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3301 Rolling Hills Dr411° CityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: "I 52-014 Permit Fee: ♦ o .00 Date Received: 8 to Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date:IS t 110\0 Site Address: i-236). w tfti ` 15 J`A.)0n0Gr, ANO )Z' Tenant: Suite #: RESIDENT / OWNER Namek Y1G \G►r'1 \�, C' Address / City / Zip: 3)1171 i ti (b Applicant is: bC Owner Contractor Phone: /5I . S' \5 V \ls �:. E �,�,, r 5 )Z\ TYPE OF WORK Description of work: Construction Cost: Obec Multi -Family Building: (Yes / No ) CONTRACTOR Name: 1C License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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.uooherstateonecall.org 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 approv x Yt0 ' - m %coc-C Applicant's Printed Name Applicant's Sig ture Page 1 of 2 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD Control No. 1346 PERMIT TYPE: "u,I r D ? M" Permit Number: 001064 Date Issued: 1;?/01 /97 SITE ADDRESS: t 0T : 4 8 L OC V . APPLICANT: 3'aOl ROLLIM6 HILLS OR GORMAN CONST OUR OAK HILLS 2MO (612) 731--3240 PERMIT SUBTYPE: k, .r [It-416 TYPE OF WORK: NITW INSPECTION TYPE FOOTTMA .DATE INSPTR. INSPECTION TYPE FRAMING DATE INSPTR tNSUIl11 rf1N ViMAI. FIRFr'1 Ai l VFMARkU; RrCEIPI # i to W CONINACTOR SFNZ--RYAN PL88 Permit No. Permit Hader Date Telephone e S/W PLUMBING ft ! HVAC ELECTRIC,- f ELECTRIC Inspection Debt Insp. Comments Footings 1 I Z 3 4J4 n Foundation Framing Roofing Rough Pibg. Rough Htg. 1 r Isui. 1 1p? &654) C k-9. ' o/- Fireplace 713 r Final Htg. Orsat Test R I/ Final Plbg. Plbg. Inspector - Notify Plumber Const. Meier EngrJPlan Bldg. Final u Deck Fig. Deck Final Well Pr. Disp. 7-9 ? I wl? ;L 3?et All w *ff cate of cccuvanc? of Wagan 10 1- 1 «a of gI in"% anoaNon 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 mgulating building construction or use. For the following: SF DWG/GAR 1869 Use Clessifintioa Bldg. Permit No. K3 H-1 K1 - - n Type U zoning DiMiu NN 1 E L . , L, MN GOMM OwaxofBuilding 3301 ROLLING HILLS DRAddnm L4, B , BUR OAK HILLS ND Building L-M ity L FEBRUARY 8, 1993 J Date: BuiW4 OMW POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ,,1 111 1 mill 3830 Pilot Knob Road Permit Number: '41W. Eagan, Minnesota 55122-1897 Date Issued: of ?: yff" fill (612) 681-4675 SITE ADDRESS: APPLICANT: ;:!I till I I I!, 1:111+ 11Af If I 1 I '. .'Nit ( C. 1 ., ) lit, I -? tit PERMIT SUBTYPE: TYPE OF WORK: Permit No. I Permit Holder I Date I Telephone N ELECTRIC PLUMBING HVAC Inspection FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ?= INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I411t: OAk'' III 11. 5 ;'!4f) PERMIT SUBTYPE: APPLICANT: fbl:') 46A' - 100 TYPE OF WORK: 111 t 11tN1, I If:RAI IIIN INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. Of MARt.`%: A !3FPhRAIF PERM f1' I5 REQUIRF0 FOR A04Y VI ttfltlINO OR l:tf-11:14411' A!_ WOORK Permit No. Permit Holder Date Telephone # ELECTRIC ?3? ?/Z 9li Q ?D PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING gi?21 G(9 Mfj ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD L FIREPLACE 17-A 9 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL -- DECK FTG DECK FINAL i ? Ulrw? r-rrnr? ?e?