3282 Rolling Hills Dr• d
V V -Ui
Werti f icate of Ccc"onc?
Wit4 of pagan
Toartment of SuMag a??cctiea
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use classification: SF DWG Bldg. Permit No. 20321
Occupancy Type rd /,M 1 Zoning District Type Const. VN
MITI MMM ISIS 785 S1HW DR, EWM
Owner of Building- Address
SL • f
B ' ?g Address Locality
04/14M
" Date:
Building Okcial '
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
'49'i f
INSPECTION TYPE DATE INSPTR, • TYPE DATE INSPTR.
?lil?lM?i
Itf MAPK''S: A W V1 6k t. 4 UVFR MI 1 11
F
L `
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING ?a 9?- /- 8'13- ?oaG
HVAC y? ?9 -oo
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing 3 _ O 1 a
lY
Roofing
Rough Plbg. 3 1®
G
Rough Htg.
2/1011
Isul. 3 --/Z7)3
Fireplace 310. g?
Final Htg.
Orsat Test
Final Plbg. Plbg. or - otify PI mbar
Const. Meter
EngrlPlan
Bldg. Final f ./ i!1
YJ
Deck Fig.
Deck Final
Well
Pr. Disp.
IQ.
9
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
I u I I I: I?? I t
i I. INO FIlF I,'. Ilk
Fillk (VAK' N I L I ?- "Nil
PERMIT SUBTYPE:
. ,:1'''t
APPLICANT:
tii l i lilt[ I r1l
i b l .' 1 tl %-14 1 4 H H
TYPE OF WORK:
III ' CV 1F'1 ION
Fill I I It I Nit
HI 14
UFt[If.INU
( IN
L J
kiMAkf,:,• A SUPANAIt PfNMI I I', lif-011110'Il FOR ANY ElfL ikIt At Ilk I'I11hIlilNit lAttkit
Permit No. Permit Holder Date Telephone E
ELECTRIC 8 1v7
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
DECK FINAL
/
Address 3282 RoLLIW HILLS DERM Zip 5512 1
Lo't ' ' f` Blk 7 Sub BUR oax Epim w
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
I
Date: 04/14/93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) t/
Permanent steps (main entry) I? uµ [ Pe- %
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish t/
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
EB-00001-09
?ti Ll REQUEST FOR ELECTRICAL INSPECTION Milli
`g 7 , see instructions for completing this for on back of yellow mpy V,
/O "X" R=fl ' OOVered by This Request r
New Add Rep. Type of Building Appliances Wired Equipment Wired
11 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 # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to too Amps
Transformers Above 200-Amps Above 100 -Amps
Signs Inspector's Use Only. TOT L
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY ORDE ED ONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 ON
I, the Electrical Inspector, hereby Rough-in - Cate?'/f `Y -
I
certify that the above inspection has
been made. Final Oate
?j ;
tit
OFFICE USE ONLY
This request void 18 months from
O
8
943 „??
o
X
R/equest ale )^.
D Fire o, ough-In Inspection Required
(You m
09. inspecta
wh
reatly) Inspection Other Tha Rough-In
dy Now Will Noti/y Inspector
t
/ y
?
NO Da
e Rea
I ? licensed contractor owner hereby request inspection of above electrical work at:
Job Address (Street, or Route No)
F l
pa City
h
)
3? a IJK-n ve x
Section No. Township Name or No. Range No. County 'nn'II ?i nn
0
JCN/
-
\`
JoNT) V (f1?ap
?
R
Power Supplier Address
ElecMCal Contractor (Company Name) CoMrador's Leanse No.
Mailing Address (Contractor or Owner Making Installation)
Andiron d Si natur ( ntractor/Owner Making Installation) Phone Number
11
MINNE OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigg t-Midway Bldg. - Red. 5-128 II II I I I I I I I BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
K 6
5 aaa ?v
a
? iii
Request Date Fire No.
L st z Rough Inspection
Required? ?.A
? Ready Now Rp W Re Inspector
? Wh
R
d
?
/ r 6 G No en en
ea
y
I '(licensed contractor D owner hereby request inspection of above electrical work at:
Job dress (Street, Box or Route No.)
?
k City
a
l
11u rp
Section No. Township Name or N flange No. County
Occupant (PRINT, Phone No.
Power 5upplle
.7 SP Address
wee
Electrical Contractor (Company Name) Contractors License No.
vENse c o
Mailing Address (Contractor or Owner Making Installation)
/n' Z/ Q F K
Ault horizep nature tCp rectonOwnor Making Installation) Phone Number
y?-7 ?oa
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
ONgga-Midway Bldg. - Room S-170 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION g X,'4" EB-00001-08
K ^ ^ ? See instructions for completing this form on back of yellow copy. aa?Sp
JU lYJ J{ X" Below Work Covered by This Request
New -c! 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 Ispecilyl Contractor's 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 Ab Amps
Signs Inspectors Use Only: G TOT L
Irrigation Booms 0 ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rough-ins
vgr*? Date ??y3
41X
certify that the above inspection has
been made. Final
OFFICE USE ONLY
This request void to months from
O 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
A(?as
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cent of Survey Rood _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y
_
_N
2 copes of plan showing beam & window saes; poured found desyn, etc. 1 site survey for additions & decks Tree Pres Required _y -ii
l set of Energy Calculations Addition - indk ete If on-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan Slot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
/ 05-
Date / l ;? 4, Construction Cost c?69?0
{4s
Site Address 32O? ???//?j////?1 ?/ • Unit/Ste #
?
?
Description of Work f 30? i !/l///1LfO t'? /
141
1 ?
Multi-Family Bldg
_ Y ?N _
w . /
Fireplace(s) _ 0 ? 1 - 2
+
l )? /
Property Owner -I +r n ? ?)UV t7 ILf I(, SCiI/ Telephone #((P5+) L15 11 -3-51 V
Contractor [/
Address 3DD l zw S City
State a !Q Zip Telephone # (7CQZl) &4> (OO (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 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
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.
()5s -
ApplicanYs Printed Name
Apj* fs ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 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 ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bld g) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _
_ Plumbing
_ Foundation HVAC
_ Drain Tile _ Other
Roof - Ice & Water _ Final - Pool _ Ftgs
Air/Gas Tests
Final
Framing - _
Siding
Stucco
Stone -
Brick
Fireplace _ R.I. - Air Test -Final _
-
-
Windows
Insulation _
_ Retaining Wall
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
Building Inspector
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
3282 ROLLING HILLS OR
LoT: 1. BLOCK: 7
BUR OAK HILL 2ND
BUTLDJN ?.;J
'
Pi 03; 1
02/16/98
SITE ADDRESS:
P.I.IV.: 10-15501.--010-07
DESCRIPTION:
Buildi,rig Permit Type SF DWG
- Building"Work l-ypr NEW
UBC Occupancy R-3 M-1
Construction Ty,p: V- PI
Building Length
Building Width
48
47
REMARKS:
.i & W RLBR -- KLUVER NFCN
FEE SUMMARY:
Base Fee
Dian Review
Surcharge
SAC
SAC
SAC Units
Subtotal.
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
VALUAT2oN
$793.56
$5:15.78
$72.00
$750.00
100
1
28
$1.44,000
MISCELLANEOUS
Tntal. Fee
?...___S,.r,.7Q4.-50
$;,%175 78
CONTRACTOR: -- Applicant - S'T. LICOWNER:
MITTELSTAEOT BROTHERS 14569125 0003443 MITTELSTAEDT BROS
7 8 5 SUNSET DR 785 SUNSET OR
EAGAN MN 55123 EAGAN AN 55123
(612) 456-9125 (612)456-9125
i hereby acknowledge that I Piave read this application and state thet the
information is correct and agree to comply with all applicable 54.ate of Nn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE NATURE S ED IGNA R
PERMIT 4,
REACTIVATE
10,34M
CITY OF EAGAN 'fiv3, ?q.?. nl
,BUILDING PERMIT APPLICATION FES 8 RECo
681-4675 .
"" II
SINGLE b MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
talcs.
COMMERCIAL 2 sets of architectural b structural plans, I set of
specifications, I copy of energy talcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re nest is made or tat change is re uested once ermit is issued.
Date / _'R, / c Valuation of work cftJo e!22
Site Address: -3 ?) 5?6 2 /Z, Al-z
STREET SUITE f
Tenant Name: (commercial only)
LOT _L
BLOCK _?
I
SUBD.
2
Description of work: S r /&
The applicant is: ? Owner 0 Contractor ? Other (Describe)
Property Name Phoiie,
LAST FIRST
Owner
Address
STREET STE R
City State Zip
Company 5 Phone V ,lle
Contractor Address Ze_!f ?;zr„Jez,?_-,; 410; License N Jam. ??l1 Exp. -3197
City State Zip X4/2 3
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer b water licensed plumber c Processing time for
sewer b water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. /^!
Signature of Applicant: ,
° _ ?,(
OFFICE USE ONLY • "
BUILDING PERMIT TYPE 1
'
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging U 1"6 e'irefni'nish
fem
Er 02 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. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
M31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) NI-N Basement sq. ft. MWCC System YES
(Allowable) V - N 1st F1. sq. ft. City Water i S
UBC Occupancy Q-3 M-1 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length 48, On-site well Census Code ld?
Depth ti r• On-site sewage SAC Code C> I
APPROVALS ,
Planning Building Assessments
Engineering Variance
REQUIRED INS PECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Fi nal ? Draintile ? Fireplace
Permit Fee v.iuatim. $ /4N, oao
Surcharge Gqt? G£ ??,
Plan Review XzL 5'72 X 1?= `x,152
License
MWCC SAC ` z r, Z_T lOsp
City SAC 12 x 3 % 3G
Water Conn.
Water Meter / 0$6 X IS: I L 29 O
Acct. Deposit IST'FLopR;
S/W Permit
S/W Surchargge T = 1 °$6
Treatment Pl. 1,2Syc7 = 9
Road Unit
Park Ded. i ?s1`/?.2s 1?
Trails Ded. S$ cj ESq
Copies / 3K 0'
Other
Total: ILoz>j
SAC % I o io'/Z x,y'2 = i i 3 k 53 E319
SAC Units -0
lu?N
it
. .FttS-U0-'7.J 111jrv 1G•?a 1Y•JnIICJ'. ..-
`SURVEYOR'S CERTIFICATE
I ^
BENCH MARK
ELEV Wt
SS 4? 172.91
"
47,35
-56
\ ?BZ \
_ \
o'
n
? m$
I
N?T- \ D 1
MITTELSTAEDT BROS. CONST.
?I
r-
N81°30b1OF
891.5 ?°? P - S
)4 K) 494-0
991.9 ?
,
i
0. A / i a
ti
n4e
A
tT 892 J
892.3 w ?
BENCH MARK 1O
'O
1 O TOP OF PIPE 10 r 89d 3,
IPiELEV. X892_-
/??ay
sT 90.40 tJgr3o
G
G
B ? -
g1?C IiN YNlERIPdG DEPT
SH
gWN ARE
NOTE: BUILDING DWENSPON
S
y
p?
1?
A
A
Y.. SEE
ATION Of 'ST
RUCTt1RE ONL
ARCHITEC ULL PLAW FOR BUILDING
8 FOUNDATION DIMENSIONS.
DENOTES PROPOSED JIRFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
XOOO.O DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
NOTE: NO SP6CM WN
HAS BEEN COMPLEM ON THIS
LOT BY THE SURWYOR. THE
SUITABILITY Of SOL$ TO SUPPO RT
THE SPCC/1G Houft MOM=
IS NON' THE IIEBPONSIBILMY OF
TAE SURMYOR.
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR s ?TZ•8 FEET
PROPOSED LOWEST FLOOR - 985'. I FEET
PROPOSED TOP OF BLOCK - 893• Z FEET
WE HEREBY CERTIFY TO MITTELSTAEDT BROS.-CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF;
Lot I , Block 7 , BUR OAK HILLS, 2ND ADDITION occording to the recorded plat thereof,
Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 3RD DAY OF - FEB. 1993.
PROPOSED GRADES SHDWN WERE
TAKEN I" THE GRADING,
DIYIBMBE R EROSION CONTROL
PLAN PON OUR OAK HILLS -
AS9DCI INC. LASTDA T ED
2-13-92.
-n
^-- 0 O 0
0 I I t?rl I? ?
_ ?
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o Cy Z
p W H
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D O I m z
m z
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i
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<
-- 12001-
I 7? , >t2.00
5.33
\ i0 \ 891.5z?-
1 j N
,o rn o
R. HILL, INC.
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY, RD. 42 0 HIIRNSVII I F. MN 55337 a 612.8%0-8044
'A 0 DO
Q' D 0
13 0
0? 0
IILY 0 0
v0 ?
0
0
pow
-0""10 a
D D
O? D 0
M 13
13
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?D D
V0 0
e10 ?
0 ?
LOT SURVEY CHECKLIST FOR RZSIDZNTIAL
NVILDIN PERMIT APPLICATION
PROPERTY •*GAL
Date of Surveys o?3? R3
DOCIIMBNT BTAND B
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
Address
North arrow and bar scale
• House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient =.
• Proposed/existing sewer and water services
• Street name
• Driveway
Exit
• Sewer service
• Lot corners
Top of curb at the driveway
• Elevations of any existing adjacent homes
Proposed
• Garage floor
• First floor
• Lowest exposed elevation (walkout/window)
• Property corners
• Front and rear of home at the foundation
PONDIWG AREA (if acnlic bl9l
• Easement line
• NWL
• NWL
• Pond # designation
• Emergency Overflow Elevation
• Lot lines
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, ate. (i.e. all
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 home?J- /
• Ret
Reviewed:
if any
October 2992
`i
This form is only applicable to detached one-and-two family dwellings. The
requirements herein are based on amended Section 502.2.1.7 in lieu of the
criteria specified in Sections 502.2.1.1, .2 and .3.
Building Address:
Contractor or owner: 1/7TEi ITAEnr 12A9,anye12 < e ?S T
j,
f Building Element "R" Values Area (so ftl of Ext Walls
' Ceilings Design-q?-Required 38
Walls* (exterior)
Floors*
(overheated spaces)
Design21 Required Zg
Design 21 Required 20
2 9''a
(without foundation)
Windows**
Foundation Walls
Slab-on-grade
floors
Design4.09Required 2
2L4d S, 95 to
Designl3_& Required 5
(when insulating full depth of foundation wall)
Design - Required 10
(when insulating only to frost depth & footings
extend below)
Designl,3 Required 8.83
Doors DesignIq Required 3
Footnotes:
* For the insulated cavity of opaque walls, floors, and rim joists.
** Maximum window area must not exceed 12 percent of the area of
exterior walls, not including foundation walls.
CERTIFICATION
I hereby certif that I have completed the above information and that it
complies with Minnesota State Energy Code.
Signature Date: ?? ?}y
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-15501-010-07
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3282 ROLLING HILLS OR
LOT: 1 BLOCK: 7
BUR OAKS HILLS 2ND
U411 V
BUILDING
026298
08/30/95
DESCRIPTION:
r°._.•.. (IN-GROUND)
Building' Permit Type SWIM POOL
Building Wp;r,k Type NEW
i.
,t
3
n
.. , 1. / -. _ ..._. _. . .
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$162.25
$5.00
$167.25
$10,000
CONTRACTOR: - Applicant - OWNER:
VALLEY POOLS INC 18941480 KOLESAR JOHN
651 CLIFF RD 3282 ROLLING HILLS OR
BURNSVILLE MN 55337 EAGAN MN 55122
(612) 894-1480 (612)454-1487
I hereby acknowledge that I have read this application and state that the
i ormation is correct and agree to comply with all applicable State of Min.
L S a utes and City of Eagan Ordinances.
IA b ' I
SIG T RE
gqI
APPLICANT/PERMITEE SIGNATURE ISSUED
CITY OF EAGAN 3830 PILOT KNOB RD 55122
1995 BUILDING NG PERMIT APPLICATION (RESIDENTIAL) ?,,? rf • ? ?,??
681-4675
New Construction Reouirements Remodel/Repair Reouirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plena (include beam & window sizes; poured fod. design; etc.) ? 2 site surveys (exterior additions & docks)
? 1 energy calculations ? 1 energy calculations for healed additions
? 3 copies of tree preservation plan if lot platted after 7/1193
required: _Yes _ No 19
DATE: ?S _ ?3 Pq S CONSTRUCTION COST. 9;STJ. [n?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT L BLOCK --7 SUBD./P.I.D. #: &z 0A j" ?A? jji z Nn ?d?
PROPERTY
OWNER
Name:-AD 61?7 A 1eAQR 141 1esA IL- Phone #: 4SV- I A2
Street
City: ?a off{ nn State: )1 AJ Zip: sr tart -
CONTRACTOR Company: (Q?1e. LL% ?ta c- , Phone #: g5 y-I yk0
Street Address: S 1 tLr M k L License #
City: &J1L0 %V ? I 1 E State: M „1 Zip. LT33 7
ARCHITECT/ Company: 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 I have read this application and state that the i fo Lion is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Yes No
r?
AU o 2 3 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. A`' 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? . 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
jrj'?-31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main leve l 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. 25
Depth Footprint sq. ft. SAC Code of
Census Bldg
Census Unit o
APPROVALS
Planning Building
Engineering
Variance
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:
Valuation:
Q?_
$ l0 mo
% SAC
SAC Units
1'MV 16.JJ av-j"tl 4 „ .....
r, e
YOR'S CERTIFICATE
I '`•i
? 6882
i
jp 1 e92.j
/ETV
x892.2 . III
NOTE: 9UILDINO MMENSIONS SHpWN ARE
FOR FgR1201{rA` b grCAL LOC-
ATION OF ?TRUC(URt ONLY. SEE
AFICHITECfUU- PLANS MA BVILDING
9 FOUNDATION DIMENSIONS.
DENOTES PROPOSED SJJRFACE DRAINAGE
0 DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
MITTELSTAEDT EROS. CONST.
11)
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ag!
bl„? - ? I^I_ `I
2'S
la P? f`
0 -4
Wl.880. 1042
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s
/1•
(p47J p
hy J16
a
V01
110,
N9l°-sove
NOTE+ NO SPEC:' w2 : ':A?9? :': 6N
HAS TEEN COMPL9M ON THIS
LOT eY THE SVIWEYOR. THE
SU1TANLITY OF SOILS W SUfP0 I1r
THE NWAft Houk n10P0> w
19 NOT THE RCOPONSOLffY OF
TIDE 9VNJEYOR.
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - 891.9 FEET
PROPOSED LOWEST FLOOR - f?8S. I FEET
PROPOSED TOP OF BLOCK - 69Y. 2 FEET
WE HEREBYCERTIFY TO MITTELSTAEOT SPOS-OONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot I , block 7 , BUR OAK HILLS, 2ND ADDITION Occordlnq to the recorded plot thereof,
Dakota County, 4mesotp. .
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR-kNCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 3RD DAY Of - FES, 11993.
PROPMED OWES SHOWN Wm SIGNED: ".1?S R. HILL. INC.
' TAKEN f1gM THE ORADINfi
OIwMeE Q ERORION CONTIiOI.
' K?JW?y POR BUR 1ryy??OAKLIIILL9
ASSOC??NCS I ASTRDATED B .
z-a•$t JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2W W, CTY, R[). 42 6 RIIRNSVII I F. MN 55337 1 612-890.6044
I<.RGAN INOI14EIsRING DJSY'L-
RESIDENT/ OWNER
CONTRACTOR
TYPE OF WORK
PERMrT TYPE
Ctty cf Eats
1830 Pilot Knob Road
Eagan MN SS1 ZZ
Phone: (651 V5-56
(661) 615-5994
Appiicant's Printed Name
Description of 1140f k:
FiESJDEPIT7A1-
1—Water Healer
Lawn Irrigation
RPZ/ PVB)
Septic System
New
Abandonment
ILL' L—
qkitar.!
New Replacement Repair
Contact Person:
Water Softener
Turnaround.
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
vale: 11% 1,B site Aciciress: n2,81_ "9_61; k-141.5
'Tenant:
arne:
,ONA 11,0Vir Phone: (6‘--30 35
M
Address /City/Zip. 32 W311)\CA tsmv5 pa_ /.46tn m
Mame: (AL tit
Address: 5 9-6MCW
3-1PcuA
Phone:
Add Plumbing Fixtures
Main Lower Level)
State:0 ‘.012_\___ 21p:
Rebuild Modify Space Work in R.O.W...
RESIDENTIAL. FEES.
550.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
530.50 Lawn Irrigation (includes $.50 State Surcharge)
550.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes 3.50 State Surcharge)
'Water Turnarouno (add $165-00 if a 5)8 meter is reqwrecl)
5100-50 Septic System New ($10.00 per as built) (includes County lee and 5.50 State Surcharge)
590.50 Fire Repair (replace burned out appliances, ductwor(, etc.) (includes 5.50 State Surcharge,
TOTAL FEES
Applicant's Signetwo
f or C7rice Use
P errnit
P err ot ae
0 at e Pet ei ved: "O?
Sta C r
Suite
I neraday acknowledge mat this ,niormadon G cornpiete ano accurate; ;net the wore oak be in conforrnanCe weth he ordinances aria cones of Ine City ot
Eagan; trot I understand lee is nor a permit. but only an application for a permit. anct work is not 10 stall without a permit; that the work wd M in
accord nce ■vitn the approved plan in t he case of won( yvnic ecakres a renew and appro ot pans
tUPACI
Ilk Ilk
Date:
FOR OFFICE USE Reviewed Ey:
A 'gored Inspections: Ground Air rest Gas est Final
•
,
•
.° .e i , For Ofilce.Use //�
° ' v P ° �
� Ea•_ ,Y.•. Permll#.
•
..4, ^ ,.w e Permit Fee;
3830 PILOT KNOB ROAD EAGAN,MN 55122-18.10 01 1018
Date Received: '" It
(651)675.5675 1 TDD:(651)454-8535 I FAX: (651)675-5694 '
bulldinglnspeclipnst�cllyofeagan.com Staff: •
.2018 RESIDENTIAL PLUMBING P R.MIT APP ICATION
qDate: "'"'1D-"K51te Address: ilI E,,,,% I !�� _, /, I V II
Tenant: �. •W 'V
fir°v`idi§io/. e Name: 1' I.4-41—
Phone: •
r'o��•pr E,,� i t„,i.:4••:. �X' 1� ° ' hone: e_. q
* 4,
�t �7„t,,,,A,.,u4{),,}, Address/City/Zip: ._E1 �i:lJ I 1't��, i , j 1 �`�
._
t+,tl Name: MILBERT COMPANY dba CULLIGA'• ATER �F WC641376
11,1111,1401t t,Sg, License#;cµrf{�i;�Y4l �_�N�tXfy� 1801 50TH STREET EAST
”tj ` tPac +s=Yty Address:
Y ��rQ{ ,t�lx,,; city; INVER GROVE HEIGHTS
�1},l ', 55077 •
.l_'' ``h 1 1.,>✓°�etv,le,;>t', State: MN 651-451-2241
•�r,.'tttt�Y���lyaL Zip; :Phone:
�,1: �`,?�f f{ t. t Contact: BILL MILBERT
t, ,,p int. }i 3j tt,t •
Email: loria.abas@culligan4water,com
` Ir l. $ {> r tot �:l -- ---- - ----.._-
4,14.)' .4 0_ k ;,i —.New —Replacement Repair _Rebuild Modify SpaceR.O.W.1. ;:.,„411 '4;�q`;,y',4�0Z,1Vit — — T Y p Work In.R'OW
.4ifiY''tt�fai•.,, ,�,5x,02�_ Description of work;
6,;13.A:514,710,1604tRESIDENTIAL
^: , r _--.. ,-.�..:.�.._.,._...._.
•,:i.,,,,,„,..,,,,,"1,0,t � „ ,`.,, ,?a)t;5i _Water Heater •
1:Q; trj ??(' 'i't t` ( X Water
x�;_1 rx •.'t= c''4ri D'et Lawn Irrigation RPZ Softener
,3�`� e,rtnit•r',Typ. �'���'� / Pve)
� .It},��{ t'rr IP tri)r) O
fs �,��°"`f 5}�Ci4 rk` t\j Septic System _Add Plumbing Fixtures ( Main./ Lower Level)
t..44,,p0-,c,„,;‘,..„,,:.,,Klt1g 01
'ta�vrii1' j� ( fir New
• Water Turnaround
r:;. ;5`. 3(:"i '" ';i':;'< Abandonment
RESIDENTIAL FEES: __ —_
__ _, , _—__ _~—^
$60,00 Water Heater,Water Softener, or Water Heater and Softener(Includes State=Surcharge)
$60,00 Lawn irrigation (Includes State Surcharge)
$60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State.Surcharge)
'Water Turnaround(add $280,00 If a 3/4"meter Is required) G
$115.00 Septic System New(Includes County fee and State Surcharge) •TOTAL FEES $ 60.00
CALL BEFORE YOU DIG. Call G.epher State One Call at(651)454-0002 for protection against underground utility damage, Call'48 hours'beffoe you
Intend to dig to receive locales of underground utilities. www.oopherslateonecall org
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
webslto at www,cityofeagan,com/subscribe.
I hereby acknowledge Thal this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
E an; that I understand this Is not a permit, but o ly en a Ilcation for a permit, and work Is not fo start without a permit; that the work will be in
ac orda a wi a approved plan n he e of•w r which r quires a review and approval of plans,
li_t_t () .
Applicant's Printed Nam x
Appilc nt's Signature
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