspection Date Insp. Comments Footings I Y+ g „? Foundation Framing Roofing Rough Plbg. _9. Rough Htg. Isul. Fireplace Final Htg. ! Orsat Test ?v ,?j? a)4 Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final n A---'?7- C?lke V ' 2 Deck Ftg. Deck Final well Pr. Disp. a ^ t - , Werti f irate of ccncpauc? ?it? a? pagan ?c?artmcat o? ?a?Ib?ag ?a?rett?oa 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 20723 Use Classification: _ Bldg. Permit No. ' IBM! R! Occupancy Type Zoning District 15001 KM*RW Owner of Building Address -ET,s BUR OAK RMM 2ND << Su' mg Address Locality lJ ! d- Date i Building0fthmal POST IN A CONSPICUOUS PLACE Res: (612) Bus: (612) 645-0331 E?4Z-ob'I? MICHAEL J. RUSSELL Garage Consultant SUSSEL CORPORATION COMO YVmulm 1ST. PAUL, MN 55108 /3L•/934/ Address 3 977 Rllll gn t Tw. Zip 5512 1 Lot ' l Blk 5 Sub BR OAK HILLS, 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 3 Yes No Inspector: Final grade (6' from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy REQUEST FOR ELECTRICAL INSPECTION Ee-ooam-oe 7 3 9 81 See instructions for completing this lone on back of yellow copy, 5X9 K Below Work Covered by This Request t ea Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner Olher Ispecilyl Coniractru5 Remarks. Compute Inspection Fee Below.: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps r Transformers Above 200 Amps 100 _ Amps Signs inspectors Use Only. TOTAL_ Irrigation Booms G Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Ether Fee COMPLETED WITHIN 18 MONT I, the Electrical inspector, hereby Rough` Cate _. ? / certify that the above inspection has been made. Final oet "?(p OFFICE USE ONLY This request void IS months from It 1- .rL'n L? vu? ° x OJ 5 4 /91: Requ25t Date- ., Fire No. I Rough-in Inspection equimd4 V, ? Ready Now Will Notify Inspector n Read ' Wh - I- No y e I licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Street. Box or Route No.) T?2 7. 7 Gu ? e.GI city 1 ? , Section No. Township Name or No. Range No. Coun Omupant (PRINT( /c ffzrC Phone No. oZ - 6 7 o r Supplier WA2M LLCT !C, Atltlress AD SI- Electrical Contractor (Company Name) Contractors License No. Mailing A dress (Contractor or Owner Making Insollanon) roti,.°r r/ fT .1a t?IC 1519 Authorize n r C ac akinq Inatalki Phone ? 0\ M0 NESOTA 5TH OARD OF ELECTRICITY GrlggmMidway dg. - Room S-170 1821 Univerfity Ave., St. Paul. MN 55104 More (612) 6124800 THIS INSPECTION REOUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. I Emig sg I Permit #: I ? Permit Fee: Date Race! ?-? _ {? I Staff: 01 U 2008 RESIDENTIAL PLUMBING PERMIT APPLICATI 5-5-0k Date: Site Address: Or. Suite M Tenant: V?Vf GI W ?d priu se w r Phone: p J?I???US' Y C1 ?? L RESIDENT I OWNER . Name: 4 0-n . M 64, 51) f J ?5& Yl e 2 - Address / City / Zip: CONTRACTOR Name: License #: r Address: Champion 651-365-1340 City: 367n nnriri Rd W nn State: Zip: Eagan, MN 55123-1339i? S X11 e r Phone: Contact Person: TYPE OF WORK - New \//Replace ment _Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater -Water Softener Lawn Irrigation -Add Plumbing Fixtures _ RPZ I _ PVS) 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) e $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; mat me work wiii be in cunforrnance wm. u,o .,, da,ancaa a„4 ............. ... Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ?ft rn eC. G . ? 1, e +- x Applicant's Printed Name Applican ' , ignature 3) 1410 op 79/9/ 30's-n 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside plumbing on the same application; separate aoDlications and permits are required. Date I I I I [ IL Site Street Address ( 1 Tl Unit # /UT' Property Owner 1_? Telephone # f Q J I) qQEI?l Contractor J" `C Telephone # DD ) Pl «rn I 1 D 0 )q 02- \ - - Address L NV City r riYf?l/1 State ZipS,3Sa The Applicant is: _ Owner & Occupant X Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive plumbing repairs are made to a building. Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to _ main level _ lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 - new _ replacement -Lawn Irrigation _RPZ PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ ??• hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ? Lze n T1,, LG/G Iv4/J?f/? Applicant's Printed Name JApplic 's Signature µ i RESIDENTIAL BUILDING PERMIT APPLICATION ?l f (Z r CITY OF EAGAN 3830 PILOT KNOB RD, EAGA AGAN MN 55122 651-681-4675 New construction Reaultemems • 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas (20%ma)dnum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 set of Energy Calculations • 3 copies of Tree Preservation Plan it lot platted after 1/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE '1" J- (- ®1- ?f? K o fro ? r. = c LN ti CITY El4 -h- STATE rvwLP t s?Y Z CELL PHONE # C?i2? 36 s^ 70 6y FAX # l lls?? - a5- RemodeVReoalr Reaulremerde • 2 copies of plan • 1 set of Energy Calculations for heated add'aions • l site survey for exterior additions B decks • Indicate if home served by septic system for additions VALUATION SITE ADDRESS `3z ?} 2° tl t"`9 (`'tits a r. MULTI-FAMILY BLDG - Y )<N TYPE OF WORK se°'^s FIREPLACE(S) _ 0 _ I _ 2 APPLICANT C?a??s 2evm r-r;.S g=a , , STREET ADDRESS TELEPHONE # PROPERTY OWNER 0 `x.327, TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning - Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 hereby acknowledge that I have read this application, state that the Information is corm t?pt with all applicable State of Minnesota Statutes and City of Eagan Ordinance. Signature of Applicant OFFICE USE ONLY ! I I JUN 1. 9 1001 Certificates of Survey Received _ Tree Preservation Plan Received - Not Required _ Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 36 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bkigs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ FinaUC.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof 4 1 - Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone - Fireplace - R.I. _ Air Test - Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By , 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 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDIN 020723 04/23/93 SITE ADDRESS: P.I.N.: 10-15501-010-05 DESCRIPTION: Building. Permit Type SF DWG ;Building Work Type NEW 'UBC Occupancy. R-3 M-1 Construction Type V-N Zoning R-1 Building Length 63 Building Width 38 REMARKS FEE SUMMARY- S & W PLBR - STEVE MURR PLBG 3277 ROLLING HILLS DR LOT: 1 BLOCK: 5 BUR OAK HILLS 2ND VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $755.00 $490.75 $66.50 $750.00 100 $2,062.25 $133,000 MISCELLANEOUS $1,,744.50 Total Fee $3,806.75 CONTRACTOR: OWNER: - Applicant - RUSSELL MICHAEL 15001 GREENHAVEN OR 117 BURNSVILLE MN 55337 (612)892-0874 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. A - AP LICAI VPER T SIGNATURE ISSUED : SIGNATURE n/ REACTIVATE _ CITY OF hAUAN 's'?"C E pVED 1993 BUILDING PERMIT APPLICATION ?330?M PERMIT- # u u ? IF42 20 APR 16 1993 681-4675 SINGLE & MULTI-FAMILY 2 se s of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy talcs. 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 r' l I Cc / 23 Valuation of work nn Site Address: ..3 go ( f ?u I? III I N9_. STREET SUITE t Tenant Name: (commercial only) LOT BLOCK SDBD.? lQ t11 ^?? p, ?l U 9lft. P.I.D. k Description of work: G 1Aam The applicant is: Owner ? Contractor ? Other (Describe) Name sss?l t (? c-h4eL- Phone 4a-0 S1 Property LAST FIRST Owner / soo :A: Address 1 C?/een "v` 472- i i"7 STREET STE L' City ?jsrn5?;llL State Zip SS?- Company sett- Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ ,Engineer Name Registration # Address City State Zip Sewer & water licensed plumber a . iv y. 12e -n p, Processing time for sewer & water permits is two days once area has bee 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 ? 06 Duplex ? 11 Apt./Lodging ? 16 BSsemelft Fi'n sri Vr02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage /Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE Et 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 (Allowable) \/-N 1st F1. sq. ft. City Water Ye-5 UBC Occupancy R_3 M_i 2nd F1. sq. ft. PRY Required Zoning R-I Sq. Ft. total Booster Pump / of Stories Footprint Sq. ft. Fire Sprinkler Length 62 z1 On-site well Census Code !oi Depth 3g , On-site sewage SAC Code ?I of y APPROVALS - Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Framing ? Final ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC ffi 100 SAC Units -L 34 X z 4? c?? G ZA+D F 0002 zKit = (24) 35YLr. i-2 _ 7 a I ?xZ? yo 6?X61?ls 86 - '752 X16 'z 891 KSy_ z ro _ !ou s ? is?(is 724 IoK? 7 i 7o3u? 132, 62t? Wmticn: $ 1 331606r.. 6ARAC,Q. ; $SMT 16X'/8 ?s BSm'`- In7 ,4Y 2 * PIONEER uwD SURNCYa * engineering twa pUNNER4 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 881-1914•Fox 881-9488 625 Highway to Northeast Blaine. MN 55434 6121 783-1880-Fox 783-1883 Certificate of Survey for: nnLKE-Rlls`> 1-- House Address'. - Rolling Hills Drive EAr=? 1, '?'`? #I Mt NOTE: CONTRACTOR MUST VERIFY ALL DIMENSIONS L69!<aor if LSVA7'ior1: 7 90(,o. is x 9ao.o Denotes Existing Elevation PROPOSED HOUSE ELEVATION. a oo-o Denotes Proposed Elevation Lowest Floor Elevation:. 883; y2 - Denotes Drainage & Utility Easement Top of Block Elevatlon: _Qq L?D3 Denotes Drainage Flow Direction Garage Slab Elevation: -911z- 7 o-- Denotes Monument Denotes Offset Hub Bearings shown are assumed LOT -1, BLOCK 5 BUR OAK HILLS 2ND ADD DAKOTA COUNTY. MINNESOTA I hereby certify that this survey- pion or report Wes prepared by ma or under my direct suphvislon and that 1 am duly Registered Land Surveyor under the laws at the State of Minnesota, Dated this o'JI, day of "'PR Ilk- A.D. 19 S//??Ul- //yy 1Lf?- ee l-.t.. 1 ROBERT B. SIK1 f .5 REG. NO. 1<991 - i E Ivi V DD D D Dec 0 8' D D LOT 1CRQZY Ca n"IT !OR UnDUTIAL Date of surveys. 11AZ91 • Registered land surveyor signature and any • building Permit Applicant • lagal description • Address • North arrow and bar scale • house type (rambler, walkout, split w/o, Split entry, lookout, eta ) • Directional drainage arrows with slope/gradient S. • Proposed/existing sever and water services • Street name • Driveway V DoeD ?D D ?' D D D ,DD 8' D D • Sewer service • Lot corners • Top of curb at the driveway • Elevations of any existing adjacent homes • Garage floor • First floor • Lowest exposed elevation (walkout/window) • Property corners • Front and rear of home at the foundation P9A'D2xG RRLa6 fi! tmfllieablel D 8? D ' Easement line D D D D 0? D NW L NWL D D Pond / designation D D Emergency Overflow elevation ? a=r_Lxszexs 8 D D ? Lot lines B D D D' D D Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (1.e. ail A structures requiring permanent footings) D D D Show all easements of record and any City utilities within D those easements D Setbacks of proposed structure and setb ack of adjacent existing homes D Retainin all re irements, i any G Rev iewed: a EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER_ A. SITE ADDRESS LI?..? 1IS 1J ?L. CONTRACTOR G, e DATE efl-/-7 PHONE Determine working square footage of each. 1. Total exposed wall area........ Zq©?4 c:4i sq. ft. x .11 = 32.c=J - Og 2. Total roof/ceiling area........ L q p sq. ft. x 026 = -it 2) - °4q-Total exposed wall area above floor = 2 Z,?I 3 a. Total wall window area .........................................j b. Total door area ................................................rte •y_ ZC c. Total sliding glass door area .................................. ?, dp d. Total fireplace wall area.......... ....................... e. Total wall framing area (average 10%) .......................... 'z f. Total net wall area above floor ............................... g. Total rim joist area ........................................... 274.4 t?7 Total exposed foundation area = Z.. 'r I h. Total foundation door area.. .................... ....... i. Total foundation window area (includes sliding doors)........... PL-*}-Cpp j. Total net foundation area above grade .......................... 4d z-_= k. Total wall framing area (average 10%) .......................... 1. Total net wall framing area .................................... 4d Determine "U" value of each wall segment a. Z?t-z- lull C. -7 X "U" 24 = Qi . ,_ d. X Jul, e. .4'7 x "U„ tD = 12!5.1 3 f.?FJ13.IFsx "u" cyl _ :]ZSZ 9• zn4- 41bX "U" cx1- = 6O _C2177. h. X "U" _ i. -JA.» X "U" _24 = 20-1lfl 1. 44C).5Dx "U., - ? = S.ItJZ 3 ..........................................Total = •?1 a -(-C,p ' If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (02. Total exposed roof/ceiling area = 1AC=It ? m. Total skylight area ................................ n. Total roof/ceiling framing area (average 7%)......... 3 ,3p o. Total net insulated roof/ceiling area ................ [ ] (? .^7?? Determine "U" value for each roof/ceiling segment. M. X nU" n. .3? x ..U,. = 3 . CQ?n o. C7C? ZO X „U„ CD'ZC = 2'Z _ Co 7 4 ..................................Total = 3 I . 3 3 if total of #4 is the same or, less than #2, you have met the intent of SBC 6006(c)l. Alternate Building envelope design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of item #1 and #2. 1. 32ti c? ?j + 2. :3c'7 _ ?l = 3 3 3. 2 ! S. 1 C + 4. 3 x.33 4°I-,- ENERGY WORKSHEET A. EXPOSED FOUNDATION CONCRETE (j)_LF x .67 4 QZ •?? B. 8' WALKOUT WALL LF X 8 = C. 46'KNEEWALL LF? X 4.5 = ZCLc? D. TOTAL EXPOSED FOUNDATION AREA = 2 Z _? (Add A,B, & C) E. TOTAL RIM JOIST AREA (g) Zn:1 LF X .98 = Z`7-4--.4t> F. TOTAL EXPOSED WALL AREA ABOVE FLOOR LF X 8 = 22 G. TOTAL EXPOSED WALL AREA (#I) = 2°I c?? -°VI (Add D,E, & F) H. TOTAL ROOF/CEILING AREA (#2) I. WINDOWS UPPER LEVEL(S) (a) 1-Z- '2- . ?? ? -Z 3 Co Total = 2e?'Z_ ?'yS fID J..:-EXTERIOR DOORS UPPER LEVEL(S) (b) Total = 3 `7 .? 7 K. PATIO DOORS (c) Total L. WINDOWS, BASEMENT (INCLUDE PATIO DOORS) (i) Total = M. DOORS, BASEMENT (h) Total CEIL. FRAME R 12" INSULATION R 1.Interior Air Film .61 1-Interior Air Film -bI 2.-k" Sheetrock .45 2-'" Sheetrock .45 3.-3'" Soft Wood & 5" insul. 21.01 3-12" Insulation 38.00 4.-Exterior Air Film .61 4-Exterior Air Film .61 Total R 22.68 Total R 39.67 Total U .044 Total U .025 3 1 3 - 3 Frame Wall R 2 1-Interior Air Film 68 2-2" Sheetrock .45 3.5%2" Soft Wood 6.82 4-25/32 Fiberbrd Sheathg 2.06 5-7/16" Med. Dense Hdbd .67 6-Exterior Air Film .17 3 Total R 10.85 Total U .09 2 1-A 1-B Insulated Wall R 1-Interior Air Film .68 2-?" Sheetrock .45 3-6" Insulation 19.00 4-25/32 Fiberbrd Sheathg 2.06 5-7/16" Med. Dense Hdbd .67 6-Exterior Air Film .17 Total R 23.03 Total U .04 Rim Joist R Interior Air Film .68 1-1 z" Soft Wood 1.88 2-Insulation 6" 19.00 3-7/16" Med. Dense Hdbd .67 Exterior Air Film .17 Total R 22.40 Total U .04 1-A Conc. Blk. Uninsulated -Total R 2.12 -Total U .47 1-B Conc. Blk. Stripping & 3/4" Foam Insul Total R 7.91 & z" Sheetrock Total U .13 Q z_ V ? J JM° y O ? w w 2 I CITY OF EAGAN CASHIER: Y,M TERMINAL NO: 354 DATE: 11/12/97 TIME: 14:22:19 ID: NAME: CARRIE RUSSELL 1310 9001 77.11 Total Receipt Amount- 77.11 CRO8286i USER ID: Y.ATHI CITY OF EAGAN 3830 PILd 'OB ROAD EAGAN, MN 5122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # C. DATE: //G3 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE I TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ -------------- WORK DESCRIPTION NEW CONST ??? ypyyu ADD ON REPAIR OWNER NAME: &z,&, 1(&41'veL/ SITE ADDRESS: 3.2'!7 >9•L/?c/?G,.. i?r ////l I 40A LOT: C BLOCK SUBD. //) W Z INSTALLER: S_ M ONI ,p'? HUJING & Alit CONDITIONING CO. ADDRESS: 6010 h'r7r.: nt AVE. 90. MINNEAPOLIS, MN 55420 CITY: 88,400RLIP: PHONE # FEES DWELLINGS & ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: $15.00 24.00 6.00 3.00 $ of ?.,o .50 $d?.So SIGNATURE OF PERMITTEE rf ?77a,'oG AkINETtG1ALfIVbiTSTRA.I PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN f 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # DATE: J° 0'1 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR SS i OWNER NAME:r f /I a - rI }? ? ( S r t h4 2 I o SITE ADDRESS: 32-2 r ` N CK J SUB . ??+' O LOT:-L- BL ? ? UX?/ Li ?.?L d I P1 yY ?, np k5 INSTALLER: rgt,'yv- `k? W? e r / ADDRESS: tp L 7 d CKe fsTe&Lsrl' k ? y-e- CITY: W S? Sr. fct4?( ZIP: Sz-W, PHONE 3Oa6' SIGNATURE OF COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3,00 3 WATER CLOSET 3.00 a BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 9 LAUNDRY TRAY 3.00 S HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 3 GAS PIPING OUT. (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S p? l Lplp ST. SURCHARGE .50 TOTAL: S SDeo PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUED. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) FOR: CITY OF EAGAN INVOICE 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 _sityoFaagan 681-4600 Equal Opportunity/Affirmative Action Employer TO: NQ 7729 r MICHAEL RUSSELL , 8-20-97 3277 ROLLING HILLS DR Date EACANO Hill 35121 T 50%w Pawp . wC L - J 70% conw.w 1110-9001 PLAT/LOCATION: AMOUNT DESCRIPTION ii Or PLAN REVIEW FEB FOR !WILDING PERMIT 3022-9001 77.61 SAYEMENT- 600-UPOM-BSCEIPT OF P1 A _ - TOTAL Invoice Prepared By: N GREEN name WHITE - Customer 4 YELLOW - Remittance PINK - Department `.GOLD - Finance TOTAL DUE UPON RECEIPT - 97taaA Pfl, City of Ea jan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651)675.5694 ForOJS?"a',Usi I I I Permit #: Z?-y ! 2_ I , ? Permit Fee: I Date Received: I I I staff: 2008 MECHANICAL PERMIT APPLICATIONII U N G P? T M Date: //-AX dSor? Site Address: NOV 14 2008 Tenant: tl: RESIDENT/OWNER I?y Name: I2641,'?li?Yllgf?{i ol? Phone: Address / City / Zip: CONTRACTOR Name:?? ?JS/i9rr/i'fL License #: Address: 2 a ' 377x z;zf? , 7?z_ City: ?.5-i} State:,W.&-,' Zip: g f Phone / Contact Person: -TYPE OF WORK -New replacement -Additional -Alteration -Demolition Description of work: !?- NOTE: Both roof mounted and ground mounted. mechan/cal-equ/pment.is:requiredao -; be screened by Clty code. Please contact the Mechanical Inspector or one of the, Planners for info?maBon on "` rmltted screenln 'methods. " RESIDENTIAL COMMERCIAL PERMIT TYPE -Zfumace -NewConstruction - InteriorImprovement _ Air Conditioner - Install Piping - Processed Air Exchanger -Gas - Exterior HVAC Unit - HVAC units must be screened Heat Pump _ Under! Above ground Tank Install / _ Remove) _ Cther " When installing/removing tank(s), can for inspection by Fire Marshal and Plumbing inspector RESIDENTIAL FEES. $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ ff6?. 5"42 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) =$ Permit Fee • If Permit,Fg@ is less than $1,000, surcharge is $.50. - If Permit F, e is > $1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE I hereby acknowledge that this information is complete and accurate; that the work will be in conforinafice with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Appille s Signature FOR OFFICE USE Reviewed By. Date: Required Inspections: Under Ground Rough ln, Air Test -Gas Service Test . In NoorHeat -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA151510 Date Issued:08/28/2018 Permit Category:ePermit Site Address: 3277 Rolling Hills Dr Lot:1 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - David Tste W Waldhauser 3277 Rolling Hills Dr Eagan MN 55121 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164325 Date Issued:09/24/2020 Permit Category:ePermit Site Address: 3277 Rolling Hills Dr Lot:1 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-010 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 - David Tste W Waldhauser 3277 Rolling Hills Dr Eagan MN 55121 (651) 470-7450 Three Rivers Contracting Llc 2676 47th St East Inver Grove Heights MN 55076 (651) 214-6640 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165955 Date Issued:12/02/2020 Permit Category:ePermit Site Address: 3277 Rolling Hills Dr Lot:1 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-010 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 - David W Tste Waldhauser 3277 Rolling Hills Dr Eagan MN 55121 (651) 470-7450 Three Rivers Contracting Llc 2676 47th St East Inver Grove Heights MN 55076 (651) 214-6640 Applicant/Permitee: Signature Issued By: Signature