• LQJ Address 3301 ROLLING HILLS DR Zip 5512 L.ot 4 Blk 5 Sub BUR OAK HILLS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 2/8/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) L", Permanent driveway r/ Permanent gas Sod/Seeded grass Trail/curb damage Porch L/ Basement finish Deck Please verify with the builder the removal of roof test caps. from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?2 7 3 - 2 31 ? ? n h Y This request void IS months from validation dale ponied i Fl/C/? UB ?OSNL40, OlF? / ?1 p n PLEASE PRINT OR TYPE Request Dale Rough n Ins 'on requiredB Yes ? No Inspection Other Than Rough-In: Ready Now WIPCaII 6 (You most call the inspector wh reodyl ro Ready: -' + hereby request inspection o 1 ee above ele icol Y ? - OV er I, licensed contractor (S own - ?' t1 Job Address o I Bs \U ? t ) 11? D r City N` C. s'1 Section No. Township Nome or No. Range No. Fire No. County ` A?W Occupant I 6 t S phone No, 4 2- I 002 of OH VcL ¢? ti . Power Supplier Address Elecmcal Contractor (Company Name) Contractor license No. Moses Uc. No. (plant Elect. Only) Mailing Address (Conhador Performing Instill ? I , D r 3W l o 1 s Authorized Signature (Co r or 'ng I bllaXOn) Phone No. GSZ-IOOZ EB-ODOOIA-10 6/95 SWiTE RD UMPY-) ,) U1CTIONS ON BACK OF YELLOW COPY IIII IIII * 0 QL.Z_2 2..3. 1 III IIII REQUEST FOR ELECTRICAL INSPECTION w MinnPfsota State Board of Electricity( -' 1821 University Ave., Rm. S-128, St. Paul, MN 5104 1 * Phone (612) 642-0800 / (p _ <0 3/717 Home Duplex Apt. Bldg. Other: New Addn Commercial Indusfrial Form Remad Re air Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other: D er Ran a Elec. Heat Tem . Service "x' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. ppQ,Q-U'vr 115.00 Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Sae Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./rroffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S SE y / TOT Sign/Outline Ug. Xfmr. Q' ( ?'`?-/ Alarm/Remote Control '"_° QFP CC/4v1Y 7- La D Swimming Pool here rani thal ins el 144 scnbed herei on edales s Irrigation Boom Roagh-In Dab ecial Inspection S p Invesfigative Fee Finvl -. r1 Dote / THIS INSTALLATION MAYBE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. ?????' 2oo7 RESIDENTIAL BUILDING PmI uAPPIICAIION 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) 1 Soils Report if proposed building is to be placed on disturbed soil 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) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan slowing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system ,OCR office' Useonly Can of Survey Recd,'_. =Y _N Soils Repoli , _ Y _ N Tree Pies Plan -Recd Y _ N. Tree PresRequired, =Y, _N On-siteSepticSystem _Y _ N Plans are considered public information unless you state thev are trade secret and the reason. Date C, / Site Add?ress? 25 / yT Construction Cost 330 2at-j?? ^? I 1 "C s V e Unit/Ste # Description of Work F2- - Qtr - Y K N Fireplace(s) _ Multi-Family Bldg 0 Z 1 _ 2 Property Owner ?? V O X3 W Ebcz-- Telephone # ( ) Contractor oec COiSCK C r?? Address State *A -2 47ca? l Lin/CK?(? p Q YQ Zip YttiW?lt C1SJJ City Telephone # (65i) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 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 #( acknowledge that the information is complete and accurat 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 plan in the case f work hich requires a review and approval of plans. DAB, ?- Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 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/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 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 Bldg) -Give PCA handout to applicant Description: Water Damage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. -Air Test -Final Insulation REQUIRED INSPECTIONS Sheetrock _ Final/C.O. _ Final/No C.O. _ HVAC Other Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco Lath _ Stone Lath -Brick _ Windows Retaining Wall Approved By: , 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 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: CA.44343 Gal* BUILDING 025885 06/26/95 SITE ADDRESS: 3301 ROLLING HILLS DR LOT: 4 BLOCK: 5 BUR OAK HILLS 2ND P.I.N.: 10-15501-040-05 DESCRIPTION: 1 " r 36ild'ing' Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee Surcharge Lic. Search Total Fee $30.00 $.50 Fee $5.00 $35.50 CONTRACTOR: TANCOR CONST INC 602 E 70TH ST RICHFIELD MN (612) 861-2930 - Applicant - ST. LIC 18612930 0000323 55423 OWNER: SAUVAGEAU ROBERT 3301 ROLLING HILLS DR EAGAN MN (612)452-1002 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L_ Z A P TEE SIGNATURE application and state that the with all applicable State of Mn. ED ST: SIGNATURE S? CITY OF EAGAN S ?j •Q 3830 PILOT KNOB RD - 55122 J D [? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) luJ? 681-4675 New Construction Recuirernents Remodel/Repair Reouirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of pans (Include beam & window sizes; poured frid. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan iT lot platted after 7/1/93 required: _ Yes _ No DATE: (0 11 N IgS CONSTRUCTION COST: 3 ZoC) DESCRIPTION OF WORK: -1N Q eCr STREET ADDRESS: V/LOT BLOCK SUED./P.I.D. #: Cl" VaIL l to %? PROPERTY Name:, ?2yL Rabe. ,- phone #: V'52-100?- OWNER 'MST Street Address- 30/ lea/??? Y11,115- 1evc City: %i4t ?f?? State:y ,,r tll zip: 551Z/ i a CONTRACTOR Company: rnpySJ?wtTiaw.1AC _ Phone #: 8Ll- 7,530 Street Address: dal tAsf ?O7H ST License #: 3Z 3 ?' City: i C fct Zip. -' State: ^14 )^ 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 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1`('1? J Oki OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No REC EEVE© J U N 15 1995 --------------- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous a 05 SF Misc. ? 10 = plex 15 Deck WORK TYPE cmc::--31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code _L Census Bldg i Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee' Valuation: $ /zOo Surcharge Plan Review License r/ MCMS SAC City SAC Water Conn. Water Meter q Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1 2422 Enterprise Drive ,K Mendoto Heights. MN 55120 j10NEER LAND SURVEYORS ENGINEERS (612) 681-1914•Fax 681-9468 U ND _ -- - --- -------- j[62,.5 'engineering UND PLANNERS ,OSC.PE ARCHIARCHITECTS Highway 10 Northeastline. MN 5543 612) 783-1880-Fox 783-1883 J Certificate of Survey for: Gorman Construction, Inc. _House Address: Rolling Hills Drive. Eagan. MN JD 5 N 8938'13" W 141.29 15.43 g93.bR o a P ° 20(,) v 3 0 to to Q O a) W W i 76.32 S 89'38'13" W ROLLING 30 .4JJr 1'` t+ / i X 900.0 Denotes Existing Elevotion PROPOSED HOUSE ELEVATION ?.0 Denotes Proposed Elevation Lowest Floor Elevation: 885.05 Denotes Drainage & Utility Easement Top of Block Elevation: 893.16 Denotes Drainage Flow Direction -o-- Denotes Monument Garage Slab Elevation: 892.83 9 Denotes Offset Hub Bearings shown are assumed LOT 4 , BLOCK 5 BUR OAK HILLS 2ND AD DAKOTA COUNTY. MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duty Registered Land Surveyor under the Ism of the State of Minnesota. Dated this??f?l dey of t 611 . A.D. 19_}se. ineh= -zInteet i 6?t 0s.s9 13 r86Ad;4 _ $4M$ 894.1 20OI W o N) i? es 3 rv t K I, 11.00 m I i 8®3.10 I° tl 9e15 b NN of J1.2 f 4 z6DD 9 Dnah? .