3302 Rolling Hills Dr_ INSPECTION RECORD
Y' CIT',t OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: , APPLICANT:
1 I 114+* 1-11 t I..'; OR
1011+ Wi 1114 1,'NIj 011,') /bi 4.'40
PERMIT SUBTYPE:
TYPE OF WORK:
! !t 'J 1 , I
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I ri )If t s iiP
I. Ifit1,11 1 11 1 1 1:1. 111,,1: sp !
RFMAI0-'*.. 'n % U F11-li4i ttlpcntd I'lf30
F
L
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING `,
7, 7-a, 7?
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
S 2
Foundation S 9 f ?/ G
Framing
Roofing a7 y
Rough Plbg.
?T
Rough Htg. Q ._
Isul. C7
\
Fireplace
Final Htg.
7
Orsat Test
Final Plbg.
YY Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Finai
well
Pr. Disp.
r
?Y
7 J?
W,ertijicate of eccupattcV
(M4 of Wagan
ze0artiaent of 13*0 ig an#0ection
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 Omification: SE DWG Bldg. Permit No. 23412
Occupancy Type R3/M 1 Zoning Msaia R1 Type Const. VN
Owner of Bui" BLDRS Nib SVC' S Address 1109 MARTIN Sr NW, OOON RAPIDS
Bwuing Addtess3302 RUM H= DRIVE [.ocau y LN I Bt, BUR OAK M= 2ND
Building
POST IN A CONSPICUOUS PLACE
1N SFEU ION RLU OR1)
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
----Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
I:I)ti utiY FF (!. F. '; ,'NIA
PERMIT SUBTYPE:
q k 1 ?„ , APPLICANT:
nk
TYPE OF WORK:
:cll I t s: r Nc
s3 t<'rf'?'1
On/N?I'm
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
F•MANKSt PI.AN RFV1V1AF-I! BY HI1 1 ADAMS.
'&PARAIr PERNt'F PUt)IJTRFC1 FOR ANY F'1IIMltIN6 4101541
4- A11 Mob H40 Rf(iARDIN(i 1 I I CII'?ICAI I'l l{Mil AND
f _w ..
L
Permit Holder Date Telephone k
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
7 YY 7j
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
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
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:; APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
Permit No. Permk Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Data 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
A o
DECK FINAL 5???? /
Address 3302 ROLLING HUTS DRn>E Zip 5512 1
Lot 39 Blk 2 Sub BUR OAK Frrmr s 2W
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ry /a 4 Yes No Inspector: 9/
Final grade (6" from siding) j?
Permanent steps (garage) t/
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish f?
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
1? [d z^
/9J Q a, a-44
s
6
, 8
4,5
Request Date Fire No. Rough-in Inspection
Requiretl? NOTICE: You Must Call Electrical Inspector
If A Rough-In Inspection
7 ? No Is Required.
441censed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street Box or Route No)
?/
4
/4"
//
0
0
/ City
Z'X o
f-
/
"
d
o
6
S
Section No. Township Name or No. Range No. County
Occupan PRINT Phone No.
Power Supplier
D/olfo 7/l/ ?CFc
Elects I Contractor (Company Name)
DovB??- ContractoYS License No.
Mmim Atldress (Contractor or Owner ing Installation)
SYi9C /?/? 5'?'0?
Aulhoraetl Signet onl oAOwner eking Installation)
- Phone N mbgt C?+???
J
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bfdg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
r ii, See insimalons for completing this form on back of yellow copy
M 6 8 3 8 4 `X- BefotrWork Covered by This Request
EB-00
New Add Rep. ` Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors Remarks'
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool to 200 Amps to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspectors Use Only: TOT L S`
Irrigation Booms
Special Inspection W
Alarm/Communication THIS INSTALLATION MAYfT- OR E ONNECTED IF NOT
Other Fee
.
