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3322 Rolling Hills Dr íü û þýýüûú ðú ÿ ùüüýýðð ÷ýþ îÿä î þý ÿþýüû ù÷àúÿýüû ùýüûù÷à ø÷àêûõ ûÿ úÿúîî äÿûü Þ ôÿë õûæõóóõôÿõþõè å÷÷ûååõ ý ûèúååûåè úþõçôÿþü÷åõüóõè ëéâéííè í èî í öù ÿó Ýÿéâéè ð èð Ýÿ è õó òñ ûû ê÷êóùâõ ð ê êæòøòø ñáïáî îããã óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS s'?j.vOGL Correction Notice Located at - I have this day inspected this structure and these premises and have found the following violations of city codes governing same: `? ?'/ n.liClr s •9 C / ?vG Una TS When corrections have been made, please call 454-8100 for insp ction. z js Tz' s _ Date Inspector City of Eagan DO NOT REMOVE THIS TAG F / s 119 -,/ .7- 2 -r,-Iv i S or INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I It I "N 3830 Pilot Knob Road Permit Number: s it 44 N I0 It I"4 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i:iZZ !till Itl11i (?/i8. It I I 1 '? . PERMIT SUBTYPE: INo 3 N11. tS U14 ht IM! 1211 It a 5 NO TYPE OF WORK: - _ Permit No. Permit Molder DOB Telephone #f S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Z Deck Final TT 1 G` ' 7 / Well w Pr. Disp. ?a Two /1019 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ; „ I y 1? ?, ! APPLICANT: ?, 1 rl,• 1111 1 > [?k :, , ,, ? +, I,i ?. , ,?I! , I 11110 (Wk k 14 1 1. 1 '. .' N 1? (15 1) 7 *+ H -• 2 H 4 .' PERMIT SUBTYPE: iTYPE OF WORK: 0204 :q 41 111 01,4"1 INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. • ?I_I I s ?;? ; R 14ARV5:I t.1 ? f F;I I F: 1, .,,H 1.1 1t,, C -1111111111M. IIIIII L - Permit No. Permit Holder Dab TeMphoee Of SIW PLUMBING 5 93 3(,,1-6w1 HVAC .3 c3(/SE $b?0 ELECTRIC G? a 13 3 3 97. ELECTRIC Inspection Date Insp. Comments Footings 1 3 ?Z -p3 DS Foundation Framing Roofing Rough Plbg. .9 Rough Htg. Isul. Fireplace OA6Y; IV Final Htg. 3 Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final ?,- Y S 3 Deck Ftg. Deck Final well Pr. Disp. 1. > 1? . WAertifcatc of CccuVanc4 Wft+i of Paw This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: SF DWG/GAB 20439 Use (lauifintioa Bldg. Pa t No n ?Pa-Y 'type - ., GUE Ow na or Building Address 3322 14G HM Big BOLLI 1 , , BUR OAK HILLS Localky JUNE 4, 1993 Doc: Bad ots?a POST IN A CONSPICUOUS PLACE Address 3322 ROLLING HILLS DR Lot 34 BIk 2 Sub BUR OAK HILLS 2ND Zip 5512 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 6/4/93 Yes No Inspector: Final grade (6" from siding) t/ Permanent steps (garage) Permanent steps (main entry) ,/ Permanent driveway Permanent gas Sod/Seeded grass t/ Trail/curb damage Porch t/ Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2 2 ?? 4 l 3 ra?3 93 3 oL 13 SO .k a ea Request Date Fire No. Rough-in inspection Repui ? ? Reedy Now ill Nosy Inspector -? es ? No hen n Ready? I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box ar Route No? CAY 9p Section No. Township Name or No. Range No. County Occupant lP T^ I awn ` ? Phone No. -asy c, ?l +? N. - Power Sup ss ? r Electrical Contract ICampany Name) Contractors License No. C? C/-} o I? a3 Mailing Adore s I ntractor or Owner eking Installation) ? ` iu c l L Ml ?,5? 0 2 \ o f N 7 Authoraetl atoll IContracton ner Making Installation) Phone Numb - a MINNESOTA STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 3 3 93 REQUEST ELECTRICAL INSPECTIONe 4k ee-oo s 6 See instructio ompleting this farm an back of yellow copy. 6-;, 336 422 "X" Below Work Covered by This Request 1''5 New Adtl Rep. . TYpeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer that (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Crmmm or§ Remarks'. Compute Inspection Fee Below.: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 010 200 Amps 0 to 100 Amps (o Transformers Above 200 _ Amps a 100 -Amps Signs Inspedor§ Use Only TOTAL Irrigation Booms ?