` $ o i 6q 3 / W4LkOUy 1 n PROPOSED HOUSE 12 COURSE BASEMENT St 1rb?5 \ 1 ni 30.00 o -BJ7`Se- 13.JJ rv 0.51 it Oat es N 1' F - - 46,J6 I ? 1S`?' 163R a - - 30.34 o 0 j 11 go 92513.00 .4 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number Date Issued: BUILDING 027240 04/11/96 SITE ADDRESS: 3301 ROLLING HILLS OR LOT: 4 BLOCK: 5 BUR OAK HILLS 2ND P.I.N.: 10-15501-040-05 DESCRIPTION: Eiwilding.,"Permit Type Building i4o_r:k Type Census Code BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL lti Y i REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - SAUVAGEAU ROBERT 3301 ROLLING HILLS OR EAGAN MN 55121 (612)452-1002 I hereby acknowledge that I have read this application and state that the information, is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE ISSUED :SIGNATURE J 3830 PILOT KNOB RD - 55122 0 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4-%-60 filr? W- Mutt 681-4675 New construction Reauiremenls Remodel/Repair Reouirements f 1 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after WV93 required: _Yes _ No DATE: 2, 1.1-16 CONSTRUCTION COST: ' ?U DESCRIPTION OF WORK: ?+ in/s ?I 1?e I -'&0 n STREET ADDRESS: 33(, R o (? w5 P i l l5 0,- LOT 4 BLOCK SUED./P.I.D. #: ( f)I 1v k ??Q uh In d, PROPERTY Name: R o Lev" 7 Su'^ V'A CA `A Phone #: ?l S I y D Z OWNER , 3301 I'M Street Address City: CA 4 S State: M? Zip: SS Z f CONTRACTOR Company: Phone #: Street Address: License # City: State: Zip ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address, City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received - Yes Tree Preservation Plan Received Yes Penalty applies when address change and lot isjlborrect.@nd agree to comply with all Ir'g ?l?cin"II V ?® No t?RR 0 4 4996 _ No BUILDING PERMIT TYPE :D 01 Foundation ? 06 Duplex 02 SF Dwelling ? 07 4-plex 03 SF Addition ? 08 8-plex 71 04 SF Porch ? 09 12-plex -, 05 SF Misc. ? 10 _-Alex WORK TYPE ? 31 New ?33 Alterations -1 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable)', UBC Occupancy Zoning of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review, License MCNVS SAC City SAC Water Conn. Water Meter' Acct. Deposit SAN Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails,Ded. Other . Copies, y Total: SAC SAC Units s A +F? it m ? 11 Apt./Lodging-16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 ? 37 Move Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq, ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Valuation MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Codes Census Bldg Census Unit Variance qf7 O CITY OF EAGAN 13830 Prlot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: GL'II.DINIS 0018651 J-1/01/92 SITE ADDRESS: 3301 ROLLING HILLS OR LOTa 4 BLOCKa 5 BIIR 0 A K HTI,L -S 2 ND DESCRIPTION: ' u 1,dl, n_q Permit-, Type SF DWG Building"•WWork Type NEW UBC Occupan)c,,y R-3 M--1. Construction Lyype V- -N Zoning R-1 Building stories 7 Square Feet 1,025 REMARKS RECEIPT # CGdI ?? S & W CON'i'RAC'I'OR - GENZ-..RYAN iILDO FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $762.00 $495.30 $67.50 $700.00 100 1 $2,024.50 $1.35,000 MISCFLLANEOUS ---- $11S10._50 Total. Feo $3,635130 CONTRACTOR: - Applicant - ST. L 1 eOWNER: GORMAN CONS'!" 17313240 0003331 GORMAN CONST 2217 BONNIE LN 2217 BONNIE LN ST PAUL MN 55119 ST PAUL IN 5511.9 (612) 731-3240 (612)731-3240 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. Q/(2A__9 0 Lu &A i A LICANT ERMITEE SIGNATURE SUED IGNA UR Centro No. 1346 PERMIT # REACT-IVATE 140 o AD 14 CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATIO V 2 4 RFCI SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made r lot Chan a is requested once permit is issued. Date / /tom Valuation of work 40 o,ooo .o 0 Site Address: - or 3901 STREET SUITE / Tenant Name: (commercial only) LOT BLOCK ?? SIIBD `? I.D. e Description of work: The applicant is: ? Owner ? Contractor ? Other coescrlbe> Name G6P-hupL, voce ?i Phol-,e73i-3 ,qa Property LAST FIRST Owner Add ' ? ress C oww, STREET STE A City _st PGJ State ? Zip Company Car w. a ?, c a,,?,?- Phone ')31- 3 a ?i b Contractor Address 3 km v? In ("e License # Exp. City State 1M "l. Zip 5S? y Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area his 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: BUILDING PERMIT TYPE ? 01 Foundation B 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ® 31 New ? 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) 11,fl (Allowable) VA/ UBC Occupancy P- -3 Zoning 0 of Stories 2 Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final SAC Code d z MWCC System k 46 ZL City Water 13924 PRY Required Booster Pump _ Fire Sprinkler Census Code ? Framing ? Draintile Assessments 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: &Swt Vrz..<x 2(,.3,rz2: 13,1 z - u -2 I _ /68 1PX/a:2. 9e, !pzffi /'®-k ?2A IS4/ ac?,??3Z =Gy9,G -2 0 Z %O C7P? ,?l6 ? 16 Basement linish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish ? Insulation ? Fireplace j6393,j 341 w,2 SAC % SAC Units * PIONEER LAND SURVEY01 * engineel ing - LAND PLANNERS * * * 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fox 783-1883 Certificate of Survey for: Gorman Construction. Inc. House Address: Rolling Hills Drive Eagan. MN 30 1 5 N 89'38'13" w ? 81 141.29 15.43 893• b 93.4 • x6 % ? o zoQ _ -- ? DdY5.59 --- I1°4 'i - -C sin. ? - --- 81144 ---? I N N B ( - - 6,.J 4 $9¢.I 20O 5 ( m 1 I,.- T 34.pJ" I- J m I 3 SWAP ^ ? ?zs b e? 5 NN m1 '.1 ( J o e 1 28.00 \ G RpC>F- " w t6a g93?) / r C (' ( ( ? ALK0U7 " PROPOSED NOUN 12 ` 0-OD 'Y q ? r I 8733.81 COURSE BASEME N7 Py 3 N1 00) ( - 4 37`58 T - W 3 13.33 N 8.51 p 45- ? 89 1 Y n 20(D B pry r l F - 48.36 es?g.l - - i }5f +. ,638 % / ( 30.34 o? Ap 4z 601 2 76.32 g19.aq S 89'38'13" W ROLLING ?o j 8?$rro?° j` ? / <) 30 . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION 9aa.0 Denotes Proposed Elevation Lowest Floor Elevation: 885.05 Denotes Drainage & Utility Easement Top of Block Elevation: 893.16 Denotes Drainage Flow Direction -a- Denotes Monument Garage Slab Elevation: 892.83 -B Denotes Offset Hub Bearings shown are assumed LOT 4 BLOCK 5 BUR OAK HILLS 2ND ADD. DAKOTA COUNTY, MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this day of t? t( ` A.D. 192?ac . Inch _ ROBERT H. SIKICH;L::Sfh E6. NO. 03 92513.00 LOT SURVEY CHECKLIST FOR RESIDENTIAL y? BUILDING PERMIT APPLICATIO at PROPERTY LEGAL: ?? L?Gs?1?N? G Z Date of Surveys `11.T q DOCUMENT STANDARDS 0 Registered Land Surveyor signature and company - 0 Building Permit Applicant E' E) J3 Legal description 0 B' 0 Address P 0 North arrow and bar scale 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 Directional drainage arrows with slope/gradient g. 0 ? Proposed/existing sewer and water services [a' 0 Street name 0 0 Driveway ELEVATIONS - / Existing ? 6 0 Sewer service 0 ? Lot corners gf' 0 0 Top of curb at the driveway ? ? 0 Elevations of any existing adjacent homes Proposed 0% 0 Garage floor 9' 0 0 First floor ? ? Lowest exposed elevation (walkout/window) Cf 0 0 Property corners D ? 0 Front and rear of home at the foundation PONDING AREAS (if applicable) ? D? ? Easement line 0 ry ? NWL 0 0 0 HWL ? 0 Pond # designation 0 0 Emergency Overflow Elevation -/ DIMENSIONS T? ? ? Lot lines ? 0 Right-of-way and street width (to back of curb) ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (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 homes C? ? Retainin re irements, if any Reviewed Na e ate / October 1992 OWNER: SITE ADDRESS: f' CONTRACTOR: (qAr ytipM C DATE: l(-a a ' Z PHONE:`? -?J- 32k0 Determine working square footage of each: t? 1. Total exposed wall area .. ? (3sq. ft. x .11 c pc y s. `fi 2. Total roof /ceiling area .. 1. ? (4 ? ??-- sq. ft. x .026 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' ck? 1 3-6 0, -e.04 Total exposed wall area above floor = a ( 1 a a. Total wall window area ............................ ?a 3 5(f b. Total door area ................................... -°7,5-- 51-- c. Total sliding glass area .......................... q, Z 51-- d. Total fireplace wall area ...........•............: ` e. Total wall framing area (average 10%)............ f. Total net wall area above floor ...................e OD g. Total rim joist area /e4 Total exposed foundation area = a 6S 5F v h. Total foundation window area ....................... - a' i. Total net foundation area above grade .............. 5 Determine 'U' value of each wall segment: a, x b. x c, x d, x e. x f. Q0 1 100 x g. x h. - x i. x 'U' HS - /Od ' U' y fUt_ 'U' ' i o3 7 = U ' r tSV4 D +f 'L tut --76-l=f ' U' - ' U' . b n 3 . ................................................... Total = c ? (e. 7 ) If item 03 is the same as or less than item #1, you have met the intent of SBC 6006(c)2. q (? UA/ Total exposed roof/ceiling area J. Total skylight area ............................ k. Total roof/ceiling framing area (average 10%)r.1 L] 1. Total net insulated roof/ceiling area .............. 8'6'1,t? OVER Determine `u` value for each roof/ceiling segment: J. - O x fur - k. x fur : b 2.Z / lOy 1. G x fu, 4 . ............ ............ ........... ............. ...... Total a .?S If total of #4 is the same as or less than #2, you have met the intent of SBC 6006(c)1. 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 Items #1 and #2. 1. + 2. - 3. + 4. - 2 ` SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. Interior Air Film (Walls) L.ter for Air Film (val is) Interior Air film (Vented Eateri..r Air Film (Vented Interior Air Film (lien we Exterior Air Film (Von we Aluminum Sidino Aluminum.,ith Backer Aluminum with Backer t Fp 1/2 x B Lop Sidinn (Wood) 7/16 x 12 cardboard Sidi. Asbestos Sidinns 1/4 Lapp Stucco (01cah and Finish 3,'4" Wood Subfloor or She 112" Plywood _hrathinq 1/2" Particle Bu..rd woos: Fir, pine t similar soft Woods 1 I/2 1.89 2 1/2" 3.12 3 1/2' 4.35 5 1/2 6.87 (R) r board 3/8" 0.32 r board 1/2" 0.45 r board 5/8" 0.56 0.47 0.62 0.93 density 1/2" 1.32 density 25/32' 2.06 inq 1/2" 1.14 0.33 shinglrs 0.21 fing O.1S 0.44 3/4" Fiberglass 7.00 2" Fiberglass IKOO fiberglass 19.00 BLOWIIIG WOOLS Approx. 3" 9.00 Approx. 4 1/2" 1300 Approx. 6 1/4" 1900 Approx. 7 1/4" 24.00 ..P..... u All other insulation materials must be Filled verified (R Factor) - (R) Vermiculite 8" Concrete Block (S t G Reg.) 1.11 1.93 12" Concrete Block (S 6 G Reg.) 1.28 3.15 8" Light height 2.18 5.03 12" Light 1:eight 2.48 5.82 eeaeaaeaaeaaaaa^_e-as r_aaaaaa NDTE: (U) x Area Square Feet All Vlndows Lk - (w/S mans 1" to 4" Space) .56 Removal Double Glazing (ROD) .55 Thermo or welded 3/16" air space .69 1/4" air space .65 1/2" air space .58 (Other windows specifically tested can use better ratings) 1 3/4 Sol ld core door .46 ./storm, wood .31 w/storm, metal .26 Pease SteciDoor Insl/t:/GL 7.458 .13 Slldihq Glass Door, Wood .65 metal .715 GUIDCLIUE TO (R) FACI.ORS reon lS IIRAC MANUAL DF TYPICALLY USED PRODUCTS (R) 0.68 Gypsum or Platte 0.17 Gypsum or plaste Ceilinq) 0.61 Gypsum of plaste Ceiling) 0.61 Plywood 3/8" nted) 0.61 Plywood 1/2" hied) 0.17 Ply. od 3/4" Sheathinq, reg. 0.61 Sheathlnn, reg. 1.82 Nail-bast sheath fled 2.96 0.81 Built-up Roofs q 0.67 Asbestos-c.n. rt ed 0.21 Asphalt roll roo coat) Aspahlt Shingles aching 0.94 insulation: 2-2 0.62 Insulation: 3 1/ 0.66 insulation: 6" F I KK CITY USE ONLY L ? BL//??J RECEIPT#: Z9 / 8 SUBD , L`/' I Jdl'J:o Of ?G RECEIPT DATE: 7 9 I? 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF BAGAN 3830 PILOT KNOB RD KAGAN, MN 55122 (612) 681-4675 Please complete for: ??ingleiamilydwellings townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x _ T = f 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 `fordwelling under const. 3.00 = U.G. Sprinkler "forexisting dwelling 20.00 = Alterations ` to existing residence 20.00 = c©, CD Water Turn Around 20.00 = Private Disposal System ` MPC tic. 75.00 = (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE .50 TOTAL - ----- --- ----- - ------ --- - --- ---------- ---- --- ----- 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 under this permit within City property/right-of-way/easement. SITE ADDRESS OWNER NAME: INSTALLER NAME: STREET A RES£ CITY: ?C TELEPHONE#: SS a3 JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 SIGNATURE OF PERMITTEE LOT y BLOCK SUBD. 6 (Ar 0A H i I I S Z "J A Jd RECEIPT # go?,36 ??IV ? CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Date: Commercial project _ Residential project Existing residence Area/address to be sprinklered: JJL Installer: k o b (z ? S (k( Street address: 3? i O City, state & zip: Telephone #: Owner name: _ Street address: City, state & zip: Phone #: I U1112? H dIS Dr ?A i?rth , M ?T S S 12 1 Z- 100-- >,e S&LA A6eck r? [r `152- 100-2 / D(ty RSN -2Z2(} Ir::gation con tractor, if different: Phone #: Ed k4,- s? I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. r7,73 . C ?c9cc{Ulyi e C' k'eP,S New service required IL -' i, Fee due: $ ,/ ) - Calculated by: CITY OF EAGAN UNDERGROUND SPR_IN MER SYSTEM 1993 1. Plans must be submitted to the City's engineering department t for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial proiect: $ 25.50 plumbing permit. $ 50.50 water permit fee only if n service is installed. $100.00 per tap if installed by City l Please consult with engineering department regarding feasibility of City installation (City will only install taps up to 1"). b. Residential project: $ 15.50 plumbing permit. $ 50.50 water permit fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water tre tment plant. c. Existing residence: $15.50 plumbing permit - (not required if backflow preventor previously installed) however plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist will contact utility billing clerk for cost and notify installer of all costs associated I?rth project. If new service lines are not required. one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(engineering department will advise utility billing clerk when meter can be sold). Receipt will be coded -to 20-3716 (meter portion only) with pink copy forwarded to utility billing clerk. . ) ) - . ht ':I ,-\ 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backflow preventor. The public works department may be reached at 681-4300 for water turn-on and set and seal of meter. I Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. 611 AW15 L rj SUBD "Id New Receipt # Receipt Date / D Order For Payment Date th Z? Request for Inspection Number onthisjob aM Date Filed rz Electrical Installer ?'/1- License No. Job Additional Rough-in inspection was required. _ A shortage of fees on the above job. Reinspection Fee. A Copy of this order must be returned with payment to the; Eagan Municipal Center 3830 Pilot Knob Road Ewan, MN. 55122 Phone: 681-4600 Fee Computation lie ( +n-, - ` _ 60 C4 f 1 CB? Q"] Please return this" with a check in the amount of $ payable to the City of Egan. The above order must be complied with by (date) l C Electrical Inspector, Mark A. Anderson , PO Rox 713,Shakopee, MN 55379 (612)445-2840 QeaviliA lit 1b City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (661) 675-5694 f ---------------- CS -70 j - Permit # . C) it F P erm ee: f Date Received: I I Staff: 1 ---------------- 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 b? Site Address: R bN ri!;i WN\ S -?)c Tenant: Suite #; RESIDENT/OWNER Name Phone: Address / City! Zip: Applicant Is: Owner Contrac TYPE OF WORK Description of work: (OJy = ?9tt+t$ ?C? ? t? o M Constructi n Cost: t ulti-Famlly Building: (Yes_I No CONTRACTOR Name: Now Life CO[ItfaClh lQ, Inc. License 8t93D Old CbdW Atr®? 5 3, 1ilb . Add 1M14 51;d?6 tWJ i1c X20249486 Ph' 63 1-274-6943 Faili: 962.405-6106 City 11111011 Mholo.CoqV- State: Zip: Phone: Dom JWttlsott Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW-BUILDING ?- Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category I Wvrksheat '-,ftew Energy code Worksheel Category Submited Submitted submission type) • Energy Envelope Calculations submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone; Sewer & water Contractor. Phone: I hereby acknowledge that this information is complete and accurate; that the work will be in COnFOmlanCe with the Eagan; that I understand thisis not a permit, but only an application for a permit, and work is not 43 start ' h, accardance with the approved yplan in the case of work which requires a review and appr or plans. x??uy6L -.A zP hr+?DC? Applicant's Printed Name - ADDbca lanature of the city of ork will be in Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA166151 Date Issued:12/16/2020 Permit Category:ePermit Site Address: 3301 Rolling Hills Dr Lot:4 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-040 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 - Joshua Swanson 3301 Rolling Hills Dr Eagan MN 55121 Supreme Contracting 1130 70th St W Inver Grove Heights MN 55077 (651) 353-4783 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171086 Date Issued:07/29/2021 Permit Category:ePermit Site Address: 3301 Rolling Hills Dr Lot:4 Block: 5 Addition: Bur Oak Hills 2nd PID:10-15501-05-040 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 - Joshua Swanson 3301 Rolling Hills Dr Eagan MN 55121 (651) 503-0163 Crossroad Construction 17121 Lincoln St NE Suite 100 Ham Lake MN 55304 (763) 434-0202 Applicant/Permitee: Signature Issued By: Signature