COMPLETED WITHIN KM!VTH
I, the Electrical Inspector, hereby Rough-In ? at
certify that the above inspection has
been made. Fnal Date
OFFICE USE ONLY
This request void 18 months tram
-----------------
Ediofflce use
I Permit
I Permit Fee:
? Date Received:
I
Staff:
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: c/0 Site Address: 3 1?()1 1 ?,f=Tj') l S ulhc
Tenant:
RESIDENT / OWNER Name: P-_l )A) K4A&j Phone:_
Address / City / Zip:
CONTRACTOR /" ?Ir C.L_C°
Name(,?(D 5- )A lyt/ - License#: a ??
Address: 211 LQ l tjjI i i be4y E
Zip: S
' Q) (i State:
Ci
_
ty
Contact Person: LAIL )to
Phone: ro l ?), 3 g? 9
/
TYPE OF WORK -New -Replacement ?[ Repair -Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
VAL06S
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
(_ RPZ / _ PVB) Main _ Lower Level)
_ Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment; Water Turnaround,' (includes $.50 State Surcharge)
"Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 Stale Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge). ,
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conrormance wim me ordinances and Wdee U1 Ulu Uiry V1
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x - LAYS KZF-K G -?`??C DN 1}C?Ix7 U? x
Applicant's Printed Name Ap is nt's Sign. Lure
FOR OFFICE USE Reviewed By: Date:
Required Inspections Under Ground Rough In _AirTest Gas Test -Final
521ti?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauhemerds
• 3 registered she surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(200% maxis um lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.)
• l set of Energy Calculations
• 3 copies of Tree Preservation Plan r lot platted after 711/93
• Rini ,Dist Detail Options selection sheet (brigs with 3 or less units)
DATE (0,11H 1102
Remodelflieeair Reauiremeras
2 copies of plan
• lset of Energy Calculations for heated additions
1 site survey for exterior additions & decks
• Indicate it home served by septic system for additions
VALUATION ?0r)o °d
SITE ADDRESS !?3D2. ` 11 Urta N 11 t S IZA MULTI-FAMILY BLDG -Y ?N
TYPE OF WORK NEW 12on F FIREPLACE(S) ?0 _ 1 _ 2
APPLICANT TAYL 0 2 ?31roc14
STREET ADDRESS 35D1 VICIat4, K11 n?S Sub 1D2 CITY Mt.Ipls. STATE rrnLP5S4643
TELEPHONE #651-2:22- Std CELL PHONE # FAX # f._T/
PROPERTY OWNER beu fJ V k a nJ TELEPHONE # InS7 -921- P617
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
- Air Conditioning
- Heat Recovery System
Phone #
Phone #
JUN 2 4 2002
Fee: $70.00
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Ord
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
_ Phone #
Lavvn Sprinkler
No. of R.I. Baths
and agree to comply
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
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 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 01-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_Yor_ 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.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
Fireplace _ R.I. - Air Test - Final - Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
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
Building Inspector
Copies
Other
Total
PERMIT C
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023412
(612) 681-4675 Date Issued: OA/22/94
SITE ADDRESS:
3302 ROLLING HILLS OR
LOT: 39 BLOCK: 2
BUR OAK HILLS 2ND
P.I.N.: 10-15501-390-02
DESCRIPTION:
Bu'ildingl..-Permit Type SF DWG
Building Work Type NEW
UBC Occupancy. R-3 M-1
' Construction TYp,
e V-N
' Zoning -? R-1
Building Length 56
Building Width 49
Building stories 2
i'
?. `? Late ?? L. t??.,L :.i 6?
REMARKS:
S & W PLBR - LARSON PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC
SAC Units
Lic. Search Fee
Subtotal
$692.00
$449.80
$57.50
$800.00
100
1
$5.00
$2,004.30
$115,000
MISCELLANEOUS $1,828.50
Total Fee $3,832.80
CONTRACTOR: - Applicant - ST. LIC. OWNER:
BLDRS MANAGEMENT SERVICES 17574240 0008194 BLDRS MANAGEMENT SERVICES
11499 MARTIN ST NW 11499 MARTIN ST NW
COON RAPIDS MN 55433 COON RAPIDS MN 55433
(612) 757-4240 (612)757-4240
L
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.
11
APPLICANT/PERMITEE SIGNATURE
co pl i
SUED BY, BIG TURE
n4
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
41 681-4675
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 Valuation of work DO LU
Site Address: _??o d r.?i.l> fZf
STREET V SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. ?I p.I.D. a
Description of work: S` 6"
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name S40? Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip
Company Bu Z ?N vl -'57 Phone
Contractor Address gq?- -I License # (rrq, 14?lr Exp. 'G
City cocNA??d State 0I Zip 5 ? 3
Company Phone
Architect/
Engineer Name Registration #
Address
1 City State Zip
6
-
-
Sewer & water licensed plumber 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 all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant://
BUILDING PERMIT TYPE
? 01 Foundation
P 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
F4'
? 11 Apt./Lodging 11 asement Finish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
V 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) VA) Basement sq. ft. MWCC System ,b
(Allowable) ? 1st F1. sq. ft. City Water 1
UBC Occupancy 9-3-tvI 2nd F1. sq. ft. PRV Required
Zoning P..1 Sq. Ft. total Booster Pump
# of Stories ? Footprint Sq. ft. Fire Sprinkler
Length -? On-site well Census Code p n /
Depth - On-site sewage SAC Code a1
Census Bldg i
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
(' Footing
It Final
El 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 Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
/aA
??.kak = ss ?
r? a2 )c S, V = 60, sa
? ? 34 4f2
dy"C,L?= d18k Sq
dL'Xr3 2- ?
a xisX (6 =
VaLmtim: $ OUCJ
!5.00 a?Xly= S.z?x tS _?7,P?v
]Y-LAND SURVEYING TEL:612-560-2079 Apr 13.94 17:23 No.003 P.02
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WT •URVZY MCKLIST FOR RESIDENTIAL
BVILDIN FERlaTA
MICATION
?-
FROPERT7 LLGALt - -1-)
Date of Survey:
DOCIIMENT aTAND One ???J-- ??/?7?/r'?
D 0 D
D Registered Lend Surveyor signature and company
i
8
D
D
- n
lding Permit Applicant
Legal description
0 D Address
D` D
D? 0 D
D North arrow and bar scale
House type (rambler, walkout, split w/o, split entry,
'? lookout, ate.)
D
D
D 0
D Directional drainage arrows with slope/gradient 0.
P
L1 D
D roposed/existing sever and water services
t
D ?O
D S
reet name
Driveway
nIVATIONS
9?D
D ZXf atirv
Sewer service
D' D D Lot corners
0- D Top of curb at the driveway
D D D Elevations of any existing adjacent homes
DAD
D Prooosed
Garage floor
VD
D? 0 D
D First floor
Lowest exposed elevation (walkout/window)
1)
DAD D
D Property corners
Front and rear of home at the foundation
PONDINC AREAS o f aaplicablel
C?D Ea
sement line
D
H
?
D ?'0
D Pond f designation
Li O Emergency Overflow Elevation
DIMENSIONS
D
!7' D 0
rr'D D
HID D
D "
• Lot lines
• Right-of-way and street width (to back of curb)
• Proposed bone dimensions including any proposed -deeks,
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 homes ,
Ravi
Cities Digital Quality Control
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A[_iD1U9 EL€VATf n
103 6
I A 0irOrAMATION PURPOSES ONLY AND
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THE C! T Y OF EAGAN DOES N0Y GUA A; . a --::
THE ACCURACY OF UTILITY LOCATIO?JS
A f?,DlDR ELEVATIONS. THIS DATA IS I FOR
li?!r}JRMATION PURPOSES ONLY AND
PERSONS USING IT SHOULD
INkR%, 4ATION ON THE SITE.
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EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Comliance with the Minnesota Energy Code
(Section 502. of the State Amended 1983 Model Energy Code)
?roject Title ?G?/LUG ?!g??6E?+'??T SSG ???>
Site Address
I. EXPOSED WALL CALCULATIONS
ARFA "II" VALUE AREA x '•U"
A. Opaque Wall
1. Masonry/Concrete
a• O x = o
b. O x = O
C. C? x = O
2. Foundation Wall (Above Grade)
a. ///.,.. x
b. O x = O
3. tiocri Frain Wall
a. Insulated Area x .e5-3 = (?7,.1 Z
b.. Framing Area (Ave. 15%,at 16" cc) 275 x 2 U, C/9
c. Framing Area (Ave. 10% at 24" cc) Q x _
4. Peripheral Floor Edge/Rim Joist
a. 227 x
-
- 9,09
b. x
U = o
B. Glazing
1. Windows
a- = -ITO x
b. D x = p
2. Doors 3G7 x rq 7
C. Doors s- -.-. . .. _
1. Wail _
a. Solid -::
b. With storm door
2. Metal
3. Overhead
4. Other
n x ._ = 8
O x = O
3<A?- x o7 = 2aH? '
p x = O
Q x = 'Z-
D. TOTAL WAIL AREA, sq. ft...... ................ 2 q2 :?-
E. TOTAL of ARFA x "U... ................................................. 2/7,5-
ROOF/CEILING CALCULATIONS
A. Roof/Ceiling Insulated Area //sue x '02-L
=
25 = y??
B. RDof/Ceiling Framing (Ave. 15% at 16" cc) p x = p
C. Roof/Ceiling Framing (Ave. 10% at 24" cc) lZ57- x _-);z = 3?? 3
D. Skylight c? x = G
E. TOTAL ROOF/CEILIM AREA sq. ft .............. /11 ?7
F. TOTAL CF AREA x "U" ...........
. 7 1
2
..
........... ......................... T ?
RI.- BUILDING ENVELOPE REQUIREMENTS
A. Exposed Wall:
B. Roof/Ceiling:
TOPAZ AREA 1=3= "U" ALLOWABLE
(Fran I.D & II.E) (From V.) (Area x "13"i
2 4(21 x , 1/ = 2 C? eI2_
/ 2 9?7 x .OZc _ R'31yG
C. TOTAL ALLa4MBLE BUILDING ENVEIAPE (Total of A & B above)... 2 ?'/, Zs o
IV. ACTUAL BUILDING ENVELOPE
ACTUAL
_ ?. (Ares x "U")
'' 17
A. Exposed Wall (Fran I.E) ; ..... ? I -7,S5S -
- B. Imof/Ceiling..(From II:F) - _??--- --
Z F',7 /
-C-. TOTAL ACTUAL-BUB,D= ENVEWFE (Total of.A B) , yG,22
(Xeets code requirements if?less than III:C)?."__
V. REQUIRED "U" VALUES .
WALLSILINu
Detached one and tin .family dweLl.ings .: .11 A26
-* Multi-Family Residential-Buildings _238 --033
--""•(3 stories or-less-in-height) -
* All Other construction Types (3 stories or less) .238 .06
* All-Other- Constracti•cn-Types -(More than-3-stories)- -.28- .06„
' Based on 8007 heatin degree •da-- -•+-
9_ ys (1lpls/St. Paul) ....:..- .
..--.
-
- for-oth-
Adjust-`U° values acco_rdingly--
-er locations
CERTIFICATION
I hereby certify that I have ccmleted the above information and that it ccsro_lies with the
Minnesota State Energy Code.
Signature
Date 11-1:?.-,5 2-
BCSD 3-89
CC/SAi/6574
CITY OF EAGAN
CASHIER: S TERMINAL NO: 668
DATE„ 08/03/98 TIME: 15:40:12
ID:
NAME: 3OHN S OKSNESS
3210 9001 3302 ROLLING HL 50.00
21.55 9001. 3302 ROLLING HL 0.50
Total. Receipt Amount„ 50.50
CR095590
USER III: NANCY
PERMIT
CITY OF EAGAN
30 Pil-ut Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-15501-390-02
DESCRIPTION:
3302
LOT: 39
BUR OAK
Permit
ng irk T
Ctide ' ,.
4k ?
k y4 ix
7 atx
PERMIT TYPE:
Permit Number:
Date Issued:
ROLLING HILLS DR
BLOCK: 2
HILLS 2ND
Type BASEMENT FINISH
/pe ALTERATION
434 ALT. RESIDENTIAL
z y
f1?M6
BUILDING
032699
08/03/98
REMARKS:
PLAN REVIEWED BY BILL ADAMS.
SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK.
CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS.
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
=ANCOR CONST INC 18612930 0000323 KHEN OEUN
602 E 70TH ST 3302 ROLLING HILLS DR
RICHFIELD MN 55423 EAGAN MN 55121
'(612) 861-2930 (651)681-8617
+
`I herebyEacknokjledge that I have read this a`pplicatlt7n and stets that the
<.._ joformat:ibh , s correct anal agrjee to comply with all applicabale Statte of ton.
Stnatnt and --elty of Eagan' 0*41nandes.
A PL CANT/ E SIGNATURE ?3 ISSUED BY., SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
c CITY OF EAGAN
91, 3830 PILOT KNOB RD - 55122
3 a ?° 681-4675 1 45 . CTO
New Construction Requirements
Remodel/RepairReguirements -1--) C? -'!
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design: etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan d lot platted after 711/93
required: _ Yes _ No
DATE: -7 2
? CONSTRUCTION COST; :i Sam
Z
N OF WORK:
Y l ?IrSlt 6XxSBrLI rT I 1
DESC7/10
STREETADDRESS: _330 Z AIKLei W;ffs ail/
LOT: 3 c? BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
Name: el! A-l OE &- Al Phone #: G,q I
Last First
Street Address:
City State: IPA-) Zip:
5-51 Z
Company: l /7/"COIr- l 01USj72rCl / I Phone D ?
CONTRACTOR ?t _ t 3-31- 1 °lq,
Street Address/) /61 16957 / SI License # 3 2/3
City !\ 10"1 C J State: Zip: 7 ?yz
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received Yes
Tree Preservation Plan Received Yes
correct and agree to comply with all applicabi
Signature of Applicant: U
? 2 81998
No
No Not Required rw?fi*?=
Penalty applies when address chang
OFFICE USE ONLY
BUILDING PERMIT TYPE
a
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ( 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. p 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace 0 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 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.
Depth Footprint sq. ft. SAC Code
Census
Unit
Census 'Unit
APPROVALS
Planning Building Engineering Variance
Oc
Permit Fee Valuation: $ C)U 11
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units -
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------ - -------------------------------------------------------------------------------------------------------------------------
NO. FIXTURES EACH TOTAL
SHOWER 3.00 D
WATER CLOSET 3.00 G -
BATH TUB 3.00 3 -
LAVATORY 3.00
KITCHEN SINK 3.00 3
LAUNDRY TRAY 3.00 3' •n o
HOT TUB/SPA 3.00
?L WATER HEATER 3.00 3.0-o
FLOOR DRAIN 3.00 3. c-o
_ GAS PIPING OUTLET • minimum - 1 3.00 .