`? Special Inspection e Alarm/Communication RED THIS INSTALLATION MAY BE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the Electrical Inspector, hereby Rough-m ale ??y o • j certify that the above inspection has been made. Final Dale OFFICE USE ONLY This request void 18 months from n'? sae- a Ile RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20%madmum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • i set of Energy Calculations • 3 copies of Tree Preservation Plan it lot platted after 7/1193 • Rim Joist Detail options selection sheet (bidgs with 3 or less units) DATE ?? ??? IOC SITE ADDRESS S.?Z TYPE OF WORi)I.)h A' APPLICANT STREET ADDRESS TELEPHONE #tLT..?I-63b-( PHONE # ) ffo as RemodelfRegaif Requirements 2 copies of plan • 1 set of Energy calculations for heated additions 1 site survey for exterior additions & decks Indicate if home served by septic system for additions VALUATION 3000 IULTI-FAMILY BLDG Y V N FIREPLACE(S) _ 0 _ 1 _ 2 A>< ppSTATEU ZIP! tL L>?o?-0al1J FAX # PROPERTYOWNER TELEPHONE#? IO-lI COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY l biIN (J submission type) • Residential Ventilation Category 1 Worksheet Submitted Ne s etC • Energy Envelope Calculations Submitted n JUN pry 2002 Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: Phone # Phone # Fee: $70.00 ----------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and gree to comply with all applicable State of Minnesota Statutes and City of Eaga dinances Signature of Applicant ---- -------------- ----------_------------ --------------- --------........ ---- - --------------- USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System OFFICE USE ONLY 1 F n ? 0 ou dation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) II ? 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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage I ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous I! ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 13 45 Fire Repair ? 33 Alteration 13 37 Demolish (Bldg)' ? 43 Reroof [3 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV u, Nbr. of Bldgs Length Fire Spirinklered 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 & W ater Final Air/Gas Tests Pool Ftgs Final _ Framing _ _ - _ _ Siding _ Stucco _ Stone - _ Fireplace - R.I. _ Air Test - Final _ Windows (new/replacement) ;. - Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT & X CITY OF EAGAN ° 3830 Pilot Knob Road PERMIT TYPE: B U I L D 1 N G Eagan, Minnesota 55123 Permit Number: d (612) 681-4675 Date Issued: 0 3/10 SITE ADDRESS: 38'"1'2 ROLLING HILLS MR LOT: 'r4 BLOC`. 2 I3Ui'P OAP: t TIA.£; 2NL) PaJ:.H.: 1?-'1.5501.-- e! 0-0.2 DESCRIPTION: s3uiLd `sxil 11eri"fiJ t T,ypca SF DWG r Building?bdorls, Typr NEW t' USC Occupancy R-3 4-1 ' C o ns t- r u c t i o n?7y pe, '.,-M1I Toning R-1 Building Length 0 8uiIding Width ~ 54 b w i REMARKS: S & W P1..BR - PAR,S01v1 P1,66 FRLI FEE SUMMARY- VALUAT10IN 3a5-e Fee Plan Reyi,rw AC v Yi L. SAC llni_ts SL,bLotal .4L11. PlQ1 -S75P,.00 1. GAG 2,162.65 *149,ODO i1T CE; L LAr, F 0 US rr)t al Fees $3, 907. is CONTRACTOR: GEROLD BROS CONST 170"1 : SO"L'i NEW PRA,G1.)E(012) 7Pi8--"''81 1.7532842' 00011 ST I,v Mid 56071 WNER: (nEROLD BROS CONST ) 701 2801H, ST W NEW PRAGDE liN 55071 t6 t?)752i-"r3A?-? I hereby acknowledge that I have read this zapp ication and state that the information is catrectL and agree to comply !wit-h all applicable Statv of 1411 Statutes and City of Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE ISSUED QY: SIGNATURE °( REACTIVATE _ P`RMIT '# CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 4,5. 1 D q, If w C b RECD C g-Q 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 ppermit 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 oQd Site Address: 9,2 ?A'u,4-41 f) STREET SUITE # Tenant Name: (commercial only) LOT _3L_ BLOCK _Q_ SUBD.9,,r Oc 2? P.I.D. Description of work: j' The applicant is: ? Owner Contractor ? Other (wescribe) Name Phone Property LAST FIRST Owner Address STREET STE A' City State Zip Company 6-er-jl?) ?ry?- Con?C Phone 75?' cY`l z Contractor Address /70 L/ License # bcx>nt :5'- Exp. City k?Q'?j State Zip S6,17( 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 has b n 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: wcr'? - ?= OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Acces: ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE 0 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 35 Tenant Finish ? 36 Move Const. (Actual) Y-N Basement sq. ft. (Allowable) 1st F1. sq. ft. UBC Occupancy R-3 M-I 2nd Fl. sq. ft. Zoning 9-1 Sq. Ft. total N of Stories Footprint Sq. ft. Length On-site well Depth SY? On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard 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 % ioo SAC Units i ? Footing ? Final ? Framing ? Draintile Valuation: s 14910000- G ARACaEf 3 arc ?2 = GGO l l X II = t BSrsr? t?a+19 6 o X / ! ,3 `6?? -Gu x !s MAIN i- CawNr 83z: ` pyrn7` .: br36 /x i3 = 8 rx?= ? 1 4X54 15 ;k Im,lryo y I?l? z 3 4T M1&aseinehT'F i n i sh ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Yes ??W%_/ G System Water Required ter Pump Sprinkler us Code Code w 61J? , essments 633146`6 11 `1 -T o/ ? Insulation ? Fireplace L' CONSULTING EHdINEERS EER?L? BRA' CO.uS7' IJROSE PLANNERS and LAND PURVEYORS # 55¢Cf; 0/ ENGINEERING 9K, 198 COMPRNY, INC. '' y&.6Z 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 63337 PH 4323000 CERTIFICATE OF SURVEY Legal Description: SCALE : I" = 30' O DENOTES EXISTING ELEVATION (87o,7 ) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 871,00 = FINISHED GARAGE FLOOR ELEVATION 863, z9 = BASEMENT FLOOR ELEVATION 872' CO = TOP OF FOUNDATION ELEVATION ROLL/N6 HILLS DRIW5 X869.437 A/ 99 ° M' /3" 3o F; F2oNT 13VILPIN6 SETBACK LIA1E - 047, 00 N-) %Y) W 1 p r, ? M D \-1 O N ass s_) 8ss. 0 0 m ?i I 1 ?87°•161 T 869. r(8.1 la 6ARA9E 810.33_`}00 / 7, co 15.67 ?Ropos? o Hoo OI N ?? fEw. i, 'CgNo ?863,0? OT IJ L - I. 7- I 0 3, o) o ,ate,, °• L 87j.-Z Hull= 871,43 ©25.67 34 C. 5 991099'/3IV, 0 1 1 ^? LJ PIWA146E Au0 UTILITY C,4SEMFV7_ Z" 14 l;3GINEERING DEPT I hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. As prepared by me this 3eD day of MAIzcN , 19 93 - Minn. Req. No.f^?6vp LOT MURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PR0PLRTY LEGAL Date of survey: _ J T 3 ?/ ANT ITAND RTR or/D 0 Registered Land Surveyor signature and company pD' T D Building Permit Applicant D" D D Legal description D /1 D North Address North arrow and bar scale D D House type (rambler, walkout, split w/o, split entry, / lookout, etc.) 6"D /D Directional drainage arrows with slope/gradient =. D M D Proposed/existing sewer and water services D Street name D D Driveway ELEVATIONS Existing D 0/D Sewer service 6 D D Lot corners r/D El D D Top of curb at the driveway Elevations of any existing adjacent homes 1 Proposed D D D Garage floor Or B D D First floor A Lowest exposed elevation (walkout/window) d D D Property corners d D D • Front and rear of home at the foundation PONDING AREAS (if applicable) D D' D Easement line D D NWL 0 [f D HWL D 0 Pond # designation 0 Emergency Overflow Elevation DIMENSIONS d D D Lot lines d D D Right-of-way and street width (to back of curb) D D Proposed home dimensions including any proposed decks, overhangs greater than 216 porches, etc. (i.e, all ?D 0 structures requiring permanent footings) Show all easements of record and any City utilities within those easements D D Setbacks of proposed structure and setback of adjacent D ?D existing homes Retainin 1 e emants, if any Reviewed: S? ame / Dat ?w1.- •www )UHE R: EXTERIOR ENVELOPE AVERAGE "IP' COMPUTATION SITE ADDRESS:' LOT 314SIOa)c7- ?91AA O Hll.l L / :ONTRACTOR: DATE: 3 S ?l3 PHONE: 7 i DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA......,, Q??{ sq ft x '1N' • ? ? 2 2. TOTAL ROOF/CEILING AREA........ 1 ?a Lf sq ft x "If' ? CID 1. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor ........ , 10?sq ft a) Total wall window area: Qom-glazed...... I8a, G sq ft x "u" 3a sue. glazed...... sq ft x "U" r- --- b) Total door area 'Sl.? sq ft x "U" 1 3 -' ?- c) Total sliding glass door area: !JL glazed...... (JcY.. sq ft x "U" 026- glazed..... sq ft x "U" ?_.. d) Total fireplace wall area /Oc), sq ft x "U" e) Total wall framing area 2I D ? ? (Average 1071)........... sq ft x "U" f) Total not wall area above floor (insulated) ....... sq ft x "w" • oyG G - g) Total rim joist area...... sq ft x "Ir b,/.3 . Total foundation area (Exposed).......... 79 sq ft h) Total foundation ?? ?_ window area ............. 10-Y sq ft x U' 1) Total net foundation - .? . /03 a7. 6 area above grade........ .?6d? -2- sq ft x U' TOTAL a) thru 1) N?•9 If Item Pl Is the same as, or less than Item PI, you have asst the Intent of 2 MCAR 1.16008 A and 0. O J DC 1< 2 cJ J ..I Q 3 9 x N Page 1 4. 'TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed ft ... ` - .-- roof/cellinq area..... sq J) Total skylight area....... sq ft x 90 - k) Total roof/celltnq ).....g?O ?sq ft x "U" 0z area (Average IDx)• 1) Total net insulated • 6cJ 6 "U" roof/ceilinq area....... sq ft x O $ a TOTAL J) thru 1) 4. " If total of Ph Is the same as. or less than /2. you have met the intent of 2 HCAR 1.16008 A and O. ALTERNATE BUILDING ENVELOPE DESIGN than the sum values of items t/lhandb02the aunt /4 a shall envelope nt be system ethod, the To utilize Items 03 t and total of i + 2 ell t. . 111 + k. 3. C E R T I F I C A T I O N 1 hereby certify that I have calculated the "U" factors and "R" values herein and that the bulidinq here described meets or exceeds the State of Minnesota Energy Conservation Act. _ 3LZeo (Date) page 2 CITY OF EAGAN 3830 Pildt Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: X12 ?3r? J ?cd BUILDING/ 023490 05/04/94 SITE ADDRESS: 3322 ROLLING HILLS DR LOT: 34 BLOCK: 2 BUR OAK HILLS 2ND P.I.N.: 10-15501--340-02 DESCRIPTION: 11,u ldin'cU-.Permit Type DECK Building WWark Type NEW ,r i r REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - KELM RICH 322 ROLLING HILLS DR AGAN MN 55121 612)454-9091 I I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. APPLICANTIPERMITEE SIGNATURE application and state that the with all applicable State of Mn. ?UIQ RBI:. I DI? ISSU ED B : SIGNATURE CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION i= rUE v E DJ 681-4675 MAY 0 Z 1994 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Y / Z)l / Valuation of work Site Address: 33DO ??!? / lf1 "If STREET SUITE # Tenant Name: (commercial.only) LOT- BLOCK - SUBD. t - P.I.D. k _..- _,. Description of work - The applicant is: Owner ? Contractor ? Other (Describe) Name e? Phone ?I,i'y ?a91' •. PrO?y. Owner i- LAST FIRST . us$ ii± 3» Address STREET -:.. , STE #..?• - *s City _? Rnl State Zip Company S<N^f Phone Contractor Address License # Exp. City State -. -. Zip 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 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. f j?/ Signature o Applicant: CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 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 talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address: STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUED. P.I.D. # Description of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company Phone Contractor Address License # Exp. City State Zip 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 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 ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. M 15 Deck WORK TYPE ,Q 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Copies Other Total: r ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move 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 [13 Footing 1 Final Valuation: ? Framing ? Draintile MWCC System City Water PRV°Required Booster Pump Fire Sprinkler Census Code SACICode Census Bldg Census Unit Assessments ? Insulation ? Fireplace SAC % SAC Units ,OaO CONSULTING ENGINEERS ? '?' 3UAYORS KRNNEAS and LAND INC. ,4" ~SqI 1466 STREET, BURIISVILLE, MINNESOTA 55317 6EKOW B,fas. eaVST. Y6. 6z P11 432 - 3000 CERTIFICATE OF SURVEY on: A/ ( I) DENOTES EXISTING ELEVATION .,., < 8"10,7) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 871-no = FINISHED GARAGE FLOOR ELEVATION BELL =BASEMENT FLOOR ELEVATION 872.00 =TOP OF FOUNDATION ELEVATION SCALE : I' = 30' 941 ROLL/A/6 N/LLS D INN 'B5Ysi` ?8G9_43o ?- mI N 39 ° 8' /3" E 3o FT. FPDA1T 13U1LVIN,S SET BACK LINE--- G)4 ], 00 o g II (8 Jn.7) d lo: `869 6 ? (8 11 • ao? 97?_ 19• i3 a Io,67 O 1$. 6AKAGE (811.3) N N N-) 4;-- ----8.00 N / 1 0 0 4 ,J y 00 81033_ 001 71 `^ (870. 7 PKOP05cp HOUSE 1 m ?? 6B11?a X862.81 o? ?Sb3•o) K /J LOT 34 ? J 5I L LL.'! I L_ 0 0? (ass. j 92, 00 025. B71.Q3 I 1M1; 1 J DR41N46E AAW UT/L/TY EASEMENT dAkWi LNGi1*14L141i1NG IIPT I hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. As prepared by me this 3FD day of NIARCFI 19 93 . I?l 2Q7Q1`J?k?ccd y 19inn. Reg. No.)',6op 17 6 c? a! 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. tt of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc, f set of Energy Calculations 3 copies of Tree Preservation Plan Slot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasm mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, Joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate ifowite septic system 27U9- -i0/ti ?fice'tts?iv CedinfSp?ey,Recq? ?.. N Sa1s Re " ?"" s` ?.,Y N T,tpdFr?lail`Racd ? ''1' ??. Ta?'eq. Pres u"t f0n?srrle?`ePt?SysierllLf i`P?r3;„nm H Date / 0 / 1 U / 0 49 Construction Cost$ ! d o 0 r to o Site Address 3!:3 9,2- AzZ &I-Z-5 e?Z Unit/Ste # W '17141/11 / Description of Work Fj,1VZ 5 /-OJA1 12- L ?j? Multi-Family Bldg Fireplace(s ) _4 0 - 1 - 2 _ Y X N Property Owner '1 / s) eft,- l p 1.+- ,/ 0L/iX (.1-11ffl7/ li1A1 Telephone # (1,,,/) Contractor Address .... ._.: -.. City State Zip Telephone # ( ) 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 C;gntractor 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. NoI Applicant's anted Name Applicant's Si ature ?7 U DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 04 02-plex ? 10 08-plex ? 18 Deck ? 05 03-plex ? 11 10-plex l 19 Lower Level ? 06 04-plex ? 12 12-plex Work Types ? 20 Pool ? ? 21 Porch (3-sea.) ? ? 22 Porch/Addn. (4-sea.) ? ? 23 Porch (screen/gazebo/perola) ? ? 24 Storm Damage ? 25 Miscellaneous 30 Accessory Bldg 31 Ext. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 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 O(0.Y Plan Review _ 100% or 25% Census Code SAC Units # of Units # of Bldgs Type of Const _ Occupancy R_ MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered 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 LO Framing - Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. _ Air Test Final Windows / Insulation II _ _ _ 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 Inspector PERMIT City of Eagan Permit Type:Building Permit Number:EA144353 Date Issued:07/21/2017 Permit Category:ePermit Site Address: 3322 Rolling Hills Dr Lot:34 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-340 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard W Kelm 3322 Rolling Hills Dr Eagan MN 55121 (612) 747-7318 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163863 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 3322 Rolling Hills Dr Lot:34 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-340 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 - Richard W Kelm 3322 Rolling Hills Dr Eagan MN 55121 (612) 747-7318 T. Dunham Construction 831 Ventnor Ave Eagan MN 55123 (612) 819-0480 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175312 Date Issued:03/28/2022 Permit Category:ePermit Site Address: 3322 Rolling Hills Dr Lot:34 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-340 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 - Richard W & Carol S Kelm 3322 Rolling Hills Dr Saint Paul MN 55121--234 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature