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3278 Rolling Hills DrINSPECTION RECORD CITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ; ; ??tr, II11.t., tlt i l i ! [lei V PERMIT SUBTYPE: PERMIT TYPE: 1` If I I It I t4'' Permit Number: Date Issued: 7 APPLICANT: 1:1' IIPiE iii rill ? rt( )i 1 11 f? ? TYPE OF WORK: ,41 it INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. RI MAP1'3t ?i4l1 1 I-IN 1VAr 1-M Permit No. Permit Holder Date Telephone # S/IN PLUMBING 4 /? q d ?Gf HVAC ELECTRIC 3 /- `S v ELECTRIC Inspection Date Insp. Footings 1 5 -7, i Foundation Framing Roofing Rough Plbg. / - V ll / -? I L b f Rough Htg. Z isul. Fireplace Final Htg. Orsat Test Final Plbg. j Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final ?(a s/ Deck Fig. Deck Final Well Pr. Disp. / Ir ?ZI ? Q `ten Of OW &. -,,t s Kerb f icate of Cccnpauc? CAt4 of Wagan Ttv ext of eta* 3nivatwx 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 21010 Use Qassification: Bldg. Plenniit No..,o?t? N R31MI K! Y Pe %x%MMNr-'9W2V1MXb 450 E, in?District M , 1+111LL. L, Owoer_of Building ?•??1 Address 3216 MIJN? IM3B MM MR Off H= 2W Bu' 'ng Address La W,ty s s Date- Building Offi ial POST IN A CONSPICUOUS PLACE L 10783 d Re Dete n Y L Fire No. Rough-in Inspection qui ? 0 No I? Ready Now Notify Inspector en Ready? I licensed contractor O own hereby request inspection of above electrical work at : Job Address (Street. B or R to No.) City Sec on No. Towns ame or No. R e o. County Occu PRINT( Phone No. ' Power Sup Address EI ical Contractor (COmgany Nam C c1 icense No D ?l Mailing Add s (Con for or Owner stalls "' uthon d gra ure (Com 1 er Making IniStanationl P Phon umb /2 j? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BYTHE STATE BOARD 1621 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 6112-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION a w, 30' Sae instructions for completing tots loan on back of yellow wpy g- I ?a-93 L 10 7 8 ? #. "X" Below Work Covered by This Request . ?.GQ? }Q ?e !,Add Rep. - Typeof 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 Other lsow(y) Contractors Remarks: 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: DIAL Irrigation Booms //G eF D? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby Rough-m ,i l certify that the above inspection has been made. Final Da - OFFICE USE ONLY ,epues, w,o is mono Address 3278 RAILING = DRIVE Zip 5512 I Lot. . 2 BIk 7 Sub mm onto HTTTS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: t10'5 Yes No Inspector: ((? Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiVcurb damage Porch Basement finish Deck r/ Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to, the outside lawn faucet before freeze potential exists. Contact engineering, division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy THIS IS NOTABOUNDARY WRVU CERTIFICATE OF SURVEY FOR KURTH SURVEYING INC. IhEREBT CERTIFT THAT TNIB SYRVEY,PLAN,OR REPORT WAS PREPARED 4002 JEFFERSON STREET N.E. BY ME OR UNDER MT DIRECT S VI ION AND THAT I AMA OULY COLUMBIA HEIGHTS MINNESOTA 53421 EKED hD RVETO R THE LAWS OF THE STATE OF MINNESOTA. 612-788-9769 DATE 5- - 3 SCALE 1 d' INNESOTA REGISTRATION NO.Z07-7Lp 'Lo i Z? ??oGK?? PJUR ??t'. N\??5 - Z? ?? 1?0? ? Z?g•?2 / N12 SIN'. Ib ?= f. PROPOSED 0•IRON MONUMENT FOUND GRADES BEARINGS ARE ON AN ASSUMED DATUM • GARAGE SLAB • 6ciz rO 60 D SPIKE SET qz TOP OF B OC = t_I= SPOT ELEVATION L K BASEMENT FLOOR= $? 6RD ELEV. PROPOSED Slbal.o(,aTU) -j, DRAINAGE ARROW =,a. :.. . ') ? x z u ? ? 1 i 1 I ,a ?- r D ? go?33 ?r 45 4 9i % \ I J ?r n ? t) _ _J \ o C ?4 .01 00 c `y.\ I .`y r Ii o I •P z _ 4 N yy -_> p 1 0% ?Toeep?tl QJ 9`tt.4 ll 5$1"3D C) W ?? t L•nI l'1Z q ? i . _I y219 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 $8y7-.---? v c,I,l _ V y /y . en/ New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. fl. of lot, sq. it of house; and all roofed areas 2 espies of plan Cad of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 1'? Tree Pres Plan Reod _ _Y _ , _N 2 copies of plan showing beam & window saes; poured found design, etc. t site survey for additions & decks Tree Pres Required Y -ti I set of Energy Calculations Addition - indicate H on-site septic system On-stte Septic System _Y _N 3 copies of Tree Preservation Plan H lot platted after 71153 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date /.AS- /a as Construction Cost Site Address 32)8 Unit/Ste # Description of Work ilk -/O y l,0•/iJ/ -11 .S71!?r/ /^(" //1 C/??l?b4 ? Multi-Family Bldg _ Y K N Fireplace(s) _ 0 1 _ 2 Property Owner L/ 4 r Telephone # Ky/) X rl 2 Contractor Address el7'y0 VA age /V City e l State 424 Zip ? _ Telephone # (Xj?) W - O33S Z COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category ) • Residential Ventilation Category I Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( 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 in the case of work which requires a review and approval of plans. &/ AS70 Applicant's Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool W. 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 (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New a 32 Addition ? 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt- SF ? 36 Multi Misc. ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) -Give PCA handout to applicant valuation 3 b, D o0 Plan Review 100% or _ 25% Census Code q H SAC Units # of Units # of Bldgs Type of Const Y ?3 Occupancy rz 3 MCES System Zoning K-1 City Water Stories Booster Pump Sq. Ft. ? PRV Length 3 Fire Sprinklered Width - Footings (new bldg) - Footings (deck) > Footings (addition) -Lo Foundation 7,4 Drain Tile Roof -0 Ice & Water kl Final )o Framing ?g Fireplace b R.I. _L0 Air Test /O Final 4_ Insulation Approved By: REQUIRED INSPECTIONS _ Final/C.O. ?Q FinaVNo C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone _ Brick Windows Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Gowcz /07 33`X 5-Y' CC) ? /7 gzo. oa U?Pp2 /oX33"XSN.eo ??/7, BZo.oo Permit Number MECcheck Compliance Report 2000 Minnesota Energy Code MECcheck Software Version 3.2 Release lb COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 10/25/05 DATE OF PLANS: 10/21/05 PROJECT INFORMATION: Addition for: Pat & Lisa Norman 3278 Rolling Hills Drive Eagan, Mn 55121 COMPANY INFORMATION: Sawhorse Designers & Builders 4740-42nd Avenue North Robbinsdale, MN 55422 COMPLIANCE: Passes Maximum UA = 95 Your Home= 89 6.3% Better Than Code Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Raised or Energy Truss 277 44.0 0.0 6 Wall 1: Wood Frame, 16" o.c. 389 21.0 0.0 17 Window 1: Above Grade, Wood Frame, Double Pane with Low-E 80 0.330 26 Wall 2: Wood Frame, 16" o.c. 243 21.0 Wall 3: Masonry Block with Empty Cells: Interior Insulation 158 13.0 Window 2: Above Grade, Wood Frame, Double Pane with Low-E 51 Proposed and Maximum U-Factor Averages Proposed Average U-Factor Above-Grade Windows and Glass Doors Includes Foundation Windows > 5.6 ft2 0.0 14 0.0 9 0.330 17 Maximum Allowed U-Factor 0.330 0.370 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 MECcheck Version 3.2 Release lb„ ?? Date 2-5 76? moo! A PAT 4 LII 32.78 Rol ECGAN, NI1 SCALE LO Ll-1 N? i THIS IS NOTABOUNDA10 6URVU CERTIFICATE OF SURVEY FOR KURTH SURVEYING INC. I HEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPARED 4002 JEFFERSON STREET N.E. BT ME OR UNDER MTOIRECTS RVISION AND THAT IAM A DULY COLUMBIA HEIGHTS MINNESOTA 55421 R THE LAwSOFTHE STATE OF MINNESOTA. 612.768-9769 DATE 5- SCALE I'- ESOTA A REGISTRATION NO.LOLlup VD to i Z? d)k-0C,Y- ? Rjvv? OAK Nit `s Z-10 /J,pA t?oN 2?i0. ?2 tDpff-o n Co MN, tAw vo iNJ IM w . xI. _- r. 4 .?,0?? .-, CCIP1i r v I i?r•' ?- ! 0 1 _C r?o O, e .? 9,, _ I I d 4/ 9? , \ I v „I try. C? \ a y v i? ? ' \O ? 0 1 ?` W? -'j0.0 --cam ~ 4o,3aj 7 x'33 () ?r 1n tJ r^- 0 o of ? 5 48.33 ?. c p I t1 TI. u lt?S\ -mo of VN qq?t Coo, A16 coa. PROPOSED O- IRON MONUMENT FOUNt GRADES BEARINGS ARE ON AN ASSUMED DATUM • GARAGE SLAB • 6CVZ •• 60 D SPIKE SET SPOT ELEVATION TOP OF BLOCK- BASEMENT FLOOR- $a 6=°J PROOS ELEV. ` I D alb Lk • a 64TM? ORA NAGE ARROW r J t. J I P /a I / 1J? 1-iZ q ? PN 8 i Jp-7 c? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New construction Requirements • 3 registered site surveys showing sq. ft. cf'ot, sq. ft. of house; and aft roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail options selection sheet (tldgs with 3 or less units) DATE 6 00 In- SITEADDRESS 3L fU )kL IK1 All-6 410-9 MULTI-FAMILY BLDG _ Y Z N TYPE OF WORK l CAA d - t V 9W' FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDRESS 3? ( ? bw. I%jf- TELEPHONE #CELL PHONE # STATE4LI ZIP im FAX # & 11 M - -7&-'G PROPERTY OWNER ?fli 1lIl7SL!h?cJ TELEPHONE# (BSI ??f' ?? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS O? ?? II j SEP 0 3 2002 Energy Code Category _ MINNt:SO"r.\ RULES 7670 CAXEGORY I _ NIIV, f;'OTA RULt:S 7672 (,,'submission type) • Residential ventilation Category 1 Worksheet Submitted • Ne ergy Code Worksheet • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: :air Conditioning -- Hcat Recovery' System Phone # Phone # Fee: 570.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan in ces. Signature of Applicant ---------------- ---------- - ---- ---------------------------------------------------------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener Water Heater No. of Baths RemodellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate if home served by septic system for additions Phone # I-awn Sprinkler No. of R.I. Baths VALUATION 700 ? '-zs? V%\.. -)s Fee: $90.00 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 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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.0- - Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & W ater _ 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 USE ONLY ) PERMIT #: y RECEIPT DATE: RESIDENTIAL MECHANICAL PEMIT APPLICATION CITY OF EMM 9830 PILOT KNOB RD EAGM MN 5512E 651-681-4675 Please complete for: > single family dwellings J townhomes and condos when permits are required for each unit Date: 3/ 1^ _/ SITE ADDRESS: OWNERNAME: y (_? 9c 1???CV1Cx 6? TELEPHONE#: /p.51 o?oy 3r•7;P& (AREA CODE) T INSTALLER NAME: ti?l'il\Sti?? C TELEPHONE #: (AREA CODE) STREETADDRESS: Wc(`r1 VyT') CC9 ?'CC hC9 K\oe CITY: 'sa c-> STATE: Vkt?) ZIP: cjCJ3?1 01 ..6 e.1, ... 1, n vf !n 46u narmi# wnr4 }vna New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air ex r • air conditioner • other ' PrtCJt f1G Nature of work: R f State Surcharge T $ .50 Total Reminder: Call for inspections. SIGNATOkE OF ER_MITTE'E' - 0) MAR 2 2 2001 CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: INSPECTOR COMMERCIAL. MECHANICAL PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 5518E 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: (AREA CODE) \ 1 STATE: ZIP: WORK TYPE: New construction Install U.G. Tank - Interior Improvement Remove U.G. Tank - Processed Piping Specify Nature of Work When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing (inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated l/01 .A(diTy OF EAGAN 830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ildinzi Permit Type i7ding 14 rk Type ,7? S laL?y? BUILDING 021010 05/25/93 SITE ADDRESS: P.I.N.: 10-15501-020-07 3278 ROLLING HILLS DR LOT: 2 BLOCK: 7 BUR OAK HILLS 2ND DESCRIPTION: r Construction Type Zoning '- Building Length f/ Building Width Cn VALUATION REMARKS S&W CONTRACTOR - FEE SUMMARY- Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal CONTRACTOR: GARDNER BROTHERS CONST 450 E COUNTY RD LITTLE CANADA NN (612) 481-9600 $692.00 $449.80 $57.50 $750.00 100 $1,949.30 PERMIT TYPE: Permit Number: Date Issued: SF DWG NEW R-3 M-1 VN R-1 50 48 $115,000 MISC FEES $1,744.50 Total Fee $3.693.80 Applicant - ST. LIC OWNER: 14819600 0002736 GARDNER BROS CONST D 450 E CTY RD D 55117 LITTLE CANADA MN 55117 (612)481-9600 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE GNATURE PERMIT application and state that the with all applicable State of Nn. J ISSUED N IG ATURE e REACTIVATE?(?01?(?® CITY OF EAGAN FERMI. # 1993 BUILDING PERMIT APPLICATION MAY 18 1993 681-4675 --------------- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 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 2_ / 1L / 3 Valuation of works 1W,gnC0 Site Address: 3;L ?`b V,-, y H. (?5 Qriva STREET SUITE M Tenant Name: (commercial only) Q '' 1 11 11 LOT BLOCK SUBD. ?w do H I?S P.I.D. M Description of work: Co.4'v'? ?..oucS 1? The applicant is: ? Owner contractor ? Other (Describe) Name Wel 6 Gay 4-Gy'A"', Phone 4 ?G - Sy9r Property LAST FIRST Owner Address 1%61 Crv.4?yr 'j Lam P_ STREET STE N City State /rlAJ Zip Company Bros. C 3? 4- lKr- Phone Hfl- `16 cry Contractor Address 'ISd E CaaJ Q License #61300?3c Exp.3-31-9y City L;J?-Ie Cf??Ja State /VIA/ zip 11? Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber J-ec.?.4_ 'C-K ?vwlo= . 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 a 1 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: V OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish Nr 02 SF Owg. ? 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. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ,131 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) V - N 1st F1. sq. ft. City Water Y&3 UBC Occupancy It-:5 M_1 2nd Fl. sq. ft. PRY Required Zoning R -l Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length -TO-7 On-site well Census Code /P/ Depth yy3r On-site sewage SAC Cod ? Id? ?skS i APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? 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 P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units I veLust,on: $ 1)5 1a0z) ca ZC4 7_4 S? 6 IV- /to 9 2( G ?srnr; y ? x 2 G _ 119 S. 14 xay = 3??1 IZx7= (sy? _r)(,14XIS = 7-2114 o ?s-N ?Srrrl= ?y?` C I'/zp Ib ' IS I/t1< 8 ? 2X7= I'G, ??JZ Z ? ( r rsu3 x $v? 11 y; L7? UWtJEZ: n nnTr: .3 OL STTE ADDRESS: PHONE CONTRACTOR: (oA2(?ra rg 2c PLAN Determine :rorking square footage of each f _ 1. Total exposed wall area..... sq. ft. x 11 7u$ 2. Total roof/ceiling area..... 1 Lo Z `d sq. ft. x .026 = L'Z Total exposed wall area above floor= 1-73-S,Sq •=a $? )I Z ? z. Total will window area ................ .............. ............. . b. Total door area ....................... .............. ............. z .. .:: e. Total sliding glass dror area ......... .............. ............. '1 S, 4o d. Total fireplace wall area ............. .............. ............. e. Total wall framing area (averaoe 10%) . .............. ............. Z 3 `- f. Total rim joist area .................. ..... _ ...... ............. l? g. net wall area above floor .......... .............. ............. 15 1"-' h. wall area above floor .......... .............. ............. i. wall area above floor .......... ...... j. frame wall area at _fo,,Lidat_cr ......... .............. ............. . t Total exposed foundation area= go k 1 Total foundation window area ....................... Total net'-foundation area above grade .............. I=f o Determine "u" value of each wall segment (e.g. window, door, each separate wail section) c . -1 x r-f °I = 3 O d. X I.u11 - _ e. I `]3 3S X. f, l C? X g. I S4Pa Fl X 3 „u„ ,la = 17,3 U oy. _ 10(/ _ (P Z 9 1 h. X u _ i X ul _ X "u" _ k X ,u,. _ 1 ?0 X 'lull /q = IZ .................................Total = 7-o3 r(a-7. If item 7-"3 is?>the s as, or less than it rl, you have met th intent of SBC'bOO6 Total exposed roof/ceiling area........ ( o? sq ft j) Total skylieht area....... r^ sq ft x Q Total roof/ceil`.nq framing "U" f area (Averaeeln%.)..... sq t x 1) Total net insulated roof/ceilino area....... 1LjCtSi sq ft x "U" I. r- S .1 oz 3,9 ,. a..ti ,az zg;3 TOTAL j) thru 1) ? 33?L If total of '1i is the sane as, or less than P2, you have met the intent of 2 SC _2 1.16005 and 0. ALTERtIATE BUIL0111G ENVELOPE DESIGN To utilize the total envelope system method, the values established by the_sun of items =3 and :=4 shall not be nreater than the sum of items #1 and :'2. BLOCK: 1 000 KNEE: Zca ± ZZ -H" WALKOUT: -?? FULL 1: I ?p FULL 2: FIREPLACE: RIM: 16 CJ SQUARE FEET EXPOSED WALL AREA BLOCK: I `?6 x .5 = qo KNEE: `i 8 x 5 = y?{a WALKOUT: 35- x 8 Z'?a FULL 1: ?O x 8 = I `rid FULL 2: x 8 = FIREPLACE: x = RIM: tSo L = i8o TOTAL SQUARE FEET EXPOSED CEILING WINDOWS: i -5 SL Z4Ko 7.I 7 15 I t l -S St ?y 3 c* ?' t] c l9,S'O 3z4?s= Ila_11,33 dl -t=cA LC,Cca IGig, t- r c PI LJOL10 It,tc - tl. f 1. 1-SSA 142s5z ,oLj 3,c'`{ 2("U„<; Icp, Il2bCo 2Z3o DOORS: ?- ?$ I? _38 PATIO DOORS:I - Lob, 32 y Y75? 1-$° 43 L BASEMENT UNITS: SKYLIGHTS: fybr-N CCtySt YUC.c Un wl- =(a. i1 w. {- K 4TTc1) WALL - --_C =a r ?A Q„ CONSTRUCTION .- FRA?MTNG 1. INTERIOR AIR. FILM 2. . 2 BD Y' 3. 5 1/2" SOFT WOOD 6. 4. Ile 5. SIDING E E?E S. E'(I'ERIOR AIR s ILM 0. - _A R= 9.8'r LT= ( O `-.. NET i. 1. INTERIOR AIR F?Ilt C.68?' T, 1-172 GYPBD 4 ?` 3. 611 INSUL. _ 4. 25/32 SHEATf_iING 2.0 S. S.DINC 6 6. = E R AIR 1. INTERIOR AIR FILM 0.68 `'- 2. 6 INSUL. 3. X10 RIM JO " tt. 25/32 SHEATHING 5. SIDING 6 6. EXTERIOR AIR FIT 0._ - S J U= 04 _y BLOCK 1. INTERIOR AIR FILM 0-68'•':x. z 3. ZXL sTcioS w t F c>. +?su 4. '71 4. PROTECTIVE BARRIER 5. s 6. hXrEfUOR A FIU? TOTAL R= .?y - U ?. SLAB ON GRADE PI L x 'V , t Y Fem. Rq NOTE 77r t k'' INDICATE TYPE, "R" VAI i. DEPTH AIND PLACEMENT- OF INSU(.ATION. VENI' i /A L CONSTRUCTION R-V?LIS 1. INTERIOR AIR FTfM n -k 2. 5/8" GYP Rn,o 3. INSULATION ne) 4. EXTERIOR n c, IVEAL 45.80 ,,; _ .02 FRAME A rLXl4] 1. INTERIOR AIR FILM 0.6! 2 gg L 3.?+1110YULATION 38,15 4. EXPt;RI R AIR FILM 0.61 - 40.15 FIG. #5 U = 0.024 .EAT "TNT UP FIG. #6 ?t r- ri ? ? ?, r.rl Iy t ryr,v ?? ?? yr I 1 1 NON-V•EN HEAT FLOW UP IG. #7 VENTED CONSTRUCTION 1. INSIDE AIR FILM 2. 3. 4. S. OUTSIDE AIR FILM 0.17 FRAME 1 INSIDE AIR ILM TMAd' U = 0.61 2. 3. 4. 5. p 1. INSIDE AIR FILM U = 0.61 2. 3. 4. 5. . A R FILM { 0.17 TOTAL 1OT U - NOTE: USE ADDITIONAL SHEETS IF K)Ft SPACE IS NEEDED FOR DETAILS AND CALCUI°TIONS. THIS IS NOTA'BOUNDARr WRVEy FOR It R, . CERTIFICATE OF I HEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPARED 9Y ME OR UNDER MY DIRECT S ERVISION AND THAT 1 AY A DULY EKED NO RVETO 1 R TNF LAWS OF THE STATE OF MINNESOTA. INNESOTA REGISTRATION N0.10L71-) to L, "jLOr?K?, g•,T. 0A<v, L"o Asvo (TtoN -t)+ffo-t-A Co Zr?q,. cot E SURVEY KURTH SURVEYING INC. 4002 JEFFERSON STREET N.E. COLUMBIA HEIGHTS MINNESOTA 33421 612-788-9769 5-- (5tR-q72 OaTE 593 SCALE I'- S" u- PROPOSED O-IRON MONUMENT FOUND GRADES BEARINGS ARE ON AN ASSUMED DATUM - GARAGE SLAB • gc(2 o •+ 60 D SPIKE SET 2 q (?)• SPOT ELEVATION TOP OF BLOC $q K+ BASEMENT FLOOR- $ 6x,,) ? ).PROPOSED ELEV. , t316y p`4y.) -"DRAINAGE ARROW i- a - ?... „ ..;x.;'. '. .,a h$,_N4.? dl:.'., ... b, ?, _.aa .n„x..c n..:'.,''^' ., ..e ;A.V'. ^. .,[?, .;;:.:a s..i .. ,< .. I, 43 17 41 21 X ? ? - ,.. . y, .. ...... .... Y C ?? As ^ 06 f n o ? 33 0 Jn ?j 'l0 O 15.b'3 ?. ? u 'VY ? 0?0 N 5 _ lJ 1D _??..+._ tI I? I ' S I ?\ a 4' 77. 4 1 $A T , ?V i` ` ` t t.4 S? t7S1o-60,o,l, I?Zq? %k;?-c "g.. (4A` y HS_ coR. ( L•n, I< ` a i G: a rt v T C m It LOT SURVEY CHECKLIST FOR RESIDENTIAL w ' ¢ O m N > BUILDIN PERMIT ',APPLICATION < J ¢ PROPERTY LEGAL: M a w < m ? ^ Date of survey: z z f DOCUMENT STANDARDS BAD 0 Registered Land Surveyor signature and company 2? ? ? Building Permit Applicant W, ? ? Legal description ? B' ? Address ®-- ? ? North arrow and bar scale 9 ? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) C?? ? Directional drainage arrows with slope/gradient %. 0 0? ? Proposed/existing sewer and water services ??? ? Street name ? ?? ? Driveway ELEVATIONS Existing ? 0? ? Sewer service 0' ? D Lot corners [??? D Top of curb at the driveway p,-0 ? Elevations of any existing adjacent homes Proposed ?? ? ? Garage floor ?- ? ? First floor 0? ? Lowest exposed elevation (walkout/window) D- E3 ? Property corners ? ? Front and rear of home at the foundation PONDING AREAS (if applicable ? 2'? ? Easement line ? C9? ? NWL ? 9' ? HWL ? 0' ? / Pond # designation ? D ? Emergency Overflow Elevation DIMENSIONS 0- ? ? Lot lines P3? D ? Right-of-way and street width (to back of curb) ?? ? ? Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) a-? ? ? Show all easements of record and any City utilities within ? those easements D ? ? Setbacks of proposed structure and setback of adjacent / existing homes D .? ? Retai wall re irements, if any Q/ f ?? Reviewe a I , Name / ate October 1992 a .tt N O a . m rn R; v Q ti r< M ti u o v c 3 ti 0 z J W 0) O f-0 i Ld w Im Q Cc w Wig 0 HOTA VV CERTIFICATE OF FOR 111096r caqurTUASTRIS SINVUAP-MkOR pEM"WASM ftRW ar mean wamm- wesmCT VA" AMaTMAr 1 AN A Cle" AEa w RTMT L"sar TM[STATa OF MHOWMA. lin-ME-SbTA REGIMATION NO.M.1 SURVEY KUR'fli SURVEYING INC. 4002 JEFFERSON STREET N.E. tOLUUSIA NEI6IITS wNRES07A 35421 ala-raa-ans DATE J5- 15^3 SCALE I•o QtI? ©A•K ?1L? (wY sEyewxGD w+lof? Z^'a Ap > motl -Oki-O-T-A Val u L tai Y m ..a _fsr?$261 ?, s9r9 zi fly ?. C? Q _ ? Ivy.. '^ 'asa ` c ? wr" s L- N 0 -PROPOSED O•INOR1101>ElN FUND GRADES DEARINGS ARE-ON AN ASSUMED DATUM AS? a sobS"KE SET GANA$C $L . [, 1¦ SPOT ELEVATION TOP OF BLOCK- yy a PROPOSED ELEV. ' { SASEMENTfLOOR* g6q.a t?`7 --*a DRAINAGE ARROW saq, 46a- 0 3 ~? -N 5 • a, 4 'F a arse I ? r? tibv>? ' T ?'? L+•IG ev. yi AY? y Uri-R3 { S 3 ? $l°30 ax W *A* (bill 07-1 l1 r 0 a 0 M m 0 0 ae N m sS ?- 0 '" PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE -T219.3 FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU $ 24.00 6.00 GAS OUTLETS MINJ-?iC1(UM 1 @ $3.00H ace-, 9. QO ADD-ON/REMODEL (?tISTIN CONSTR uCnON)$ 15.00 STATE SURCHARGE 5 TOTAL SITE OWNER INST. Illy TELEPHONE #: 1-67 - y b O 12481 Rhode Island Ave. So. ADDRESS: cavgP, hAN 5SR7R.1122 894-0005 CITY: STATE: ZIP CODE: TELEPHONE #: E OF PERMITTEE I?MATL 1993 MECHANICAL PERMIT (RESIDENTIAL) CM OF EAGAN 3830 PE.OT KNOB RD EAGAN MN 55122 (612) 681-4675 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF fpgM FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: TELEPHONE STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES L 0 SHOWER _ WATER CLOSET BATH TUB LAVATORY KITCHEN SINK T LAUNDRY TRAY HOT TUB)SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Dak.Cty. lic. U.G. SPRINKLER • home under cont. ALTERATIONS • to misting WATER TURN AROUND STATE SURCHARGE SITE EACH TOTAL 3.00 1• rjO 3.00 9 • ° ° 3.00 L,v o 3.00 ?f.9 a 3.00' 3, fl 3.00 3,a 0 3.00 3.00 3- 00 3.00 IF C' 3.00 .3'vly 1.50 5.00 15.00 3.00 15.00 15.00 .50 OWNER NAME: 1_4 A7 gLzc INSTALLER: ADDRESS: 13 3 T%- /,-/, CITY: ? D STATE: -- ZIP CODE: PHONE #: ((;/L) SIGN A PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 "MT AT 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681.4675 PLEASE COMPLETE FOR ALL COMMERCIA (INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUII :DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U.. ,T. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF PERMIT FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: STE. # ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT CITY USE ONLY oS L O? BL r RECEIPT #: H 3 / SUED. c l% /jXKO C7?h/ RECEIPT DATE: 5 9 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 ----------------------------------- # 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 * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 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 lo. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL :;?V. Sa -- ------ -- -- ----- ---- ----- ----- --- - -- --- --- ----- - ----- --- -- -- --- ------ ---- --- ------ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed and/er this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: " INSTALLER NAME: r TELEPH8NE#7 ???? ???6r{ STREET ADDRESS: 1;24W-5 Ce - CITY: G 1 CD/PERMIT FORMS/RPLBG PERCT (ES) - 1998 ATE: /12/4/. ZIP: 556r r/ SIGNATURE OF .7;7-/ 91 ,-t 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq, ft of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) _7Z-o_ RemodeVReoair Requirements Office Use Onty 2 copies of plan Cart of Survey Recd _Y _N 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N 1 site survey for additions & decks Tree Pres Required _Y _N Addition- indicate ifon•sife septic system on-site Septic System _Y _N Date Z Z O' Construction Cost ?yJ J v , Site Address ?fl(,?,(J is k (l l5 JV. Unit/Ste # Description of Work L - l7 AS V- ^ UUS h1? Multi-Family Bldg - Y K-N Fireplace(s) - 0 _ 1 2 Property Owner s -V' W /r Telephone # ( 6'13 362(o Fireside Hearth&Home Contractor 14399 Huntington Avenue 78 Cit Address Savage, MN 553 y State 952.736.7761 _ Telephone # License #20512060 E/ S n!/ i9yA/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING '" Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category I Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • 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? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone #( ) Mechanical Contractor Telephone #( ) Sewer/Water Contractor Telephone #( ) 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 work which requires a review and approval o`fplplans. n L 1Q 0 Applicant's Printed Name Applic is Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bld g) - Give PCA handout to applicant Occupancy MCES System 100% or 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width - Footings (new bldg) - Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing - Fireplace _ R.I. - Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other - Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Building Inspector '11?t C?3 4,2D!60 OI W o U 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan f 5i 3830 Pilot Knob Road, Eagan MN 55122 t/ Telephone # 651-675-5675 L_ Please complete for: single family dwellings & townhomes/condos when permits are required for each unit /? Date l / v `i U it # Site Address J n Property Owner Telephone # ( ) Contractor Street Address ?. City / O 11 State Zip ?syd Telephone # (j3 -//X Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 _ furnace -Additional -Replacement _ air exchanger air cord loner New Replacement other AA L IN QV ? ?? ? ha PCT6 o (J State Surcharge $ -50 Total $ 50T I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 fc? of fans. approved plan in the case of work which requires a review and app Lea??? ??, ??? 'Applicant's Printed Name Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip ( ) Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction - Underground Tank _ Install -Remove "see below Interior Improvement - Install Piping - Processed -Gas Nature of Work: * When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% = $ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If en rmit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 Applicant's Signature Approved By: , Inspector Flare Heating & A/C Inc. Project Report Project Title: Designed By: Project Date: Client Name: Client Address: Client City: Client Phone: Client Fax Company Name: Company Representative: Company Address: Company City: Company Phone: Company Fax Company Comment: NORMAN Mike Sawhorse Builders 3278 Rolling Hills Drive Eagan, Mn. 55121 612-221-4349 Flare Heating & Air Conditioning Mike 9303 Plymouth Avenue North Golden Valley, MN 55427 763-542-1166 763-542-3101 You Can Feel the Difference Daily Temperature Range: Medium Latitude: 44 Degrees Elevation: 834 Feet Altitude Factor: 0.970 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Dry Bulb Difference Winter: -20 0 0 72 0 Summer: 95 75 50 75 36 Square Feet of Room Area: 3,400 Square Feet Per Ton: 1,530.650 Building Loads Total Heating Required With Outside Air: 64,261 Btuh 64.261 MBH Total Sensible Gain: 19,585 Btuh 73 % Total Latent Gain: 7,070 Btuh 27 % Total Cooling Required With Outside Air: 26,655 Btuh 2.221 Tons (Based On Sensible + Latent) 2.357 Tons (Based On 75% Sensible Capacity) calculauons are oasea on tm eamon oT AGGA manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Flare Heating & A/C Inc. NORMAN _ Pape 2 Golden Vallev. MN 554273700 10 Total Building Summary Loads Description Quan Loss Gain Gain Gain 4A Window Double Pane & Storm Clear Glass Wood Frame 382 11,984 0 8,184 8,184 11C Door Metal Polystyrene Core 20 865 0 222 222 121 Wall R-19+ 112" Asphlt Board(R-1.3) 1,244 6,294 0 1,614 1,614 15C Wall 2-5' Below Grade 8112" BIk+R-1 1 1,306 6,127 0 0 0 161 Ceiling R-44 Insulation 1,700 3,597 0 1,720 1,720 21A Basemt Floor 2' or More Below Grade 1,400 3,091 0 0 0 Subtotals for structure: 31,958 0 11,740 11,740 People: 6 1,380 1,800 3,180 Equipment: 300 1,200 1,500 Lighting: 0 0 0 Ductwork: 0 0 0 0 Infiltration: Winter CFM: 204, Summer CFM: 102 20,030 2,422 2,177 4,599 Ventilation: Winter CFM: 125, Summer CFM: 125 12,273 2,968 2,668 5,636 Sensible Gain Total: 19,585 Temperature Swing Multiplier: X-1-00 Total Building Load Totals: 64,261 7,070 19,585 26,655 Check Figures Total Building Supply CFM: 793 CFM Per Square Foot: 0.233 Square Feet of Room Area: 3,400 Square Feet Per Ton: 1,530.650 Building Loads Total Heating Required With Outside Air: 64,261 Btuh 64.261 MBH Total Sensible Gain: 19,585 Btuh 73 % Total Latent Gain: 7,070 Btuh 27 % Total Cooling Required With Outside Air: 26,655 Btuh 2.221 Tons (Based On Sensible + Latent) 2.357 Tons (Based On 75% Sensible Capacity) Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. ?007q 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3530 Pilot Knob Road, Eagan MIN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit ? 56' so Date / /- D \re'? i Site Address 3 c? 7 p ?/ /2 //? U it # . / n ? Property Owner 7-V:Uf Telephone # (???-) 7 Y y r! 9 Contractor 131RcNSVII I E HEATING & n/r INC. 3451 W. Burnsville Parkway Street Address Suite 129 City State Burnsville. MN 5141 Telephone# oc)0r7 Bond #: T/ 3- &E 2 0 7 / Expires: - d2V The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 X furnace -Additional Replacement _ New _ air exchanger air conditioner heat pump other State Surcharge $ 50 Total $ 5?(? I hereby apply for a Residential Mechanical 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 with Fee a rrpal Codes I understand this is not a permit, but only an application for a permit, and work is not to start without a that le work ill b in accordance with the approved plan iryth case of wor h requires a review and approval of plans. Applicant's Printed Name Applicant's Signature 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone Al 651-675-5675 FAX # 651-675-5694 NW Conshuchm Reauiraial a 3 registered site surveys showing sq. R Blot sq. R of halm and q1tooled areas {20%nmInn o>dCoverageslbwml) I Soils Report if Proposed haunt is to be pboad on distorted sot 2 copies of plan aawhg beam It window sees; poured found design, di 1 set of Enmgy Calo4stims D 3 Copies of Toe Presmv?on Plan 9 M plotted after 711M lA Jolat Dalai Optims n?lburdingswth3mloesmdbJ F mess 2mpis Of plan slowing foatirgs. 1 ad ofEnew Cala9atiomforIN 1 site sarayfr addNons B deda -7T T - ?- Nov 2 0 2008 '7733 0 ilse Only Gustaf Suney,Recd 'Y _N Salh Repot _Y-_N Tree PresPWiRecd Y _R Too ores Rewimd _Y _N ortssase*,Sy*m _V ._N Plans are considered public information unless you state thew are trade secret and the reason. Date-D_/?// ? - Construction Cost '30t°??_- i lr , BY ?- t Site Address?, ? / unit/Ste # Description of Work . Multi-Family Bldg _ Y - N 4 Fireplace(s) 0 _ 1 _ 2 property Owner irA ?' ' W!, t^/ f / &+ go r man Telephone # (?,?) 4&? -- ap Contractor I(lL on _w. er_f _t . Address Wil d We- , City M ZAAe State 1 I•. ?Vl?--- Zip . 7-- felephoae # (M 1$1) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Cade Category - Minnesota Rules 7670 Catmory I _ Minnesota Rules 7672 (J submission type) w Residential ventilation Category 1 Worksheet . New Energy Cade Worksheet Submitted SubrmTted . Energy Emebpe Cdadafions Subnnlted In the lost 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor apply for a Residential Building Telephone #( Telephone #( Telephone #( e; 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 an in the case of work w i requires a review and approval of plans. n C ' ? n !,1d?4IEt L ? App tl-cant's 1?ted Name ��� I� �� �� wN� �� �� ��� � ���.�,..��.:�a ..���.T,�a�,a>�4 � � ,�, ��-` �� ,..,.���... ,�_.... _ ... �'" � o/ � � t ��Gs����:�a��� ' � r /��� � � � �� � f ����� ��� �-�r�.�_ � ��..E.� � '� `'� � �� ����� ��� ������� ' � _ ; ��f ,� � �'� �.�-��:-' � . � �.. � - ��.�,_.�. _ .,�.�„ �.,���^��t€ . a�, � ,� ���.� a ��.. ...�. � ,,F ' , � � ��. ���. � �� �� - ��. .// %/� ��, .'� �,. �%i//i ./ /i%j r �/i����. i ��io /%/� �� : ���//%/� �o i ,� �//% �.: i' �� / < .���i������s����� i�% 'j�%iyi��i/i%j� iii�ii��/�/ �-= '�� ' �!%� �/�� �_ ��// �;-,;- / �� =/ �'" /, i, 1 �j�� � �t,���`� �t I�C�' �p�0 NOT WRITE BELOW THIS LINE: �� `�� � SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) �0 Single Family Garage _ Porch (4-Season) Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola�) _ Miscellaneous 01 of_Plex Lower Levei Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior �p Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �ZZ �Od•� Occupancy �IzG ' I NICES System Plan Review Code Edition �rl� ZJ�S" SAC Units (25%_100%�) Zoning �� Gity Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction �,� Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: _ Footings(Deck) Final/C.O. Re�quired Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stu�cco Lath _Stone Lath _Brick c'�, Insulation � Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: �`�m �� ��`� /� , Building Inspector RESIDENTIAL FEES !�rX�p� ^ Q��� � �( 2a,o-a = l7bO_'� Base Fee Surcharge / �it/•� ���� �fl� � Plan Review MCES SAC City SAC Utility Connection Charge S�W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA144091 Date Issued:07/12/2017 Permit Category:ePermit Site Address: 3278 Rolling Hills Dr Lot:2 Block: 7 Addition: Bur Oak Hills 2nd PID:10-15501-07-020 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Liisa M Norman 3278 Rolling Hills Dr St Paul MN 55121 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154955 Date Issued:04/19/2019 Permit Category:ePermit Site Address: 3278 Rolling Hills Dr Lot:2 Block: 7 Addition: Bur Oak Hills 2nd PID:10-15501-07-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Liisa M Norman 3278 Rolling Hills Dr St Paul MN 55121 (612) 963-5218 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169082 Date Issued:05/13/2021 Permit Category:ePermit Site Address: 3278 Rolling Hills Dr Lot:2 Block: 7 Addition: Bur Oak Hills 2nd PID:10-15501-07-020 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Liisa M & Patrick Z Norman 3278 Rolling Hills Dr Saint Paul MN 55121--234 (612) 518-6106 Three Rivers Contracting Llc 2676 47th St East Inver Grove Heights MN 55076 (651) 214-6640 Applicant/Permitee: Signature Issued By: Signature