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cty. ft. 20.00
U.G. SPRINKLER -home under cont. 3.00
ALTERATIONS • to existing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
SITE
OWN
?D
CITY: ?? a*-? STATE: /" ZIP CODE: S5' 30
PHONE #: (e?/a) 9 53 - a 0 -y'
SIGNATURE OF YERMITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681.4675
TOTAL: 3 . Sc?„
PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:, $
FEE: t% OF CONTRACT' FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF I'!M? FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
i
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
FIREPLACE INSERT
DATE ?Q G? IT ?I f
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.oo EACH) 3.00
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL
Srm
3
0
a ?. 5v
OWNER NAME: C L\J-Y1 K he rn !?n r i m lAW TELEPHONE #:
INSTALLER: at Y- Yf c J'l r4 r'A I r a-j I Yl c -
CITY: L? I.-,0. )LP STATE: AO/ ZIP CODE: 65f)n
TELEPHONE #: y - y
SIGNATURE OF PERMITTEE
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE: $
1% OF
FEES
FEE $
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
$25.00
$25.00
$.50 FOR EACH $1,000 OFRpg
FEE.
h
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (vMPROVEMENIS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ;ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMTTTEE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCIAL),
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
2006 RESIDENTIAL BUILDING PER1vnT 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. fL of lot sq. 1t of house; and L11 roofed areas
(2D% 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 attar 711193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RanodaVRepalr Requirements
2 copies of plan showing footings, beams joists
1 set of Energy calculations for heated additions
1 We survey foradditions & dells
Adddion - indicate if on-sde septic system
-pv . "
Office'(PsRlAnly
cadorSlfrt'eyR.eoi Y N
7reePresF3am?tecd Y°_fi[
re9 Pres 1>!eguu...
Onslte5eg4p??ulstem _Yi?J
Date CO ! J (j / D Ga Construction Cost
Site Address &3c"i r y o //? EI //i ?/s PC. Unit/Ste #
Description of Work fL? IaL??l n > r a 00)
Multi-Family Bldg - Y `
Y 'N Fireplace(s) - 0 K-1 _ 2..._
Property Owner n 1
Telephone #; ( ) J
LN
I h
8 7linr !i!1
? ?i
Contractor e's r -
Address
31yo 14 /
1 Wu A5, City ?rti?/?SV' r
y
State Zip Telephone # (9r Z) l?`? } 3 (o dC?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category I - 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.Pennit 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.
AAe
Applicant's Printed Name Appli ant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 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 ? 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 hahdout to applicant
Description: Water Damage_Yes
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) _ Sheetrock
Footings (deck) _ Final/C.O.
- Footings (addition) _ Final/No C.O.
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
T Framing - Siding
Stucco Lath
Stone Lath
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
'171 ?37
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
/5 .SZ)
Please complete for modifications to existing residential dwellings.
Date -
Site Street Address 3
Unit #
p
Property Owner DuQ0 Telephone# (&5)')
Contractor 4P 'k1 W_Vj)CV_5 Telephone # (L5t ) 'jj-Dj 0
Address 31-7-1r)_ City StateA4f1 Zip
The Applicant is: _ Owner Contractor Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
- Add plumbing' fixtures. This fee includes installation of a water softener and/or water
heater at the same time. if you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment a? n/, 2
R
V L
-Water Turnaround (add $130.00 if a 5/8" meter is required)
-Other: MAR 3 0 7pp7
1
t Water Softener _ Water Heater $ 15.00
- new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
I',rihOr e?, Applicant's Printed Name Applicant's Signature
W
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149695
Date Issued:06/05/2018
Permit Category:ePermit
Site Address: 3302 Rolling Hills Dr
Lot:39 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-390
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Oeun Khen
3302 Rolling Hills Dr
Eagan MN 55121
(612) 229-2680
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:EA168449
Date Issued:04/21/2021
Permit Category:ePermit
Site Address: 3302 Rolling Hills Dr
Lot:39 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-390
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.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Oeun & Sarin Khen
3302 Rolling Hills Dr
Saint Paul MN 55121--234
(651) 681-8617
Bison Builders Inc
10200 73rd Ave N, Suite 126
Maple Grove MN 55369
(612) 440-6000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173870
Date Issued:12/09/2021
Permit Category:ePermit
Site Address: 3302 Rolling Hills Dr
Lot:39 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-390
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Oeun & Sarin Khen
3302 Rolling Hills Dr
Saint Paul MN 55121--234
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature